Language and hope in schizophrenia-spectrum disorders.

PubMed

Bonfils, Kelsey A; Luther, Lauren; Firmin, Ruth L; Lysaker, Paul H; Minor, Kyle S; Salyers, Michelle P

2016-11-30

Hope is integral to recovery for those with schizophrenia. Considering recent advancements in the examination of clients' lexical qualities, we were interested in how clients' words reflect hope. Using computerized lexical analysis, we examined social, emotion, and future words' relations to hope and its pathways and agency components. Forty-five clients provided detailed narratives about their life and mental illness. Transcripts were analyzed using the Linguistic Inquiry and Word Count program (LIWC), which assigns words to categories (e.g., "anxiety") based on a pre-existing dictionary. Correlations and linear multiple regression were used to examine relationships between lexical qualities and hope. Hope and its subcomponents had significant or trending bivariate correlations in expected directions with several emotion-related word categories (anger and sadness) but were not associated with expected categories such as social words, positive emotions, optimism, achievement, and future words. In linear multiple regressions, no LIWC variable significantly predicted hope agency, but anger words significantly predicted both total hope and hope pathways. Our findings indicate lexical analysis tools can be used to investigate recovery-oriented concepts such as hope, and results may inform clinical practice. Future research should aim to replicate our findings in larger samples. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The stress-buffering effects of hope on adjustment to multiple sclerosis.

PubMed

Madan, Sindia; Pakenham, Kenneth I

2014-12-01

Hope is an important resource for coping with chronic illness; however, the role of hope in adjusting to multiple sclerosis (MS) has been neglected, and the mechanisms by which hope exerts beneficial impacts are not well understood. This study aims to examine the direct and stress-moderating effects of dispositional hope and its components (agency and pathways) on adjustment to MS. A total of 296 people with MS completed questionnaires at time 1 at 12 months later and time 2. Focal predictors were stress, hope, agency and pathways, and the adjustment outcomes were anxiety, depression, positive affect, positive states of mind and life satisfaction. Results of regression analyses showed that as predicted, greater hope was associated with better adjustment after controlling for the effects of time 1 adjustment and relevant demographics and illness variables. However, these direct effects of hope were subsumed by stress-buffering effects. Regarding the hope components, the beneficial impacts of agency emerged via a direct effects mechanism, whereas the effects of pathways were evidenced via a moderating mechanism. Findings highlight hope as an important protective coping resource for coping with MS and accentuate the roles of both agency and pathways thinking and their different modes of influence in this process.

An empirical evaluation of two theoretically-based hypotheses on the directional association between self-worth and hope.

PubMed

McDavid, Lindley; McDonough, Meghan H; Smith, Alan L

2015-06-01

Fostering self-worth and hope are important goals of positive youth development (PYD) efforts, yet intervention design is complicated by contrasting theoretical hypotheses regarding the directional association between these constructs. Therefore, within a longitudinal design we tested: (1) that self-worth predicts changes in hope (self theory; Harter, 1999), and (2) that hope predicts changes in self-worth (hope theory; Snyder, 2002) over time. Youth (N = 321; Mage = 10.33 years) in a physical activity-based PYD program completed surveys 37-45 days prior to and on the second day and third-to-last day of the program. A latent variable panel model that included autoregressive and cross-lagged paths indicated that self-worth was a significant predictor of change in hope, but hope did not predict change in self-worth. Therefore, the directional association between self-worth and hope is better explained by self-theory and PYD programs should aim to enhance perceptions of self-worth to build perceptions of hope. Copyright © 2015 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Positive factors associated with quality of life among Chinese patients with renal carcinoma: a cross-sectional study.

PubMed

Liu, Jiao; Gong, Da-Xin; Zeng, Yu; Li, Zhen-Hua; Kong, Chui-Ze

2018-01-01

Quality of life and positive psychological variables has become a focus of concern in patients with renal carcinoma. However, the integrative effects of positive psychological variables on the illness have seldom been reported. The aims of this study were to evaluate the quality of life and the integrative effects of hope, resilience and optimism on the quality of life among Chinese renal carcinoma patients. A cross-sectional study was conducted at the First Hospital of China Medical University. 284 participants completed questionnaires consisting of demographic and clinical characteristics, EORTC QLQ-C30, Adult Hope Scale, Resilience Scale-14 and Life Orientation Scale-Revised from July 2013 to July 2014. Pearson's correlation and hierarchical regression analyses were performed to explore the effects of related factors. Hope, resilience and optimism were significantly associated with quality of life. Hierarchical regression analyses indicated that hope, resilience and optimism as a whole accounted for 9.8, 24.4 and 21.9% of the variance in the global health status, functioning status and symptom status, respectively. The low level of quality of life for Chinese renal carcinoma patients should receive more attention from Chinese medical institutions. Psychological interventions to increase hope, resilience and optimism may be essential to enhancing the quality of life of Chinese cancer patients.

Vicarious Futurity in Autism and Childhood Dementia

ERIC Educational Resources Information Center

Wong, Michelle G.; Heriot, Sandra A.

2007-01-01

Vicarious futurity is the hope and despair that a person has for another's future. This study examined the vicarious futurity of parents of children with autism and childhood dementia. Participants were 22 parents of children with autism and 7 parents of children with childhood dementia. Variability in levels of vicarious hope and vicarious…

Prevalence and associated positive psychological variables of anxiety and depression among patients with central nervous system tumors in China: a cross-sectional study.

PubMed

Bao, Yijun; Li, Lizhuo; Guan, Yanlei; Wang, Wei; Liu, Yan; Wang, Pengfei; Huang, Xiaolong; Tao, Shanwei; Wang, Yunjie

2017-02-01

Anxiety and depression have been identified as common psychological distresses faced by the majority of patients with cancer. However, no studies have investigated the relationship between positive psychological variables (hope, optimism and general self-efficacy) and anxiety and depression among patients with central nervous system (CNS) tumors in China. Our hypothesis is that the patients with higher levels of hope, optimism or general self-efficacy have lower levels of anxiety and depression when encountered by stressful life events such as CNS tumors. Questionnaires, including the Hospital Anxiety and Depression Scale, the Herth Hope Index, the Life Orientation Scale-Revised and the General Self-Efficacy Scale, and demographic and clinical records were used to collect information about patients with CNS tumors in Liaoning Province, China. The study included 222 patients (effective response rate: 66.1%). Hierarchical linear regression analyses were performed to explore the associations among hope, optimism, general self-efficacy and anxiety/depression. Prevalence of anxiety and depression were 42.8 and 32.4%, respectively, among patients with CNS tumors. Hope and optimism both were negatively associated with anxiety and together accounted for 21.4% of variance in anxiety. Similarly, hope and optimism both were negatively associated with depression and accounted for 32.4% of variance in depression. The high prevalence of anxiety and depression among patients with CNS tumors should receive more attention in Chinese medical settings. To help reduce anxiety and depression, health care professionals should develop interventions to promote hope and optimism based on patients' specific needs. Copyright © 2016 John Wiley & Sons, Ltd.

Hope grounded in belief: Influences of reward for application and social cynicism on dispositional hope.

PubMed

Bernardo, Allan B I

2013-12-01

Two studies explore whether general beliefs about the social world or social axioms may be antecedents of dispositional hope. Social axioms are generalized cognitive representations that provide frames for constructing individuals' hope-related cognitions. Considering social axioms' instrumental and ego-defensive functions, two social axioms, social cynicism and reward for application are hypothesized to be negative and positive predictors of hope, respectively. Study 1 used multiple regression analysis to test the hypothesis. Study 2 used structural equation modeling to test the model with a pathway linking reward for application with hope, and another pathway linking social cynicism and hope that is mediated by self-esteem. The results are discussed in terms of extending the range of psychological constructs and processes that foster the development of hope. © 2013 The Scandinavian Psychological Associations.

Bifurcating effects of hope and support in short- and long-term health outcomes among primary care patients without mental illness.

PubMed

Katerndahl, David

2014-08-01

Adverse life events and stressors can lead to symptoms, increased alcohol intake, and impaired functional status, while hope and social support can mitigate such adverse effects. Yet, there is reason to question such simple, linear relationships among healthy adults. The purpose of this study was to assess whether short-term or long-term changes in alcohol intake, psychological symptoms or functional status were better modelled as cusp catastrophic or linear processes among primary care patients without mental illness. This secondary analysis of a study on the stability of psychological symptoms among primary care patients without mental disorders included 38 subjects who completed baseline, and 2-month and/or 6-month assessments of psychological symptoms, functional status and stressors as well as hope and social support. The analyses modelled short-term and long-term changes in alcohol intake, psychological symptoms and functional status using cusp catastrophe (CCM) and linear modelling. Overall, four of the nine 2-month analyses found CCM superior to linear models; however, only one 6-month analysis (alcohol intake) found that CCM was superior. The 2-month cusp phenomena included both symptomatology and functional status. The asymmetry variables were often not significant in the CCM models; in fact, only distress was significant at all. While hope was a significant bifurcation variable at both the 2-month and 6-month levels, social support was a significant bifurcation variable for three of the four 2-month CCMs. In conclusion, while 6-month outcomes were rarely explained through CCM, half of 2-month outcomes were. Hope and support demonstrated bifurcation effects. © 2013 John Wiley & Sons, Ltd.

Cultural and Cognitive Predictors of Academic Motivation among Mexican American Adolescents: Caution against Discounting the Impact of Cultural Processes

ERIC Educational Resources Information Center

Piña-Watson, Brandy; López, Belem; Ojeda, Lizette; Rodriguez, Kimberly M.

2015-01-01

This study examined the role of cognitive (i.e., grit, hope, and academic skepticism) and cultural variables (i.e., generational status, familismo, ethnic identity, and bicultural stress) on academic motivation among 181 Mexican American adolescents. Results indicated that hope, grit, and familismo positively predicted academic motivation.…

Career Adaptability, Hope, Optimism, and Life Satisfaction in Italian and Swiss Adolescents

ERIC Educational Resources Information Center

Santilli, Sara; Marcionetti, Jenny; Rochat, Shékina; Rossier, Jérôme; Nota, Laura

2017-01-01

The consequences of economic crisis are different from one European context to the other. Based on life design (LD) approach, the present study focused on two variables--career adaptability and a positive orientation toward future (hope and optimism)--relevant to coping with the current work context and their role in affecting life satisfaction. A…

Hope & Achievement Goals as Predictors of Student Behavior & Achievement in a Rural Middle School

ERIC Educational Resources Information Center

Walker, Christopher O.; Winn, Tina D.; Adams, Blakely N.; Shepard, Misty R.; Huddleston, Chelsea D.; Godwin, Kayce L.

2009-01-01

Relations among a set of cognitive-motivational variables were examined with the intent being to assess and clarify the nature of their interconnections within a middle school sample. Student perception of hope, which includes perceptions of agency and pathways, was investigated, along with personal achievement goal orientation, as predictors of…

A Model of Aging Perception in Iranian Elders With Effects of Hope, Life Satisfaction, and Socioeconomic Status: A Path Analysis.

PubMed

Yaghoobzadeh, Ameneh; Gorgulu, Ozkan; Yee, Bit-Lian; Wibisono, Ahmad Hasyim; Pahlevan Sharif, Saeed; Sharif Nia, Hamid; Allen, Kelly A

2018-01-01

Aging perception plays a central role in the experience of healthy aging by older people. Research identified that factors such as hope, life satisfaction, and socioeconomic status influence the perception of aging in older populations. This study sought to test a hypothetical model to quantitatively evaluate the relationship between hope, life satisfaction, and socioeconomic status with aging perception. A cross-sectional design was used with 504 older aged participants who live in Qazvin, Iran. Data were collected using the Barker's Aging Perception Questionnaire, Life Satisfaction Index-Z, and Herth Hope Index. The results of path analysis showed that hope was the most important factor affecting aging perception. Results drawn from correlation analysis indicated that there was a positive significant correlation ( r = .383, p < .001) between hope and aging perception. Further analysis found that hope had the strongest impact on aging perception compared with the other variables analyzed (e.g., life satisfaction and socioeconomic status). A model of aging perception in Iranian elders is presented. The findings suggested that hope had a significant and positive impact on aging perception. Implications for clinical practice and research are discussed.

Measuring hope among families impacted by cognitive impairment

PubMed Central

Hunsaker, Amanda E.; Terhorst, Lauren; Gentry, Amanda; Lingler, Jennifer H.

2014-01-01

The current exploratory investigation aims to establish the reliability and validity of a hope measure, the Herth Hope Index (HHI), among families impacted by early cognitive impairment (N=96). Exploratory factor analysis was used to examine the dimensionality of the measure. Bivariate analyses were used to examine construct validity. The sample had moderately high hope scores. A two-factor structure emerged from the factor analysis, explaining 51.44% of the variance. Both factors exhibited strong internal consistency (Cronbach’s alphas ranged from .83 to .86). Satisfaction with social support was positively associated with hope, supporting convergent validity. Neurocognitive status, illness insight and depression were not associated with hope, indicating discriminant validity. Families impacted by cognitive impairment may maintain hope in the face of a potentially progressive illness, regardless of cognitive status. The HHI can be utilized as a reliable and valid measure of hope by practitioners providing support to families impacted by cognitive impairment. PMID:24784938

Transitions of male partners of women with breast cancer: hope, guilt, and quality of life.

PubMed

Duggleby, Wendy; Thomas, Jasmine; Montford, Kelly; Thomas, Roanne; Nekolaichuk, Cheryl; Ghosh, Sunita; Cumming, Ceiwen; Tonkin, Katia

2015-03-01

To (a) describe the types of transitions experienced by male spousal caregivers of women with breast cancer and the strategies used by male spouses to deal with these transitions and (b) examine factors related to their quality of life, including demographic variables, self-efficacy, caregiver guilt, hope, the quality of life of their partner with breast cancer, and transitions. Cross-sectional, transformational, mixed-methods approach. Participants' homes. 105 dyads of male spouses and their female partners diagnosed with stages I-III breast cancer. 600 surveys were mailed to women with breast cancer and their male partners. Significant variables were entered into a multivariate model. Male caregiver quality of life. The quality of life of male spouse participants was positively influenced by hope (p < 0.01). It was negatively influenced by caregiver guilt scores (p < 0.01) and the method of dealing with their transitions by "doing what needs to be done" (p = 0.04). The male caregivers with higher quality-of-life scores reported higher hope and lower caregiver guilt scores. They reported lower quality-of-life scores if they dealt with transitions by "doing what needs to be done."
 Strategies to support male spouses of women with breast cancer should involve ways to foster hope, reduce feelings of guilt, and encourage male caregivers to engage more in supporting their spouses.

Self-clarity and different clusters of insight and self-stigma in mental illness.

PubMed

Hasson-Ohayon, Ilanit; Mashiach-Eizenberg, Michal; Lysaker, Paul H; Roe, David

2016-06-30

The current study explored the self-experience of persons with Serious Mental Illness (SMI) by investigating the associations between different insight and self-stigma clusters, self-clarity, hope, recovery, and functioning. One hundred seven persons diagnosed with a SMI were administered six scales: self-concept clarity, self-stigma, insight into the illness, hope, recovery, and functioning. Correlations and cluster analyses were performed. Insight, as measured by a self-report scale was not related to any other variable. Self-stigma was negatively associated with self-clarity, hope, recovery and functioning. Three clusters emerged: moderate stigma/high insight (n=31), high stigma/moderate insight (n=28), and low stigma/low insight (n=42). The group with low stigma and low insight had higher mean levels of self-clarity and hope than the other two groups. There were no significant differences between cluster 1 (moderate stigma/high insight) and cluster 2 (high stigma/moderate insight) in all the variables beside self-clarity. The group with moderate stigma and high insight had significantly higher mean levels of self-clarity than the group with high stigma and moderate insight. Results reveal that when people diagnosed with SMI do not have high levels of self-stigma they often report a positive and clear sense of self accompanied with hope, regardless of having low insight. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review

PubMed Central

Mahendran, Rathi; Chua, Shi Min; Yee, Isaac J; Tan, Joyce Y S; Kua, Ee Heok; Griva, Konstadina

2016-01-01

Objective To examine the factors associated with hope and hopelessness in patients with cancer in Asian countries, and the instruments used to measure hope and hopelessness. Methords A comprehensive systematic review was conducted with search terms, including cancer, hope, hopelessness and individual Asian country names, on CINAHL, Embase, PsycINFO, PubMed and Scopus databases. Only quantitative studies on adult cancer populations in Asia examining hope or hopelessness were included. Results A total of 2062 unique articles were retrieved from the databases, and 32 studies were selected for inclusion in this review. Hope and hopelessness were most frequently measured with the Herth Hope Index and the Mental Adjustment to Cancer Scale, respectively. The biopsychosocial factors that were most consistently associated with hope and hopelessness included sociodemographic variables (education, employment and economic status); clinical factors (cancer stage, physical condition and symptoms); and psychosocial factors (emotional distress, social support and connections, quality of life, control or self-efficacy, as well as adjustment and resilience). Discussion There is a need for more studies from South and Southeast Asia as most studies hailed from East Asia. This review highlighted the possibility of cultural differences influencing factors related to hope, suggesting that cross-cultural studies specifically would facilitate understanding behind these variations, although future reviews on hope should also include studies on hopelessness for a comprehensive understanding of the concept. Finally, more longitudinal research could be conducted to assess whether the factors associated with hope and hopelessness change over time and disease progression. PMID:27855093

Measuring hope among families impacted by cognitive impairment.

PubMed

Hunsaker, Amanda E; Terhorst, Lauren; Gentry, Amanda; Lingler, Jennifer H

2016-07-01

The current exploratory investigation aims to establish the reliability and validity of a hope measure, the Herth Hope Index, among families impacted by early cognitive impairment (N = 96). Exploratory factor analysis was used to examine the dimensionality of the measure. Bivariate analyses were used to examine construct validity. The sample had moderately high hope scores. A two-factor structure emerged from the factor analysis, explaining 51.44% of the variance. Both factors exhibited strong internal consistency (Cronbach's alphas ranged from .83 to .86). Satisfaction with social support was positively associated with hope, supporting convergent validity. Neurocognitive status, illness insight, and depression were not associated with hope, indicating discriminant validity. Families impacted by cognitive impairment may maintain hope in the face of a potentially progressive illness, regardless of cognitive status. The Herth Hope Index can be utilized as a reliable and valid measure of hope by practitioners providing support to families impacted by cognitive impairment. © The Author(s) 2014.

Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis.

PubMed

Livingston, James D; Boyd, Jennifer E

2010-12-01

An expansive body of research has investigated the experiences and adverse consequences of internalized stigma for people with mental illness. This article provides a systematic review and meta-analysis of the extant research regarding the empirical relationship between internalized stigma and a range of sociodemographic, psychosocial, and psychiatric variables for people who live with mental illness. An exhaustive review of the research literature was performed on all articles published in English that assessed a statistical relationship between internalized stigma and at least one other variable for adults who live with mental illness. In total, 127 articles met the inclusion criteria for systematic review, of which, data from 45 articles were extracted for meta-analyses. None of the sociodemographic variables that were included in the study were consistently or strongly correlated with levels of internalized stigma. The review uncovered a striking and robust negative relationship between internalized stigma and a range of psychosocial variables (e.g., hope, self-esteem, and empowerment). Regarding psychiatric variables, internalized stigma was positively associated with psychiatric symptom severity and negatively associated with treatment adherence. The review draws attention to the lack of longitudinal research in this area of study which has inhibited the clinical relevance of findings related to internalized stigma. The study also highlights the need for greater attention on disentangling the true nature of the relationship between internalized stigma and other psychosocial variables. Copyright © 2010 Elsevier Ltd. All rights reserved.

Kidney transplantation does not increase the level of basic hope or life satisfaction compared with hemodialysis in patients with chronic kidney disease.

PubMed

Zegarow, P; Jankowska, M; Sańko-Resmer, J; Durlik, M; Grzeszczyk, M; Pączek, L

2014-10-01

Although renal replacement therapy can lead to improved health, it also can cause emotional disturbances in patients. It is believed that the success of renal replacement therapy hinges not only on medical parameters, but also on psychosocial factors, which is why modern medicine provides an ever-increasing role in the improvement of patients' quality of life. The purpose of this study was to compare the level of life satisfaction, purpose in life, and basic hope in patients who had received renal replacement due to chronic kidney disease. We also tested whether the specific type of renal replacement therapy and kidney function parameters were influential factors on the above variables. Sixty-one adult patients treated via renal replacement for chronic kidney disease took part in the study. Patients were divided into two groups: 31 hemodialysis patients (15 women and 16 men, ages 23-77 years, mean 51.19 years, SD 14.53 years) and 30 patients who had undergone kidney transplantation (14 women and 16 men, ages 22-69 years, mean 48.40 years, SD 12.64 years). The following research tools were used for analysis: Satisfaction With Life Scale (SWLS), Purpose in Life Test (PIL), and Basic Hope Inventory (BHI-12). There were no statistical differences in the level of satisfaction with life between hemodialysis patients and postkidney transplant patients. The results for the SWLS obtained from both groups fell within the normal range. The average SWLS for hemodialysis patients remained 20.61, SD = 5.79; for postkidney transplant patients, it was 22.57, SD = 5.16. The PIL level in the group of hemodialysis patients (101.5, SD = 15.64) was significantly lower than in the group of postkidney transplant patients (109.7, SD = 15.54). The average BHI-12 level was similar in both groups. The average BHI-12 result for hemodialysis patients was 29.00 (SD = 5.06), and for postkidney transplant patients 29.93 (SD = 3.55). The correlations between the psychological variables and selected biochemical parameters are worthy of particular attention. Among hemodialysis patients, there was an additional correlation between SWLS and hematocrit; whereas for postkidney transplant patients, there was an additional correlation of PIL and eGFR. Our data show that satisfaction with life and basic hope do not increase in patients after renal replacement therapy. The form of renal replacement therapy (hemodialysis or kidney transplantation) does not change the above variables. Patients treated via renal replacement require specialized psychological support to improve the efficacy of renal replacement therapy.

Hope and the interpersonal-psychological theory of suicidal behavior: replication and extension of prior findings.

PubMed

Anestis, Michael D; Moberg, Fallon B; Arnau, Randolph C

2014-04-01

The interpersonal-psychological theory of suicidal behavior (IPTS; Joiner, 2005) posits that suicidal behavior occurs when an individual has a desire for death (due to the combination of perceived burdensomeness and thwarted belongingness) in addition to an acquired capacity for suicide, which is present when the individual has a low fear of death and high pain tolerance. Previous research has demonstrated an expected negative relation between trait hope and perceived burdensomeness and thwarted belongingness, as well as a more perplexing finding that hope is positively associated with the acquired capability. In a sample of 230 college students, measures of the three components of the IPTS were administered, along with measures of hope, depression, and painful and/or provocative events. Hierarchical regression analyses replicated the previously found associations between hope and burdensomeness and belongingness while controlling for depression and demographic variables. The positive association between hope and acquired capacity was also replicated, but a mediation analysis demonstrated that the effect was statistically accounted for by distress tolerance. The results further support the incremental validity of hope as a consideration in suicide risk assessments and suggest that hope may serve as a protective factor with respect to suicidal desire. © 2013 The American Association of Suicidology.

Parental hope for children with advanced cancer.

PubMed

Kamihara, Junne; Nyborn, Justin A; Olcese, Maura E; Nickerson, Taylor; Mack, Jennifer W

2015-05-01

Previous work suggests that parents of children with cancer can remain hopeful despite receiving prognostic information, but we know little about what hope means to such parents, or the extent to which parents can feel hopeful even while facing the child's impending death. We audiotaped conversations between clinicians and parents of 32 children with relapsed or refractory cancer, and then interviewed parents about their hopes and expectations for their child. Parent statements about prognosis in interviews mirrored those made by clinicians during discussions about the child's diagnosis with refractory or relapsed cancer. Clinicians used language referring to hope during these conversations but did not ask parents directly about their hopes. Parents expressed a range of hopes for their children, from hopes related to cure or treatment response, to quality of life, normalcy, and love and relationships for the child. For most parents, expectations about prognosis were not aligned with their hopes for the child; for example, many parents hoped for a cure and also reported that they did not believe cure was possible. Many parents were able to acknowledge this incongruence. Parents accurately conveyed the reality of their child's serious condition in the setting of advanced cancer, and yet maintained hope. Hopes were not limited to hope for cure/treatment response. Clinicians should be encouraged to engage in direct conversations about hope with parents as a means to elicit realistic hopes that can help to focus the most meaningful plans for the child and family. Copyright © 2015 by the American Academy of Pediatrics.

Hope in Parents of Very-Low Birth Weight Infants and its Association with Parenting Stress and Quality of Life.

PubMed

Nordheim, Trond; Rustøen, Tone; Solevåg, Anne Lee; Småstuen, Milada Cvancarova; Nakstad, Britt

Being a parent of a very-low-birth-weight (VLBW) infant can be stressful. We aimed to describe parental hope 42months after the birth of a VLBW infant and determine whether there is an association between hope and parenting stress with quality of life (QoL), respectively. Fifty-nine parents of VLBW infants completed questionnaires about hope, parenting stress and QoL. Pearson correlation coefficients (r) and linear regression models were used to examine the relationship between the selected variables. To compare groups, t-test was used and Cohen's d for effect size was calculated. Parents of VLBW infants were more hopeful than the general population (p<0.001). Parenting stress and hope were both independently associated with QoL (p<0.001). The subgroup of parents of infants with birth weight <1000g had less hope (p=0.041) and higher parenting stress (p=0.041) than parents of infants with birth weight 1000-1500g. Hope and parenting stress were both independent determinants of QoL. Parents of the presumably sickest infants had less hope and higher parenting stress than parents of VLBW infants with a birth weight over 1000g. Hope should be further explored as a coping mechanism in parents of VLBW infants. The clinical implications of the strong association between hope, parenting stress and QoL remain to be determined, but reducing stress and strengthening hope seem to be important. This should be taken into account both at hospital discharge and at follow-up, especially for lower-birth-weight infants. Copyright © 2017 Elsevier Inc. All rights reserved.

The nature of hope among Iranian cancer patients.

PubMed

Afrooz, Rashed; Rahmani, Azad; Zamanzadeh, Vahid; Abdullahzadeh, Farahnaz; Azadi, Arman; Faghany, Safieh; Pirzadeh, Asgar

2014-01-01

Hope is an important coping resource for cancer patients. Types and sources of hope and hope- inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

Shortwave surface radiation network for observing small-scale cloud inhomogeneity fields

NASA Astrophysics Data System (ADS)

Lakshmi Madhavan, Bomidi; Kalisch, John; Macke, Andreas

2016-03-01

As part of the High Definition Clouds and Precipitation for advancing Climate Prediction Observational Prototype Experiment (HOPE), a high-density network of 99 silicon photodiode pyranometers was set up around Jülich (10 km × 12 km area) from April to July 2013 to capture the small-scale variability of cloud-induced radiation fields at the surface. In this paper, we provide the details of this unique setup of the pyranometer network, data processing, quality control, and uncertainty assessment under variable conditions. Some exemplary days with clear, broken cloudy, and overcast skies were explored to assess the spatiotemporal observations from the network along with other collocated radiation and sky imager measurements available during the HOPE period.

Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review.

PubMed

Mahendran, Rathi; Chua, Shi Min; Lim, Haikel A; Yee, Isaac J; Tan, Joyce Y S; Kua, Ee Heok; Griva, Konstadina

2016-10-06

To examine the factors associated with hope and hopelessness in patients with cancer in Asian countries, and the instruments used to measure hope and hopelessness. A comprehensive systematic review was conducted with search terms, including cancer, hope, hopelessness and individual Asian country names, on CINAHL, Embase, PsycINFO, PubMed and Scopus databases. Only quantitative studies on adult cancer populations in Asia examining hope or hopelessness were included. A total of 2062 unique articles were retrieved from the databases, and 32 studies were selected for inclusion in this review. Hope and hopelessness were most frequently measured with the Herth Hope Index and the Mental Adjustment to Cancer Scale, respectively. The biopsychosocial factors that were most consistently associated with hope and hopelessness included sociodemographic variables (education, employment and economic status); clinical factors (cancer stage, physical condition and symptoms); and psychosocial factors (emotional distress, social support and connections, quality of life, control or self-efficacy, as well as adjustment and resilience). There is a need for more studies from South and Southeast Asia as most studies hailed from East Asia. This review highlighted the possibility of cultural differences influencing factors related to hope, suggesting that cross-cultural studies specifically would facilitate understanding behind these variations, although future reviews on hope should also include studies on hopelessness for a comprehensive understanding of the concept. Finally, more longitudinal research could be conducted to assess whether the factors associated with hope and hopelessness change over time and disease progression. 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/.

Risk adjustment for comparing hospital quality with surgery: how many variables are needed?

PubMed

Dimick, Justin B; Osborne, Nicholas H; Hall, Bruce L; Ko, Clifford Y; Birkmeyer, John D

2010-04-01

The American College of Surgeons' National Surgical Quality Improvement Program (ACS NSQIP) will soon be reporting procedure-specific outcomes, and hopes to reduce the burden of data collection by collecting fewer variables. We sought to determine whether these changes threaten the robustness of the risk adjustment of hospital quality comparisons. We used prospective, clinical data from the ACS NSQIP from 2005 to 2007 (184 hospitals, 74,887 patients). For the 5 general surgery operations in the procedure-specific NSQIP, we compared the ability of the full model (21 variables), an intermediate model (12 variables), and a limited model (5 variables) to predict patient outcomes and to risk-adjust hospital outcomes. The intermediate and limited models were comparable with the full model in all analyses. In the assessment of patient risk, the limited and full models had very similar discrimination at the patient level (C-indices for all 5 procedures combined of 0.93 versus 0.91 for mortality and 0.78 versus 0.76 for morbidity) and showed good calibration across strata of patient risk. In assessing hospital-specific outcomes, results from the limited and full-risk models were highly correlated for both mortality (range 0.94 to 0.99 across the 5 operations) and morbidity (range 0.96 to 0.99). Procedure-specific hospital quality measures can be adequately risk-adjusted with a limited number of variables. In the context of the ACS NSQIP, moving to a more limited model will dramatically reduce the burden of data collection for participating hospitals. Published by Elsevier Inc.

Predictors of hope among women with breast cancer during chemotherapy.

PubMed

Balsanelli, Alessandra Cristina Sartore; Grossi, Sonia Aurora Alves

2016-01-01

Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. A prospective longitudinal study. The sample was composed of 122 women who responded to the instruments of hope, anxiety and depression, coping, fatigue, religiosity and self-esteem in the first and last cycle of chemotherapy. These variables were used in adjusting the logistic regression model that characterized multivariate statistics, allowing identification of predictor variables. The increase of hope at the end of chemotherapy treatment was statistically significant (p = 0.012). The delay in undergoing treatment from the onset of breast cancer symptoms, Karnofsky Performance Status, depression, self-esteem and pain were characterized as factors being associated to hope by univariate analysis. Among the variables analyzed, pain was the only predicting factor of hope. Pain was the predicting factor in this sample. Hope increased during treatment and revealed the following associated factors: Karnofsky Performance Status, delay in starting the treatment, depression, self-esteem and pain. This study brought forth a multidisciplinary contribution, allowing for understanding the factors that can influence hope and presenting support to nursing care. The data evidenced conditions of improvement or worsening of hope, which requires interdisciplinary attention in Oncology. Identificar os fatores preditores da esperança nas pacientes com câncer de mama em tratamento quimioterápico. Estudo prospectivo longitudinal. A amostra foi de 122 mulheres que responderam aos instrumentos de esperança, ansiedade e depressão, coping, fadiga, religiosidade e autoestima no primeiro e no último ciclo de quimioterapia. Essas variáveis foram utilizadas no ajuste do modelo de regressão logística que caracterizou a estatística multivariada permitindo a identificação das variáveis preditoras. O aumento da esperança ao final do tratamento quimioterápico foi estatisticamente significante (p = 0,012). A demora na realização do tratamento desde o início dos sintomas do câncer de mama, o Karnofsky Performance Status, a depressão, a autoestima e a dor foram caracterizadas como fatores associados à esperança pela análise univariada. Dentre as variáveis analisadas, a dor apresentou-se como o único fator preditor da esperança. A dor foi o fator preditor nesta amostra. A esperança aumentou durante o tratamento e revelou os fatores associados: Karnofsky Performance Status, demora no início do tratamento, depressão, autoestima e dor. Este estudo trouxe uma contribuição multidisciplinar, permitiu compreender os fatores que podem influenciar a esperança e apresentou subsídios à assistência de enfermagem. Os dados evidenciaram condições de melhora ou agravamento da esperança, o que requer atenção interdisciplinar em Oncologia.

Hope and mood changes throughout the primary brain tumor illness trajectory

PubMed Central

Acquaye, Alvina A.; Lin, Lin; Vera-Bolanos, Elizabeth; Gilbert, Mark R.; Armstrong, Terri S.

2016-01-01

Background The ambiguity of defining hope impacts the level of readiness faced by health care professionals treating patients with glioma, a disease with unpredictable outcomes. This study describes the report of hope and the relationship between hope and mood in adult brain tumor patients at various points in the illness trajectory. Methods This was a cross-sectional study with data collection including use of the Herth Hope Index (HHI), the Profile of Mood States-Short Form (POMS-SF), and clinical information. Descriptive statistics were used to report sample characteristics. Spearman's rho and Mann-Whitney tests were used to compare and differentiate scores. Results Eighty-two patients ranging in age from 22 to 78 years (median, 44.5 y) participated in the study. Patients were primarily male (57.3%), married (76.8%), and had a high-grade glioma (35.4%). Nearly half had recurrence, and more than 20% were on active treatment. The overall HHI total score for the sample was 41.32 (range: 13–48). Patients with recurrence had a lower HHI interconnectedness (median = 14.00) score and higher total mood disturbance (median = 14.00) compared with patients without recurrence (median = 15.00 and median = 0.00, respectively; P < .05). All negative mood states on the POMS-SF were negatively correlated with HHI subscales. Conclusions Overall, patients reporting more hope also reported less overall mood disturbance As expected, patients with tumor recurrence reported lower hope and higher mood disturbance than those who were newly diagnosed or without recurrence. Targeting interventions specifically tailored to an individual's needs for improvement in quality of life throughout the disease course may include measures to address hope in order to facilitate positive coping strategies. PMID:26109686

Hope as a Psychological Factor Affecting Quality of Life in Patients With Psoriasis.

PubMed

Szramka-Pawlak, Beata; Hornowska, Elżbieta; Walkowiak, Hanna; Zaba, Ryszard

2014-01-01

Clinical observations and medical reports indicate that psoriasis has a tremendous impact on patients' lives, lowering their quality in many important areas. However, the vast majority of research deals only with health-related issues. This study aimed to compare the general quality of life of psoriasis patients and healthy volunteers by examining psychological variables thought to modify the quality of life. 42 patients with psoriasis and 42 healthy volunteers matched for gender, age and education level were tested. Flanagan Quality of Life Scale was used to evaluate general quality of life. Basic hope level was assessed with Basic Hope Inventory. Trait hope was estimated using Trait Hope Scale. Psoriasis Area Severity Index was used to assess the severity of the disease. Psoriasis patients have a significantly lower overall quality of life ( p  = 0.05), modified by Physical and Material Well-being ( p  = 0.01), Personal Development and Fulfillment ( p  = 0.03), and Recreation ( p  = 0.04). They also have lower levels of trait hope ( p  = 0.04) and its agency component ( p  = 0.01). There were moderate, negative significant correlations with basic hope and such components of quality of life as Physical and Material Well-being ( p  = 0.03, r  = - 0.34) and Relations with other People ( p  = 0.02, r  = - 0.35). These results support the hypothesis of a reduced general quality of life and trait hope in psoriatics. Thus, psychological help for people suffering from dermatological disorders might be as important as medical intervention. Basic hope can be treated as a resource in coping with these disorders and trait hope as a resource conducive to well-being.

Poverty and fatalism: Impacts on the community dynamics and on hope in Brazilian residents.

PubMed

Cidade, Elívia Camurça; Moura, James Ferreira; Nepomuceno, Bárbara Barbosa; Ximenes, Verônica Morais; Sarriera, Jorge Castellá

2016-01-01

The aim of this study was to analyze the consequences of poverty on expressions of fatalism, hope, and sense of community of two Brazilian States: Ceará and Rio Grande do Sul. Seven-hundred and thirty-one people, divided in four groups (extreme poverty, poverty, median income, and adequate income) answered a questionnaire. The variables sense of community and hope were found to be predictors of fatalism. Individuals in situations of poverty and extreme poverty showed high indices of fatalism, pessimism, divinity control, and luck, and low indices of hope and sense of community. Individuals with adequate income have low levels of fatalism, pessimism, and divinity control. It is concluded that poverty has consequences on the life of those who experience it, and that attitudes of pessimism, hopelessness, and belief in luck as well as the weakening of community networks, articulate and support the maintenance of the status quo.

Local Analogues: Comparing a 12 inch Telescope to the Hubble

NASA Astrophysics Data System (ADS)

Moore, Nathaniel; DeGroot, Laura

2018-01-01

The College of Wooster Campus Observatory is home to two telescopes: an 8 inch and a 12 inch. We aimed to test the limits of the observatory equipment and conditions by targeting nearby galaxies, to determine their morphology based on lower resolution. We suspected that this resolution would be similar to that of the Hubble Telescope (HST) for galaxies with a higher redshift. From our images, we hoped to find various variables related to the morphology of the nearby galaxies. These variables included the Sérsic index, concentration, asymmetry, smoothness, the Gini coefficient, and M20. From here, we hoped that these would allow us to create a comparison between lower resolution galaxies that are nearby and galaxies with a higher redshift with similar resolutions.

Efficacy of group meaning centered hope therapy of cancer patients and their families on patients' quality of life.

PubMed

Farhadi, Mehran; Reisi-Dehkordi, Negar; Kalantari, Mehrdad; Zargham-Boroujeni, Ali

2014-05-01

Quality of life (QOL) is a multidimensional concept which has nowadays turned to a supportive interventional goal in chronic diseases like cancer. Numerous interventions have been carried out to improve the QOL in patients with cancer, but the effect of indirect interventions on the patients' QOL has not been investigated yet. This study aimed to compare the efficacy of group meaning centered hope therapy of cancer patients and their families on the patients' QOL. This is a clinical trial conducted in three groups with a pre-test post-test design in which the effect of independent variable of meaning centered hope therapy on the dependent variable of QOL was investigated. The subjects were selected from the cancer patients who were aware of their diagnosis, were in primary stages of the disease, and had passed one period of chemotherapy. In this study, 42 patients (16 in control group, 14 in patients' group therapy, and 12 in patients' families' group therapy) were studied, and WHOQOL was adopted to investigate their QOL. Data were analyzed in two forms of descriptive and inferential statistical tests. The results obtained showed that group meaning centered hope therapy of cancer patients and their families had a positive effect on patients' QOL compared to the control group. The notable finding of the present study was that holding group sessions either for the patients or for their families equally improved patients' QOL. QOL of the cancer patients can be improved by either group meaning centered hope therapy for patients or group meaning centered hope therapy for their families. This finding is important for therapists, as when the patients cannot attend group therapy sessions due to complications of chemotherapy, these sessions can be held for their families to improve patients' QOL. This conclusion is very helpful in nurses' interaction with the patients and their families.

Hope-inspiring therapeutic relationships, professional expectations and social inclusion for young people with psychosis.

PubMed

Berry, Clio; Greenwood, Kathryn

2015-10-01

Personal recovery accounts suggest that a positive therapeutic relationship with an optimistic mental health professional may facilitate social inclusion. However, little empirical research has investigated the role of the therapeutic relationship in social outcomes or explored potential mechanisms of change within community psychosis care. This study investigated the direct predictive associations of the therapeutic relationship and professional expectancies for social inclusion and vocational activity for young people with psychosis, and indirect associations through hopefulness. Young people with psychosis and their main mental health professional (n=51 dyads) participated across two time points. Measures of therapeutic relationships, professional expectancies, and vocational activity were obtained at baseline. Measures of hopefulness, social inclusion and vocational activity were obtained at follow-up. Direct and indirect associations between variables were analysed using path modelling. Directed path models were consistent with a positive therapeutic relationship and positive professional expectancies predicting social inclusion and vocational activity through mediation by increased patient domain-specific hopefulness. The professional-rated therapeutic relationship more directly predicts change in vocational activity status. Change in vocational activity status predicts increased patient hopefulness. The therapeutic relationship between professionals and young people with psychosis appears hope-inspiring and important to patients' social inclusion and vocational outcomes. Vocational activity may produce reciprocal gains in hopefulness. Copyright © 2015 Elsevier B.V. All rights reserved.

The Role of Hope in Spinal Cord Injury Rehabilitation.

ERIC Educational Resources Information Center

Heinemann, Allen; And Others

Hope has motivational importance to individuals who have suffered a major physical loss. Theories of adjustment to a spinal cord injury take one of three approaches: (1) premorbid personality, which highlights the individual's past experiences, personal meanings, and body image; (2) typologies of injury reactions, which range from normal to…

The mediating roles of cancer-related rumination in the relationship between dispositional hope and psychological outcomes among childhood cancer survivors.

PubMed

Yuen, Ada N Y; Ho, Samuel M Y; Chan, Calais K Y

2014-04-01

This study aimed to examine the effects of dispositional hope on psychopathology as well as self-perceived positive change in childhood cancer survivors through the potential mediation of cancer-related ruminations. A cross-sectional design was used, and a group of childhood cancer survivors (N = 89; mean age = 23.2 years; age range = 17.2-31.3 years) were studied. Dispositional hope level was measured by the Hope Scale; positive and negative cancer-related ruminations were assessed by the Chinese Cancer-related Rumination Scale; depression symptoms were measured by Beck Depression Inventory; and anxiety symptoms were measured by Beck Anxiety Inventory. Positive adjustment outcome of posttraumatic growth (PTG) was assessed by the Chinese Post-traumatic Growth Inventory. Multiple regressions were used to analyze the relationship between dispositional hope and the outcome variables of PTG, anxiety and depression and the potential mediators of positive and negative cancer-related rumination. Dispositional hope was positively related to PTG, and the correlation was specifically mediated by positive cancer-related rumination. Dispositional hope also correlated with lower levels of depression and anxiety, specifically mediated by negative cancer-related rumination. The present finding supported hope as a significant positive factor for childhood cancer survivors, which was associated with PTG and better psychological adjustment. The findings may inform development of therapeutic intervention programs aimed at increasing childhood cancer patients' hope levels, which may be correlated with more positive cancer-related thoughts and better adjustment. The present study, which examined survivors diagnosed at young age, may enrich existing studies on the effect of onset age and adjustment outcomes. Copyright © 2013 John Wiley & Sons, Ltd.

Hope, connectedness, and action: responses of adolescents and young adults to the threat of nuclear war

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

Fernald, M.C.

This study undertook to assess the degree to which a person's sense of interconnectedness with others may have a mediating effect on whether one reacts to the consciousness of nuclear threat with feelings of despair (helplessness and hopelessness) or with a sense of empowerment (hope, efficacy, and action for change). Subjects included 119 public high school students and 14 Friends' school students, ranging from 12-18 years of age; 58 university students ranging from 18-25 years of age; and 24 parents of public school students, 10 adult Friends, and 38 members of Physicians for Social Responsibility, ranging from 20-83 years ofmore » age. A self-rating questionnaire was administered to assess subjects' conscious level of concern about nuclear issues, feelings of connectedness with others in general and about nuclear concerns, feelings of hope and efficacy in general and with regard to nuclear issues, and participation in activities reflecting concerns about nuclear threat. Correlational analyses (multiple regression, Spearman Rho, Kendall's Tau) showed that general feelings of hope, level of activity, and feelings of connectedness about nuclear concerns were the best predictors of hope about nuclear concerns. Conscious level of concern and feelings of connectedness about nuclear concerns, along with age and SES were the best predictors of an active response to nuclear threat; additionally, parents' level of concern about nuclear issues was predictive of their children's degree of activity in response to nuclear threat. Adolescents' level of concern and degree of connectedness with others was predicted by their parents' degree of connectedness.« less

Hope and mood changes throughout the primary brain tumor illness trajectory.

PubMed

Acquaye, Alvina A; Lin, Lin; Vera-Bolanos, Elizabeth; Gilbert, Mark R; Armstrong, Terri S

2016-01-01

The ambiguity of defining hope impacts the level of readiness faced by health care professionals treating patients with glioma, a disease with unpredictable outcomes. This study describes the report of hope and the relationship between hope and mood in adult brain tumor patients at various points in the illness trajectory. This was a cross-sectional study with data collection including use of the Herth Hope Index (HHI), the Profile of Mood States-Short Form (POMS-SF), and clinical information. Descriptive statistics were used to report sample characteristics. Spearman's rho and Mann-Whitney tests were used to compare and differentiate scores. Eighty-two patients ranging in age from 22 to 78 years (median, 44.5 y) participated in the study. Patients were primarily male (57.3%), married (76.8%), and had a high-grade glioma (35.4%). Nearly half had recurrence, and more than 20% were on active treatment. The overall HHI total score for the sample was 41.32 (range: 13-48). Patients with recurrence had a lower HHI interconnectedness (median = 14.00) score and higher total mood disturbance (median = 14.00) compared with patients without recurrence (median = 15.00 and median = 0.00, respectively; P < .05). All negative mood states on the POMS-SF were negatively correlated with HHI subscales. Overall, patients reporting more hope also reported less overall mood disturbance As expected, patients with tumor recurrence reported lower hope and higher mood disturbance than those who were newly diagnosed or without recurrence. Targeting interventions specifically tailored to an individual's needs for improvement in quality of life throughout the disease course may include measures to address hope in order to facilitate positive coping strategies. © The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The psychological impact of chronic environmental adversity: Responding to prolonged drought.

PubMed

Stain, Helen J; Kelly, Brian; Carr, Vaughan J; Lewin, Terry J; Fitzgerald, Michael; Fragar, Lyn

2011-12-01

The health effects of chronic environmental adversity have received insufficient attention, particularly those associated with the psychological impact of drought. Resilience or adaptive response to drought has received even less attention than vulnerability factors. This research examined factors associated with drought impact in rural and remote Australian communities. In 2008 postal surveys were completed by 302 adults (mean age 53 years; 57% female, 77% married) living in rural areas of prolonged drought exposure. Outcome measures were: (i) psychological distress (Kessler 10) and (ii) an index of concern or worry about drought. A range of predictor variables were assessed: adaptability (hopefulness, neuroticism), other adverse events, personal support and community connectedness, and sense of place, as a measure of connection to the local environment. Predictors of drought related worry differed from those associated with psychological distress levels. The former included socio-economic factors (living on a farm [Odds Ratio, OR 3.09], current employment [OR 3.64]), personal psychological characteristics (neuroticism [OR 1.29]), and greater connection with the environment (sense of place [OR 1.05]). On the other hand, psychological distress was associated chiefly with personal factors, such as higher neuroticism [OR 1.92], lower levels of hopefulness [OR 0.28], and lower perceived social support and community connectedness [OR 0.39]. Practical financial, employment and family factors were identified as important elements of drought impact, as to a lesser extent was sense of place, reflecting a confrontation with the consequences of chronic environmental degradation, while personal hopefulness may help mitigate the psychological impact of such adversity. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

From Pushing Paper to Pushing Dirt - Canada's Largest LLRW Cleanup Gets Underway - 13111

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

Veen, Walter van; Lawrence, Dave

2013-07-01

The Port Hope Project is the larger of the two projects in the Port Hope Area Initiative (PHAI), Canada's largest low level radioactive waste (LLRW) cleanup. With a budget of approximately $1 billion, the Port Hope Project includes a broad and complex range of remedial elements from a state of the art water treatment plant, an engineered waste management facility, municipal solid waste removal, remediation of 18 major sites within the Municipality of Port Hope (MPH), sediment dredging and dewatering, an investigation of 4,800 properties (many of these homes) to identify LLRW and remediation of approximately 450 of these properties.more » This paper discusses the status of the Port Hope Project in terms of designs completed and regulatory approvals received, and sets out the scope and schedule for the remaining studies, engineering designs and remediation contracts. (authors)« less

Hope in palliative care: from narcissism to self-transcendence in amyotrophic lateral sclerosis.

PubMed

Fanos, Joanna H; Gelinas, Deborah F; Foster, Reed S; Postone, Norman; Miller, Robert G

2008-04-01

The concept of hope in palliative care is an important and neglected area of research. Amyotrophic lateral sclerosis (ALS), a progressive degenerative motor neuron disease, offers an excellent opportunity to study this construct as the illness is virtually always fatal. Our research explored the meaning of hope in individuals with ALS. Sixteen patients (13 males and 3 females; mean age, 54) were interviewed during routine clinic visits to the Forbes Norris MDA/ALS Research Center at California Pacific Medical Center, San Francisco. The Forced Vital Capacity (FVC) Scale and the ALS Functional Rating Scale-Revised (ALSFRS-R) and a Hope Scale were administered. Themes of hope were identified and categorized. Hope categories included: (1) hope for a cure, (2) social support, (3) search for information, (4) spiritual beliefs, (5) limiting the impact, (6) adapting to changing capacities, (7) living in the moment, and (8) self-transcendence. The relationship between hope and the FVC value and individual as well as overall ALSFRS-R ratings were examined, and none were significant. Individuals varied in their capacity to cope with their illness unrelated to their physical ability. Themes ranged from a primary focus on the self to one of heightened concern for others, on continuum from narcissism to altruism. Respondents cited using a number of categories of hope (mean=5). Patients draw upon a variety of mechanisms to sustain hope when facing chronic disease, including hope for a cure, support from others, seeking information, spiritual beliefs, limiting the impact, adapting to changing capacities, living in the moment, and transcending the self. The palliative care team can play an important role by promoting discussions regarding hopefulness and its many forms in individuals with ALS.

Effectiveness Trial of Community-Based I Choose Life-Africa Human Immunodeficiency Virus Prevention Program in Kenya

PubMed Central

Adam, Mary B.

2014-01-01

We measured the effectiveness of a human immunodeficiency virus (HIV) prevention program developed in Kenya and carried out among university students. A total of 182 student volunteers were randomized into an intervention group who received a 32-hour training course as HIV prevention peer educators and a control group who received no training. Repeated measures assessed HIV-related attitudes, intentions, knowledge, and behaviors four times over six months. Data were analyzed by using linear mixed models to compare the rate of change on 13 dependent variables that examined sexual risk behavior. Based on multi-level models, the slope coefficients for four variables showed reliable change in the hoped for direction: abstinence from oral, vaginal, or anal sex in the last two months, condom attitudes, HIV testing, and refusal skill. The intervention demonstrated evidence of non-zero slope coefficients in the hoped for direction on 12 of 13 dependent variables. The intervention reduced sexual risk behavior. PMID:24957544

Effectiveness trial of community-based I Choose Life-Africa human immunodeficiency virus prevention program in Kenya.

PubMed

Adam, Mary B

2014-09-01

We measured the effectiveness of a human immunodeficiency virus (HIV) prevention program developed in Kenya and carried out among university students. A total of 182 student volunteers were randomized into an intervention group who received a 32-hour training course as HIV prevention peer educators and a control group who received no training. Repeated measures assessed HIV-related attitudes, intentions, knowledge, and behaviors four times over six months. Data were analyzed by using linear mixed models to compare the rate of change on 13 dependent variables that examined sexual risk behavior. Based on multi-level models, the slope coefficients for four variables showed reliable change in the hoped for direction: abstinence from oral, vaginal, or anal sex in the last two months, condom attitudes, HIV testing, and refusal skill. The intervention demonstrated evidence of non-zero slope coefficients in the hoped for direction on 12 of 13 dependent variables. The intervention reduced sexual risk behavior. © The American Society of Tropical Medicine and Hygiene.

Response expectancy versus response hope in predicting birth-related emotional distress and pain.

PubMed

Anton, Raluca; David, Daniel

2013-01-01

Response expectancies and response hopes have been shown to be two distinct constructs with important implications for nonvolitional outcomes. More specifically, studies show that response expectancies: (1) are sufficient to cause nonvolitional outcomes, (2) are not mediated by other psychological variables, and (3) are self-confirming while seemingly automatic. A new programmatic research line has differentiated between people's response expectancies and their response hopes regarding nonvolitional outcomes and showed that even if response hope and response expectancy are separate constructs, they are not unrelated. These concepts have not yet been studied in pregnant women. Moreover, determining the causal factors that best explain the variance of emotional distress and pain in pregnancy is of great importance. Thus, the aim of this study was to investigate the interrelations between response expectancy and response hope in pregnant women with respect to (1) emotional distress prior to giving birth and (2) pain during giving birth. Additionally, self-reported labor hours were analyzed as a secondary outcome. Results show that response expectancy for pain directly predicts pain, and that the discrepancy between response hopes and response expectancies is a strong predictor of investigated outcomes. Thus, our results support the idea that preventive psychological interventions for pregnant women should emphasize adjusting response expectancies and response hopes regarding the pain and emotional distress associated with giving birth. We believe that the results have both theoretical and practical implications and the topic deserves further investigation.

Similarity and scale in catchment storm response

NASA Technical Reports Server (NTRS)

Wood, Eric F.; Sivapalan, Murugesu; Beven, Keith

1993-01-01

Until recently, very little progress had been made in understanding the relationship between small-scale variability of topography, soil, and rainfalls and the storm response seen at the catchment scale. The work reviewed here represents the first attempt at a systematic theoretical framework for such understanding in the context of surface runoff generation by different processes. The parameterization of hydrological processes over a range of scales is examined, and the concept of the 'representative elementary area' (REA) is introduced. The REA is a fundamental scale for catchment modeling at which continuum assumptions can be applied for the spatially variable controls and parameters, and spatial patterns no longer have to be considered explicitly. The investigation of scale leads into the concept of hydrologic similarity in which the effects of the environmental controls on runoff generation and flood frequency response be investigated independently of catchment scale. The paper reviews the authors' initial results and hopefully will motivate others to also investigate the issues of hydrologic scale and similarity.

Natural disasters: an assessment of family resiliency following Hurricane Katrina.

PubMed

Hackbarth, Maria; Pavkov, Thomas; Wetchler, Joseph; Flannery, Michael

2012-04-01

This study explored the role of family characteristics in the coping process of a family after having experienced Hurricane Katrina to gain an understanding of the relationship between family resiliency, hope, family hardiness, and spirituality for survivors of this natural disaster. It was hypothesized that families who demonstrate higher levels of hope, family hardiness, and spirituality would be more likely to effectively cope after the storm. Further, great resource loss was hypothesized to diminish a family's ability to cope. Four hundred fifty-two participants completed the survey. Results indicate a relationship between hope, family hardiness and spirituality, and the criterion variable, family coping. The importance of these findings in terms of exploring family resiliency following a natural disaster is discussed. © 2011 American Association for Marriage and Family Therapy.

Resilience and hope during advanced disease: a pilot study with metastatic colorectal cancer patients.

PubMed

Solano, Joao Paulo Consentino; da Silva, Amanda Gomes; Soares, Ivan Agurtov; Ashmawi, Hazem Adel; Vieira, Joaquim Edson

2016-08-02

The balance between hope-hopelessness plays an important role in the way terminally ill patients report quality of life, and personal resilience may be related to hope at the end of life. The objective of this study was to explore associations between personal resilience, hope, and other possible predictors of hope in advanced cancer patients. A cross-sectional pilot study was carried out with metastatic colorectal cancer patients in a tertiary hospital. The patients answered the Connor-Davidson Resilience Scale, Herth Hope Index, Barthel Index, an instrument addressing family and social support, visual-numeric scales for pain and suffering, a two-item screening for depression, socio-demographic and socio-economic information about the family. Forty-four patients were interviewed (mean age 56 years; range 29-86). A strong correlation was noted between resilience and hope (0.63; p < 0.05). No correlation was found between hope and independence for activities of daily living, support from family and community, and pain and suffering levels. Of the 44 patients, 20 presented with depressive symptoms. These depressive patients had lower resilience (p = 0.005) and hope (p = 0.003), and higher scores of suffering (p < 0.001). The association between resilience and hope kept stable after adjusting for age, gender, and presence of depression (p < 0.001). Given that resilience is a dynamic, changeable path that can improve hope, resilience-fostering interventions should be most valued in palliative care settings and should be commenced as soon as possible with cancer patients. Patients with advanced stages of non-malignant conditions would also probably benefit from such interventions.

Development and preliminary testing of the Schizophrenia Hope Scale, a brief scale to measure hope in people with schizophrenia.

PubMed

Choe, Kwisoon

2014-06-01

Hope has received attention as a central component of recovery from mental illness; however, most instruments measuring hope were developed outside the mental health field. To measure the effects of mental health programs on hope in people with schizophrenia, a specialized scale is needed. This study examined the psychometric properties of the newly developed 9-item Schizophrenia Hope Scale (SHS-9) designed to measure hope in individuals with schizophrenia. A descriptive survey design. Participants were recruited from three psychiatric hospitals and two community mental health centers in South Korea. A total of 347 individuals over age 18 with a DSM-IV diagnosis of schizophrenia, schizoaffective, or schizophrenia spectrum disorders (competent to provide written informed consent) participated in this study; 149 (94 men, 55 women) completed a preliminary scale consisting of 40 revised items, and 198 (110 men, 88 women) completed the second scale of 17 items. Scale items were first selected from extensive literature reviews and a qualitative study on hope in people with schizophrenia; the validity and reliability of a preliminary scale was then evaluated by an expert panel and exploratory factor analysis. The remaining 9 items forming the Schizophrenia Hope Scale (SHS-9) were evaluated through confirmatory factor analysis. The SHS-9 demonstrates promising psychometric integrity. The internal consistency alpha coefficient was 0.92 with a score range of 0-18 and a mean total score of 12.06 (SD=4.96), with higher scores indicating higher levels of hope. Convergent validity was established by correlating the SHS-9 to the State-Trait Hope Inventory, r=0.61 (p<0.01). Divergent validity with the Beck Hopelessness Scale was also established, r=-0.55 (p<0.01). Exploratory and confirmatory factor analysis resulted in a 1-factor solution, with the essential meaning of hope accounting for 61.77% of the total item variance. As hope has been shown to facilitate recovery from mental illness, the accurate assessment of hope provided by the short, easy-to-use Schizophrenia Hope Scale (SHS-9) may aid clinicians in improving the quality of life of individuals with schizophrenia. Copyright © 2013 Elsevier Ltd. All rights reserved.

Seismic Leadership, Hope, and Resiliency: Stories of Two Christchurch Schools Post-Earthquake

ERIC Educational Resources Information Center

Notman, Ross

2015-01-01

This article takes the form of a research report which examines personal resiliency and a sense of hope among educational leaders in times of extreme crises. Findings indicated that, despite the trauma of an earthquake in Christchurch, New Zealand, school leaders were still able to find satisfying aspects in their jobs, and to display a range of…

Effects of removing Good Hope Mill Dam on selected physical, chemical, and biological characteristics of Conodoguinet Creek, Cumberland County, Pennsylvania

USGS Publications Warehouse

Chaplin, Jeffrey J.; Brightbill, Robin A.; Bilger, Michael D.

2005-01-01

The implications of dam removal on channel characteris-tics, water quality, benthic invertebrates, and fish are not well understood because of the small number of removals that have been studied. Comprehensive studies that document the effects of dam removal are just beginning to be published, but most research has focused on larger dams or on the response of a sin-gle variable (such as benthic invertebrates). This report, pre-pared in cooperation with the Conodoguinet Creek Watershed Association, provides an evaluation of how channel morphol-ogy, bed-particle-size distribution, water quality, benthic inver-tebrates, fish, and aquatic habitat responded after removal of Good Hope Mill Dam (a small 'run of the river' dam) from Conodoguinet Creek in Cumberland County, Pa. Good Hope Mill Dam was a 6-foot high, 220-foot wide concrete structure demolished and removed over a 3-day period beginning with the initial breach on November 2, 2001, at 10:00 a.m. eastern standard time. To isolate the effects of dam removal, data were collected before and after dam removal at five monitoring stations and over selected reaches upstream, within, and downstream of the impoundment. Stations 1, 2, and 5 were at free-flowing control locations 4.9 miles upstream, 2.5 miles upstream, and 5 miles downstream of the dam, respec-tively. Stations 3 and 4 were located where the largest responses were anticipated, 115 feet upstream and 126 feet downstream of the dam, respectively Good Hope Mill Dam was not an effective barrier to sedi-ment transport. Less than 3 inches of sediment in the silt/clay-size range (less than 0.062 millimeters) coated bedrock within the 7,160-foot (1.4-mile) impoundment. The bedrock within the impoundment was not incised during or after dam removal, and the limited sediment supply resulted in no measurable change in the thalweg elevation downstream of the dam. The cross-sec-tional areas at stations 3 and 4, measured 17 days and 23 months after dam removal, were within 3 percent of the area measured before removal. Some of the impounded silt/clay at station 3 and other sed-iment in the work area downstream of the dam were initially entrained over the 3-day removal period and deposited on sub-strate at station 4. Remaining silt/clay at station 3 and deposits at station 4 were transported downstream by the flows mea-sured over the 23 months after removal (daily mean flow ranged from 38 to 5,180 cubic feet per second). The median bed-parti-cle size at station 3 increased by approximately 32 millimeters in the 23-month period after removal. Bed-particle-size distri-bution at station 4 became finer when silt/clay was initially deposited but coarsened as high flows flushed it downstream; median bed-particle size was 77.7 millimeters before removal compared to 31.3 millimeters 17 days after removal and 99 mil-limeters 23 months after removal. Good Hope Mill Dam had either no effect on water-quality characteristics or the effect was so small it was masked by sea-sonal and periodic variability. Measurements of daily mean temperature, dissolved-oxygen concentration, pH, and specific conductance on a short time scale (every 15 minutes) indicate the daily range of temperature was suppressed under impounded conditions and daily extremes of temperature, dis-solved-oxygen concentration, pH, and specific conductance at station 2 were out of phase by approximately 12 hours with station 3. Once the dam was removed, the pattern at station 3 shifted and converged with the pattern at station 2. The offset before removal may be related to a lag time resulting from a decrease in velocity through the impoundment. Total nitrogen and suspended-sediment concentrations increased upon the initial dam breach but were within the range of concentrations measured from March 2001 through April 2002 over varying flow conditions at station 1. Total nitrogen concentration at station 4 was 4.66 milligrams per liter upon the initial breach of the dam,

The development of positive psychology outcome measures and their uses in dementia research: A systematic review.

PubMed

Stoner, Charlotte R; Stansfeld, Jacki; Orrell, Martin; Spector, Aimee

2017-01-01

Positive psychology is gaining credence within dementia research but currently there is a lack of outcome measures within this area developed specifically for people with dementia. Authors have begun adopting positive psychology measures developed with other populations but there is no consensus around which are more appropriate or psychometrically robust. A systematic search identified measures used between 1998 and 2017 and an appraisal of the development procedure was undertaken using standardised criteria enabling the awarding of scores based on reporting of psychometric information. Twelve measures within the constructs of identity, hope, religiosity/spirituality, life valuation, self-efficacy, community and wellbeing were identified as being used within 17 dementia studies. Development procedures were variable and scores on development criterion reflected this variability. Of the measures included, the Herth Hope Index, Systems of Belief Inventory and Psychological Wellbeing Scale appeared to be the most robustly developed and appropriate for people with dementia.

Mid-latitude storm track variability and its influence on atmospheric composition

NASA Astrophysics Data System (ADS)

Knowland, K. E.; Doherty, R. M.; Hodges, K.

2013-12-01

Using the storm tracking algorithm, TRACK (Hodges, 1994, 1995, 1999), we have studied the behaviour of storm tracks in the North Atlantic basin, using 850-hPa relative vorticity from the ERA-Interim Re-analysis (Dee et al., 2011). We have correlated surface ozone measurements at rural coastal sites in Europe to the storm track data to explore the role mid-latitude cyclones and their transport of pollutants play in determining surface air quality in Western Europe. To further investigate this relationship, we have used the Monitoring Atmospheric Composition Climate (MACC) Re-analysis dataset (Inness et al., 2013) in TRACK. The MACC Re-analysis is a 10-year dataset which couples a chemistry transport model (Mozart-3; Stein 2009, 2012) to an extended version of the European Centre for Medium-Range Weather Forecasts' (ECMWF) Integrated Forecast System (IFS). Storm tracks in the MACC Re-analysis compare well to the storm tracks using the ERA-Interim Re-analysis for the same 10-year period, as both are based on ECMWF IFSs. We also compare surface ozone values from MACC to surface ozone measurements previously studied. Using TRACK, we follow ozone (O3) and carbon monoxide (CO) through the life cycle of storms from North America to Western Europe. Along the storm tracks, we examine the distribution of CO and O3 within 6 degrees of the center of each storm and vertically at different pressure levels in the troposphere. We hope to better understand the mechanisms with which pollution is vented from the boundary layer to the free troposphere, as well as transport of pollutants to rural areas. Our hope is to give policy makers more detailed information on how climate variability associated with storm tracks between 1979-2013 may affect air quality in Northeast USA and Western Europe.

The practice of hope: a longitudinal, multi-perspective qualitative study among South Asian Sikhs and Muslims with life-limiting illness in Scotland.

PubMed

Kristiansen, Maria; Irshad, Tasneem; Worth, Allison; Bhopal, Raj; Lawton, Julia; Sheikh, Aziz

2014-02-01

We explored the role of faith and religious identities in shaping end of life experiences in South Asian Muslims and Sikhs with life-limiting illnesses. Secondary analysis of data from a longitudinal, multi-perspective qualitative study of the experience of life-limiting illness and access to palliative care services among South Asian Sikhs and Muslims in Scotland. Up to three semi-structured interviews were conducted with 25 participants, 15 family members and 20 health care professionals over a period of 18 months. Analysis was informed by Mattingly's theory on hope. Hope emerged as a central construct in the accounts of illness constructed by the participants as they struggled to make sense of and uphold a meaningful life. Clinical encounters and, for some, religious beliefs served as sources of hope for participants. Hope unfolded as an active process that enabled them to live with the personal and in particular the social ramifications of their illness. Changing images of hope were formulated and reflected as illness progressed or treatments failed. These ranged from hoping for cure, prolonged life, the regaining of lost capabilities needed to fulfil social roles, or at times death when suffering and the consequences for the family became too hard to bear. For those suffering from a life-limiting illness, sustaining hope is a complex challenge. The social character of hope is evident as it focuses on envisioning a life that is worth living, not only for oneself, but most importantly for social relations. Continuity in care at the end of life and a holistic approach is important in order to enable patients to articulate complex and changing notions of hope that at times are silenced within families, and for patients to feel confident in discussing the possible role of religious beliefs in shaping personal notions of hope.

Parental styles and religious values among teenagers: a 3-year prospective analysis.

PubMed

Heaven, Patrick C L; Ciarrochi, Joseph; Leeson, Peter

2010-01-01

The authors examined the effect of Grade 7 parental styles on Grade 10 religious values. The authors surveyed 784 participants (382 boys, 394 girls; 8 unreported) in Grade 7. The mean age of the group at Time 1 was 12.3 years (SD = 0.5 years). Time 2 occurred 3 years later when students were in Grade 10 (372 boys, 375 girls). In addition to assessing parental styles at Time 1, we also controlled for a number of Time 1 variables thought to possibly influence Time 2 religious values, namely, self-esteem, trait hope, and students' levels of conscientiousness. Time 1 measures (except self-esteem) were significantly correlated with Time 2 religious values, but only parental authoritativeness and hope significantly predicted religious values. The authors discuss these results with reference to the nature of parental styles and hope and their impact on religious values.

Determinants of a hopeful attitude among family caregivers in a palliative care setting.

PubMed

Kim, Seon-Young; Kim, Jae-Min; Kim, Sung-Wan; Kang, Hee-Ju; Shin, Il-Seon; Shim, Hyun-Jeong; Cho, Sang-Hee; Chung, Ik-Joo; Yoon, Jin-Sang

2014-01-01

This study investigated the determinants of a hopeful attitude among family caregivers involved with palliative care. We investigated a broad range of factors for the patient-family dyad in a palliative care setting using a cross-sectional design. The patients' sociodemographic, clinical and psychological factors were evaluated, as well as caregiver-related sociodemographic and psychological factors, including depressive symptoms, burden, coping style and religiosity. Caregivers were divided into two groups based on a hopeful or nonhopeful attitude and assessed using the abbreviated version of the seven-item Beck Hopelessness Scale (BHS-7). Of 304 analyzed dyads, 210 (69.1%) caregivers showed a hopeful attitude, with a BHS-7 score of 0. The adjusted logistic regression analyses showed that caregivers' hopeful attitude was determined by only their psychological status: less depressive symptoms [odds ratio (OR), 0.86; 95% confidence interval (CI), 0.83-0.90], active coping strategy (OR, 1.12; 95% CI, 1.07-1.18) and lower burden (OR, 0.93; 95% CI, 0.88-0.99). In a subpopulation analysis (n=200), higher religiosity was a significantly associated factor. Healthcare providers need to pay attention to the psychological vulnerability of caregivers to encourage a hopeful attitude. Additional studies of longitudinal design for hopeful attitude throughout the trajectory of palliative care are necessary. Copyright © 2014 Elsevier Inc. All rights reserved.

The HD(CP)2 Observational Prototype Experiment (HOPE) - an overview

NASA Astrophysics Data System (ADS)

Macke, Andreas; Seifert, Patric; Baars, Holger; Barthlott, Christian; Beekmans, Christoph; Behrendt, Andreas; Bohn, Birger; Brueck, Matthias; Bühl, Johannes; Crewell, Susanne; Damian, Thomas; Deneke, Hartwig; Düsing, Sebastian; Foth, Andreas; Di Girolamo, Paolo; Hammann, Eva; Heinze, Rieke; Hirsikko, Anne; Kalisch, John; Kalthoff, Norbert; Kinne, Stefan; Kohler, Martin; Löhnert, Ulrich; Lakshmi Madhavan, Bomidi; Maurer, Vera; Muppa, Shravan Kumar; Schween, Jan; Serikov, Ilya; Siebert, Holger; Simmer, Clemens; Späth, Florian; Steinke, Sandra; Träumner, Katja; Trömel, Silke; Wehner, Birgit; Wieser, Andreas; Wulfmeyer, Volker; Xie, Xinxin

2017-04-01

The HD(CP)2 Observational Prototype Experiment (HOPE) was performed as a major 2-month field experiment in Jülich, Germany, in April and May 2013, followed by a smaller campaign in Melpitz, Germany, in September 2013. HOPE has been designed to provide an observational dataset for a critical evaluation of the new German community atmospheric icosahedral non-hydrostatic (ICON) model at the scale of the model simulations and further to provide information on land-surface-atmospheric boundary layer exchange, cloud and precipitation processes, as well as sub-grid variability and microphysical properties that are subject to parameterizations. HOPE focuses on the onset of clouds and precipitation in the convective atmospheric boundary layer. This paper summarizes the instrument set-ups, the intensive observation periods, and example results from both campaigns. HOPE-Jülich instrumentation included a radio sounding station, 4 Doppler lidars, 4 Raman lidars (3 of them provide temperature, 3 of them water vapour, and all of them particle backscatter data), 1 water vapour differential absorption lidar, 3 cloud radars, 5 microwave radiometers, 3 rain radars, 6 sky imagers, 99 pyranometers, and 5 sun photometers operated at different sites, some of them in synergy. The HOPE-Melpitz campaign combined ground-based remote sensing of aerosols and clouds with helicopter- and balloon-based in situ observations in the atmospheric column and at the surface. HOPE provided an unprecedented collection of atmospheric dynamical, thermodynamical, and micro- and macrophysical properties of aerosols, clouds, and precipitation with high spatial and temporal resolution within a cube of approximately 10 × 10 × 10 km3. HOPE data will significantly contribute to our understanding of boundary layer dynamics and the formation of clouds and precipitation. The datasets have been made available through a dedicated data portal. First applications of HOPE data for model evaluation have shown a general agreement between observed and modelled boundary layer height, turbulence characteristics, and cloud coverage, but they also point to significant differences that deserve further investigations from both the observational and the modelling perspective.

Body proportions of circumpolar peoples as evidenced from skeletal data: Ipiutak and Tigara (Point Hope) versus Kodiak Island Inuit.

PubMed

Holliday, Trenton W; Hilton, Charles E

2010-06-01

Given the well-documented fact that human body proportions covary with climate (presumably due to the action of selection), one would expect that the Ipiutak and Tigara Inuit samples from Point Hope, Alaska, would be characterized by an extremely cold-adapted body shape. Comparison of the Point Hope Inuit samples to a large (n > 900) sample of European and European-derived, African and African-derived, and Native American skeletons (including Koniag Inuit from Kodiak Island, Alaska) confirms that the Point Hope Inuit evince a cold-adapted body form, but analyses also reveal some unexpected results. For example, one might suspect that the Point Hope samples would show a more cold-adapted body form than the Koniag, given their more extreme environment, but this is not the case. Additionally, univariate analyses seldom show the Inuit samples to be more cold-adapted in body shape than Europeans, and multivariate cluster analyses that include a myriad of body shape variables such as femoral head diameter, bi-iliac breadth, and limb segment lengths fail to effectively separate the Inuit samples from Europeans. In fact, in terms of body shape, the European and the Inuit samples tend to be cold-adapted and tend to be separated in multivariate space from the more tropically adapted Africans, especially those groups from south of the Sahara. Copyright 2009 Wiley-Liss, Inc.

How doctors communicate the initial diagnosis of cancer matters: cancer disclosure and its relationship with Patients' hope and trust.

PubMed

Cao, Weidan; Qi, Xiaona; Yao, Ting; Han, Xuanye; Feng, Xujing

2017-05-01

The study is to examine the relationships between perceived initial cancer disclosure communication with doctors, levels of hope, and levels of trust in doctors among cancer patients in China. A total number of 192 cancer inpatients in a cancer hospital in China were surveyed. Perceived disclosure strategies, levels of hope, levels of trust in their doctors, as well as the demographic information were obtained from the participants. In addition to age, patients who had higher levels of perceived emotional support from doctors, or higher levels of perceived personalized disclosure from doctors, or higher levels of perceived discussion of multiple treatment plans with doctors were more likely to have higher levels of trust in doctors. In addition to perceived health status, perceived emotional support from doctors significantly predicted participants' levels of hope. That is, patients who had higher higher levels of perceived doctors' emotional support were more likely to have higher levels of hope. Key disclosure person was a marginally significant variable, that is, patients who were mainly disclosed by family members might have higher levels of hope compared with patients who were mainly disclosed by doctors. When communicating with a cancer patient, doctors might not ignore the importance of emotional support during cancer diagnosis communication. Doctors might want to involve family and collaborate with family to find out ways of personalized disclosure. During the communication process, doctors could provide their patients with multiple treatment options and discuss the benefits and side effects of each treatment. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Is it possible to encourage hope in non-advanced cancer patients? We must try.

PubMed

Ripamonti, C I; Miccinesi, G; Pessi, M A; Di Pede, P; Ferrari, M

2016-03-01

Data are lacking on the relationship between hope and other variables in non-advanced cancer patients. The study explored the relationship between hope, symptoms, needs, and spirituality/religiosity in patients treated in a supportive care unit (SCU). From September 2013 to March 2014, the consecutive patients who accepted to complete: (i) Needs Evaluation Questionnaire (NEQ), (ii) the Edmonton Symptom Assessment System (ESAS), (iii) Hope Herth Index (HHI), and (iv) the System of Belief Inventory (SBI) were enrolled. Moreover, clinical/demographic data were collected and the findings were analyzed. A total of 276 patients who completed the HHI questionnaire (participation rate 276/300 = 92%) were included; 131 reported HHI total score >37 (median value). The majority of patients had a Karnofsky performance status >80; 71% were on cancer therapies, and only 29 patients had metastases or relapse. Patients with higher HHI scores were less educated (P = 0.012), reported lower ESAS total score (15.4 versus 22.6, P < 0.001), and had less often been referred to a psychologist previously to the study (P = 0.002); patients with a higher HHI score also reported higher spirituality (P < 0.001). Some NEQ items resulted significantly associated with HHI score after adjustment for other variables: the need to have sincere clinicians (β = -2.7), better dialogue (β = -2.1), and more reassurance from the clinicians (β = -2.5); better attention (β = -4.4) and respect for intimacy (β = -3.3) from nurses; to speak with people who have the same illness experience (β = -2.5), to be more reassured by relatives (β = -3.3) and to feel less abandoned (β = -4.3). Higher SBI scores were independently associated with higher HHI scores (β = 1.7 for 10 points increase). In cancer patients, hope can be encouraged by clinicians through dialogue, sincerity, and reassurance, as well as assessing and considering the patients' needs (above all the psycho-emotional), symptoms, psychological frailty, and their spiritual/religious resources. © The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

HOPE: A Python just-in-time compiler for astrophysical computations

NASA Astrophysics Data System (ADS)

Akeret, J.; Gamper, L.; Amara, A.; Refregier, A.

2015-04-01

The Python programming language is becoming increasingly popular for scientific applications due to its simplicity, versatility, and the broad range of its libraries. A drawback of this dynamic language, however, is its low runtime performance which limits its applicability for large simulations and for the analysis of large data sets, as is common in astrophysics and cosmology. While various frameworks have been developed to address this limitation, most focus on covering the complete language set, and either force the user to alter the code or are not able to reach the full speed of an optimised native compiled language. In order to combine the ease of Python and the speed of C++, we developed HOPE, a specialised Python just-in-time (JIT) compiler designed for numerical astrophysical applications. HOPE focuses on a subset of the language and is able to translate Python code into C++ while performing numerical optimisation on mathematical expressions at runtime. To enable the JIT compilation, the user only needs to add a decorator to the function definition. We assess the performance of HOPE by performing a series of benchmarks and compare its execution speed with that of plain Python, C++ and the other existing frameworks. We find that HOPE improves the performance compared to plain Python by a factor of 2 to 120, achieves speeds comparable to that of C++, and often exceeds the speed of the existing solutions. We discuss the differences between HOPE and the other frameworks, as well as future extensions of its capabilities. The fully documented HOPE package is available at http://hope.phys.ethz.ch and is published under the GPLv3 license on PyPI and GitHub.

Postmidnight depletion of the high-energy tail of the quiet plasmasphere

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

Sarno-Smith, Lois K.; Liemohn, Michael W.; Katus, Roxanne M.

The Van Allen Probes Helium Oxygen Proton Electron (HOPE) instrument measures the high energy tail of the thermal plasmasphere allowing study of topside ionosphere and inner magnetosphere coupling. We statistically analyze a 22 month period of HOPE data, looking at quiet times with a Kp index of less than 3. We investigate the high energy range of the plasmasphere, which consists of ions at energies between 1-10 eV and contains approximately 5% of total plasmaspheric density. Both the fluxes and partial plasma densities over this energy range show H + is depleted the most in the post-midnight sector (1-4 MLT),more » followed by O + and then He +. The relative depletion of each species across the post-midnight sector is not ordered by mass, which reveals ionospheric influence. We compare our results with keV energy electron data from HOPE and the Van Allen Probes Electric Fields and Waves (EFW) instrument spacecraft potential to rule out spacecraft charging. Our conclusion is that the post-midnight ion disappearance is due to diurnal ionospheric temperature variation and charge exchange processes« less

Postmidnight depletion of the high-energy tail of the quiet plasmasphere

DOE PAGES

Sarno-Smith, Lois K.; Liemohn, Michael W.; Katus, Roxanne M.; ...

2015-03-06

The Van Allen Probes Helium Oxygen Proton Electron (HOPE) instrument measures the high energy tail of the thermal plasmasphere allowing study of topside ionosphere and inner magnetosphere coupling. We statistically analyze a 22 month period of HOPE data, looking at quiet times with a Kp index of less than 3. We investigate the high energy range of the plasmasphere, which consists of ions at energies between 1-10 eV and contains approximately 5% of total plasmaspheric density. Both the fluxes and partial plasma densities over this energy range show H + is depleted the most in the post-midnight sector (1-4 MLT),more » followed by O + and then He +. The relative depletion of each species across the post-midnight sector is not ordered by mass, which reveals ionospheric influence. We compare our results with keV energy electron data from HOPE and the Van Allen Probes Electric Fields and Waves (EFW) instrument spacecraft potential to rule out spacecraft charging. Our conclusion is that the post-midnight ion disappearance is due to diurnal ionospheric temperature variation and charge exchange processes« less

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model

PubMed Central

Liu, Chunli; Zhang, Yi; Jiang, Hong; Wu, Hui

2017-01-01

Post-traumatic stress disorder (PTSD) symptoms can develop after person experiences one or more traumatic events. Little research, however, has been done on PTSD symptoms of patients with ovarian cancer. The present study aimed to estimate the prevalence of PTSD symptoms in patients with ovarian cancer in China; the effects of demographic and clinical variables on PTSD symptoms; multiple mediation roles in the association between social support and PTSD symptoms in patients with ovarian cancer in China. We collected demographic and clinical information of patients with ovarian cancer in the first and second hospitals of China Medical University between January 1, 2014 and December 31, 2015. Qualified patients were asked to complete the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C), Duke-UNC Functional Social Support Questionnaire, Herth Hope Index (HHI), and Resilience Scale-14 (RS-14). 201 patients provided responses. We performed hierarchical linear regression to assess the correlation between social support and PTSD symptoms and bootstrapping to test the mediating role of hope and resilience as potential mediators. After controlling demographic and clinical characteristics, social support negatively correlated with PTSD symptoms (β = -0.406, P < 0.01). Social support explained 14.7% of the variance in PTSD symptoms. Hope and resilience explained 17.0% of the variance in PTSD symptoms. The proportion of the hope mediating effect was 43.37% for social support and the proportion of the resilience mediating effect was 10.64% for social support. Hope and resilience partly mediated the correlation between social support and PTSD symptoms despite accounting for different proportions of the mediating effect. Future intervention plans should pay more attention to social support as well as hope and resilience to prevent, relieve and treat PTSD symptoms. PMID:28475593

Association between social support and post-traumatic stress disorder symptoms among Chinese patients with ovarian cancer: A multiple mediation model.

PubMed

Liu, Chunli; Zhang, Yi; Jiang, Hong; Wu, Hui

2017-01-01

Post-traumatic stress disorder (PTSD) symptoms can develop after person experiences one or more traumatic events. Little research, however, has been done on PTSD symptoms of patients with ovarian cancer. The present study aimed to estimate the prevalence of PTSD symptoms in patients with ovarian cancer in China; the effects of demographic and clinical variables on PTSD symptoms; multiple mediation roles in the association between social support and PTSD symptoms in patients with ovarian cancer in China. We collected demographic and clinical information of patients with ovarian cancer in the first and second hospitals of China Medical University between January 1, 2014 and December 31, 2015. Qualified patients were asked to complete the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C), Duke-UNC Functional Social Support Questionnaire, Herth Hope Index (HHI), and Resilience Scale-14 (RS-14). 201 patients provided responses. We performed hierarchical linear regression to assess the correlation between social support and PTSD symptoms and bootstrapping to test the mediating role of hope and resilience as potential mediators. After controlling demographic and clinical characteristics, social support negatively correlated with PTSD symptoms (β = -0.406, P < 0.01). Social support explained 14.7% of the variance in PTSD symptoms. Hope and resilience explained 17.0% of the variance in PTSD symptoms. The proportion of the hope mediating effect was 43.37% for social support and the proportion of the resilience mediating effect was 10.64% for social support. Hope and resilience partly mediated the correlation between social support and PTSD symptoms despite accounting for different proportions of the mediating effect. Future intervention plans should pay more attention to social support as well as hope and resilience to prevent, relieve and treat PTSD symptoms.

Protein structure analysis of mutations causing inheritable diseases. An e-Science approach with life scientist friendly interfaces.

PubMed

Venselaar, Hanka; Te Beek, Tim A H; Kuipers, Remko K P; Hekkelman, Maarten L; Vriend, Gert

2010-11-08

Many newly detected point mutations are located in protein-coding regions of the human genome. Knowledge of their effects on the protein's 3D structure provides insight into the protein's mechanism, can aid the design of further experiments, and eventually can lead to the development of new medicines and diagnostic tools. In this article we describe HOPE, a fully automatic program that analyzes the structural and functional effects of point mutations. HOPE collects information from a wide range of information sources including calculations on the 3D coordinates of the protein by using WHAT IF Web services, sequence annotations from the UniProt database, and predictions by DAS services. Homology models are built with YASARA. Data is stored in a database and used in a decision scheme to identify the effects of a mutation on the protein's 3D structure and function. HOPE builds a report with text, figures, and animations that is easy to use and understandable for (bio)medical researchers. We tested HOPE by comparing its output to the results of manually performed projects. In all straightforward cases HOPE performed similar to a trained bioinformatician. The use of 3D structures helps optimize the results in terms of reliability and details. HOPE's results are easy to understand and are presented in a way that is attractive for researchers without an extensive bioinformatics background.

Nurse-patient interaction is a resource for hope, meaning in life and self-transcendence in nursing home patients.

PubMed

Haugan, Gørill

2014-03-01

Spiritual dimensions such as hope, meaning in life and self-transcendence have been found to be predictors of successful ageing, life satisfaction and well-being in older individuals. Connectedness and communicating with others have been seen to facilitate hope, meaning in life and self-transcendence among nursing home patients. This study aimed to investigate the associations between hope, meaning in life, self-transcendence and nurse-patient interaction in a nursing home population. A cross-sectional design was employed, collecting data in 44 different Norwegian nursing homes (NHs) from 250 patients who met the inclusion criteria. Approval by all regulatory institutions dealing with research issues in Norway and the Management Unit at the 44 NHs was obtained. A sample of 202 cognitively intact nursing home patients responded to the Herth Hope Index, the Purpose in Life test, the Self-Transcendence Scale and the Nurse-Patient Interaction Scale. A structural equation model (SEM) of the hypothesized relationships between the constructs was tested. The SEM model fit well with the present data. Significant direct relationships of nurse-patient interaction on hope, meaning in life and self-transcendence were displayed. Meaning and the interconnectedness dimension of hope appeared to be particularly dynamic resources, revealing significant influences on all the constructs in the SEM model tested. Nurse-patient interaction influences hope, meaning in life and self-transcendence in cognitively intact nursing home patients and might be an important resource in relation to patients' health and global well-being. Thus, care providers are above all fundamental for nursing home patients. Advancing caregivers' interacting and communicating skills might facilitate patients' health and global well-being and inspire professional caregivers as they perform their daily care practices. More research of the effectiveness of such strategies is greatly needed. The SEM model tested comprised 20 variables, indicating a desirable sample size of n = 200, while the present effective sample was n = 187. Also, cross-sectional data do not allow making conclusion on the causality. © 2013 The Authors. Scandinavian Journal of Caring Sciences © 2013 Nordic College of Caring Science.

The effectiveness of positive psychology intervention on the well-being, meaning, and life satisfaction of mothers of children with cancer: A brief report.

PubMed

Damreihani, Nafiseh; Behzadipour, Sareh; Haghpanh, Sezaneh; Bordbar, Mohammadreza

2018-01-01

The aim of this study was to promote emotional well-being, hope, life satisfaction, and meaning to mothers of children with cancer utilizing a positive psychology intervention. The study population included 50 mothers who had children with cancer attending an outpatient oncology clinic. The participants (experimental and control groups) completed Ryff's Psychological Well-being Scale (PWBS), Satisfaction with Life Scale (SWLS), Snyder's Hope Scale (HS), and Meaning in Life Questionnaire (MLQ) before and after the intervention and also one month after the end of intervention. Variables of the study significantly increased in the experimental group compared to the control group.

A Longitudinal Study of Adolescents' Future Orientation (Time Perspective).

ERIC Educational Resources Information Center

Trommsdorff, Gisela; And Others

1979-01-01

Vocational or college-bound students responded to four futures orientation variables (personality, physical well-being, family, and occupation) along several dimensions, including hopes and fears, locus of control, and optimism. The same students took the same survey two years later. Age, sex, and educational status differences were noted. (CP)

Suicide in Maine: A Social Psychological Approach

ERIC Educational Resources Information Center

Abbiati, David L.

1977-01-01

This paper reports the results of a field study on five proximal social psychological variables derived from Farber's theory of suicide: Hope in the Future Time Perspective; Demands for Interpersonal Giving; the Availability of Succorance; Demands for the Exercising of Competence; and the degree of Toleration of Suicide. (Author)

[Structural Equation Modeling of Self-Management in Patients with Hemodialysis].

PubMed

Cha, Jieun

2017-02-01

The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective. Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed. The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (β=.84), hope and cognitive illness representation (β=.37 and β=.27) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome. This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment. © 2017 Korean Society of Nursing Science

School-based mental health intervention for children in war-affected Burundi: a cluster randomized trial.

PubMed

Tol, Wietse A; Komproe, Ivan H; Jordans, Mark J D; Ndayisaba, Aline; Ntamutumba, Prudence; Sipsma, Heather; Smallegange, Eva S; Macy, Robert D; de Jong, Joop T V M

2014-04-01

Armed conflicts are associated with a wide range of impacts on the mental health of children and adolescents. We evaluated the effectiveness of a school-based intervention aimed at reducing symptoms of posttraumatic stress disorder, depression, and anxiety (treatment aim); and improving a sense of hope and functioning (preventive aim). We conducted a cluster randomized trial with 329 children in war-affected Burundi (aged 8 to 17 (mean 12.29 years, standard deviation 1.61); 48% girls). One group of children (n = 153) participated in a 15-session school-based intervention implemented by para-professionals, and the remaining 176 children formed a waitlist control condition. Outcomes were measured before, one week after, and three months after the intervention. No main effects of the intervention were identified. However, longitudinal growth curve analyses showed six favorable and two unfavorable differences in trajectories between study conditions in interaction with several moderators. Children in the intervention condition living in larger households showed decreases on depressive symptoms and function impairment, and those living with both parents showed decreases on posttraumatic stress disorder and depressive symptoms. The groups of children in the waitlist condition showed increases in depressive symptoms. In addition, younger children and those with low levels of exposure to traumatic events in the intervention condition showed improvements on hope. Children in the waitlist condition who lived on their original or newly bought land showed improvements in hope and function impairment, whereas children in the intervention condition showed deterioration on these outcomes. Given inconsistent effects across studies, findings do not support this school-based intervention as a treatment for posttraumatic stress disorder and depressive symptoms in conflict-affected children. The intervention appears to have more consistent preventive benefits, but these effects are contingent upon individual (for example, age, gender) and contextual (for example, family functioning, state of conflict, displacement) variables. Results suggest the potential benefit of school-based preventive interventions particularly in post-conflict settings. The study was registered as ISRCTN42284825.

Establishing a Real-Money Prediction Market for Climate on Decadal Horizons

NASA Astrophysics Data System (ADS)

Roulston, M. S.; Hand, D. J.; Harding, D. W.

2016-12-01

A plan to establish a not-for-profit prediction market that will allow participants to bet on the value of selected climate variables decades into the future will be presented. It is hoped that this market will provide an objective measure of the consensus view on climate change, including information concerning the uncertainty of climate projections. The proposed design of the market and the definition of the climate variables underlying the contracts will be discussed, as well as relevant regulatory and legal issues.

Implications of Resolving the Diagnosis of PKU for Parents and Children

PubMed Central

Ungerer, Judy; Wastell, Colin

2008-01-01

Objective To examine resolution of the diagnosis among parents of children with phenylketonuria (PKU) as a mechanism of adjustment for parents and children. Methods Reaction to diagnosis interviews were conducted with 52 mothers and 47 fathers of 55 children with PKU aged 2–12 years. The parents also completed questionnaires assessing their personal adjustment (stress symptoms), their child's adjustment (behavior problems), and coping variables (personal hopefulness and coping strategies). Results Most mothers (69%) and fathers (77%) were resolved to their child's diagnosis. Lower levels of parent stress were explained by higher personal hopefulness (14% of the variance for mothers and 21% for fathers) and resolution of the diagnosis (15% of the variance for mothers and 6% for fathers) after taking account of demographic variables and severity of the child's PKU. Parent resolution, however, did not contribute independently to the variance explained in child behavior problems after taking account of coping variables and severity of PKU. Conclusions Resolution of the diagnosis of PKU is a strong indicator of parent adjustment, and assessment of parent reactions should be considered an integral component of clinical care. Further research is warranted in relation to the implications of parent resolution for the child's response to PKU through different development stages and the effectiveness of interventions in aiding parent resolution. PMID:18339641

Implications of resolving the diagnosis of PKU for parents and children.

PubMed

Lord, Bruce; Ungerer, Judy; Wastell, Colin

2008-09-01

To examine resolution of the diagnosis among parents of children with phenylketonuria (PKU) as a mechanism of adjustment for parents and children. Reaction to diagnosis interviews were conducted with 52 mothers and 47 fathers of 55 children with PKU aged 2-12 years. The parents also completed questionnaires assessing their personal adjustment (stress symptoms), their child's adjustment (behavior problems), and coping variables (personal hopefulness and coping strategies). Most mothers (69%) and fathers (77%) were resolved to their child's diagnosis. Lower levels of parent stress were explained by higher personal hopefulness (14% of the variance for mothers and 21% for fathers) and resolution of the diagnosis (15% of the variance for mothers and 6% for fathers) after taking account of demographic variables and severity of the child's PKU. Parent resolution, however, did not contribute independently to the variance explained in child behavior problems after taking account of coping variables and severity of PKU. Resolution of the diagnosis of PKU is a strong indicator of parent adjustment, and assessment of parent reactions should be considered an integral component of clinical care. Further research is warranted in relation to the implications of parent resolution for the child's response to PKU through different development stages and the effectiveness of interventions in aiding parent resolution.

Demographic, clinical, and quality of life variables related to embarrassment in veterans living with an intestinal stoma.

PubMed

Mitchell, Kimberly A; Rawl, Susan M; Schmidt, C Max; Grant, Marcia; Ko, Clifford Y; Baldwin, Carol M; Wendel, Christopher; Krouse, Robert S

2007-01-01

The study aims were to identify demographic, clinical, and quality of life variables related to embarrassment for people living with ostomies and to determine the experiences and/or feelings of veterans who were embarrassed by their ostomy. This was a cross-sectional, correlational study. A convenience sample of veterans (n = 239) living with ostomies from 3 VA medical centers was studied. The veterans were primarily Caucasian (84%), male (92%), and older (M = 69). The modified City of Hope Quality of Life-Ostomy questionnaire was used. Additionally, an open-ended question related to living with an ostomy was asked. The questionnaire packets were mailed to participants and self-administered. Approximately half of the participants (48%) rated their embarrassment as low, but 26% reported high embarrassment. Participants with high embarrassment were compared to those with low embarrassment on demographic, clinical, and quality of life variables. High embarrassment was associated with poorer total quality of life (P < .001) and poorer quality of life on the physical (P < .001), psychological (P < .001), social (P < .001), and spiritual (P < .001) subscales. Younger (P < .001) and unpartnered veterans (P < .001) were more likely to be highly embarrassed. Veterans with high embarrassment had higher anxiety (P < .001) and depression (P < .001), more difficulty with intimacy (P < .001), and felt more isolated (P < .001). Spiritual domain variables like hopefulness were associated with low embarrassment (P < .001). Sources of embarrassment included leakage, odor, and noise. Embarrassment may negatively impact a person's quality of life; therefore, the variables associated with high embarrassment should be recognized and addressed.

Methodology for perceptual assessment of speech in patients with cleft palate: a critical review of the literature.

PubMed

Lohmander, Anette; Olsson, Maria

2004-01-01

This review of 88 articles in three international journals was undertaken for the purpose of investigating the methodology for perceptual speech assessment in patients with cleft palate. The articles were published between 1980 and 2000 in the Cleft Palate-Craniofacial Journal, the International Journal of Language and Communication Disorders, and Folia Phoniatrica et Logopaedica. The majority of articles (76) were published in the Cleft Palate-Craniofacial Journal, with an increase in articles during the 1990s and 2000. Information about measures or variables was clearly given in all articles. However, the review raises several major concerns regarding method for collection and documentation of data and method for measurement. The most distressing findings were the use of a cross-sectional design in studies of few patients with large age ranges and different types of clefts, the use of highly variable speech samples, and the lack of information about listeners and on reliability. It is hoped that ongoing national and international collaborative efforts to standardize procedures for collection and analysis of perceptual data will help to eliminate such concerns and thus make comparison of published results possible in the future.

A century of hydrological variability and trends in the Fraser River Basin

NASA Astrophysics Data System (ADS)

Déry, Stephen J.; Hernández-Henríquez, Marco A.; Owens, Philip N.; Parkes, Margot W.; Petticrew, Ellen L.

2012-06-01

This study examines the 1911-2010 variability and trends in annual streamflow at 139 sites across the Fraser River Basin (FRB) of British Columbia (BC), Canada. The Fraser River is the largest Canadian waterway flowing to the Pacific Ocean and is one of the world’s greatest salmon rivers. Our analyses reveal high runoff rates and low interannual variability in alpine and coastal rivers, and low runoff rates and high interannual variability in most streams in BC’s interior. The interannual variability in streamflow is also low in rivers such as the Adams, Chilko, Quesnel and Stuart where the principal salmon runs of the Fraser River occur. A trend analysis shows a spatially coherent signal with increasing interannual variability in streamflow across the FRB in recent decades, most notably in spring and summer. The upward trend in the coefficient of variation in annual runoff coincides with a period of near-normal annual runoff for the Fraser River at Hope. The interannual variability in streamflow is greater in regulated rather than natural systems; however, it is unclear whether it is predominantly flow regulation that leads to these observed differences. Environmental changes such as rising air temperatures, more frequent polarity changes in large-scale climate teleconnections such as El Niño-Southern Oscillation and Pacific Decadal Oscillation, and retreating glaciers may be contributing to the greater range in annual runoff fluctuations across the FRB. This has implications for ecological processes throughout the basin, for example affecting migrating and spawning salmon, a keystone species vital to First Nations communities as well as to commercial and recreational fisheries. To exemplify this linkage between variable flows and biological responses, the unusual FRB runoff anomalies observed in 2010 are discussed in the context of that year’s sockeye salmon run. As the climate continues to warm, greater variability in annual streamflow, and hence in hydrological extremes, may influence ecological processes and human usage throughout the FRB in the 21st century.

Association between the time perspective and type of involvement in bullying among adolescents: A cross-sectional study in Japan.

PubMed

Mizuta, Akiko; Okada, Eisaku; Nakamura, Mieko; Yamaguchi, Hisayoshi; Ojima, Toshiyuki

2018-04-01

To examine the association between the types of involvement in bullying and the time perspective among Japanese adolescents. A questionnaire was conducted among Japanese junior high school students at eight public schools that were located in two cities in Shizuoka Prefecture, Japan. Shirai's Experiential Time Perspective Scale was used, which comprises four subscales: goal-directedness, hopefulness, self-fulfillment, and acceptance of the past. An analysis of covariance was applied, with the time-perspective subscales as the objective variable, type of involvement in bullying as a fixed factor, and grade, family structure, and economic status as the covariates. The analysis sample included 2630 adolescents (valid response rate: 88.6%). The bullying rate of the boys was 10.8% and 4.1% for the girls, for the male victims it was 10.1% and 14.5% for the female victims, and for both the bully and the victim, it was 8.5% and 5.4%, respectively. The students who were not involved in bullying had the highest scores of hopefulness, self-fulfillment, and acceptance of the past. For both sexes, bullying was significantly associated with hopefulness, self-fulfillment, and acceptance of the past. Goal-directedness was not associated with the type of involvement in bullying. The victims of bullying had low time perspectives of hopefulness, self-fulfillment, and acceptance of the past. Providing support that increases hopefulness, self-fulfillment, and acceptance of the past might help to prevent pessimistic decision-making, such as that seen in cases of suicide. © 2017 Japan Academy of Nursing Science.

The quality of life of male spouses of women with breast cancer: hope, self-efficacy, and perceptions of guilt.

PubMed

Duggleby, Wendy; Doell, Heather; Cooper, Dan; Thomas, Roanne; Ghosh, Sunita

2014-01-01

The quality of life of male spouses of partners with breast cancer may determine the support they are able to give their wives. Little is known about the factors associated with their quality of life. The purpose of this study was to examine the relationship of the quality of life of male spouses of partners with breast cancer with the following factors: (a) demographic variables of male spouses and their partners, (b) levels of hope of male spouses and their partners, (c) self-efficacy and loss and grief of male spouses, and (d) quality of life of partners with breast cancer. Six hundred surveys were mailed to women with breast cancer (stage 1-3) and their male spouses. A total of 110 surveys were completed. With the use of generalized linear modeling, participating male spouses with higher quality of life scores: (a) were older (P = .01), (b) had higher hope scores (P = .01), (c) had lower feelings of guilt scores (P < .01) (subscale of loss and grief), (d) had higher general self-efficacy scores (P < .01), and (e) had partners with breast cancer with higher quality of life scores (P < .01). Hope, self-efficacy, feelings of guilt, age, and their partners' quality of life were significantly related to quality of life of the male spouses of women with breast cancer. The findings underscore the importance of assessing for and fostering hope and self-efficacy as well as decreasing guilt in male spouses of women with breast cancer to improve their quality of life.

Measuring slip in paleoearthquakes using high-resolution aerial lidar data: Combined analysis of the Wairau, Awatere, Clarence, and Hope faults, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Zinke, R. W.; Dolan, J. F.; Hatem, A. E.; Van Dissen, R. J.; Langridge, R.; Grenader, J.; McGuire, C. P.; Rhodes, E. J.; Nicol, A., , Prof

2016-12-01

Analysis of a large new high-resolution aerial lidar microtopographic data set provides > 500 measured fault offsets from sections of the four primary right-lateral strike-slip faults of the Marlborough Fault System (MFS), in northern South Island, New Zealand. With a shot density of >12 shots/m2 (and locally up to 18 shots/m2) these high-quality data allow us to resolve topographically defined geomorphic offsets with decimeter precision along 250 km of combined fault length. The measured offsets range in size from 2 m to > 100 m, and allow us to constrain displacements in the past one to several surface ruptures along stretches of the Wairau, Awatere, Clarence, and Hope faults. Our results reveal a number of important details of the rupture history of these faults, including: (1) the amount of slip and spatial variability (along and across strike) of strain released in the most recent event along sections of each of the four faults; (2) the consistency of slip throughout the past several ruptures on specific faults; and (3) suggestions of potential linkages and segment boundaries along each fault. The lidar data also facilitate precise measurements of larger offsets that, when combined with age data collected as part of our broader collaborative analyses of incremental fault slip rates and paleoearthquake ages, help to constrain the broader spatial and temporal patterns of strain release across the MFS during Holocene and latest Pleistocene time.

Voucher Users and Revitalized Public-Housing Residents 6 Years after Displacement

ERIC Educational Resources Information Center

Brooks, Fred; Lewinson, Terri; Aszman, Jennifer; Wolk, Jim

2012-01-01

Objective: A total of 6 years after displacement by a Housing Opportunities for People Everywhere (HOPE VI) project, this research examines residents who returned to the redeveloped community and residents who decided to keep their vouchers and were living in private sector housing. Respondents were compared on the following variables: application…

MEETING IN PHILADELPHIA: NUTRIENT CONCENTRATIONS IN FLOWING WATERS OF THE SOUTH FORK BROAD RIVER, GEORGIA WATERSHED

EPA Science Inventory

The objective of this poster is by comparing nutrient and DOM concentrations in small and large streams, we hope to better understand: (1) watershed controls on stream nutrient and DOM concentrations; and (2) the variability of nutrient and DOM concentrations within a river netwo...

A phase cell cluster expansion for Euclidean field theories

NASA Astrophysics Data System (ADS)

Battle, Guy A., III; Federbush, Paul

1982-08-01

We adapt the cluster expansion first used to treat infrared problems for lattice models (a mass zero cluster expansion) to the usual field theory situation. The field is expanded in terms of special block spin functions and the cluster expansion given in terms of the expansion coefficients (phase cell variables); the cluster expansion expresses correlation functions in terms of contributions from finite coupled subsets of these variables. Most of the present work is carried through in d space time dimensions (for φ24 the details of the cluster expansion are pursued and convergence is proven). Thus most of the results in the present work will apply to a treatment of φ34 to which we hope to return in a succeeding paper. Of particular interest in this paper is a substitute for the stability of the vacuum bound appropriate to this cluster expansion (for d = 2 and d = 3), and a new method for performing estimates with tree graphs. The phase cell cluster expansions have the renormalization group incorporated intimately into their structure. We hope they will be useful ultimately in treating four dimensional field theories.

CytoSEED: a Cytoscape plugin for viewing, manipulating and analyzing metabolic models created by the Model SEED

PubMed Central

DeJongh, Matthew; Bockstege, Benjamin; Frybarger, Paul; Hazekamp, Nicholas; Kammeraad, Joshua; McGeehan, Travis

2012-01-01

Summary: CytoSEED is a Cytoscape plugin for viewing, manipulating and analyzing metabolic models created using the Model SEED. The CytoSEED plugin enables users of the Model SEED to create informative visualizations of the reaction networks generated for their organisms of interest. These visualizations are useful for understanding organism-specific biochemistry and for highlighting the results of flux variability analysis experiments. Availability and Implementation: Freely available for download on the web at http://sourceforge.net/projects/cytoseed/. Implemented in Java SE 6 and supported on all platforms that support Cytoscape. Contact: dejongh@hope.edu Supplementary information: Installation instructions, a tutorial, and full-size figures are available at http://www.cs.hope.edu/cytoseed/. PMID:22210867

Working nonstandard schedules and variable shifts in low-income families: associations with parental psychological well-being, family functioning, and child well-being.

PubMed

Hsueh, JoAnn; Yoshikawa, Hirokazu

2007-05-01

Longitudinal data from the New Hope Project--an experimental evaluation of a work-based antipoverty program in Milwaukee, Wisconsin--was used to explore concurrent and lagged associations of nonstandard schedules and variable shifts with parental psychological well-being, regularity of family mealtimes, and child well-being among low-income families. Working a combination of variable shifts and nonstandard hours was associated concurrently with lower teacher-reported school performance and engagement and higher levels of externalizing behavior problems. Fixed nonstandard schedules were associated with lagged decreases in parent-reported school performance, whereas working variable shifts was associated with lagged increases in parent-reported school performance. Copyright (c) 2007 APA, all rights reserved.

Prevalence and its associated psychological variables of symptoms of depression and anxiety among ovarian cancer patients in China: a cross-sectional study.

PubMed

Liu, Chun Li; Liu, Li; Zhang, Yi; Dai, Xiao Ze; Wu, Hui

2017-08-17

It is well known that cancer patients tend to have high levels of perceived stress and symptoms of depression and anxiety. However, there is less study on the association between perceived stress and symptoms of depression and anxiety among ovarian cancer patients in China. And the mediating effect of hope and resilience needs to be further studied. In this study, we aim to examine the prevalence of depression and anxiety symptoms, to analyze the association between perceived stress and symptoms of depression and anxiety, and to test whether hope and resilience mediate the association of perceived stress with symptoms of depression and anxiety among Chinese patients with ovarian cancer. A total of 220 questionnaires were distributed and collected from the First Affiliated Hospital of China Medical University and Shengjing Hospital of China Medical University. All participants in this study were ovarian cancer inpatients. After excluding the incomplete questionnaires, 198 questionnaires were valid for the analysis. Qualified patients were asked to response to the questionnaires including Hospital anxiety and depression scale (HADS), perceived stress scale (PSS-10), and the Herth hope scale and the resilience scale. Hierarchical regression analyses were used to test the associations among perceived stress, symptoms of depression and anxiety, and hope and resilience. Bootstrapping method was conducted to examine whether the indirect effect of hope and resilience was significant respectively. The prevalence of symptoms of depression and anxiety in ovarian cancer patients was 47.0% and 51.5% respectively. Perceived stress correlated significantly with symptoms of depression (r = 0.709, P < 0.01) and anxiety (r = 0.660, P < 0.01). Hope (a*b = 0.155, BCa 95% CI: 0.094, 0.223) partly mediated the association between perceived stress and symptoms of depression; similarly, hope (a*b = 0.129, BCa 95% CI: 0.048, 0.205) partly mediated the effect of perceived stress on symptoms of anxiety. However, resilience (a*b = 0.004, BCa 95% CI: -0.030, 0.040) did not mediate the association between perceived stress and symptoms of depression. And resilience (a*b = 0.041,BCa 95% CI: -0.013, 0.098) did not mediate the association between perceived stress and symptoms of anxiety. The present study suggests that perceived stress might be one of the impact factors of symptoms of depression and anxiety, while hope might ease symptoms of depression and anxiety. In view of the role of hope, medical workers and patient caregivers should pay more attention to hope, and then to intervene perceived stress among patients with ovarian cancer.

The influence of HOPE VI neighborhood revitalization on neighborhood-based physical activity: A mixed-methods approach.

PubMed

Dulin-Keita, Akilah; Clay, Olivio; Whittaker, Shannon; Hannon, Lonnie; Adams, Ingrid K; Rogers, Michelle; Gans, Kim

2015-08-01

This study uses a mixed methods approach to 1) identify surrounding residents' perceived expectations for Housing Opportunities for People Everywhere (HOPE VI) policy on physical activity outcomes and to 2) quantitatively examine the odds of neighborhood-based physical activity pre-/post-HOPE VI in a low socioeconomic status, predominantly African American community in Birmingham, Alabama. To address aim one, we used group concept mapping which is a structured approach for data collection and analyses that produces pictures/maps of ideas. Fifty-eight residents developed statements about potential influences of HOPE VI on neighborhood-based physical activity. In the quantitative study, we examined whether these potential influences increased the odds of neighborhood walking/jogging. We computed block entry logistic regression models with a larger cohort of residents at baseline (n = 184) and six-months (n = 142, 77% retention; n = 120 for all informative variables). We examined perceived neighborhood disorder (perceived neighborhood disorder scale), walkability and aesthetics (Neighborhood Environment Walkability Scale) and HOPE VI-related community safety and safety for physical activity as predictors. During concept mapping, residents generated statements that clustered into three distinct concepts, "Increased Leisure Physical Activity," "Safe Play Areas," and "Generating Health Promoting Resources." The quantitative analyses indicated that changes in neighborhood walkability increased the odds of neighborhood-based physical activity (p = 0.04). When HOPE VI-related safety for physical activity was entered into the model, it was associated with increased odds of physical activity (p = 0.04). Walkability was no longer statistically significant. These results suggest that housing policies that create walkable neighborhoods and that improve perceptions of safety for physical activity may increase neighborhood-based physical activity. However, the longer term impacts of neighborhood-level policies on physical activity require more longitudinal evidence to determine whether increased participation in physical activity is sustained. Copyright © 2015 Elsevier Ltd. All rights reserved.

Mediated Argumentative Spots in the 1984 Senatorial Campaign: Framing the Campaign Agenda.

ERIC Educational Resources Information Center

Payne, J. Gregory; And Others

A study examined the particular variables utilized in argumentative spots (political advertisements that attempt to tell the audience where the candidate stands on particular topics) of the 1984 GOP senatorial hopefuls, in an attempt to ascertain if any advantages were manifested in different commercial patterns in content and format of the ads…

The patch mosaic and ecological decomposition across spatial scales in a managed landscape of northern Wisconsin, USA

Treesearch

Sari C. ​Saunders; Jiquan Chen; Thomas D. Drummer; Thomas R. Crow; Kimberley D. Brosofske; Eric J. Gustafson

2002-01-01

Understanding landscape organization across scales is vital for determining the impacts of management and retaining structurally and functionally diverse ecosystems. We studied the relationships of a functional variable, decomposition, to microclimatic, vegetative and structural features at multiple scales in two distinct landscapes of northern Wisconsin, USA. We hoped...

Something Resembling Hope: Notes on Strategies for Teaching Canadian Social Justice Literature

ERIC Educational Resources Information Center

Yoder, Amarou

2013-01-01

Members of a large, cross-Canada research project on using Canadian social justice literature in the classroom share strategies that teachers are using to teach some of these texts. Strategies range from multi-media projects to song adaptations. Texts and strategies suitable for different grade-levels are represented, and cover a range of…

Echocardiographic features of the normofunctional Labcor-Santiago pericardial bioprosthesis.

PubMed

Gonzalez-Juanatey, J R; Garcia-Bengoechea, J B; Vega, M; Rubio, J; Sierra, J; Duran, D; Amaro, A; Gil, M

1994-09-01

Echocardiography was performed in 94 patients with a total of 99 normally functioning Labcor-Santiago bioprostheses, 62 in the aortic and 37 in the mitral position. The following variables were measured: peak and mean transvalvular velocities, peak and mean instantaneous pressure gradients as calculated from the modified Bernoulli equation, pressure half-time, cardiac index, stroke volume and effective orifice area (using continuity and Hatle equations). Regurgitation patterns were sought by transthoracic echocardiography (all valves) and, for selected mitral bioprostheses, by transesophageal echocardiography. Calculated mean aortic pressure gradient ranged from six to 10 mmHg and calculated effective aortic orifice area increased with ring diameter, with means of 1.27 cm2 for the 19 mm valve and 2.58 cm2 for the 27 mm valve. For mitral bioprostheses, mean pressure gradient ranged from 3.0 to 4.5 mmHg and calculated effective orifice area from 2.27 to 2.73 cm2. Only central regurgitation was observed. The Labcor-Santiago pericardial bioprostheses created little resistance to forward flow. In the small aortic root their hemodynamic performance was as good or better than that of other currently available devices. It is hoped that this new design will contribute increased in vivo mechanical durability.

Low-temperature thermoelectric properties of Pb doped Cu2SnSe3

NASA Astrophysics Data System (ADS)

Prasad K, Shyam; Rao, Ashok; Gahtori, Bhasker; Bathula, Sivaiah; Dhar, Ajay; Chang, Chia-Chi; Kuo, Yung-Kang

2017-09-01

A series of Cu2Sn1-xPbxSe3 (0 ≤ x ≤ 0.04) compounds was prepared by solid state synthesis technique. The electrical resistivity (ρ) decreased with increase in Pb content up to x = 0.01, thereafter it increased with further increase in x (till x = 0.03). However, the lowest value of electrical resistivity is observed for Cu2Sn0.96Pb0.04Se3. Analysis of electrical resistivity of all the samples suggests that small poloron hoping model is operative in the high temperature regime while variable range hopping is effective in the low temperature regime. The positive Seebeck coefficient (S) for pristine and doped samples in the entire temperature range indicates that the majority charge carriers are holes. The electronic thermal conductivity (κe) of the Cu2Sn1-xPbxSe3 compounds was estimated by the Wiedemann-Franz law and found that the contribution from κe is less than 1% of the total thermal conductivity (κ). The highest ZT 0.013 was achieved at 400 K for the sample Cu2Sn0.98Pb0.02Se3, about 30% enhancement as compared to the pristine sample.

Soft Tissue Regeneration Incorporating 3-Dimensional Biomimetic Scaffolds.

PubMed

Shah, Gaurav; Costello, Bernard J

2017-02-01

Soft tissue replacement and repair is crucial to the ever-developing field of reconstructive surgery as trauma, pathology, and congenital deficits cannot be adequately restored if soft tissue regeneration is deficient. Predominant approaches were sometimes limited to harvesting autografts, but through regenerative medicine and tissue engineering, the hope of fabricating custom constructs is now a feasible and fast-approaching reality. The breadth of this field includes tissues ranging from skin, mucosa, muscle, and fat and hopes to not only provide construct to replace a tissue but also to replace its function. Copyright © 2016 Elsevier Inc. All rights reserved.

Langerhans cell histiocytosis: an illusion of hope.

PubMed

Desai, Vela D; Priyadarshinni, Smita R; Varma, Beena; Sharma, Rajeev

2013-01-01

Langerhans cell histiocytosis (LCH) is a rare atypical cellular disorder characterized by clonal proliferation of Langerhans cells leading to myriad clinical presentations and variable outcomes. It usually occurs in children and young adults. It can be present with local and systemic manifestation involving skin, bone, mucosal tissues and internal organs. The stomatologist plays an important role in management of the disease by keeping in mind the various oral manifestations of the disease. Of a child with disseminated LCH with multiorgan involvement who presented with failure to thrive, osteolytic bony lesions and extensive cutaneous eruptions. Early diagnosis and awareness is necessary to treat the patients. How to cite this article: Desai VD, Priyadarshinni SR, Varma B, Sharma R. Langerhans Cell Histiocytosis: An Illusion of Hope. Int J Clin Pediatr Dent 2013;6(1):66-70.

Utilized Resources of Hope, Orientation, and Inspiration in Life of Persons with Multiple Sclerosis and Their Association with Life Satisfaction, Adaptive Coping Strategies, and Spirituality.

PubMed

Wirth, Anne-Gritli; Büssing, Arndt

2016-08-01

In a cross-sectional survey among 213 patients with multiple sclerosis, we intended to analyze their resources of hope, orientation, and inspiration in life, and how these resources are related to health-associated variables, adaptive coping strategies, and life satisfaction. Resources were categorized as Faith (10 %), Family (22 %), Other sources (16 %), and No answer (53 %). These non-respondents were predominantly neither religious nor spiritual (70 % R-S-). Although R-S- persons are a heterogeneous group with varying existential interest, they did not significantly differ from their spiritual/religious counterparts with respect to physical and mental health or life satisfaction, but for an adaptive Reappraisal strategy and Gratitude/Awe.

BRIDGING GAPS BETWEEN ZOO AND WILDLIFE MEDICINE: ESTABLISHING REFERENCE INTERVALS FOR FREE-RANGING AFRICAN LIONS (PANTHERA LEO).

PubMed

Broughton, Heather M; Govender, Danny; Shikwambana, Purvance; Chappell, Patrick; Jolles, Anna

2017-06-01

The International Species Information System has set forth an extensive database of reference intervals for zoologic species, allowing veterinarians and game park officials to distinguish normal health parameters from underlying disease processes in captive wildlife. However, several recent studies comparing reference values from captive and free-ranging animals have found significant variation between populations, necessitating the development of separate reference intervals in free-ranging wildlife to aid in the interpretation of health data. Thus, this study characterizes reference intervals for six biochemical analytes, eleven hematologic or immune parameters, and three hormones using samples from 219 free-ranging African lions ( Panthera leo ) captured in Kruger National Park, South Africa. Using the original sample population, exclusion criteria based on physical examination were applied to yield a final reference population of 52 clinically normal lions. Reference intervals were then generated via 90% confidence intervals on log-transformed data using parametric bootstrapping techniques. In addition to the generation of reference intervals, linear mixed-effect models and generalized linear mixed-effect models were used to model associations of each focal parameter with the following independent variables: age, sex, and body condition score. Age and sex were statistically significant drivers for changes in hepatic enzymes, renal values, hematologic parameters, and leptin, a hormone related to body fat stores. Body condition was positively correlated with changes in monocyte counts. Given the large variation in reference values taken from captive versus free-ranging lions, it is our hope that this study will serve as a baseline for future clinical evaluations and biomedical research targeting free-ranging African lions.

HIV+ deceased donor referrals: A national survey of organ procurement organizations.

PubMed

Cash, Ayla; Luo, Xun; Chow, Eric K H; Bowring, Mary Grace; Shaffer, Ashton A; Doby, Brianna; Wickliffe, Corey E; Alexander, Charles; McRann, Deborah; Tobian, Aaron A R; Segev, Dorry L; Durand, Christine M

2018-02-01

HIV-infected (HIV+) donor organs can be transplanted into HIV+ recipients under the HIV Organ Policy Equity (HOPE) Act. Quantifying HIV+ donor referrals received by organ procurement organizations (OPOs) is critical for HOPE Act implementation. We surveyed the 58 USA OPOs regarding HIV+ referral records and newly discovered HIV+ donors. Using data from OPOs that provided exact records and CDC HIV prevalence data, we projected a national estimate of HIV+ referrals. Fifty-five (95%) OPOs reported HIV+ referrals ranging from 0 to 276 and newly discovered HIV+ cases ranging from 0 to 10 annually. Six OPOs in areas of high HIV prevalence reported more than 100 HIV+ donor referrals. Twenty-seven (47%) OPOs provided exact HIV+ referral records and 28 (51%) OPOs provided exact records of discovered HIV+ cases, totaling 1450 HIV+ referrals and 39 discovered HIV+ donors in the prior year. These OPOs represented 67% and 59% of prevalent HIV cases in the USA; thus, we estimated 2164 HIV+ referrals and 66 discovered HIV+ cases nationally per year. OPOs reported a high volume of HIV+ referrals annually, of which a subset will be medically eligible for donation. Particularly in areas of high HIV prevalence, OPOs require ongoing support to implement the HOPE Act. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Projecting climate effects on birds and reptiles of the Southwestern United States

USGS Publications Warehouse

van Riper, Charles; Hatten, James R.; Giermakowski, J. Tomasz; Mattson, David; Holmes, Jennifer A.; Johnson, Matthew J.; Nowak, Erika M.; Ironside, Kirsten; Peters, Michael; Heinrich, Paul; Cole, K.L.; Truettner, C.; Schwalbe, Cecil R.

2014-01-01

We modeled the current and future breeding ranges of seven bird and five reptile species in the Southwestern United States with sets of landscape, biotic (plant), and climatic global circulation model (GCM) variables. For modeling purposes, we used PRISM data to characterize the climate of the Western United States between 1980 and 2009 (baseline for birds) and between 1940 and 2009 (baseline for reptiles). In contrast, we used a pre-selected set of GCMs that are known to be good predictors of southwestern climate (five individual and one ensemble GCM), for the A1B emission scenario, to characterize future climatic conditions in three time periods (2010–39; 2040–69; and, 2070–99). Our modeling approach relied on conceptual models for each target species to inform selection of candidate explanatory variables and to interpret the ecological meaning of developed probabilistic distribution models. We employed logistic regression and maximum entropy modeling techniques to create a set of probabilistic models for each target species. We considered climatic, landscape, and plant variables when developing and testing our probabilistic models. Climatic variables included the maximum and minimum mean monthly and seasonal temperature and precipitation for three time periods. Landscape features included terrain ruggedness and insolation. We also considered plant species distributions as candidate explanatory variables where prior ecological knowledge implicated a strong association between a plant and animal species. Projected changes in range varied widely among species, from major losses to major gains. Breeding bird ranges exhibited greater expansions and contractions than did reptile species. We project range losses for Williamson’s sapsucker and pygmy nuthatch of a magnitude that could move these two species close to extinction within the next century. Although both species currently have a relatively limited distribution, they can be locally common, and neither are presently considered candidates for prospective endangerment. We project range losses of over 40 percent, from its current extent of occurrence, for the plateau striped whiptail, Arizona black rattlesnake, and common lesser earless lizard. Currently, these reptile species are thought to be common or at least locally abundant throughout their ranges. The total contribution of plants in each distribution model was very small, but models that contained at least one plant always outperformed models with only physical variables (climatic or landscape). The magnitude of change in projected range increased further into the future, especially when a plant was in the model. Among bird species, those that had the strongest association with a landscape feature during the breeding season, such as terrain ruggedness and insolation, exhibited the smallest contractions in projected breeding range in the future. In contrast, bird species that had weak associations with landscape features, but strong climatic associations, suffered the greatest breeding range contractions. Thus, landscape effects appeared to buffer some of the negative effects of climate change for some species. Among bird species, magnitude of change in projected breeding range was positively related to the annual average temperature of their baseline distribution, thus species with the warmest breeding ranges exhibited the greatest changes in future breeding ranges. This pattern was not evident for reptiles, but might exist if additional species were included in the model. Our results provide managers with a series of projected range maps that will enable scientists, concerned citizens, and wildlife managers to identify what the potential effects of climate change will be on bird and reptile distributions in the Western United States. We hope that our results can be used in proactive ways to mitigate some of the potential effects of climate change on selected species.

An Astronomical Journey: One School's Experience

ERIC Educational Resources Information Center

Gibert, Michael; Tedd, Bernie

2016-01-01

Raising the profile of physics is particularly important in girls' schools. Here we describe a range of astronomical activities and observations that we have used, which we hope will inspire teachers at other schools to do likewise.

Improving the representation of mixed-phase cloud microphysics in the ICON-LEM

NASA Astrophysics Data System (ADS)

Tonttila, Juha; Hoose, Corinna; Milbrandt, Jason; Morrison, Hugh

2017-04-01

The representation of ice-phase cloud microphysics in ICON-LEM (the Large-Eddy Model configuration of the ICOsahedral Nonhydrostatic model) is improved by implementing the recently published Predicted Particle Properties (P3) scheme into the model. In the typical two-moment microphysical schemes, such as that previously used in ICON-LEM, ice-phase particles must be partitioned into several prescribed categories. It is inherently difficult to distinguish between categories such as graupel and hail based on just the particle size, yet this partitioning may significantly affect the simulation of convective clouds. The P3 scheme avoids the problems associated with predefined ice-phase categories that are inherent in traditional microphysics schemes by introducing the concept of "free" ice-phase categories, whereby the prognostic variables enable the prediction of a wide range of smoothly varying physical properties and hence particle types. To our knowledge, this is the first application of the P3 scheme in a large-eddy model with horizontal grid spacings on the order of 100 m. We will present results from ICON-LEM simulations with the new P3 scheme comprising idealized stratiform and convective cloud cases. We will also present real-case limited-area simulations focusing on the HOPE (HD(CP)2 Observational Prototype Experiment) intensive observation campaign. The results are compared with a matching set of simulations employing the two-moment scheme and the performance of the model is also evaluated against observations in the context of the HOPE simulations, comprising data from ground based remote sensing instruments.

Quantum annealing with parametrically driven nonlinear oscillators

NASA Astrophysics Data System (ADS)

Puri, Shruti

While progress has been made towards building Ising machines to solve hard combinatorial optimization problems, quantum speedups have so far been elusive. Furthermore, protecting annealers against decoherence and achieving long-range connectivity remain important outstanding challenges. With the hope of overcoming these challenges, I introduce a new paradigm for quantum annealing that relies on continuous variable states. Unlike the more conventional approach based on two-level systems, in this approach, quantum information is encoded in two coherent states that are stabilized by parametrically driving a nonlinear resonator. I will show that a fully connected Ising problem can be mapped onto a network of such resonators, and outline an annealing protocol based on adiabatic quantum computing. During the protocol, the resonators in the network evolve from vacuum to coherent states representing the ground state configuration of the encoded problem. In short, the system evolves between two classical states following non-classical dynamics. As will be supported by numerical results, this new annealing paradigm leads to superior noise resilience. Finally, I will discuss a realistic circuit QED realization of an all-to-all connected network of parametrically driven nonlinear resonators. The continuous variable nature of the states in the large Hilbert space of the resonator provides new opportunities for exploring quantum phase transitions and non-stoquastic dynamics during the annealing schedule.

Symptoms of depression and anxiety in adolescents with sickle cell disease: the role of intrapersonal characteristics and stress processing variables.

PubMed

Simon, Katherine; Barakat, Lamia P; Patterson, Chavis A; Dampier, Carlton

2009-06-01

Sickle cell disease (SCD) complications place patients at risk for poor psychosocial adaptation, including depression and anxiety symptoms. This study aimed to test a mediator model based on the Risk and Resistance model to explore the role of intrapersonal characteristics and stress processing variables in psychosocial functioning. Participants were 44 adolescents with SCD, 15 healthy siblings, and 43 primary caregivers, recruited from an East Coast comprehensive sickle cell center. The participants completed paper and pencil measures of resilience factors (attributional style, hope, coping) and internalizing symptoms (depression, anxiety). Internalizing symptoms among adolescents with SCD and healthy siblings did not differ and were within non-clinical ranges. Self-esteem of adolescents with SCD was correlated with less depression and anxiety and sense of inadequacy was associated with poorer functioning. There were no findings to support the role of coping in psychosocial adjustment. Although the mediation hypothesis was not supported, findings highlighted the resilience of this sample of adolescents with SCD. Determining how these resilience factors protect adolescents with SCD may aid in the development of psychosocial interventions. In particular, interventions should focus on improving intrapersonal skills and coping with stress and investigate ways to tailor these interventions to African-American populations.

Hope of rural women caregivers of persons with advanced cancer: guilt, self-efficacy and mental health.

PubMed

Duggleby, W D; Williams, A; Holstlander, L; Thomas, R; Cooper, D; Hallstrom, L K; Ghosh, S; O-Rourke, H

2014-01-01

Caring for a person with advanced disease can have a detrimental impact on the quality of life of family caregivers. This is further compounded in rural areas that have few or no palliative care services. Hope has a positive influence on the quality of life of family caregivers of persons with advanced cancer but factors influencing hope specifically in rural women caregivers of persons with advanced cancer have not been examined. The purpose of this study was to determine factors influencing the hope of rural women caring for persons with advanced cancer, by examining the relationship of hope with demographic variables, self-efficacy, guilt, and caregiver physical and mental health. A cross-sectional prospective correlational design was used. Inclusion criteria for the study were: (a) female, (b) 18 years of age or older, (c) caring for a person diagnosed with advanced cancer, (d) home address with a rural postal code, and (e) English-speaking. Using a modified Dillman technique, surveys and an invitation to participate were mailed to 780 persons with advanced cancer living in rural areas using two western Canadian provincial cancer registries. A reminder card was sent 4 weeks later. The persons with advanced cancer were asked to give the survey to their primary caregiver to complete. Surveys included measures of hope (Herth Hope Index (HHI)), general self-efficacy (General Self-Efficacy Scale (GSES)), grief (Non Death Version Revised Grief Experience Inventory (NDRGEI)), mental and physical health (Short Form Health Survey Version 2 (SF-12v2)), and demographic data such as their relationship to the person for whom the caregiver was caring. Data were entered into the Statistical Package for the Social Sciences v19 (SPSS) and analyzed using generalized linear modeling. Significant factors (p ≤ 0.05) influencing HHI scores were GSES ( p ≤ 0.0001), NDRGEI subscale (p=0.001), and SF-12v2 mental health summary scores (p=0.002). Participants with higher GSES, lower NDRGEI, and higher SF-12v2 mental health summary scores had higher HHI scores. The SF-12v2 physical health summary mean score of 43.30 (standard deviation (SD)=4.63) was below the 25th percentile (46.53) of US population norms. The SF-12v2 mental health summary mean score of 45.24 (SD=5.98) was just above the 25th percentile of US population norms (45.13). Participants with higher hope scores had higher mental health scores, lower perceptions of loss and grief scores, and higher scores in their confidence in their ability to deal with difficult situations (self-efficacy). The significant relationships found between hope and mental health, general self-efficacy, and perceptions of guilt provide a foundation for future research and underscore the importance of hope to rural women caregivers. The low physical and mental health scores of rural women caregivers are of concern and highlight the need to support this population.

Therapeutic Vaccines: Hope Therapy and Its Effects on Psychiatric Symptoms among Infertile Women

PubMed Central

Mosalanejad, Leili; Abdolahifard, Khadije; Jahromi, Masoumeh Golestan

2014-01-01

Infertility is a life crisis which leads to serious psychological problems. The present study aims to investigate the effects of hope therapy as a psychological intervention on psychological distresses among infertile women. The present study was an experimental one. The study population included infertile women referring to gynecology clinics. Women who lived in Jahrom and could take part in psychotherapy sessions, had no chronic physical or mental disorders, suffered from primary infertility, had infertility unknown causes and had no history of miscarriage and stillbirth were selected through convenience sampling method and were divided into control and intervention groups (n=61). Women in the intervention group participated in eight 2-hour sessions for a period of 2 months. Study results revealed that there was a significant difference between the two groups after the intervention. Besides, there was a significant difference between the two groups through paired T-test (p<0.05). Furthermore, results of ANCOVA showed that after eliminating demographic variables, the intervention was effective in the total mean difference of the study groups. It means that the difference between the two groups was resulted from intervention. Hope therapy as a positive psychological approach can improve infertile women’s general health and subsequently improve family’s health. Therefore, in addition to assisted reproductive techniques, hope therapy is recommended to be presented to infertile people in order to improve the quality of their life and help them adapt with their problems. PMID:24373279

Smartphone-based ecological momentary assessment for Chinese patients with depression: An exploratory study in Taiwan.

PubMed

Hung, Shan; Li, Min-Shan; Chen, Yen-Lin; Chiang, Jung-Hsien; Chen, Ying-Yeh; Hung, Galen Chin-Lun

2016-10-01

Mobile mental health has a potential to improve the recognition and management of Chinese patients with depression. Currently, evidence regarding ecological momentary assessment (EMA) for depressive disorder mostly originates from Western studies. Herein, we examined the validity of smartphone-based EMA for depression in Chinese patients and explored the determinants of use. A smartphone application, iHOPE, was used to perform daily EMA of depression, anxiety, sleep and cognitive performance. Outpatients with depressive disorder were recruited to use iHOPE for 8 weeks. Clinical characteristics and smartphone use patterns were assessed at baseline. We enrolled 59 Chinese patients with depression. In 8 weeks, participants interacted with iHOPE for an average of 10.8 (SD=12.3) days; a trend of decreased frequency of use (p=0.03) was observed. Scores of HAM-D at baseline was associated with, of the first 2 weeks, scores of PHQ-9 (p=0.005), EMA of depression (p=0.003) and anxiety (p<0.001), and poorer sleep quality (p=0.023). Among the demographic, clinical and smartphone-use variables examined, only limited internet package for smartphone (<500M per month) predicted higher use of iHOPE (p=0.04). The present study provides initial evidence for the feasibility of smartphone-based EMA in Chinese patients with depression. Level of engagement needs to be improved before determining its clinical usefulness. Copyright © 2016 Elsevier B.V. All rights reserved.

Collaboration pathway(s) using new tools for optimizing operational climate monitoring from space

NASA Astrophysics Data System (ADS)

Helmuth, Douglas B.; Selva, Daniel; Dwyer, Morgan M.

2014-10-01

Consistently collecting the earth's climate signatures remains a priority for world governments and international scientific organizations. Architecting a solution requires transforming scientific missions into an optimized robust `operational' constellation that addresses the needs of decision makers, scientific investigators and global users for trusted data. The application of new tools offers pathways for global architecture collaboration. Recent (2014) rulebased decision engine modeling runs that targeted optimizing the intended NPOESS architecture, becomes a surrogate for global operational climate monitoring architecture(s). This rule-based systems tools provide valuable insight for Global climate architectures, through the comparison and evaluation of alternatives considered and the exhaustive range of trade space explored. A representative optimization of Global ECV's (essential climate variables) climate monitoring architecture(s) is explored and described in some detail with thoughts on appropriate rule-based valuations. The optimization tools(s) suggest and support global collaboration pathways and hopefully elicit responses from the audience and climate science shareholders.

A Genetic Approach to Spanish Populations of the Threatened Austropotamobius italicus Located at Three Different Scenarios

PubMed Central

Matallanas, Beatriz; Callejas, Carmen; Ochando, M. Dolores

2012-01-01

Spanish freshwater ecosystems are suffering great modification and some macroinvertebrates like Austropotamobius italicus, the white-clawed crayfish, are threatened. This species was once widely distributed in Spain, but its populations have shown a very strong decline over the last thirty years, due to different factors. Three Spanish populations of this crayfish—from different scenarios—were analysed with nuclear (microsatellites) and mitochondrial markers (COI and 16S rDNA). Data analyses reveal the existence of four haplotypes at mitochondrial level and polymorphism for four microsatellite loci. Despite this genetic variability, bottlenecks were detected in the two natural Spanish populations tested. In addition, the distribution of the mitochondrial haplotypes and SSR alleles show a similar geographic pattern and the genetic differentiation between these samples is mainly due to genetic drift. Given the current risk status of the species across its range, this diversity offers some hope for the species from a management point of view. PMID:22645491

Psychosocial Adaptation to Disability Within the Context of Positive Psychology: Findings from the Literature.

PubMed

Martz, Erin; Livneh, Hanoch

2016-03-01

This purpose of this article is to review of the trends of research that examined positive psychology constructs in the context of adapting to chronic illness and disability (CID). This article examines the empirical findings on the relationships between six selected positive psychology-associated constructs (optimism, hope, resilience, benefit-finding, meaning-making, and post-traumatic growth) and adaptation to disability. Six positive psychology constructs were selected to represent the trends found in recent literature published on CID. The process of choosing these six variables included reviewing chapters on positive psychology and CID, reviewing the top rehabilitation journals that typically publish articles on psychosocial adaptation to CID, using search engines to find relevant journal articles published since the year 2000, and selecting the most important constructs based on the authors’ professional judgment. The available evidence supports the unique benefits of these six positive psychology constructs in predicting successful adaptation to a range of disabling conditions. Based on the available findings, the authors offer four suggestions for occupational rehabilitation researchers.

Temporal variability of urinary cadmium in spot urine samples and first morning voids.

PubMed

Vacchi-Suzzi, Caterina; Porucznik, Christina A; Cox, Kyley J; Zhao, Yuan; Ahn, Hongshik; Harrington, James M; Levine, Keith E; Demple, Bruce; Marsit, Carmen J; Gonzalez, Adam; Luft, Benjamin; Meliker, Jaymie R

2017-05-01

Cadmium is a carcinogenic heavy metal. Urinary levels of cadmium are considered to be an indicator of long-term body burden, as cadmium accumulates in the kidneys and has a half-life of at least 10 years. However, the temporal stability of the biomarker in urine samples from a non-occupationally exposed population has not been rigorously established. We used repeated measurements of urinary cadmium (U-Cd) in spot urine samples and first morning voids from two separate cohorts, to assess the temporal stability of the samples. Urine samples from two cohorts including individuals of both sexes were measured for cadmium and creatinine. The first cohort (Home Observation of Perinatal Exposure (HOPE)) consisted of 21 never-smokers, who provided four first morning urine samples 2-5 days apart, and one additional sample roughly 1 month later. The second cohort (World Trade Center-Health Program (WTC-HP)) consisted of 78 individuals, including 52 never-smokers, 22 former smokers and 4 current smokers, who provided 2 spot urine samples 6 months apart, on average. Intra-class correlation was computed for groups of replicates from each individual to assess temporal variability. The median creatinine-adjusted U-Cd level (0.19 and 0.21 μg/g in the HOPE and WTC-HP, respectively) was similar to levels recorded in the United States by the National Health and Nutrition Examination Survey. The intra-class correlation (ICC) was high (0.76 and 0.78 for HOPE and WTC-HP, respectively) and similar between cohorts, irrespective of whether samples were collected days or months apart. Both single spot or first morning urine cadmium samples show good to excellent reproducibility in low-exposure populations.

Electronic and transport properties of Li-doped NiO epitaxial thin films

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

Zhang, J. Y.; Li, W. W.; Hoye, R. L. Z.

NiO is a p-type wide bandgap semiconductor of use in various electronic devices ranging from solar cells to transparent transistors. Understanding and improving its optical and transport properties have been of considerable interest. In this work, we have investigated the effect of Li doping on the electronic, optical and transport properties of NiO epitaxial thin films grown by pulsed laser deposition. We show that Li doping significantly increases the p-type conductivity of NiO, but all the films have relatively low room-temperature mobilities (<0.05 cm2 V -1s -1). The conduction mechanism is better described by small-polaron hoping model in the temperaturemore » range of 200 K < T <330 K, and variable range hopping at T <200 K. A combination of x-ray photoemission and O K-edge x-ray absorption spectroscopic investigations reveal that the Fermi level gradually shifts toward the valence band maximum (VBM) and a new hole state develops with Li doping. Both the VBM and hole states are composed of primarily Zhang-Rice bound states, which accounts for the small polaron character (low mobility) of hole conduction. Our work provides guidelines for the search for p-type oxide materials and device optimization.NiO is a p-type wide bandgap semiconductor of use in various electronic devices ranging from solar cells to transparent transistors. This work reports the controlling of conductivity and increase of work functions by Li doping.« less

Children's loneliness, sense of coherence, family climate, and hope: developmental risk and protective factors.

PubMed

Sharabi, Adi; Levi, Uzi; Margalit, Malka

2012-01-01

The study examined the contributions of individual and familial variables for the prediction of loneliness as a developmental risk and the sense of coherence as a protective factor. The sample consisted of 287 children from grades 5-6. Their loneliness, sense of coherence, hope, effort, and family climate were assessed. Separate hierarchical multiple regression analyses revealed that family cohesion and children's hope contributed to the explanation of the risk and protective outcomes. Yet, the contribution of the family adaptability was not significant. Cluster analysis of the family climate dimensions (i.e., cohesion and adaptability) was performed to clarify the interactive roles of family adaptability together with family cohesion. The authors identified 4 separate family profiles: Children in the 2 cohesive families' clusters (Cohesive Structured Families and Cohesive Adaptable Families) reported the lowest levels of loneliness and the highest levels of personal strengths. Children within rigid and noncohesive family cluster reported the highest levels of loneliness and the lowest levels of children's sense of coherence. The unique role of the family flexibility within nonsupportive family systems was demonstrated. The results further clarified the unique profiles' characteristics of the different family clusters and their adjustment indexes in terms of loneliness and personal strengths.

HOPE Survey of the Near-Equatorial Magnetosphere Plasma Environment

NASA Astrophysics Data System (ADS)

Fernandes, P. A.; Larsen, B.; Skoug, R. M.; Reeves, G. D.; Denton, M.; Thomsen, M. F.; Funsten, H. O.; Jahn, J. M.; MacDonald, E.

2016-12-01

The twin Van Allen Probes spacecraft have completed over four years on-orbit resulting in more than 2 full precessions in local time. We present for the first time a summary of the plasma environment at the near-equatorial magnetosphere inside geostationary orbit from the HOPE (Helium-Oxygen-Proton-Electron) spectrometer. This rich data set is comprised of 48 months of release 3 particle data for electrons, protons, helium ions, and oxygen ions for energies from 15 eV to 50 keV. For each species we calculate median fluxes and flux distributions over the instrument energy range. We present the L and MLT (magnetic local time) distributions of these fluxes, percentiles, and flux ratios. This full-coverage survey, over an extended duration and range of energies and L-shells, examines the ion and electron fluxes and their ratios as a function of solar and geomagnetic activity. This detailed observation of the near-equatorial plasma environment reproduces well-known phenomenology in the energy ranges of overlap, and interpretation focuses on the structure, composition, and dynamics of the inner magnetosphere for various degrees of geomagnetic activity.

School-based mental health intervention for children in war-affected Burundi: a cluster randomized trial

PubMed Central

2014-01-01

Background Armed conflicts are associated with a wide range of impacts on the mental health of children and adolescents. We evaluated the effectiveness of a school-based intervention aimed at reducing symptoms of posttraumatic stress disorder, depression, and anxiety (treatment aim); and improving a sense of hope and functioning (preventive aim). Methods We conducted a cluster randomized trial with 329 children in war-affected Burundi (aged 8 to 17 (mean 12.29 years, standard deviation 1.61); 48% girls). One group of children (n = 153) participated in a 15-session school-based intervention implemented by para-professionals, and the remaining 176 children formed a waitlist control condition. Outcomes were measured before, one week after, and three months after the intervention. Results No main effects of the intervention were identified. However, longitudinal growth curve analyses showed six favorable and two unfavorable differences in trajectories between study conditions in interaction with several moderators. Children in the intervention condition living in larger households showed decreases on depressive symptoms and function impairment, and those living with both parents showed decreases on posttraumatic stress disorder and depressive symptoms. The groups of children in the waitlist condition showed increases in depressive symptoms. In addition, younger children and those with low levels of exposure to traumatic events in the intervention condition showed improvements on hope. Children in the waitlist condition who lived on their original or newly bought land showed improvements in hope and function impairment, whereas children in the intervention condition showed deterioration on these outcomes. Conclusions Given inconsistent effects across studies, findings do not support this school-based intervention as a treatment for posttraumatic stress disorder and depressive symptoms in conflict-affected children. The intervention appears to have more consistent preventive benefits, but these effects are contingent upon individual (for example, age, gender) and contextual (for example, family functioning, state of conflict, displacement) variables. Results suggest the potential benefit of school-based preventive interventions particularly in post-conflict settings. Trial registration The study was registered as ISRCTN42284825 PMID:24690470

Mooring-based monitoring at the mouth of Barrow Canyon and Hope Valley in the Pacific sector of the Arctic Ocean

NASA Astrophysics Data System (ADS)

Kikuchi, T.; Itoh, M.; Nishino, S.

2016-02-01

Changes of the Arctic Ocean environment are well known as one of the most remarkable evidences of global warming, attracting social and public attentions as well as scientists'. However, to illustrate on-going changes and predict future condition of the Arctic marine environment, we still do not have enough knowledge of Arctic sea ice and marine environment. In particular, lack of observation data in winter, e.g., under sea ice, still remains a key issue for precise understanding of seasonal cycle on oceanographic condition in the Arctic Ocean. Mooring-based observation is one of the most useful methods to collect year-long data in the Arctic Ocean. We have been conducting long-term monitoring using mooring system in the Pacific sector of the Arctic Ocean. Volume, heat, and freshwater fluxes through Barrow Canyon where is a major conduit of Pacific-origin water-masses into the Canada Basin have been observed since 2000. We show from an analysis of the mooring results that volume flux through Barrow Canyon was about 60 % of Bering Strait volume flux. Averaged heat flux ranges from 0.9 to 3.07 TW, which could melt 88,000 to 300,000 km2 of 1m thick ice in the Canada Basin, which likely contributed to sea ice retreat in the Pacific sector of the Arctic Ocean. In winter, we found inter-annual variability in salinity related to coastal polynya activity in the Chukchi Sea and strong upwelling events due to easterly winds. We also initiated year-long mooring observation in the Hope Valley of the southern Chukchi Sea since 2012. Interestingly, winter oceanographic conditions in the Hope Valley are greatly different between in 2012-2013 and in 2013-2014. We speculate that differences of sea ice freeze-up and coastal polynya activity in the southern Chukchi Sea cause significant difference of winter oceanographic condition. It suggests that recent sea ice reduction in the Pacific sector of the Arctic Ocean presumably influences marine environment not only in summer but also in winter.

Introduction to the special section on mixture modeling in personality assessment.

PubMed

Wright, Aidan G C; Hallquist, Michael N

2014-01-01

Latent variable models offer a conceptual and statistical framework for evaluating the underlying structure of psychological constructs, including personality and psychopathology. Complex structures that combine or compare categorical and dimensional latent variables can be accommodated using mixture modeling approaches, which provide a powerful framework for testing nuanced theories about psychological structure. This special series includes introductory primers on cross-sectional and longitudinal mixture modeling, in addition to empirical examples applying these techniques to real-world data collected in clinical settings. This group of articles is designed to introduce personality assessment scientists and practitioners to a general latent variable framework that we hope will stimulate new research and application of mixture models to the assessment of personality and its pathology.

Characteristics of solitary waves, quasiperiodic solutions, homoclinic breather solutions and rogue waves in the generalized variable-coefficient forced Kadomtsev-Petviashvili equation

NASA Astrophysics Data System (ADS)

Yan, Xue-Wei; Tian, Shou-Fu; Dong, Min-Jie; Zou, Li

2017-12-01

In this paper, the generalized variable-coefficient forced Kadomtsev-Petviashvili (gvcfKP) equation is investigated, which can be used to characterize the water waves of long wavelength relating to nonlinear restoring forces. Using a dependent variable transformation and combining the Bell’s polynomials, we accurately derive the bilinear expression for the gvcfKP equation. By virtue of bilinear expression, its solitary waves are computed in a very direct method. By using the Riemann theta function, we derive the quasiperiodic solutions for the equation under some limitation factors. Besides, an effective way can be used to calculate its homoclinic breather waves and rogue waves, respectively, by using an extended homoclinic test function. We hope that our results can help enrich the dynamical behavior of the nonlinear wave equations with variable-coefficient.

The relationship between quality of life and spirituality, religiousness, and personal beliefs of medical students.

PubMed

Krägeloh, Christian U; Henning, Marcus A; Billington, Rex; Hawken, Susan J

2015-02-01

This study investigated the effects of spirituality, religiousness, and personal beliefs on the quality of life (QOL) of medical students affiliated with a religious faith and those without affiliation. Using a cross-sectional design, 275 medical students (78 % response rate) in their fourth and fifth year of study completed the WHOQOL-BREF quality of life instrument and the WHOQOL-SRPB module for spirituality, religiousness, and personal beliefs. For religious students, a larger range of characteristics of existential beliefs were positively related to quality of life. For all students, hope and optimism and meaning of life predicted higher scores on psychological. For religious and nonreligious medical students, reduced meaning in life and hope were the strongest indicators of psychological distress. Interventions to improve the mental well-being of medical students may be more effective if aimed at teaching students how to find meaning and purpose in their lives and how to foster an enduring sense of hope and optimism.

Preschooler Study: The Medical, Social and Economic Correlates of Poverty in Preschool Children of British Columbia. A Pilot Study.

ERIC Educational Resources Information Center

Tonkin, Roger S.; And Others

Over 200 families from lower and middle income areas of British Columbia, including a group representing the Indian communities, were studied in this effort to examine poverty as it relates to families, especially to young children. A wide variety of health, social, and economic variables were examined in the hope of developing output criteria for…

Efficacy and Academic Emphasis: A Leadership Factor in Elementary School Principals, and Its Relationship to Hope, Resilience, Optimism, and View of Intelligence

ERIC Educational Resources Information Center

Riegel, Lisa A.

2012-01-01

The goal of this research was to explore the construct of academic optimism at the principal level and examine possible explanatory variables for the factors that emerged from the principal academic optimism scale. Academic optimism contains efficacy, trust and academic emphasis (Hoy, Tarter & Woolfolk Hoy, 2006). It has been studied at the…

Support to MASSTER Phase 2 Camouflage Test

DTIC Science & Technology

1976-04-01

f. U.S. Army Khaki 1 uniform similar in design to b and d. Observation ranges varied from 500 to 1800 meters. It was reported that at none of t he...these unfortunate factors were avoided in the design of MASSTER test FM 204b: the grass was greener, observation ranges were shorter; observers were...the design of the 1962 test, it was also hoped that quantittiVe. data on probability of detection as a function of range would be generated that could

Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.

PubMed

Thornton, Lisa M; Cheavens, Jennifer S; Heitzmann, Carolyn A; Dorfman, Caroline S; Wu, Salene M; Andersen, Barbara L

2014-12-01

Psychological interventions can attenuate distress and enhance coping for those with an initial diagnosis of cancer, but there are few intervention options for individuals with cancer recurrence. To address this gap, we developed and tested a novel treatment combining Mindfulness, Hope Therapy, and biobehavioral components. An uncontrolled, repeated measures design was used. Women (N = 32) with recurrent breast or gynecologic cancers were provided 20 treatment sessions in individual (n = 12) or group (n = 20) formats. On average, participants were middle aged (M = 58) and Caucasian (81%). Independent variables (i.e., hope and mindfulness) and psychological outcomes (i.e., depression, negative mood, worry, and symptoms of generalized anxiety disorder) were assessed pre-treatment and 2, 4, and 7 months later. Session-by-session therapy process (positive and negative affect, quality-of-life) and mechanism (use of intervention-specific skills) measures were also included. Distress, anxiety, and negative affect decreased, whereas positive affect and mental-health-related quality-of-life increased over the course of treatment, as demonstrated in mixed-effects models with the intent-to-treat sample. Both hope and mindfulness increased, and use of mindfulness skills was related to decreased anxiety. This treatment was feasible to deliver and was acceptable to patients. The trial serves as preliminary evidence for a multi-component intervention tailored to treat difficulties specific to recurrent cancer. The blending of the components was novel as well as theoretically and practically consistent. A gap in the literature is addressed, providing directions for testing interventions designed for patients coping with the continuing stressors and challenges of cancer recurrence.

Hope as determinant for psychiatric morbidity in family caregivers of advanced cancer patients.

PubMed

Rumpold, T; Schur, S; Amering, M; Ebert-Vogel, A; Kirchheiner, K; Masel, E; Watzke, H; Schrank, B

2017-05-01

Home care of advanced cancer patients often has adverse effects on physical and mental health of family caregivers. Little is known about the long-term effects of continuous caregiving on mental health as compared with the effects of bereavement. The objectives of this study were to describe the course of psychiatric morbidity in family caregivers over time, to identify the impact of the patients' death on caregivers, and to explore possible predictor variables for psychiatric morbidity. This multi-institutional, prospective study included 80 family caregivers of 80 advanced cancer patients for baseline and 9 months follow-up assessment. Possible psychiatric disorders (ie, depression, anxiety, posttraumatic stress disorder, and alcohol abuse/dependence) as well as potentially predictive factors (ie, sociodemographic factors, burden, hope, and coping mechanisms) were assessed. Follow-up assessment was conducted on average 9.2 months (±2.9) after baseline assessment. Prevalence rates of anxiety and posttraumatic stress disorder decreased significantly over time, whereas depression and alcoholism remained stable. Bereavement was experienced by 53% of caregivers in the follow-up period. The patients' death had no influence on psychiatric morbidity at follow-up. Predictors for the development of a psychiatric disorder varied according to condition, with hope and emotion-oriented coping identified as important influences, especially for anxiety and depression. Family caregivers with certain psychiatric disorders might need targeted psychosocial support to ensure their mental well-being and prevent long-term disability. Supporting hope and functional coping strategies early after the patient's diagnosis might limit development and extent of psychiatric morbidity. Copyright © 2016 John Wiley & Sons, Ltd.

Evaluation of a Prototype pCO2 Optical Sensor

NASA Astrophysics Data System (ADS)

Sanborn-Marsh, C.; Sutton, A.; Sabine, C. L.; Lawrence-Salvas, N.; Dietrich, C.

2016-12-01

Anthropogenic greenhouse gas emissions continue to rise, driving climate change and altering the ocean carbonate systems. Carbonate chemistry can be characterized by any two of the four parameters: pH, total alkalinity, dissolved inorganic carbon, and partial pressure of dissolved carbon dioxide gas (pCO2). To fully monitor these dynamic systems, researchers must deploy a more temporally and spatially comprehensive sensor network. Logistical challenges, such as the energy consumption, size, lifetime, depth range, and cost of pCO2 sensors have limited the network's reach so far. NOAA's Pacific Marine Environmental Laboratory has conducted assessment tests of a pCO2 optical sensor (optode), recently developed by Atamanchuk et al (2014). We hope to deploy this optode in the summer of 2017 on high-resolution moored profiler, along with temperature, salinity, and oxygen sensors. While most pCO2 optodes have energy consumptions of 3-10 W, this 36mm-diameter by 86mm-long instrument consumes a mere 7-80 mW. Initial testing showed that its accuracy varied within an absolute range of 2-75 μatm, depending on environmental conditions, including temperature, salinity, response time, and initial calibration. Further research independently examining the effects of each variable on the accuracy of the data will also be presented.

Resolving critical dimension drift over time in plasma etching through virtual metrology based wafer-to-wafer control

NASA Astrophysics Data System (ADS)

Lee, Ho Ki; Baek, Kye Hyun; Shin, Kyoungsub

2017-06-01

As semiconductor devices are scaled down to sub-20 nm, process window of plasma etching gets extremely small so that process drift or shift becomes more significant. This study addresses one of typical process drift issues caused by consumable parts erosion over time and provides feasible solution by using virtual metrology (VM) based wafer-to-wafer control. Since erosion of a shower head has center-to-edge area dependency, critical dimensions (CDs) at the wafer center and edge area get reversed over time. That CD trend is successfully estimated on a wafer-to-wafer basis by a partial least square (PLS) model which combines variables from optical emission spectroscopy (OES), VI-probe and equipment state gauges. R 2 of the PLS model reaches 0.89 and its prediction performance is confirmed in a mass production line. As a result, the model can be exploited as a VM for wafer-to-wafer control. With the VM, advanced process control (APC) strategy is implemented to solve the CD drift. Three σ of CD across wafer is improved from the range (1.3-2.9 nm) to the range (0.79-1.7 nm). Hopefully, results introduced in this paper will contribute to accelerating implementation of VM based APC strategy in semiconductor industry.

Plasticity and Adult Neurogenesis in Amphibians and Reptiles: More Questions than Answers.

PubMed

Powers, Alice Schade

2016-08-24

Studies of the relationship between behavioral plasticity and new cells in the adult brain in amphibians and reptiles are sparse but demonstrate that environmental and hormonal variables do have an effect on the amount of cell proliferation and/or migration. The variables that are reviewed here are: enriched environment, social stimulation, spatial area use, season, photoperiod and temperature, and testosterone. Fewer data are available for amphibians than for reptiles, but for both groups many issues are still to be resolved. It is to be hoped that the questions raised here will generate more answers in future studies. © 2016 S. Karger AG, Basel.

Exploring identity within the recovery process of people with serious mental illnesses.

PubMed

Buckley-Walker, Kellie; Crowe, Trevor; Caputi, Peter

2010-01-01

To examine self-identity within the recovery processes of people with serious mental illnesses using a repertory grid methodology. Cross-sectional study involving 40 mental health service consumers. Participants rated different "self" and "other" elements on the repertory grid against constructs related to recovery, as well as other recovery focused measures. Perceptions of one's "ideal self" represented more advanced recovery in contrast to perceptions of "a person mentally unwell." Current perceptions of self were most similar to perceptions of "usual self" and least similar to "a person who is mentally unwell." Increased identification with one's "ideal self" reflected increased hopefulness in terms of recovery. The recovery repertory grid shows promise in clinical practice, in terms of exploring identity as a key variable within mental health recovery processes. Distance measures of similarity between various self-elements, including perceptions of others, maps logically against the recovery process of hope.

Suicide in Maine: a social psychological approach.

PubMed

Abbiati, D L

1977-01-01

This paper reports the results of a field study on five proximal social psychological variables derived from Farber's theory of suicide: Hope in the Future Time Perspective; Demands for Interpersonal Giving; the Availability of Succorance; Demands for the Exercising of Competence; and the degree of Toleration of Suicide. The subjects were mature, long-term residents of counties of Maine that proved stable in their relative rate of suicide. The value for each variable was assessed by a questionnair devised for this purpose by the author. The differences between the mean scale scores for the high and low suicide areas were analyzed by t-tests. The between group differences for all variables were significant at or beyond the .01 level of significance. A correlational study indicated that the relationship among the five variables was compatible with Farber's theory of suicide. The research generally offers strong support for Farber's theory of suicide at the social psychological level of analysis.

Internalized stigma among psychiatric outpatients: Associations with quality of life, functioning, hope and self-esteem.

PubMed

Picco, Louisa; Pang, Shirlene; Lau, Ying Wen; Jeyagurunathan, Anitha; Satghare, Pratika; Abdin, Edimansyah; Vaingankar, Janhavi Ajit; Lim, Susan; Poh, Chee Lien; Chong, Siow Ann; Subramaniam, Mythily

2016-12-30

This study aimed to: (i) determine the prevalence, socio-demographic and clinical correlates of internalized stigma and (ii) explore the association between internalized stigma and quality of life, general functioning, hope and self-esteem, among a multi-ethnic Asian population of patients with mental disorders. This cross-sectional, survey recruited adult patients (n=280) who were seeking treatment at outpatient and affiliated clinics of the only tertiary psychiatric hospital in Singapore. Internalized stigma was measured using the Internalized Stigma of Mental Illness scale. 43.6% experienced moderate to high internalized stigma. After making adjustments in multiple logistic regression analysis, results revealed there were no significant socio-demographic or clinical correlates relating to internalized stigma. Individual logistic regression models found a negative relationship between quality of life, self-esteem, general functioning and internalized stigma whereby lower scores were associated with higher internalized stigma. In the final regression model, which included all psychosocial variables together, self-esteem was the only variable significantly and negatively associated with internalized stigma. The results of this study contribute to our understanding of the role internalized stigma plays in patients with mental illness, and the impact it can have on psychosocial aspects of their lives. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Tangent linear superparameterization of convection in a 10 layer global atmosphere with calibrated climatology

DOE PAGES

Kelly, Patrick; Mapes, Brian; Hu, I-Kuan; ...

2017-04-03

This study describes a new intermediate global atmosphere model in which synoptic and planetary dynamics including the advection of water vapor are explicit, the time mean flow is centered near a realistic state through the calibration of time-independent 3D forcings, and temporal anomalies of convective tendencies of heat and moisture in each column are represented as a linear matrix acting on the anomalous temperature and moisture profiles in the GCM. This matrix was devised from Kuang’s [2010] linear response function (LRF) of a cooled cyclic convection-permitting model (CCPM) with 256 km periodic domain and 1km mesh, measured around an equilibriummore » state with a mean rainrate of 3.5 mm/d. The goal of this effort was to cleanly test the role of convection’s free-tropospheric moisture sensitivity in tropical waves, without incurring large changes of mean climate that confuse the interpretation of experiments with entrainment rates in the convection schemes of full-physics GCMs. As the sensitivity to free tropospheric moisture (columns 12-20 of the matrix, representing sensitivity to humidity above 900 hPa altitude) is multiplied by a factor ranging from 0 to 2, the model’s variability ranges from: (1) moderately strong convectively coupled waves with speeds near 20 m s -1; to (0) weak waves, but still slowed by convective coupling; to (2) wave variability that is greater in amplitude as the water vapor field plays an increasingly important role. Longitudinal structure in the model’s time-mean tropical flow is not fully realistic, and does change significantly with matrix edits, disappointing initial hopes that the Madden-Julian oscillation would be well simulated in the control and could be convincingly decomposed, but further work could improve this class of models.« less

Tangent linear superparameterization of convection in a 10 layer global atmosphere with calibrated climatology

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

Kelly, Patrick; Mapes, Brian; Hu, I-Kuan

This study describes a new intermediate global atmosphere model in which synoptic and planetary dynamics including the advection of water vapor are explicit, the time mean flow is centered near a realistic state through the calibration of time-independent 3D forcings, and temporal anomalies of convective tendencies of heat and moisture in each column are represented as a linear matrix acting on the anomalous temperature and moisture profiles in the GCM. This matrix was devised from Kuang’s [2010] linear response function (LRF) of a cooled cyclic convection-permitting model (CCPM) with 256 km periodic domain and 1km mesh, measured around an equilibriummore » state with a mean rainrate of 3.5 mm/d. The goal of this effort was to cleanly test the role of convection’s free-tropospheric moisture sensitivity in tropical waves, without incurring large changes of mean climate that confuse the interpretation of experiments with entrainment rates in the convection schemes of full-physics GCMs. As the sensitivity to free tropospheric moisture (columns 12-20 of the matrix, representing sensitivity to humidity above 900 hPa altitude) is multiplied by a factor ranging from 0 to 2, the model’s variability ranges from: (1) moderately strong convectively coupled waves with speeds near 20 m s -1; to (0) weak waves, but still slowed by convective coupling; to (2) wave variability that is greater in amplitude as the water vapor field plays an increasingly important role. Longitudinal structure in the model’s time-mean tropical flow is not fully realistic, and does change significantly with matrix edits, disappointing initial hopes that the Madden-Julian oscillation would be well simulated in the control and could be convincingly decomposed, but further work could improve this class of models.« less

Clonal structure and variable fertilization success in Florida Keys broadcast-spawning corals

NASA Astrophysics Data System (ADS)

Miller, M. W.; Baums, I. B.; Pausch, R. E.; Bright, A. J.; Cameron, C. M.; Williams, D. E.; Moffitt, Z. J.; Woodley, C. M.

2018-03-01

Keystone reef-building corals in the Caribbean are predominantly self-incompatible broadcast spawners and a majority are threatened due to both acute adult mortality and poor recruitment. As population densities decline, concerns about fertilization limitation and effective population size in these species increase and would be further exacerbated by either high clonality or gametic incompatibility of parental genotypes. This study begins to address these concerns for two Caribbean broadcasting species by characterizing clonal structure and quantifying experimental pairwise fertilization success. Orbicella faveolata showed surprisingly high and contrasting levels of clonality between two sampled sites; Acropora palmata was previously known to be highly clonal. Individual pairwise crosses of synchronously spawning genotypes of each species were conducted by combining aliquots of gamete bundles immediately after spawning, and showed high and significant variability in fertilization success. Over half of the individual crosses of O. faveolata and about one-third of A. palmata crosses yielded ≤ 40% fertilization. Total sperm concentration was quantified in only a subset of O. faveolata crosses (range of 1-6 × 107 mL-1), but showed no correlation with fertilization success. We interpret that both parental incompatibility and individual genotypes with low-quality gametes are likely to have contributed to the variable fertilization observed with important implications for conservation. Differential fertilization success implies effective population size may be considerably smaller than hoped and population enhancement efforts need to incorporate many more parental genotypes at the patch scale to ensure successful larval production than indicated by estimates based simply on preserving levels of standing genetic diversity.

Geolocation of WiMAX Subscriber Stations Based on the Timing Adjust Ranging Parameter

DTIC Science & Technology

2009-12-01

to cellular networks hoping to offer location based services and to emergency response and tactical personnel who may need to locate mobile persons...applications. Location - based services have grown increasingly popular in the current generation of cellular phones, providing weather, traffic, and

Hope dies last … A qualitative study into the meaning of hope for people with cancer in the palliative phase.

PubMed

Nierop-van Baalen, C; Grypdonck, M; van Hecke, A; Verhaeghe, S

2016-07-01

Palliative patients may have strong hope, even hope for a cure, despite knowing their prognosis. Health professionals do not always understand patients who have this kind of hope. The aim of this article was to explore the meaning of hope among patients with cancer in the palliative phase. A secondary analysis was conducted including a constant comparative analysis to uncover the processes underlying the maintenance of hope, of previously collected interview data (n = 76). The meaning of hope is related to the importance of the object it is attached to, rather than to a real chance of achieving this object. Hope has a dual function: patients hope because they cannot forsake it and because they benefit so much from it. Hope can spring from many sources and is influenced by various factors. If there are fewer potent sources to tap into, people create hope themselves and this type of self-created hope takes more effort to maintain. Patients use different strategies to increase their hope, described as the 'the work of hope'. A better understanding of the work of hope can lead to better psychosocial support by health professionals. Health professionals convey many messages that affect the work of hope. © 2016 John Wiley & Sons Ltd.

Transgressive Hybrids as Hopeful Monsters.

PubMed

Dittrich-Reed, Dylan R; Fitzpatrick, Benjamin M

2013-06-01

The origin of novelty is a critical subject for evolutionary biologists. Early geneticists speculated about the sudden appearance of new species via special macromutations, epitomized by Goldschmidt's infamous "hopeful monster". Although these ideas were easily dismissed by the insights of the Modern Synthesis, a lingering fascination with the possibility of sudden, dramatic change has persisted. Recent work on hybridization and gene exchange suggests an underappreciated mechanism for the sudden appearance of evolutionary novelty that is entirely consistent with the principles of modern population genetics. Genetic recombination in hybrids can produce transgressive phenotypes, "monstrous" phenotypes beyond the range of parental populations. Transgressive phenotypes can be products of epistatic interactions or additive effects of multiple recombined loci. We compare several epistatic and additive models of transgressive segregation in hybrids and find that they are special cases of a general, classic quantitative genetic model. The Dobzhansky-Muller model predicts "hopeless" monsters, sterile and inviable transgressive phenotypes. The Bateson model predicts "hopeful" monsters with fitness greater than either parental population. The complementation model predicts both. Transgressive segregation after hybridization can rapidly produce novel phenotypes by recombining multiple loci simultaneously. Admixed populations will also produce many similar recombinant phenotypes at the same time, increasing the probability that recombinant "hopeful monsters" will establish true-breeding evolutionary lineages. Recombination is not the only (or even most common) process generating evolutionary novelty, but might be the most credible mechanism for sudden appearance of new forms.

College student marijuana involvement: Perceptions, use, and consequences across 11 college campuses.

PubMed

Pearson, Matthew R; Liese, Bruce S; Dvorak, Robert D

2017-03-01

Marijuana is currently the most commonly used illicit drug in the United States, and with the movement toward legalization of recreational marijuana, the country faces numerous issues regarding policy, prevention, and treatment of marijuana use. The present study examines the prevalence of marijuana use and consequences and compares users and non-users on a wide range of other marijuana-related constructs among college students across 11 universities. Participants included 8141 college students recruited from the psychology department participant pools of 11 universities throughout the US, including four major regions of the US (West, South, Midwest, Northeast) and states with varying policies regarding the legality of marijuana use. We observed marijuana use rates similar to representative samples of young adults and college students (i.e., 53.3% lifetime marijuana users, 26.2% past month marijuana users). About 1 in 10 past month marijuana users experienced no consequences from their use, whereas nearly 1 in 10 experienced 19 or more consequences. Lifetime marijuana users had more positive perceptions of marijuana compared to non-users on a wide-range of marijuana-related constructs. We report descriptive statistics on a wide range of marijuana-related variables. We hope that these data provide a useful baseline prior to increased legalization of recreational marijuana use. Multi-site studies like this one are needed to study the risky and protective factors for problematic marijuana use. These findings can inform interventions and public policy. Copyright © 2016 Elsevier Ltd. All rights reserved.

College Student Marijuana Involvement: Perceptions, Use, and Consequences across 11 College Campuses

PubMed Central

Pearson, Matthew R; Liese, Bruce S; Dvorak, Robert D

2016-01-01

Background Marijuana is currently the most commonly used illicit drug in the United States, and with the movement toward legalization of recreational marijuana, the country faces numerous issues regarding policy, prevention, and treatment of marijuana use. The present study examines the prevalence of marijuana use and consequences and compare users and non-users on a wide range of other marijuana-related constructs among college students across 11 universities. Method Participants included 8,141 college students recruited from the psychology department participant pools of 11 universities throughout the US, including four major regions of the US (West, South, Midwest, Northeast) and states with varying policies regarding the legality of marijuana use. Results We observed marijuana use rates similar to representative samples of young adults and college students (i.e., 53.3% lifetime marijuana users, 26.2% past month marijuana users). About 1 in 10 past month marijuana users experienced no consequences from their use, whereas nearly 1 in 10 experienced 19 or more consequences. Lifetime marijuana users had more positive perceptions of marijuana compared to non-users on a wide-range of marijuana-related constructs. Conclusions We report descriptive statistics on a wide range of marijuana-related variables. We hope that these data provide a useful baseline prior to increased legalization of recreational marijuana use. Multi-site studies like this one are needed to study the risky and protective factors for problematic marijuana use. These findings can inform interventions and public policy. PMID:27894029

Imagined futures in living with multiple conditions: Positivity, relationality and hopelessness.

PubMed

Coyle, Lindsay-Ann; Atkinson, Sarah

2018-02-01

Hope serves as an overarching concept for a range of engagements that demonstrate the benefits of a positive outlook for coping with chronic conditions of ill-health and disability. A dominant engagement through medicine has positioned hope as a desirable attribute and its opposite, hopelessness, as pathological. In this engagement hope is individual, internally located and largely cognitive and able to be learned. Attaining hope reflects a process of coming to terms with the losses associated with long-term conditions and of imagining new meanings and purposes for the future ahead. This process is characterised by a set of linear temporal stages, from loss and denial to acceptance and reappraising the life-course, by an emphasis on the morally desirable exercise of self-care and by a desired outcome that, in the absence of cure, is hope. Through interviews, we aim to unsettle the privileged status given to a positive outlook through examining the expressions, contexts and negotiations of hopelessness of people living with multiple conditions of ill-health and/or disability. These narratives of hopelessness disclose the ways in which realistic imagined possibilities for the future are constrained by external structures of time and function that demand complex negotiations with places, bodies and other people. As a situated and relational narrative, hopelessness draws our attention to the need to rebalance the exclusive attention to individual, internal resources with a renewed attention to contexts and settings. Moreover, hopelessness can be generative for those living with multiple conditions in shaping alternatively framed priorities with respect to their temporal and interpersonal relations. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Factors Influencing Material Removal And Surface Finish Of The Polishing Of Silica Glasses

DTIC Science & Technology

2006-01-01

Mechanical Properties of Quartz and Zerodur ® ..................................... 48 TABLE 4.2: Results from variable load and lap velocity experiments...of glass and glass-ceramic substrates which are used in a vast amount of applications, from optics for lithographic machines to mirrors and lenses...SiO2) glass polishing with metal oxide abrasive particles. This scheme will mirror the experimentation in this thesis, and hopefully provide a better

An inner struggle for hope: insights from the diaries of bereaved family caregivers.

PubMed

Holtslander, Lorraine; Duggleby, Wendy

2008-10-01

To explore the experience of hope for bereaved palliative caregivers through participant hope diaries. A secondary analysis of hope diaries collected as part of a grounded theory study of hope and bereavement. Twelve older women from a small Canadian city completed a hope diary. Content analysis (Patton, 2002) was applied to describe and interpret the data. Hope was a feeling of peace, courage, strength, and self-confidence that enabled them to face each day and look to the future with a positive outlook. Hindrances to hope were multiple losses, loneliness, and physical health concerns, which created an inner struggle for hope. Hope was fostered through positive thoughts, connections, and taking care. Writing in the diary affected their experience of hope. The diaries provide unique insight into their experience, suggesting practical ways to foster hope in bereavement.

The content of hope in ambulatory patients with colon cancer.

PubMed

Beckman, Emily S; Helft, Paul R; Torke, Alexia M

2013-01-01

Although hope is a pervasive concept in cancer treatment, we know little about how ambulatory patients with cancer define or experience hope. We explored hope through semistructured interviews with ten patients with advanced (some curable, some incurable) colon cancer at one Midwestern, university-based cancer center. We conducted a thematic analysis to identify key concepts related to patient perceptions of hope. Although we did ask specifically about hope, patients also often revealed their hopes in response to indirect questions or by telling stories about their cancer experience. We identified four major themes related to hope: 1) hope is essential, 2) a change in perspective, 3) the content of hope, and 4) communicating about hope. The third theme, the content of hope, included three subthemes: a) the desire for normalcy, b) future plans, and c) hope for a cure. We conclude that hope is an essential concept for patients undergoing treatment for cancer as it pertains to their psychological well-being and quality of life, and hope for a cure is not and should not be the only consideration. In a clinical context, the exploration of patients' hopes and aspirations in light of their cancer diagnosis is important because it provides a frame for understanding their goals for treatment. Exploration of the content of patients' hope can not only help to illuminate misunderstandings but also clarify how potential treatments may or may not contribute to achieving patients' goals.

Personalized Learning for Every Student Every Day

ERIC Educational Resources Information Center

Childress, Stacey; Benson, Scott

2014-01-01

The best hope for accelerating much needed improvement in student achievement is by using a range of pedagogical and technological innovations that deliver personalized learning to each student. The authors examine three school initiatives across the country that are using technology and new teaching methods successfully to drive student…

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

Strubbe, David

Octopus is a scientific program aimed at the ab initio virtual experimentation on a hopefully ever-increasing range of system types. Electrons are described quantum-mechanically within density-functional theory (DFT), in its time-dependent form (TDDFT) when doing simulations in time. Nuclei are described classically as point particles. Electron-nucleus interaction is described within the pseudopotential approximation.

Roles and Responsibilities--Single College Orientation.

ERIC Educational Resources Information Center

Fonte, Richard

Austin Community College (ACC) is undergoing reorganization in an attempt to create a "single college" organizational structure to replace its current "campus with five competing colleges" model. By doing so, ACC hopes to create an atmosphere in which short and long range planning efforts are aimed at the overall good of the…

Reye's Syndrome: A Review of Research Studies.

ERIC Educational Resources Information Center

Lopez, Thomas P.; And Others

1982-01-01

Clinical and pathological studies of Reye's syndrome indicate that symptoms range from influenza-related encephalitis-type disease to cranial pressure, cerebral edema, hemorrhage, and coma. Biochemical research on the blood, ammonia, and the liver is increasing in sophistication, and hopes for future insight into the etiology of Reye's syndrome…

A qualitative study in neurological physiotherapy and hope: beyond physical improvement.

PubMed

Soundy, Andy; Smith, Brett; Butler, Miriam; Minns Lowe, Catherine; Helen, Dawes; Winward, Charlie H

2010-02-01

Drawing on data from a qualitative study of a small group of physiotherapists, this article explores the meaning of hope in neurological physiotherapy practice. Nine female physiotherapists (43.2 +/- 8.5 years) each took part in a one-off semistructured interview. The most common kinds of hope used and offered by the physiotherapists in the process of working with people with neurological disease were evident in five themes. These are termed 1) Realistic Hope, 2) False Hope, 3) Accepting Hope and No Need to Hope, 4) Hope in Faith, and 5) No Hope. Neurological experience with patients in physiotherapy provides stories that relate to hope and this informs the way they understand it. It is important that when considering therapeutic outcome, the physiotherapists recognised the need for having a realistic hope and the danger of having a false hope. However, both were balanced with the need to accept that the unknown was possible and not limiting this or losing their dream. Where hope in relation to recovery was not possible, hope in other areas of life was emphasised. The implications of this dynamic process of working with different kinds of hope in relation to people with neurological disease are considered.

Hope and Hopelessness: The Role of Hope in Buffering the Impact of Hopelessness on Suicidal Ideation.

PubMed

Huen, Jenny M Y; Ip, Brian Y T; Ho, Samuel M Y; Yip, Paul S F

2015-01-01

The present study investigated whether hope and hopelessness are better conceptualized as a single construct of bipolar spectrum or two distinct constructs and whether hope can moderate the relationship between hopelessness and suicidal ideation. Hope, hopelessness, and suicidal ideation were measured in a community sample of 2106 participants through a population-based household survey. Confirmatory factor analyses showed that a measurement model with separate, correlated second-order factors of hope and hopelessness provided a good fit to the data and was significantly better than that of the model collapsing hope and hopelessness into a single second-order factor. Negative binomial regression showed that hope and hopelessness interacted such that the effect of hopelessness on suicidal ideation was lower in individuals with higher hope than individuals with lower hope. Hope and hopelessness are two distinct but correlated constructs. Hope can act as a resilience factor that buffers the impact of hopelessness on suicidal ideation. Inducing hope in people may be a promising avenue for suicide prevention.

Incremental Holocene slip rates from the Hope fault at Hossack Station, Marlborough fault zone, South Island, New Zealand

NASA Astrophysics Data System (ADS)

Hatem, A. E.; Dolan, J. F.; Langridge, R.; Zinke, R. W.; McGuire, C. P.; Rhodes, E. J.; Van Dissen, R. J.

2015-12-01

The Marlborough fault system, which links the Alpine fault with the Hikurangi subduction zone within the complex Australian-Pacific plate boundary zone, partitions strain between the Wairau, Awatere, Clarence and Hope faults. Previous best estimates of dextral strike-slip along the Hope fault are ≤ ~23 mm/yr± 4 mm/year. Those rates, however, are poorly constrained and could be improved using better age determinations in conjunction with measurements of fault offsets using high-resolution imagery. In this study, we use airborne lidar- and field-based mapping together with the subsurface geometry of offset channels at the Hossack site 12 km ESE of Hanmer Springs to more precisely determine stream offsets that were previously identified by McMorran (1991). Specifically, we measured fault offsets of ~10m, ~75 m, and ~195m. Together with 65 radiocarbon ages on charcoal, peat, and wood and 25 pending post-IR50-IRSL225 luminescence ages from the channel deposits, these offsets yield three different fault slip rates for the early Holocene, the late Holocene, and the past ca. 500-1,000 years. Using the large number of age determinations, we document in detail the timing of initiation and abandonment of each channel, enhancing the geomorphic interpretation at the Hossack site as channels deform over many earthquake cycles. Our preliminary incremental slip rate results from the Hossack site may indicate temporally variable strain release along the Hope fault. This study is part of a broader effort aimed at determining incremental slip rates and paleo-earthquake ages and displacements from all four main Marlborough faults. Collectively, these data will allow us to determine how the four main Marlborough faults have work together during Holocene-late Pleistocene to accommodate plate-boundary deformation in time and space.

When hope and grief intersect: rates and risks of prolonged grief disorder among bereaved individuals and relatives of disappeared persons in Colombia.

PubMed

Heeke, Carina; Stammel, Nadine; Knaevelsrud, Christine

2015-03-01

Forced disappearance is a frequent phenomenon in violent conflicts and regimes, yet little is known about unresolved grief processes as a possible outcome of the disappearance of a loved one. This study investigates prolonged grief disorder (PGD) and its risk factors in a sample of persons who lost a significant other to disappearance as compared with a sample of bereaved individuals, both groups having experienced displacement due to the armed conflict in Colombia. In a cross-sectional study conducted in four Colombian provinces, 73 persons who lost a significant other to disappearance and 222 bereaved individuals completed measures of PGD (PG-13), depression (HSCL-25), and PTSD (PCL-C) via face-to-face interviews. Trauma- and loss-related variables, including the extent to which significant others of disappeared persons hoped that their loved one was still alive, were assessed. Results indicated that 23% of participants who lost a significant other to disappearance met criteria for PGD as compared to 31.5% in bereaved participants. No differences were found between the two groups in terms of symptom severity of PGD, depression, posttraumatic stress disorder, or traumatic exposure. Regression analysis indicated that, among relatives and friends of disappeared persons, the extent of hope predicted PGD above and beyond depression severity whereas among bereaved persons, PGD was predicted by time since the loss, the number of traumatic events and symptom severity of PTSD and depression. The instruments were not validated for use in Colombia; generalizability of findings is limited. Forced disappearance is related to prolonged grief reactions, particularly when those left behind maintain hope that the disappeared person is still alive. Copyright © 2014 Elsevier B.V. All rights reserved.

"Hope that is seen is no hope at all:" theological constructions of hope in psychotherapy.

PubMed

Kinghorn, Warren

2013-01-01

Contemporary psychology and psychiatry have increasingly focused on hope as a human phenomenon relevant to physical and psychological well-being. Contemporary psychological research, however, often considers hope anthropocentrically and cannot speak directly of the particular cultural, religious and theological sustaining contexts of hope that, especially for persons of faith, give hope its shape and meaning. In this paper I focus on three articulations of hope within Jewish and Christian tradition-the Summa theologiae of Thomas Aquinas, the lament psalms of the Hebrew Bible, and the post-Holocaust writing of Emil Fackenheim-to argue that attention to these sustaining contexts is essential for understanding what religious traditions mean by hope. Religious traditions display insights and practices related to hope that both complement and challenge contemporary psychological approaches to hope. Close attention to these determinative traditions can therefore enrich and deepen the treatment of hope within contemporary psychotherapeutic practice.

Hope for health and health care.

PubMed

Stempsey, William E

2015-02-01

Virtually all activities of health care are motivated at some level by hope. Patients hope for a cure; for relief from pain; for a return home. Physicians hope to prevent illness in their patients; to make the correct diagnosis when illness presents itself; that their prescribed treatments will be effective. Researchers hope to learn more about the causes of illness; to discover new and more effective treatments; to understand how treatments work. Ultimately, all who work in health care hope to offer their patients hope. In this paper, I offer a brief analysis of hope, considering the definitions of Hobbes, Locke, Hume and Thomas Aquinas. I then differentiate shallow and deep hope and show how hope in health care can remain shallow. Next, I explore what a philosophy of deep hope in health care might look like, drawing important points from Ernst Bloch and Gabriel Marcel. Finally, I suggest some implications of this philosophy of hope for patients, physicians, and researchers.

UK guidance for the pathological reporting of serrated lesions of the colorectum.

PubMed

Bateman, Adrian C; Shepherd, Neil A

2015-08-01

Bowel cancer screening programmes have highlighted to endoscopists and clinicians the spectrum of serrated colorectal lesions. One of the most significant developments has been the recognition that sessile serrated lesions (SSLs), while bearing histological resemblance to hyperplastic polyps (HPs), may be associated with the enhanced development of epithelial dysplasia and colorectal adenocarcinoma. Different minimum criteria exist for the diagnosis of SSLs and their differentiation from HPs. Furthermore, the spectrum of terminology used to describe the entire range of serrated lesions is wide. This variability has impaired interobserver agreement during their histopathological assessment. Here, we provide guidance for the histopathological reporting of serrated lesions, including a simplified nomenclature system. Essentially, we recommend use of the following terms: HP, SSL, SSL with dysplasia, traditional serrated adenoma (TSA) and mixed polyp. It is hoped that this standardisation of nomenclature will facilitate studies of the biological significance of serrated lesions in terms of the relative risk of disease progression. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Management Strategies for Posttransplant Diabetes Mellitus after Heart Transplantation: A Review

PubMed Central

Cehic, Matthew G.; Nundall, Nishant; Greenfield, Jerry R.

2018-01-01

Posttransplant diabetes mellitus (PTDM) is a well-recognized complication of heart transplantation and is associated with increased morbidity and mortality. Previous studies have yielded wide ranging estimates in the incidence of PTDM due in part to variable definitions applied. In addition, there is a limited published data on the management of PTDM after heart transplantation and a paucity of studies examining the effects of newer classes of hypoglycaemic drug therapies. In this review, we discuss the role of established glucose-lowering therapies and the rationale and emerging clinical evidence that supports the role of incretin-based therapies (glucagon like peptide- (GLP-) 1 agonists and dipeptidyl peptidase- (DPP-) 4 inhibitors) and sodium-glucose cotransporter 2 (SGLT2) inhibitors in the management of PTDM after heart transplantation. Recently published Consensus Guidelines for the diagnosis of PTDM will hopefully lead to more consistent approaches to the diagnosis of PTDM and provide a platform for the larger-scale multicentre trials that will be needed to determine the role of these newer therapies in the management of PTDM. PMID:29623219

Solicitude: balancing compassion and empowerment in a relational ethics of hope-an empirical-ethical study in palliative care.

PubMed

Olsman, Erik; Willems, Dick; Leget, Carlo

2016-03-01

The ethics of hope has often been understood as a conflict between duties: do not lie versus do not destroy hope. However, such a way of framing the ethics of hope may easily place healthcare professionals at the side of realism and patients at the side of (false) hope. That leaves unexamined relational dimensions of hope. The objective of this study was to describe a relational ethics of hope based on the perspectives of palliative care patients, their family members and their healthcare professionals. A qualitative longitudinal method based on narrative theories was used. Semi-structured interviews on hope were conducted with twenty-nine palliative care patients, nineteen friends or family members, and fifty-two healthcare professionals, which were recorded and transcribed. Data on hope were thematically analyzed. The researchers wrote memos and did member checking with participants. When participants spoke about hope, they referred to power and empowerment, like the powerful bonding of hope between patients and physicians. They also associated hope with the loss of hope and suffering. Several participating healthcare professionals tried to balance both sides, which involved acknowledgment of hope and suffering. Hope and power were reflected in the ethical concept of empowerment, whereas suffering and the loss of hope were reflected in the ethical concept of compassion. Empowerment and compassion can be balanced in solicitude. In conclusion, a relational ethics of hope requires solicitude, in which healthcare professionals are able to weigh empowerment and compassion within particular relationships.

Toward a theory of persuasive hope: effects of cognitive appraisals, hope appeals, and hope in the context of climate change.

PubMed

Chadwick, Amy E

2015-01-01

Hope has the potential to be a powerful motivator for influencing behavior. However, hope and messages that evoke hope (hope appeals) have rarely been the focus of theoretical development or empirical research. As a step toward the effective development and use of hope appeals in persuasive communication, this study conceptualized and operationalized hope appeals in the context of climate change prevention. Then, the study manipulated components of the hope evocation part of a hope appeal. Specifically, the components were designed to address appraisals of the importance, goal congruence, future expectation, and possibility of climate protection, resulting in a 2 (strong/weak importance) × 2 (strong/weak goal congruence) × 2 (strong/weak future expectation) × 2 (strong/weak possibility) between-subjects pretest-posttest factorial design. Two hundred forty-five undergraduate students were randomly assigned to one of the 16 message conditions and completed the study online. The study tested whether the four appraisals predict feelings of hope. It determined whether message components that address importance, goal congruence, future expectation, and possibility affect appraisals, feelings of hope, and persuasion outcomes. Finally, this study tested the effects of feelings of hope on persuasion outcomes. This study takes an important step toward enabling the effective use of hope appeals in persuasive communication.

Communicatively Constructing the Bright and Dark Sides of Hope: Family Caregivers’ Experiences during End of Life Cancer Care

PubMed Central

Koenig Kellas, Jody; Castle, Katherine M.; Johnson, Alexis; Cohen, Marlene Z.

2017-01-01

(1) Background: The communication of hope is complicated, particularly for family caregivers in the context of cancer who struggle to maintain hope for themselves and their loved ones in the face of terminality. In order to understand these complexities, the current study examines the bright and dark sides of how hope is communicated across the cancer journey from the vantage point of bereaved family caregivers; (2) Methods: We analyzed interviews with bereaved family caregivers using qualitative thematic and case oriented strategies to identify patterns in the positive and negative lived experiences when communicating about hope at the end of life; (3) Results: Two overarching patterns of hope emerged. Those who experienced hope as particularized (focused on cure) cited communication about false hope, performing (faking it), and avoidance. Those who transitioned from particularized to generalized hope (hope for a good death) reported acceptance, the communication of hope as social support, prioritizing family, and balancing hope and honesty; (4) Conclusion: Family caregivers face myriad complexities in managing the bright and dark sides of hope. Interventions should encourage concurrent oncological and palliative care, increased perspective-taking among family members, and encourage the transition from particularized to generalized hope. PMID:28505118

The use of hope as a coping mechanism in abused women.

PubMed

Marden, M O; Rice, M J

1995-03-01

The purpose of this study was to identify how abused women use hope and to determine whether hope is a coping mechanism in their relationship with the abusers. Four focus group sessions were conducted with a sample of 24 women using a phenomenological methodology. The data analysis indicated that abused women maintain hope in four major dimensions: hope for change in their partner's behavior, hope for survival, hope as something to cling to, and hope for control of the situation. The subjects stated that hope was used as a coping mechanism to help them keep their sanity; but in this context, the subjects often saw hope as false or unreal. Thus some abused women used hope as a mechanism to attempt to resolve cognitive dissonance between their internal beliefs and the external reality of physical violence.

Hope and Hopelessness: The Role of Hope in Buffering the Impact of Hopelessness on Suicidal Ideation

PubMed Central

Huen, Jenny M. Y.; Ip, Brian Y. T.; Ho, Samuel M. Y.; Yip, Paul S. F.

2015-01-01

Objectives The present study investigated whether hope and hopelessness are better conceptualized as a single construct of bipolar spectrum or two distinct constructs and whether hope can moderate the relationship between hopelessness and suicidal ideation. Methods Hope, hopelessness, and suicidal ideation were measured in a community sample of 2106 participants through a population-based household survey. Results Confirmatory factor analyses showed that a measurement model with separate, correlated second-order factors of hope and hopelessness provided a good fit to the data and was significantly better than that of the model collapsing hope and hopelessness into a single second-order factor. Negative binomial regression showed that hope and hopelessness interacted such that the effect of hopelessness on suicidal ideation was lower in individuals with higher hope than individuals with lower hope. Conclusions Hope and hopelessness are two distinct but correlated constructs. Hope can act as a resilience factor that buffers the impact of hopelessness on suicidal ideation. Inducing hope in people may be a promising avenue for suicide prevention. PMID:26107687

Hope against hope: exploring the hopes and challenges of rural female caregivers of persons with advanced cancer

PubMed Central

2013-01-01

Background This paper focuses on the qualitative component of a study evaluating a hope intervention, entitled Living with Hope Program (LWHP), designed to foster hope in female caregivers of family members living with advanced cancer. The purpose of this research is to share, in the form of a story, the experiences of rural female caregivers caring for family members with advanced cancer, focusing on what fosters their hope. Hope is a psychosocial and spiritual resource that has been found to help family caregivers live through difficult transitions and challenges. Methods Twenty-three participants from rural Western Canada completed daily journal entries documenting their hopes and challenges. Cortazzi’s (2001) method of narrative analysis was used to analyze the data, which was then transcribed into a narrative entitled ‘hope against hope.’ Results The journal entries highlighted: the caregivers’ hopes and what fostered their hope; the various challenges of caregiving; self-care strategies, and; their emotional journey. Hope was integrated throughout their entire experience, and ‘hope against hope’ describes how hope persists even when there is no hope for a cure. Conclusions This research contributes to the assessment of caregiver interventions that impact hope and quality of life, while illustrating the value of a narrative approach to both research and practice. Journaling may be particularly valuable for rural caregivers who are isolated, and may lack direct professional and peer support. There is an opportunity for health professionals and other providers to foster a relationship of trust with family caregivers, in which their story can be told openly and where practitioners pay closer attention to the psychosocial needs of caregivers. PMID:24341372

Renegotiating hope while living with lymphoedema after cancer: a qualitative study.

PubMed

Hamilton, R; Thomas, R

2016-09-01

Hope is defined as a multi-dimensional life force, a coping resource and a necessity for coping with illness. Concepts of normalcy, hope and loss are explored in this qualitative study and positioned within recent scholarship on hope in cancer survivors. The experiences of 13 participants (11 women, 2 men) in two Canadian provinces who were living with lymphoedema secondary to cancer were analysed. For these participants, hope assumed various meanings. For some, hope was seen as passive inaction, whereas hope for others was positive and action-oriented, even when faced with the uncertainty of chronic illness. Hope for the individual with lymphoedema is also juxtaposed with hope associated with cancer treatment where a desired return to normal is the object of hope and paramount to coping. However, when met with the chronic nature of lymphoedema, the hope of a return to normalcy is lost and the meaning, direction and actions of hope must be renegotiated. © 2015 John Wiley & Sons Ltd.

Modes of hoping: understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain.

PubMed

Eaves, Emery R; Ritenbaugh, Cheryl; Nichter, Mark; Hopkins, Allison L; Sherman, Karen J

2014-01-01

This article explores the role of hope in participants' assessments of their expectations, experiences and treatment outcomes. Data analysis focused on semi-structured, open-ended interviews with 44 participants, interviewed 3-5 times each over the course of a study evaluating Traditional Chinese Medicine (TCM) for temporomandibular disorders (TMD), a form of chronic orofacial pain. Transcripts were coded and analyzed using qualitative and ethnographic methods. A "Modes of Hoping" (Webb, 2007)(1) framework informed our analysis. Five modes of hoping emerged from participant narratives: Realistic Hope, Wishful Hope, Utopian Hope, Technoscience Hope, and Transcendent Hope. Using this framework, hope is demonstrated as exerting a profound influence over how participants assess and report their expectations. This suggests that researchers interested in measuring expectations and understanding their role in treatment outcomes should consider hope as exercising a multi-faceted and dynamic influence on participants' reporting of expectations and their experience and evaluation of treatment. Copyright © 2014 Elsevier Inc. All rights reserved.

Assessing and adjusting for non response in the Millennium Cohort Family Study (Open Access Publisher’s Version)

DTIC Science & Technology

2017-01-28

missingness was positively correlated across variables, as evidenced by the much greater spousal response for service members complet- ing the entire survey ...Mike Battaglia1, Hope Seib McMaster2,3 and Valerie A. Stander2 Abstract Background: In conducting population-based surveys , it is important to...reporting findings. This paper examines factors contributing to second stage survey non-response during the baseline data collection for the

Aspects of perturbation theory in quantum mechanics: The BenderWuMATHEMATICA® package

NASA Astrophysics Data System (ADS)

Sulejmanpasic, Tin; Ünsal, Mithat

2018-07-01

We discuss a general setup which allows the study of the perturbation theory of an arbitrary, locally harmonic 1D quantum mechanical potential as well as its multi-variable (many-body) generalization. The latter may form a prototype for regularized quantum field theory. We first generalize the method of Bender-Wu,and derive exact recursion relations which allow the determination of the perturbative wave-function and energy corrections to an arbitrary order, at least in principle. For 1D systems, we implement these equations in an easy to use MATHEMATICA® package we call BenderWu. Our package enables quick home-computer computation of high orders of perturbation theory (about 100 orders in 10-30 s, and 250 orders in 1-2 h) and enables practical study of a large class of problems in Quantum Mechanics. We have two hopes concerning the BenderWu package. One is that due to resurgence, large amount of non-perturbative information, such as non-perturbative energies and wave-functions (e.g. WKB wave functions), can in principle be extracted from the perturbative data. We also hope that the package may be used as a teaching tool, providing an effective bridge between perturbation theory and non-perturbative physics in textbooks. Finally, we show that for the multi-variable case, the recursion relation acquires a geometric character, and has a structure which allows parallelization to computer clusters.

Stellar magnetic cycles

NASA Astrophysics Data System (ADS)

Baliunas, S. L.

2004-05-01

Is hope for understanding the solar magnetic cycle to be found in stars? Observations of stars with significant sub-surface convective zones -- masses smaller than about 1.5 solar masses on the lower main sequence and many types of cool, post-main-sequence stars -- indicate the presence of surface and atmospheric inhomogeneities analogous to solar magnetic features, making stellar magnetic activity a cosmically widespread phenomenon. Observations have been made primarily in visible wavelengths, and important information has also been derived from the ultraviolet and x-ray spectrum regions. Interannual to interdecadal variability of spectrum indicators of stellar magnetic features is common, and in some cases similar in appearance to the 11-year sunspot cycle. Successful models of the physical processes responsible for stellar magnetic cycles, typically cast as a magnetohydrodynamic dynamo, require advances in understanding not only convection but also the magnetic field's interaction with it. The observed facts that underpin the hope for models will be summarized. Properties of stellar magnetic cycles will be compared and contrasted with those of the sun, including inferences from paleo-environmental reservoirs that contain information on solar century- to millennial-scale magnetic variability. Partial support of this research came from NASA NAG5-7635, NRC COBASE, CRDF 322, MIT-MSG 5710001241, JPL 1236821, AF 49620-02-1-0194, Richard Lounsberry Foundation, Langley-Abbot, Rollins, Scholarly Studies and James Arthur Funds (Smithsonian Institution) and several generous individuals.

24 CFR 572.1 - Overview of HOPE 3.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) General § 572.1 Overview of HOPE 3. The purpose of the HOPE for Homeownership of Single Family Homes program (HOPE... and implement homeownership programs designed to meet the needs of low-income first-time homebuyers...

Urban Districts Compare Notes on Operation

ERIC Educational Resources Information Center

Aarons, Dakarai I.

2009-01-01

Urban school systems are large businesses, charged with running a wide range of noninstructional functions that typically do not garner them much national notice. Now, thanks to the work of a coalition of big-city districts, their leaders are gathering data on how those operations are run, in the hope of improving their business practices. The…

Development and Validation of the Delaying Gratification Inventory

ERIC Educational Resources Information Center

Hoerger, Michael; Quirk, Stuart W.; Weed, Nathan C.

2011-01-01

Deficits in gratification delay are associated with a broad range of public health problems, such as obesity, risky sexual behavior, and substance abuse. However, 6 decades of research on the construct has progressed less quickly than might be hoped, largely because of measurement issues. Although past research has implicated 5 domains of delay…

Some Are More Equal Than Others.

ERIC Educational Resources Information Center

Ohanian, Susan

1997-01-01

After 20 years of working with "reluctant" readers of all ages, the author believes a teacher's own literacy is her best resource, best strategy, and only hope. Teachers with wide-ranging reading tastes can honor children's reading preferences while nudging them to try more challenging books. Encouraging a child to read Nancy Drew stories without…

Microsporidian and viral pathogens for the biological control of imported fire ants: can we walk the talk?

USDA-ARS?s Scientific Manuscript database

. Invasive ants are among the most serious of arthropod invaders. These ants infest a wide range of habitats and impact biodiversity, agriculture, and human health. Self-sustaining biological control is one of the few hopes for permanent regional suppression of these established invasive ants. Fo...

Small Districts, Big Problems: Making School Everybody's House.

ERIC Educational Resources Information Center

Schmuck, Richard A.; Schmuck, Patricia A.

During a 6-month odyssey over America's back roads, 80 schools in 25 small school districts in 21 states were visited, in hopes of finding effective schools where smallness facilitated participation by all. District size ranged from 450 to 2,000 students. Data collection included observation of classes and meetings; group interviews of classes;…

Stories of Struggle and Hope: Lived Experiences of Puerto Ricans in Chicago Schools

ERIC Educational Resources Information Center

Davila, Erica

2010-01-01

This qualitative research project highlights the experience of ten Latina/o students in the Chicago Public Schools (CPS). The youth interviewed attended a range of types of high schools; including schools categorized as general education high schools, college preparatory schools, magnet schools and one alternative school. The author conducted life…

Transforming New York City's Public Schools

ERIC Educational Resources Information Center

Bartholomew, Barbara

2006-01-01

In 2002, Michael Bloomberg, New York City's newly elected mayor, hoped to fix his city's public schools, which were widely perceived as plagued by a gamut of problems that ranged from low test scores to patronage-riddled schools and districts. A special bill approved by the New York State Legislature made Bloomberg solely accountable to the New…

Changes in Parental Hopes for Seriously Ill Children.

PubMed

Hill, Douglas L; Nathanson, Pamela G; Carroll, Karen W; Schall, Theodore E; Miller, Victoria A; Feudtner, Chris

2018-04-01

Hopes of parents of children with serious illness play an important role in decision-making and coping. Little is known about how parent hopes change over time. We describe the changes in parent hopes across multiple domains and time intervals, examine hopes in a subgroup of parents whose child died, and explore the maintenance of domains over time. In a mixed-methods prospective cohort study on decision-making, parents of seriously ill children reported demographic characteristics and hopes at baseline and reported any changes in hopes at 4-, 8-, 12-, 16-, and 20-month follow-up visits. Hopes were coded into 9 domains. Hope changes and domain changes were identified for each parent at each visit. One hundred and ninety-nine parents of 158 patients most often reported hopes in the domains of quality of life (75%), physical body (69%), future well-being (47%), and medical care (34%). Hope percentages increased over time for quality of life (84%), future well-being (64%), and broader meaning (21%). The hope domains reported by parents of children who died were similar to the rest of the sample. The majority of parents who completed 5 to 6 follow-up visits changed at least 1 domain. At the individual parent level, some domains revealed considerable change over time, whereas other domains were stable among a subset of parents. The specific hopes and overall areas of hope of parents of seriously ill children vary over time, although most hopes fall within 4 major areas. Accordingly, clinicians should regularly check with parents about their current hopes. Copyright © 2018 by the American Academy of Pediatrics.

Care satisfaction, hope, and life functioning among adults with bipolar disorder: data from the first 1000 participants in the Systematic Treatment Enhancement Program.

PubMed

Morris, Chad D; Miklowitz, David J; Wisniewski, Stephen R; Giese, Alexis A; Thomas, Marshall R; Allen, Michael H

2005-01-01

The Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) is designed to evaluate the longitudinal outcome of patients with bipolar disorder. The STEP-BD disease-management model is built on evidence-based practices and a collaborative care approach designed to maximize specific and nonspecific treatment mechanisms. This prospective study examined the longitudinal relationships between patients' satisfaction with care, levels of hope, and life functioning in the first 1000 patients to enter STEP-BD. The study used scores from the Care Satisfaction Questionnaire, Beck Hopelessness Scale, Range of Impaired Functioning Tool, Young Mania Rating Scale, and Montgomery-Asberg Depression Rating Scale at 5 time points during a 1-year interval. Analyses tested mediational pathways between care satisfaction, hope, and life functioning, depression, and mania using mixed-effects (random and fixed) regression models. Increases in care satisfaction were associated with decreased hopelessness (P < .01) but not related to symptoms of depression or mania. Similarly, decreased hopelessness was associated with better life functioning (P < .01) but not related to symptoms of depression or mania. Depression was independently associated with poorer life functioning (P < .0001). This study provided support for the hypothesized mediational pathway between care satisfaction, hopelessness, and life functioning. Findings suggest that providing care that maximizes patient hope may be important. By so doing, patients might overcome the learned helplessness/hopelessness that often accompanies a cyclical illness and build a realistic illness-management strategy.

How adolescents construct their future: the effect of loneliness on future orientation.

PubMed

Seginer, Rachel; Lilach, Efrat

2004-12-01

This study examined the effect of loneliness, gender, and two dimensions of prospective life domains on adolescent future orientation. Future orientation was studied in four prospective domains: social relations, marriage and family, higher education and work and career. These domains are described in terms of two dimensions: theme (relational vs. instrumental) and distance (near vs. distant future). Data collected from Israeli Jewish adolescents (11th graders) were analysed by repeated measures ANOVAs and ANCOVAs (covariate: depressive experiences) for seven future orientation variables: value, expectance, control (motivational variables), hopes, fears (cognitive representation variables), exploration, commitment (behavioural variables). As predicted, lonely adolescents scored lower than socially embedded adolescents on future orientation variables applied to the relational and near future domains and lonely boys scored lower than lonely girls. However, effects were found only on the three future orientation motivational variables and not on the cognitive representation and behavioural variables. Contrary to prediction controlling for the effect of depressive experiences did not reduce the effect of loneliness on the future orientation variables, but reduced the tendency of adolescents to score higher on all future orientation variables in the instrumental than in the relational prospective domains. The contribution of these findings to the understanding of adolescent loneliness and future orientation was discussed and directions for future research were suggested.

Instilling Hope in Students

ERIC Educational Resources Information Center

Bashant, Jennifer L.

2016-01-01

Why is hope such an important concept for schools to consider? Research has clearly demonstrated that more hopeful students perform better in school and in life than less hopeful students. Hopeful thought reflects the belief that one can find pathways to desired goals and become motivated to use those pathways. As a result, hope drives the…

Middle-Range Theory: Coping and Adaptation with Active Aging.

PubMed

Salazar-Barajas, Martha Elba; Salazar-González, Bertha Cecilia; Gallegos-Cabriales, Esther Carlota

2017-10-01

Various disciplines focus on a multiplicity of aspects of aging: lifestyles, personal biological factors, psychological conditions, health conditions, physical environment, and social and economic factors. The aforementioned are all related to the determinants of active aging. The aim is to describe the development of a middle-range theory based on coping and adaptation with active aging. Concepts and relationships derived from Roy's model of adaptation are included. The proposed concepts are hope, health habits, coping with aging, social relations, and active aging.

Enhanced Requirements for Assessment in a Competency-Based, Time-Variable Medical Education System.

PubMed

Gruppen, Larry D; Ten Cate, Olle; Lingard, Lorelei A; Teunissen, Pim W; Kogan, Jennifer R

2018-03-01

Competency-based, time-variable medical education has reshaped the perceptions and practices of teachers, curriculum designers, faculty developers, clinician educators, and program administrators. This increasingly popular approach highlights the fact that learning among different individuals varies in duration, foundation, and goal. Time variability places particular demands on the assessment data that are so necessary for making decisions about learner progress. These decisions may be formative (e.g., feedback for improvement) or summative (e.g., decisions about advancing a student). This article identifies challenges to collecting assessment data and to making assessment decisions in a time-variable system. These challenges include managing assessment data, defining and making valid assessment decisions, innovating in assessment, and modeling the considerable complexity of assessment in real-world settings and richly interconnected social systems. There are hopeful signs of creativity in assessment both from researchers and practitioners, but the transition from a traditional to a competency-based medical education system will likely continue to create much controversy and offer opportunities for originality and innovation in assessment.

Visual Spectroscopy of R Scuti (Poster abstract)

NASA Astrophysics Data System (ADS)

Undreiu, L.; Chapman, A.

2015-06-01

(Abstract only) We are currently conducting a visual spectral analysis of the brightest known RV Tauri variable star, R Scuti. The goal of our undergraduate research project is to investigate this variable star's erratic nature by collecting spectra at different times in its cycle. Starting in late June of 2014 and proceeding into the following four months, we have monitored the alterations in the spectral characteristics that accompany the progression of R Sct's irregular cycle. During this time, we were given the opportunity to document the star's most recent descent from maximum brightness V~5 to a relatively deep minimum of V~7.5. Analysis of the data taken during the star's period of declining magnitude has provided us with several interesting findings that concur with the observations of more technically sophisticated studies. Following their collection, we compared our observations and findings with archived material in the hopes of facilitating a better understanding of the physical state of RV Tauri stars and the perplexing nature of their evolution. Although identification of the elements in the star's bright phase proved to be challenging, documenting clear absorption features in its fainter stage was far less difficult. As previously reported in similar studies, we identified prominent TiO molecular absorption bands near R Sct's faintest state, typical of mid-M spectral type stars. In addition to these TiO absorption lines, we report the presence of many more metallic lines in the spectral profiles obtained near star's minimum. Supportive of previously published hypotheses regarding the causation of its variability, we observed significant variation in the star's spectral characteristics throughout different phases of its cycle. We are hopeful that our observations will make a meaningful contribution to existing databases and help advance our collective understanding of RV Tauri stars and their evolutionary significance.

Guidance on home blood pressure monitoring: A statement of the HOPE Asia Network.

PubMed

Kario, Kazuomi; Park, Sungha; Buranakitjaroen, Peera; Chia, Yook-Chin; Chen, Chen-Huan; Divinagracia, Romeo; Hoshide, Satoshi; Shin, Jinho; Siddique, Saulat; Sison, Jorge; Soenarta, Arieska Ann; Sogunuru, Guru Prasad; Tay, Jam Chin; Turana, Yuda; Wong, Lawrence; Zhang, Yuqing; Wang, Ji-Guang

2018-03-01

Hypertension is an important modifiable cardiovascular risk factor and a leading cause of death throughout Asia. Effective prevention and control of hypertension in the region remain a significant challenge despite the availability of several regional and international guidelines. Out-of-office measurement of blood pressure (BP), including home BP monitoring (HBPM), is an important hypertension management tool. Home BP is better than office BP for predicting cardiovascular risk and HBPM should be considered for all patients with office BP ≥ 130/85 mm Hg. It is important that HBPM is undertaken using a validated device and patients are educated about how to perform HBPM correctly. During antihypertensive therapy, monitoring of home BP control and variability is essential, especially in the morning. This is because HBPM can facilitate the choice of individualized optimal therapy. The evidence and practice points in this document are based on the Hypertension Cardiovascular Outcome Prevention and Evidence (HOPE) Asia Network expert panel consensus recommendations for HBPM in Asia. ©2018 Wiley Periodicals, Inc.

Recent advances in managing idiopathic pulmonary fibrosis

PubMed Central

Scelfo, Chiara; Caminati, Antonella; Harari, Sergio

2017-01-01

Idiopathic pulmonary fibrosis (IPF) is a rare pulmonary disease with a poor prognosis and severe impact on quality of life. Early diagnosis is still challenging and important delays are registered before final diagnosis can be reached. Available tools fail to predict the variable course of the disease and to evaluate response to antifibrotic drugs. Despite the recent approval of pirfenidone and nintedanib, significant challenges remain to improve prognosis and quality of life. It is hoped that the new insights gained in pathobiology in the last few years will lead to further advances in the diagnosis and management of IPF. Currently, early diagnosis and prompt initiation of treatments reducing lung function loss offer the best hope for improved outcomes. This article aims at providing an overview of recent advances in managing patients with IPF and has a particular focus on how to reach a diagnosis, manage comorbidities and lung transplantation, care for the non-pharmacological needs of patients, and address palliative care. PMID:29225786

Characterization of turbulent processes by the Raman lidar system BASIL during the HD(CP)2 observational prototype experiment - HOPE

NASA Astrophysics Data System (ADS)

Di Girolamo, Paolo; Summa, Donato; Stelitano, Dario; Cacciani, Marco; Scoccione, Andrea; Behrendt, Andreas; Wulfmeyer, Volker

2017-02-01

Measurements carried out by the Raman lidar system BASIL are reported to demonstrate the capability of this instrument to characterize turbulent processes within the Convective Boundary Layer (CBL). In order to resolve the vertical profiles of turbulent variables, high resolution water vapour and temperature measurements, with a temporal resolution of 10 sec and a vertical resolution of 90 and 30 m, respectively, are considered. Measurements of higher-order moments of the turbulent fluctuations of water vapour mixing ratio and temperature are obtained based on the application of spectral and auto-covariance analyses to the water vapour mixing ratio and temperature time series. The algorithms are applied to a case study (IOP 5, 20 April 2013) from the HD(CP)2 Observational Prototype Experiment (HOPE), held in Central Germany in the spring 2013. The noise errors are demonstrated to be small enough to allow the derivation of up to fourth-order moments for both water vapour mixing ratio and temperature fluctuations with sufficient accuracy.

Highly Concentrated Nebular Noble Gases in Porous Nanocarbon Separates from the Saratov (L4) Meteorite

NASA Astrophysics Data System (ADS)

Amari, Sachiko; Matsuda, Jun-ichi; Stroud, Rhonda M.; Chisholm, Matthew F.

2013-11-01

The majority of heavy noble gases (Ar, Kr, and Xe) in primitive meteorites are stored in a poorly understood phase called Q. Although Q is thought to be carbonaceous, the full identity of the phase has remained elusive for almost four decades. In order to better characterize phase Q and, in turn, the early solar nebula, we separated carbon-rich fractions from the Saratov (L4) meteorite. We chose this meteorite because Q is most resistant in thermal alteration among carbonaceous noble gas carriers in meteorites and we hoped that, in this highly metamorphosed meteorite, Q would be present but not diamond: these two phases are very difficult to separate from each other. One of the fractions, AJ, has the highest 132Xe concentration of 2.1 × 10-6 cm3 STP g-1, exceeding any Q-rich fractions that have yet been analyzed. Transmission electron microscopy studies of the fraction AJ and a less Q-rich fraction AI indicate that they both are primarily porous carbon that consists of domains with short-range graphene orders, with variable packing in three dimensions, but no long-range graphitic order. The relative abundance of Xe and C atoms (6:109) in the separates indicates that individual noble gas atoms are associated with only a minor component of the porous carbon, possibly one or more specific arrangements of the nanoparticulate graphene.

[Desmoplastic small round cell tumor in children, adolescents and young adults].

PubMed

de Marcellus, Charles; Sarnacki, Sabine; Pierron, Gaëlle; Ranchère-Vince, Dominique; Scalabre, Aurélien; Bolle, Stéphanie; Minard-Colin, Véronique; Corradini, Nadège; Fayard, Cindy; Orbach, Daniel

2018-05-01

Desmoplastic small round cell tumor (DSRCT) is a rare sarcoma that typically affects pediatric and young adult patients with a median age in the general and in the pediatric population of 24.6 years (range 4-58 years) and 15.0 years (range 0-21 years) respectively, with a strong male predominance. This tumor is characterized by a specific t(11;22)(p13;q12) that results in fusion of EWS and WT1 genes which can be demonstrated by RT-PCR or by FISH. DSRCT most frequently presents as an intra-abdominal primary mass associated with peritoneal seeding and a highly aggressive pattern of spread. Generally, all tumors showed the typical histologic findings of variably sized clusters of poly-phenotypic small, round, or spindled cells lying in a desmoplastic stroma. Treatment of this malignancy remains a challenge. The combination of polychemotherapy regimens and aggressive surgery followed by whole abdomen radiation therapy represents nowadays a classical protocol for DSRCT. The survival rate of DSRCT patients is still disappointing around 20 %. However, the survival of patients who had complete resection of the tumor appears better. Hopes are turning to targeted therapeutics against this simple genomic sarcoma. Authors summarize medical knowledge of this rare tumor. Copyright © 2018 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

Micro CT based truth estimation of nodule volume

NASA Astrophysics Data System (ADS)

Kinnard, L. M.; Gavrielides, M. A.; Myers, K. J.; Zeng, R.; Whiting, B.; Lin-Gibson, S.; Petrick, N.

2010-03-01

With the advent of high-resolution CT, three-dimensional (3D) methods for nodule volumetry have been introduced, with the hope that such methods will be more accurate and consistent than currently used planar measures of size. However, the error associated with volume estimation methods still needs to be quantified. Volume estimation error is multi-faceted in the sense that there is variability associated with the patient, the software tool and the CT system. A primary goal of our current research efforts is to quantify the various sources of measurement error and, when possible, minimize their effects. In order to assess the bias of an estimate, the actual value, or "truth," must be known. In this work we investigate the reliability of micro CT to determine the "true" volume of synthetic nodules. The advantage of micro CT over other truthing methods is that it can provide both absolute volume and shape information in a single measurement. In the current study we compare micro CT volume truth to weight-density truth for spherical, elliptical, spiculated and lobulated nodules with diameters from 5 to 40 mm, and densities of -630 and +100 HU. The percent differences between micro CT and weight-density volume for -630 HU nodules range from [-21.7%, -0.6%] (mean= -11.9%) and the differences for +100 HU nodules range from [-0.9%, 3.0%] (mean=1.7%).

Modes of Hoping: Understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain

PubMed Central

Eaves, Emery R; Ritenbaugh, Cheryl; Nichter, Mark; Hopkins, Allison L.; Sherman, Karen J

2014-01-01

This article explores the role of hope in participants’ assessments of their expectations, experiences and treatment outcomes. Data analysis focused on semi-structured, open-ended interviews with 44 participants, interviewed 3-5 times each over the course of a study evaluating Traditional Chinese Medicine (TCM) for Temporomandibular Disorders (TMD, a form of chronic orofacial pain). Transcripts were coded and analyzed using qualitative and ethnographic methods. A “Modes of Hoping”1 framework informed our analysis. Five modes of hoping emerged from participant narratives: Realistic Hope; Wishful Hope; Utopian Hope; Technoscience Hope; and Transcendent Hope. Using this framework, hope is demonstrated as exerting a profound influence over how participants assess and report their expectations. This suggests that researchers interested in measuring expectations and understanding their role in treatment outcomes should consider hope as exercising a multifaceted and dynamic influence on participants’ reporting of expectations and their experience and evaluation of treatment. PMID:25037665

Until the last breath: exploring the concept of hope for parents and health care professionals during a child's serious illness.

PubMed

Reder, Elizabeth A Keene; Serwint, Janet R

2009-07-01

To investigate the concept of hope for families and pediatric health care professionals during a child's serious illness. Eight focus groups. Academic pediatric medical center. Bereaved parents, pediatricians, pediatric residents, and nurses (N = 39). Intervention Participants were asked standardized questions related to their definition of hope, its role in medical decisions, and the benefits and detriments of hope in focus group sessions. We identified attributes of participants' concepts of hope using qualitative analysis of audio-taped sessions. While all participants identified common elements in their definition of hope, parents identified their role as bearers of hope; it was a cornerstone of decision making. Health care professionals tended to view hope as related to a positive outcome. Some physicians reported difficulty in maintaining hope in the face of prognostic data; others acknowledged the importance of the family's hope. Nurses identified particular challenges around parents' decisions to continue treatment when it prolonged the child's suffering. All participants noted the changing nature of hope and its implications for care. The tension between maintaining hope and accepting the reality of the prognosis may lessen when acknowledging that parents see their role as bearers of hope. Supporting families around the changing nature of hope may allow health care professionals to partner with parents while maintaining honest communication.

Pedunculopontine Nucleus Region Deep Brain Stimulation in Parkinson Disease: Surgical Techniques, Side Effects, and Postoperative Imaging

PubMed Central

Hamani, Clement; Lozano, Andres M.; Mazzone, Paolo A.M.; Moro, Elena; Hutchison, William; Silburn, Peter A.; Zrinzo, Ludvic; Alam, Mesbah; Goetz, Laurent; Pereira, Erlick; Rughani, Anand; Thevathasan, Wesley; Aziz, Tipu; Bloem, Bastiaan R.; Brown, Peter; Chabardes, Stephan; Coyne, Terry; Foote, Kelly; Garcia-Rill, Edgar; Hirsch, Etienne C.; Okun, Michael S.; Krauss, Joachim K.

2017-01-01

The pedunculopontine nucleus (PPN) region has received considerable attention in clinical studies as a target for deep brain stimulation (DBS) in Parkinson disease. These studies have yielded variable results with an overall impression of improvement in falls and freezing in many but not all patients treated. We evaluated the available data on the surgical anatomy and terminology of the PPN region in a companion paper. Here we focus on issues concerning surgical technique, imaging, and early side effects of surgery. The aim of this paper was to gain more insight into the reasoning for choosing specific techniques and to discuss short-comings of available studies. Our data demonstrate the wide range in almost all fields which were investigated. There are a number of important challenges to be resolved, such as identification of the optimal target, the choice of the surgical approach to optimize electrode placement, the impact on the outcome of specific surgical techniques, the reliability of intraoperative confirmation of the target, and methodological differences in postoperative validation of the electrode position. There is considerable variability both within and across groups, the overall experience with PPN DBS is still limited, and there is a lack of controlled trials. Despite these challenges, the procedure seems to provide benefit to selected patients and appears to be relatively safe. One important limitation in comparing studies from different centers and analyzing outcomes is the great variability in targeting and surgical techniques, as shown in our paper. The challenges we identified will be of relevance when designing future studies to better address several controversial issues. We hope that the data we accumulated may facilitate the development of surgical protocols for PPN DBS. PMID:27728909

Radical Hope and Teaching: Learning Political Agency from the Politically Disenfranchised

ERIC Educational Resources Information Center

Edgoose, Julian

2009-01-01

If teaching is a political act, how can teachers hope to make a difference through their work? In this review essay, Julian Edgoose explores this question of hope in relation to three recent books: David Halpin's "Hope and Education," Jonathan Kozol's "Letters to a Young Teacher," and Jonathan Lear's "Radical Hope." Halpin describes how hope comes…

Exposure Classification and Temporal Variability in Urinary Bisphenol A Concentrations among Couples in Utah--The HOPE Study.

PubMed

Cox, Kyley J; Porucznik, Christina A; Anderson, David J; Brozek, Eric M; Szczotka, Kathryn M; Bailey, Nicole M; Wilkins, Diana G; Stanford, Joseph B

2016-04-01

Bisphenol A (BPA) is an endocrine disruptor and potential reproductive toxicant, but results of epidemiologic studies have been mixed and have been criticized for inadequate exposure assessment that often relies on a single measurement. Our goal was to describe the distribution of BPA concentrations in serial urinary specimens, assess temporal variability, and provide estimates of exposure classification when randomly selected samples are used to predict average exposure. We collected and analyzed 2,614 urine specimens from 83 Utah couples beginning in 2012. Female participants collected daily first-morning urine specimens during one to two menstrual cycles and male partners collected specimens during the woman's fertile window for each cycle. We measured urinary BPA concentrations and calculated geometric means (GM) for each cycle, characterized the distribution of observed values and temporal variability using intraclass correlation coefficients, and performed surrogate category analyses to determine how well repeat samples could classify exposure. The GM urine BPA concentration was 2.78 ng/mL among males and 2.44 ng/mL among females. BPA had a high degree of variability among both males (ICC = 0.18; 95% CI: 0.11, 0.26) and females (ICC = 0.11; 95% CI: 0.08, 0.16). Based on our more stringent surrogate category analysis, to reach proportions ≥ 0.80 for sensitivity, specificity, and positive predictive value (PPV) among females, 6 and 10 repeat samples for the high and low tertiles, respectively, were required. For the medium tertile, specificity reached 0.87 with 10 repeat samples, but even with 11 samples, sensitivity and PPV did not exceed 0.36. Five repeat samples, among males, yielded sensitivity and PPV values ≥ 0.75 for the high and low tertiles, but, similar to females, classification for the medium tertile was less accurate. Repeated urinary specimens are required to characterize typical BPA exposure. Cox KJ, Porucznik CA, Anderson DJ, Brozek EM, Szczotka KM, Bailey NM, Wilkins DG, Stanford JB. 2016. Exposure classification and temporal variability in urinary bisphenol A concentrations among couples in Utah-the HOPE study. Environ Health Perspect 124:498-506; http://dx.doi.org/10.1289/ehp.1509752.

Self-transcendence and spiritual well-being in the Amish.

PubMed

Sharpnack, Patricia A; Quinn Griffin, Mary T; Benders, Alison M; Fitzpatrick, Joyce J

2011-06-01

Self-transcendence, the ability to expand one's relationship to others and the environment, has been found to provide hope which helps a person adapt and cope with illness. Spiritual well-being, the perception of health and wholeness, can boost self-confidence and self esteem. The purpose of this descriptive correlational study was to describe the relationship between self-transcendence and spiritual well-being in adult Amish. A random sample of Old Order Amish was surveyed by postal mail; there were 134 respondents. Two valid and reliable questionnaires were used to measure the key variables. The participants had high levels of self-transcendence and spiritual well-being and there was a statistically significant positive relationship between the two variables. The findings from this study will increase nurses' awareness of the holistic nature of the Amish beliefs and assist nurses in serving this population. Additional research is needed to develop further understanding of the study variables among the Amish.

Multiresolution analysis of the spatiotemporal variability in global radiation observed by a dense network of 99 pyranometers

NASA Astrophysics Data System (ADS)

Lakshmi Madhavan, Bomidi; Deneke, Hartwig; Witthuhn, Jonas; Macke, Andreas

2017-03-01

The time series of global radiation observed by a dense network of 99 autonomous pyranometers during the HOPE campaign around Jülich, Germany, are investigated with a multiresolution analysis based on the maximum overlap discrete wavelet transform and the Haar wavelet. For different sky conditions, typical wavelet power spectra are calculated to quantify the timescale dependence of variability in global transmittance. Distinctly higher variability is observed at all frequencies in the power spectra of global transmittance under broken-cloud conditions compared to clear, cirrus, or overcast skies. The spatial autocorrelation function including its frequency dependence is determined to quantify the degree of similarity of two time series measurements as a function of their spatial separation. Distances ranging from 100 m to 10 km are considered, and a rapid decrease of the autocorrelation function is found with increasing frequency and distance. For frequencies above 1/3 min-1 and points separated by more than 1 km, variations in transmittance become completely uncorrelated. A method is introduced to estimate the deviation between a point measurement and a spatially averaged value for a surrounding domain, which takes into account domain size and averaging period, and is used to explore the representativeness of a single pyranometer observation for its surrounding region. Two distinct mechanisms are identified, which limit the representativeness; on the one hand, spatial averaging reduces variability and thus modifies the shape of the power spectrum. On the other hand, the correlation of variations of the spatially averaged field and a point measurement decreases rapidly with increasing temporal frequency. For a grid box of 10 km × 10 km and averaging periods of 1.5-3 h, the deviation of global transmittance between a point measurement and an area-averaged value depends on the prevailing sky conditions: 2.8 (clear), 1.8 (cirrus), 1.5 (overcast), and 4.2 % (broken clouds). The solar global radiation observed at a single station is found to deviate from the spatial average by as much as 14-23 (clear), 8-26 (cirrus), 4-23 (overcast), and 31-79 W m-2 (broken clouds) from domain averages ranging from 1 km × 1 km to 10 km × 10 km in area.

Investigating precipitation changes of anthropic origin: data and methodological issues

NASA Astrophysics Data System (ADS)

de Lima, Isabel; Lovejoy, Shaun

2017-04-01

There is much concern about the social, environmental and economic impacts of climate change that could result directly from changes in temperature and precipitation. For temperature, the situation is better understood; but despite the many studies that have been already dedicated to precipitation, change in this process - that could be associated to the transition to the Anthropocene - has not yet been convincingly proven. A large fraction of those studies have been exploring temporal (linear) trends in local precipitation, sometimes using records over only a few decades; other fewer studies have been dedicated to investigating global precipitation change. Overall, precipitation change of anthropic origin has showed to be difficult to establish with high statistical significance and, moreover, different data and products have displayed important discrepancies; this is valid even for global precipitation. We argue that the inadequate resolution and length of the data commonly used, as well as methodological issues, are among the main factors limiting the ability to identify the signature of change in precipitation. We propose several ways in which one can hope to improve the situation - or at least - clarify the difficulties. From the point of view of statistical analysis, the problem is one of detecting a low frequency anthropogenic signal in the presence of "noise" - the natural variability (the latter includes both internal dynamics and responses to volcanic, solar or other natural forcings). A consequence is that as one moves to longer and longer time scales, fluctuations are increasingly averaged and at some point, the anthropogenic signal will stand out above the natural variability noise. This approach can be systematized using scaling fluctuation analysis to characterizing different precipitation scaling regimes: weather, macroweather, climate - from higher to lower frequencies; in the anthropocene, the macroweather regime covers the range of time scales from about a month to ≈30 years. We illustrate this using local gauge data and three qualitatively different global scale precipitation products (from gauges, reanalyses and a satellite and gauge hybrid) that allow to investigate precipitation from monthly to centennial scales and in space from planetary down to 5°x5° scales. By systematically characterizing precipitation variability across wide ranges of time and space scales, we show that the anthropogenic signal only exceeded the natural variability at time scales larger than ≈20 years, so that the disagreement in the trends can be traced to these low frequencies.

Hope for recovery - how clinicians may facilitate this in their work.

PubMed

Hobbs, Mia; Baker, Martyn

2012-04-01

The importance of having hope for recovery has been highlighted in numerous qualitative studies of recovery. It is identified as a vital part of this process, and guidelines suggest that service providers should therefore facilitate hope in their clinical work; however, they do not indicate how this guidance can be operationalised. To identify the sources of hope for recovery based on the accounts of people with experience of recovery; to ascertain how these accounts show service providers can facilitate such hope in their therapeutic work. Semi-structured interviews were conducted with eight people with experience of recovering from mental health problems. A grounded theory analysis was undertaken. A model conceptualising the role of hope in recovery was developed with three categories: "influence of others on hope", "personal hope" and "doing recovery". The model indicates a complex interaction between hope and recovery with an important role for social context and interpersonal relationships, including those with clinicians. Mental health service providers occupy a powerful position in relation to service users' hope, and must carefully consider how they communicate their own hopefulness about clients' recovery. Suggestions are made about facilitating hope for recovery.

Spacecraft surface charging within geosynchronous orbit observed by the Van Allen Probes

DOE PAGES

Sarno-Smith, Lois K.; Larsen, Brian A.; Skoug, Ruth M.; ...

2016-02-27

Using the Helium Oxygen Proton Electron (HOPE) and Electric Field and Waves (EFW) instruments from the Van Allen Probes, we explored the relationship between electron energy fluxes in the eV and keV ranges and spacecraft surface charging. We present statistical results on spacecraft charging within geosynchronous orbit by L and MLT. An algorithm to extract the H+ charging line in the HOPE instrument data was developed to better explore intense charging events. Also, this study explored how spacecraft potential relates to electron number density, electron pressure, electron temperature, thermal electron current, and low-energy ion density between 1 and 210 eV.more » It is demonstrated that it is imperative to use both EFW potential measurements and the HOPE instrument ion charging line for examining times of extreme spacecraft charging of the Van Allen Probes. The results of this study show that elevated electron energy fluxes and high-electron pressures are present during times of spacecraft charging but these same conditions may also occur during noncharging times. Furthermore, we also show noneclipse significant negative charging events on the Van Allen Probes.« less

Development and implementation of a Hope Intervention Program.

PubMed

Herth, K A

2001-07-01

To describe the development and evaluation of the Hope Intervention Program (HIP), designed to enhance hope, based on the Hope Process Framework. Descriptive and evaluative. Outpatient oncology clinics of two large hospitals. Convenience sample--38 adults with first recurrence of cancer. Questionnaire completed at end of last HIP session, three months, six months, and nine months. Helpfulness of the HIP components in maintaining hope. Participants used intervention strategies that represented all four attributes of hope, with specific strategy use varying across time and individuals. Data suggested that HIP positively affected the participants' rebuilding and maintenance of hope. HIP has the potential to positively influence hope, and it supports the strategic vital role that nurses play in implementing research-based strategies designed to engender hope in their patients and prevent hopelessness.

The Herth Hope Index − A psychometric study among cognitively intact nursing home patients.

PubMed

Haugan, Gørill; Utvaer, Britt Karin Støen; Moksnes, Unni Karin

2013-01-01

Hope is seen as the act by which the temptation of despair is actively overcome and has thus been interpreted as an inner strength and an available resource for living in the present. An understanding of hope and its meaning in the lives of institutionalized older adults may aid in developing interventions to enhance hope and well-being in the nursing home setting. This study aimed to investigate the psychometric properties of the Norwegian version of the Herth Hope Index among cognitively intact nursing home patients. Cross-sectional data was obtained in 2008 and 2009 from 202 of 250 patients who met the inclusion criteria in 44 different nursing homes. Exploratory factor analysis revealed 3 internal consistent dimensions of hope, explaining 51.2% of the variance. The 1-factor, 2-factor, and the originally 3-factor solutions of the Herth Hope Index were tested by means of confirmatory factor analysis. A 2-factor construct comprising 11 items came out with the best model fit. The Herth Hope Index was found to be a reliable and valid instrument for assessing hope in nursing home patients. The 2-factor structure was psychometrically superior the original 3-factor construct of hope in this particular sample. The Herth Hope Index might be used to assess hope and changes in the hope process during long-term nursing home care. An enhanced understanding of hope in this population might contribute to increased quality of nursing home care.

Phenotype variability of infantile-onset multisystem neurologic, endocrine, and pancreatic disease IMNEPD.

PubMed

Picker-Minh, Sylvie; Mignot, Cyril; Doummar, Diane; Hashem, Mais; Faqeih, Eissa; Josset, Patrice; Dubern, Béatrice; Alkuraya, Fowzan S; Kraemer, Nadine; Kaindl, Angela M

2016-04-29

Infantile-onset multisystem neurologic, endocrine, and pancreatic disease (IMNEPD) has been recently linked to biallelic mutation of the peptidyl-tRNA hydrolase 2 gene PTRH2. Two index patients with IMNEPD in the original report had multiple neurological symptoms such as postnatal microcephaly, intellectual disability, developmental delay, sensorineural deafness, cerebellar atrophy, ataxia, and peripheral neuropathy. In addition, distal muscle weakness and abnormalities of thyroid, pancreas, and liver were found. Here, we report five further IMNEPD patients with a different homozygous PTRH2 mutation, broaden the phenotypic spectrum of the disease and differentiate common symptoms and interindividual variability in IMNEPD associated with a unique mutation. We thereby hope to better define IMNEPD and promote recognition and diagnosis of this novel disease entity.

An Investigation of the Facilitative and Inhibitory Variables Impacting Breast Health Practices in Low-Socioeconomic Status Black Women of African American and Caribbean Descent

DTIC Science & Technology

2003-10-01

Honestly, it’~> been a very difficult tim~p here ... pancreatic cancer is a bumpy ride of lingering pain and suffering. I hope every day that my time...TELEPHONE NUMBER (include area code) 14. ABSTRACT Black women of low-socioeconomic status (SES) demonstrate a high incidence of breast cancer ...mortality associated with late-state diagnosis. Breast cancer screening, including mammography, breast self-examination, and clinical breast

An Investigation of Alternative Metamodels for the Theater Simulation of Airbase Resources Model

DTIC Science & Technology

1993-09-01

children, Lachlan and Cameron, in the hope that in their world of the future, the things that we research now are never tested. Alistair Dally iii Table...texts refer to (0,1) coding *for two level qualitative variables, but several authors including Kleijnen et al. (1979:53), Smith and Mauro (1984:254...An Introduction to Simulation using GPSS/H. New York: John Wiley and Sons, 1991. Smith , Dennis E, and Carl A. Mauro. ’"Design of Experiments in

Hope in the Face of Climate Change: Associations with Environmental Engagement and Student Perceptions of Teachers' Emotion Communication Style and Future Orientation

ERIC Educational Resources Information Center

Ojala, Maria

2015-01-01

Is hope concerning climate change related to environmental engagement, or is it rather associated with unrealistic optimism and inactivity? This study on Swedish high school students identified two kinds of hope: constructive hope and hope based on denial. Constructive hope was positively associated with engagement and a perception that teachers…

Crowdsourcing Language Change with Smartphone Applications

PubMed Central

Leemann, Adrian; Kolly, Marie-José; Purves, Ross; Britain, David; Glaser, Elvira

2016-01-01

Crowdsourcing linguistic phenomena with smartphone applications is relatively new. In linguistics, apps have predominantly been developed to create pronunciation dictionaries, to train acoustic models, and to archive endangered languages. This paper presents the first account of how apps can be used to collect data suitable for documenting language change: we created an app, Dialäkt Äpp (DÄ), which predicts users’ dialects. For 16 linguistic variables, users select a dialectal variant from a drop-down menu. DÄ then geographically locates the user’s dialect by suggesting a list of communes where dialect variants most similar to their choices are used. Underlying this prediction are 16 maps from the historical Linguistic Atlas of German-speaking Switzerland, which documents the linguistic situation around 1950. Where users disagree with the prediction, they can indicate what they consider to be their dialect’s location. With this information, the 16 variables can be assessed for language change. Thanks to the playfulness of its functionality, DÄ has reached many users; our linguistic analyses are based on data from nearly 60,000 speakers. Results reveal a relative stability for phonetic variables, while lexical and morphological variables seem more prone to change. Crowdsourcing large amounts of dialect data with smartphone apps has the potential to complement existing data collection techniques and to provide evidence that traditional methods cannot, with normal resources, hope to gather. Nonetheless, it is important to emphasize a range of methodological caveats, including sparse knowledge of users’ linguistic backgrounds (users only indicate age, sex) and users’ self-declaration of their dialect. These are discussed and evaluated in detail here. Findings remain intriguing nevertheless: as a means of quality control, we report that traditional dialectological methods have revealed trends similar to those found by the app. This underlines the validity of the crowdsourcing method. We are presently extending DÄ architecture to other languages. PMID:26726775

Hope matters to the glycemic control of adolescents and young adults with type 1 diabetes.

PubMed

Santos, Fábio R M; Sigulem, Daniel; Areco, Kelsy C N; Gabbay, Monica A L; Dib, Sergio A; Bernardo, Viviane

2015-05-01

This study investigated the association of hope and its factors with depression and glycemic control in adolescents and young adults with type 1 diabetes. A total of 113 patients were invited to participate. Significant negative correlations were found between hope and HbA1c and also between hope and depression. Hope showed a significant association with HbA1c and depression in the stepwise regression model. Among the hope factors, "inner positive expectancy" was significantly associated with HbA1c and depression. This study supports that hope matters to glycemic control and depression. Intervention strategies focusing on hope should be further explored. © The Author(s) 2015.

Valuing hope.

PubMed

McMillan, John; Walker, Simon; Hope, Tony

2014-01-01

This article argues that hope is of value in clinical ethics and that it can be important for clinicians to be sensitive to both the risks of false hope and the importance of retaining hope. However, this sensitivity requires an understanding of the complexity of hope and how it bears on different aspects of a well-functioning doctor-patient relationship. We discuss hopefulness and distinguish it, from three different kinds of hope, or 'hopes for', and then relate these distinctions back to differing accounts of autonomy. This analysis matters because it shows how an overly narrow view of the ethical obligations of a clinician to their patient, and autonomy, might lead to scenarios where patients regret the choices they make.

Soil and Water Conservation Activities for Scouts.

ERIC Educational Resources Information Center

Soil Conservation Service (USDA), Washington, DC.

The purpose of the learning activities outlined in this booklet is to help Scouts understand some conservation principles which hopefully will lead to the development of an attitude of concern for the environment and a commitment to help with the task of using and managing soil, water, and other natural resources for long range needs as well as…

Student Interest for Environment/Sustainability Undergraduate Programmes: Recent Australian Experience

ERIC Educational Resources Information Center

Thomas, Ian

2014-01-01

Increasingly, employers are seeing the need to have employees who have capabilities in sustainability. The hope is that there will be a sufficient number of appropriately educated people to enter the environment profession to meet the needs of these employers and the community. For some two decades a range of university programmes in Australia…

TLC Pack Unpacked

ERIC Educational Resources Information Center

Oberhofer, Margret; Colpaert, Jozef

2015-01-01

TLC Pack stands for Teaching Languages to Caregivers and is a course designed to support migrants working or hoping to work in the caregiving sector. The TLC Pack resources range from A2 to B2 level of the Common European Framework of Reference for Languages (CEFR), and will be made available online in the six project languages: Dutch, English,…

The Landscape Documentary: Unveiling the Face of "Wasteland."

ERIC Educational Resources Information Center

Denton, Craig L.

This paper outlines the process of a photographic landscape documentary project which set out to unveil the face of Utah's West Desert (a 42,000 square-mile, sparsely-populated, broad, rugged land of salt bed "playas" and high mountain ranges) comprising one-third of the state and which hoped to make the West Desert, recently under…

A pragmatist approach to the hope discourse in health care research.

PubMed

Herrestad, Henning; Biong, Stian; McCormack, Brendan; Borg, Marit; Karlsson, Bengt

2014-07-01

Hope is a central concept in nursing and other fields of health care. However, there is no consensus about the concept of hope. We argue that seeking consensus is futile given the multifaceted and multidimensional nature of the concept, but instead we encourage in-depth studies of the assumptions behind talk about hope in specific contexts. Our approach to the 'science of hope' is inspired by philosophical pragmatism. We argue that hope is a concept that opens different rooms for action in different contexts and that accordingly, all hope interventions are contextually sensitive. Careful attention to how the relative positions and power of nurses and patients influence what can be inferred from their different ways of talking about hope may make hopeful conversations more meaningful in health care relationships. © 2014 John Wiley & Sons Ltd.

24 CFR 4001.01 - Purpose of program.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) BOARD OF DIRECTORS OF THE HOPE FOR HOMEOWNERS PROGRAM HOPE FOR HOMEOWNERS PROGRAM HOPE for Homeowners Program-General Requirements § 4001.01 Purpose of program. The HOPE for Homeowners Program is a temporary... avoid foreclosure. The HOPE for Homeowners Program is administered by HUD through FHA. ...

Hope Tree: An Interactive Art Installation to Facilitate the Expression of Hope in a Hospice Setting.

PubMed

Collins, Andrew; Bhathal, Darpanjot; Field, Tara; Larlee, Randene; Paje, Rachael; Young, Daneen

2018-01-01

Individuals confronting a terminal illness can experience intense psychological distress. Previous research has shown that hope can enhance one's ability to acknowledge, accept, and fight a terminal illness. Patients can continue to have hope or be hopeful, even in the face of a terminal illness. Can participation in a creative writing practice improve the expression of hope in a hospice setting? In this program evaluation, each expressed hope placed on the "Hope Tree" was independently coded by all research team members utilizing inductive content analysis. Overall themes were derived using a constant comparative approach and arranged into overarching themes based on consensus. Eight major themes emerged from the data: "Peace," "Dreams," "Total well-being," "Acknowledgment of loss," "Relationships," "Hospice care," "Spirituality," and "Dichotomies." The Hope Tree is a creative art project that can be used within a hospice environment to promote hope among family members and the health-care professionals who care for patients.

Ways of Hoping: Navigating the Paradox of Hope and Despair in Chronic Pain.

PubMed

Eaves, Emery R; Nichter, Mark; Ritenbaugh, Cheryl

2016-03-01

In this paper, we explore hope in the context of living with chronic pain. Individuals with chronic pain from temporomandibular disorder(s) were interviewed four to five times over the course of their 18-month participation in a clinical trial investigating the effectiveness of Traditional Chinese Medicine. We sought to understand shifts in participants' descriptions of expectations and hopefulness, particularly with regard to the work involved in counterbalancing positive thinking with buffers against disappointment. We found hope to be a dynamic and multifaceted mindset as distinct from being a single entity to be measured. Drawing upon Polanyi's concept of tacit knowing, we explore how different ways of hoping emerge and index one another in participant narratives. We offer a working typology of hope and raise as an issue the manner in which the paradox of hope--hoping enough to carry on while keeping hopes in check to avoid the ever-present possibility of despair--complicates simplistic notions of the relationship between positive thinking and the placebo response.

Exploring the relationship between hope and burnout in competitive sport.

PubMed

Gustafsson, Henrik; Hassmén, Peter; Podlog, Leslie

2010-12-01

Researchers have postulated that hope may be an important factor associated with burnout. Consistent with hope theory contentions, low-hope individuals may be susceptible to burnout because they are prone to experience goal blockage, frustration, and negative affect, all of which likely increase the risk of burnout. We examined the relationship between hope and athlete burnout among 178 competitive athletes (63 females and 115 males) aged 15-20 years. Hope was significantly and negatively correlated with all three burnout subscales: emotional/physical exhaustion, a reduced sense of accomplishment, and sport devaluation. Moreover, results of a multivariate analysis of variance showed that low-hope athletes scored significantly higher than medium- and high-hope athletes on all three burnout dimensions. Finally, results revealed that agency thinking was a significant predictor of all burnout dimensions. Frustration over unmet goals and a perceived lack of agency, a characteristic of low-hope athletes, might pose a risk factor in athlete burnout, whereas being able to maintain hope appears to be associated with health and well-being.

Grip strength and quality of life in the second half of life: hope as a moderator.

PubMed

Gum, Amber M; Segal-Karpas, Dikla; Avidor, Sharon; Ayalon, Liat; Bodner, Ehud; Palgi, Yuval

2017-09-28

The purpose of the current study was to investigate grip strength, hope, and their interaction as predictors of quality of life four years later in a nationally representative sample of older adults. Data were derived from the first (2005-2006) and second wave (2009) of the Israeli component of the Survey of Health Ageing and Retirement in Europe (SHARE; N = 344). Hope was measured by three items from the Hope   Scale, and quality of life was measured by the CASP-12 (Control, Autonomy, Self-Realization, and Pleasure). Multiple regression analyses were conducted. Grip strength at T1 predicted QoL in T2, but hope was not a significant predictor. Furthermore, hope moderated the effect of handgrip on QoL, such that the effect was weaker for higher levels of hope. As hypothesized, hope acted as a moderator, such that poor grip strength was associated with worse QoL for less hopeful older adults, but grip strength was not associated with QoL for more hopeful older adults. Findings are consistent with a theoretical conceptualization of hope as a buffer between physical challenges and negative outcomes like QoL. Encouraging a hopeful perspective could enhance QoL for older adults with decreased muscle strength.

Hope, self-efficacy, spiritual well-being and job satisfaction.

PubMed

Duggleby, Wendy; Cooper, Dan; Penz, Kelly

2009-11-01

Hope, self-efficacy, spiritual well-being and job satisfaction. This paper is a report of a study of the relations of spiritual well-being, global job satisfaction, and general self-efficacy to hope in Continuing Care Assistants. Healthcare providers have described their hope as an important part of their work and a form of work motivation. Hope may be an important factor in preventing burnout and improving job satisfaction. A concurrent triangulation mixed method design was used. Sixty-four Continuing Care Assistants (personal care aides) who registered for a 'Living with Hope' Conference completed a demographic form, Herth Hope Index, Global Job Satisfaction Questionnaire, Spiritual Well-Being Scale, General Self-Efficacy Scale, and a hope questionnaire. Data were collected in 2007. The response rate was 58%. Using linear regression, 29.9% of the variance in Herth Hope Index score was accounted for by scores from the General Self-Efficacy Scale and Spiritual Well-Being Scale. General Self-efficacy scores (positive relationship) and Spiritual Well-Being scores (negative relationship) accounted for a significant part of the variance. Qualitative data supported all findings, with the exception of the negative relationship between hope and spiritual well-being; participants wrote that faith, relationships, helping others and positive thinking helped them to have hope. They also wrote that hope had a positive influence on their job satisfaction and performance. Hope is an important concept in the work life of Continuing Care Assistants. Supportive relationships, adequate resources, encouragement by others, and improving perceptions of self-efficacy (ability to achieve goals in their workplace) may foster their hope.

Improving communication on hope in palliative care. A qualitative study of palliative care professionals' metaphors of hope: grip, source, tune, and vision.

PubMed

Olsman, Erik; Duggleby, Wendy; Nekolaichuk, Cheryl; Willems, Dick; Gagnon, Judith; Kruizinga, Renske; Leget, Carlo

2014-11-01

Hope is important in palliative care. However, palliative care professionals' perspectives on hope are not well understood. Metaphors of hope are a way of better understanding these perspectives. To describe palliative care professionals' perspectives on hope by examining the hope metaphors they spontaneously used to describe their own hope and their perspectives on the hope of patients and their families. Semistructured interviews with palliative care professionals were recorded, transcribed, and analyzed using a narrative approach. Results were discussed until the researchers reached consensus and reinforced by other health-care professionals and by observing several palliative care settings. The 64 participants (mean (SD) age, 48.42 (9.27) years and 72% female) were physicians (41%), nurses (34%), chaplains (20%), or other professionals (5%), working in Canada (19%) or The Netherlands (81%). Participants described the hope of patients, their families, or themselves as a 1) grip, which implied safety; 2) source, which implied strength; 3) tune, which implied harmony; and 4) vision, which implied a positive perspective. Compared with Dutch participants, Canadian participants generally put more emphasis on spirituality and letting go of their own hope as a grip (safety). Compared with other included professionals, physicians used hope as a grip (safety) most often, whereas chaplains used hope as a tune (harmony) most often. Our findings help to increase the understanding of hope and contribute to improving communication skills in palliative care professionals. Copyright © 2014 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

24 CFR 4001.03 - Requirements and delegated authority.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Development (Continued) BOARD OF DIRECTORS OF THE HOPE FOR HOMEOWNERS PROGRAM HOPE FOR HOMEOWNERS PROGRAM HOPE... requirements. This subpart establishes the core requirements for the HOPE for Homeowners Program that have been adopted by the Board of Directors (Board) for the HOPE for Homeowners Program (Program). In addition to...

Parents' Experience of Hope When Their Child Has Cancer: Perceived Meaning and the Influence of Health Care Professionals.

PubMed

Conway, Mary F; Pantaleao, Ashley; Popp, Jill M

This study examined the role and importance of hopefulness for parents of children with cancer, how hope relates to parents' experience with the diagnosis, and the influence nurses and other health care professionals have on parents' hope. Using an interview format, 50 parents of children diagnosed with cancer were given the Reaction to Diagnosis Interview, and asked 5 open-ended questions about hope. Answers were analyzed using content analysis. Parents' adaptation to their child's diagnosis was compared with answers to the hope questions. Parents defined hope as a knowing, belief, or wish regarding their child's health. They emphasized the importance of hope over the course of their child's treatment. Staff increased parents' hope by providing care to children and families, educating parents, and by connecting with and providing a positive outlook for families. Most parents felt there was nothing staff did to decrease their hope. Understanding parents' experiences validates the quality care and connections we make with children and families, and encourages us to consider the effects of our interactions. This underscores the importance of education and support as a means of instilling hope in parents, who are valued, critical members of their child's health care team.

Effect of hope therapy on the hope of diabetic patients

PubMed Central

Ghazavi, Zahra; Khaledi-Sardashti, Firouz; Kajbaf, Mohamad Bagher; Esmaielzadeh, Mojtaba

2015-01-01

Background: Hope is the most important factor in diabetic patients’ life. The level of hope may be changing among these individuals as a result of chronic nature of diabetes and its complications. When the level of hope increases among these patients, they can resist against physical and psychological complications of diabetes more, accept the treatment better, enjoy life more, and adapt with their situations more efficiently. This study aimed to define the efficacy of hope therapy on hope among diabetic patients. Materials and Methods: This was a quasi-experimental study conducted on 38 diabetic patients referring to Sedigheh Tahereh Research and Treatment Center affiliated to Isfahan University of Medical Sciences in Iran in 2012. The subjects were selected based on the goals and inclusion criteria of the study and then were randomly assigned to study and control groups. Herth Hope Index (HHI) was completed by both groups before, after, and 1 month after intervention. In the study group, 120-min sessions of hope therapy were held twice a week for 4 weeks. Descriptive and inferential statistical tests were adopted to analyze the data through SPSS version 12. Results: Comparison of the results showed that hope therapy significantly increased hope in diabetic patients after intervention in the study group compared to control (P < 0.001). Conclusions: The results showed that hope therapy increased hope among diabetic patients. This method is suggested to be conducted for diabetic patients. PMID:25709694

Exploring hope and healing in patients living with advanced non-small cell lung cancer.

PubMed

Eustache, Chloe; Jibb, Emily; Grossman, Mary

2014-09-01

To explore the experience and meaning of hope in relation to the healing process of patients living with stage IIIb or IV non-small cell lung cancer. Interpretative qualitative study design. Peter Brojde Lung Cancer Centre in the Jewish General Hospital in Montreal, Quebec, Canada. 12 English- and French-speaking patients, aged 36-78 years. One 60-90-minute semistructured interview per participant was conducted. An inductive approach to data analysis was taken, involving immersion in the data, coding, classifying, and creating linkages. Four main themes emerged: (a) the morass of shattered hope, (b) tentative steps toward a new hope paradigm, (c) reframing hope within the context of a life-threatening illness, and (d) strengthening the link between hope and wellness. Patients described a process where hope was diminished or lost entirely, regained, and reshaped as they learned to live and grow following their diagnosis. This study adds to the literature by describing the dynamic nature of hope as well as factors facilitating or hindering the hope process. It demonstrates how finding meaning, a structural component of healing, can be used to envision a new hopeful future. This study suggests hope and healing cannot exist in isolation, and highlights the importance of understanding the fluctuating nature of hope in patients with advanced lung cancer to foster it, therefore promoting healing.

Hope, emotion regulation, and psychosocial well-being in patients newly diagnosed with cancer.

PubMed

Peh, Chao Xu; Kua, Ee Heok; Mahendran, Rathi

2016-05-01

Patients newly diagnosed with cancer are often confronted with feelings of uncertainty and life threat. A significant proportion may report impairments in psychosocial well-being. Previous studies examining protective psychological factors such as hope and emotion regulation (ER) have yet to investigate these processes concurrently within a common self-regulation framework and/or focus on newly diagnosed patients. The present study aimed to examine how hope and ER may relate to psychosocial outcomes of patients newly diagnosed with cancer. The present study used a cross-sectional design with self-report questionnaires. Participants were newly diagnosed patients (N = 101) recruited from three cancer therapy clinics in a hospital. Patients completed measures of hope, ER (cognitive reappraisal and expressive suppression), and psychosocial well-being (life satisfaction and negative affectivity). Findings showed that (1) hope and reappraisal, but not suppression, were associated with well-being and (2) the interaction between hope and reappraisal was associated with well-being; reappraisal was not associated with well-being in high hope patients, while high reappraisal was associated with better well-being in low hope patients. Individual differences in hope and reappraisal appeared to be associated with psychosocial outcomes in newly diagnosed cancer patients. Hopeful thinking appeared to benefit patients' psychosocial well-being. In addition, an interaction effect between hope and reappraisal suggested that reappraisal as an ER strategy may be particularly adaptive for patients with low hope.

Hope, Illness, and Counselling Practice: Making Hope Visible.

ERIC Educational Resources Information Center

Edey, Wendy; Jevne, Ronna F.

2003-01-01

Draws on some of the literature from the fields of nursing and psychology which links counseling practice, hope, and illness. Addresses the issue of false hope and the challenge of being a hopeful counselor. Two working examples are used to suggest and briefly demonstrate interventions counselors might make. (Contains 31 references.) (GCP)

24 CFR 572.135 - Use of proceeds from sales to eligible families, resale proceeds, and program income.

Code of Federal Regulations, 2010 CFR

2010-04-01

... FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) Homeownership Program Requirements..., if any, from the initial sale for costs of their HOPE 3 program, including additional homeownership opportunities eligible under the HOPE 3 program, improvements to properties under the HOPE 3 program, business...

Tackling Cancer Resistance by Immunotherapy: Updated Clinical Impact and Safety of PD-1/PD-L1 Inhibitors.

PubMed

Abdin, Shifaa M; Zaher, Dana M; Arafa, El-Shaimaa A; Omar, Hany A

2018-01-25

Cancer therapy has been constantly evolving with the hope of finding the most effective agents with the least toxic effects to eradicate tumors. Cancer immunotherapy is currently among the most promising options, fulfilling this hope in a wide range of tumors. Immunotherapy aims to activate immunity to fight cancer in a very specific and targeted manner; however, some abnormal immune reactions known as immune-related adverse events (IRAEs) might occur. Therefore, many researchers are aiming to define the most proper protocols for managing these complications without interfering with the anticancer effect. One of these targeted approaches is the inhibition of the interaction between the checkpoint protein, programmed death-receptor 1 (PD-1), and its ligand, programmed death-ligand 1 (PD-L1), via a class of antibodies known as PD-1/PD-L1 inhibitors. These antibodies achieved prodigious success in a wide range of malignancies, including those where optimal treatment is not yet fully identified. In this review, we have critically explored and discussed the outcome of the latest PD-1 and PD-L1 inhibitor studies in different malignancies compared to standard chemotherapeutic alternatives with a special focus on the clinical efficacy and safety. The approval of the clinical applications of nivolumab, pembrolizumab, atezolizumab, avelumab, and durvalumab in the last few years clearly highlights the hopeful future of PD-1/PD-L1 inhibitors for cancer patients. These promising results of PD-1/PD-L1 inhibitors have encouraged many ongoing preclinical and clinical trials to explore the extent of antitumor activity, clinical efficacy and safety as well as to extend their applications.

Tackling Cancer Resistance by Immunotherapy: Updated Clinical Impact and Safety of PD-1/PD-L1 Inhibitors

PubMed Central

Abdin, Shifaa M.

2018-01-01

Cancer therapy has been constantly evolving with the hope of finding the most effective agents with the least toxic effects to eradicate tumors. Cancer immunotherapy is currently among the most promising options, fulfilling this hope in a wide range of tumors. Immunotherapy aims to activate immunity to fight cancer in a very specific and targeted manner; however, some abnormal immune reactions known as immune-related adverse events (IRAEs) might occur. Therefore, many researchers are aiming to define the most proper protocols for managing these complications without interfering with the anticancer effect. One of these targeted approaches is the inhibition of the interaction between the checkpoint protein, programmed death-receptor 1 (PD-1), and its ligand, programmed death-ligand 1 (PD-L1), via a class of antibodies known as PD-1/PD-L1 inhibitors. These antibodies achieved prodigious success in a wide range of malignancies, including those where optimal treatment is not yet fully identified. In this review, we have critically explored and discussed the outcome of the latest PD-1 and PD-L1 inhibitor studies in different malignancies compared to standard chemotherapeutic alternatives with a special focus on the clinical efficacy and safety. The approval of the clinical applications of nivolumab, pembrolizumab, atezolizumab, avelumab, and durvalumab in the last few years clearly highlights the hopeful future of PD-1/PD-L1 inhibitors for cancer patients. These promising results of PD-1/PD-L1 inhibitors have encouraged many ongoing preclinical and clinical trials to explore the extent of antitumor activity, clinical efficacy and safety as well as to extend their applications. PMID:29370105

On Sinking and Swimming: The Dialectic of Hope, Hopelessness, and Acceptance in Terminal Cancer

PubMed Central

Sachs, Emily; Kolva, Elissa; Pessin, Hayley; Rosenfeld, Barry; Breitbart, William

2016-01-01

For terminally ill cancer patients, hope and hopelessness are constructs that significantly impact the quality of life. The aim of this study was to examine the relationship between hope and hopelessness in advanced cancer and to identify factors that maintain hope and increase vulnerability to hopelessness. Semistructured interviews were conducted with 22 terminally ill cancer patients. Interview transcripts were analyzed using thematic content analysis to identify patient definitions of these terms and associated cognitions and emotions. Hope and hopelessness were identified as distinct, often co-occurring, and dialectically interacting constructs. The relationship between hope and hopelessness often balanced on acceptance, perceived as diametrically opposed to hopelessness, and conducive to redirecting hope toward new goals. Positive interpersonal relationships enhanced hope, and uncontrolled physical pain increased vulnerability to hopelessness. PMID:22556280

Ultimate journey of the terminally ill: Ways and pathways of hope.

PubMed

Daneault, Serge; Lussier, Véronique; Mongeau, Suzanne; Yelle, Louise; Côté, Andréanne; Sicotte, Claude; Paillé, Pierre; Dion, Dominique; Coulombe, Manon

2016-08-01

To better understand the role of hope among terminally ill cancer patients. Qualitative analysis. A tertiary specialized cancer centre in Canada. Cancer patients in palliative care with an estimated remaining life expectancy of 12 months or less (N = 12) and their loved ones (N = 12) and treating physicians (N = 12). Each patient underwent up to 3 interviews and identified a loved one who participated in 1 interview. Treating physicians were also interviewed. All interviews were fully transcribed and analyzed by at least 2 investigators. Interviews were collected until saturation occurred. Seven attributes describe the experiences of palliative cancer patients and their caregivers: hope as an irrational phenomenon that is a deeply rooted, affect-based response to adversity; initial hope for miraculous healing; hope as a phenomenon that changes over time, evolving in different ways depending on circumstances; hope for prolonged life when there is no further hope for cure; hope for a good quality of life when the possibility of prolonging life becomes limited; a lack of hope for some when treatments are no longer effective in curbing illness progression; and for others hope as enjoying the present moment and preparing for the end of life. Approaches aimed at sustaining hope need to reflect that patients' reactions might fluctuate between despair and a form of acceptance that leads to a certain serenity. Clinicians need to maintain some degree of hope while remaining as realistic as possible. The findings also raise questions about how hope influences patients' perceptions and acceptance of their treatments. Copyright© the College of Family Physicians of Canada.

Fostering hope in the patient with cancer.

PubMed

Lichwala, Rebecca

2014-06-01

When a patient is diagnosed with cancer, feelings such as fear, anxiety, and hopelessness can negatively affect a person's frame of mind. Hope can help a patient decrease anxiety and increase quality of life. Nurses should assess hope, provide interventions, be empathetic, listen, and treat patients with dignity to help improve hope and quality of life. This article features how hope can have a positive impact and provides specific information about how nurses can promote and foster hope in patients with cancer.

Inspiring hope-A physician's responsibility, translating the science into clinical practice.

PubMed

Temple, Walley J

2018-03-01

Giving hope to patients is our responsibility. It is the essence of a meaningful practice in medicine. Science now allows us to understand this complex and multidimensional human dynamic, and translate it into clinical practice. Quantitative research has shown hope is strong even in terminal illness. Through qualitative methodology hope fostering strategies and hope hindering behaviors have been identified. This exciting new knowledge facilitates the challenging task of disclosure of bad news while enabling hope. © 2017 Wiley Periodicals, Inc.

Is there hope for multi-site complexation modeling?

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

Bickmore, Barry R.; Rosso, Kevin M.; Mitchell, S. C.

2006-06-06

It has been shown here that the standard formulation of the MUSIC model does not deliver the molecular-scale insight into oxide surface reactions that it promises. The model does not properly divide long-range electrostatic and short-range contributions to acid-base reaction energies, and it does not treat solvation in a physically realistic manner. However, even if the current MUSIC model does not succeed in its ambitions, its ambitions are still reasonable. It was a pioneering attempt in that Hiemstra and coworkers recognized that intrinsic equilibrium constants, where the effects of long-range electrostatic effects have been removed, must be theoretically constrained priormore » to model fitting if there is to be any hope of obtaining molecular-scale insights from SCMs. We have also shown, on the other hand, that it may be premature to dismiss all valence-based models of acidity. Not only can some such models accurately predict intrinsic acidity constants, but they can also now be linked to the results of molecular dynamics simulations of solvated systems. Significant challenges remain for those interested in creating SCMs that are accurate at the molecular scale. It will only be after all model parameters can be predicted from theory, and the models validated against titration data that we will be able to begin to have some confidence that we really are adequately describing the chemical systems in question.« less

A mixed method thematic review: the importance of hope to the dying patient.

PubMed

Broadhurst, Kathleen; Harrington, Ann

2016-01-01

To review the literature and investigate the meaning of hope to patients receiving palliative care and to examine the themes that foster hope in those patients. Hope is often linked to the future and is a significant factor for patients dealing with adversity, such as a terminal illness. The concept of hope is underreported in the literature. Mixed method thematic review. CINAHL, Scopus, PsychINFO, Informit, PubMed, Science Direct, ProQuest, Web of Science and Google Scholar online databases were searched using keywords and inclusion and exclusion criteria published between 2003-2013. Twelve qualitative articles were thematically analysed using Braun and Clarke's (2006) steps to ascertain major themes and sub-themes. On analysis, the remaining three mixed method studies were found to reflect the themes generated by the qualitative studies. Seven key themes that increased hope were found: disease status; positive personal relationships; positive character traits; quality of life; setting and achieving goals; spirituality/religion; and hope after death. The importance of hope to dying patients was established. Hope is a very complex and personal phenomena requiring hope-enhancing strategies to be individualized. More research is needed with groups whose culture, youth or type of illness may affect their ability to foster and maintain hope. © 2015 John Wiley & Sons Ltd.

The Role of Hope in Bereavement for Chinese People in Hong Kong

ERIC Educational Resources Information Center

Chow, Amy Y. M.

2010-01-01

This study examined the relationships between hope and the emotional reactions of bereaved Chinese people in Hong Kong. Three groups--a clinical bereaved sample (n = 140), a general bereaved sample (n = 152), and a non-bereaved comparison sample (n = 144)--were included. Significant differences in 3 hope measures, hope (pathway), hope (agency) and…

How Much Hope Is Enough? Levels of Hope and Students' Psychological and School Functioning

ERIC Educational Resources Information Center

Marques, Susana C.; Lopez, Shane J.; Fontaine, Anne Marie; Coimbra, Susana; Mitchell, Joanna

2015-01-01

This study investigated the characteristics of students who report extremely high levels of hope. A sample of 682 students (ages 11-17) completed measures of hope, school engagement, life satisfaction, self-worth, and mental health. Academic achievement was obtained from students' school records. Based on their hope scores, students were divided…

Making Ripples of Hope

ERIC Educational Resources Information Center

Lopez, Shane J.

2011-01-01

Hope, the ideas and energy for the future, is one of the most potent predictors of the success of the youth. Based on the Gallup Student Poll, an online school-based measure of student hope (and engagement and well-being), half of American students are hopeful. Hopeful students are energetic, full of life. They're able to develop many strategies…

Intrapersonal self-transcendence, meaning-in-life and nurse-patient interaction: powerful assets for quality of life in cognitively intact nursing-home patients.

PubMed

Haugan, Gørill; Moksnes, Unni Karin; Løhre, Audhild

2016-12-01

Spirituality has demonstrated a significant impact on quality of life in nursing-home patients. Likewise, as essential aspects of spirituality, hope, self-transcendence, and meaning are found to be vital resources to nursing-home patients' global well-being. Further, nurse-patient interaction has demonstrated a powerful influence on patient's hope, self-transcendence, and meaning-in-life, as well as on anxiety and depression. The present study investigated the associations of hope, self-transcendence, meaning, and perceived nurse-patient interaction with quality of life. In a cross-sectional design, a sample of 202 cognitively intact nursing-home patients in Mid-Norway responded to the Herth Hope Index, the Self-Transcendence scale, the Purpose-in-Life test, the Nurse-Patient Interaction scale, and a one-item overall measure on quality of life. Using SPSS ordinal regression, bivariate and multivariate analyses were conducted with quality of life as dependent variable. Controlling for gender, age, and residential time, all the scales were significantly related to quality of life in the bivariate analyses. Intrapersonal self-transcendence showed an exceptional position presenting a very high odds ratio in the bivariate analysis, and also the strongest association with quality of life in multivariate analyses. Meaning and nurse-patient interaction also showed independent and significant associations with quality of life. The associations found encourage the idea that intrapersonal self-transcendence, meaning-in-life, and nurse-patient interaction are powerful health-promoting factors that significantly influence on nursing-home patients' quality of life. Therefore, pedagogical approaches for advancing caregivers' presence and confidence in health-promoting interaction should be upgraded and matured. Proper educational programs for developing interacting skills including assessing and supporting patients' intrapersonal self-transcendence and meaning-in-life should be utilised and their effectiveness evaluated. © 2016 Nordic College of Caring Science.

Moving up the continuum of hope: developing a theory of hope and understanding its influence in couples therapy.

PubMed

Ward, David B; Wampler, Karen S

2010-04-01

For years therapists have suggested that hope is an important catalyst in the process of change. This study takes a grounded theory approach to address the need for a clearer conceptualization of hope, and to place interventions that increase hope within a therapeutic context so that therapists know how and when to use those interventions. Fifteen active and experienced marriage and family therapists from across the United States participated in hour-long phone interviews about hope in couples therapy. Moving Up the Continuum of Hope emerged as the core category from the grounded theory analysis of the data. This category represents a process, with general and specific conditions and consequences that increase a couple's level of hope. This study serves as a foundation for future process research on couples therapy, as well as research on hope in other contexts (e.g., individual and family therapy) and with other perspectives (e.g., clients).

Hope Matters: Developing and Validating a Measure of Future Expectations Among Young Women in a High HIV Prevalence Setting in Rural South Africa (HPTN 068).

PubMed

Abler, Laurie; Hill, Lauren; Maman, Suzanne; DeVellis, Robert; Twine, Rhian; Kahn, Kathleen; MacPhail, Catherine; Pettifor, Audrey

2017-07-01

Hope is a future expectancy characterized by an individual's perception that a desirable future outcome can be achieved. Though scales exist to measure hope, they may have limited relevance in low resource, high HIV prevalence settings. We developed and validated a hope scale among young women living in rural South Africa. We conducted formative interviews to identify the key elements of hope. Using items developed from these interviews, we administered the hope scale to 2533 young women enrolled in an HIV-prevention trial. Women endorsed scale items highly and the scale proved to be unidimensional in the sample. Hope scores were significantly correlated with hypothesized psycholosocial correlates with the exception of life stressors. Overall, our hope measure was found to have excellent reliability and to show encouraging preliminary indications of validity in this population. This study presents a promising measure to assess hope among young women in South Africa.

From hope to hope: the experience of older Chinese people with advanced cancer.

PubMed

Chen, Hong; Komaromy, Carol; Valentine, Christine

2015-03-01

In our study that explored the current end-of-life care provision for Chinese older people with advanced/terminal cancer, hope emerged as a significant aspect of coping with their condition. Drawing on data from in-depth interviews with a group of older people, their family carers and health professionals, this article explores participants' constructions of hope in terms of what they were hoping for, how their hopes helped them cope with their illness and what sociocultural resources they drew on to build and sustain these hopes. While acknowledging similarities to Western studies of hope in terminal illness, this article identifies significant divergences in terms of the impact of different sociocultural values and their implications for clinical practice in light of an unfavourable health care environment for patients with advanced cancer and a social support system sustained mainly by Chinese families. It argues that hope represents an important resource for coping with terminal illness among these patients. © The Author(s) 2014.

Hope Matters: Developing and Validating a Measure of Future Expectations Among Young Women in a High HIV Prevalence Setting in Rural South Africa (HPTN 068)

PubMed Central

Abler, Laurie; Maman, Suzanne; DeVellis, Robert; Twine, Rhian; Kahn, Kathleen; MacPhail, Catherine; Pettifor, Audrey

2017-01-01

Hope is a future expectancy characterized by an individual’s perception that a desirable future outcome can be achieved. Though scales exist to measure hope, they may have limited relevance in low resource, high HIV prevalence settings. We developed and validated a hope scale among young women living in rural South Africa. We conducted formative interviews to identify the key elements of hope. Using items developed from these interviews, we administered the hope scale to 2533 young women enrolled in an HIV-prevention trial. Women endorsed scale items highly and the scale proved to be unidimensional in the sample. Hope scores were significantly correlated with hypothesized psycholosocial correlates with the exception of life stressors. Overall, our hope measure was found to have excellent reliability and to show encouraging preliminary indications of validity in this population. This study presents a promising measure to assess hope among young women in South Africa. PMID:27544516

"To See through Johnny and to See Johnny Through": The Guidance Movement in Interwar Australia

ERIC Educational Resources Information Center

Wright, Katie

2012-01-01

In the late 1920s and early 1930s, the guidance movement secured a foothold in the Australian educational landscape. Educators and psychologists looked to new initiatives in Britain and America in the hope that guidance programmes would provide solutions to a range of social, economic and educational problems: vocational guidance to help young…

The Role of Hope for Adolescents with a Chronic Illness: An Integrative Review.

PubMed

Griggs, Stephanie; Walker, Rachel K

2016-01-01

Hope is a human strength essential for adolescents' enduring and coping with chronic illness however, the role of hope is not well understood in this population. This integrative review describes what is currently known about the role of hope in adolescents with a chronic illness. A methodological review using an integrative approach by R. Whittemore and K. Knafl (2005) was performed. MEDLINE via Pubmed; CINAHL; PyscINFO and Google scholar were searched for articles published in peer-reviewed journals from 1995 to 2015, using search terms 'hope and chronic illness' with age limiters for all except Google scholar (title search of "hope and adolescents"). Of the 197 studies initially retrieved: a total of 27 quantitative studies, 8 qualitative studies and 19 theoretical works were selected for review. Seven themes emerged including that hope: (i) promotes health (ii) facilitates coping and adjustment, (iii) enhances quality of life, (iv) is essential in purpose in life and illness (v) improves self-esteem, (vi) is an important factor in resilience and (vii) affects maturation. Persons reporting higher levels of hope find multiple routes to goals, view setbacks as challenges, and better manage psychological symptoms. Although theory and a limited body of empirical research to date suggest a link between hopeful thinking and physical health, the specific mechanisms remain unclear. As hope is linked to resilience, further research should explore whether adolescents with higher hope return to baseline faster than their lower hope counterparts. Copyright © 2016 Elsevier Inc. All rights reserved.

Economic efficiency in fish farming: hope for agro-allied industries in Niagara

NASA Astrophysics Data System (ADS)

Kareem, R. O.; Dipeolu, A. O.; Aromolaran, A. B.; Williams, S. B.

2008-02-01

The challenge to increase the efficiency in food production level in Nigeria appears to be more urgent now than it has ever been in the history of the country. This is in view of the rapidly increasing population, the imminent decline in international economic and food aid and the need to conserve foreign exchange earnings through the production of raw materials to feed the growing industrial sector calls for urgent attention. The study was carried out in Ogun State. The descriptive statistics was used to determine the socio-economic characteristics of the respondents. The stochastic frontiers production analysis was applied to estimate the technical, allocative efficiency and economic efficiency among the fish farmers in the state. The results of economic efficiency revealed that fish farming is economically efficient with a range of between 55% and 84% efficiency level suggesting a favourable hope for the agro-allied industry such as poultry and cottage industries etc in the state. The result of hypothesis of inefficiency sources models showed that years of experience of fish farmers is significant at 1% probability level indicating the factor contributing to the fish farming experience in the state. Thus, the efficiency is due to the fact that farmers are experienced and fairly educated. On the basis of findings, policy is suggested to be directed towards the encouragement of entrepreneurs in fish farming in the state by providing enabling environment like credit facilities, public enlightenment programme and provision of social amenities like feeder roads, pipe-born water etc and given the fact that an increase in the level of formal education variable leads to less inefficiency, government policy should be focused on adopting the best technology (e.g. fast growing species and equipment) so as to improve the level of efficiency and investment which shall eventually lead to growth in output of fish farming and a lead to the establishment of agro-allied industries in the state.

A standard protocol for describing individual-based and agent-based models

USGS Publications Warehouse

Grimm, Volker; Berger, Uta; Bastiansen, Finn; Eliassen, Sigrunn; Ginot, Vincent; Giske, Jarl; Goss-Custard, John; Grand, Tamara; Heinz, Simone K.; Huse, Geir; Huth, Andreas; Jepsen, Jane U.; Jorgensen, Christian; Mooij, Wolf M.; Muller, Birgit; Pe'er, Guy; Piou, Cyril; Railsback, Steven F.; Robbins, Andrew M.; Robbins, Martha M.; Rossmanith, Eva; Ruger, Nadja; Strand, Espen; Souissi, Sami; Stillman, Richard A.; Vabo, Rune; Visser, Ute; DeAngelis, Donald L.

2006-01-01

Simulation models that describe autonomous individual organisms (individual based models, IBM) or agents (agent-based models, ABM) have become a widely used tool, not only in ecology, but also in many other disciplines dealing with complex systems made up of autonomous entities. However, there is no standard protocol for describing such simulation models, which can make them difficult to understand and to duplicate. This paper presents a proposed standard protocol, ODD, for describing IBMs and ABMs, developed and tested by 28 modellers who cover a wide range of fields within ecology. This protocol consists of three blocks (Overview, Design concepts, and Details), which are subdivided into seven elements: Purpose, State variables and scales, Process overview and scheduling, Design concepts, Initialization, Input, and Submodels. We explain which aspects of a model should be described in each element, and we present an example to illustrate the protocol in use. In addition, 19 examples are available in an Online Appendix. We consider ODD as a first step for establishing a more detailed common format of the description of IBMs and ABMs. Once initiated, the protocol will hopefully evolve as it becomes used by a sufficiently large proportion of modellers.

Establishing an efficient way to utilize the drought resistance germplasm population in wheat.

PubMed

Wang, Jiancheng; Guan, Yajing; Wang, Yang; Zhu, Liwei; Wang, Qitian; Hu, Qijuan; Hu, Jin

2013-01-01

Drought resistance breeding provides a hopeful way to improve yield and quality of wheat in arid and semiarid regions. Constructing core collection is an efficient way to evaluate and utilize drought-resistant germplasm resources in wheat. In the present research, 1,683 wheat varieties were divided into five germplasm groups (high resistant, HR; resistant, R; moderate resistant, MR; susceptible, S; and high susceptible, HS). The least distance stepwise sampling (LDSS) method was adopted to select core accessions. Six commonly used genetic distances (Euclidean distance, Euclid; Standardized Euclidean distance, Seuclid; Mahalanobis distance, Mahal; Manhattan distance, Manhat; Cosine distance, Cosine; and Correlation distance, Correlation) were used to assess genetic distances among accessions. Unweighted pair-group average (UPGMA) method was used to perform hierarchical cluster analysis. Coincidence rate of range (CR) and variable rate of coefficient of variation (VR) were adopted to evaluate the representativeness of the core collection. A method for selecting the ideal constructing strategy was suggested in the present research. A wheat core collection for the drought resistance breeding programs was constructed by the strategy selected in the present research. The principal component analysis showed that the genetic diversity was well preserved in that core collection.

Polypyrrole/poly (p-phenylene terephthalamide) composite fibers: Morphology, mechanics, and electrical properties

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

Rector, L.P.

1991-01-01

Polypyrrole/poly (p-phenylene terephthalamide) (PPTA) composite fibers were fabricated by the oxidative polymerization of pyrrole within the gel structure of never-dried, dry-jet, wet-spun PPTA fibers. The composites were formed by infiltration of the swollen PPTA fibers with the chemical oxidant FeCl{sub 3}, followed by exposure of the infiltrated fibers to pyrrole vapor at elevated temperatures (100C). The conductive phase volume fraction was controlled by variations in the FeCl{sub 3} infiltration concentration. The temperature dependencies of the composite fiber d.c. conductivities is reasonably well described by the predictions of the three-dimensional variable-range hoping (3DVRH) charge transport model. The composite morphology was examinedmore » with SEM results demonstrating the existence of micron-sized polypyrrole inclusions in the fiber interior, as well as a polypyrrole skin on the fiber surface. The tensile modulii of the composite fibers exhibited a rule-of-mixtures dependence upon PPTA content. The compressive properties of several composite-fiber compositions were evaluated by the elastica loop method. The compressive strengths were found to be 82-151% of the corresponding ultimate tensile strengths.« less

Dendroecological opportunities to shift and cross disciplinary boundaries

NASA Astrophysics Data System (ADS)

Buentgen, Ulf

2017-04-01

In this 'solicited' talk, I will firstly navigate through some of the most influential dendroecological/-climatological advancements of roughly the last decade. Afterwards, I will outline pending challenges in modern tree-ring research, including the ongoing involvement of (quantitative) wood anatomical materials, methods and perspectives. Finally, I will provide several examples of how dendroecological approaches might indeed be able to contribute towards identifying and shifting research frontiers, as well as crossing disciplinary boundaries; not only within the vast field of natural sciences but also with the humanities. While presenting an array of timely case studies, with all of them being centered on either tree-ring data or associated techniques, this talk will comprise multiple aspects of archaeology, astronomy, biology, ecology, epidemiology, history, mycology and volcanology. In so doing, I hope to stimulate discussion on the potential and limitations of state-of-the-art tree-ring research across various spatiotemporal scales of resolution, which may range from the cell to the hemisphere and from the day to the Holocene. Despite its overview character, this talk will place emphases on utilizing big datasets, on valuing Russia's scientific landscape, on performing high-resolution radiocarbon measurements, and on linking volcanic activity, climate variability and human history.

"Hoping to see the future I prefer": an element of life-world for older women living alone.

PubMed

Porter, Eileen J; Oyesanya, Tolu O; Johnson, Kathy A

2013-01-01

We interact with Dorcy's earlier work in Advances in Nursing Science on hope, noting that scholars have emphasized hope in suffering rather than exploring hoping in everyday life. We did a secondary analysis of 4 descriptive phenomenological studies with older women (N = 81, aged 75-98). Findings included a 4-level taxonomy of life-world. Four future-related subelements (such as, having a future I cannot see, down the road) intersected with the element hoping to see the future I prefer. Five of its subelements were common across the sample, including hoping that I do not get to that point. Findings have implications for expanding scholarship pertaining to hoping.

Agricultural biotechnology for crop improvement in a variable climate: hope or hype?

PubMed

Varshney, Rajeev K; Bansal, Kailash C; Aggarwal, Pramod K; Datta, Swapan K; Craufurd, Peter Q

2011-07-01

Developing crops that are better adapted to abiotic stresses is important for food production in many parts of the world today. Anticipated changes in climate and its variability, particularly extreme temperatures and changes in rainfall, are expected to make crop improvement even more crucial for food production. Here, we review two key biotechnology approaches, molecular breeding and genetic engineering, and their integration with conventional breeding to develop crops that are more tolerant of abiotic stresses. In addition to a multidisciplinary approach, we also examine some constraints that need to be overcome to realize the full potential of agricultural biotechnology for sustainable crop production to meet the demands of a projected world population of nine billion in 2050. Copyright © 2011 Elsevier Ltd. All rights reserved.

Hope and Life Satisfaction in Black College Students Coping with Race-Related Stress

ERIC Educational Resources Information Center

Danoff-Burg, Sharon; Prelow, Hazel M.; Swenson, Rebecca R.

2004-01-01

This exploratory study examined the effects of hope and coping with race-related stress on life satisfaction in Black college students. Findings indicated that students with high hope had greater coping efficacy and used more problem-focused coping than students with low hope. Neither coping nor hope had a direct effect on life satisfaction.…

Hope in the Unexpected: How Can Teachers Still Make a Difference in the World?

ERIC Educational Resources Information Center

Edgoose, Julian

2010-01-01

Background/Context: The central role of hope in teaching has long been acknowledged by authors such as Sonia Nieto and Larry Cuban, but hope has received little focused attention from scholars. While books such as David Halpin's Hope and Education and Stephen Fishman and Lucille McCarthy's John Dewey and the Philosophy and Practice of Hope each…

Posttraumatic Growth and Hope in Parents of Children with Cancer

PubMed Central

Hullmann, Stephanie E.; Fedele, David A.; Molzon, Elizabeth S.; Mayes, Sunnye; Mullins, Larry L.

2014-01-01

Background Posttraumatic growth (PTG), a positive change in values and major life goals experienced as a result of the struggle with a highly challenging life circumstance, has been shown to be related to the construct of hope, the belief that goals can be met. To date, no studies have examined the relationship between PTG and hope in parents of children with cancer. Procedure Participants were parents (N=85) of children and adolescents (ages 2–18 years, M = 7.72 years) receiving treatment for cancer. Parents completed a demographic questionnaire, the Posttraumatic Growth Inventory (PTGI), and Hope Scale (HS). Results Hope was found to be related to PTG in parents of children with cancer, with higher levels of hope associated with greater PTG. Exploratory analyses on the subscales of the PTGI revealed that hope was also related to higher scores on the Relating to Others, New Possibilities, Personal Strength, and Appreciation of Life subscales. Spiritual Change was not related to hope in parents. Conclusions Findings suggest that experiencing hope during the pediatric cancer experience may facilitate posttraumatic growth in parents. The construct of hope may be an important target of intervention for promoting positive adjustment in this population. PMID:25158296

Posttraumatic growth and hope in parents of children with cancer.

PubMed

Hullmann, Stephanie E; Fedele, David A; Molzon, Elizabeth S; Mayes, Sunnye; Mullins, Larry L

2014-01-01

Posttraumatic growth (PTG), a positive change in values and major life goals experienced as a result of the struggle with a highly challenging life circumstance, has been shown to be related to the construct of hope, the belief that goals can be met. To date, no studies have examined the relationship between PTG and hope in parents of children with cancer. Participants were parents (N = 85) of children and adolescents (ages 2-18 years, M = 7.72 years) receiving treatment for cancer. Parents completed a demographic questionnaire, the Posttraumatic Growth Inventory (PTGI), and Hope Scale (HS). Hope was found to be related to PTG in parents of children with cancer, with higher levels of hope associated with greater PTG. Exploratory analyses on the subscales of the PTGI revealed that hope was also related to higher scores on the Relating to Others, New Possibilities, Personal Strength, and Appreciation of Life subscales. Spiritual change was not related to hope in parents. Findings suggest that experiencing hope during the pediatric cancer experience may facilitate posttraumatic growth in parents. The construct of hope may be an important target of intervention for promoting positive adjustment in this population.

Spirituality, hope, and self-sufficiency among low-income job seekers.

PubMed

2015-04-01

Self-sufficiency (SS) is an important social welfare policy goal in the United States, yet little is known about the process that leads to SS. To address this gap in the literature, this study examined the relationship between spirituality, hope, and SS among a sample of low-income job seekers (N = 116). It was hypothesized that spirituality would be related to hope, and that hope, in turn, would be related to SS. Using survey data from two workforce development agencies, this hypothesis was confirmed-hope fully mediated the relationship between spirituality and SS. Of the two factors through which hope is commonly operationalized-agency and pathways-supplemental analysis suggested that spirituality only affects SS through the agency channel. To help foster hope in direct practice settings, it is suggested that social workers might employ spiritually modified cognitive-behavioral therapy protocols. Macrostructural interventions that block the pathway component of hope are also suggested to help reverse exclusion from labor market entry. As such, hope needs to be addressed comprehensively-intrapsychically and macrostructurally-to effect bottom-up change for SS. Engendering hope may assist clients overcome some of the many challenges they encounter on the journey to SS.

Comfort and hope in the preanesthesia stage in patients undergoing surgery.

PubMed

Seyedfatemi, Naima; Rafii, Forough; Rezaei, Mahboubeh; Kolcaba, Katharine

2014-06-01

Comfort and hope have been identified as important components in the care of perianesthesia patients. The purpose of this study was to explore the relationship between comfort and hope in the preanesthesia stage in patients undergoing surgery. A descriptive cross-sectional survey was conducted with 191 surgical patients. Data were collected using the Perianesthesia Comfort Questionnaire and Herth Hope Index. Direct and significant relationships were observed between comfort and hope (P≤.001, r=0.65). Also, significant relationships were observed between educational level and marital status with comfort (P≤.01). The relationship between educational level and hope was significant (P≤.001). Significant relationships were also observed between gender and marital status with hope (P≤.01). Overall, this study showed that a significant relationship exists between comfort and hope. Additionally, some demographic characteristics influenced comfort and hope in these patients. Health care providers should arrange the environment in a way that allows the surgical patients to experience comfort and hope and recognize the impact of personal characteristics when caring for surgical patients, particularly in the preanesthesia stage. Copyright © 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

A Reconnection Switch to Trigger gamma-Ray Burst Jet Dissipation

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

McKinney, Jonathan C.; Uzdensky, Dmitri A.

2012-03-14

Prompt gamma-ray burst (GRB) emission requires some mechanism to dissipate an ultrarelativistic jet. Internal shocks or some form of electromagnetic dissipation are candidate mechanisms. Any mechanism needs to answer basic questions, such as what is the origin of variability, what radius does dissipation occur at, and how does efficient prompt emission occur. These mechanisms also need to be consistent with how ultrarelativistic jets form and stay baryon pure despite turbulence and electromagnetic reconnection near the compact object and despite stellar entrainment within the collapsar model. We use the latest magnetohydrodynamical models of ultrarelativistic jets to explore some of these questionsmore » in the context of electromagnetic dissipation due to the slow collisional and fast collisionless reconnection mechanisms, as often associated with Sweet-Parker and Petschek reconnection, respectively. For a highly magnetized ultrarelativistic jet and typical collapsar parameters, we find that significant electromagnetic dissipation may be avoided until it proceeds catastrophically near the jet photosphere at large radii (r {approx} 10{sup 13}-10{sup 14}cm), by which the jet obtains a high Lorentz factor ({gamma} {approx} 100-1000), has a luminosity of L{sub j} {approx} 10{sup 50}-10{sup 51} erg s{sup -1}, has observer variability timescales of order 1s (ranging from 0.001-10s), achieves {gamma}{theta}{sub j} {approx} 10-20 (for opening half-angle {theta}{sub j}) and so is able to produce jet breaks, and has comparable energy available for both prompt and afterglow emission. A range of model parameters are investigated and simplified scaling laws are derived. This reconnection switch mechanism allows for highly efficient conversion of electromagnetic energy into prompt emission and associates the observed prompt GRB pulse temporal structure with dissipation timescales of some number of reconnecting current sheets embedded in the jet. We hope this work helps motivate the development of self-consistent radiative compressible relativistic reconnection models.« less

Axisymmetric black holes allowing for separation of variables in the Klein-Gordon and Hamilton-Jacobi equations

NASA Astrophysics Data System (ADS)

Konoplya, R. A.; Stuchlík, Z.; Zhidenko, A.

2018-04-01

We determine the class of axisymmetric and asymptotically flat black-hole spacetimes for which the test Klein-Gordon and Hamilton-Jacobi equations allow for the separation of variables. The known Kerr, Kerr-Newman, Kerr-Sen and some other black-hole metrics in various theories of gravity are within the class of spacetimes described here. It is shown that although the black-hole metric in the Einstein-dilaton-Gauss-Bonnet theory does not allow for the separation of variables (at least in the considered coordinates), for a number of applications it can be effectively approximated by a metric within the above class. This gives us some hope that the class of spacetimes described here may be not only generic for the known solutions allowing for the separation of variables, but also a good approximation for a broader class of metrics, which does not admit such separation. Finally, the generic form of the axisymmetric metric is expanded in the radial direction in terms of the continued fractions and the connection with other black-hole parametrizations is discussed.

Single stage queueing/manufacturing system model that involves emission variable

NASA Astrophysics Data System (ADS)

Murdapa, P. S.; Pujawan, I. N.; Karningsih, P. D.; Nasution, A. H.

2018-04-01

Queueing is commonly occured at every industry. The basic model of queueing theory gives a foundation for modeling a manufacturing system. Nowadays, carbon emission is an important and inevitable issue due to its huge impact to our environment. However, existing model of queuing applied for analysis of single stage manufacturing system has not taken Carbon emissions into consideration. If it is applied to manufacturing context, it may lead to improper decisisions. By taking into account of emission variables into queuing models, not only the model become more comprehensive but also it creates awareness on the issue to many parties that involves in the system. This paper discusses the single stage M/M/1 queueing model that involves emission variable. Hopefully it could be a starting point for the next more complex models. It has a main objective for determining how carbon emissions could fit into the basic queueing theory. It turned out that the involvement of emission variables into the model has modified the traditional model of a single stage queue to a calculation model of production lot quantity allowed per period.

A Census of Atmospheric Variability From Seconds to Decades

NASA Astrophysics Data System (ADS)

Williams, Paul D.; Alexander, M. Joan; Barnes, Elizabeth A.; Butler, Amy H.; Davies, Huw C.; Garfinkel, Chaim I.; Kushnir, Yochanan; Lane, Todd P.; Lundquist, Julie K.; Martius, Olivia; Maue, Ryan N.; Peltier, W. Richard; Sato, Kaoru; Scaife, Adam A.; Zhang, Chidong

2017-11-01

This paper synthesizes and summarizes atmospheric variability on time scales from seconds to decades through a phenomenological census. We focus mainly on unforced variability in the troposphere, stratosphere, and mesosphere. In addition to atmosphere-only modes, our scope also includes coupled modes, in which the atmosphere interacts with the other components of the Earth system, such as the ocean, hydrosphere, and cryosphere. The topics covered include turbulence on time scales of seconds and minutes, gravity waves on time scales of hours, weather systems on time scales of days, atmospheric blocking on time scales of weeks, the Madden-Julian Oscillation on time scales of months, the Quasi-Biennial Oscillation and El Niño-Southern Oscillation on time scales of years, and the North Atlantic, Arctic, Antarctic, Pacific Decadal, and Atlantic Multidecadal Oscillations on time scales of decades. The paper serves as an introduction to a special collection of Geophysical Research Letters on atmospheric variability. We hope that both this paper and the collection will serve as a useful resource for the atmospheric science community and will act as inspiration for setting future research directions.

"Make Sure Somebody Will Survive from This": Transformative Practices of Hope among Danish Organ Donor Families.

PubMed

Jensen, Anja M B

2016-09-01

Based on anthropological fieldwork among Danish organ donor families and hospital staff in neurointensive care units, this article explores the transformative practices of hope in Danish organ donation. Focusing on various phases of the organ donation process, I demonstrate how families and professionals practice hope in astounding ways: when hoping for organs, when hoping for the end of patient suffering, when hoping for the usability of the donor body, and when hoping to help future donor families by sharing painful experiences. By focusing on such practices and transformations of hope, this article sheds light on the social negotiations of life and death among families and staffs in medical contexts and describes how the dignity of the deceased donor and the usability of the donor body are closely connected in family attempts to make donation decisions meaningful during and after a tragic death. © 2016 by the American Anthropological Association.

The motivational properties of hope in goal striving.

PubMed

Nelissen, Rob M A

2017-02-01

We argue that hope is not an expectancy based on beliefs about pathways to desired goals and personal capacities to act on them, but an experience of the mere possibility of a desired outcome. We propose that in the latter sense, hope has unique motivational consequences for goal striving. Specifically, we predicted that hope buffers against the detrimental impact of negative feedback on goal-progress. The results of the two studies confirmed this prediction. In Study 1, we measured participants' hopes of attaining a weight-loss goal. In Study 2, we induced hope at solving an unsolvable mathematical puzzle. In both studies, receiving negative feedback on goal-progress resulted in lower levels of success (Study 1) and persistence (Study 2) in goal-striving, but not for participants who experienced hope. We discuss the role of hope as an affective mechanism that functions to regulate energy expenditure in goal-striving.

Positive impact of Tai Chi Chuan participation on biopsychosocial quality of life compared to exercise and sedentary controls: a cross-sectional survey.

PubMed

Baxter, Alex; J P Francis, Andrew

2013-05-24

Tai Chi Chuan (TCC) is a traditional Chinese medicine practice and martial art with biopsychosocial aspects. This study aimed to examine the impact of participation in TCC on multiple domains of Quality of Life (QoL) and to assess the involvement of the psychological factors of self-efficacy, Locus of Control (LoC) and Hope in these effects. A total of 68 participants from the general community (13 males and 55 females) aged between 18 and 68 (M=43.55 years) and not currently suffering from a mental or physical illness took part in the study. It was found that TCC participants, as a group, scored significantly better than those in sedentary (book club) and active (gym exercise) control conditions on Psychological and Physical QoL, and that the Physical QoL benefits of TCC continue to accrue with years of practice. The three psychological factors were shown to variously mediate (self-efficacy) and moderate (internal LoC and Hope) this latter relationship. Whilst the results bear limitations (in particular small sample sizes), it is hoped that these findings will encourage further research into TCC, and consideration of TCC as part of the range of treatment options available in community-based mental and physical health management.

Analysis of Lower Body Kinematic and Kinetic: Differences Between Age and Handicap in Golfers of Various Ages and Skill Levels

NASA Astrophysics Data System (ADS)

Smilensky, Alexander

The purpose of this thesis was to provide a preliminary analysis of lower body golf swing biomechanics. Fourteen golfers of various ages and handicaps performed 10 swings off a tee with their driver. This study focused on a number of dependent variables including lead knee joint flexion angles, internal/external rotations, valgus/varus angles, as well as ground reaction forces normalized to body weight (%BW), X-Factor angle and club head velocity. Dependent variables were analyzed at four specifically defined events (start, initiation of downswing, contact and swing termination). Simple linear regressions were performed using age and handicap as independent variables to see if patterns could be determined at any of the events. No significant trends or results were reported within our sample. An analysis of variance (ANOVA) was then used to examine the effect of event on specific dependent variables. A number of differences were reported within each of the variables across the four events. This study hoped to provide a more comprehensive understanding of the movement patterns occurring at the lower body with special focus on the lead knee.

Moving up the Continuum of Hope: Developing a Theory of Hope and Understanding Its Influence in Couples Therapy

ERIC Educational Resources Information Center

Ward, David B.; Wampler, Karen S.

2010-01-01

For years therapists have suggested that hope is an important catalyst in the process of change. This study takes a grounded theory approach to address the need for a clearer conceptualization of hope, and to place interventions that increase hope within a therapeutic context so that therapists know how and when to use those interventions. Fifteen…

Hope without Consolation: Prospects for Critical Learning at the Canadian Museum for Human Rights

ERIC Educational Resources Information Center

Failler, Angela

2015-01-01

From atop the Canadian Museum for Human Rights (CMHR), juts the Tower of Hope, a 23-story illuminated glass architectural feature meant to symbolize "the goal of the human-rights journey," namely, "hope for a changed world." The prominence of hope as an ideal is literally set in stone at the CMHR. Hope for the museum itself is…

Hope Lives in the Heart: Refugee and Immigrant Children's Perceptions of Hope and Hope-Engendering Sources during Early Years of Adjustment

ERIC Educational Resources Information Center

Yohani, Sophie C.; Larsen, Denise J.

2009-01-01

Children's adjustment to resettlement countries is vitally important to future outcomes, yet little attention is given to the role of hope in this process. This research focused on expressions of hope in 10 refugee and immigrant children during early years of resettlement. Using case study methods that employed arts-based data collection,…

Hope and Climate Change: The Importance of Hope for Environmental Engagement among Young People

ERIC Educational Resources Information Center

Ojala, Maria

2012-01-01

Although many young people think climate change is an important societal issue, studies indicate that pessimism is quite common. Finding ways to instill hope could therefore be seen as vital. However, is hope positively related to engagement or is it only a sign of illusory optimism? The aim of the study was to explore if hope concerning climate…

Hope and hopelessness as predictors of suicide ideation in Hungarian college students.

PubMed

Chang, Edward C

2017-08-01

This study investigated whether hopelessness and dispositional hope predict suicide ideation in 395 Hungarian college students. Both hopelessness and hope uniquely predicted suicide ideation, a pattern that remained unchanged even after controlling for psychological symptoms. Moreover, a significant Hopelessness × Hope interaction predicted suicide ideation. Present findings highlight how hope buffers the association between hopelessness and suicide risk in college students.

The Relationship Between Hope and Religious Coping Among Patients With Type 2 Diabetes.

PubMed

Shamsalinia, Abbas; Pourghaznein, Tayebe; Parsa, Marzie

2015-05-21

Globally, diabetes is one of the most common non-contagious diseases resulting in severe complications. Fostered hope facilitates coping and improves self-care and one of the Factors affecting hope is religious beliefs. This research investigated the level of hope and its relationship with religious coping among Type 2 diabetes patients. This correlation, cross-sectional study was conducted on 150 patients with Type 2 diabetes, who had been referred to the Karaj Diabetes Association during the period, March-June 2011, and selected through purposive sampling. A three-part questionnaire including demographic data, the Herth Hope Index, and a short form of religious coping, was used for data collection. The data were analyzed using descriptive and analytic statistics, including Pearson's correlation coefficient, the t-test, a one-way ANOVA, and a multiple regression analysis. The set significance level was p<0.05. The mean hope score was 34.89 (SD±8.75); most of the subjects (46.7%) showed high levels of hope. Positive religious coping, marital status, and social support significantly affected hope fostering(r=0.897, p =0.000). A significant negative relationship was found between hope and age (r=-0.373, p=0.000), and between hope and negative religious coping (r=-0.749, p=0.000). Positive religious coping, married life, and social support significantly affected the development of hope. Moreover, there was a significant positive relationship between positive religious coping and social support. So, strengthening social support could lead to increased levels of positive religious coping and fostering of hope.

Keeping hope possible: a grounded theory study of the hope experience of parental caregivers who have children in treatment for cancer.

PubMed

Bally, Jill M G; Duggleby, Wendy; Holtslander, Lorraine; Mpofu, Christopher; Spurr, Shelley; Thomas, Roanne; Wright, Karen

2014-01-01

Hope has been found to support parents as they care for their child with a life-limiting or life-threatening illness. However, very little research focuses on the nursing care of parents of pediatric oncology patients, and therefore, nurses may have difficulty in understanding and supporting parental well-being. The purpose of this qualitative study was to gain an understanding of the experience of hope for parents who care for their child in treatment for cancer. Using purposive theoretical sampling, 16 parents participated in this study. Thirty-three open-ended, face-to-face interviews were conducted, and 14 parent journals were collected. Analysis of the data was conducted using Charmaz's constructivist grounded theory approach. A developing, substantive grounded theory was constructed. Parental hope was described as an essential, powerful, deliberate, life-sustaining, dynamic, cyclical process that was anchored in time; was calming and strengthening; and provided inner guidance through the challenging experience of preparing for the worst and hoping for the best. Parents' main concern was "fearing the loss of hope," which was ameliorated by the basic social process of "keeping hope possible" through accepting reality, establishing control, restructuring hope, and purposive positive thinking. Parents journeyed through numerous transitions related to the treatment of cancer that caused feelings of uncertainty, anxiety, stress, and loss of control. Hope was identified as vital to parents. To minimize these adverse experiences, nurses can support parents' ability to keep hope possible and thus to optimize their well-being by understanding, assessing, and supporting parental hope.

The tenacity and tenuousness of hope: parental experiences of hope when their child has a poor cancer prognosis.

PubMed

Barrera, Maru; Granek, Leeat; Shaheed, Jenny; Nicholas, David; Beaune, Laura; D'Agostino, Norma M; Bouffet, Eric; Antle, Beverly

2013-01-01

The meaning and role of hope in parents of children with life-threatening illnesses remain relatively unstudied. The objectives of this study were to explore parental hope when a child is being treated for a malignancy resistant to treatment and to identify facilitators and barriers to maintaining hope in this context. Thirty-five parents of children with difficult-to-treat cancer were interviewed 3 months after diagnosis. Line-by-line coding of transcripts was used to establish categories and themes. Constant comparison was used to examine relationships within and across codes and categories. Parental hope was related to the child's cure and future. The concept, however, oscillated between being tenacious and robust, and tenuous and elusive, depending on how the child was responding to treatment and the psychosocial context. Focusing on positive outcomes and experiences, spirituality, and social support facilitated being hopeful. Awareness of negative outcomes, information overload, physical and emotional depletion, and fear and uncertainty challenged parental hope. Developing a model that identifies the nature of parental hope as well as barriers and facilitators to maintaining hope shortly after childhood cancer diagnosis may assist healthcare professionals in supporting parents. Understanding parental hope may assist healthcare professionals to avoid overloading parents with too much information at once. Healthcare professionals can also ensure that social support from family, community, and the medical center is available for parents and that their physical and emotional needs are being met to ensure that they maintain hope to best care for their child with cancer.

Ultimate journey of the terminally ill

PubMed Central

Daneault, Serge; Lussier, Véronique; Mongeau, Suzanne; Yelle, Louise; Côté, Andréanne; Sicotte, Claude; Paillé, Pierre; Dion, Dominique; Coulombe, Manon

2016-01-01

Objective To better understand the role of hope among terminally ill cancer patients. Design Qualitative analysis. Setting A tertiary specialized cancer centre in Canada. Participants Cancer patients in palliative care with an estimated remaining life expectancy of 12 months or less (N = 12) and their loved ones (N = 12) and treating physicians (N = 12). Methods Each patient underwent up to 3 interviews and identified a loved one who participated in 1 interview. Treating physicians were also interviewed. All interviews were fully transcribed and analyzed by at least 2 investigators. Interviews were collected until saturation occurred. Main findings Seven attributes describe the experiences of palliative cancer patients and their caregivers: hope as an irrational phenomenon that is a deeply rooted, affect-based response to adversity; initial hope for miraculous healing; hope as a phenomenon that changes over time, evolving in different ways depending on circumstances; hope for prolonged life when there is no further hope for cure; hope for a good quality of life when the possibility of prolonging life becomes limited; a lack of hope for some when treatments are no longer effective in curbing illness progression; and for others hope as enjoying the present moment and preparing for the end of life. Conclusion Approaches aimed at sustaining hope need to reflect that patients’ reactions might fluctuate between despair and a form of acceptance that leads to a certain serenity. Clinicians need to maintain some degree of hope while remaining as realistic as possible. The findings also raise questions about how hope influences patients’ perceptions and acceptance of their treatments. PMID:27521394

Characterization of Turbulent Processes by the Raman Lidar System Basil in the Frame of the HD(CP)2 Observational Prototype Experiment - Hope

NASA Astrophysics Data System (ADS)

Di Girolamo, Paolo; Summa, Donato; Stelitano, Dario; Cacciani, Marco; Scoccione, Andrea; Behrendt, Andreas; Wulfmeyer, Volker

2016-06-01

Measurements carried out by the Raman lidar system BASIL are reported to demonstrate the capability of this instrument to characterize turbulent processes within the Convective Boundary Layer (CBL). In order to resolve the vertical profiles of turbulent variables, high resolution water vapour and temperature measurements, with a temporal resolution of 10 sec and a vertical resolution of 90 and 210 m, respectively, are considered. Measurements of higher-order moments of the turbulent fluctuations of water vapour mixing ratio and temperature are obtained based on the application of spectral and auto-covariance analyses to the water vapour mixing ratio and temperature time series. The algorithms are applied to a case study (IOP 5, 20 April 2013) from the HD(CP)2 Observational Prototype Experiment (HOPE), held in Central Germany in the spring 2013. The noise errors are demonstrated to be small enough to allow the derivation of up to fourth-order moments for both water vapour mixing ratio and temperature fluctuations with sufficient accuracy.

Hope and Mental Health in Young Adult College Students: An Integrative Review.

PubMed

Griggs, Stephanie

2017-02-01

One in five young adults are diagnosed with a mental illness and many experience psychological distress during their first year of college due to new pressures in academia. The purpose of the current integrative review was to describe and synthesize hope and mental health in young adults in college. PubMed, CINAHL, and PsycINFO were searched for articles published in peer-reviewed journals from 2011-2016. Twenty empirical works were selected for inclusion and five themes emerged: (a) Hope is Associated With Improved Coping, (b) Hope is Associated With Improved Well-Being, (c) Hope is a Moderator Between Depression and Negative Life Events, (d) Hope is a Protective Factor in Suicide, and (e) Hope is a Factor in Healthy Behavior Engagement. Hope may be a protective factor in suicide and negative, self-deprecatory thinking. Further research is needed to determine if increasing hope in young adult college students will decrease the risk of suicide and non-suicidal self-injury, increase healthy behavior engagement, and improve coping and well-being. [Journal of Psychosocial Nursing and Mental Health Services, 55(2), 28-35.]. Copyright 2017, SLACK Incorporated.

Ways of Hoping: Navigating the paradox of hope and despair in chronic pain

PubMed Central

Eaves, Emery R.; Nichter, Mark; Ritenbaugh, Cheryl

2015-01-01

In this paper, we explore hope in the context of living with chronic pain. Individuals with chronic pain from temporomandibular disorder(s) (TMD) were interviewed four to five times over the course of their 18-month participation in a clinical trial investigating the effectiveness of Traditional Chinese Medicine. We sought to understand shifts in participants’ descriptions of expectations and hopefulness, particularly with regard to the work involved in counterbalancing positive thinking with buffers against disappointment. We found hope to be a dynamic and multifaceted mindset as distinct from being a single entity to be measured. Drawing upon Polanyi’s concept of tacit knowing, we explore how different ways of hoping emerge and index one another in participant narratives. We offer a working typology of hope and raise as an issue the manner in which the paradox of hope—hoping enough to carry on while keeping hopes in check to avoid the ever-present possibility of despair—complicates simplistic notions of the relationship between positive thinking and the placebo response. PMID:26194780

[Application of spaced retrieval training on patients with dementia].

PubMed

Wu, Hua-Shan; Lin, Li-Chan

2012-10-01

Dementia causes semantic and episodic memory impairments that limit patients' activities of daily living (ADL) and increase caregiver burden. Spaced retrieval training uses repetitive retrieval to strengthen cognitive and motor skills intuitively in mild / moderate dementia patients who retain preserved implicit / non-declarative memory. This article describes and discusses the operative mechanism, influencing variables, and practical applications of spaced retrieval training. We hope this article increases professional understanding and application of this training approach to improve dementia patient ADL and improve quality of life for both caregivers and patients.

Avoidance of criminality in abused and neglected children.

PubMed

Widom, C S

1991-05-01

This paper compares previously abused and neglected children who have avoided official records of delinquency and adult criminality with those who have not. The goal of this analysis is to uncover potential mediating variables that may act to buffer or protect maltreated children from later delinquency and criminality. It is hoped that this analysis will provoke others to consider the "invulnerable" among the abused and neglected so that we might ultimately learn what works to protect them. In terms of "competence" as an outcome, these findings must be treated as preliminary.

Structural, magnetic and magnetocaloric properties of Co-doped nanocrystalline La0.7Te0.3Mn0.7Co0.3O3

NASA Astrophysics Data System (ADS)

Meenakshi; Kumar, Amit; Mahato, Rabindra Nath

2018-02-01

Structural, magnetic and magnetocaloric properties of the nanocrystalline La0.7Te0.3Mn0.7Co0.3O3 perovskite manganite were investigated. X-ray diffraction pattern indicated that the nanocrystalline sample crystallized in orthorhombic crystal structure with Pbnm space group. The average particle size was calculated using scanning electron microscope and it was found to be ∼150 nm. Temperature dependence magnetization measurements revealed ferromagnetic-paramagnetic phase transition and the Curie temperature (TC) was found to be ∼201 K. Field dependence magnetization showed the hysteresis at low temperature with a coercive field of ∼0.34 T and linear dependence at high temperature corresponds to paramagnetic region. Based on the magnetic field dependence magnetization data, the maximum entropy change and relative cooling power (RCP) were estimated and the values were 1.002 J kg-1 K-1 and 90 J kg-1 for a field change of 5 T respectively. Temperature dependent resistivity ρ(T) data exhibited semiconducting-like behavior at high temperature and the electrical transport was well explained by Mott's variable-range hopping (VRH) conduction mechanism in the temperature range of 250 K-300 K. Using the VRH fit, the calculated hoping distance (Rh) at 300 K was 54.4 Å and density of states N(EF) at room temperature was 7.04 × 1018 eV-1 cm-3. These values were comparable to other semiconducting oxides.

Highly concentrated nebular noble gases in porous nanocarbon separates from the Saratov (L4) meteorite

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

Amari, Sachiko; Matsuda, Jun-ichi; Stroud, Rhonda M.

2013-11-20

The majority of heavy noble gases (Ar, Kr, and Xe) in primitive meteorites are stored in a poorly understood phase called Q. Although Q is thought to be carbonaceous, the full identity of the phase has remained elusive for almost four decades. In order to better characterize phase Q and, in turn, the early solar nebula, we separated carbon-rich fractions from the Saratov (L4) meteorite. We chose this meteorite because Q is most resistant in thermal alteration among carbonaceous noble gas carriers in meteorites and we hoped that, in this highly metamorphosed meteorite, Q would be present but not diamond:more » these two phases are very difficult to separate from each other. One of the fractions, AJ, has the highest {sup 132}Xe concentration of 2.1 × 10{sup –6} cm{sup 3} STP g{sup –1}, exceeding any Q-rich fractions that have yet been analyzed. Transmission electron microscopy studies of the fraction AJ and a less Q-rich fraction AI indicate that they both are primarily porous carbon that consists of domains with short-range graphene orders, with variable packing in three dimensions, but no long-range graphitic order. The relative abundance of Xe and C atoms (6:10{sup 9}) in the separates indicates that individual noble gas atoms are associated with only a minor component of the porous carbon, possibly one or more specific arrangements of the nanoparticulate graphene.« less

Investigations of the Mars Upper Atmosphere with ExoMars Trace Gas Orbiter

NASA Astrophysics Data System (ADS)

López-Valverde, Miguel A.; Gerard, Jean-Claude; González-Galindo, Francisco; Vandaele, Ann-Carine; Thomas, Ian; Korablev, Oleg; Ignatiev, Nikolai; Fedorova, Anna; Montmessin, Franck; Määttänen, Anni; Guilbon, Sabrina; Lefevre, Franck; Patel, Manish R.; Jiménez-Monferrer, Sergio; García-Comas, Maya; Cardesin, Alejandro; Wilson, Colin F.; Clancy, R. T.; Kleinböhl, Armin; McCleese, Daniel J.; Kass, David M.; Schneider, Nick M.; Chaffin, Michael S.; López-Moreno, José Juan; Rodríguez, Julio

2018-02-01

The Martian mesosphere and thermosphere, the region above about 60 km, is not the primary target of the ExoMars 2016 mission but its Trace Gas Orbiter (TGO) can explore it and address many interesting issues, either in-situ during the aerobraking period or remotely during the regular mission. In the aerobraking phase TGO peeks into thermospheric densities and temperatures, in a broad range of latitudes and during a long continuous period. TGO carries two instruments designed for the detection of trace species, NOMAD and ACS, which will use the solar occultation technique. Their regular sounding at the terminator up to very high altitudes in many different molecular bands will represent the first time that an extensive and precise dataset of densities and hopefully temperatures are obtained at those altitudes and local times on Mars. But there are additional capabilities in TGO for studying the upper atmosphere of Mars, and we review them briefly. Our simulations suggest that airglow emissions from the UV to the IR might be observed outside the terminator. If eventually confirmed from orbit, they would supply new information about atmospheric dynamics and variability. However, their optimal exploitation requires a special spacecraft pointing, currently not considered in the regular operations but feasible in our opinion. We discuss the synergy between the TGO instruments, specially the wide spectral range achieved by combining them. We also encourage coordinated operations with other Mars-observing missions capable of supplying simultaneous measurements of its upper atmosphere.

Building and Sustaining Hope. A Response to "Meaningful Hope for Teachers in a Time of High Anxiety and Low Morale"

ERIC Educational Resources Information Center

Hytten, Kathy

2011-01-01

In this essay, I respond to Carrie Nolan and Sarah M. Stitzlein's article "Meaningful Hope for Teachers in a Time of High Anxiety and Low Morale" and support their argument for meaningful hope grounded in pragmatist philosophy. I agree that while hope is routinely called for in the educational literature, it is often done so in superficial and…

In psoriasis, levels of hope and quality of life are linked.

PubMed

Hawro, Tomasz; Maurer, Marcus; Hawro, Marlena; Kaszuba, Andrzej; Cierpiałkowska, Lidia; Królikowska, Monika; Zalewska, Anna

2014-09-01

Psychological resources such as hope have been suggested to positively influence quality of life (QoL) in chronic disorders. Here, we determined hope levels of psoriasis vulgaris in-patients and analyzed their relation to QoL. A total of 60 (29 male) patients were assessed for their QoL with a generic tool (WHOQOL-BREF) and a skin disease-specific instrument, the Dermatology Life Quality Index (DLQI). Hope levels were determined by use of the Basic Hope Inventory. We found a positive correlation between hope and all domains of WHOQOL-BREF (physical: r = 0.446, p = 0.000; psychological r = 0.464, p = 0.000; social r = 0.302, p = 0.019; environmental r = 0.480, p = 0000; and global r = 0.501, p = 0.000) and a negative correlation with DLQI (r = -0.281, p = 0.030) indicating higher QoL in patients with high hope. Hope was not correlated with disease severity or duration. Hope may play a substantial role in preventing QoL impairment in psoriasis. Psychotherapeutic interventions aimed at strengthening hope could improve QoL in this condition.

Nurse-patient interaction: a resource for hope in cognitively intact nursing home patients.

PubMed

Haugan, Gørill; Moksnes, Unni Karin; Espnes, Geir Arild

2013-09-01

Nursing home care increasingly targets those elderly with the greatest needs in terms of personal daily activities, whereas services supporting spiritual needs such as hope tend to be ignored. Hope is seen to be a dynamic life force vital to well-being. Nursing home patients are frail, vulnerable, and dependent, which may lead to their hope being intimately related to the nurse-patient interaction. The purpose of this study was to investigate the relationship between nurse-patient interaction and hope among cognitively intact nursing home patients. Cross-sectional data were obtained by means of one-on-one interviews; 202 cognitively intact nursinghome patients representing 44 Norwegian nursing homes responded to the Herth Hope Index and the Nurse-Patient Interaction Scale. The hypothesized relationships between a two-factor construct of hope and nurse-patient interaction were assessed by means of structural equation modelling. The structural equation model revealed a good fit to the data, showing significant influence of nurse-patient interaction on nursing home patients' level of hope. Nurse-patient interaction significantly influences hope in cognitively intact nursing home patients. Offering connectedness should be a central and integral aspect of holistic nursing home care. Providing continuing educational programs for caregivers focusing on how to interact with patients in a health-promoting and hopeful manner seems essential.

Hope Modified the Association between Distress and Incidence of Self-Perceived Medical Errors among Practicing Physicians: Prospective Cohort Study

PubMed Central

Hayashino, Yasuaki; Utsugi-Ozaki, Makiko; Feldman, Mitchell D.; Fukuhara, Shunichi

2012-01-01

The presence of hope has been found to influence an individual's ability to cope with stressful situations. The objective of this study is to evaluate the relationship between medical errors, hope and burnout among practicing physicians using validated metrics. Prospective cohort study was conducted among hospital based physicians practicing in Japan (N = 836). Measures included the validated Burnout Scale, self-assessment of medical errors and Herth Hope Index (HHI). The main outcome measure was the frequency of self-perceived medical errors, and Poisson regression analysis was used to evaluate the association between hope and medical error. A total of 361 errors were reported in 836 physician-years. We observed a significant association between hope and self-report of medical errors. Compared with the lowest tertile category of HHI, incidence rate ratios (IRRs) of self-perceived medical errors of physicians in the highest category were 0.44 (95%CI, 0.34 to 0.58) and 0.54 (95%CI, 0.42 to 0.70) respectively, for the 2nd and 3rd tertile. In stratified analysis by hope score, among physicians with a low hope score, those who experienced higher burnout reported higher incidence of errors; physicians with high hope scores did not report high incidences of errors, even if they experienced high burnout. Self-perceived medical errors showed a strong association with physicians' hope, and hope modified the association between physicians' burnout and self-perceived medical errors. PMID:22530055

Resilience and Associated Factors among Mainland Chinese Women Newly Diagnosed with Breast Cancer.

PubMed

Wu, Zijing; Liu, Ye; Li, Xuelian; Li, Xiaohan

2016-01-01

Resilience is the individual's ability to bounce back from trauma. It has been studied for some time in the U.S., but few studies in China have addressed this important construct. In mainland China, relatively little is known about the resilience of patients in clinical settings, especially among patients with breast cancer. In this study, we aimed to evaluate the level of resilience and identify predictors of resilience among mainland Chinese women newly diagnosed with breast cancer. A cross-sectional descriptive study was conducted with 213 mainland Chinese women newly diagnosed with breast cancer between November 2014 and June 2015. Participants were assessed with the Connor-Davidson Resilience Scale (CD-RISC), Social Support Rating Scale (SSRS), Medical Coping Modes Questionnaire (MCMQ, including 3 subscales: confrontation, avoidance, and acceptance-resignation), Herth Hope Index (HHI), and demographic and disease-related information. Descriptive statistics, bivariate analyses and multiple stepwise regression were conducted to explore predictors for resilience. The average score for CD-RISC was 60.97, ranging from 37 to 69. Resilience was positively associated with educational level, family income, time span after diagnosis, social support, confrontation, avoidance, and hope. However, resilience was negatively associated with age, body mass index (BMI), and acceptance-resignation. Multiple stepwise regression analysis indicated that hope (β = 0.343, P<0.001), educational level of junior college or above (β = 0.272, P<0.001), educational level of high school (β = 0.235, P<0.001), avoidance (β = 0.220, P<0.001), confrontation (β = 0.187, P = 0.001), and age (β = -0.108, P = 0.037) significantly affected resilience and explained 50.1% of the total variance in resilience. Women with newly diagnosed breast cancer from mainland China demonstrated particularly low resilience level, which was predicted by hope educational level, avoidance, confrontation, and age.

Internalized stigma and its psychosocial correlates in Korean patients with serious mental illness.

PubMed

Kim, Woo Jung; Song, Youn Joo; Ryu, Hyun-Sook; Ryu, Vin; Kim, Jae Min; Ha, Ra Yeon; Lee, Su Jin; Namkoong, Kee; Ha, Kyooseob; Cho, Hyun-Sang

2015-02-28

We aimed to examine internalized stigma of patients with mental illness in Korea and identify the contributing factors to internalized stigma among socio-demographic, clinical, and psychosocial variables using a cross-sectional study design. A total of 160 patients were recruited from a university mental hospital. We collected socio-demographic data, clinical variables and administered self-report scales to measure internalized stigma and levels of self-esteem, hopelessness, social support, and social conflict. Internalized stigma was identified in 8.1% of patients in our sample. High internalized stigma was independently predicted by low self-esteem, high hopelessness, and high social conflict among the psychosocial variables. Our finding suggests that simple psychoeducation only for insight gaining cannot improve internalized stigma. To manage internalized stigma in mentally ill patients, it is needed to promote hope and self-esteem. We also suggest that a relevant psychosocial intervention, such as developing coping skills for social conflict with family, can help patients overcome their internalized stigma. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Rural Education: A Hope for the Future. Proceedings of the Annual Rural and Small Schools Conference (9th, Manhattan, Kansas, October 26-27, 1987).

ERIC Educational Resources Information Center

Parmley, Fran, Ed.

This collection of conference papers covers various aspects of rural education in changing times. The conference focused on changes and innovations in rural education and on reasons why rural educators can be optimistic. The proceedings report includes brief papers and workshop summaries on topics ranging from rural public relations to…

Perceptions and Effects of Classroom Capture Software on Course Performance among Selected Online Community College Mathematics Students

ERIC Educational Resources Information Center

Smith, Rachel Naomi

2017-01-01

The purpose of this mixed methods research study was two-fold. First, I compared the findings of the success rates of online mathematics students with the perceived effects of classroom capture software in hopes to find convergence. Second, I used multiple methods in different phases of the study to expand the breadth and range of the effects of…

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

Norman, Eric B.

In this paper, I illustrate how the ability to rapidly access the broad range of nuclear data has facilitated my research in fields from searches for double beta decay, to measurements of astrophysical reaction rates, to issues in homeland security. In doing this, I hope to persuade even the skeptics that for the benefit of the broad scientific community, it is imperative that the outstanding work of the nuclear data community continue.

Implementing Comprehensive Reform of Introductory Physics at a Primarily Undergraduate Institution: A Longitudinal Case Study

ERIC Educational Resources Information Center

Rogers, Michael; Keller, Luke D .; Price, Matthew F.; Crouse, Andrew

2015-01-01

Education research provides a range of curricular reform options that can lead to improved student course outcomes. These options can appear easy to implement with the hope of immediate increases in student learning. In 2006 the Ithaca College Physics Department went down this path by moving all of their 100-level courses out of lecture halls and…

Hope and connection: the experience of family caregivers of persons with dementia living in a long term care facility

PubMed Central

2013-01-01

Background Hope is a psychosocial resource that is essential for the psychological, spiritual, and physical well-being of family members caring for persons with dementia. A significant positive relationship has been found between hope and well-being in family caregivers of persons with dementia living in the community. However, the hope experience of family caregivers of persons living with dementia in long-term care (LTC) facilities has not been explored. The purpose of this study was to explore the hope experience of family caregivers of persons with dementia living in a LTC facility. Methods Twenty-three open-ended face to face interviews were conducted with 13 family caregivers of residents with dementia in a LTC facility. Family was broadly defined to include relatives and friends. Seven of these participants also reflected on their hope in diaries over a two week period. Interview transcripts and journal texts were analyzed using Thorne’s interpretive description approach. Results The over-arching theme was “hope and connection”. Participants lost hope and felt despair when they perceived they were unable to connect with their family member in the LTC facility. They regained their hope when a connection could be made. Several sub-themes were identified including: accepting where we are, living life in the moment, believing in something, standing together, and balancing dual worlds. Conclusions Hope was important and essential for family caregivers of persons with dementia residing in a LTC facility. The overarching theme of “hope and connection” underscores the importance of maintaining relationships and connection between family members and the person in LTC. Given the paucity of hope research conducted within this population, the study findings provide a foundation for future research. PMID:24138640

Relationship between gestational fasting plasma glucose and neonatal birth weight, prenatal blood pressure and dystocia in pregnant Chinese women.

PubMed

Zhu, Min; Cai, Jing; Liu, Shujuan; Huang, Mingwei; Chen, Yao; Lai, Xiaolan; Chen, Yuyu; Zhao, Zhongwen; Wu, Fangzhen; Wu, Dongmei; Miu, Haiyan; Lai, Shenghan; Chen, Gang

2014-09-01

Little is known about the optimal cut-off point of fasting plasma glucose for the diagnosis of gestational diabetes mellitus for pregnant Chinese women. This study investigates the relationship between gestational fasting plasma glucose and several variables: neonatal birth weight, prenatal blood pressure and dystocia rate of pregnant women. In this study, we hoped to provide a useful tool to screen gestational diabetes mellitus in pregnant Chinese women. For 1058 pregnant women enrolled in our hospital at pregnancy weeks 22-30, fasting plasma glucose, neonatal birth weight and prenatal blood pressure, as well as dystocia conditions, were examined. We analysed the correlations between the following: gestational fasting plasma glucose and neonatal birth weight; prenatal blood pressure and gestational fasting plasma glucose as well as dystocia rate and gestational fasting plasma glucose group. A modest correlation was observed between gestational fasting plasma glucose and neonatal birth weight (r = 0.093, p = 0.003). The macrosomia rate was smallest when the gestational fasting plasma glucose was in the range 3.51-5.5 mmol/L. Prenatal blood pressure increased linearly with increasing gestational fasting plasma glucose (p = 0.000). There was a significant difference between the dystocia rates in different fasting plasma glucose groups (chi-squared = 13.015, p = 0.043). The results showed that the dystocia rate significantly increased when gestational fasting plasma glucose was >4.9 mmol/L; p = 0.03, OR = 2.156 (95% CI, 1.077-4.318). We suggest that the optimal range of gestational fasting plasma glucose for pregnant Chinese women is in the range 3.5-4.9 mmol/L. Copyright © 2014 John Wiley & Sons, Ltd.

Hope in severe disease: a review of the literature on the construct and the tools for assessing hope in the psycho-oncologic setting.

PubMed

Piccinelli, Claudia; Clerici, Carlo Alfredo; Veneroni, Laura; Ferrari, Andrea; Proserpio, Tullio

2015-01-01

Research on the topic of hope began a long time ago but, more recently, interest in this construct has focused mainly on the development of psychometric tools for its assessment. The 2 steps of the present article are defining the construct of hope by completing a preliminary review of the literature and analyzing the tools used to assess hope in the setting of oncologic medicine, conducting a systematic review of the existing scientific literature. Our study was conducted in 2 stages. The first stage involved a nonsystematic preliminary review of the literature, the second a systematic search in all the medical journals contained in the Medline database as of 2012. The literature identified at the first stage was divided according to several topical categories, i.e., theoretical, empirical, and clinical works on the construct of hope. In the second systematic search, we identified the main psychometric tools used to measure hope in the field of clinical oncology and assessed their validity. A total of 22 articles were identified. What emerged when we pooled the findings of our 2 lines of research was that, despite its broad theoretical definitions, the construct of hope can be broken down to a few constituent elements when hope is studied using currently available psychometric tools. In particular, these identified constituent elements were coping, spiritual well-being, quality of life, distress, and depression. The factors contained in the construct of hope include temporality, future, expectancy, motivation, and interconnectedness. The review of the scientific literature does not reveal a clear definition of hope. Multidisciplinary studies are needed to communicate different perspectives (medical, psychological, spiritual, theological) among each other for better definition of the constituent elements of hope in order to support the hope with specific interventions.

Hope as a Predictor of Interpersonal Suicide Risk

ERIC Educational Resources Information Center

Davidson, Collin L.; Wingate, LaRicka R.; Rasmussen, Kathy A.; Slish, Meredith L.

2009-01-01

The current study hypothesized that (1) hope would negatively predict burdensomeness, thwarted belongingness, and acquired capability to enact lethal injury; (2) hope would negatively predict suicidal ideation; and (3) the interpersonal suicide risk factors would predict suicidal ideation. Results indicated that hope negatively predicted…

Meta-Analyses of Predictors of Hope in Adolescents.

PubMed

Yarcheski, Adela; Mahon, Noreen E

2016-03-01

The purposes of this study were to identify predictors of hope in the literature reviewed, to use meta-analysis to determine the mean effect size (ES) across studies between each predictor and hope, and to examine four moderators on each predictor-hope relationship. Using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines for the literature reviewed, 77 published studies or doctoral dissertations completed between 1990 and 2012 met the inclusion criteria. Eleven predictors of hope were identified and each predictor in relation to hope was subjected to meta-analysis. Five predictors (positive affect, life satisfaction, optimism, self-esteem, and social support) of hope had large mean ESs, 1 predictor (depression) had a medium ES, 4 predictors (negative affect, stress, academic achievement, and violence) had small ESs, and 1 predictor (gender) had a trivial ES. Findings are interpreted for the 11 predictors in relation to hope. Limitations and conclusions are addressed; future studies are recommended. © The Author(s) 2014.

Simplified management of ATM traffic

NASA Astrophysics Data System (ADS)

Luoma, Marko; Ilvesmaeki, Mika

1997-10-01

ATM has been under a thorough standardization process for more than ten years. Looking at it now, what have we achieved during this time period? Originally ATM was meant to be an easy and efficient protocol enabling varying services over a single network. What it is turning to be it `yet another ISDN'--network full of hopes and promises but too difficult to implement and expensive to market. The fact is that more and more `nice features' are implemented on the cost of overloading network with hard management procedures. Therefore we need to adopt a new approach. This approach keeps a strong reminder on `what is necessary.' This paper presents starting points for an alternative approach to the traffic management. We refer to this approach as `the minimum management principle.' Choosing of the suitable service classes for the ATM network is made difficult by the fact that the more services one implements the more management he needs. This is especially true for the variable bit rate connections that are usually treated based on the stochastic models. Stochastic model, at its best, can only reveal momentary characteristics in the traffic stream not the long range behavior of it. Our assumption is that ATM will move towards Internet in the sense that strict values for quality make little or no sense in the future. Therefore stochastic modeling of variable bit rate connections seems to be useless. Nevertheless we see that some traffic needs to have strict guarantees and that the only economic way of doing so is to use PCR allocation.

In search of the good old life: Ontological breakdown and responsive hope at the margins of life.

PubMed

Grøn, Lone; Mattingly, Cheryl

2018-01-01

What might the good life amount to at the margins of life? Taking our point of departure in Jonathan Lear's notions of ontological breakdown and radical hope as well as the phenomenology of lived time, we explore hope within the institutional aging process in Denmark. Drawing on two ethnographic cases, Vagn and Thea, we propose a phenomenological and responsive hope emerging within complex temporalities. This is a relational hope to be included among the living, to be a human being among others. Importantly, it is neither optimistic nor naive but rather hope practiced in the face of devastating life circumstances.

Holding on to hope: A review of the literature exploring missing persons, hope and ambiguous loss.

PubMed

Wayland, Sarah; Maple, Myfanwy; McKay, Kathy; Glassock, Geoffrey

2016-01-01

When a person goes missing, those left behind mourn an ambiguous loss where grief can be disenfranchised. Different to bereavement following death, hope figures into this experience as a missing person has the potential to return. This review explores hope for families of missing people. Lived experience of ambiguous loss was deconstructed to reveal responses punctuated by hope, which had practical and psychological implications for those learning to live with an unresolved absence. Future lines of enquiry must address the dearth of research exploring the role of hope, unresolved grief, and its clinical implications when a person is missing.

Hope and fatigue in chronic illness: The role of perceived stress.

PubMed

Hirsch, Jameson K; Sirois, Fuschia M

2016-04-01

Fatigue is a debilitating symptom of chronic illness that is deleteriously affected by perceived stress, a process particularly relevant to inflammatory disease. Hopefulness, a goal-based motivational construct, may beneficially influence stress and fatigue, yet little research has examined these associations. We assessed the relation between hope and fatigue, and the mediating effect of stress, in individuals with fibromyalgia, arthritis, and inflammatory bowel disease. Covarying age, sex, and pain, stress partially mediated the association between hope and fatigue; those with greater hope reported less stress and consequent fatigue. Therapeutically, bolstering hope may allow proactive management of stressors, resulting in less fatigue. © The Author(s) 2014.

Hope as seen through the eyes of homeless children.

PubMed

Herth, K

1998-11-01

Children now constitute the largest segment of the homeless population. Multiple studies have identified the adverse effects of homelessness on children's health, development, academic success, and behaviour. Minimal literature exists that describes homeless children from the perspective of their strengths. The purpose of this study was to investigate the meaning of hope in homeless children and to identify strategies that children use in fostering and maintaining their hope. Using the technique of methodological triangulation (semi-structured interviews and drawings) the investigator collected data on a convenience sample of 60 homeless children (6 to 16 years old) currently residing in homeless shelters. Transcriptions of the audio-taped interviews were analysed following Colaizzi's method of analysis. Transcript statements were compared with the drawings. Five themes representing hope emerged from the data: connectedness, internal resources, cognitive strategies, energy, and hope objects. School age children drew story book tale characters, pre-adolescents drew real life situations, and adolescents drew future plans to represent their hopes. An understanding of hope from the perspective of homeless children could provide a basis upon which to develop interventions that engender hope and to develop programmes that build on the hopes that children had already developed.

Reasons for living and hope as the protective factors against suicidality in Chinese patients with depression: a cross sectional study.

PubMed

Luo, Xingwei; Wang, Qin; Wang, Xiang; Cai, Taisheng

2016-07-20

The risk factors of suicidal ideation and attempts have been discussed in many researches. Few studies have examined reasons for living and hope as protective factors against suicide in a clinical population. It is unclear if these factors help to reduce suicide rates in patients with depression. The study aimed to assess the role of reasons for living and hope in the identification and reduction of suicidality and explore the influence of reasons for living or hope in the transition from suicidal ideation to suicide attempts. Patients with depression (N = 115) completed the Beck Depression Inventory, Reasons for Living Inventory, and Adult Suicidal Ideation Questionnaire. There were significant correlations among depression, hope, total reasons for living, and suicidal ideation and attempts. Further, after controlling for depression, reasons for living and hope had significant main effects on suicidal ideation. Hope also had a significant predictive effect in the transition of suicidal ideation to suicide attempt. We concluded that reasons for living and hope may protect against suicidal ideation and attempts in patients with depression. Especially hope could reduce the possibility of suicide attempt.

Are belongingness and hope essential features of academic enhancement groups? A psychosociocultural perspective.

PubMed

Kivlighan, D Martin; Abbas, Maleeha; Gloria, Alberta M; Aguinaga, Arellys; Frank, Christina; Frost, Nick D

2018-03-01

Despite evidence of the effectiveness of postsecondary academic enhancement interventions, presently there is a paucity of research examining the effective processes of such programs. Informed by the psychosociocultural model, this study tested the relationship between the growth in hope and belongingness, as well as academic achievement for undergraduates on academic probation participating in academic enhancement groups. Longitudinal ratings of hope and belongingness from 167 undergraduates enrolled in 22 academic enhancement groups were modeled as predictors of changes in their grade-point average (GPA). Results indicated that the growth in students' hope and belongingness were significantly associated with changes in their GPA. Additionally, gender significantly moderated the relationship between hope and academic achievement, such that women who had small or large increases in their hope during the intervention and men who had large increases in hope during the intervention had significant and large improvements in their GPAs; men who had small increases in hope during the intervention had significant but small improvements in their GPAs. Our findings suggest the importance of group processes of belongingness and hope for academic enhancement groups. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Clinical Trials With Large Numbers of Variables: Important Advantages of Canonical Analysis.

PubMed

Cleophas, Ton J

2016-01-01

Canonical analysis assesses the combined effects of a set of predictor variables on a set of outcome variables, but it is little used in clinical trials despite the omnipresence of multiple variables. The aim of this study was to assess the performance of canonical analysis as compared with traditional multivariate methods using multivariate analysis of covariance (MANCOVA). As an example, a simulated data file with 12 gene expression levels and 4 drug efficacy scores was used. The correlation coefficient between the 12 predictor and 4 outcome variables was 0.87 (P = 0.0001) meaning that 76% of the variability in the outcome variables was explained by the 12 covariates. Repeated testing after the removal of 5 unimportant predictor and 1 outcome variable produced virtually the same overall result. The MANCOVA identified identical unimportant variables, but it was unable to provide overall statistics. (1) Canonical analysis is remarkable, because it can handle many more variables than traditional multivariate methods such as MANCOVA can. (2) At the same time, it accounts for the relative importance of the separate variables, their interactions and differences in units. (3) Canonical analysis provides overall statistics of the effects of sets of variables, whereas traditional multivariate methods only provide the statistics of the separate variables. (4) Unlike other methods for combining the effects of multiple variables such as factor analysis/partial least squares, canonical analysis is scientifically entirely rigorous. (5) Limitations include that it is less flexible than factor analysis/partial least squares, because only 2 sets of variables are used and because multiple solutions instead of one is offered. We do hope that this article will stimulate clinical investigators to start using this remarkable method.

Practical problems which women encounter with available contraception in Australia.

PubMed

Weisberg, E

1994-06-01

Australian women face major difficulties with contraception because of the limited range of choices, the need for meticulous attention to compliance with most available methods and because of cost limitations for a significant minority of the population. The most commonly used methods are oral contraceptive pills and barrier methods, and each has substantial compliance problems which can be minimized with care and counselling. There is an urgent need for a wider range of options in Australia and for good information and publicity about them. Present progress in this direction gives some hope for the near future.

Hope, anger, and depression as mediators for forgiveness and social behavior in Turkish children.

PubMed

Taysi, Ebru; Curun, Ferzan; Orcan, Fatih

2015-01-01

This study examined the mediating effects of hope, anger, and depression in the associations between forgiveness and social behavior, in fourth grade students in Turkey. The 352 fourth grade primary school students were involved in the study. The average age was 9.98 and 56.3% were boys. The Enright Forgiveness Inventory for Children (EFI-C), the Beck Anger Inventory for Youth (BANI-Y), the Children Hope Scale (CHS), the Social Behavior Questionnaire (SBQ), and the Children's Depression Inventory (CDI) were used. Results showed that depression mediates the relationship between anger and antisocial behavior and between hope and antisocial behavior. Anger mediates the relationship between hope and depression and between hope and antisocial behavior. Forgiveness was related to anger and hope directly. Implications of this study for child counseling were discussed.

The color and texture of hope: some preliminary findings and implications for hope theory and counseling among diverse racial/ethnic groups.

PubMed

Chang, Edward C; Banks, Kira Hudson

2007-04-01

To clarify and extend Snyder's (1994, 2002) hope theory to a more diverse population, this study examined variations in agentic and pathways thinking, and their relations with social problem solving, affect, and with life satisfaction across a college student sample of 46 European Americans, 30 African Americans, 33 Latinos, and 46 Asian Americans. Although comparative results indicated variations in levels of hope components across the 4 racial/ethnic groups, correlational results indicated that the manner in which hope components related to measures of behavior and adjustment were similar across groups. Regression results indicated similarities and differences in predictors of hope components across the different racial/ethnic groups. Potential implications for promoting hope in working with diverse college students are discussed. (c) 2007 APA, all rights reserved.

Clinical decision making and the expected value of information.

PubMed

Willan, Andrew R

2007-01-01

The results of the HOPE study, a randomized clinical trial, provide strong evidence that 1) ramipril prevents the composite outcome of cardiovascular death, myocardial infarction or stroke in patients who are at high risk of a cardiovascular event and 2) ramipril is cost-effective at a threshold willingness-to-pay of $10,000 to prevent an event of the composite outcome. In this report the concept of the expected value of information is used to determine if the information provided by the HOPE study is sufficient for decision making in the US and Canada. and results Using the cost-effectiveness data from a clinical trial, or from a meta-analysis of several trials, one can determine, based on the number of future patients that would benefit from the health technology under investigation, the expected value of sample information (EVSI) of a future trial as a function of proposed sample size. If the EVSI exceeds the cost for any particular sample size then the current information is insufficient for decision making and a future trial is indicated. If, on the other hand, there is no sample size for which the EVSI exceeds the cost, then there is sufficient information for decision making and no future trial is required. Using the data from the HOPE study these concepts are applied for various assumptions regarding the fixed and variable cost of a future trial and the number of patients who would benefit from ramipril. Expected value of information methods provide a decision-analytic alternative to the standard likelihood methods for assessing the evidence provided by cost-effectiveness data from randomized clinical trials.

Effect of housing relocation and neighborhood environment on adolescent mental and behavioral health.

PubMed

Byck, Gayle R; Bolland, John; Dick, Danielle; Swann, Gregory; Henry, David; Mustanski, Brian

2015-11-01

This study examined whether relocating from a high-poverty neighborhood to a lower poverty neighborhood as part of a federal housing relocation program (HOPE VI; Housing Opportunities for People Everywhere) had effects on adolescent mental and behavioral health compared to adolescents consistently living in lower poverty neighborhoods. Sociodemographic, risk behavior, and neighborhood data were collected from 592 low-income, primarily African-American adolescents and their primary caregivers. Structured psychiatric interviews were conducted with adolescents. Prerelocation neighborhood, demographic, and risk behavior data were also included. Hierarchical Linear Modeling (HLM) was used to test associations between neighborhood variables and risk outcomes. HLM was used to test whether the effect of neighborhood relocation and neighborhood characteristics might explain differences in sexual risk taking, substance use, and mental health outcomes. Adolescents who relocated of HOPE VI neighborhoods (n = 158) fared worse than control group participants (n = 429) on most self-reported mental health outcomes. The addition of subjective neighborhood measures generally did not substantively change these results. Our findings suggest that moving from a high-poverty neighborhood to a somewhat lower poverty neighborhood is not associated with better mental health and risk behavior outcomes in adolescents. The continued effects of having grown up in a high-poverty neighborhood, the small improvements in their new neighborhoods, the comparatively short length of time they lived in their new neighborhood, and/or the stress of moving appears to worsen most of the mental health outcomes of HOPE VI compared to control group participants who consistently lived in the lower poverty neighborhoods. © 2015 Association for Child and Adolescent Mental Health.

Sources and types of online information that breast cancer patients read and discuss with their doctors.

PubMed

Maloney, Erin K; D'Agostino, Thomas A; Heerdt, Alexandra; Dickler, Maura; Li, Yuelin; Ostroff, Jamie S; Bylund, Carma L

2015-04-01

Most research examining the impact of patients seeking online health information treats internet information homogenously, rather than recognizing that there are multiple types and sources of available information. The present research was conducted to differentiate among sources and types of internet information that patients search for, intend to discuss with their doctors, and recall discussing with their doctors, and to determine how accurate and hopeful patients rate this information. We surveyed 70 breast cancer patients recruited from the waiting rooms of breast medical oncology and surgery clinics. The main variables in the study were as follows: (1) the sources and types of online information patients have read, intended to discuss, and actually discussed with their doctors, and (2) how accurately and hopefully they rated this information to be. Patients read information most frequently from the websites of cancer organizations, and most often about side effects. Patients planned to discuss fewer types of information with their doctors than they had read about. They most often intended to discuss information from cancer organization websites or WebMD, and the material was most often about alternative therapies, side effects, and proven or traditional treatments. Some 76.8% of total participants rated the information they had read as very or somewhat accurate, and 61% rated the information they had read as very or somewhat hopeful. Internet information varies widely by source and type. Differentiating among sources and types of information is essential to explore the ways in which online health information impacts patients' experiences.

Long-term Adjustment After Surviving Open Heart Surgery: The Effect of Using Prayer for Coping Replicated in a Prospective Design.

PubMed

Ai, A L; Ladd, K L; Peterson, C; Cook, C A; Shearer, M; Koenig, H G

2010-12-01

despite the growing evidence for effects of religious factors on cardiac health in general populations, findings are not always consistent in sicker and older populations. We previously demonstrated that short-term negative outcomes (depression and anxiety) among older adults following open heart surgery are partially alleviated when patients employ prayer as part of their coping strategy. The present study examines multifaceted effects of religious factors on long-term postoperative adjustment, extending our previous findings concerning prayer and coping with cardiac disease. analyses capitalized on a preoperative survey and medical variables from the Society of Thoracic Surgeons' National Database of patients undergoing open heart surgery. The current participants completed a mailed survey 30 months after surgery. Two hierarchical regressions were performed to evaluate the extent to which religious factors predicted depression and anxiety, after controlling for key demographics, medical indices, and mental health. predicting lower levels of depression at the follow-up were preoperative use of prayer for coping, optimism, and hope. Predicting lower levels of anxiety at the follow-up were subjective religiousness, marital status, and hope. Predicting poorer adjustment were reverence in religious contexts, preoperative mental health symptoms, and medical comorbidity. Including optimism and hope in the model did not eliminate effects of religious factors. Several other religious factors had no long-term influences. MPLICATIONS: the influence of religious factors on the long-term postoperative adjustment is independent and complex, with mediating factors yet to be determined. Future research should investigate mechanisms underlying religion-health relations.

A study about the photometric variability in the M42 region

NASA Astrophysics Data System (ADS)

Lima, G. H. R. A.; Vaz, L. P. R.; Reipurth, B.

2003-08-01

The M42 region in Orion is one of the most active regarding stellar formation in the neighborhood of the solar system. At a distance of 450pc, it gives us an excellent oportunity to study star formation processes. By studying 22 films of this region, covering an area of 5 by 5 degrees, taken in almost regular intervals through 2.5 years by ESO 1m Schimdt Telescope, in La Silla, Chile, we seek to discover variable stars among the young stars. These films were digitalized by the SuperCOSMOS (the most precise scientific scanner today) team, and each film were exposed for 30 minutes. Our knowledge about the variability of low-mass young variable stars were outdated, and were based on old photographic plates, which were studied by the so called blink comparators and Iris photometers. Now we developed a process to study these data and identify possible candidate stars to be constants or variables, and developed some softwares based on this process. We also used some softwares supplied by the SuperCosmos team to help our analysis of the dataset. After identifying the stars, which we, definitively, can consider variables, we will study more deeply these ones in hope to obtain more data about the formation process. We expect to detect thousands of new variables within our data as also the light curves for each star detected.

Problems and hopes perceived by mothers, fathers and physicians of children receiving palliative care.

PubMed

Hill, Douglas L; Miller, Victoria A; Hexem, Kari R; Carroll, Karen W; Faerber, Jennifer A; Kang, Tammy; Feudtner, Chris

2015-10-01

The quality of shared decision making for children with serious illness may depend on whether parents and physicians share similar perceptions of problems and hopes for the child. (i) Describe the problems and hopes reported by mothers, fathers and physicians of children receiving palliative care; (ii) examine the observed concordance between participants; (iii) examine parental perceived agreement; and (iv) examine whether parents who identified specific problems also specified corresponding hopes, or whether the problems were left 'hopeless'. Seventy-one parents and 43 physicians were asked to report problems and hopes and perceived agreement for 50 children receiving palliative care. Problems and hopes were classified into eight domains. Observed concordance was calculated between parents and between each parent and the physicians. The most common problem domains were physical body (88%), quality of life (74%) and medical knowledge (48%). The most common hope domains were quality of life (88%), suffering (76%) and physical body (39%). Overall parental dyads demonstrated a high percentage of concordance (82%) regarding reported problem domains and a lower percentage of concordance on hopes (65%). Concordance between parents and physicians regarding specific children was lower on problem (65-66%) and hope domains (59-63%). Respondents who identified problems regarding a child's quality of life or suffering were likely to also report corresponding hopes in these domains (93 and 82%, respectively). Asking parents and physicians to talk about problems and hopes may provide a straightforward means to improve the quality of shared decision making for critically ill children. © 2013 John Wiley & Sons Ltd.

Hope, Symptoms, and Palliative Care.

PubMed

Davis, Mellar P; Lagman, Ruth; Parala, Armida; Patel, Chirag; Sanford, Tanya; Fielding, Flannery; Brumbaugh, Anita; Gross, James; Rao, Archana; Majeed, Sumreen; Shinde, Shivani; Rybicki, Lisa A

2017-04-01

Hope is important to patients with cancer. Identifying factors that influence hope is important. Anxiety, depression, fatigue, and pain are reported to impair hope. The objective of this study was to determine whether age, gender, marital status, duration of cancer, symptoms, or symptom burden measured by the sum of severity scores on the Edmonton Symptom Assessment Scale (ESAS) correlated with hope measured by the Herth Hope Index (HHI). Patients with advanced cancer in a palliative care unit participated. Demographics including age, gender, marital status, cancer site, and duration of cancer were collected. Individuals completed the ESAS and HHI. Spearman correlation and linear regression were used to assess associations adjusting for gender (male vs female), age (< 65 vs ≥ 65 years), marital status (married or living with a partner vs other), and duration of cancer (≤ 12 vs > 12 months). One hundred and ninety-seven were participated in the study, of which 55% were female with a mean age of 61 years (standard deviation 11). Hope was not associated with gender, age, marital status, or duration of cancer. In univariable analysis, hope inversely correlated with ESAS score (-0.28), lack of appetite (-0.22), shortness of breath (-0.17), depression (-0.39), anxiety (-0.32), and lack of well-being (-0.33); only depression was clinically relevant. In multivariable analysis, total symptom burden weakly correlated with hope; only depression remained clinically significant. This study found correlation between symptom burden and hope was not clinically relevant but was so for depression. Among 9 ESAS symptoms, only depression had a clinically relevant correlation with hope.

The trajectory of hope: pathways to find meaning and reconstructing the self after a spinal cord injury.

PubMed

Parashar, D

2015-07-01

This is a qualitative study. To evaluate and track the importance and the continuum of hope, and its trajectory, from the point of view of the individual with a spinal cord injury (SCI) and a rehabilitation psychologist. This study was conducted in the Indian Spinal Injuries Centre, New Delhi, India, and in patients' homes in the National Capital Region, India. Twenty individuals with an SCI were interviewed for the study at intervals of 2 weeks, 6 months, 1 year and 2 years since the time of the injury. Semi-structured interviews were conducted, in which the following theoretical research questions were investigated: 'What is the meaning, relevance and significance of hope in the individual's life following an SCI? Does the meaning and subject of hope change at different points in time?' Three distinctive themes markedly emerged in the trajectory of hope: (1) Hope for a complete recovery; (2) hope for self-reliance despite the injury; and (3) hope for an optimum quality of life. The make-up of each theme, its significance and contribution to recovery and/or rehabilitation, while tracking the influence of time since injury, family and friends, as well as other agencies and pathways, are discussed. After sustaining a life-altering injury, hope becomes the force that spurs individuals. Psychologists and rehabilitation counselors need to focus on instilling realistic hope, goal setting, sustaining motivation, enabling adaptive appraisals and problem-solving. Further recommendations include developing and testing interventions against the context of the continuum of hope.

A Qualitative Investigation of Prospective Teachers' Hopes, Their Sources, and Motivational Forces

ERIC Educational Resources Information Center

Eren, Altay; Yesilbursa, Amanda

2017-01-01

This grounded theory study examined prospective teachers' (PTs) dispositional hopes, teaching-specific hopes, their sources, and motivational force of teaching-specific hopes. A total of 41 PTs enrolled on different teacher education programmes voluntarily participated in the semi-structured interviews. Findings showed that PTs' dispositional…

The Inspiration of Hope in Substance Abuse Counseling

ERIC Educational Resources Information Center

Koehn, Corinne; Cutcliffe, John R.

2012-01-01

This study used a grounded theory method to explore how counselors inspire hope in clients struggling with substance abuse. Findings from 10 participants revealed that hope inspiration occurred in 3 phases and consisted of several categories of hope-inspiring processes. Implications for counseling practice, counselor education, and research are…

24 CFR 972.115 - Relationship between required conversions and HOPE VI developments.

Code of Federal Regulations, 2010 CFR

2010-04-01

... conversions and HOPE VI developments. 972.115 Section 972.115 Housing and Urban Development Regulations... Relationship between required conversions and HOPE VI developments. HUD actions to approve or deny proposed HOPE VI revitalization plans must be consistent with the requirements of this subpart. Developments...

An Analysis of Hope as a Psychological Strength

ERIC Educational Resources Information Center

Valle, Michael F.; Huebner, E. Scott; Suldo, Shannon M.

2006-01-01

Psychologists have placed an increased emphasis on identifying psychological strengths that foster healthy development. Hope, as operationalized in Snyder's hope theory [Snyder, C. R., Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., & Danovsky, M., et al. (1997). The development and validation of the children's hope scale. "Journal of Pediatric…

Attractiveness of family medicine for medical students: influence of research and debt.

PubMed

Vanasse, Alain; Orzanco, Maria Gabriela; Courteau, Josiane; Scott, Sarah

2011-06-01

To examine the association between students' personal characteristics, backgrounds, and medical schools and their intention to enter a family medicine (FM) specialty. Descriptive study using data from the 2007 National Physician Survey. Canada. Clinical (n=1109) and preclinical (n=829) medical student respondents to the 2007 National Physician Survey. The main variable was hoping to enter an FM specialty, and 40 independent variables were included in regression and classification-tree models. Fewer than 1 medical student in 3 (30.2% at the preclinical level and 31.4% at the clinical level) hoped to enter into an FM career. Those who did were more likely to be female, were slightly older, were more frequently married or living with partners, were typically born in Canada, and were more likely to have previous exposure to non-urban environments. The most important predictor for both populations was the debt related to medical studies, which acted in the opposite direction of whether or not students were interested in research. Students interested in research were attracted by specialties with high earning potential, while those not interested in research looked for short residency programs, such as FM, so they could begin to pay off debt sooner. Therefore, the interest in research appears to be inversely related to the choice of FM. Less than one-third of medical students were looking for residencies in FM in Canada. This is far below the goals of 45% set at the national level and 50% set by some provinces like Quebec. Debt and interest in research have strong influences on the choice of residency by medical students.

[Gorlin-Goltz Syndrome: Diagnosis and Treatment Options].

PubMed

Mendes-Abreu, João; Pinto-Gouveia, Miguel; Tavares-Ferreira, Cátia; Brinca, Ana; Vieira, Ricardo

2017-05-31

The Gorlin-Goltz syndrome is a rare autosomal dominant hereditary condition, with complete penetrance and variable expressivity. Characterized by the appearance of multiple basaliomas, and often the development of keratocyst, it can also express itself by the presence of palmar/plantar depressions, calcification of brain sickle, and skeletal birth defects, although less frequently. This article presents two cases involving direct relatives, referred after the identification of several basaliomas and jaw cysts. After establishing the diagnosis, given the identification of three major criteria, the treatment consisted in the excision of the lesions followed, in one case, with vismodegib treatment resulting in complete remission. Gorlin-Goltz syndrome is therefore a multidisciplinary challenge, whose variable morbidity and high risk of recurrence make treatment and surveillance critical. However, new molecular targeted therapies have brought a new hope in treating these patients.

Finding the Middle Ground in Violent Video Game Research: Lessons From Ferguson (2015).

PubMed

Markey, Patrick M

2015-09-01

Ferguson's comprehensive meta-analysis provides convincing data that violent video games have almost no effect on children's aggression. Although this finding is unlikely to bring unity to a divided field, Ferguson's article (2015, this issue) provides important rules that should aid all researchers. First, we need to be more accepting of results that are inconsistent with our own theories. Second, extraneous variables are often responsible for the relations previous studies have found between violent media and aggression. Third, we should avoid using unstandardized assessments of important variables whenever possible. Finally, caution is warranted when generalizing laboratory research findings to severe acts of violent in the "real world." It is hoped that, by accepting these basic rules, researchers and others will adopt less extreme positions concerning the effects of violent video games. © The Author(s) 2015.

Applications of the generalized information processing system (GIPSY)

USGS Publications Warehouse

Moody, D.W.; Kays, Olaf

1972-01-01

The Generalized Information Processing System (GIPSY) stores and retrieves variable-field, variable-length records consisting of numeric data, textual data, or codes. A particularly noteworthy feature of GIPSY is its ability to search records for words, word stems, prefixes, and suffixes as well as for numeric values. Moreover, retrieved records may be printed on pre-defined formats or formatted as fixed-field, fixed-length records for direct input to other-programs, which facilitates the exchange of data with other systems. At present there are some 22 applications of GIPSY falling in the general areas of bibliography, natural resources information, and management science, This report presents a description of each application including a sample input form, dictionary, and a typical formatted record. It is hoped that these examples will stimulate others to experiment with innovative uses of computer technology.

New insights on historic droughts in the UK: Analysis of 200 river flow reconstructions for 1890-2015

NASA Astrophysics Data System (ADS)

Parry, Simon; Barker, Lucy; Hannaford, Jamie; Prudhomme, Christel; Smith, Katie; Svensson, Cecilia; Tanguy, Maliko

2017-04-01

Hydrological droughts of the last 50 years in the UK have been well characterised owing to a relatively dense hydrometric network. Prior to this, observed river flow data were generally limited in their spatial coverage and often subject to considerable uncertainty. Whilst qualitative records indicate the occurrence of severe droughts in the late 19th and early 20th centuries, including scenarios which may cause substantial impacts to contemporary water supply systems, existing observations are not sufficient to describe their spatio-temporal characteristics. As such, insights on drought in the UK are constrained and a range of stakeholders including water companies and regulators would benefit from a more thorough assessment of historic drought characteristics and their variability. The multi-disciplinary Historic Droughts project aims to rigorously characterise droughts in the UK to inform improved drought management and communication. Driven by rainfall and potential evapotranspiration data that have been extended using recovered records, lumped catchment hydrological models are used to reconstruct daily river flows from 1890 to 2015 for more than 200 catchments across the UK. The reconstructions are derived within a state-of-the-art modelling framework which allows a comprehensive assessment of model, structure and parameter uncertainty. Standardised and threshold-based indicators are applied to the river flow reconstructions to identify and characterise hydrological drought events. The reconstructions are most beneficial in comprehensively describing well known but poorly quantified late 19th and early 20th century droughts, placing the spatial and temporal footprint of these often extreme events within the context of modern episodes for the first time. Oscillations between drought-rich and drought-poor periods are shown not to be limited to the recent observational past, providing an increased sample size of events against which to test a range of airflow and oceanic index patterns as potential drivers of streamflow drought. The quantification of changes over time in both the mean and the variability of drought frequency, duration, severity and termination benefits from the temporal extent of the river flow reconstructions, assessing the temporal variability of drought over more prolonged timescales than previous drought trend studies. When considered alongside complimentary reconstructions of rainfall and groundwater levels, the characteristics of propagation from meteorological to hydrological drought are analysed to an extent not previously possible. The unprecedented spatio-temporal coverage of the river flow reconstructions has yielded important new insights on historic droughts in the UK. It is hoped that this more robust assessment of the historical variability of hydrological drought in the UK will underpin enhanced drought planning and management.

The Relationship Between Domestic Partner Violence and Suicidal Behaviors in an Adult Community Sample: Examining Hope Agency and Pathways as Protective Factors.

PubMed

Chang, Edward C; Yu, Elizabeth A; Kahle, Emma R; Du, Yifeng; Chang, Olivia D; Jilani, Zunaira; Yu, Tina; Hirsch, Jameson K

2017-10-01

We examined an additive and interactive model involving domestic partner violence (DPV) and hope in accounting for suicidal behaviors in a sample of 98 community adults. Results showed that DPV accounted for a significant amount of variance in suicidal behaviors. Hope further augmented the prediction model and accounted for suicidal behaviors beyond DPV. Finally, we found that DPV significantly interacted with both dimensions of hope to further account for additional variance in suicidal behaviors above and beyond the independent effects of DPV and hope. Implications for the role of hope in the relationship between DPV and suicidal behaviors are discussed.

Hope, social support, and depression among Hong Kong youth: personal and relational self-esteem as mediators.

PubMed

Du, Hongfei; King, Ronnel B; Chu, Samuel K W

2016-12-01

Previous studies have shown that depression is negatively associated with hope and social support. However, little research has been undertaken to investigate the theoretical mechanisms underlying the connections among hope, social support, and depression. This study examined how two types of self-esteem (personal and relational) would mediate the relationship of hope and social support to depression among 384 Hong Kong adolescents (age: 12-18 years; M = 14, SD = 1.19). Participants reported their levels of hope, social support, personal self-esteem, relational self-esteem, and depressive mood. Results of the path analysis showed that both personal and relational self-esteem mediated the associations of hope and social support with depression. Hope and social support were associated with higher levels of personal and relational self-esteem, which were in turn related to decreased levels of depression. Theoretical and practical implications are discussed.

Hope and social support in elderly patients with cancer and their partners: an actor-partner interdependence model.

PubMed

Goldzweig, Gil; Baider, Lea; Andritsch, Elisabeth; Rottenberg, Yakir

2016-12-01

Assess relationships between oldest-old (minimum 86 years) patients' perceived social support to their own and their spousal caregivers' hope through application of the actor-partner interdependence model (APIM). 58 dyads of patients and their spousal caregivers completed standardized self-report measures of depression, distress, hope and social support. Patients presented high distress levels. Among patients and spouses, perceived social support was positively correlated to their own level of hope (β = 0.44, p < 0.0001; β = 0.56, p < 0.0001, respectively) and negatively correlated to the other's level of hope (β = -0.25, p < 0.024; β = -0.44, p < 0.0001, respectively). The actor-partner interdependence model was found to be adequate for describing relationships between social support and hope among dyads of oldest-old patients and their spousal caregivers. Patients and caregiver seem to utilize social support to enhance hope.

Spatial and temporal dependence on sea ice algae in the Chukchi Sea, Arctic Ocean, inferred from bivalve stable isotopic composition

NASA Astrophysics Data System (ADS)

Nguyen, H. M.; Black, B.; Dunton, K. H.; von Biela, V. R.

2017-12-01

The Chukchi Sea is one of the most productive Arctic seas in the world. Around 10% of its net primary production originates from sea ice algae, much of which falls ungrazed to a relatively shallow (40-50m) shelf. The chlorophyll a derived from sinking ice algae is thought to supports a robust macrobenthic faunal community, dominated by bivalves, which in turn supports higher trophic organisms such as Pacific walrus (Odibenus rosmarus divergens), and bearded seal (Erignathus barbatus). However, recent reductions in ice extent and thickness could shift primary production from under-ice to open-water environment, thus reducing ice algal production and delivery to benthic biota. We used stable isotope analyses on benthic bivalve samples, collected in summer between 2002 and 2015, to identify contributions of ice algal production to benthic organisms and track their spatial and temporal variations. Ice algae contributions were indicated by δ13C values in bivalves, as ice algae are isotopically heavy compared to phytoplankton and would be reflected in consumers. This 14-yr period was marked by an 8%, decrease in Arctic ice extent, which was especially pronounced and spatially variable in the Chukchi Sea. We examined variability in the δ13C values in the common bivalves Astarte spp., Ennucula tenuis and Macoma spp. over space and time using one-way ANOVAs with Bonferroni correction to consider the potential for variation in ice algae contributions. All bivalve δ13C values were within a range (-21.84‰ to -17.62‰) that suggests some ice algal contribution. Among stations, E. tenuis and Astarte spp. did not significantly differ in their individual δ13C values. In contrast, Macoma spp. had significantly enriched δ13C values at one station south of Point Hope (δ13C = -17.75‰, F5,8 = 1.211, P < 0.05) in 2015. There were no significant (P > 0.05) differences in δ13C values from year to year for samples pooled across stations within a taxon. As the only taxon collected at the station south of Point Hope, Macoma spp. δ13C values indicate that this station may have assimilated a higher proportion of ice algae in comparison to other stations. Nevertheless, the overall lack of variation in δ13C values across space and time suggests that variation in ice conditions might not strongly influence the relative carbon contributions.

Evaluation of the HOPE Act: New State Services for Street Youth. Interim Report.

ERIC Educational Resources Information Center

McLain, Barbara

This report reviews the effectiveness of Washington's HOPE Centers and Responsible Living Skills Programs (RLSPs) and reports findings and recommendations. In 1999, state legislators enacted the HOPE Act, which created these two services. HOPE Centers are temporary residential facilities where street youth can stay for 30 days while being…

Work Hope: Development and Initial Validation of a Measure

ERIC Educational Resources Information Center

Juntunen, Cindy L.; Wettersten, Kara Brita

2006-01-01

Hope is a core construct of positive psychology that has received only minimal application to work and vocational situations. C. R. Snyder (2000) conceptualized hope as a cognitive process with 3 primary components: goals, agency, and pathways. This article presents the development and validation of the Work Hope Scale (WHS), which was rationally…

Risking Hope in a Worried World

ERIC Educational Resources Information Center

Silin, Jonathan

2017-01-01

Hope is at the heart of the educational endeavour. Yet it is a challenge for educators to sustain a sense of hope in a worried world where terrorism, mass migrations, global warming and ultra-right political movements are on the rise. Acknowledging that hopefulness always involves risk, this article identifies three pedagogical practices which…

Working with Unrealistic or Unshared Hope in the Counselling Session

ERIC Educational Resources Information Center

Larsen, Denise Joy; Stege, Rachel; Edey, Wendy; Ewasiw, Joan

2014-01-01

Hope has long been identified as an important therapeutic factor in counselling. Further, research evidence for the importance of hope to counselling practice and outcome is abundant. However, the field is only beginning to explicitly consider how hope can be effectively and intentionally practised. One of the most challenging dilemmas encountered…

Client Accounts of Hope in Early Counseling Sessions: A Qualitative Study

ERIC Educational Resources Information Center

Larsen, Denise J.; Stege, Rachel

2012-01-01

Hope enables individuals to envision a future in which they wish to participate (Jevne, 1994) and is foundational to counseling practice. However, there has been little research examining client accounts of hope in session. Using basic interpretive inquiry, this case study examines clients' accounts of hope during counseling using video-assisted…

77 FR 26535 - Hope Gas, Inc.; Notice of Baseline Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-04

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-23-000] Hope Gas, Inc.; Notice of Baseline Filing Take notice that on April 26, 2012, Hope Gas, Inc. (Hope Gas) submitted a baseline filing of their Statement of Operating Conditions for services provided under Section 311 of the...

77 FR 31841 - Hope Gas, Inc.; Notice of Baseline Filing

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-30

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-23-001] Hope Gas, Inc.; Notice of Baseline Filing Take notice that on May 16, 2012, Hope Gas, Inc. (Hope Gas) submitted a revised baseline filing of their Statement of Operating Conditions for services provided under Section 311 of the...

Hope as a Mediator and Moderator of Multidimensional Perfectionism and Depression in Middle School Students

ERIC Educational Resources Information Center

Ashby, Jeffrey S.; Dickinson, Wendy L.; Gnilka, Philip B.; Noble, Christina L.

2011-01-01

The authors examined the relationship of perfectionism, hope, and depression in a sample of 153 middle school students. Adaptive perfectionists differed significantly from both maladaptive perfectionists and nonperfectionists on their levels of hope and depression. Hope mediated the relationship between maladaptive perfectionism and depression and…

Hope beyond (redundant) hope: how chaplains work with dying patients.

PubMed

Nolan, Steve

2011-01-01

Using Grounded Theory, this study examines the experience of 19 palliative care chaplains in counselling dying people. Taking a broad-based definition of counselling, and using unstructured individual interviews and group work, the study aimed to understand how palliative care chaplains work with patients at the point when it has been decided to cease active treatment, the point where they risk losing hope and falling into despair. Analysing the data using code-based theory building software, the author identified four organic moments in the chaplain-patient relationship, each moment being a discernable development in the chaplain's being-with the patient: 'evocative presence'; 'accompanying presence'; 'comforting presence'; and 'hopeful presence'. The author represents the four moments as a theory of 'chaplain as hopeful presence', and offers a description of the way in which the quality of presence can facilitate patients to develop 'a hopeful manner' in which hope is reconfigured into an attribute of being. The author concludes (with Levinas) that chaplains and other palliative care staff should be aware that simply being-with an other can, in itself, be hope fostering.

Influence of hope, social support, and self-esteem in early stage dementia.

PubMed

Cotter, Valerie T; Gonzalez, Elizabeth W; Fisher, Kathleen; Richards, Kathy C

2018-02-01

Background People in the early stages of dementia adjust to the illness through stages of awareness, coping, and evaluation. Studies have found that hope, social support, and self-esteem facilitate coping, adjustment, and adaptation in chronic illness. Objective The purpose of this descriptive study was to examine the relationships between hope, social support, and self-esteem in individuals with early stage dementia. Methods Data were obtained from 53 individuals with early stage dementia. The scores on the Herth Hope Index, Social Support Questionnaire Short-Form, and the State Self-Esteem Scale were analyzed using linear regression. Results Hope was moderately associated with self-esteem ( r = .49, p < .001). Hope accounted for 25% of the variance in self-esteem and was a key component in predicting self-esteem. No significant relationship was found between social support and self-esteem. Conclusion Findings suggest that hope may be an important factor to help individuals manage potential threats to self-esteem in the experience of early stage dementia. Strategies to inspire hope and then enhance self-esteem are promising for individuals living with early stage dementia.

A Longitudinal Examination of Hope and Optimism and Their Role in Type 1 Diabetes in Youths

PubMed Central

Steele, Ric G.; Nelson, Michael B.; Peugh, James; Egan, Anna; Clements, Mark; Patton, Susana R.

2016-01-01

Objectives To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period. Methods A total of 110 participants (aged 10–16 years) completed study measures at Time 1, and 81 completed measures at Time 2. Analyses examined hope and optimism as predictors of change in health outcomes, and examined SMBG as a mediator of the relationship between hope and optimism, and HbA1c. Results Change in hope, but not optimism, was associated with change in SMBG and HbA1c. Change in SMBG mediated the relationship between change in hope and HbA1c, but not between optimism and HbA1c. Conclusions It may be beneficial to assess hope in pediatric T1DM patients to identify youths who may be at risk for poor diabetes management, and to test the benefit of hope-based intervention efforts in clinical studies. PMID:26628250

Hopelessly mortal: The role of mortality salience, immortality and trait self-esteem in personal hope.

PubMed

Wisman, Arnaud; Heflick, Nathan A

2016-08-01

Do people lose hope when thinking about death? Based on Terror Management Theory, we predicted that thoughts of death (i.e., mortality salience) would reduce personal hope for people low, but not high, in self-esteem, and that this reduction in hope would be ameliorated by promises of immortality. In Studies 1 and 2, mortality salience reduced personal hope for people low in self-esteem, but not for people high in self-esteem. In Study 3, mortality salience reduced hope for people low in self-esteem when they read an argument that there is no afterlife, but not when they read "evidence" supporting life after death. In Study 4, this effect was replicated with an essay affirming scientific medical advances that promise immortality. Together, these findings uniquely demonstrate that thoughts of mortality interact with trait self-esteem to cause changes in personal hope, and that literal immortality beliefs can aid psychological adjustment when thinking about death. Implications for understanding personal hope, trait self-esteem, afterlife beliefs and terror management are discussed.

The relationship between hope and patient activation in consumers with schizophrenia: Results from longitudinal analyses.

PubMed

Oles, Sylwia K; Fukui, Sadaaki; Rand, Kevin L; Salyers, Michelle P

2015-08-30

Hope (goal-directed thinking) and patient activation (knowledge and skills to manage one's illness) are both important in managing chronic conditions like schizophrenia. The relationship between hope and patient activation has not been clearly defined. However, hope may be viewed as a foundational, motivating factor that can lead to greater involvement in care and feelings of efficacy. The purpose of the present study was to understand the prospective relationship between hope and patient activation in a sample of adults with schizophrenia (N=118). This study was a secondary data analysis from a study on Illness Management and Recovery (IMR) - a curriculum-based approach to schizophrenia self-management. Data were collected at baseline (prior to any intervention), and at 9 and 18-month follow-up. As predicted, hope and patient activation were significantly related with each other, showing large positive concurrent correlations. Demographics and background characteristics were not significantly related to patient activation or hope. Longitudinal analyses found no specific directional effect, yet suggested that hope and patient activation mutually influence each other over time. Our findings add flexibility in designing recovery-based interventions - fostering hope may not be a pre-requisite for activating consumers to be more involved in their own care. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Self-esteem and hope mediate the relations between social support and post-traumatic stress disorder and growth in adolescents following the Ya'an earthquake.

PubMed

Zhou, Xiao; Wu, Xinchun; Zhen, Rui

2018-01-01

Although posttraumatic stress disorders (PTSD) and posttraumatic growth (PTG) can co-exist, and several theories suggest that social support, self-esteem, and hope can predict both PTSD and PTG, no study to date has examined the combined role of social support, self-esteem, and hope in PTSD and PTG. The present study aimed to simultaneously examine the mediating roles of self-esteem and hope in the relations between social support and PTSD, and between social support and PTG. This study included 397 adolescents living in Lushan County, China, who were affected by the Ya'an earthquake. The participants completed the self-report questionnaires at two and a half years after the earthquake. Structural equation models were built to examine the roles of social support, self-esteem, and hope in PTSD and PTG. Social support directly and negatively predicted PTSD and positively predicted PTG. Moreover, social support negatively predicted PTSD via self-esteem, and positively predicted PTG via hope. In addition, social support positively predicted PTG through multiple mediating paths from self-esteem to hope. PTSD and PTG had different predictive paths. Specifically, social support reduced PTSD through enhanced self-esteem and promoted PTG through hope, or through the path from self-esteem to hope.

Injured Athletes' Rehabilitation Beliefs and Subjective Well-Being: The Contribution of Hope and Social Support

PubMed Central

Lu, Frank J. H; Hsu, Yawen

2013-01-01

Context Injuries are a significant problem in the world of sports. Hope and social support are very important features in providing psychological help as people face life challenges such as sport injuries. Objective To examine how hope and social support uniquely and jointly predict postinjury rehabilitation beliefs, rehabilitation behavior, and subjective well-being. Design Cross-sectional study. Setting Four sports-injury rehabilitation centers of local universities in Taiwan. Participants A total of 224 injured Taiwanese collegiate student-athletes. Main Outcomes Measure(s) The Trait Hope Scale, the Sports Injury Rehabilitation Beliefs Survey, the Satisfaction with Life Scale, the Positive Affective and Negative Affective Scale, and the Multidimensional Scale of Perceived Social Support were completed by participants after they received their regular rehabilitation treatment. Results We conducted hierarchical regressions and found that social support and 2 types of hope in injured athletes predicted their rehabilitation beliefs and subjective well-being. However, only hope agency predicted their rehabilitation behavior. Also, hope and social support had an interactive effect on the prediction of subjective well-being; for participants with low hope pathways, the perception of more social support was associated with higher levels of subjective well-being, whereas social support had only a relatively low association with subjective well-being among participants with high hope pathways. Conclusions Enhancing hope perceptions and strengthening injured athletes' social support during rehabilitation are beneficial to rehabilitation behavior and subjective well-being. PMID:23672330

Longitudinal study of the protective effect of hope on reducing body image distress in cancer patients.

PubMed

Liu, Jianlin; Griva, Konstadina; Lim, Haikel A; Tan, Joyce Y S; Mahendran, Rathi

2017-01-01

Body image distress is well-documented in patients with cancer, but little is known about the course of body image distress over time and the role of psychosocial resources such as hope. This prospective study sought to explore the dynamics between trajectories of body image distress and hope across time. Cancer patients receiving outpatient treatment at a cancer center completed self-reported measures of body image distress (Body Image Scale) and hope (Adult Hope Scale) at baseline (within three months of their cancer diagnosis) and follow-up (six months post-baseline; N = 111). Trajectories of intra-individual change (improved, stable, and declined) for body image distress were calculated based on the minimal clinically important difference (±0.5 baseline SD). There was a significant increase in body image distress at follow-up (p < .05); hope remained stable. Rank-transformed mixed-factor repeated measures analyses of variance revealed significant interactions between body image distress trajectory groups and time on hope, suggesting that patients experiencing improvements in body image distress reported higher levels of hope than those who had stable or deteriorating levels of body image distress F(2,108) = 3.25, p < .05. The findings of this exploratory study suggest that psychosocial resources like hope may also reduce body image distress across time in a sample of cancer patients, although the mechanisms of interaction require further examination. Supportive care could lend greater focus to improving patients' hope to alleviating body image distress.

Sustaining hope as a moral competency in the context of aggressive care.

PubMed

Peter, Elizabeth; Mohammed, Shan; Simmonds, Anne

2015-11-01

Nurses who provide aggressive care often experience the ethical challenge of needing to preserve the hope of seriously ill patients and their families without providing false hope. The purpose of this inquiry was to explore nurses' moral competence related to fostering hope in patients and their families within the context of aggressive technological care. A secondary purpose was to understand how this competence is shaped by the social-moral space of nurses' work in order to capture how competencies may reflect an adaptation to a less than ideal work environment. A critical qualitative approach was used. Fifteen graduate nursing students from various practice areas participated. After receiving ethics approval from the university, signed informed consent was obtained from participants before they were interviewed. One overarching theme 'Mediating the tension between providing false hope and destroying hope within biomedicine' along with three subthemes, including 'Reimagining hopeful possibilities', 'Exercising caution within the social-moral space of nursing' and 'Maintaining nurses' own hope', was identified, which represents specific aspects of this moral competency. This competency represents a complex, nuanced and multi-layered set of skills in which nurses must be well attuned to the needs and emotions of their patients and families, have the foresight to imagine possible future hopes, be able to acknowledge death, have advanced interpersonal skills, maintain their own hope and ideally have the capacity to challenge those around them when the provision of aggressive care is a form of providing false hope. The articulation of moral competencies may support the development of nursing ethics curricula to prepare future nurses in a way that is sensitive to the characteristics of actual practice settings. © The Author(s) 2014.

"On Being's" Krista Tippett on Finding Wisdom in a Time of Flux and Uncertainty: An Interview with "About Campus" Executive Editor, Frank Shushok, Jr.

ERIC Educational Resources Information Center

Shushok, Frank, Jr.

2017-01-01

In this wide-ranging interview, Krista Tippett, a Peabody Award-winning broadcaster and the New York Times bestselling author of "Becoming Wise: An Inquiry into the Mystery and Art of Living" (Penguin Press, 2016) shares her perspective on wisdom, the reemergence of hope, and the need to talk about values.

[Quantified self movement--the new mantra of life insurance companies].

PubMed

Becher, St

2016-06-01

Wearables are small personal minicomputers that register biometric data. In such a way, the insurance industry hopes to create new sales opportunities and products, and simplify underwriting. Lower premiums will promote the use of wearables. The related possibilities and unanswered questions are discussed in this article. Utilisation of big data offers the insurance industry a range of new opportunities. The benefit must be proven in the future, however.

Evolution of the Ethane Architecture

DTIC Science & Technology

2009-02-01

applications. We think these approaches could be combined, and we hope to soon explore this possibility. Given that industry has substantially more experience...language; however, because we think it has applicability outside of NOX, we place our discussion in a more general context. 3.2.1 Introduction A wide range...generally retrieved from a remote authentication store (in the case of standard directory services). On succesful authentication, the names are cached

Extending Phrase-Based Decoding with a Dependency-Based Reordering Model

DTIC Science & Technology

2009-11-01

strictly within the confines of phrase-based translation. The hope was to introduce an approach that could take advantage of monolingual syntactic...tuple represents one element of the XML markup, where element is the name of this element, attributes is a dictionary (mapping strings to strings...representing the range of possible compressions, in the form of a dictionary mapping the latter to the former. To represent multiple dependency

Adolescent Hopefulness in Tanzania: Street Youth, Former Street Youth, and School Youth

ERIC Educational Resources Information Center

Nalkur, Priya G.

2009-01-01

This study compares hope in street youth, former street youth, and school youth (aged 12-18) in Tanzania. Responding to Snyder's hope theory, the author argues that not only personal agency but also the stability of living context (street, shelter, home) shapes hopefulness. Employing qualitative and quantitative analyses, the author presents a…

Race and Ethnic Differences in Hope and Hopelessness as Moderators of the Association between Depressive Symptoms and Suicidal Behavior

ERIC Educational Resources Information Center

Hirsch, Jameson K.; Visser, Preston L.; Chang, Edward C.; Jeglic, Elizabeth L.

2012-01-01

Objective: The authors examined trait hope and hopelessness as potential moderators of the association between depressive symptoms and suicidal behavior. Participants: A diverse sample of 372 college students. Methods: Depressive symptoms, hopelessness (Beck Hopelessness Scale), trait hope (Trait Hope Scale), and suicidal behaviors were assessed.…

Cutting Your Losses: Could Best-Practice Pedagogy Involve Acknowledging that Even Robust Hope May Be Vain?

ERIC Educational Resources Information Center

Schuurmans-Stekhoven, James

2009-01-01

A recent special issue of "Asia-Pacific Journal of Teacher Education" (Vol. 35, Issue 3, 2007) championed "robust hope" as fundamental to achieving educational utopias, and yet key features of hope were largely overlooked. Although hope feels good and has utility in some circumstances, in other situations different…

"Does Hope Change? Testing a Project-Based Health Intervention among Urban Students of Color"

ERIC Educational Resources Information Center

Zusevics, Kaija L.; Johnson, Sheri

2014-01-01

Hope is positively correlated with educational attainment and health. Interventions based on project-based learning (PBL) may increase youth hope. This study examined how a PBL intervention affected hope among urban students of color. Students in health classes were invited to participate. A PBL health class was implemented in four classrooms. The…

Comparison of Hope and Life Satisfaction Levels of Turkish and American Middle School Students

ERIC Educational Resources Information Center

Sahin Baltaci, Hulya

2018-01-01

Purpose: In the literature, it has been stated that hope and life satisfaction in childhood and adolescence are associated with cultural and social factors. This study aimed to discover whether Turkish and American adolescents differ in their life satisfaction and hope levels, by examining hope and life satisfaction in Turkish and American…

Education for Peace and a Pedagogy of Hope

ERIC Educational Resources Information Center

Carl, A. E.

2011-01-01

There are many approaches and arguments on how hope could be given to children in a society characterised by violence and conflict, hope that may contribute towards optimising their potential. This article focuses on the notion and meaning of Peace Education, what the possible link between Peace Education and a Pedagogy of Hope might be and…

76 FR 75554 - Notice of Availability of the Draft Environmental Impact Statement for the Mount Hope Project...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-02

... Environmental Impact Statement for the Mount Hope Project, Eureka County, NV AGENCY: Bureau of Land Management... Impact Statement (EIS) for the Mount Hope Project and by this notice is announcing the opening of the... Mount Hope Project Draft EIS within 90 days following the date the Environmental Protection Agency...

Preliminary Assessment of Apache Hopefulness: Relationships with Hopelessness and with Collective as well as Personal Self-Esteem

ERIC Educational Resources Information Center

Hammond, Vanessa Lea; Watson, P. J.; O'Leary, Brian J.; Cothran, D. Lisa

2009-01-01

Hopelessness is central to prominent mental health problems within American Indian (AI) communities. Apaches living on a reservation in Arizona responded to diverse expressions of hope along with Hopelessness, Personal Self-Esteem, and Collective Self-Esteem scales. An Apache Hopefulness Scale expressed five themes of hope and correlated…

Hope in Adolescent Careers: Mediating Effects of Work Motivation on Career Outcomes in Swiss Apprentices

ERIC Educational Resources Information Center

Valero, Domingo; Hirschi, Andreas; Strauss, Karoline

2015-01-01

Being hopeful is critical for individuals who are engaged in vocational pursuits. However, the empirical research examining how and why hope is related to work and career outcomes remains sparse. We evaluate a model that proposes that dispositional hope affects job performance and turnover intentions through increased work motivation in terms of…

76 FR 18570 - Notice of Proposed Information Collection for Public Comment; HOPE VI Public Housing Programs...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-04

... Information Collection for Public Comment; HOPE VI Public Housing Programs: Funding and Program Data... responses. This Notice also lists the following information: Title of Proposal: HOPE VI program. OMB Control... (Pub. L. 105- 276, 112 Stat. 2461, approved October 21, 1998) and revised by the HOPE VI Program...

HOPE or No-HOPE: Merit-Based College Scholarship Status and Financial Behaviors among College Students

ERIC Educational Resources Information Center

Goetz, Joseph W.; Mimura, Yoko; Desai, Miti P.; Cude, Brenda J.

2008-01-01

The current study explored differences in financial behaviors between college students in Georgia who retained the merit-based HOPE Scholarship and those who lost it. Logistic regression was used to analyze data from a sample of 557 undergraduate students from a large southeastern university. Students who initially had HOPE Scholarships but lost…

Teaching with Hope

ERIC Educational Resources Information Center

Hawkins-Jones, Mary

2014-01-01

The Most Hopeful Teacher in America--the author never imagined that her name would follow such a title. During her 23 years in education, the author has had the opportunity to share in spreading this hope to many students, thanks to another ripple of hope that started with a teacher's selfless act during her first year of teaching.…

Wealth, health, HIV and the economics of hope

PubMed Central

Barnett, Tony; Weston, Mark

2012-01-01

HIV/AIDS primarily affects people of working age. Population susceptibility is poorly understood. This paper speculates that an operationally defined concept of hope may offer new ways of understanding its social epidemiology. Hope is directly linked to the future in as much as it determines the value people place on that future. Individual and communal levels of hope may vary, with consequent impacts on HIV transmission. HIV/AIDS in turn may reduce hope and thereby reduce societies’ future wellbeing. The paper concludes by offering recommendations for research, programming and policy. PMID:18641467

Inspiring hope in our rehabilitation patients, their families, and ourselves.

PubMed

Kautz, Donald

2008-01-01

When confronted with a devastating disability or chronic illness, rehabilitation nurses play a key role in inspiring hope for patients and their families. This article examines strategies nurses can implement in everyday practice: creating an environment of hope in a rehabilitation unit; assisting patients to manage their negative feelings about their disability; relieving chronic neuropathic pain; sustaining patient relationships with staff and family; helping patients to forgive themselves and others; enhancing patient intimacy with others; using literature to promote hope; acknowledging a patient's belief that nothing is impossible; using humor therapeutically; and maintaining hope for the moment. It is the moment-the time we spend with our patients-that is essential. In that moment, we are promoting hope.

Web-Based Intervention for Family Carers of Persons with Dementia and Multiple Chronic Conditions (My Tools 4 Care): Pragmatic Randomized Controlled Trial.

PubMed

Duggleby, Wendy; Ploeg, Jenny; McAiney, Carrie; Peacock, Shelley; Fisher, Kathryn; Ghosh, Sunita; Markle-Reid, Maureen; Swindle, Jennifer; Williams, Allison; Triscott, Jean Ac; Forbes, Dorothy; Jovel Ruiz, Kathya

2018-06-29

My Tools 4 Care (MT4C) is a Web-based intervention that was developed based on the transitions theory. It is an interactive, self-administered, and portable toolkit containing six main sections intended to support carers of community-living persons with Alzheimer's disease and related dementia and multiple chronic conditions through their transition experiences. The objective of our study was to evaluate the effectiveness of MT4C with respect to increasing hope, self-efficacy, and health-related quality of life in carers of community-living older persons with Alzheimer's disease and related dementia and multiple chronic conditions. A multisite, pragmatic, mixed methods, longitudinal, repeated-measures, randomized controlled trial was conducted between June 2015 and April 2017. Eligible participants were randomized into either treatment (MT4C) or educational control groups. Following baseline measures, carers in the treatment group received 3 months of password-protected access to MT4C. Trained research assistants collected data from participants via phone on hope (Herth Hope Index [HHI]), self-efficacy (General Self-Efficacy Scale), and health-related quality of life (Short Form-12 item [version 2] health survey; SF-12v2) at baseline, 1, 3, and 6 months. The use and cost of health and social services (Health and Social Services Utilization Inventory) among participants were measured at baseline, 3, and 6 months. Analysis of covariance was used to identify group differences at 3 months, and generalized estimating equations were used to identify group differences over time. A total of 199 carers participated in this study, with 101 participants in the treatment group and 98 in the educational control group. Of all, 23% (45/199) participants withdrew during the study for various reasons, including institutionalization or death of the person with dementia and lack of time from the carer. In the treatment group, 73% (74/101) carers used MT4C at least once over the 3-month period. No significant differences in the primary outcome measure (mental component summary score from the SF-12v2) by group or time were noted at 3 months; however, significant differences were evident for HHI-factor 2 (P=.01), with higher hope scores in the treatment group than in the control group. General estimating equations showed no statistically significant group differences in terms of mental component summary score at all time points. Attrition and the fact that not all carers in the treatment group used MT4C may explain the absence of statistically significant results for the main outcome variable. Despite no significant differences between groups in terms of the primary outcome variable (mental component score), the significant differences in terms of one of the hope factors suggest that MT4C had a positive influence on the lives of participants. ClinicalTrials.gov NCT02428387; https://clinicaltrials.gov/ct2/show/NCT02428387 (Archived by Webcite at http://www.webcitation.org/708oFCR8h). ©Wendy Duggleby, Jenny Ploeg, Carrie McAiney, Shelley Peacock, Kathryn Fisher, Sunita Ghosh, Maureen Markle-Reid, Jennifer Swindle, Allison Williams, Jean AC Triscott, Dorothy Forbes, Kathya Jovel Ruiz. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 29.06.2018.

Healthy Variability in Organizational Behavior: Empirical Evidence and New Steps for Future Research.

PubMed

Navarro, José; Rueff-Lopes, Rita

2015-10-01

The healthy variability thesis suggests that healthy systems function in a complex manner over time. This thesis is well-established in fields like physiology. In the field of organizational behavior, however, this relation is only starting to be explored. The objective of this article is threefold: First, we aim to provide a comprehensive review of the healthy variability thesis including some of the most important findings across different fields, with a focus on evidences from organizational research in work motivation and performance. Second, we discuss an opposite pattern, unhealthy stability, i.e., the relationship between unhealthy behaviors and lower variability. Again, we provide evidence from diverse areas, from affective processes to disruptive organizational comportments like mobbing. Third, we provide a critical evaluation of current methodological trends and highlight what we believe to be the main factors that are stopping organizational research from advancing in the field. Theoretical, methodological and epistemological implications are discussed. To conclude, we draw a compilation of the lessons learned, which hopefully provide insights for prolific research avenues. Our main purpose is to raise awareness of the healthy variability thesis and to enthuse organizational researchers to consider it in order to advance existing knowledge, revisit old theories and create new ones.

Medicare Reimbursement for Total Joint Arthroplasty: The Driving Forces.

PubMed

Padegimas, Eric M; Verma, Kushagra; Zmistowski, Benjamin; Rothman, Richard H; Purtill, James J; Howley, Michael

2016-06-15

Total joint arthroplasty is a large and growing part of the U.S. Medicare budget, drawing attention to how much providers are paid for their services. The purpose of this study was to examine the variables that affect total joint arthroplasty reimbursement. Along with standard economic variables, we include unique health-care variables. Given the focus on value in the Affordable Care Act, the model examines the relationship of the quality of care to total joint arthroplasty reimbursement. We hoped to find that reimbursement patterns reward quality and reflect standard economic principles. Multivariable regression was performed to identify variables that correlate with Medicare reimbursement for total joint arthroplasty. Inpatient charge or reimbursement data on Medicare reimbursements were available for 2,750 hospitals with at least 10 discharges for uncomplicated total joint arthroplasty from the Centers for Medicare & Medicaid Services (CMS) for fiscal year 2011. Reimbursement variability was examined by using the Dartmouth Atlas to group institutions into hospital referral regions and hospital service areas. Independent variables were taken from the Dartmouth Atlas, CMS, the WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) Rural Health Research Center, and the United States Census. There were 427,207 total joint arthroplasties identified, with a weighted mean reimbursement of $14,324.84 (range, $9,103 to $38,686). Nationally, the coefficient of variation for reimbursements was 0.19. The regression model accounted for 52.5% of reimbursement variation among providers. The total joint arthroplasty provider volume (p < 0.001) and patient satisfaction (p < 0.001) were negatively correlated with reimbursement. Government ownership of a hospital (p < 0.001) and higher Medicare costs (p < 0.001) correlated positively with reimbursement. Medicare reimbursements for total joint arthroplasty are highly variable. Greater reimbursement was associated with lower patient volume, lower patient satisfaction, a healthier patient population, and government ownership of a hospital. As value-based reimbursement provisions of the Affordable Care Act are implemented, there will be dramatic changes in total joint arthroplasty reimbursements. To meet these changes, providers should expect qualities such as high patient volume, willingness to care for sicker patient populations, patient satisfaction, safe outcomes, and procedural demand to correlate with their reimbursement. Practicing orthopaedic surgeons and hospital administrators should be aware of discrepancies in inpatient reimbursement for total joint arthroplasty from Medicare. Furthermore, these discrepancies are not associated with typical economic factors. These findings warrant further investigation and collaboration between policymakers and providers to develop value-based reimbursement. Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated.

A study of potential Olympic swimmers: I, the starting point.

PubMed Central

Bagnall, K. M.; Kellett, D. W.

1977-01-01

Physiological and anthropometric profiles of a group of successful young swimmers are presented. Anthropometrically the swimmers appear to fall within fairly narrow limits but are physically more mature than their peers. Physiologically there is greater diversity within the group representing perhaps the varying demands of the swimming events practised. All values for the physiological parameters measured are high compared with children of similar ages. For the future it is hoped to relate performance in swimming to the variables measured and to assess any changes which occur thus perhaps colouring the profiles presented here. PMID:922274

Living aloft: Human requirements for extended spaceflight

NASA Technical Reports Server (NTRS)

Connors, M. M.; Harrison, A. A.; Akins, F. R.

1985-01-01

Human psychological and social adjustment to space is investigated. Studies and experiences bearing on human performance capability, psychological well being, and social organization, as they relate to space, were identified and assessed, and suggestions offered as to where further research could ease the Earth/space transition. Special emphasis was given to the variables of crew size, crew diversity, and mission duration, all of which can be expected to increase in future spaceflight. By providing a conceptual framework in which issues and related information can be integrated, the hope is to aid in discovering those conditions under which future space travelers can flourish.

Air-Sea Interaction at Contrasting Sites in the Eastern Tropical Pacific: Mesoscale Variability and Atmospheric Convection at 10 deg N

DTIC Science & Technology

2007-02-01

Institution 3 4 Acknowledgments Most importantly, I would like to express my gratitude to my wife, Shelly , for her support, patience, and good humor...and Ann, have done a great deal to instill in me the qualities that have allowed me to complete this research. Now that Shelly and I have our own son...John Oliver, I appreciate the efforts of my parents more than ever, and I hope that Shelly and I can do as well for John as my parents have done for

An Undergraduate Research Experience on Studying Variable Stars

NASA Astrophysics Data System (ADS)

Amaral, A.; Percy, J. R.

2016-06-01

We describe and evaluate a summer undergraduate research project and experience by one of us (AA), under the supervision of the other (JP). The aim of the project was to sample current approaches to analyzing variable star data, and topics related to the study of Mira variable stars and their astrophysical importance. This project was done through the Summer Undergraduate Research Program (SURP) in astronomy at the University of Toronto. SURP allowed undergraduate students to explore and learn about many topics within astronomy and astrophysics, from instrumentation to cosmology. SURP introduced students to key skills which are essential for students hoping to pursue graduate studies in any scientific field. Variable stars proved to be an excellent topic for a research project. For beginners to independent research, it introduces key concepts in research such as critical thinking and problem solving, while illuminating previously learned topics in stellar physics. The focus of this summer project was to compare observations with structural and evolutionary models, including modelling the random walk behavior exhibited in the (O-C) diagrams of most Mira stars. We found that the random walk could be modelled by using random fluctuations of the period. This explanation agreed well with observations.

Survey of body donation programs in the US concerning the use of donor personal information with medical students.

PubMed

Gerwer, Johanna; Gest, Thomas R

2017-05-01

Body donor programs need to balance ethical concerns and educational needs. Among donor programs in the US, there is variability in the amount of donor personal information that is provided to medical students. This study assesses this variability and investigates the reasons for the variability among donor programs. Telephone interviews and email surveys were used to collect information concerning the provision and use of donor personal information with medical students. One hundred fifty-one donor programs in the US were contacted via email or telephone interview or both. Fifty-three donor programs responded to the survey or participated in the telephone interview. The survey results show variation, not only in the amount of donor personal information provided to medical students, but also in the attitudes and beliefs of the donor program personnel concerning donor personal information. This research documents the variability of the educational use of donor personal information. It is hoped that this description of the various approaches to using donor information will encourage the ethical use of donor information within the context of medical education. Clin. Anat. 30:445-449, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

The Relationship Between Hope and Adolescent Likelihood to Endorse Substance Use Behaviors in a Sample of Marginalized Youth.

PubMed

Brooks, Merrian J; Marshal, Michael P; McCauley, Heather L; Douaihy, Antoine; Miller, Elizabeth

2016-11-09

Hopefulness has been associated with increased treatment retention and reduced substance abuse among adults, and may be a promising modifiable factor to leverage in substance abuse treatment settings. Few studies have assessed the relationship between hopefulness and substance use in adolescents, particularly those with high-risk backgrounds. We explored whether high hope is associated with less likelihood for engaging in a variety of substance use behaviors in a sample of marginalized adolescents. Using logistic regression, we assessed results from a cross-sectional anonymous youth behavior survey (n = 256 youth, ages 14 to 19). We recruited from local youth serving agencies (e.g., homeless shelters, group homes, short-term detention). The sample was almost 60% male and two thirds African American. Unadjusted models showed youth with higher hope had a 50-58% (p = <.05) decreased odds of endorsing heavy episodic drinking, daily tobacco use, recent or lifetime marijuana use, and sex after using substances. Adjusted models showed a 52% decreased odds of lifetime marijuana use with higher hope, and a trend towards less sex after substance use (AOR 0.481; p = 0.065). No other substance use behaviors remained significantly associated with higher hope scores in adjusted models. Hopefulness may contribute to decreased likelihood of substance use in adolescents. Focusing on hope may be one modifiable target in a comprehensive primary or secondary substance use prevention program.

The Correlation Between Schizophrenic Patients' Level of Internalized Stigma and Their Level of Hope.

PubMed

Olçun, Zeynep; Şahin Altun, Özlem

2017-08-01

The aim of this study is to determine the correlation between schizophrenic patients' level of internalized stigma and their level of hope. The population of the study consisted of patients who had been diagnosed with schizophrenia and also met the study inclusion criteria. The study sample selection from the population was not further divided; the study was conducted with 76 patients. The data of the study were collected using a personal information form, the Internalized Stigma of Mental Illness (ISMI) Scale, and Herth Hope Scale. The patients' mean score on the Internalized Stigma Scale was 72.78±16.05. Their score on the Hope Scale is 50.36±11.91. A significant negative correlation was found between the total mean scores of ISMI and the Herth Hope Scale (r=-0.360, p<0.01). A significant positive correlation was found between the stigma resistance subscale mean score of ISMI and the total mean score of the Herth Hope Scale (r=0.510, p<0.01). The internalized stigma levels of schizophrenic patients were found to be high, whereas their hope levels were found to be moderate. A significant negative correlation was found between internalized stigma and hope. This study also found a significant positive correlation between the stigma resistance of patients and their hope levels. Copyright © 2017 Elsevier Inc. All rights reserved.

Rasch Analysis of the Locus-of-Hope Scale. Brief Report

ERIC Educational Resources Information Center

Gadiana, Leny G.; David, Adonis P.

2015-01-01

The Locus-of-Hope Scale (LHS) was developed as a measure of the locus-of-hope dimensions (Bernardo, 2010). The present study adds to the emerging literature on locus-of-hope by assessing the psychometric properties of the LHS using Rasch analysis. The results from the Rasch analyses of the four subscales of LHS provided evidence on the…

Adapted Excerpt from "Hope against Hope: Three Schools, One City, and America's Struggle to Educate Its Children"

ERIC Educational Resources Information Center

Carr, Sarah

2014-01-01

In this amended excerpt from "Hope Against Hope", educational reform in post-Katrina New Orleans is considered from a journalistic perspective in presenting the story of Geraldlynn Stewart as she and her family navigate the new school system. In providing voices of lived experiences of Stewart as well as other individuals within this new…

Vicarious Futurity, Hope, and Well-Being in Parents of Children with Autism Spectrum Disorder

ERIC Educational Resources Information Center

Faso, Daniel J.; Neal-Beevers, A. Rebecca; Carlson, Caryn L.

2013-01-01

Hope is shown to provide resiliency for parents of children with autism spectrum disorders (ASDs) against the negative effects related to extreme parenting stressors. The broad positivity of hope may overlook opposing parental feelings about their child that may be important for well-being. Vicarious futurity (VF) is the hope and despair a parent…

Patients experiences of maintaining mental well-being and hope within motor neuron disease: a thematic synthesis.

PubMed

Soundy, Andrew; Condon, Nicola

2015-01-01

Research is required that can synthesize the experiences of patients with Motor Neuron Disease (MND). One value of being able to do this is to understand the psychological experiences and processes involved in maintaining mental well-being and hope. A qualitative thematic synthesis of studies was undertaken. Studies were electronically searched from inception until June 2014. Twenty-nine studies with 342 (175 male) unique individuals with MND were identified. Five themes were identified: (1)The effects of the disease on interactions, relationships, roles and meaningful activities, (2) Responses that relate to the expression of hope, (3) Factors which disable hope, (4) Factors which enable hope, and (5) Cognitive and Practical adaptation that enabled hope, control and coping. Finally, a model of hope enablement was identified that considers the psychological pathways undertaken by a patient which influence mental well-being and hope. Within this review article evidence is provided which illustrates the central importance of relationships and social support for individuals with MND. Further, it has been identified that periods of coping are possible and are likely associated with greater mental well-being for patients with MND.

The German Version of the Herth Hope Index (HHI-D): Development and Psychometric Properties.

PubMed

Geiser, Franziska; Zajackowski, Katharina; Conrad, Rupert; Imbierowicz, Katrin; Wegener, Ingo; Herth, Kaye A; Urbach, Anne Sarah

2015-01-01

The importance of hope is evident in clinical oncological care. Hope is associated with psychological and also physical functioning. However, there is still a dearth of empirical research on hope as a multidimensional concept. The Herth Hope Index is a reliable and valid instrument for the measurement of hope and is available in many languages. Until now no authorized German translation has been published and validated. After translation, the questionnaire was completed by 192 patients with different tumor entities in radiation therapy. Reliability, concurrent validity, and factor structure of the questionnaire were determined. Correlations were high with depression and anxiety as well as optimism and pessimism. As expected, correlations with coping styles were moderate. Internal consistency and test-retest reliability were satisfactory. We could not replicate the original 3-factor model. Application of the scree plot criterion in an exploratory factor analysis resulted in a single-factor structure. The Herth Hope Index - German Version (HHI-D) is a short, reliable, and valid instrument for the assessment of hope in patient populations. We recommend using only the HHI-D total score until further research gives more insights into possible factorial solutions and subscales. © 2015 S. Karger GmbH, Freiburg.

A Longitudinal Examination of Hope and Optimism and Their Role in Type 1 Diabetes in Youths.

PubMed

Van Allen, Jason; Steele, Ric G; Nelson, Michael B; Peugh, James; Egan, Anna; Clements, Mark; Patton, Susana R

2016-08-01

To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period. A total of 110 participants (aged 10-16 years) completed study measures at Time 1, and 81 completed measures at Time 2. Analyses examined hope and optimism as predictors of change in health outcomes, and examined SMBG as a mediator of the relationship between hope and optimism, and HbA1c. Change in hope, but not optimism, was associated with change in SMBG and HbA1c. Change in SMBG mediated the relationship between change in hope and HbA1c, but not between optimism and HbA1c. It may be beneficial to assess hope in pediatric T1DM patients to identify youths who may be at risk for poor diabetes management, and to test the benefit of hope-based intervention efforts in clinical studies. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges.

PubMed

Frost, Barry G; Tirupati, Srinivasan; Johnston, Suzanne; Turrell, Megan; Lewin, Terry J; Sly, Ketrina A; Conrad, Agatha M

2017-01-17

Over past decades, improvements in longer-term clinical and personal outcomes for individuals experiencing serious mental illness (SMI) have been moderate, although recovery has clearly been shown to be possible. Recovery experiences are inherently personal, and recovery can be complex and non-linear; however, there are a broad range of potential recovery contexts and contributors, both non-professional and professional. Ongoing refinement of recovery-oriented models for mental health (MH) services needs to be fostered. This descriptive paper outlines a service-wide Integrated Recovery-oriented Model (IRM) for MH services, designed to enhance personally valued health, wellbeing and social inclusion outcomes by increasing access to evidenced-based psychosocial interventions (EBIs) within a service context that supports recovery as both a process and an outcome. Evolution of the IRM is characterised as a series of five broad challenges, which draw together: relevant recovery perspectives; overall service delivery frameworks; psychiatric and psychosocial rehabilitation approaches and literature; our own clinical and service delivery experience; and implementation, evaluation and review strategies. The model revolves around the person's changing recovery needs, focusing on underlying processes and the service frameworks to support and reinforce hope as a primary catalyst for symptomatic and functional recovery. Within the IRM, clinical rehabilitation (CR) practices, processes and partnerships facilitate access to psychosocial EBIs to promote hope, recovery, self-agency and social inclusion. Core IRM components are detailed (remediation of functioning; collaborative restoration of skills and competencies; and active community reconnection), together with associated phases, processes, evaluation strategies, and an illustrative IRM scenario. The achievement of these goals requires ongoing collaboration with community organisations. Improved outcomes are achievable for people with a SMI. It is anticipated that the IRM will afford MH services an opportunity to validate hope, as a critical element for people with SMI in assuming responsibility and developing skills in self-agency and advocacy. Strengthening recovery-oriented practices and policies within MH services needs to occur in tandem with wide-ranging service evaluation strategies.

Internalized stigma and quality of life among persons with severe mental illness: The mediating roles of self-esteem and hope

PubMed Central

Mashiach–Eizenberg, Michal; Hasson-Ohayon, Ilanit; Yanos, Philip T.; Lysaker, Paul H.; Roe, David

2013-01-01

Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and Structural Equation Modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem. PMID:23570969

The Anatomy of Hope

PubMed Central

Obayuwana, Alphonsus O.; Carter, Ann L.

1982-01-01

Hope is commonly regarded as the feeling that what is desired is also possible. Today, the concensus is that this feeling can increase one's overall ability to cope with stress by reducing fears and anxieties. It is our assumption, therefore, that much of the illness of mankind can be eliminated by enhancing the hope of human individuals. To be able to enhance hope, one must first know what hope actually is and from where it comes by identifying its true determinants. We have, therefore, chosen the task of defining hope and attempting to dissect it into its relevant components so that this important health related property of the human individual may no longer remain in abstraction. This paper reports our approach to this task, the methods used, results obtained, and conclusions drawn. PMID:7120458

Variable range hopping in ZnO films

NASA Astrophysics Data System (ADS)

Ali, Nasir; Ghosh, Subhasis

2018-04-01

We report the variable range hopping in ZnO films grown by RF magnetron sputtering in different argon and oxygen partial pressure. It has been found that Mott variable range hopping dominant over Efros variable range hopping in all ZnO films. It also has been found that hopping distance and energy increases with increasing oxygen partial pressure.

Study of electrode slice forming of bicycle dynamo hub power connector

NASA Astrophysics Data System (ADS)

Chen, Dyi-Cheng; Jao, Chih-Hsuan

2013-12-01

Taiwan's bicycle industry has been an international reputation as bicycle kingdom, but the problem in the world makes global warming green energy rise, the development of electrode slice of hub dynamo and power output connector to bring new hope to bike industry. In this study connector power output to gather public opinion related to patent, basis of collected documents as basis for design, structural components in least drawn to power output with simple connector. Power output of this study objectives connector hope at least cost, structure strongest, highest efficiency in output performance characteristics such as use of computer-aided drawing software Solid works to establish power output connector parts of 3D model, the overall portfolio should be considered part types including assembly ideas, weather resistance, water resistance, corrosion resistance to vibration and power flow stability. Moreover the 3D model import computer-aided finite element analysis software simulation of expected the power output of the connector parts manufacturing process. A series of simulation analyses, in which the variables relied on first stage and second stage forming, were run to examine the effective stress, effective strain, press speed, and die radial load distribution when forming electrode slice of bicycle dynamo hub.

The search for mechanisms of change in behavioral treatments for alcohol use disorders: a commentary.

PubMed

Longabaugh, Richard

2007-10-01

Definitive results from efforts to identify mechanisms of change in behavioral treatments for alcohol use disorders have been elusive. The working hypothesis guiding this paper is that one of the reasons for this elusiveness is that the models we hypothesize to account for treatments effectiveness are unnecessarily restricted and too simple. This paper aims to accomplish 3 things. First, a typography for locating potential mediators of change will be presented. In the course of doing so, a nomenclature will be proposed with the hope that this will facilitate communications among alcohol treatment researchers studying mechanisms of change. Second, alternatives to the classic test of mediation of alcohol treatment effects will be considered and one such alternative described. Third, alternative ways of conceptualizing, constructing and analyzing variables to measure mediators will be suggested. It is hoped that this commentary will facilitate research on mechanisms of change in behavioral treatments for alcohol use disorders. Behavioral change is a complex process, and the models that we develop to account for this process need to reflect this complexity. Advances in statistical approaches for testing mediation, along with a better understanding as to how to use these tools should help in moving toward this goal.

A Spanish-Language Version of the Herth Hope Scale: Development and Psychometric Evaluation in a Peruvian Sample

ERIC Educational Resources Information Center

Arnau, Randolph C.; Martinez, Patricia; de Guzman, Isabel Nino; Herth, Kaye; Konishi, Carlos Yoshiyuki

2010-01-01

Hope is a motivational/cognitive attribute that is theoretically necessary to initiate and sustain action toward goal attainment. The Herth Hope Scale (HHS) not only appears to tap into some of the same Agency and Pathways content of the commonly used Adult Hope Scale developed by Snyder et al. but also contains some more spiritual and social…

26 CFR 1.25A-3 - Hope Scholarship Credit.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 1 2014-04-01 2013-04-01 true Hope Scholarship Credit. 1.25A-3 Section 1.25A-3... Rates During A Taxable Year § 1.25A-3 Hope Scholarship Credit. (a) Amount of the credit—(1) In general. Subject to the phaseout of the education tax credit described in § 1.25A-1(c), the Hope Scholarship Credit...

26 CFR 1.25A-3 - Hope Scholarship Credit.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 1 2013-04-01 2013-04-01 false Hope Scholarship Credit. 1.25A-3 Section 1.25A-3... Rates During A Taxable Year § 1.25A-3 Hope Scholarship Credit. (a) Amount of the credit—(1) In general. Subject to the phaseout of the education tax credit described in § 1.25A-1(c), the Hope Scholarship Credit...

26 CFR 1.25A-3 - Hope Scholarship Credit.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 1 2012-04-01 2012-04-01 false Hope Scholarship Credit. 1.25A-3 Section 1.25A-3... Rates During A Taxable Year § 1.25A-3 Hope Scholarship Credit. (a) Amount of the credit—(1) In general. Subject to the phaseout of the education tax credit described in § 1.25A-1(c), the Hope Scholarship Credit...

Hope, Life, and Death: A Qualitative Analysis of Dying Cancer Patients' Talk about Hope

ERIC Educational Resources Information Center

Eliott, Jaklin A.; Olver, Ian N.

2009-01-01

Although deemed vital to patient well-being, hope in persons who are terminally ill is often thought to be problematic, particularly when centered on cure. As part of a study on end-of-life decision-making, we asked 28 patients with cancer, believed to be within weeks of their death, to talk about hope. Responses were transcribed and discursively…

Emerging applications of phase-change materials (PCMs): teaching an old dog new tricks.

PubMed

Hyun, Dong Choon; Levinson, Nathanael S; Jeong, Unyong; Xia, Younan

2014-04-07

The nebulous term phase-change material (PCM) simply refers to any substance that has a large heat of fusion and a sharp melting point. PCMs have been used for many years in commercial applications, mainly for heat management purposes. However, these fascinating materials have recently been rediscovered and applied to a broad range of technologies, such as smart drug delivery, information storage, barcoding, and detection. With the hope of kindling interest in this incredibly versatile range of materials, this Review presents an array of aspects related to the compositions, preparations, and emerging applications of PCMs. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

New name can sharpen a hospital's image--or diffuse checkered past.

PubMed

Burns, J

1992-06-22

Hospitals change their names for a variety of reasons. Some seek a new identity that conveys a wider range of services; others need a new moniker as a result of a merger; still others hope a change can help the facility erase past problems. Whatever the case may be, a hospital's decision to change its name has evolved from a mere technical formality to a competitive, and often costly, marketing strategy.

Airpower’s Master Tenant and Anti-Access/Area Denial: Hope Is Not a Course of Action

DTIC Science & Technology

2014-02-13

elements can no longer provide direction to subordinates. Geographic Range of Effects. Some platforms, such as bombers, RPAs and tankers, and effects...reducing a system’s dependence from its underlying material requirements. 56 Foster identifies the central A2/AD challenge is “maintaining sensor...Clustering is bringing diverse, synergistic resources and talent together. 60 Fischer identified composite units and distributed intelligence as enablers

Spectrally Queued Feature Selection for Robotic Visual Odometery

DTIC Science & Technology

2010-11-23

in these systems has yet to be defined. 1. INTRODUCTION 1.1 Uses of Autonomous Vehicles Autonomous vehicles have a wide range of possible...applications. In military situations, autonomous vehicles are valued for their ability to keep Soldiers far away from danger. A robot can inspect and disarm...just a glimpse of what engineers are hoping for in the future. 1.2 Biological Influence Autonomous vehicles are becoming more of a possibility in

Perspectives in Fluid Dynamics

NASA Astrophysics Data System (ADS)

Batchelor, G. K.; Moffatt, H. K.; Worster, M. G.

2002-12-01

With applications ranging from modelling the environment to automotive design and physiology to astrophysics, conventional textbooks cannot hope to give students much information on what topics in fluid dynamics are currently being researched, or how to choose between them. This book rectifies matters. It consists of eleven chapters that introduce and review different branches of the subject for graduate-level courses, or for specialists seeking introductions to other areas. Hb ISBN (2001): 0-521-78061-6

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

Hichwa, B.P.; Pun, D.D.; Wang, D.

A multielemental analysis to determine the trace metal content of generic and name-brand aspirins and name-brand lipsticks was done via proton induced x-ray (PIXE) measurements. The Hope College PIXE system is described as well as the target preparation methods. The trace metal content of twelve brands of aspirin and aspirin substitutes and fourteen brands of lipstick are reported. Detection limits for most elements are in the range of 100 parts per billion (ppb) to 10 parts per million (ppm).

Hope, despair and hopelessness in living with HIV/AIDS: a grounded theory study.

PubMed

Kylmä, J; Vehviläinen-Julkunen, K; Lähdevirta, J

2001-03-01

Hope, despair or hopelessness have been detected in several research reports as important elements of the lives of persons living with human immunodeficiency virus (HIV) (PLWH) or acquired immunodeficiency syndrome (AIDS) (PLWA). However, there is an obvious gap in the literature suggesting a need to study the overall dynamics of hope (including both hope and despair or hopelessness) along the HIV spectrum from PLWHs' and PLWAs' perspective. The purpose of this study was to describe the dynamics of hope in living with HIV/AIDS. The data were collected through interviewing 10 PLWHs/PLWAs and analysed using a grounded theory method. The dynamics of hope is a multifaceted and complex combination of 'hope', 'despair' and 'hopelessness'. It comprises balancing between 'believing life to be worth living at the present and in the future', 'losing one's grip and sinking into narrowing existence vs. fighting against sinking' and 'giving up in the face of belief in nonexisting future'. A dynamic alternation between hope, despair and hopelessness takes place in the presence of factors that contribute to the 'folding' and 'unfolding' possibilities in everyday life. Factors contributing to the folding possibilities include 'losing', 'fear', 'uncertainty', 'problems in care', 'HIV/AIDS in close ones', 'difficulties in relationships' and 'negative public images and attitudes concerning HIV'. Factors contributing to the unfolding possibilities are 'constructive life experiences', 'wishing not to have HIV while uncertain', 'constructive relationships', 'ability to control one's life', 'finding the meaning of life and zest for life', 'caring', 'noticing one's improved health and the continuance of life', 'increasingly positive attitudes concerning HIV-positive people' and 'protection by law'. The dynamics of hope discovered in this study present new conceptualization, where hope, despair and hopelessness are viewed in relation to each other. The emerged definitions may be used in clinical practice to identify these phenomena in individuals with HIV/AIDS. The discovered factors contributing to the folding and unfolding possibilities can be used in clinical practice to help the individuals along the dynamics of hope.

Predicting environmental mitigation requirements for hydropower projects through the integration of biophysical and socio-political geographies

DOE PAGES

Bevelhimer, Mark S.; DeRolph, Christopher R.; Schramm, Michael P.

2016-06-06

Uncertainty about environmental mitigation needs at existing and proposed hydropower projects makes it difficult for stakeholders to minimize environmental impacts. Hydropower developers and operators desire tools to better anticipate mitigation requirements, while natural resource managers and regulators need tools to evaluate different mitigation scenarios and order effective mitigation. Here we sought to examine the feasibility of using a suite of multidisciplinary explanatory variables within a spatially explicit modeling framework to fit predictive models for future environmental mitigation requirements at hydropower projects across the conterminous U.S. Using a database comprised of mitigation requirements from more than 300 hydropower project licenses, wemore » were able to successfully fit models for nearly 50 types of environmental mitigation and to apply the predictive models to a set of more than 500 non-powered dams identified as having hydropower potential. The results demonstrate that mitigation requirements have been a result of a range of factors, from biological and hydrological to political and cultural. Furthermore, project developers can use these models to inform cost projections and design considerations, while regulators can use the models to more quickly identify likely environmental issues and potential solutions, hopefully resulting in more timely and more effective decisions on environmental mitigation.« less

Predicting environmental mitigation requirements for hydropower projects through the integration of biophysical and socio-political geographies.

PubMed

DeRolph, Christopher R; Schramm, Michael P; Bevelhimer, Mark S

2016-10-01

Uncertainty about environmental mitigation needs at existing and proposed hydropower projects makes it difficult for stakeholders to minimize environmental impacts. Hydropower developers and operators desire tools to better anticipate mitigation requirements, while natural resource managers and regulators need tools to evaluate different mitigation scenarios and order effective mitigation. Here we sought to examine the feasibility of using a suite of multi-faceted explanatory variables within a spatially explicit modeling framework to fit predictive models for future environmental mitigation requirements at hydropower projects across the conterminous U.S. Using a database comprised of mitigation requirements from more than 300 hydropower project licenses, we were able to successfully fit models for nearly 50 types of environmental mitigation and to apply the predictive models to a set of more than 500 non-powered dams identified as having hydropower potential. The results demonstrate that mitigation requirements are functions of a range of factors, from biophysical to socio-political. Project developers can use these models to inform cost projections and design considerations, while regulators can use the models to more quickly identify likely environmental issues and potential solutions, hopefully resulting in more timely and more effective decisions on environmental mitigation. Copyright © 2016 Elsevier B.V. All rights reserved.

Residential surface soil guidance applied worldwide to the pesticides added to the Stockholm Convention in 2009 and 2011.

PubMed

Jennings, Aaron A; Li, Zijian

2015-09-01

Due to the widespread use of agricultural and residential pesticides, the potential for pesticide soil contamination is a worldwide concern. In response, regulatory jurisdictions in at least 54 nations have promulgated guidance values to specify the maximum allowable concentration of pesticides in soils. Guidance values may be found for more than 700 pesticides. A previous analysis examined the values applied to the original "dirty dozen" persistent organic pollutant (POP) pesticides that were addressed in the 2001 Stockholm Convention (Aldrin, Chlordane, DDT, Dieldrin, Endrin, Heptachlor, Mirex, and Toxaphene). Results are presented here for the "new POP" pesticides that were added to the Stockholm Convention in 2009 and 2011 (isomers of Hexachlorocyclohexane, Chlordecone, and isomers of Endosulfan). The guidance value extremes used worldwide for these pesticides vary by as much as 8.5 orders of magnitude and the randomness in their distributions resembles that of lognormal random variables. However, there are nonrandom value clusters in some distributions that may identify values around which consensuses are forming. The current value distributions imply that a wide range of human health risks are being accepted. Hopefully, the results presented will help regulatory jurisdictions and the regulated communities identify values that should be revised to be adequately protective of human health. Copyright © 2015 Elsevier Ltd. All rights reserved.

Predicting environmental mitigation requirements for hydropower projects through the integration of biophysical and socio-political geographies

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

Bevelhimer, Mark S.; DeRolph, Christopher R.; Schramm, Michael P.

Uncertainty about environmental mitigation needs at existing and proposed hydropower projects makes it difficult for stakeholders to minimize environmental impacts. Hydropower developers and operators desire tools to better anticipate mitigation requirements, while natural resource managers and regulators need tools to evaluate different mitigation scenarios and order effective mitigation. Here we sought to examine the feasibility of using a suite of multidisciplinary explanatory variables within a spatially explicit modeling framework to fit predictive models for future environmental mitigation requirements at hydropower projects across the conterminous U.S. Using a database comprised of mitigation requirements from more than 300 hydropower project licenses, wemore » were able to successfully fit models for nearly 50 types of environmental mitigation and to apply the predictive models to a set of more than 500 non-powered dams identified as having hydropower potential. The results demonstrate that mitigation requirements have been a result of a range of factors, from biological and hydrological to political and cultural. Furthermore, project developers can use these models to inform cost projections and design considerations, while regulators can use the models to more quickly identify likely environmental issues and potential solutions, hopefully resulting in more timely and more effective decisions on environmental mitigation.« less

Neural Computations in a Dynamical System with Multiple Time Scales.

PubMed

Mi, Yuanyuan; Lin, Xiaohan; Wu, Si

2016-01-01

Neural systems display rich short-term dynamics at various levels, e.g., spike-frequency adaptation (SFA) at the single-neuron level, and short-term facilitation (STF) and depression (STD) at the synapse level. These dynamical features typically cover a broad range of time scales and exhibit large diversity in different brain regions. It remains unclear what is the computational benefit for the brain to have such variability in short-term dynamics. In this study, we propose that the brain can exploit such dynamical features to implement multiple seemingly contradictory computations in a single neural circuit. To demonstrate this idea, we use continuous attractor neural network (CANN) as a working model and include STF, SFA and STD with increasing time constants in its dynamics. Three computational tasks are considered, which are persistent activity, adaptation, and anticipative tracking. These tasks require conflicting neural mechanisms, and hence cannot be implemented by a single dynamical feature or any combination with similar time constants. However, with properly coordinated STF, SFA and STD, we show that the network is able to implement the three computational tasks concurrently. We hope this study will shed light on the understanding of how the brain orchestrates its rich dynamics at various levels to realize diverse cognitive functions.

Complications and Cost of Syndactyly Reconstruction in the United States: Analysis of the Pediatric Health Information System.

PubMed

Canizares, Maria F; Feldman, Lanna; Miller, Patricia E; Waters, Peter M; Bae, Donald S

2017-07-01

Syndactyly is one of the most common congenital differences of the upper extremity and offers an exceptional opportunity to evaluate value-based care in pediatric orthopedic surgery. We designed a study to characterize complications and cost associated to syndactyly surgery among US pediatric hospitals. A total of 2047 patients were identified for syndactyly surgery at 38 pediatric hospitals from 2009 to 2012 using the Pediatric Health Information System (PHIS) database. We examined costs as well as complication rates across hospitals stratified by patient and hospital variables. The postoperative complication rate was 1.9% (95% confidence interval [CI]: 1.3%-2.5%). Postoperative infection rate was 1.6% and surgical complication rate was 0.3%. Median adjusted standardized cost was $4112.5 (interquartile range: $2979-$6049). Patients with more than 1 diagnosis had 19 times higher risk of complications and were associated with 13% more hospital cost than those with syndactyly as single diagnosis ( P < .001). Finally, there was a wide variation in cost across hospitals; 8 (21%) yielded confidence limits above the benchmarked value. In the United States, it is important to recognize variations in practice of syndactyly surgery in hopes of developing quality improvement strategies in pediatric orthopedic surgery.

Shingles: Hope through Research

MedlinePlus

... Caregiver Education » Hope Through Research Shingles: Hope Through Research Download publication What is shingles? What are the ... lessen the severity of their chickenpox. top What research is being done? The mission of the National ...

24 CFR 257.1 - Purpose of program.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER AUTHORITIES HOPE FOR HOMEOWNERS PROGRAM HOPE for Homeowners Program-General Requirements § 257.1 Purpose of program. The HOPE for...

The Effect of Stress Management Training on Hope in Hemodialysis Patients.

PubMed

Poorgholami, Farzad; Abdollahifard, Sareh; Zamani, Marzieh; Kargar Jahromi, Marzieh; Badiyepeyma Jahromi, Zohreh

2015-11-18

Chronic renal failure exposes patients to the risk of several complications, which will affect every aspect of patient's life, and eventually his hope. This study aims to determine the effect of stress management group training on hope in hemodialysis patients. In this quasi-experimental single-blind study, 50 patients with renal failure undergoing hemodialysis at Motahari Hospital in Jahrom were randomly divided into stress management training and control groups. Sampling was purposive, and patients in stress management training group received 60-minute in-person training by the researcher (in groups of 5 to 8 patients) before dialysis, over 5 sessions, lasting 8 weeks, and a researcher-made training booklet was made available to them in the first session. Patients in the control group received routine training given to all patients in hemodialysis department. Patients' hope was recorded before and after intervention. Data collection tools included demographic details form, checklist of problems of hemodialysis patients and Miller hope scale (MHS). Data were analyzed in SPSS-18, using Chi-square, one-way analysis of variance, and paired t-test. Fifty patients were studied in two groups of 25 each. No significant difference was observed between the two groups in terms of age, gender, or hope before intervention. After 8 weeks of training, hope reduced from 95.92±12.63 to 91.16±11.06 (P=0.404) in the control group, and increased from 97.24±11.16 to 170.96±7.99 (P=0.001) in the stress management training group. Significant differences were observed between the two groups in hope scores after the intervention. Stress management training by nurses significantly increased hope in hemodialysis patients. This low cost intervention can be used to improve hope in hemodialysis patients.

Hope, Quality of Life, and Benefit From Treatment in Women Having Chemotherapy for Platinum-Resistant/Refractory Recurrent Ovarian Cancer: The Gynecologic Cancer Intergroup Symptom Benefit Study

PubMed Central

Sjoquist, Katrin M.; Friedlander, Michael L.; O'Connell, Rachel L.; Voysey, Merryn; King, Madeleine T.; Stockler, Martin R.; Oza, Amit M.; Gillies, Kim; Martyn, Julie K.

2013-01-01

Purpose. Chemotherapy for platinum-resistant/refractory ovarian cancer is motivated by the hope of benefit. We sought to determine the relationships between: (a) trait hope, expectation of symptom benefit from chemotherapy, and anxiety and depression; (b) hope and perceived efficacy of chemotherapy; and (c) unfulfilled hope (where expectations for benefit are not fulfilled) and depression. Methods. Adult patients enrolled within stage 1 of the Gynecologic Cancer Intergroup Symptom Benefit Study were included. Patient. Reported outcomes were collected from 126 women with predominantly platinum-resistant ovarian cancer at baseline, prior to the first four treatment cycles (12–16 weeks), and four weeks after completing chemotherapy or at disease progression, whichever came first. Associations were assessed with Spearman rank correlation coefficient (r) and odds ratio. Results. Trait hope and expectation of symptom benefit from chemotherapy were weakly correlated with each other (r = 0.25). Trait hope, but not expectation of symptom benefit, was negatively correlated with anxiety (r = −0.43) and depression (r = −0.50). The smaller the discrepancy between perceived and expected symptom benefit, the less likely the patient was to have scores indicative of depression (odds ratio: 0.68; 95% confidence interval: 0.49–0.96; p = .026). Conclusion. Trait hope and expectation of symptom benefit from chemotherapy appear to be distinct and independent of the aspects of quality of life and scores for depression. Hope did not appear to affect perceived efficacy of chemotherapy in alleviating symptoms, but women whose expectation of symptom benefit from chemotherapy was not fulfilled were more likely to have scores indicative of depression. It may be preferable to encourage hope toward achievable goals rather than toward benefits from chemotherapy. PMID:24107972

Hope, quality of life, and benefit from treatment in women having chemotherapy for platinum-resistant/refractory recurrent ovarian cancer: the gynecologic cancer intergroup symptom benefit study.

PubMed

Sjoquist, Katrin M; Friedlander, Michael L; O'Connell, Rachel L; Voysey, Merryn; King, Madeleine T; Stockler, Martin R; Oza, Amit M; Gillies, Kim; Martyn, Julie K; Butow, Phyllis N

2013-01-01

Chemotherapy for platinum-resistant/refractory ovarian cancer is motivated by the hope of benefit. We sought to determine the relationships between: (a) trait hope, expectation of symptom benefit from chemotherapy, and anxiety and depression; (b) hope and perceived efficacy of chemotherapy; and (c) unfulfilled hope (where expectations for benefit are not fulfilled) and depression. Methods. Adult patients enrolled within stage 1 of the Gynecologic Cancer Intergroup Symptom Benefit Study were included. Patient. Reported outcomes were collected from 126 women with predominantly platinum-resistant ovarian cancer at baseline, prior to the first four treatment cycles (12-16 weeks), and four weeks after completing chemotherapy or at disease progression, whichever came first. Associations were assessed with Spearman rank correlation coefficient (r) and odds ratio. Results. Trait hope and expectation of symptom benefit from chemotherapy were weakly correlated with each other (r = 0.25). Trait hope, but not expectation of symptom benefit, was negatively correlated with anxiety (r = -0.43) and depression (r = -0.50). The smaller the discrepancy between perceived and expected symptom benefit, the less likely the patient was to have scores indicative of depression (odds ratio: 0.68; 95% confidence interval: 0.49-0.96; p = .026). Conclusion. Trait hope and expectation of symptom benefit from chemotherapy appear to be distinct and independent of the aspects of quality of life and scores for depression. Hope did not appear to affect perceived efficacy of chemotherapy in alleviating symptoms, but women whose expectation of symptom benefit from chemotherapy was not fulfilled were more likely to have scores indicative of depression. It may be preferable to encourage hope toward achievable goals rather than toward benefits from chemotherapy.

Hope, Coping, and Quality of Life in Adults with Myasthenia Gravis.

PubMed

Koopman, Wilma J; LeBlanc, Nicole; Fowler, Sue; Nicolle, Michael W; Hulley, Denise

2016-01-01

Myasthenia gravis significantly impacts quality of life. However, the relationship between hope, coping, and quality of life (QOL)in myasthenia patients has not been studied (Kulkantrakorn & Jarungkiatkul, 2009; Raggi et al., 2010). The aim of this study was to explore the relationship between hope, coping, and quality of life in adults with myasthenia gravis. Subjects with MG (n = 100) completed six questionnaires, including a demographic profile, the Myasthenia Gravis Activities of Daily Living Scale (MG-ADL), Herth Hope Index (HHI), Jalowiec Coping Scale (JCS), Myasthenia Gravis Quality-of-Life Scale (MG-QOL15), and Short Form Health Survey (SF-36v2). Mean hope scores indicated a high level of hope. An optimistic coping style was the most common and effective coping strategy identified by subjects. Positive thinking and humour were also frequently used strategies. Participants identified quality of life as good tolerability, above general population mental well-being, and below general populationphysical well-being. Participants who identified good quality of life had low scores on the MG-QOL15 scale and high scores on the SF36v2. Hope and independence for activities of daily living were found to correlate with improved quality of life and mental well-being(p < 0.001). Age and length of illness were not significant factors. There was no mediation by well-being or quality of life in the relationship between hope and coping. Hope and coping were not important factors for well-being or quality of life. Nurses caring for adults with myasthenia gravis should use interventions that continue to support hope, quality of life, and coping throughout the unpredictable and chronic course of MG.

Long-term Adjustment After Surviving Open Heart Surgery: The Effect of Using Prayer for Coping Replicated in a Prospective Design

PubMed Central

Ai, A. L.; Ladd, K. L.; Peterson, C.; Cook, C. A.; Shearer, M.; Koenig, H. G.

2010-01-01

Purpose: Despite the growing evidence for effects of religious factors on cardiac health in general populations, findings are not always consistent in sicker and older populations. We previously demonstrated that short-term negative outcomes (depression and anxiety) among older adults following open heart surgery are partially alleviated when patients employ prayer as part of their coping strategy. The present study examines multifaceted effects of religious factors on long-term postoperative adjustment, extending our previous findings concerning prayer and coping with cardiac disease. Design and Methods: Analyses capitalized on a preoperative survey and medical variables from the Society of Thoracic Surgeons’ National Database of patients undergoing open heart surgery. The current participants completed a mailed survey 30 months after surgery. Two hierarchical regressions were performed to evaluate the extent to which religious factors predicted depression and anxiety, after controlling for key demographics, medical indices, and mental health. Results: Predicting lower levels of depression at the follow-up were preoperative use of prayer for coping, optimism, and hope. Predicting lower levels of anxiety at the follow-up were subjective religiousness, marital status, and hope. Predicting poorer adjustment were reverence in religious contexts, preoperative mental health symptoms, and medical comorbidity. Including optimism and hope in the model did not eliminate effects of religious factors. Several other religious factors had no long-term influences. Implications: The influence of religious factors on the long-term postoperative adjustment is independent and complex, with mediating factors yet to be determined. Future research should investigate mechanisms underlying religion–health relations. PMID:20634280

Spatial and Temporal Extent of Ion Spectral Structures at the Inner Edge of the Plasma Sheet

NASA Astrophysics Data System (ADS)

Ferradas, C.; Reeves, G. D.; Zhang, J.; Spence, H. E.; Kistler, L. M.; Larsen, B.; Skoug, R. M.; Funsten, H. O.

2017-12-01

Several ion spectral structures are observed near the inner edge of the plasma sheet and constitute the signatures of ion drift and loss in the highly dynamic environment of the inner magnetosphere. Their study helps us understand ion access and losses in this region. Several studies have found that these structures vary with geomagnetic activity, local time, and ion species, but their spatial and temporal extent remain undetermined. We use data from the Helium, Oxygen, Proton, and Electron (HOPE) mass spectrometers onboard the Van Allen Probes to analyze the spectral structures in the energy range of 1- 50 keV. HOPE measurements on both Van Allen Probes spacecraft enable us to resolve the extent of these ion structures in space and time. As the structures respond to changes in the convection electric field on a variety of time scales, the lapping of the two spacecraft on time scales of minutes to hours helps determine their spatial and temporal evolution.

A Postcolonial Reflection on the Audacity of Hope: Toward a Pedagogy With/For an Understanding Heart

ERIC Educational Resources Information Center

Jaime, Angela Marie; Cho, Jeasik

2017-01-01

In order for hope to be a sufficient state of mind, deliberate efforts, energies and actions are required in a way that embraces the other side of hope, namely, pain and/or despair. In other words, there must be an agreement that life consists of hopes/dreams and pain/despair. In the work of Duncan-Andrade, he gives us a reflective framework for…

Effects of Intrinsic and Extrinsic Factors on the Level of Hope and Psychological Health Status of Patients with Cervical Cancer During Radiotherapy.

PubMed

Li, Li-Rong; Lin, Mei-Guang; Liang, Juan; Hu, Qiong-Yan; Chen, Dan; Lan, Meng-Ying; Liang, Wu-Qing; Zeng, Yu-Ting; Wang, Ting; Fu, Gui-Fen

2017-07-19

BACKGROUND This study aimed to explore the factors affecting the level of hope and psychological health status of patients with cervical cancer (CC) during radiotherapy. MATERIAL AND METHODS A total of 480 CC patients were recruited. Psychological distress scale, Herth hope index, functional assessment cancer therapy-cervix, and Jolowiec coping scale were used to conduct surveys on psychological distress, level of hope, quality of life (QOL), and coping style to analyze the factors affecting the level of hope and psychological health status of CC patients. RESULTS The morbidity of significant psychological distress in 480 CC patients during radiotherapy was 68%, and the main factors causing psychological distress were emotional problems and physical problems. During radiotherapy, most patients had middle and high levels of hope, and the psychological distress index of patients was negatively correlated with the level of hope. The QOL of CC patients during radiotherapy were at middle and high levels, and the QOL was positively correlated with confrontment, optimism, appeasement, and self-reliance, but it was negatively correlated with predestination and emotional expression. CONCLUSIONS For CC patients during radiotherapy, the morbidity of psychological distress was high, but they were at middle and high levels of hope.

Effects of Intrinsic and Extrinsic Factors on the Level of Hope and Psychological Health Status of Patients with Cervical Cancer During Radiotherapy

PubMed Central

Li, Li-Rong; Lin, Mei-Guang; Liang, Juan; Hu, Qiong-Yan; Chen, Dan; Lan, Meng-Ying; Liang, Wu-Qing; Zeng, Yu-Ting; Wang, Ting; Fu, Gui-Fen

2017-01-01

Background This study aimed to explore the factors affecting the level of hope and psychological health status of patients with cervical cancer (CC) during radiotherapy. Material/Methods A total of 480 CC patients were recruited. Psychological distress scale, Herth hope index, functional assessment cancer therapy-cervix, and Jolowiec coping scale were used to conduct surveys on psychological distress, level of hope, quality of life (QOL), and coping style to analyze the factors affecting the level of hope and psychological health status of CC patients. Results The morbidity of significant psychological distress in 480 CC patients during radiotherapy was 68%, and the main factors causing psychological distress were emotional problems and physical problems. During radiotherapy, most patients had middle and high levels of hope, and the psychological distress index of patients was negatively correlated with the level of hope. The QOL of CC patients during radiotherapy were at middle and high levels, and the QOL was positively correlated with confrontment, optimism, appeasement, and self-reliance, but it was negatively correlated with predestination and emotional expression. Conclusions For CC patients during radiotherapy, the morbidity of psychological distress was high, but they were at middle and high levels of hope. PMID:28720749

Hope: A further dimension for engaging family members of people with ABI.

PubMed

Kuipers, Pim; Doig, Emmah; Kendall, Melissa; Turner, Ben; Mitchell, Marion; Fleming, Jennifer

2014-01-01

Family member engagement is increasingly recognised as an influential factor in the rehabilitation continuum following Acquired Brain Injury, including the inpatient setting and longer-term community integration phases. To explore the experiences of patients and family members about their involvement in brain injury rehabilitation. This study comprised individual and group interviews with 14 ex-patients and family members. Interviews explored effects of inpatient rehabilitation on family relationships. Interview audio recordings were analysed using an interpretive approach by two independent researchers. Findings clearly confirmed the significance of engaging family members in inpatient rehabilitation, and specifically reinforced the importance of informational, emotional, practical and peer support. However, the key finding of the study was the importance of hope, and the need for rehabilitation professionals to foster hope. Despite not having included any questions on this topic, all interviewees noted the importance of hope, some saw it as fundamental to positive outcomes, and many were unconvinced of rehabilitation professionals' concern to avoid false hope. Various dimensions of hope are explored. The study notes that hope has been identified as highly important in many areas beyond brain injury rehabilitation. Based on this small preliminary study, the issue of hope is seen as a key focus for future research.

Translating Music into Hope | NIH MedlinePlus the Magazine

MedlinePlus

... contents Translating Music into Hope Follow us Translating Music into Hope Black Eyed Peas’ Taboo talks about ... for years as a member of the hit music group Black Eyed Peas. He shares his recent ...

Investigation of potential factors affecting the measurement of dew point temperature in oil-soaked transformers

NASA Astrophysics Data System (ADS)

Kraus, Adam H.

Moisture within a transformer's insulation system has been proven to degrade its dielectric strength. When installing a transformer in situ, one method used to calculate the moisture content of the transformer insulation is to measure the dew point temperature of the internal gas volume of the transformer tank. There are two instruments commercially available that are designed for dew point temperature measurement: the Alnor Model 7000 Dewpointer and the Vaisala DRYCAPRTM Hand-Held Dewpoint Meter DM70. Although these instruments perform an identical task, the design technology behind each instrument is vastly different. When the Alnor Dewpointer and Vaisala DM70 instruments are used to measure the dew point of the internal gas volume simultaneously from a pressurized transformer, their differences in dew point measurement have been observed to vary as much as 30 °F. There is minimal scientific research available that focuses on the process of measuring dew point of a gas inside a pressurized transformer, let alone this observed phenomenon. The primary objective of this work was to determine what effect certain factors potentially have on dew point measurements of a transformer's internal gas volume, in hopes of understanding the root cause of this phenomenon. Three factors that were studied include (1) human error, (2) the use of calibrated and out-of-calibration instruments, and (3) the presence of oil vapor gases in the dry air sample, and their subsequent effects on the Q-value of the sampled gas. After completing this portion of testing, none of the selected variables proved to be a direct cause of the observed discrepancies between the two instruments. The secondary objective was to validate the accuracy of each instrument as compared to its respective published range by testing against a known dew point temperature produced by a humidity generator. In a select operating range of -22 °F to -4 °F, both instruments were found to be accurate and within their specified tolerances. This temperature range is frequently encountered in oil-soaked transformers, and demonstrates that both instruments can measure accurately over a limited, yet common, range despite their different design methodologies. It is clear that there is another unknown factor present in oil-soaked transformers that is causing the observed discrepancy between these instruments. Future work will include testing on newly manufactured or rewound transformers in order to investigate other variables that could be causing this discrepancy.

Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: a report from the Children's Oncology Group.

PubMed

Robb, Sheri L; Burns, Debra S; Stegenga, Kristin A; Haut, Paul R; Monahan, Patrick O; Meza, Jane; Stump, Timothy E; Cherven, Brooke O; Docherty, Sharron L; Hendricks-Ferguson, Verna L; Kintner, Eileen K; Haight, Ann E; Wall, Donna A; Haase, Joan E

2014-03-15

To reduce the risk of adjustment problems associated with hematopoietic stem cell transplant (HSCT) for adolescents/young adults (AYAs), we examined efficacy of a therapeutic music video (TMV) intervention delivered during the acute phase of HSCT to: 1) increase protective factors of spiritual perspective, social integration, family environment, courageous coping, and hope-derived meaning; 2) decrease risk factors of illness-related distress and defensive coping; and 3) increase outcomes of self-transcendence and resilience. This was a multisite randomized, controlled trial (COG-ANUR0631) conducted at 8 Children's Oncology Group sites involving 113 AYAs aged 11-24 years undergoing myeloablative HSCT. Participants, randomized to the TMV or low-dose control (audiobooks) group, completed 6 sessions over 3 weeks with a board-certified music therapist. Variables were based on Haase's Resilience in Illness Model (RIM). Participants completed measures related to latent variables of illness-related distress, social integration, spiritual perspective, family environment, coping, hope-derived meaning, and resilience at baseline (T1), postintervention (T2), and 100 days posttransplant (T3). At T2, the TMV group reported significantly better courageous coping (Effect Size [ES], 0.505; P = .030). At T3, the TMV group reported significantly better social integration (ES, 0.543; P = .028) and family environment (ES, 0.663; P = .008), as well as moderate nonsignificant effect sizes for spiritual perspective (ES, 0.450; P = .071) and self-transcendence (ES, 0.424; P = .088). The TMV intervention improves positive health outcomes of courageous coping, social integration, and family environment during a high-risk cancer treatment. We recommend the TMV be examined in a broader population of AYAs with high-risk cancers. © 2013 American Cancer Society.

Attractiveness of family medicine for medical students

PubMed Central

Vanasse, Alain; Orzanco, Maria Gabriela; Courteau, Josiane; Scott, Sarah

2011-01-01

Abstract Objective To examine the association between students’ personal characteristics, backgrounds, and medical schools and their intention to enter a family medicine (FM) specialty. Design Descriptive study using data from the 2007 National Physician Survey. Setting Canada. Participants Clinical (n = 1109) and preclinical (n = 829) medical student respondents to the 2007 National Physician Survey. Main outcome measures The main variable was hoping to enter an FM specialty, and 40 independent variables were included in regression and classification-tree models. Results Fewer than 1 medical student in 3 (30.2% at the preclinical level and 31.4% at the clinical level) hoped to enter into an FM career. Those who did were more likely to be female, were slightly older, were more frequently married or living with partners, were typically born in Canada, and were more likely to have previous exposure to non-urban environments. The most important predictor for both populations was the debt related to medical studies, which acted in the opposite direction of whether or not students were interested in research. Students interested in research were attracted by specialties with high earning potential, while those not interested in research looked for short residency programs, such as FM, so they could begin to pay off debt sooner. Therefore, the interest in research appears to be inversely related to the choice of FM. Conclusion Less than one-third of medical students were looking for residencies in FM in Canada. This is far below the goals of 45% set at the national level and 50% set by some provinces like Quebec. Debt and interest in research have strong influences on the choice of residency by medical students. PMID:21673198

Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis.

PubMed

Coons, Stephen Joel; Chongpison, Yuda; Wendel, Christopher S; Grant, Marcia; Krouse, Robert S

2007-09-01

To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related Quality of Life Study, in which 511 respondents (239 cases, 272 controls) completed a survey instrument that included the modified City of Hope Quality of Life (mCOH-QOL) Ostomy questionnaire, SF-36V, and sociodemographic items. Responses from the 239 cases (ie, patients with intestinal stomas) were used in this analysis. The modified City of Hope Quality of Life Ostomy questionnaire item, "How good is your overall quality of life?," was the dependent variable for this analysis. The primary independent variable was the response (yes/no) to the item, "If you pay for any of the (ostomy) costs, is it difficult for you?" A hierarchical regression model was used to examine whether difficulty paying was significantly related to overall quality of life after adjusting for age, income, race/ethnicity, and physical health. After accounting for the proportion of variance explained by age, income, race/ethnicity, and physical health, the additional proportion of variance explained by difficulty paying was statistically significant. Individuals reporting difficulty paying had a roughly 1 point lower (ie, beta-coefficient = -1.052; SE = 0.481) overall quality of life score on the 11-point scale. We found a significant association between difficulty paying for ostomy supplies and overall quality of life. Although the cross-sectional study design does not allow causal inference, the results suggest a relationship that merits further examination.

Hope and cardiovascular health-promoting behaviour: education alone is not enough.

PubMed

Feldman, David B; Sills, Jonathan R

2013-01-01

We investigated hope's ability to predict cardiovascular disease (CVD) knowledge and health-promoting behaviours. Snyder defined hope as the combination of goal-directed planning and motivation, and theorised that high-hope people seek knowledge relevant to goal pursuits. We surveyed 391 Latino and Asian participants undergoing CVD risk screening, nearly all immigrants to the USA. This was a particularly important sample because, in general, these populations are considered underserved and under-researched. Pre-screening hope levels were measured. After screening and education, participants rated perceived importance of behaviour change. Behaviour change (salt/fat intake, exercise, CVD information-seeking and visiting a physician) and CVD knowledge were assessed one month later by telephone. Unexpectedly, hope did not predict knowledge. However, hope predicted self-reported behaviour change, though results differed by ethnicity. Among Asian individuals, hope × knowledge predicted reduced salt/fat, CVD information-seeking and physician visits. Among Latino individuals, hope × perceived importance of diet change predicted reduced salt/fat and hope × perceived importance of exercise change predicted increased exercise.

Internalized stigma and quality of life among persons with severe mental illness: the mediating roles of self-esteem and hope.

PubMed

Mashiach-Eizenberg, Michal; Hasson-Ohayon, Ilanit; Yanos, Philip T; Lysaker, Paul H; Roe, David

2013-06-30

Research has revealed the negative consequences of internalized stigma among people with serious mental illness (SMI), including reductions in self-esteem and hope. The purpose of the present study was to investigate the relation between internalized stigma and subjective quality of life (QoL) by examining the mediating role of self-esteem and hope. Measures of internalized stigma, self-esteem, QoL, and hope were administrated to 179 people who had a SMI. Linear regression analysis and structural equation modeling (SEM) were used to analyze the cross-sectional data. Self-esteem mediated the relation between internalized stigma and hope. In addition, hope partially mediated the relationship between self-esteem and QoL. The findings suggest that the effect of internalized stigma upon hope and QoL may be closely related to levels of self-esteem. This may point to the need for the development of interventions that target internalized stigma as well as self-esteem. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Hopefulness Fosters Affective and Cognitive Constructs for Actions to Cope and Enhance Quality of Life among People Living with HIV in Dar Es Salaam, Tanzania.

PubMed

Siril, Hellen; Fawzi, Mary C Smith; Todd, Jim; Wyatt, Monique; Kilewo, Japheth; Ware, Norma; Kaaya, Sylvia

The aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In all, 10 focus group discussions and 9 in-depth interviews were conducted. People living with HIV described the following 3 dimensions of hope: cognitive, positive emotions, and normalization. Being cognizant of the effectiveness of antiretroviral treatment (ART) often led to positive emotions, such as feeling comforted or strengthened, which in turn was related to positive actions toward normalizing life. Improved treatment outcomes facilitated hope, while persistent health problems, such as ART side effects, were sources of negative emotions contributing to loss of hope among PLWH. Hope motivated positive health-seeking behaviors, including adherence to ART, and this may guide interventions to help PLWH cope and live positively with HIV.

The Concepts of Hope and Fear in the Islamic Thought: Implications for Spiritual Health.

PubMed

Bahmani, Fatemeh; Amini, Mitra; Tabei, Seyed Ziaeddin; Abbasi, Mohamad Bagher

2018-02-01

The Holy Qur'ān and medieval Islamic writings have many references to "hope" (rajā) and "fear" (khawf) as both single and paired concepts. However, a comprehensive analytical study on these two notions from an Islamic point of view still seems lacking. Both paper and electronic documents related to Islamic and Qur'ānic literature are being used in this study. Also Web resources are searched for keywords of fear, hope and Islam in three languages of Arabic, English and Persian, including Tanzil.net, Almaany.com, Tebyan.net, Holyquran.net, Noorlib.ir, Hawzah.net and Google Scholar. Findings indicate that hope and fear are comprised of three conceptual elements: emotional, cognitive and behavioral, and are identified as "praiseworthy" hope or fear, when associated with God as the ultimate object. Nonetheless, this praiseworthy hope or fear is only distinguishable as "true," when both are in equilibrium, a necessary condition for spiritual health, which results to perfection. Islam rejects excessive hope or excessive fear, describing both as a "pseudo"-type, which would respectively contribute to self-deceit and despair, and end in spiritual decline.

The Buffering Effect of Hope on Clinicians’ Behavior: A Test in Pediatric Primary Care

PubMed Central

Tennen, Howard; Cloutier, Michelle M.; Wakefield, Dorothy B.; Hall, Charles B.; Brazil, Kevin

2009-01-01

Although trait hope is thought to motivate goal directed actions in the face of impediments, few studies have examined directly hope’s role in overcoming obstacles, and none have done so while accounting for related goal constructs. We describe a study of 127 pediatric primary care providers who over the course of a year were asked to identify new cases of asthma and confirm previously diagnosed active disease by completing for each of their patients a brief survey validated for this purpose. These clinicians also completed measures of hope, self-efficacy, conscientiousness, and perceived obstacles to implementing a pediatric asthma management program. As predicted by hope theory, the agency component of hope buffered clinicians from perceived obstacles by facilitating the identification of asthma cases among high hope clinicians in the face of obstacles. This buffering effect remained after controlling for self-efficacy and conscientiousness. We discuss the study findings in terms of current theories of goal directed behavior and implications for delivering hope-related interventions, and we offer a testable hypothesis regarding when agency and pathways thinking facilitate goal-related behavior. PMID:20161067

Pre-industrial baseline variation of upper midwestern forests in the United States

NASA Astrophysics Data System (ADS)

Dawson, A.; Paciorek, C. J.; Goring, S. J.; Williams, J. W.; Jackson, S. T.; McLachlan, J. S.

2016-12-01

Terrestrial ecosystems play an important role in Earth systems processes, yet we still do not understand how they respond to changes in climate. While it has been argued that terrestrial ecosystems were fairly stable (by Quaternary standards) in the millennia before major anthropogenic disruption, others have emphasized vegetation response to environmental variability during this time. These competing perspectives are not necessarily in conflict, but argue for a quantitative assessment of forest ecosystem variability over the last several millennia. Here we reconstruct maps of forest composition for the last two millenia, with uncertainty. To do this, we use a network of fossil pollen records - the most reliable paleoecological proxy for forest composition. We link the fossil pollen records to public land survey forest composition using a Bayesian hierarchical model which accounts for key processes including pollen production and dispersal. The model is calibrated using data from the pre-settlement time with the hope of minimizing anthropogenic impacts. Process parameters are estimated in the calibration phase, and are subsequently used in the prediction phase to generate spatially explicit maps of relative species composition across the upper Midwestern US over the last 2000 years, with robust uncertainty estimates. Estimates of forest composition and uncertainty show many previously noted vegetation shifts, three of which we discuss here. First, we see expansion of the hemlock range into western Wisconsin. Second, we see changes along the prairie-forest ecotone. Third, we see significant increases in elm at approximately 500 YBP in the region known as the Minnesota Big Woods. These changes are significant in both a statistical and ecological sense, but the scale of these changes is small relative to changes in the early holocene. Our novel spatio-temporal composition estimates will be used to improve the forecasting capabilities of ecosystem models.

Emirates Mars Ultraviolet Spectrometer (EMUS) Overview from the Emirates Mars Mission

NASA Astrophysics Data System (ADS)

Lootah, F. H.; Almatroushi, H. R.; AlMheiri, S.; Holsclaw, G.; Deighan, J.; Chaffin, M.; Reed, H.; Lillis, R. J.; Fillingim, M. O.; England, S.

2017-12-01

The Emirates Mars Ultraviolet Spectrometer (EMUS) instrument is one of three science instruments on board the "Hope Probe" of the Emirates Mars Mission (EMM). EMM is a United Arab Emirates' (UAE) mission to Mars, launching in 2020, to explore the global dynamics of the Martian atmosphere, while sampling on both diurnal and seasonal timescales. The EMUS instrument is a far-ultraviolet imaging spectrograph that measures emissions in the spectral range 100-170 nm. Using a combination of its one-dimensional imaging and spacecraft motion, it will build up two-dimensional far-ultraviolet images of the Martian disk and near-space environment at several important wavelengths: the Lyman beta atomic hydrogen emission (102.6 nm), the Lyman alpha atomic hydrogen emission (121.6 nm), two atomic oxygen emissions (130.4 nm and 135.6 nm), and the carbon monoxide fourth positive group band emission (140 nm-170 nm). Radiances at these wavelengths will be used to derive the column abundance of atomic oxygen, and carbon monoxide in the Martian thermosphere, and the density of atomic oxygen and atomic hydrogen in the Martian exosphere both with spatial and sub-seasonal variability. The EMUS instrument consists of a single telescope mirror feeding a Rowland circle imaging spectrograph with selectable spectral resolution (1.3 nm, 1.8 nm, or 5 nm), and a photon-counting and locating detector (provided by the Space Sciences Laboratory at the University of California, Berkeley). The EMUS spatial resolution of less than 300 km on the disk is sufficient to characterize spatial variability in the Martian thermosphere (100-200 km altitude) and exosphere (>200 km altitude). The instrument is jointly developed by the Laboratory for Atmospheric and Space Physics (LASP) at the University of Colorado Boulder and Mohammed Bin Rashid Space Centre (MBRSC) in Dubai, UAE.

Emirates Mars Ultraviolet Spectrometer (EMUS) Overview from the Emirates Mars Mission

NASA Astrophysics Data System (ADS)

Almatroushi, Hessa; Lootah, Fatma; Holsclaw, Greg; Deighan, Justin; Chaffin, Michael; Lillis, Robert; Fillingim, Matthew; England, Scott; AlMheiri, Suhail; Reed, Heather

2017-04-01

The Emirates Mars Ultraviolet Spectrometer (EMUS) instrument is one of three science instruments to be carried on board the Emirate Mars Mission (EMM), the "Hope Probe". EMM is a United Arab Emirates' (UAE) mission to Mars launching in 2020 to explore the dynamics in the Martian atmosphere globally, while sampling on both diurnal and seasonal timescales. The EMUS instrument is a far-ultraviolet imaging spectrograph that measures emissions in the spectral range 100-170 nm. Using spacecraft motion, it will build up two-dimensional far-ultraviolet images of the Martian disk and near-space environment at several important wavelengths: Lyman beta atomic hydrogen emission (102.6 nm), Lyman alpha atomic hydrogen emission (121.6 nm), atomic oxygen emission (130.4 nm and 135.6 nm), and carbon monoxide fourth positive group band emission (140 nm-170 nm). Radiances at these wavelengths will be used to derive the column abundance of atomic oxygen, and carbon monoxide in the Martian thermosphere, and the density of atomic oxygen and atomic hydrogen in the Martian exosphere both with spatial and sub-seasonal variability. EMUS consists of a single telescope mirror feeding a Rowland circle imaging spectrograph capable of selectable spectral resolution (1.3 nm, 1.8 nm, or 5 nm) with a photon-counting and locating detector (provided by the Space Sciences Laboratory at the University of California, Berkeley). The EMUS spatial resolution of less than 300km on the disk is sufficient to characterize spatial variability in the Martian thermosphere (100-200 km altitude) and exosphere (>200 km altitude). The instrument is jointly developed by the Laboratory for Atmospheric and Space Physics (LASP) at the University of Colorado Boulder and Mohammed Bin Rashid Space Centre (MBRSC) in Dubai, UAE

Challenges for Restoration of Lower Urinary Tract Innervation in Patients with Spinal Cord Injury: A European Single-center Retrospective Study with Long-term Follow-up.

PubMed

Sievert, Karl-Dietrich; Amend, Bastian; Roser, Florian; Badke, Andreas; Toomey, Patricia; Baron, Christopher; Kaminsky, Jan; Stenzl, Arnulf; Tatagiba, Marcos

2016-05-01

Xiao and colleagues in China reported successful restoration of bladder control in patients with spinal cord injury (SCI) by establishing a somatic-autonomic reflex pathway through lumbar-to-sacral ventral root nerve rerouting. We evaluated long-term results in eight patients who underwent this procedure at a German university clinic between 2005 and 2007. The primary outcome was the occurrence of voiding upon stimulation of the skin, with normalization of bladder pressure when filling, as assessed with videourodynamics at each visit. Videourodynamic variables, urinary tract infections, and bladder/stool events recorded in a patient diary were stored in a prospective database and reviewed retrospectively. Intraoperative testing indicated successful nerve rerouting in all eight patients. Duration of follow-up was 71 mo (range: 56-86). No patient reached the primary goal of voluntary voiding with normalization of detrusor pressure at any point during follow-up. No improvements in videourodynamic or diary variables regarding bladder function were observed. In view of the lack of short (12-18 mo) and long-term (71 mo) success in our patients and others, the risks of any surgical procedure using general anesthesia, and potential for unmet expectations to wreak havoc on patient emotional well-being, we cannot recommend this procedure for patients with SCI. Although the hope was to improve long-term outcomes of spinal cord injury patients, intraspinal nerve rerouting did not improve or normalize bladder function. In view of the lack of success, we cannot recommend this procedure until proven in clinical studies. Copyright © 2015 European Association of Urology. Published by Elsevier B.V. All rights reserved.

Effect of Squareness of Initial γ' Precipitates on Creep-Rupture Life of a Ni-Base Single Crystal Superalloy at 760/982 °C

NASA Astrophysics Data System (ADS)

Shi, Zhenbin; Peng, Zhifang; Luo, Yushi; Xie, Hongji; Jin, Haipeng; Zhao, Yunsong; Mei, Qingsong

2018-05-01

An approach to determination of squareness of initial γ' precipitates (S 2D) is proposed to evaluate its effect on creep-rupture life (t r) of nickel-base single crystal (SC) superalloys. It is found that the 760/982 °C rupture life varied with the change in regional S 2D caused by redistribution of W when 1st-step aging temperature changed in full heat treatment on superalloy DD83 investigated. The longest creep-rupture life occurred at the highest value/the lowest difference in S 2D in the interdendritic regions/between the typical dendritic regions in DD83. It is also found that S 2D is a weighted function of the area fraction (F 2D), spacing (h), and size (d) of γ' precipitates and is closely related to t r in a series of SC superalloys. In addition, the variation of S 2D with F 2D (here, thermodynamic mole fraction is approximately expressed by F 2D) through lattice misfit (δ) in the SC superalloys with F 2D ranging from 60 to 75 pct is well correlated. Therefore, to reveal and to better understand these relationships and correlations may help to optimize the phase variables in order to achieve a long rupture life of SC superalloys. In addition, functions to reveal the interrelationships of F 2D, volume fraction (F 3D), S 2D, and cuboidness (S 3D) of initial γ' precipitates are derived considering their shape changes. All of these are hoped to be helpful in practical applications and in understanding the true meaning of the related variables.

Activities during the "Bob Hope Special" for the Ed White Memorial Benefit.

NASA Image and Video Library

2009-10-08

Activities during the "Bob Hope Special" for the Ed White Memorial Benefit. Left to right : Mayor of Houston Louie Welch, Bob Hope, Astronaut Jack Swigert , Astronaut Deke Slayton, Sig Sjoberg, Astronaut Fred Haise.

Maintaining hope at the 11th hour: authenticity buffers the effect of limited time perspective on hope.

PubMed

Davis, William E; Hicks, Joshua A

2013-12-01

Four studies tested the hypothesis that limited time perceptions are associated with lower levels of hope, and that this effect is buffered by high levels of authenticity. Study 1 (n = 256) utilized a cross-sectional design in which participants completed dispositional measures of time perspective, hope, and authenticity. Three subsequent studies tested our hypothesis experimentally. In a pilot study (n = 124), participants reported their perceived authenticity, future time perspective (FTP) was manipulated (limited vs. open-ended), and state hope was assessed. Study 2 (n = 156) introduced a new manipulation of FTP, and Study 3 (n = 242) replicated Study 2 with the addition of a neutral control condition. Across all studies, individuals who perceived time as limited reported lower levels of hope relative to those who perceived time as open-ended (or those in a neutral control condition), but, importantly, this effect was attenuated for highly authentic individuals.

Uplifting Fear Appeals: Considering the Role of Hope in Fear-Based Persuasive Messages.

PubMed

Nabi, Robin L; Myrick, Jessica Gall

2018-01-09

Fear appeal research has focused, understandably, on fear as the primary emotion motivating attitude and behavior change. However, while the threat component of fear appeals associates with fear responses, a fear appeals' efficacy component likely associates with a different emotional experience: hope. Drawing from appraisal theories of emotion in particular, this article theorizes about the role of hope in fear appeals, testing hypotheses with two existing data sets collected within the context of sun safety messages. In both studies, significant interactions between hope and self-efficacy emerged to predict behavioral intentions. Notable main effects for hope also emerged, though with less consistency. Further, these effects persisted despite controlling for the four cognitions typically considered central to fear appeal effectiveness. These results, consistent across two samples, support the claim that feelings of hope in response to fear appeals contribute to their persuasive success. Implications for developing a recursive model of fear appeal processing are discussed.

Perceptions of a Changing World Induce Hope and Promote Peace in Intractable Conflicts

PubMed Central

Cohen-Chen, Smadar; Crisp, Richard J.; Halperin, Eran

2015-01-01

The importance of hope in promoting conciliatory attitudes has been asserted in the field of conflict resolution. However, little is known about conditions inducing hope, especially in intractable conflicts, where reference to the outgroup may backfire. In the current research, five studies yielded convergent support for the hypothesis that hope for peace stems from a general perception of the world as changing. In Study 1, coders observed associations between belief in a changing world, hope regarding peace, and support for concessions. Study 2 revealed the hypothesized relations using self-reported measures. Studies 3 and 4 established causality by instilling a perception of the world as changing (vs. unchanging) using narrative and drawing manipulations. Study 5 compared the changing world message with a control condition during conflict escalation. Across studies, although the specific context was not referred to, the belief in a changing world increased support for concessions through hope for peace. PMID:25713171

Exploring the Relationship Between Adverse Childhood Experiences and Hope.

PubMed

Baxter, Michael A; Hemming, Eden J; McIntosh, Heather C; Hellman, Chan M

2017-01-01

To explore the relationship between adverse childhood experiences and hope, a convenience sample of caregivers bringing in children for medical investigation of child abuse at a regional child advocacy center were surveyed for adverse childhood experiences and dispositional hope. Hope in this sample had a significant negative correlation to the adverse childhood experiences subscale "abuse" (r = -.19; p < .05). The relationship between hope and the other adverse childhood experiences subscales "neglect" (r = -.14) and "dysfunctional family" (r = -.16) was not statistically significant. An analysis of variance was performed to determine if caregivers who have experienced both sexual and physical abuse (M = 29.67; SD = 15.96) have lower hope scores compared to those caregivers who have experienced neither physical nor sexual abuse (M = 42.64; SD = 18.44). This analysis (F (1, 84) = 5.28; p < 0.05) showed that caregivers who experienced both physical and sexual abuse scored significantly lower on hope compared to their counterparts who experienced no adverse events, with an estimated effect size of moderate strength (d = 0.70). Higher adverse childhood experiences scores are associated with lower hope. This result was especially true for those adult caregivers who reported experiencing both physical and sexual abuse when compared to adults who did not experience either form of child trauma. While the empirical literature continues to demonstrate the negative consequences of adverse childhood experiences across the life span, hope offers a compelling new line of inquiry in child maltreatment research especially for studies targeting prevention or intervention.

How does information influence hope in family members of traumatic coma patients in intensive care unit?

PubMed

Verhaeghe, Sofie T L; van Zuuren, Florence J; Defloor, Tom; Duijnstee, Mia S H; Grypdonck, Mieke H F

2007-08-01

To assess the interplay between hope and the information provided by health care professionals. Earlier research learned that hope is crucial for relatives of traumatic coma patients. Also it has been reported that the need for information is extremely important for relatives of critically ill patients. A qualitative approach according to the 'grounded theory' method with constant comparison was used. We held 24 in-depth interviews with 22 family members of 16 patients with traumatic coma. Data processing and data analysis took place in a cyclic process wherein the induction of themes was alternated by confrontation with new material. Family members of traumatic coma patients want information that is as accurate as possible, provided by doctors and nurses in an understandable manner and leaving room for hope. At first, family members can do no more than passively absorb the information they receive. After some time, they actively start working with information and learn what to build their hope on. In this way, concrete hope evolves and seems to be strongly determined by information. Information that is more positive than warranted is not appreciated at all. It leads to false hope and once its real nature becomes apparent, to increased distress and loss of trust in the professionals. The process of hope is crucial in coping with traumatic coma and information can facilitate this process. If professionals, especially nurses, keep the process in mind that family members go through in handling information, they can not only facilitate this process but also help them to establish realistic hope.

Understanding the Current 30-Year Shipbuilding Plan Through Three Models

DTIC Science & Technology

2014-12-01

to what the Navy can ultimately build in ten years and beyond due to the fact that this plan is revised annually. In a political game this...the game and each one hoping for a different outcome. Though not currently possible with the FY2015 Long Range Plan it is possible to analyze the...to make a choice while the bounded rationality theory acknowledges the limits of human capabilities, knowledge, and capacity. Therefore, bounded

Incremental slip rate and paleoseismic data from the eastern Hope fault, New Zealand: the Hossack and Green Burn sites

NASA Astrophysics Data System (ADS)

Hatem, A. E.; Dolan, J. F.; Langridge, R.; Zinke, R. W.; McGuire, C. P.; Rhodes, E.; Van Dissen, R. J.

2016-12-01

We present incremental slip rate and paleo-earthquake data from the Conway segment of the eastern Hope fault, within the Marlborough Fault System (MFS) in the northern South Island of New Zealand. Our incremental slip rate site at Hossack Station is located near the western boundary of the Conway segment (near the Hanmer pull-apart basin), and preserves four offsets of the Hossack Stream channel that range in size from c. 11 to 190 m. Channel cut and fill deposits were exposed in several fault-parallel (channel perpendicular) trenches, and the initiation and abandonment of these offset channels are constrained by >60 radiocarbon ages, yielding four incremental slip rates spanning the Holocene. Our paleoseismologic trench at Green Burn, at the eastern end of the Conway segment near Kaikoura, was excavated across the 5-m-high fault scarp into the adjacent bog deposits. This fault-perpendicular trench revealed evidence for at least four paleo-earthquakes with age constraints provided by >40 radiocarbon dates. These results add to a growing body of slip rate and paleo-earthquake age and displacement data from all four main strike-slip faults that comprise the MFS. Collectively, these observations from the Hope fault are beginning to reveal the detailed system-level behavior of the four main faults in the MFS, with fundamental implications for, among other things, earthquake occurrence and behavior, as well as seismic hazard assessment.

A path analysis: a model of depression in Korean women with breast cancer-mediating effects of self-esteem and hope.

PubMed

Tae, Young Sook; Heitkemper, Margaret; Kim, Mi Yea

2012-01-01

To test a hypothetical model of depression in Korean women with breast cancer and to test the mediating effects of self-esteem and hope. Cross-sectional design. Participants were recruited from three general hospitals and one cancer hospital in Busan, South Korea. 214 Korean women diagnosed with breast cancer (stages I-III). All participants completed questionnaires (e.g., Zung Self-Rating Depression scale, Herth Hope Scale, Rosenberg Self-Esteem Scale, Health Self-Rating Scale in Health and Activity survey, Kang's Family Support Scale). Based on the literature, Mplus, version 3.0, was used to determine the best depression model with path analysis. Depression, self-esteem, hope, perceived health status, religious beliefs, family support, economic status, and fatigue. Self-esteem was directly affected by perceived health status, religious beliefs, family support, economic status, and fatigue. Hope was directly affected by family support, self-esteem, and how patients perceived their health status. Depression was directly affected by self-esteem and hope. The path analysis model explained 31% of the variance in depression in Korean women with breast cancer. A model of depression in Korean women with breast cancer was developed, and self-esteem and hope were mediating factors of depression. Self-esteem and hope must be considered when developing services to reduce depression in Korean women with breast cancer.

"Think positively": Parkinson's disease, biomedicine, and hope in contemporary Germany.

PubMed

Metzler, Ingrid; Just, Paul

2017-06-01

Narratives of hope shape contemporary engagements with Parkinson's disease. On the one hand, a "biomedical narrative of hope" promises that biomedical research will help to transform this treatable but incurable disease into a curable one in the future. On the other hand, a more individual "illness narrative of hope" encourages patients to influence the course of Parkinson's disease by practicing self-care and positive thinking. This article asks how these two narratives of hope interact. It bases its argument on an analysis of data from 13 focus groups conducted in Germany in 2012 and 2014 with patients with Parkinson's disease and their relatives. Participants were asked to have their say on clinical trials for advanced therapies for Parkinson's disease and, while doing so, envisioned their biosocial selves in the present and the future. Three "modes of being" for patients were drawn from this body of data: a "users on stand-by" mode, an "unengaged" mode, and an "experimental pioneers" mode. Both narratives of hope were important to all three modes, yet they were mobilized at different frequencies and also had different statuses. While the biomedical narrative of hope was deemed an important "dream of the future" that participants passively supported without having to make it their own, the illness narrative of hope was a truth discourse that took an imperative form: having Parkinson's disease implied the need to maintain a positive attitude.

Not Just Horsing Around: The Impact of Equine-Assisted Learning on Levels of Hope and Depression in At-Risk Adolescents.

PubMed

Frederick, Karen E; Ivey Hatz, Julie; Lanning, Beth

2015-10-01

Equine-assisted learning (EAL) is an experiential modality which utilizes horses to provide a unique learning experience for personal growth. Research by Damon et al. (Appl Dev Sci 7:119-128, 2003) suggests a positive relationship between hope and positive developmental trajectories. Hagen et al. (Am J Orthopsychiatr 75:211-219, 2005) showed hope to be a protective factor associated with adaptive functioning in at-risk youth. Ashby et al. (J Couns Dev 89:131-139, 2011) found a significant inverse relationship between hope and depression: as hope increases, depression decreases. The current study investigates the impact of a non-riding EAL curriculum entitled L.A.S.S.O. (Leading Adolescents to Successful School Outcomes) on levels of hope and depression in at-risk youth. The study uses an experimental design with longitudinal, repeated measures. Participants were randomly assigned to treatment and control groups. Participants in the treatment received 5 weeks of EAL, while participants in the control group received treatment as usual. Repeated measures ANOVA of participants' levels of hope and depression showed statistically significant improvements in the treatment group as compared with the control group. Even a brief (5-week) intervention of EAL had a positive impact on the lives and attitudes of at-risk adolescents, with increased levels of hope and decreased levels of depression.

NASA's Van Allen Probes RBSP-ECT and NSF's FIREBIRD Data Products and Access to Them: An Insider's Outlook on the Inner and Outer Belts.

NASA Astrophysics Data System (ADS)

Smith, S. S.; Spence, H. E.; Geoffrey, R.; Klumpar, D. M.

2017-12-01

In this poster, we present a summary of access to data products Radiation Belt Storm Probes - Energetic Particle Composition, and Thermal plasma (RBSP-ECT) suite of NASA's Van Allen Probes mission. The RBSP-ECT science investigation (http://rbsp-ect.sr.unh.edu) measures comprehensively the near-Earth charged particle environment in order to understand the processes that control the acceleration, global distribution, and variability of radiation belt electrons and ions. RBSP-ECT data products derive from the three instrument elements that comprise the suite, which collectively covers the broad energies that define the source and seed populations, the core radiation belts, and also their highest energy ultra-relativistic extensions. These RBSP-ECT instruments include, from lowest to highest energies: the Helium, Oxygen, Proton, and Electron (HOPE) sensor, the Magnetic Electron and Ion Spectrometer (MagEIS), and the Relativistic Electron and Proton Telescope (REPT). We provide a brief overview of their principles of operation, as well as a description of the Level 1-3 data products that the HOPE, MagEIS, and REPT instruments produce, both separately and together. We provide a summary of how to access these RBSP-ECT data products at our Science Operation Center and Science Data Center (http://www.rbsp-ect.lanl.gov/rbsp_ect.php ) as well as caveats for their use. In addition, we also provide a summary of access to the data products from NSF's CubeSat mission called Focused Investigation of Relativistic Electron Burst: Intensity, Range, and Dynamics (FIREBIRD). The dual CubeSat FIREBIRD missions provide data on energetic radiation belt electrons precipitating into the atmosphere at low altitudes, which complements and is contemporary with RBSP-ECT measurements. We provide a similar summary of how to access these data (https://ssel.montana.edu/firebird2.html). Finally, in the spirit of efficiently and effectively promoting and encouraging new collaborations, we present a summary of past publications, current studies, and opportunities for your future participation in both RBSP-ECT and FIREBIRD science analyses.

Mooring-based long-term observation of oceanographic condition in the Chukchi Ses and Canada Basin of the Arctic Ocean

NASA Astrophysics Data System (ADS)

Kikuchi, Takashi; Itoh, Motoyo; Nishino, Shigeto; Watanabe, Eiji

2015-04-01

Changes of the Arctic Ocean environment are well known as one of the most remarkable evidences of global warming, attracting social and public attentions as well as scientists'. However, to illustrate on-going changes and predict future condition of the Arctic marine environment, we still do not have enough knowledge of Arctic sea ice and marine environment. In particular, lack of observation data in winter, e.g., under sea ice, still remains a key issue for precise understanding of seasonal cycle on oceanographic condition in the Arctic Ocean. Mooring-based observation is one of the most useful methods to collect year-long data in the Arctic Ocean. We have been conducting long-term monitoring using mooring system in the Pacific sector of the Arctic Ocean. Volume, heat, and freshwater fluxes through Barrow Canyon where is a major conduit of Pacific-origin water-masses into the Canada Basin have been observed since 2000. We show from an analysis of the mooring results that volume flux through Barrow Canyon was about 60 % of Bering Strait volume flux. Averaged heat flux ranges from 0.9 to 3.07 TW, which could melt 88,000 to 300,000 km2 of 1m thick ice in the Canada Basin, which likely contributed to sea ice retreat in the Pacific sector of the Arctic Ocean. In winter, we found inter-annual variability in salinity related to coastal polynya activity in the Chukchi Sea. In collaboration with Distributed Biological Observatory (DBO) project, which is one of the tasks of Sustaining Arctic Observing Network (SAON), we also initiated year-long mooring observation in the Hope Valley of the southern Chukchi Sea since 2012. Interestingly, winter oceanographic conditions in the Hope Valley are greatly different between in 2012-2013 and in 2013-2014. We speculate that differences of sea ice freeze-up and coastal polynya activity in the southern Chukchi Sea cause significant difference of winter oceanographic condition. It suggests that recent sea ice reduction in the Pacific sector of the Arctic Ocean presumably influences marine environment not only in summer but also in winter.

"Cape Town, South Africa taken from Atlantis during STS-106"

NASA Image and Video Library

2000-09-19

STS106-713-057 (19 September 2000) --- One of the STS-106 crew members on board the Space Shuttle Atlantis used a handheld 70mm camera to photograph this image of Cape Town and the Karroo Ranges in South Africa. Cape Town occupies the north end of the Cape of Good Hope peninsula and extends to the shore of False Bay. The city is home to about 2.7 million people. Tourism and viticulture contribute importantly to the local economy, and the city is a service center for government and industry -- particularly mining. The great folded mountain ranges of South Africa were formed during the assembly of the ancient super continent of Gondwana. Broad N-trending folds of the Cedarburg range, South Africa formed first, according to geologists, about 230 million years ago, and the W-trending Karroo ranges formed a little later.

Spatiotemporal Variability of Humidity Across the Contiguous United States and Southern Canada Using Regional Networks

NASA Astrophysics Data System (ADS)

Behnke, Ruben John

The objective of this dissertation was to show that there is now enough observed humidity data available so that estimates of humidity, along with their necessary assumptions, can be replaced by measured humidity data. The range of applications that depend on humidity data is huge, ranging from water use efficiency of plants and plant stress to human health and agricultural practices. Biases due to the use of estimated humidity can be expected to have short and long impacts, decreasing the accuracy and precision of these, and many other, applications. Data from local, regional, and national observation networks was gathered, and custom quality control routines were written to remove bad data points from over 45000 stations, leaving 12533 usable stations. While still not at the same number of observations as temperature or precipitation, this number is nearly ten times as high as two decades ago. The work I performed consists of three major components, corresponding to the three main chapters of this dissertation. In chapter one, I describe data sources and quality control methods, along with some basic statistics of humidity, describing which geographic variables often used to predict temperature and precipitation can be used to do the same for humidity. Chapter two defines specific diurnal patterns (or "types") of dew point across the United States, including their attributes, causes, and potential influences. Chapter three analyzes biases in evapotranspiration, heat indices, and relative humidity levels that are a direct result of using estimated humidity data. Chapter four discusses contributions this work makes to the scientific community, and potential further research to build on what is presented here. While it may seem that the science of humidity should be well beyond data gathering and bias analysis, the fact remains that humidity is still very commonly estimated through the use of minimum temperature, and diurnal changes in dew point are often ignored. My hope is that this work makes a dent in often deeply entrenched practices, leading others to make the effort to incorporate measured humidity data into their work and study.

Perceived Prejudice and the Mental Health of Chinese Ethnic Minority College Students: The Chain Mediating Effect of Ethnic Identity and Hope.

PubMed

Yao, Jin; Yang, Liping

2017-01-01

As a multinational country incorporating 56 officially recognized ethnic groups, China is concerned with the mental health of members of minority ethnic groups, with an increasing focus on supporting Chinese ethnic minority college students. Nevertheless, in daily life, members of minority ethnic groups in China often perceive prejudice, which may in turn negatively influence their mental health, with respect to relative levels of ethnic identity and hope. To examine the mediating effects of ethnic identity and hope on the relationship between perceived prejudice and the mental health of Chinese ethnic minority college students, 665 students (18-26 years old; 207 males, 458 females; the proportion of participants is 95.38%) from nine colleges in the Guangxi Zhuang autonomous region and Yunnan and Guizhou provinces of China took part in our study, each completing adapted versions of a perceived prejudice scale, a multiethnic identity measure, an adult dispositional hope scale, and a general health questionnaire. Analysis of the results reveals that perceived prejudice negatively influences mental health through both ethnic identity and hope in Chinese ethnic minority college students. The total mediation effect was 54.9%. Perceived prejudice was found to negatively predict ethnic identity and hope, suggesting that perceived prejudice brings about a negative reconstruction of ethnic identity and hope mechanisms within the study's Chinese cultural context. The relationship between perceived prejudice and mental health was fully mediated by hope and the chain of ethnic identity and hope. Ethnic identity partially mediated the relationship between perceived prejudice and hope. The relationship between perceived prejudice and mental health mediated by ethnic identity was not significant, which suggests that the rejection-identification model cannot be applied to Chinese ethnic minority college students. This paper concludes by considering the limitations of our study and discussing the implications of its results for researchers and practitioners.

Perceived Prejudice and the Mental Health of Chinese Ethnic Minority College Students: The Chain Mediating Effect of Ethnic Identity and Hope

PubMed Central

Yao, Jin; Yang, Liping

2017-01-01

As a multinational country incorporating 56 officially recognized ethnic groups, China is concerned with the mental health of members of minority ethnic groups, with an increasing focus on supporting Chinese ethnic minority college students. Nevertheless, in daily life, members of minority ethnic groups in China often perceive prejudice, which may in turn negatively influence their mental health, with respect to relative levels of ethnic identity and hope. To examine the mediating effects of ethnic identity and hope on the relationship between perceived prejudice and the mental health of Chinese ethnic minority college students, 665 students (18–26 years old; 207 males, 458 females; the proportion of participants is 95.38%) from nine colleges in the Guangxi Zhuang autonomous region and Yunnan and Guizhou provinces of China took part in our study, each completing adapted versions of a perceived prejudice scale, a multiethnic identity measure, an adult dispositional hope scale, and a general health questionnaire. Analysis of the results reveals that perceived prejudice negatively influences mental health through both ethnic identity and hope in Chinese ethnic minority college students. The total mediation effect was 54.9%. Perceived prejudice was found to negatively predict ethnic identity and hope, suggesting that perceived prejudice brings about a negative reconstruction of ethnic identity and hope mechanisms within the study's Chinese cultural context. The relationship between perceived prejudice and mental health was fully mediated by hope and the chain of ethnic identity and hope. Ethnic identity partially mediated the relationship between perceived prejudice and hope. The relationship between perceived prejudice and mental health mediated by ethnic identity was not significant, which suggests that the rejection–identification model cannot be applied to Chinese ethnic minority college students. This paper concludes by considering the limitations of our study and discussing the implications of its results for researchers and practitioners. PMID:28744249

Conveying hope in consultations with patients with life-threatening diseases: the balance between supporting and challenging the patient.

PubMed

Werner, Anne; Steihaug, Sissel

2017-06-01

There is limited knowledge about the communication of hope and denial in consultations with patients with life-threatening diseases on a practical level. In this study, we explored a real-life medical consultation between a doctor and a patient with incurable cancer, focusing on conveying hope. We found one consultation especially suited for illustrating how a physician can convey and reinforce hope without attaching it to curative treatment. The consultation was analysed using a method for discourse analysis, where we took as a point of departure that discourse means language in use. The doctor communicated in a recognising manner, expressing respect for the patient as a subject and an authority of his own experiences. The doctor and patient succeeded in creating a good working alliance characterised by warmth and trust. Within this context, there was room for the doctor to challenge the patient's views and communicate disagreement. The doctor succeeds in conveying and maintaining hope. Within a good working alliance with the patient the doctor can convey hope by balancing between supporting and challenging him. Exploring and grasping the patient's real concerns is essential for being able to relieve and comfort him and convey hope.

Hope in terminal illness: an evolutionary concept analysis.

PubMed

Johnson, Sarah

2007-09-01

to clarify the concept of hope as perceived by patients with a terminal illness, to develop hope as an evidence-based nursing concept, to contribute new knowledge and insights about hope to the relatively new field of palliative care; endeavouring to maximize the quality of life of terminally ill patients in the future. utilizing Rodgers' (2000a) evolutionary concept analysis methodology and thematic content analysis, 17 pieces of research-based literature on hope as perceived by adult patients with any terminal illness pathology, from the disciplines of nursing and medicine have been reviewed and analyzed. An exemplary case of the concept in action is presented along with the evolution of the concept hope in terminal illness. Ten essential attributes of the concept were identified: positive expectation; personal qualities; spirituality; goals; comfort; help/caring; interpersonal relationships; control; legacy; and life review. Patients' hopes and goals are scaled down and refocused in order to live in the present and enjoy the time they have left with loved ones. By completing all the steps to Rodgers' (2000a) evolutionary view of concept analysis, a working definition and clarification of the concept in its current use has been achieved. This provides a solid conceptual foundation for further study.

Optimism as a predictor of the effects of laboratory-induced stress on fears and hope.

PubMed

Kimhi, Shaul; Eshel, Yohanan; Shahar, Eldad

2013-01-01

The objective of the current study is to explore optimism as a predictor of personal and collective fear, as well as hope, following laboratory-induced stress. Students (N = 107; 74 female, 33 male) were assigned randomly to either the experimental (stress--political violence video clip) or the control group (no-stress--nature video clip). Questionnaires of fear and hope were administered immediately after the experiment (Time 1) and 3 weeks later (Time 2). Structural equation modeling indicated the following: (a) Optimism significantly predicted both fear and hope in the stress group at Time 1, but not in the no-stress group. (b) Optimism predicted hope but not fear at Time 2 in the stress group. (c) Hope at Time 1 significantly predicted hope at Time 2, in both the stress and the no-stress groups. (d) Gender did not predict significantly fear at Time 1 in the stress group, despite a significant difference between genders. This study supports previous studies indicating that optimism plays an important role in people's coping with stress. However, based on our research the data raise the question of whether optimism, by itself, or environmental stress, by itself, may accurately predict stress response.

An exploratory study of services marketing in global markets: major areas of inquiry for the health care services industry.

PubMed

Young, S; Erdem, S A

1996-01-01

It has been stated that one of the major challenges for the international marketer is the design of an efficient strategy for marketing services to international markets. This paper reviews some of the issues associated with services marketing in global markets along with the basic variables of service industries. An exploratory assessment of the health care services industry results in a list composed of several inquiry areas which should be examined by multinational companies. It is hoped that the review of the issues raised in this paper provides a basis for decision making and further research.

An evaluation of an abstinence education curriculum series: sex can wait.

PubMed

Denny, George; Young, Michael; Rausch, Susan; Spear, Caile

2002-01-01

To examine the effects of an abstinence education curriculum series on student outcomes. The series was taught at upper elementary, junior high, and high school levels. A questionnaire was administered to all intervention and comparison students before and after implementation of the curriculum. At the upper elementary level, the curriculum group had better outcomes on knowledge, self-efficacy, and a more hopeful outlook; at the middle school level no differences; at the high school level, findings favored the curriculum group on attitude, behavioral intent, and sexual behavior variables. Results are encouraging and should be considered by those interested in helping young people postpone sexual involvement.

[A new strategy for Chinese medicine processing technologies: coupled with individuation processed and cybernetics].

PubMed

Zhang, Ding-kun; Yang, Ming; Han, Xue; Lin, Jun-zhi; Wang, Jia-bo; Xiao, Xiao-he

2015-08-01

The stable and controllable quality of decoction pieces is an important factor to ensure the efficacy of clinical medicine. Considering the dilemma that the existing standardization of processing mode cannot effectively eliminate the variability of quality raw ingredients, and ensure the stability between different batches, we first propose a new strategy for Chinese medicine processing technologies that coupled with individuation processed and cybernetics. In order to explain this thinking, an individual study case about different grades aconite is provided. We hope this strategy could better serve for clinical medicine, and promote the inheritance and innovation of Chinese medicine processing skills and theories.

Series: Utilization of Differential Equations and Methods for Solving Them in Medical Physics (4).

PubMed

Murase, Kenya

2016-01-01

Partial differential equations are often used in the field of medical physics. In this (final) issue, the methods for solving the partial differential equations were introduced, which include separation of variables, integral transform (Fourier and Fourier-sine transforms), Green's function, and series expansion methods. Some examples were also introduced, in which the integral transform and Green's function methods were applied to solving Pennes' bioheat transfer equation and the Fourier series expansion method was applied to Navier-Stokes equation for analyzing the wall shear stress in blood vessels.Finally, the author hopes that this series will be helpful for people who engage in medical physics.

Local short-term variability in solar irradiance

NASA Astrophysics Data System (ADS)

Lohmann, Gerald M.; Monahan, Adam H.; Heinemann, Detlev

2016-05-01

Characterizing spatiotemporal irradiance variability is important for the successful grid integration of increasing numbers of photovoltaic (PV) power systems. Using 1 Hz data recorded by as many as 99 pyranometers during the HD(CP)2 Observational Prototype Experiment (HOPE), we analyze field variability of clear-sky index k* (i.e., irradiance normalized to clear-sky conditions) and sub-minute k* increments (i.e., changes over specified intervals of time) for distances between tens of meters and about 10 km. By means of a simple classification scheme based on k* statistics, we identify overcast, clear, and mixed sky conditions, and demonstrate that the last of these is the most potentially problematic in terms of short-term PV power fluctuations. Under mixed conditions, the probability of relatively strong k* increments of ±0.5 is approximately twice as high compared to increment statistics computed without conditioning by sky type. Additionally, spatial autocorrelation structures of k* increment fields differ considerably between sky types. While the profiles for overcast and clear skies mostly resemble the predictions of a simple model published by , this is not the case for mixed conditions. As a proxy for the smoothing effects of distributed PV, we finally show that spatial averaging mitigates variability in k* less effectively than variability in k* increments, for a spatial sensor density of 2 km-2.

78 FR 36236 - Proposed Information Collection; Federal Fish and Wildlife Permit Applications and Reports-Law...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

... 2042-- PDM, 4401 North Fairfax Drive, Arlington, VA 22203 (mail); or hope_grey@fws.gov (email). Please... additional information about this IC, contact Hope Grey at hope_grey@fws.gov (email) or 703- 358-2482...

HOPE: Just-in-time Python compiler for astrophysical computations

NASA Astrophysics Data System (ADS)

Akeret, Joel; Gamper, Lukas; Amara, Adam; Refregier, Alexandre

2014-11-01

HOPE is a specialized Python just-in-time (JIT) compiler designed for numerical astrophysical applications. HOPE focuses on a subset of the language and is able to translate Python code into C++ while performing numerical optimization on mathematical expressions at runtime. To enable the JIT compilation, the user only needs to add a decorator to the function definition. By using HOPE, the user benefits from being able to write common numerical code in Python while getting the performance of compiled implementation.

Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis

PubMed Central

Xu, NeiLi; Zhao, Shuai; Xue, HongXia; Fu, WenYi; Liu, Li; Zhang, TianQi; Huang, Rui; Zhang, Ning

2017-01-01

Objective This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. Methods A multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience. Results The mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21–0.04). Conclusions Fatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect. PMID:28291837

Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis.

PubMed

Xu, NeiLi; Zhao, Shuai; Xue, HongXia; Fu, WenYi; Liu, Li; Zhang, TianQi; Huang, Rui; Zhang, Ning

2017-01-01

This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. A multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience. The mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21-0.04). Fatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect.

The promise of recovery: narratives of hope among homeless individuals with mental illness participating in a Housing First randomised controlled trial in Toronto, Canada

PubMed Central

Kirst, Maritt; Zerger, Suzanne; Wise Harris, Deborah; Plenert, Erin; Stergiopoulos, Vicky

2014-01-01

Objectives Hope is widely embraced as an important factor in the recovery process. The role of housing in inspiring hope and facilitating recovery has been explored with homeless populations but is not well understood. This study explores perspectives on hopes for recovery and the role of housing on these hopes from the perspective of homeless adults experiencing mental illness participating in a multisite Housing First randomised controlled trial in Canada. The study draws on data from in-depth qualitative interviews with participants from the Toronto, Ontario site of the ‘At Home/Chez Soi’ Project. Design In-depth interviews were conducted with a subsample of participants from a larger Housing First randomised controlled trial. Setting The research took place in Toronto, Canada. Participants 60 participants in the larger trial (36 from the Housing First group and 24 from the Treatment as Usual group) took part in in-depth interviews. Method Participants for the in-depth interviews were purposively selected from the larger trial sample in Toronto and participated in an interview at the beginning of the study (baseline). Data from the baseline interviews were analysed using the constant comparative method derived from grounded theory methods. Results Participants’ narratives show clear visualisation of goals for recovery, and emphasise that housing is an integral factor that can facilitate hope and support dimensions of recovery. However, some participants had difficulty adjusting to housing, and were concerned about feeling socially isolated, which could have negative implications for hopefulness and recovery. Conclusions Housing First interventions should explicitly incorporate hope-inspiring, recovery-oriented approaches and support participants while adjusting to housing in order to sustain hopefulness. PMID:24589826

Effect of Tourist Characteristic, Marine Tourism Demand, and Number of Visits to the Value Perceptions and Willingness to Pay to Environmental Marine Tourism in Ambon City

NASA Astrophysics Data System (ADS)

Papilaya, Renoldy L.

2018-02-01

Development of tourism in this era must balance between supply and demand aspects. The tendency of policy makers pay more attention to aspects of supply than demand aspect will lead to the development of tourist products and services do not get good results. This research examined the relationship between marine tourism demand, characteristics and number of visits to the level of perception and willingness to pay (WTP) for a tourists on a marine tourism destination in Ambon city. Respondents come from overseas tourists, domestic and local, amounting to 140 people. The analysis was performed descriptively and further using SEM analysis Amos 19.00 with path analysis. The analysis shows the close relationship between marine tourism demand variables, characteristics, and the number of tourist visits to the perception of value and WTP for tourists. Variable marine tourism demand when connected directly to the tourists perception and WTP tends to correlate negatively than when using a variable as a variable number of tourist visits as a intervening variables. Instead tourists characteristic variables are positively correlated directly or indirectly with the perception of value and WTP for tourists. It is hoped that with this study will motivate tourism policy makers and local communities to be concerned and studied aspects of perception, WTP, marine tourism demand, the number of tourist visits and the characteristics that turned out to be related to each other.

The added value of time-variable microgravimetry to the understanding of how volcanoes work

USGS Publications Warehouse

Carbone, Daniele; Poland, Michael; Greco, Filippo; Diament, Michel

2017-01-01

During the past few decades, time-variable volcano gravimetry has shown great potential for imaging subsurface processes at active volcanoes (including some processes that might otherwise remain “hidden”), especially when combined with other methods (e.g., ground deformation, seismicity, and gas emissions). By supplying information on changes in the distribution of bulk mass over time, gravimetry can provide information regarding processes such as magma accumulation in void space, gas segregation at shallow depths, and mechanisms driving volcanic uplift and subsidence. Despite its potential, time-variable volcano gravimetry is an underexploited method, not widely adopted by volcano researchers or observatories. The cost of instrumentation and the difficulty in using it under harsh environmental conditions is a significant impediment to the exploitation of gravimetry at many volcanoes. In addition, retrieving useful information from gravity changes in noisy volcanic environments is a major challenge. While these difficulties are not trivial, neither are they insurmountable; indeed, creative efforts in a variety of volcanic settings highlight the value of time-variable gravimetry for understanding hazards as well as revealing fundamental insights into how volcanoes work. Building on previous work, we provide a comprehensive review of time-variable volcano gravimetry, including discussions of instrumentation, modeling and analysis techniques, and case studies that emphasize what can be learned from campaign, continuous, and hybrid gravity observations. We are hopeful that this exploration of time-variable volcano gravimetry will excite more scientists about the potential of the method, spurring further application, development, and innovation.

Optimism and hope as predictors of subjective health in post-myocardial infarction patients: A comparison of the role of coping strategies.

PubMed

Wlodarczyk, Dorota

2017-03-01

This study explored the effects intervening in the linkages of optimism and hope with subjective health in the short term after myocardial infarction. A two-wave study design was used. The sample consisted of 222 myocardial infarction survivors. When adopting a cross-sectional design, optimism and hope predicted subjective health at Time 1 and Time 2. After controlling for baseline subjective health, they were no longer significant predictors of subjective health at Time 2. Parallel indirect effects of seeking social support and problem solving were significant for both optimism and hope. After controlling for the shared variance between optimism and hope, these effects remained significant only for optimism.

77 FR 74498 - Information Collection Request Sent to the Office of Management and Budget (OMB) for Approval...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-14

... Drive, Arlington, VA 22203 (mail), or hope_grey@fws.gov (email). Please include ``1018-0121'' in the... this ICR, contact Hope Grey at hope_grey@fws.gov (email) or 703- 358-2482 (telephone). You may review...

The Relationship between Body Esteem and Hope and Mental Health in Breast Cancer Patients after Mastectomy.

PubMed

Heidari, Mohammad; Ghodusi, Mansureh

2015-01-01

Breast cancer and its treatment, including mastectomy, can cause feelings of mutilation, depreciation in the value of the body, reduction in attractiveness, and lead to mental disorders and hopelessness. The present study aimed to determine the relationship between appreciating the body, hope and mental health in women with breast cancer after mastectomy. This study was a descriptive study of 100 breast cancer patients who had undergone mastectomy and referred to the Sayed Al-Shohada Medical Center in Isfahan, Iran. The subjects were selected by convenient sampling. Data gathering tools were the Body Esteem Scale (BES), Herth Hope Index (HHI), and Symptom Checklist 25 (SCL-25) mental health questionnaire. Data analysis was performed using SPSS software. Most of the patients had low body esteem. There was a significant direct linear relationship between body esteem and hope and mental health. This relationship was stronger between valuing the body and hope. Body esteem has a significant linear relationship with hope and mental health.

Living in hope and desperate for a miracle: NICU nurses perceptions of parental anguish.

PubMed

Green, Janet

2015-04-01

The birth of an extremely premature baby is a tragedy, and it is only natural that the parents will rely on the spiritual and religious beliefs that guide the rest of their lives. At this difficult time, parents with strong religious beliefs will hope for divine intervention and pray for a miracle. This paper outlines the difficulties experienced by neonatal nurses when caring for an extremely premature baby whose parents hold on to hope and their belief in divine intervention and a miracle. Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in NSW, Australia. A qualitative approach was used to analyse the data. The theme of "hoping for a miracle" was captured by two sub-themes "praying for a miracle" and "oscillating between hope and despair". For some families, the hope of divine intervention seemed all consuming, and the nurses were witness to the desperation and disappointment of families when a miracle was not forthcoming.

Influence of H-HOPE intervention for premature infants on growth, feeding progression and length of stay during initial hospitalization.

PubMed

White-Traut, R C; Rankin, K M; Yoder, J C; Liu, L; Vasa, R; Geraldo, V; Norr, K F

2015-08-01

To examine whether premature infants receiving the maternally administered H-HOPE (Hospital to Home Transition-Optimizing Premature Infant's Environment) intervention had more rapid weight gain and growth, improved feeding progression and reduced length of hospital stay, compared with controls. Premature infants born at 29-34 weeks gestational age and their mothers with at least two social-environmental risk factors were randomly assigned to H-HOPE intervention (n=88) or an attention control (n=94) groups. H-HOPE consists of a 15-min multisensory intervention (Auditory, Tactile, Visual and Vestibular stimuli) performed twice daily prior to feeding plus maternal participatory guidance on preterm infant behavioral cues. H-HOPE group infants gained weight more rapidly over time than infants in the control group and grew in length more rapidly than control infants, especially during the latter part of the hospital stay. For healthy preterm infants, the H-HOPE intervention appears to improve weight gain and length over time from birth to hospital discharge.

Hope, Core Self-Evaluations, Emotional Well-Being, Health-Risk Behaviors, and Academic Performance in University Freshmen.

PubMed

Griggs, Stephanie; Crawford, Sybil L

2017-09-01

The purpose of the current online cross-sectional study was to examine the relationship between hope, core self-evaluations (CSE), emotional well-being, health-risk behaviors, and academic performance in students enrolled in their first year of college. Freshmen (N = 495) attending a large public university in the Northeastern United States completed an online survey between February 1 and 13, 2017. Linear regression, path analysis, and structural equation modeling procedures were performed. CSE mediated the relationship between hope and emotional well-being and academic performance. Contrary to the hypotheses, higher hope predicted more sexual risk-taking behaviors and alcohol use. CSE is an important component of Hope Theory, which is useful for predicting emotional well-being and academic performance, but not as useful for predicting drug use, alcohol use, and sexual risk taking. Hope and CSE interventions are needed to improve academic performance and emotional well-being in university freshmen. [Journal of Psychosocial Nursing and Mental Health Services, 55(9), 33-42.]. Copyright 2017, SLACK Incorporated.

Injury perceptions, hope for recovery, and psychological status after spinal cord injury.

PubMed

Krause, James S; Edles, Philip A

2014-05-01

The purpose of this study was to investigate the relationship of injury perceptions and hope for recovery with life satisfaction, purpose in life, and depressive symptoms measured during inpatient rehabilitation after spinal cord injury (SCI). Participants included adults hospitalized for SCI inpatient rehabilitation (N = 208), each of whom completed a modified version of the Illness Perception Questionnaire and three outcome measures: the Purpose in Life Scale, the Satisfaction with Life Scale, and the abbreviated version of the Patient Health Questionnaire. Principal components analysis indicated an SCI perceptions factor regarding severity, permanence, and cure control of SCI, and a second factor related to hope for recovery. Whereas hope for recovery was nearly universal, injury perceptions were more varied. Favorable injury perceptions of SCI were predictive of purpose in life, whereas hope for recovery was predictive of life satisfaction. Hope for recovery and favorable SCI perceptions were related to positive psychological outcomes during inpatient rehabilitation, although the strength of the relationship was limited. (c) 2014 APA, all rights reserved.

Perceptions of a changing world induce hope and promote peace in intractable conflicts.

PubMed

Cohen-Chen, Smadar; Crisp, Richard J; Halperin, Eran

2015-04-01

The importance of hope in promoting conciliatory attitudes has been asserted in the field of conflict resolution. However, little is known about conditions inducing hope, especially in intractable conflicts, where reference to the outgroup may backfire. In the current research, five studies yielded convergent support for the hypothesis that hope for peace stems from a general perception of the world as changing. In Study 1, coders observed associations between belief in a changing world, hope regarding peace, and support for concessions. Study 2 revealed the hypothesized relations using self-reported measures. Studies 3 and 4 established causality by instilling a perception of the world as changing (vs. unchanging) using narrative and drawing manipulations. Study 5 compared the changing world message with a control condition during conflict escalation. Across studies, although the specific context was not referred to, the belief in a changing world increased support for concessions through hope for peace. © 2015 by the Society for Personality and Social Psychology, Inc.

Do Social Connections and Hope Matter in Predicting Early Adolescent Violence?

PubMed Central

Stoddard, Sarah A.; McMorris, Barbara J.; Sieving, Renee E.

2011-01-01

We tested relationships between social connections, hope, and violence among young adolescents from socially distressed urban neighborhoods, and examined whether relationships between adolescents’ family and school connectedness and violence involvement were mediated by hopefulness. Data were from middle school students involved in the Lead Peace demonstration study. The sample (N = 164) was 51.8% female; 42% African American, 28% Asian, 13% Hispanic, and 17% mixed race or other race; average age was 12.1 years; 46% reported physical fighting in the past year. In multivariate models, parent-family connectedness was protective against violence; school connectedness was marginally protective. Hopefulness was related to lower levels of violence. The relationship between school connectedness and violence was mediated by hopefulness; some evidence for mediation also existed in the family-parent connectedness and violence relationship. Findings warrant continued exploration of hopefulness as an important protective factor against violence involvement, and as a mediator in relationships between social connections and violence involvement. PMID:21181556

Association of Sociodemographic Factors with Spirituality and Hope in Patients with Diabetic Foot Ulcers.

PubMed

Salomé, Geraldo Magela; de Almeida, Sergio Aguinaldo; Mendes, Bruno; de Carvalho, Maiume Roana Ferreira; Bueno, José Carlos; Massahud, Marcelo Renato; Ferreira, Lydia Masako

2017-01-01

To evaluate levels of spirituality and hope in patients with diabetic foot ulcers (DFUs) according to sociodemographic factors. This was a primary, prospective, descriptive, analytical, and clinical study. Questionnaires assessing sociodemographic and clinical characteristics of the patients, the Spirituality Self-rating Scale (SSRS), and the Herth Hope Index (HHI) were administered to all participants. University-affiliated skilled nursing center and outpatient wound care clinic in Pouso Alegre, Brazil. Fifty adult patients with DFUs participated in the study. Patients with ischemic diabetic foot and mixed ulcers were excluded from the study. On average, patients with DFUs had low levels of spirituality (mean SSRS score, 12.6) and low hope for cure (mean HHI, 16.5). Patients younger than 60 years reported significantly lower levels of spirituality (mean SSRS scores, 11.0), and those older than 70 years had significantly lower hope for cure (mean HHI, 12.5) than other age groups (P = .040). Level of spirituality was significantly lower among women (P = .015) and those living with an ulcer for more than 2 years, who also reported significantly lower hope for cure (P = .029) compared with patients having an ulcer for less than 2 years. On average, patients with DFUs, especially women and older adults, had a low sense of hope and spirituality. Except for gender, age, and ulcer duration, other sociodemographic and ulcer characteristics had no significant effect on the study population's spirituality and hope.

Interval estimation and optimal design for the within-subject coefficient of variation for continuous and binary variables

PubMed Central

Shoukri, Mohamed M; Elkum, Nasser; Walter, Stephen D

2006-01-01

Background In this paper we propose the use of the within-subject coefficient of variation as an index of a measurement's reliability. For continuous variables and based on its maximum likelihood estimation we derive a variance-stabilizing transformation and discuss confidence interval construction within the framework of a one-way random effects model. We investigate sample size requirements for the within-subject coefficient of variation for continuous and binary variables. Methods We investigate the validity of the approximate normal confidence interval by Monte Carlo simulations. In designing a reliability study, a crucial issue is the balance between the number of subjects to be recruited and the number of repeated measurements per subject. We discuss efficiency of estimation and cost considerations for the optimal allocation of the sample resources. The approach is illustrated by an example on Magnetic Resonance Imaging (MRI). We also discuss the issue of sample size estimation for dichotomous responses with two examples. Results For the continuous variable we found that the variance stabilizing transformation improves the asymptotic coverage probabilities on the within-subject coefficient of variation for the continuous variable. The maximum like estimation and sample size estimation based on pre-specified width of confidence interval are novel contribution to the literature for the binary variable. Conclusion Using the sample size formulas, we hope to help clinical epidemiologists and practicing statisticians to efficiently design reliability studies using the within-subject coefficient of variation, whether the variable of interest is continuous or binary. PMID:16686943

24 CFR 572.100 - Acquisition and rehabilitation of eligible properties; rehabilitation standards.

Code of Federal Regulations, 2010 CFR

2010-04-01

... PLANNING AND DEVELOPMENT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) Homeownership Program Requirements-Implementation Grants... are unsuitable for the HOPE 3 program. (3) Rehabilitation costs must comply with the cost standards...

24 CFR 4001.05 - Approval of mortgagees.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Approval of mortgagees. 4001.05 Section 4001.05 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) BOARD OF DIRECTORS OF THE HOPE FOR HOMEOWNERS PROGRAM HOPE FOR HOMEOWNERS PROGRAM HOPE for...

Enhancing the interaction between nuclear experiment and theory through information and statistics

DOE PAGES

Ireland, D. G.; Nazarewicz, W.

2015-02-05

This Focus Issue draws from a range of topics within nuclear physics, from studies of individual nucleons to the heaviest of nuclei. The unifying theme, however, is to illustrate the extent to which uncertainty is a key quantity, and to showcase applications of the latest computational methodologies. It is our assertion that a paradigm shift is needed in nuclear physics to enhance the coupling between theory and experiment, and we hope that this collection of articles is a good start.

Detection and Discrimination in One Pass Using the OPTEMA Towed Array

DTIC Science & Technology

2017-02-21

classification survey was performed using the One Pass Time domain EM Array (OPTEMA) at the former Southwestern Proving Ground near Hope, AR. Over...small arms ammunition, 20 to 155 mm projectiles, mortars, rockets, grenades, and up to 500-lb bombs [7]. Following the end of World War II, the proving...Range summary report [5]. It is assumed that combined field survey and analysis rates of $1000/acre for an EM -61 DGM survey and $30/anomaly for a

An Eclectic Journey Through Experimental Nuclear Physics, or How I Learned to Stop Worrying and Love Nuclear Data

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

Norman, E B

In this paper, I illustrate how the ability to rapidly access the broad range of nuclear data has facilitated my research in fields from searches for double beta decay, to measurements of astrophysical reaction rates, to issues in homeland security. In doing this, I hope to persuade even the skeptics that for the benefit of the broad scientific community, it is imperative that the outstanding work of the nuclear data community continue.

An Eclectic Journey Through Experimental Nuclear Physics, or How I Learned to Stop Worrying and Love Nuclear Data

NASA Astrophysics Data System (ADS)

Norman, Eric B.

2005-05-01

In this paper, I illustrate how the ability to rapidly access the broad range of nuclear data has facilitated my research in fields from searches for double beta decay, to measurements of astrophysical reaction rates, to issues in homeland security. In doing this, I hope to persuade even the skeptics that for the benefit of the broad scientific community, it is imperative that the outstanding work of the nuclear data community continue.

Outcome Evaluation of the Hands-On Parent Empowerment (HOPE) Program

ERIC Educational Resources Information Center

Leung, Cynthia; Tsang, Sandra; Dean, Suzanne

2011-01-01

This study evaluated the effectiveness of the HOPE program. Participants included 120 Chinese new immigrant parents with preschool children in Hong Kong from 13 preschools which were randomized into intervention group (HOPE) and comparison group (6-session parent education program). Parent participants completed measures on child behavior,…

Beauty and Hope: A Moral Beauty Intervention

ERIC Educational Resources Information Center

Diessner, Rhett; Rust, Teri; Solom, Rebecca C.; Frost, Nellie; Parsons, Lucas

2006-01-01

Pedagogical intervention regarding engagement with natural, artistic and moral beauty can lead to an increase in trait hope. In a quasi-experimental design with college students the intervention group showed significantly higher gain scores on trait hope than did the comparison group; the effect size was moderate. The experimental group also…

A Hopeful Pedagogy to Critical Thinking

ERIC Educational Resources Information Center

Nicholas, Mark C.; Raider-Roth, Miriam

2016-01-01

Elements of what we are calling a "hopeful pedagogy" emerged when faculty reflected on the question--Do you think your current approach to develop CT in students is successful? Faculty across disciplines and institutions used the word "hope" to characterize the outcome of their efforts. While attempting to disentangle the…

Hands-On Photovoltaic Experience | Photovoltaic Research | NREL

Science.gov Websites

a building. Pictured are doctoral students who participated at the 2017 HOPE event at NREL. The HOPE designed primarily for students, but also requires participation of the professors leading the research and overseeing each student's thesis. HOPE provides opportunities for professors and graduate students to

76 FR 75950 - Hazardous Materials: Emergency Restriction/Prohibition Order

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-05

.... This Order is issued to Rainbow of Hope, Strategic Sciences, Inc., Realm Industries AKA Realm Catalyst... company of Rainbow of Hope. This explosion was also linked to TyLar. In light of these facts, PHMSA... of Hope, Strategic Sciences, Inc., Realm Industries (Realm Catalyst, Inc.), any other alias or...