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Social isolation has been suggested to foster paranoia. Here we investigate whether social company (i.e., being alone vs. not) and its nature (i.e., stranger/distant vs. familiar other) affects paranoia differently depending on psychosis risk. Social interactions and paranoid thinking in daily life were investigated in 29 patients with clinically stable non-affective psychotic disorders, 20 first-degree relatives, and 26 controls (n = 75), using the experience sampling method (ESM). ESM was completed up to ten times daily for 1 week. Patients experienced marginally greater paranoia than relatives [b = 0.47, p = 0.08, 95% CI (− 0.06, 1.0)] and significantly greater paranoia than controls [b = 0.55, p = 0.03, 95% CI (0.5, 1.0)], but controls and relatives did not differ [b = 0.07, p = 0.78, 95% CI (− 0.47, 0.61)]. Patients were more often alone [68.5% vs. 44.8% and 56.2%, respectively, p = 0.057] and experienced greater paranoia when alone than when in company [b = 0.11, p = 0.016, 95% CI (0.02, 0.19)]. In relatives this was reversed [b = − 0.17, p b = − 0.02, p = 0.67, 95% CI (− 0.09, 0.06)]. The time-lagged association between being in social company and subsequent paranoia was non-significant and paranoia did not predict the likelihood of being in social company over time (both p’s = 0.68). All groups experienced greater paranoia in company of strangers/distant others than familiar others [X2(2) = 4.56, p = 0.03] and being with familiar others was associated with lower paranoia over time [X2(2) = 4.9, p = 0.03]. Patients are frequently alone. Importantly, social company appears to limit their paranoia, particularly when being with familiar people. The findings stress the importance of interventions that foster social engagement and ties with family and friends.

Varying reports across different laboratories or across different analysers in the same lab for the same sample is not an uncommon phenomena. Experts call this a lack of harmonization. A test that is harmonized provides the same results regardless of the manufacturer of reagents used or the laboratory where the test is performed. When laboratory tests are not harmonized, the entire continuum of patient care can be affected in a number of ways. Here, we present a case of varying reports for a single serum human chorionic gonadotropin (hCG) sample on two different immunoassay platforms for a young female presenting with an abdominopelvic mass. The lab reports for serum hCG for this particular patient showed inconsistent results with the same sample within the same lab. The phenomena behind this was lack of harmonization of test results. We introspect many of the factors responsible for lack of uniformity in hCG results amongst the major ones being with use of antibodies directed against different epitopes of hCG (analyte) and the heterogeneity of the hCG molecule itself. Harmonization is a process to ensure that different clinical testing procedures used by different laboratories give equivalent results. Harmonizing test results will enable healthcare providers to use clinical guidelines with greater confidence for diagnosing disease and managing patients.

This article repurposes the conceptual ingredients of participatory art, from 1960s Environment-Happenings to 1990s and contemporary relational aesthetics, to postulate an analogous poetics. While both epochs of interactive art exercise the same premise—that is, taking “the sphere of human relations as site for the artwork” to “induce models of sociability,” as Nicolas Bourriaud claims—the conditions of relationality entailed in each concern distinct modes of production, consumption, and governance. I trace this distinction in relation to the Foucauldian notion of “technologies of power,” arguing that, while Allan Kaprow's practice engages with the biopolitical, “disciplinary” power of liberalist regimes, the work of Félix González-Torres and Rirkrit Tiravanija engage with what Byung-Chul Han terms that “psychopolitics” of neoliberal debt relations. This examination serves as the ground from which I devise a new kind of relation poetics, a heteroglot and immersive literary bricolage that critically reflects neoliberal modes of atomised individualism. Juliana Spahr's Fuck-You-Aloha-I-Love-You serves as a means by which I distinguish poetry about relationality from relational poetry, which in turn gives rise to my own attempt at, and critical analysis of, a relational poem: a vexed interstice of what Jean-Luc Nancy calls “being-with.

Background Lymphoma incorporates histologically variable cancers derived from the immune system cells. The distinctive feature of lymphoma is the rapid increase in size and number of lymph nodes and/or secondary lymphoid tissues. The aim of the work is to evaluate the accuracy of PET/CT vs CECT in the assessment of response to therapy in lymphoma patients: both early and late therapeutic response assessment. This retrospective study was conducted on 80 patients with different types of lymphoma recruited and enrolled from a university hospital. All 80 patients underwent pre-treatment, during the course of chemotherapy and at the end of planned treatment contrast-enhanced СT (СEСT) and PET-СT. Interpretation of the СEСT and the fusion images PET/СT each was done separately and comparison of the results was achieved. Results PET/CT and contrast-enhanced computed tomography were concurrent in results in 55% of cases during treatment and 75% at the end of treatment with CT sensitivity of 61.1%, specificity of 92.2%, and accuracy of 76.2% during treatment in comparison to 100% sensitivity and specificity of PET/CT. Sensitivity of CT at end of treatment was 57.5%, specificity 86.7%, and accuracy 71.6% as compared to 100% sensitivity and specificity of PET/CT. Conclusion PET/СT using 2-deoxy-2-[18F] fluoro-d-glucose is considered one of the best oncologic imaging modalities at the time being with valuable applications in lymphoma. It is very efficient with least possible pitfalls and false results compared to either of its components alone and to side by side reading of separately acquired PET and СT. PET/CT can detect both anatomical information as well as metabolical information providing more data and thus giving more accurate results than CECT. It is becoming а standard modality for lymphoma providing а new vision to management and treatment plan.

Nanomagnetic devices, such as nano-field effect transistor biosensors and radio frequency magnetic induction therapies, came into being with the development of medical nanomaterials. The application of nanomagnetic materials in the treatment of cancers is rapidly becoming increasingly important because of its ability to target therapy and diagnose early. In this review, an untechnical overview of the fundamental of magnetism in nanomaterials and an illustration of how these materials are applied are presented. The applications of nano-field effect transistor biosensors for the detection of tumor biomarker nanomaterials in the therapy and diagnosis of cancers and nanomagnetic materials are summarized in this paper. A systemic summary of the use of nanomagnetic materials and nano-filed effect transistor biosensors for the treatment and diagnosis of tumors is also provided in the review.

BackgroundDifferences between patients' and nurses' perceptions of good nursing might be one of the barriers to optimal nursing care that matches the preferences of patients. A better understanding of the attributes of Good Nursing Care across different settings, circumstances, and patient populations will provide an integrated idea about Good Nursing Care, which can contribute to nursing theory development and future research.PurposeThis study aimed to integrate the literature on patients' and nurses' perceptions of what constitutes Good Nursing Care and thereby identify the similarities and differences in patients' and nurses' perceptions of Good Nursing Care.MethodsA literature search of PubMed, CINAHL, and MEDLINE was conducted for article published between January 2000 and June 2017. A total of 18 studies were identified and assessed using the Mixed Method Appraisal Tool. The studies were analyzed and synthesized using Swanson's theory of caring as the theoretical framework.ResultsSome dissents and agreements were found between patients and nurses regarding the crucial attributes of Good Nursing Care. While “enabling,” such as providing information, coaching, and guidance, was more emphasized by patients, “being with” (being present at the bedside) was more emphasized by nurses. “Doing for,” especially expert performance and enhancing physical comfort, was the most frequently mentioned attribute of Good Nursing Care by both patients and nurses.Implications for PracticeTheoretical developments regarding Good Nursing Care—characterized by a balance between sufficient nursing knowledge and competent technical skills on one hand and patient empowerment based on trusting relationships on the other hand—would promote the provision of Good Nursing Care in clinical practice.

In this study, the researcher has mentioned the writers and their major works in Elizabethan age (1558-1603). The researcher has mentioned almost nineteen writers and their famous works. By reading this research paper, any general reader can easily understand that who are the major writers of the age and what are their famous works. The language and method of presenting the data are very easy. The researcher also has mentioned the major contributions of this era’s writers. As we know that University Wits also fall in this era, thus the researcher has mentioned them and their works too. S. Dutta (2014) declared that The University Wits is a phrase used to title a group of late 16th-century English pamphleteers and playwrights who were studied at the universities Cambridge and Oxford. They appeared famous worldly writers. This era has reminisced for its richness of drama and poetry. This era ended in 1603. Elizabeth turns out to be one of the greatest prominent royals in English history, mainly after 1588, when the English beat the Spanish Armada which had been sent by Spain to reestablish Catholicism and defeat England. All the way through the Elizabethan age, English literature has changed from a shell into a delightful being with imagination, creativeness, and boundless stories. It was not about mystery or miracle plays and the poetry was not nearby religion and the principles addressed in the Church.

Among the one-word fragments from unknown plays of Sophocles, fr. inc. 1111 R. (φίλανδρον) has been treated as one of the more straightforward. It derives from a passage in Hermogenes of Tarsos’ treatise Περὶ Ἰδεῶν (late second century c.e.), which includes the Sophoclean adjective, its referent and a brief gloss: … ὁ Σοφοκλῆς … φίλανδρόν που τὴν Ἀταλάντην εἶπε διὰ τὸ ἀσπάζεσθαι σὺν ἀνδράσιν εἶναι (‘… Sophocles called Atalante philandros somewhere because she enjoyed being with men’). Brunck assigned the fragment to Sophocles’ tragic Meleagros; most subsequent editors have edited the fragment as sedis incertae while commenting favourably on Brunck's ascription. This suggestion has also found support beyond Sophoclean scholarship, and, to my knowledge, no alternative has been brought forward. While the ascription of the fragment to the Meleagros is prima facie not implausible, I shall argue that a thorough analysis of the difficult passage in Hermogenes calls for a revision of the current lexicographical accounts of the word φίλανδρος—as well as φιλανδρία—and suggests that fr. 1111 may in fact originate in a satyr-play.

Objectives: The COVID-19 pandemic led to school closures, cancellations of major events, and loss of in-person social interactions for children and youth. These restrictions undoubtedly impacted the lives of children and youth. This study describes the well-being of children and youth in Nova Scotia during the COVID-19 pandemic and their thoughts and feelings about the return to school, from the perspectives of both youth and parents.Methods: A province-wide survey was conducted in August 2020 with parents of school-age children and youth and youth to measure youth well-being since the pandemic began.Results: Parents of children and youth in grades pre-primary to 12 (n = 699; 53% girls) and youth in grades 3–12 (n = 279; 69% girls) completed the online survey. Perceptions of parents about children's emotions during the pandemic were: bored, safe, lonely, happy, and anxious. Youth reported feeling bored, relaxed, depressed, safe, and worried. Sixty-three percent of youth and 72% of parents reported that they/their child felt they were missing important life events. Parents reported that being with parents, being physically active and being with friends made their child feel positive. Youth reported that being with friends, pets and watching TV made them feel good during this time. Seventy-six percent of parents and 62% of youth reported they/their child were getting more screen time than before the pandemic. With schools closed, participants most frequently shared that they missed friends and social interactions, in-person learning, and extra-curricular activities. Youth and parents expressed worries about COVID-19 outbreaks and related restrictions when schools re-opened to in-person learning.Conclusion: The well-being of children and youth in Nova Scotia was greatly impacted by the COVID-19 pandemic and related school closures in 2020. It is essential that pandemic recovery plans prioritize the health and well-being of children and youth.

The development of biotechnology in the field of GMOs requires states to take specific decisions to regulate the spread of genetically modified crops. In the European Union all GM crops that circulation are subject to mandatory registration, which regulates the placing on the market and circulation of genetically modified raw materials, food and feed. The article presents systematized data about the registration of genetically modified soybean, maize and rapeseed in the European Union. It was established that most of the GM crops have introduced genes that give them tolerance to herbicides of different groups. The register of the European Union currently includes 12 events of soybean (GTS 40-3-2, A2704-12, Mon 89788, MON87705, DP 356043, A5547-127, FG 72, SYHTOH 2, DAS-44406-6, DAS-68416- 4, Mon 87708, BPS-CV127-9), 5 events of maize (MZHG0JG, DAS-40278-9, GA 21, NK 603, T 25), 3 events of rapeseed (GT 73, T45, TOPAS 19/2) with tolerance to herbicides. It has been shown that a significant number of registered GM plants have a combination of several events, including tolerance to herbicides and resistance to certain insects or improving quality features of crops. Among them are one event of soybean (DP305423-1), 9 events of maize (TC 1507, DP 4114-3, MON 87411-9, MON 87427, MON 88017, DAS59122-7, Bt 176, Bt 11, DAS 1507) and one event of rapeseed (MS8xRF3). Many GM crops (one event of soybean and 6 events of maize) have introduced genes that determine the plant's tolerance to insects. Only a tiny amount of GM crops are being with altered consumer or technological qualities. In the register of genetically modified crops, all events of GM crops are currently authorized for usage for food, supplements, feed and other product. А single event of maize (Mon 810), that was allowed for cultivation at the time of this analysis was at the stage of renewal of the permit.

We describe a case of an elderly patient suffering from advanced dementia (Mrs. M) whose chronic confusion has become a source of frustration for her caregivers. Mrs. M experiences a touching interaction with a new nurse (Nathan) who takes a different approach with her. We describe this interaction and elaborate upon it by drawing from Catholic social teaching and the philosophy of play. Cases like these do not involve dramatic or esoteric ethical problematics, but rather the sort of dilemma born of the everyday tragedies of lingering illness, aging and caretakers’ fatigue. Nathan’s approach offers a different way of seeing and being with the wearisome patient.

PURPOSE: To examine whether the implementation of Affordable Care Act (ACA) reduced the financial burden associated with cancer care among non-elderly cancer survivors. METHODS: Using data from the MEPS-Experiences with Cancer Survivorship Survey, we examined whether there was a difference in financial burden associated with cancer care between 2011 (pre-ACA) and 2016 (post-ACA). Two aspects of financial burden were considered: (1) self-reported financial burden, whether having financial difficulties associated with cancer care and (2) high-burden spending, whether total out-of-pocket (OOP) spending incurred in excess of 10% or 20% of family income. Generalized linear regression models were estimated to adjust the OOP expenditures (reported in 2016 US dollar). RESULTS: Our sample included adults aged 18–64 with a confirmed diagnosis of any cancer in 2011 (n = 655) and in 2016 (n = 490). There was no apparent difference in the prevalence of cancer survivors reporting any financial hardship or being with high-burden spending between 2011 and 2016. The mean OOP decreased by $268 (95% CI, − 384 to − 152) after the ACA. However, we found that the mean premium payments increased by $421 (95% CI, 149 to 692) in the same period. CONCLUSIONS: The ACAwas associated with reduced OOP for health services but increased premium contributions, resulting in no significant impact on perceived financial burden among non-elderly cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: The financial hardship of cancer survivorship points to the need for the development of provisions that help cancer patients reduce both perceived and materialized burden of cancer care under ongoing health reform.

What would be the social consequences of rendering three-dimensional (3D) sound in a pre-recorded live concert video? Although previous studies demonstrate that the rendering of 3D sound in a pre-recorded live concert may foster a sense of presence, whether and how 3D sound will affect audience's experiences beyond the reporting of a sense of presence has yet to be elucidated. To further investigate the socio-psychological impact of 3D sound in a pre-recorded live concert content, a 2 × 2 mixed design experiment (N = 44), having sound as a within factor (2D vs. 3D) and visualization display mode as a between factor (monoscopic TV vs. stereoscopic VR), was conducted. Drawing from the social presence theory and related work, we specifically investigated whether 3D sound in a pre-recorded live concert content, rendered either through a monoscopic TV screen or a stereoscopic VR device, will contribute to enhancing audience's sense of being with a performer (i.e., social presence), and whether this will subsequently influence audience's psychological engagement with the performer (i.e., parasocial interaction), enjoyment as need satisfaction, and intent of financial supportive action towards the performer. Results showed that 3D sound enhanced a sense of social presence, and this, in turn, positively influenced parasocial interaction and enjoyment. In addition, parasocial interaction, fostered by social presence, positively affected audience's intent of financial supportive action. Further implications of the findings with respect to the role of 3D sound in a pre-recorded live concert content, rendered through a VR technology, are discussed.

People's lives are increasingly hurrying because of several factors that interfere with lifestyle. However, little is known how much this style interferes in people body satisfaction. This study investigated the impact of lifestyle on body satisfaction of the university community. A total of 659 students (n=460), professors (n=49) and administrative staff (n=150) of a federal northeastern Brazilian university, answered the Body Satisfaction Situational Scale and Fantastic Lifestyle Questionnaire. Linear regression indicated that the work has a positive impact on the satisfaction of external parties for students, while for the administrative staff was the lowest alcohol consumption and being with family/friends that the impact, as professors, body satisfaction suffered impact of higher alcohol consumption, aggressive behavior, sleep deprivation, lower stress management and unsafe attitudes (p < .05). It is concluded that the lifestyle profile can be considered a determining factor for body satisfaction in higher education, contributing or not for higher body satisfaction.

This paper presents and invites reflections on belonging, solidarity and "being with" from within and between a practice and research frame. The paper explores the interconnected stories of personal development and transformation that emerged from a four year doctoral research project whilst also paying appropriate attention to the practice context, which is centralised given that the research is practice-based. Deliberate connections are made between the author's own experiences of transformation and the stories of transformation that women who were part of the research have shared. In so doing the importance of solidarity and being with is privileged. In a climate where group work is often viewed as an efficient way to teach “psychological skills” to people who are viewed as lacking such skills, offering a different (relational) frame challenges the individualised, deficit-defined discourse.

With the rapid development of mobile communication and electronic technology, the Internet with mobile device has become the most popular way for people to access. Mobile marketing came into being with a distinctive mark. From the perspective of SICAS model, this paper analyzed the concept and status of mobile marketing, and the marketing case of traditional dairy products brand Yili group. Based on literature research, data analysis and field research, this paper comes to the following conclusions for the enterprises: 1) Ad content optimization; 2) Ad technology optimization; 3) Communication optimization; 4) Ad placement optimization. This study provides a new perspective on the marketing of mobile Internet.

Carbon capture and storage (CCS) is now known to be an effective way to reduce greenhouse gas emissions especially CO2 to the atmosphere. Amino acid salt (AAS) solutions are regarded as promising CO2 absorbents compared to traditional amine solutions, as they are environmentally being with lower evaporation as well as fewer degradation issues. This paper is intended to review recent developments in CO2 capture using AASs. The thermodynamics and kinetics of CO2 and different AASs are illustrated in detail. We will also discuss the blended solutions containing AASs in terms of applications and absorption or regeneration performance. Additionally, we will present specific directions for future research on CO2-AAS systems. This paper could provide a guideline for effective carbon capture by new absorbents.

In the "Teaching Requirements for English Universities" issued by the Ministry of Education, colleges and universities should make full use of modern information technology to improve the single English teaching model based on teacher teaching. With the support of modern information technology and network technology, English teaching To a certain extent, it is not restricted by time and place. Let students learn independently and complete tasks independently. Flipped classroom is a new type of teaching model that came into being with the support of modern education technology. This article mainly introduces whether the research of flipped classroom English translation in the flipped classroom teaching mode under the big data mode can enable students to learn English better and enable students to have greater interest in English. In order to verify whether the flipped classroom teaching mode of English translation under the big data model can enable students to learn English better. We took experiments and questionnaires to check the changes caused by the implementation of flipped classrooms by students. Based on the data obtained through our research and questionnaire survey. The English scores, English vocabulary, and oral skills of students who have undergone flipped classroom learning are improved by 17% compared to those who have not experienced flipped classroom learning.

In caring with awareness, the student nurse is able to be present in the moment, while being with the patient. Such student nurses treat patients holistically, considering the patient’s mind, body, and spirit. Purpose: To elicit the importance of caring with awareness in order to facilitate student nurses’ caring toward patients. Hypothesis: There is a positive relationship between student nurses acting with awareness and caring. Method: A quantitative, descriptive, correlational, and contextual research design with a purposive sampling method was used in the study. Respondents ( n = 56) were student nurses in their third- and fourth-year level of study. Data were collected by use of a self-administered questionnaire. Findings: There was a negative correlation between acting with awareness and caring. There was no difference in caring among third- and fourth-year students. Conclusion: Student nurses may be caring for patients, but it does not necessarily mean they act with awareness in caring. Awareness should be cultivated among student nurses for them to be present in caring and provide holistic caring.

Background Police officers work under stressful conditions, and the resulting occupational stress may impact their health and well-being through changes in positive affect (PA) and negative affect (NA). It is therefore important to assess officers’ stress, PA, and NA while it is experienced. This study evaluates police officers’ momentary stress and affect in real-world settings using an ecological momentary assessment, and examines the within-person (W) and between-person (B) factors that influence momentary affect. Methods Eighty-nine police officers were recruited in South Korea. Participants completed questionnaires about their momentary stress and affect using a smartphone application. The associations between momentary stress, momentary contextual environment, momentary PA, and momentary NA were examined using mixed modeling. Results Social overload (W: -.37), work discontent (W: −.45, B: −.73), social tension (W: −.79, B: −.67), and pressure to perform (W: −.29, B: −.49) were significantly associated with lower PA. Work overload (B: .33) and social isolation(W: .48, B: .31) were significantly associated with higher PA. Being with family (W: .71, B: .91) and friends (W: 1.89, B: 2.45) were significantly associated with higher PA. Being at home or other places away from the work place were significantly associated with higher PA (W: 1.01) and when patrolling or investigating were associated with lower PA (B: − 1.13). Lack of social recognition (W: 1.74, B: 2.33), work discontent (W: 1.59, B: 1.88), social tension (W: 1.74, B: 2.92), and pressure to perform (W: .78, B: 1.92) were significantly associated with higher NA. Being with colleagues (W: − 1.43), family (W: -1.38, B: − 2.66) and friends (W: -1.78, B: − 2.45) were associated with lower NA. Conclusions Momentary within-person and between-person stress factors and contextual factors influenced police officers’ momentary affect. These factors should be considered when developing interventions to mitigate stress and improve affect in police officers.

This paper is a continuation of deliberations on meaning (sense) of public spaces. It refers to unofficial spaces for informal activities, which could be called informal alternative spaces or maybe even a bit exaggeratedly “spaces-of-resistance”. Their extremely important features include absence of control and lack of rules, which distinguish them from other spaces. The paramount advantage visitors gain from these places is the ability to give the space a meaning of their own, thus changing the users’s position from that of a mere user into the user in possession. It also changes his/her relation to the space which ceases to be only a ‘closed object’. It is brought into use, as it is created and linked only for the time of the actor-user's (own) performance. The experimental character of the game leads to a reinterpretation of the meaning (or even necessity to change it) that the space has. Such an approach breaks with the patterns embedded in a collective imaginarium, which promote safe, comfortable behaviours – an unofficial, alternative space must be created each time from scratch, such space is a process. It is not treated as a product, it becomes space of commitment – it becomes political space, but as such, it is a challenge and thus it is interesting only for few people. By meeting each other and being with others we fulfill our basic psychological need, but simultaneously we enter into different roles in a social game in which our own “win” often counts above all. Our private satisfaction can also be valued by a sense of community, collaboration, having something in common, and this obviously can bring benefits to everyone. However, without a deeper thought practices that seek and provide best possible conditions for staying in space can lead to a certain inertia, which can turn into “algorithmization” in satisfying space users, specialized only in passive satisfaction of thoughtless users.

Pastoral care is an intervention that relies on good and quality relationships between the caregiver and the cared individual, if effective and positive outcomes are to be realised. With increased intermixing of people due to migration, globalisation and other technological advances, caregivers find themselves in complex and awkward situations when attempting to ‘care for other’ persons from different cultural contexts. This challenge presents opportunities for developing and strengthening innovative care. On the other hand, the challenge poses a threat of worsening the situation or failure to positively alter it. Within this context, the critical humane factor of “being with the other person”, enshrined in African humane thinking, as indicated by the notion of Ubuntu, provides a lens of “doing” care across cultures. Care, humaneness and being with the other people are notions that bind humanity universally and yet their expression differs across cultures. This article proposes a framework for positioning pastoral caregiving within a global context as well as suggests guidelines on how global pastoral care utilising the notion of ‘being with the other’ in global context can be done. Intradisciplinary and/or interdisciplinary implications: The article explores the notion of pastoral care from the perspective of care within the global context of pastoral ministry. It draws from the African concept of Ubuntu to develop a care approach that is humane and relational in an effort to foster relevant care across different contexts. The study has direct implications for practical theology particularly pastoral care within cross cultural missions and anthropology.

While media has thrived in Qatar since the 1990s, attempts at creating a systematic film industry have only recently come into being with the establishment of Northwestern University in Qatar and the Doha Film Institute. This chapter highlights how the creation of a local Qatari film industry presents one facet of a larger strategic national agenda of representing Qatari national identity—one that is scripted, edited, packaged, and exhibited. Even as the film industry purports to commit to film what it means to be Qatari, the country’s extraordinary demographic makeup, 88 percent of which is foreign, will necessarily be reflected in the workforce of this industry as well as in the creative content of the films being produced. Even as they are in service of promoting Qatari culture, these cosmopolitan cinematic collaborations serve to create connections between the different communities and encourage a hybrid merging of disparate cultural knowledge. This chapter shows how the budding Qatari film industry answers to, complicates, or negates the overarching national vision.

Background: Effective communication is defines as a two-way dialogue between two parties. Good nurses-patients communication is essential for successful individualized patient care outcome. Ineffective nurse-patient communication increases length of hospitalization, client dissatisfaction and resource wastage. Objective: The objective of the study was to assess level of nurse-patient communication and its barriers among nurses in the study area. Method: An institutional based cross-sectional study was conducted among 296 study participants at Tikur Anbessa specialized hospital between March 1st and March 30, 2018. A systematic random sampling technique was used to include study participants. A Semi-structured questionnaire was used to gather information from participants. Descriptive and analytical analysis including bivariate and multivariate analysis considering 95% CI was utilized to examine association between dependent and independent variables. P-value

OBJECTIVES: We sought to report the frequency of, circumstances surrounding, and outcomes of newborn falls in our hospital. We evaluated the impact of specific interventions on the frequency of newborn falls and the time between falls. METHODS: We performed a retrospective study of newborn falls reported on our postpartum unit over a 13-year period. Demographic information and circumstances of falls were collected via an electronic event reporting system and medical record review. RESULTS: There were 63 633 births and 29 newborn falls, yielding an average of 4.6 falls per 10 000 live births (median: 2 per year; range 0–5 per year). Newborns who sustained a fall were exclusively breastfeeding (75.9%), 24 to 48 hours of age at the time of the fall (58.6%), and had first-time parents (62.1%). At the time of the fall, most newborns were with the mother compared with being with the father or both parents (65.5% vs 34.5%); in the mother’s bed compared with being elsewhere, such as on a couch or chair, with a parent, or in the parent’s arms (62.1% vs 37.9%); and feeding at the time of the fall versus not (79.3% vs 20.7%). All newborns were monitored after the fall, with no adverse outcomes. Despite interventions, we continued to see cases of newborn falls, although the overall trend revealed decreasing falls per 10 000 patient-days and longer time between falls over the study period. CONCLUSIONS: Newborn falls in our hospital are infrequent but continue to occur despite preventive efforts, highlighting the importance of continuous awareness and education.

Witnessing and/or providing care during a traumatic birth increases vulnerability to secondary traumatic stress, with potential effects on mental health of and attrition among the midwifery workforce. With the global shortage of the midwifery workforce, retention and peak functioning are critical to the well-being of childbearing women and their infants. PubMed, Scopus, CINAHL, and PsycINFO databases were searched to identify studies that examined secondary traumatic stress in both midwives and midwifery students. Fifteen studies were located from eight different countries. Four of these studies examined secondary traumatic stress in midwifery students and 11 in practicing midwives. This article discusses the limited research on secondary traumatic stress among midwives and students who have attended or witnessed traumatic births. The vulnerability and potential workforce attrition of midwives and students experiencing secondary traumatic stress are highlighted. The development of a comprehensive body of literature is needed on prevalence, impact, clinical implications, and healing strategies addressing this workforce issue.

Recent research has critically evaluated the rapid growth of volunteer urban environmental stewardship. Framings of this phenomenon have largely focused upon environmentality and/or neoliberal environments, unfortunately often presenting a totalising picture of the state and/or market utilising power from above to create environmental subjects with limited agency available to local citizens. Based upon qualitative research with volunteer urban environmental stewards in Philadelphia, affective labour is proposed as an alternative explanation for participation. Stewards volunteered their time and labour due to the intense emotional attachments they formed with their neighbourhoods, neighbours, and nonhuman others in relationships of affective labour. Volunteer urban environmental stewardship as affective labour provides room for agency on the part of individuals and groups involved in volunteer urban environmental reproduction and opens up new ways of relating to and being with human and nonhuman others.

Background Caring is the heart of nursing. However, not many understand the significance of caring in nursing from the perspectives of undergraduate nursing students, especially in Japan. Aim To describe caring in nursing among Japanese nursing students as learned and communicated through their aesthetic expressions. Methods The study employed hermeneutic phenomenology. Sixty-one Japanese nursing students in their second year of baccalaureate degree studies participated. Constituting the data were art-based graphic expressions, such as drawings and written reflections on the drawings, as a response to the question of how the participants describe their meanings of caring in nursing. The thematic analysis method was used to analyze and interpret the data. The trustworthiness of the research was established following Lincoln and Guba's criteria. Findings Seven thematic categories were identified. These categories include (1) Engaging with others; (2) Knowing each other; (3) Being with other persons; (4) Nurturing intimate personal growth; (5) Supporting wholeness of persons; (6) Vacillating rhythm; and (7) Intensifying competency. Conclusion This study described the understanding of caring in nursing among undergraduate Japanese nursing students during their second year of study. The caring in nursing focused on reciprocal relationships, whole-person relating, and practice competency. Findings suggested that nurse educators should develop teaching-learning strategies for nursing students to continuously grow as caring persons.

Aim Pre-eclampsia can lead to premature birth aimed at saving mothers' and infants' lives. Few studies have addressed how women with serious pre-eclampsia experience to become mothers to a premature infant. The aim was to describe the phenomenon of mothers' experience of being a seriously ill with pre-eclampsia and on the same time becoming a mother of a premature infant. Methodology A reflective phenomenological lifeworld approach with a descriptive design was used. Nine mothers were interviewed twice, between 6 and 24 days and 16 days to 16 weeks postpartum. The analysis was done by finding meaning units, and then contemporary clusters were made. The process was a movement between figure and background. The essence with its constituents emerged. Findings Being a seriously ill mother of a premature infant requires journeying through physical and psychological suffering to be able to care and take responsibility for their beloved infants. The essence had the following constituents: conflicting feelings concerning giving birth, reflecting upon the borderline of life, longing for the infant, becoming a mother in actuality and experiencing physical exhaustion. Conclusion Because of the acuteness of the birth and the infant's prematurity, the mothers had various feelings about becoming mothers. Existential issues concerning life and death were triggered regarding their own lives and those of their infants. Their experiences are different from those of other NICU mothers; their illnesses initially restricted them from being with their infants. The mothers found that their own health and the fact that their infants were premature and had to stay in the NICU restricted them from being able to take care of their infants. While they recovered, they strived to act as they felt a real mother should.

In this article, a discussion about memory in exile is presented that takes up the thesis that exile is a condition of post-existence and afterness. The main claim is that exile is not only existence after a cut and separation but is an existing as afterness, in a “present tension” of being with the without and without a with. It reveals a sense of the present and of presence as multi-directed movements, as clusters of echoes and delayings. In exile, memories are not the continuous simultaneity of double images but are rather “photisms,” shimmering between images, the coming and going between languages, experiences, a longing back and forth. Exilic memory is the experience that bears witness to the present as the movement of presencing, of appearing while sliding away.

This case study considers the nature of making, seeing and being with art in a dialogue about the experience of Libby Byrne’s exhibition, ‘An Ordinary Gift’ in Melbourne, 2016. The article explores the nature of making, seeing and being with art as a methodological framework for theological inquiry. Bringing to bear their experiences as artist and curator, two researchers examine recorded viewers’ responses to the exhibition, as a means of understanding the nature of theological engagement and insight that was possible in the process of making, being with and seeing this public exhibition. The article acknowledges that the work of art offers an ordinary gift of containment for the ineffable qualities of our lived experience with God. A faith-ful framework of communal engagement can therefore offer an external reference point that guides and shapes the making, the seeing and even the ways in which we are able to be with art. As we transform the way we engage with theological questions and concerns we are in turn transformed by the ordinary gift of making, seeing and being with art.

Background Parents of children with congenial heart disease (CHD) face frequent healthcare encounters due to their child’s care trajectory. With an emphasis on assuring caring in healthcare, it is necessary to understand parents’ perceptions of healthcare providers’ actions when their child undergoes heart surgery. Objectives To describe parents’ perceptions of healthcare providers’ actions when their child is diagnosed with CHD and undergoes heart surgery. Methods This is a qualitative study with in-depth interviews. Parents of children with CHD were interviewed twice after surgery. We analyzed data using directed content analysis guided by Swanson Caring Theory. Results Findings of the study indicate that parents perceive caring when providers seek to understand them ( knowing ); accompany them physically and emotionally ( being with ); help them ( doing for ); support them to be the best parents they can be ( enabling ); and trust them to care for their child ( maintaining belief ). Conclusions Healthcare providers play an irreplaceable role in alleviating parents’ emotional toll when their child undergoes cardiac surgery. Providers' caring is an integral component in healthcare.

Quantifying patient comments about their healthcare experiences is difficult. The purpose of this article is to report the results related to application of Halldorsdottir's Five Basic Modes of Being with Another to patient comments. Results indicated an increase in caring comments and a decrease in uncaring comments over a 2-year period with an interrater reliability of 83% to 91%. Using Halldorsdottir's model can assist in evaluation and classification of patient perceptions of their care on a continuum from caring to uncaring, allowing organizations to evaluate and act upon patient comments concerning their care.

The rise and growth of the E-commerce is obtaining high, thus thanks to that the employment of the credit and revolving credit conjointly been up and still keep growth in day by day and together the dishonest cases caused an explosion within the master card transactions. Because the master card obtaining the foremost in style factor concertedly that impact of this master card fraud being with all of that users. That master card fraud cases makes plenty of losses to the banks and a customers, thus currently the stage of this master card fraud cases is would really like no body cannot offer the protection or answer to the present downside. From the sooner stage there are many varieties of techniques and theories to offer to provide to present to administrator to allow to convey to relinquish the concepts to unravel this downside however nobody will give the answer to the present fraud cases. A transparent understanding on all this approaches will definitely result in economical master card fraud detection system.

Background Adolescents and young adults (AYAs) experience cancer while balancing emerging identity and life goals. We investigated AYAs' priorities during cancer, including psychosocial concerns, cure-directed therapy, and potential late effects. Methods We surveyed 203 cancer patients aged 15-29 treated at Dana-Farber Cancer Institute, Boston, Massachusetts, and their oncologists. Patients were approached and rated the importance of aspects of treatment, outcomes, and life during therapy. Response options were "extremely," "very," "somewhat," "a little important," or "not at all important." Ratings of "extremely" or "very important" were used as indicators of strong priorities. Results Patients' three most frequent priorities were cure (97%), being good to the people they care about (95%), and having supportive people around them (94%). Most prioritized being with family (90%), returning to school/work (89%), maintaining relationships with friends (88%), and feeling normal (85%). Fewer prioritized minimizing long-term (78%) and acute side effects (68%) and fertility (59%). Many participants (88%) said that cure influenced their decisions "a great deal," while fewer were influenced by side effects (32%), fertility (36%), or relationships (16%). Most patients (85%) thought their oncologist understood what was most important to them when treatment started. Conclusion Nearly all AYA cancer patients prioritize cure, while maintaining social relationships and a sense of normalcy. These priorities influence decisions they make about treatment to differing degrees, with cure influencing decision-making for most patients. Although the priority of cure is well established, recognizing other AYA priorities allows providers to optimally support these patients from the time of diagnosis.

Background Women are the fastest-growing population in carceral facilities in Canada. Most incarcerated women are mothers, with above-average parity. The incarceration of women has implications not only for women’s health, but for that of their children. For example, how is breastfeeding and access to human milk supported in the context of imprisonment? Both carceral and health services are publicly-funded and administered in Canada. Due in part to the well-documented ill-health burden of imprisoned women, health and carceral functions overlap in the spaces of confinement. This paper discusses “breastfeeding in public” in relation to imprisoned women: separated from the public, yet in publicly-funded spaces under public servant control. With increasing adoption of Baby Friendly Hospital Initiative (BFI) Ten Steps in Canadian health centres, there is a need to consider the health centre spaces precluded from its application and make visible the women and children affected. This paper uses the BFI Steps as a lens to consider the environment of confinement for the breastfeeding incarcerated person. The exclusion of breastfeeding and access to human milk for imprisoned women and children extends the punitive carceral function beyond the experience of incarceration and beyond the experience of the convicted mother. Discussion Carceral facilities lack breastfeeding policies, foundational to breastfeeding support. Despite high fertility and parity among incarcerated women, carceral health care providers are not required to demonstrate maternity and reproductive health care specialization. The overarching mission of carceral institutions remains security, and support for breastfeeding among incarcerated women is hampered in spaces of conflict, punishment, surveillance and control. A minimal requirement to support exclusive breastfeeding is to promote the mother being with the infant and most incarcerated mothers are separated from their infants. Incarcerated women lack support, information, and community connections for extended breastfeeding beyond six months. Carceral facilities are not welcoming environments for breastfeeding families. Despite the incompatibility of breastfeeding with incarceration, BFI Step 10, coordinating discharge, demonstrates opportunity for improvement through community and health care provider engagement. Conclusion Incarceration challenges the reach and applicability of the BFI Steps to enhance breastfeeding and to problematize the idea of breastfeeding “in public.”

An integrated school, like any educational institution, creates a specific field which is a combination of experiences of the people entering its area, the relations between them, attitudes and behaviours that affect both its "open" and "hidden" dimension. In this article the two dimensions are mentioned as: "integrated schools in Poland - formal assumption" and "integrated education in the hidden dimension of the school culture". These different reviews of the problem generate different consequences for understanding these two dimensions. Effective integration of people with disabilities into society should be based on ensuring continuity of activities improving from the moment of disability, to becoming independent, and also to organize a system of broad support for the development of a child with disabilities. It is also important to reflect on the discrepancies that arise between how integration makes itself present in formal records and how to make the postulates look more realistic. Its highest level of social integration is accompanied to a great extent by "being with each other" and not "being beside", the possibility of not only protecting and supporting the weaker, but also mutual exchange between disabled and non-disabled people.

Modern science and technology has been increasing rapidly for human convenience. But, these convenient methods and techniques have made human an idle being with everything has been got in a single touch. People who are aged and disabled are meant to be idle in their respective places. This has become the major and initial cause of decubitis ulcer, what we call bed sore. So, we have came up with an idea of preventing such sores that are caused because of the immobility of people. We can prevent such sores by providing a even blood circulation throughout the body. This can be achieved only through bodily movements of patients who are elderly and disabled. So, a blood flow equalizing bed will be very much useful to those decubitus ulcer victims and bed ridden patients. This blood flow equalizing bed will provide automatic physiotherapic movements to those patients by changing the positions of bed and thereby the prevention of such sores can be very much achieved. The change in position of bed is done with linear actuators connected to bed which are driven by DC motors providing high torque. The DC motors are controlled by a motor driver board which is programmed through an Adriano open source software that providing the timing and limits of the positions of bed.

© 2019 The Author(s). Background: The phenomenon of being 'with woman' is fundamental to midwifery as it underpins its philosophy, relationships and practices. There is an identified gap in knowledge around the 'with woman' phenomenon from the perspective of midwives providing care in a variety of contexts. As such, the aim of this study was to explore the experiences of being 'with woman' during labour and birth from the perspective of midwives' working in a model where care is provided by a known midwife. Methods: A descriptive phenomenological design was employed with ten midwives working in a 'known midwife' model who described their experiences of being 'with woman' during labour and birth. The method was informed by Husserlian philosophy which seeks to explore the same phenomenon through rich descriptions by individuals revealing commonalities of the experience. Results: Five themes emerged 1) Building relationships; 2) Woman centred care; 3) Impact on the midwife; 4) Impact on the woman; and 5) Challenges in the Known Midwife model. Midwives emphasised the importance of trusting relationships while being 'with woman', confirming that this relationship extends beyond the woman - midwife relationship to include the woman's support people and family. Being 'with woman' during labour and birth in the context of the relationship facilitates woman-centred care. Being 'with woman' influences midwives, and, it is noted, the women that midwives are working with. Finally, challenges that impact being 'with woman' in the known midwife model are shared by midwives. Conclusions: Findings offer valuable insight into midwives' experiences of being 'with woman' in the context of models that provide care by a known midwife. In this model, the trusting relationship is the conduit for being 'with woman' which influences the midwife, the profession of midwifery, as well as women and their families. Descriptions of challenges to being 'with woman' provide opportunities for professional development and service review. Rich descriptions from the unique voice of midwives, provided insight into the applied practices of being 'with woman' in a known midwife model which adds important knowledge concerning a phenomenon so deeply embedded in the philosophy and practices of the profession of midwifery.

Purpose:: To determine the extent of contact lens fitting for myopia control (MC) in children (defined as ≤ 17 years of age) worldwide and to characterize the associated demographics and fitting patterns. Methods:: Survey forms were sent to contact lens fitters in 66 countries between January and March every year for eight consecutive years (2011–2018, inclusive). Practitioners were asked to record data relating to the first 10 contact lens fits performed after receiving the survey form. Data were analysed for those countries reporting ≥ 100 contact lens fits to children. Results:: Data were analysed for 535 MC fits and 23,830 other (non-MC) lens fits undertaken in 31 countries reporting ≥ 100 contact lens fits to children, with 52.1% of MC fits and 12.0% of non-MC fits being with rigid lenses (p < 0.0001). Overall, MC lenses represented 2.3% of all contact lens fits to children, with significant differences between nations (p < 0.0001), ranging from no MC fits recorded in the Czech Republic, Greece, Japan, South Korea and Puerto Rico, to 24.9% in Austria. There has been an increase in contact lens fitting for MC over the survey period (p < 0.0001). MC contact lenses were fitted to younger children compared to non-MC lenses (MC, median 13 years vs. non-MC, median 15 years) (p < 0.0001). There was no sex bias in the fitting of MC lenses (p = 0.89). Conclusions:: MC lenses are currently being prescribed for younger children in equal measure in terms of soft vs. rigid lenses and males vs. females. The extent of MC fitting is low and varies between nations. The gradual increase in MC fitting throughout the survey period perhaps reflects growing concerns among practitioners over the myopia epidemic.

The area of signal processing holds high significance in biomedical engineering, acoustics and sonar fields. The main finding of coronary heart illnesses is done utilizing ECG. It demonstrates the bio-physiology of cardiac muscles and modifications like arrhythmia and also conduction surrenders. ECG in flag handling is a prime zone of study in bio-signal processing. Present-day advancements in personal computer equipment and computerized channel approach in flag preparing have made correspondence with personal computers through ECG signals suitable. Efficient determination of ECG is a mechanical test. This study exhibits a far-reaching review of computerized sifting strategies to adapt to the clamour curios in ECG flag. The goal of this paper is to separate noteworthy components of ECG utilizing signal preparing methods. Methodologies of different computerized channels for ECG in flag preparing are analysed. Noteworthiness of flag preparing gives off an impression of being with no noticeable indication of immersion in today’s world.

The article considers the issues of the upbringing significance of philosophy as a university discipline in forming a student’s personality. This issue is caused by the specifics of philosophical knowledge, which, on the one hand, is not related to the specific professional needs of students, defined in the State Educational Standard as three goals: “to know – to be able – to master the skills”, and, on the other hand, causes a positive response and interest in the majority of students. Young people find in philosophy something no less important than professional and practical knowledge. The authors draw attention to the latent upbringing role of philosophical knowledge. To this end, the authors separate the concepts of education and upbringing and show that while education, in general, is limited by the social demand, upbringing by its nature is not limited by the social framework and its purpose is to create conditions for forming a person. The authors prove that philosophy plays a deep upbringing role, as holistic knowledge that combines ontology, epistemology, ethics, aesthetics, and axiology. The article reveals the association between the idea of being with the need of a person to distinguish reality from pseudo-reality, actual spiritual and personal development from deceptive success, to determine for themselves the real rather than illusory goals of life.

An end-of-life vigil is the act of being with another toward death. A family vigil at end-of-life occurs when significant others gather by the bedside of dying individuals in the weeks, days, or hours prior to the death event. It is not unusual for nurses to be present, bear witness, and share in this human experience. This article reviews seminal and current research regarding the meaning and structure of the lived experience of vigil keeping for a dying family member, and translates research to inform nurses regarding family care during the transition at end-of-life.

Noting that the bearing and presence of a chaplain in being with bereaved parents is as important as the provision of liturgy and ritual, this article argues that chaplaincy would benefit from an engagement with virtue ethics. The article begins by suggesting that many of the situations a chaplain encounters are too complex for principle based ethical approaches and outlines the merit of a “virtue-based” approach. As part of this the concept of a “regulative ideal,” as a way to understand how character regulates decision making, is discussed and “engendering an encounter with hope” proposed as a regulative ideal for chaplains supporting bereaved parents. Following this, the article proposes three virtues - attentiveness, openness and probity – as being key to the character of a chaplain. Finally, the article supports the call for case studies of chaplaincy work and argues for greater use of mentoring and shadowing within chaplaincy.

Twenty-five years of involvement with a multidisciplinary oncology unit and being with dying patients from the inception of disease till death have given me a rich understanding of their needs and expectations. While physical needs and pain often dominate the discourse around death, caregivers need to acknowledge the equally significant but less obvious psychological, spiritual and existential concerns that affect patients’ emotional well-being as they progress towards death. Understanding patient needs and expectations in the framework of physical, psychological, social, spiritual and existential needs may enable caregivers to organise the necessary support and interventions that will facilitate a dignified process of dying.

While dealing with the identification of sensitive items in the domain of electrical engineering education, it is beneficial to use a group expert evaluation, highly skilled specialists being involved. Group expert evaluations allow obtaining reliable results mainly in the case of well-chosen specialists, providing consistency for their findings. The here presented study is devoted to the features of group expert evaluation in the field of electrical engineering education, processed with the help of universal statistical software. In our evaluation have been included professors and tutors in electrical engineering education being with Universities from Romania and Ukraine. The method for the group expert evaluation was based on their competence and expertise; additionally, data consistency analysis has involved calculation of a number of mathematical indexes. We have processed answers professionally selected, also considering their numerical score for a proper quantitative evaluation. We have mainly considered the average value of the sub-questions, while taking or not into account the competence (scientific degree) of the experts.