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1. The journey of becoming and being a mother raising a disabled child : the transformations between and across social positions

Author

Shih, Yi-Ting

Subjects
305.908083
Abstract

Although the experiences of mothers raising disabled children has been studied, their experiences are often still negatively interpreted (Beresford, 1994), or marginalised by professionals, prevailing discourses of motherhood, and debates within disability studies (Ryan and Runswick-Cole, 2008; McLaughlin, 2006; Brett, 2002; Green, 2001). This thesis seeks to provide new insight into the lives and perspectives of such mothers. The main concern is what mothers learn from their journey of changing social position from being a non-disabled person to being a mother raising a disabled child and what we can learn from them. The analysis focuses on three topics, how mothers construct their motherhood in the context of disability; how mothers manage issues around disability in their practices of motherhood; and mothers’ reflections of professional knowledge and lay expertise. Sixteen mothers from the North East area were interviewed and the detailed data has been gathered by using qualitative methods including semi-structured interactive interviews. The main arguments are generated from the respondents’ experiences within their daily lives. Although surrounded by various social actors who provide diverse types of support, I will argue that mothers still experience an isolated type of motherhood. This then leads to discussions about issues related to care, dependence, and the boundary between the private and public spheres. Rather than being fixed within the binary discussions between the medical model and the social model, the respondents worked with an understanding of disability which recognised its social construction, alongside the specific practical and medical needs of their child. In doing so they approached discourses of need, impairment and care flexibly so that they could manage issues around disability in ways appropriate to they and their child’s social position.

Published
2012

4. Significant symptoms alleviation and tumor volume reduction after combined simultaneously integrated inner-escalated boost and volumetric-modulated arc radiotherapy in a patient with unresectable bulky hepatocellular carcinoma: A care-compliant case report

Author

Lin, Young-Hsiang, Hung, Shih-Kai, Chiou, Wen-Yen, Lee, Moon-Sing, Shen, Bing-Jie, Chen, Liang-Cheng, Liu, Dai-Wei, Tsai, Wei-Ta, Lin, Po-Hao, Shih, Yi-Ting, Hsu, Feng-Chun, Tsai, Shiang-Jiun, Chan, Michael W.Y., and Lin, Hon-Yi

Published
2016
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6. Enhancing clinical effectiveness of pre-radiotherapy workflow by using multidisciplinary-cooperating e-control and e-alerts

Author

Lin, Yung-Hsiang, Hung, Shih-Kai, Lee, Moon-Sing, Chiou, Wen-Yen, Lai, Chun-Liang, Shih, Yi-Ting, Yeh, Pei-Han, Lin, Yi-An, Tsai, Wei-Ta, Hsieh, Hui-Ling, Chen, Liang-Cheng, Huang, Li-Wen, Lin, Po-Hao, Liu, Dai-Wei, Hsu, Feng-Chun, Tsai, Shiang-Jiun, Liu, Jia-Chi, Chung, En-Seu, and Lin, Hon-Yi

Subjects
Internet, Time Factors, Medical Errors, Radiotherapy, Attitude of Health Personnel, clinical effectiveness, radiotherapy (RT), Health Personnel, Radiotherapy Planning, Computer-Assisted, Personnel Turnover, Quality Improvement, Workflow, information system, e-control, Quality Improvement Study, Humans, staff satisfaction, working confidence, Research Article, Follow-Up Studies, Retrospective Studies
Abstract

Radiotherapy (RT) is useful in managing cancer diseases. In clinical practice, early initiation of RT is crucial for enhancing tumor control. But, delivering precise RT requires a series of pre-RT working processes in a tight staff-cooperation manner. In this regard, using information system to conduct e-control and e-alerts has been suggested to improve practice effectiveness; however, this effect is not well defined in a real-world RT setting. We designed an information system to perform e-control and e-alerts for the whole process of pre-RT workflow to shorten processing time, to improve overall staff satisfaction, and to enhance working confidence. A quality-improving study conducted in a large RT center. Externally validated data were retrospectively analyzed for comparison before (from Sep. 2012 to Dec. 2012, n = 223) and after (from Sep. 2013 to Dec. 2013, n = 240) implementation of pre-RT e-control and e-alerts. Applying the e-control with delay-working e-alerts in pre-RT workflow was the main intervention. Nine workstations were identified in pre-RT workflow. The primary outcome measure was the processing time in each pre-RT workstations before and after implementing the e-control and e-alerts. Secondary measures were staff-working confidence and near-missing cases during the process of pre-RT workflow. After implementing e-control, overall processing time of pre-RT workflow was shortened from 12.2 days to 8.9 days (P

Published
2017

7. Implementing web-based ping-pong-type e-communication to enhance staff satisfaction, multidisciplinary cooperation, and clinical effectiveness

Author

Yeh, Pei-Han, Hung, Shih-Kai, Lee, Moon-Sing, Chiou, Wen-Yen, Lai, Chun-Liang, Tsai, Wei-Ta, Hsieh, Hui-Ling, Shih, Yi-Ting, Chen, Liang-Cheng, Huang, Li-Wen, Lin, Yi-An, Lin, Po-Hao, Lin, Yung-Hsiang, Liu, Dai-Wei, Hsu, Feng-Chun, Tsai, Shiang-Jiun, Liu, Jia-Chi, Chung, En-Seu, and Lin, Hon-Yi

Subjects
Patient Care Team, Internet, clinical effectiveness, Communication, radiation oncology, e-communication, Quality Improvement, Job Satisfaction, Quality Improvement Study, Humans, radiotherapy, Research Article, Retrospective Studies
Abstract

Background: Frequent multidisciplinary communication is essential in conducting daily radiotherapy (RT) practice. However, traditional oral or paper-based communication has limitations. E-communication has been suggested, but its effects are still not well demarcated in the field of radiation oncology. Objects: In our web-based integrated information platform, we constructed a ping-pong-type e-communication function to transfer specific notations among multidisciplinary RT staffs. The purpose was to test whether applying this e-communication can increase effectiveness of multidisciplinary cooperation when compared with oral or paper-based practice. Staff satisfaction and clinical benefits were also demonstrated. Design and setting: A real-world quality-improving study was conducted in a large center of radiation oncology. Participants and dataset used: Before and after applying multidisciplinary e-communication (from 2014 to 2015), clinical RT staffs were surveyed for their user experience and satisfaction (n = 23). For measuring clinical effectiveness, a secondary database of irradiated head and neck cancer patients was re-analyzed for comparing RT toxicities (n = 402). Interventions: Applying ping-pong-type multidisciplinary reflective e-communication was the main intervention. Outcome measures: For measuring staff satisfaction, eight domains were surveyed, such as timeliness, convenience, and completeness. For measuring clinical effectiveness of multidisciplinary cooperation, event rates of severe (i.e., grade 3–4) RT mucositis and dermatitis were recorded. Results: Overall, when compared with oral communication only, e-communication demonstrated multiple benefits, particularly on notation-review convenience (2.00 ± 1.76 vs 9.19 ± 0.81; P

Published
2016

11. Low-Fire Processing of Microwave BNBT-Based High-k Dielectric with Li2 O- ZnO- B2 O3 Glass.

Author

Shih, Yi ‐ Ting, Jean, Jau ‐ Ho, and Damjanovic, D.

Subjects
*CERAMICS, *SOIL densification, *THERMAL expansion measurement, *PERMITTIVITY measurement, *WIRELESS communications
Abstract

The effects of Li2 O- ZnO- B2 O3 ( LZB) glass addition on densification and dielectric properties of Ba4( Nd0.85 Bi0.15)9.33 Ti18 O54 ( BNBT) have been investigated. At a given ratio of ZnO/ B2 O3, the glass softening point decreases, but the thermal expansion coefficient and dielectric constant increase with increasing Li2 O content in the LZB glass. With 10 vol% LZB glass, the densification temperature reduces greatly from 1300°C for pure BNBT to 875°C-900°C for BNBT + LZB dielectric, and the densification enhancement becomes more significant with increasing Li2 O content in the LZB glass. The above result is attributed to a chemical reaction taking place at the interface of LZB/ BNBT during firing, which becomes less extensive with increasing Li2 O content in the LZB glass. Therefore, more residual LZB glass, which acts as a densification promoter to BNBT, is left with increasing Li2 O content. For the LZB glass with a Li2 O content in the range 10-30 mol%, the resulting 90 vol% BNBT + 10 vol% LZB microwave dielectric has a dielectric constant of 55-70, product ( Q × fr) of quality factor ( Q) and resonant frequency ( fr) of 1000-3000 GHz at 5-5.79 GHz, and a temperature coefficient of resonant frequency (τf) of 10-60 ppm/°C in the temperature range between 25°C and 80°C. [ABSTRACT FROM AUTHOR]

Published
2013
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