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Sample records for hope construct clinical

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

    Science.gov (United States)

    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.

  2. Clinical psychology at doctorate level:Hopes, expectations and reality

    OpenAIRE

    Roos, J.

    2008-01-01

    With a recent reduction in training places on the clinical psychology doctorate training programme, achieving a place has become increasingly difficult. Here, I reflect on the expectations we have of ourselves, and of the course, when these hopes are realised.

  3. Root canal treatment at Hope Dental Clinic: three case reports ...

    African Journals Online (AJOL)

    In Tanzania, extraction is the most commonly reported treatment option for acute dental pain although most of them would have been saved by endodontic treatment. This paper presents three cases of endodontic treatment performed at Hope Dental Clinic, Mwanza Tanzania. In all cases, patients indicated obvious ...

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

    Science.gov (United States)

    Temple, Walley J

    2017-11-11

    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.

  5. Skin equivalent tissue-engineered construct: co-cultured fibroblasts/ keratinocytes on 3D matrices of sericin hope cocoons.

    Science.gov (United States)

    Nayak, Sunita; Dey, Sancharika; Kundu, Subhas C

    2013-01-01

    The development of effective and alternative tissue-engineered skin replacements to autografts, allografts and xenografts has became a clinical requirement due to the problems related to source of donor tissue and the perceived risk of disease transmission. In the present study 3D tissue engineered construct of sericin is developed using co-culture of keratinocytes on the upper surface of the fabricated matrices and with fibroblasts on lower surface. Sericin is obtained from "Sericin Hope" silkworm of Bombyx mori mutant and is extracted from cocoons by autoclave. Porous sericin matrices are prepared by freeze dried method using genipin as crosslinker. The matrices are characterized biochemically and biophysically. The cell proliferation and viability of co-cultured fibroblasts and keratinocytes on matrices for at least 28 days are observed by live/dead assay, Alamar blue assay, and by dual fluorescent staining. The growth of the fibroblasts and keratinocytes in co-culture is correlated with the expression level of TGF-β, b-FGF and IL-8 in the cultured supernatants by enzyme-linked immunosorbent assay. The histological analysis further demonstrates a multi-layered stratified epidermal layer of uninhibited keratinocytes in co-cultured constructs. Presence of involucrin, collagen IV and the fibroblast surface protein in immuno-histochemical stained sections of co-cultured matrices indicates the significance of paracrine signaling between keratinocytes and fibroblasts in the expression of extracellular matrix protein for dermal repair. No significant amount of pro inflammatory cytokines (TNF-α, IL-1β and nitric oxide) production are evidenced when macrophages grown on the sericin matrices. The results all together depict the potentiality of sericin 3D matrices as skin equivalent tissue engineered construct in wound repair.

  6. Skin equivalent tissue-engineered construct: co-cultured fibroblasts/ keratinocytes on 3D matrices of sericin hope cocoons.

    Directory of Open Access Journals (Sweden)

    Sunita Nayak

    Full Text Available The development of effective and alternative tissue-engineered skin replacements to autografts, allografts and xenografts has became a clinical requirement due to the problems related to source of donor tissue and the perceived risk of disease transmission. In the present study 3D tissue engineered construct of sericin is developed using co-culture of keratinocytes on the upper surface of the fabricated matrices and with fibroblasts on lower surface. Sericin is obtained from "Sericin Hope" silkworm of Bombyx mori mutant and is extracted from cocoons by autoclave. Porous sericin matrices are prepared by freeze dried method using genipin as crosslinker. The matrices are characterized biochemically and biophysically. The cell proliferation and viability of co-cultured fibroblasts and keratinocytes on matrices for at least 28 days are observed by live/dead assay, Alamar blue assay, and by dual fluorescent staining. The growth of the fibroblasts and keratinocytes in co-culture is correlated with the expression level of TGF-β, b-FGF and IL-8 in the cultured supernatants by enzyme-linked immunosorbent assay. The histological analysis further demonstrates a multi-layered stratified epidermal layer of uninhibited keratinocytes in co-cultured constructs. Presence of involucrin, collagen IV and the fibroblast surface protein in immuno-histochemical stained sections of co-cultured matrices indicates the significance of paracrine signaling between keratinocytes and fibroblasts in the expression of extracellular matrix protein for dermal repair. No significant amount of pro inflammatory cytokines (TNF-α, IL-1β and nitric oxide production are evidenced when macrophages grown on the sericin matrices. The results all together depict the potentiality of sericin 3D matrices as skin equivalent tissue engineered construct in wound repair.

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

    Science.gov (United States)

    Prasad, Amit

    2015-03-01

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

  8. Evolving definitions of hope in oncology.

    Science.gov (United States)

    Olver, Ian N

    2012-06-01

    This review updates the literature on hope and oncology following a prior review of studies up until 2009. It particularly focusses on the evolution of the definition of hope in the light of the clinical experience of patients with cancer, their carers and health professionals. Hope creates meaning for patients and is an important coping mechanism. Clinicians are wary of communicating bad news because it may deprive patients of hope, but work with decision aids suggests that this communication can be managed successfully. Hope and optimism negatively correlate with anxiety and depression. Maintaining hope may result in patients with incurable cancer accepting treatments or trials with little chance of benefit. Hope also needs to be maintained by palliative care nurses who harmonize their hopes with the different degrees and constructs of hope around them. Hope interventions can be successful in increasing hope and decreasing psychological distress. More research is required into how to communicate about active anticancer treatment withdrawal and prognosis without depriving patients with cancer of hope, given how important hope is in alleviating psychological distress. The optimal intervention to increase levels of hope needs further investigation.

  9. Preserving hope.

    Science.gov (United States)

    Allen, Jon G

    2011-01-01

    The author proposes that the ongoing success of the relocation of The Menninger Clinic from Kansas to Texas hinges on maintaining a balance between conservation and innovation. Focusing on the conservation side of this balance, the author highlights two concepts, one of which is ostensibly new: mentalizing, that is, attending to mental states in others and oneself-in short, holding mind in mind. Although there is much innovative research on mentalizing, particularly in its relation to attachment theory, much is conservative: Our focus on mentalizing sustains the psychotherapeutic culture. The other concept is ancient but typically more implicit than explicit in our work: hope. The author endeavors to help us hold in mind Karl Menninger and Paul Pruyser's lasting contributions to understanding and cultivating hope. Notably, these seemingly disparate concepts, mentalizing and hope, are intimately connected: Both are founded in trust.

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

    Directory of Open Access Journals (Sweden)

    Jody Koenig Kellas

    2017-05-01

    Full Text Available (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.

  11. [Constructive learning theories and clinical apprenticeship].

    Science.gov (United States)

    Fog-Petersen, Cecilie; Arnfred, Sidse Marie

    2015-03-30

    The article introduces how constructive learning theories as Constructive Alignment, Situated Learning and Cognitive Apprenticeship can explain learning during medical students' clinical placements and points out why Cognitive Apprenticeship can be particularly applicable in clinical psychiatry. This results in a discussion of the time frame, the organization of the placement in psychiatry at University of Copenhagen.

  12. Correlation between sonographic diagnosis and histopathological results ofgallbladder poliposis in Good Hope Clinic 2008-2014

    Directory of Open Access Journals (Sweden)

    Emiliano Contreras Castro

    2016-02-01

    Full Text Available Objective: To determine the correlation between sonographic diagnosis and histopathological results of gallbladder polyposis and find the positive predictive value of ultrasound in the diagnosis of this pathology. Material and Methods: It is a non experimental, transversal, descriptive and correlational study with a sample composed of all patients operated with a diagnosis of gallbladder polyps in the Good Hope Clinic between the years 2008 and 2014. A total of 128 patients were observed. Histopathological and sonographic reports of these patients were reviewed and the statistical correlation of both studies was sought by the test of Spearman. Results: Reveals that 67,2% were females and 32,8% were males; the average age was 43,4 years; 74,2% presented polyps by histopathological examination, of which 94,7% were pseudopolyps, with 82 % cases of cholesterolpolyps, only 5,3% were true polyps (adenomas and none of them were malignant. The positive predictive value of ultrasound in the diagnosis of gallbladder polyposis was 74,21%. According to the Spearman coefficient the correlation between the number of polyps by ultrasonography and histopathology was low, direct and significant (Rho = 0,189; p = 0,032. Conclusions: We conclude that there is a correlation between the ultrasound diagnosis and histopathological result of gallbladder polyps and ultrasound can be considered a reliable method for the diagnosis of gallbladder polyps.

  13. The HOPE (Helping to Outline Paediatric Eating Disorders) Project: development and debut of a paediatric clinical eating disorder registry

    Science.gov (United States)

    2013-01-01

    Background The HOPE (Helping to Outline Paediatric Eating Disorders) Project is an ongoing registry study made up of a sequential cross-sectional sample prospectively recruited over 17 years, and is designed to answer empirical questions about paediatric eating disorders. This paper introduces the HOPE Project, describes the registry sample to-date, and discusses future directions and challenges and accomplishments. The project and clinical service were established in a tertiary academic hospital in Western Australia in 1996 with a service development grant. Research processes were inbuilt into the initial protocols and data collection was maintained in the following years. Recognisable progress with the research agenda accelerated only when dedicated research resources were obtained. The registry sample consists of consecutive children and adolescents assessed at the eating disorder program from 1996 onward. Standardised multidisciplinary data collected from family intake interview, parent and child clinical interviews, medical review, parent, child and teacher psychometric assessments, and inpatient admission records populate the HOPE Project database. Results The registry database to-date contains 941 assessments, of whom 685 met DSM-IV diagnostic criteria for an eating disorder at admission. The majority of the sample were females (91%) from metropolitan Perth (83%). The cases with eating disorders consist of eating disorders not otherwise specified (68%), anorexia nervosa (25%) and bulimia nervosa (7%). Among those with eating disorders, a history of weight loss since illness onset was almost universal (96%) with fear of weight gain (71%) common, and the median duration of illness was 8 months. Conclusions Over the next five years and more, we expect that the HOPE Project will make a strong scientific contribution to paediatric eating disorders research and will have important real-world applications to clinical practice and policy as the research unfolds

  14. Skin Equivalent Tissue-Engineered Construct: Co-Cultured Fibroblasts/ Keratinocytes on 3D Matrices of Sericin Hope Cocoons

    Science.gov (United States)

    Nayak, Sunita; Dey, Sancharika; Kundu, Subhas C.

    2013-01-01

    The development of effective and alternative tissue-engineered skin replacements to autografts, allografts and xenografts has became a clinical requirement due to the problems related to source of donor tissue and the perceived risk of disease transmission. In the present study 3D tissue engineered construct of sericin is developed using co-culture of keratinocytes on the upper surface of the fabricated matrices and with fibroblasts on lower surface. Sericin is obtained from “Sericin Hope” silkworm of Bombyx mori mutant and is extracted from cocoons by autoclave. Porous sericin matrices are prepared by freeze dried method using genipin as crosslinker. The matrices are characterized biochemically and biophysically. The cell proliferation and viability of co-cultured fibroblasts and keratinocytes on matrices for at least 28 days are observed by live/dead assay, Alamar blue assay, and by dual fluorescent staining. The growth of the fibroblasts and keratinocytes in co-culture is correlated with the expression level of TGF-β, b-FGF and IL-8 in the cultured supernatants by enzyme-linked immunosorbent assay. The histological analysis further demonstrates a multi-layered stratified epidermal layer of uninhibited keratinocytes in co-cultured constructs. Presence of involucrin, collagen IV and the fibroblast surface protein in immuno-histochemical stained sections of co-cultured matrices indicates the significance of paracrine signaling between keratinocytes and fibroblasts in the expression of extracellular matrix protein for dermal repair. No significant amount of pro inflammatory cytokines (TNF-α, IL-1β and nitric oxide) production are evidenced when macrophages grown on the sericin matrices. The results all together depict the potentiality of sericin 3D matrices as skin equivalent tissue engineered construct in wound repair. PMID:24058626

  15. Shingles: Hope through Research

    Science.gov (United States)

    ... Barré Syndrome Information Page Headache Information Page Hemicrania Continua Information Page Hemifacial Spasm Information Page Hereditary Spastic ... the Spotlight Find NINDS Clinical Trials Patient & Caregiver Education Fact Sheets Hope Through Research Know Your Brain ...

  16. Hope for a cure and altruism are the main motives behind participation in phase 3 clinical cancer trials.

    Science.gov (United States)

    Godskesen, T; Hansson, M G; Nygren, P; Nordin, K; Kihlbom, U

    2015-01-01

    It is necessary to carry out randomised clinical cancer trials (RCTs) in order to evaluate new, potentially useful treatments for future cancer patients. Participation in clinical trials plays an important role in determining whether a new treatment is the best therapy or not. Therefore, it is important to understand on what basis patients decide to participate in clinical trials and to investigate the implications of this understanding for optimising the information process related to study participation. The aims of this study were to (1) describe motives associated with participation in RCTs, (2) assess if patients comprehend the information related to trial enrolment, and (3) describe patient experiences of trial participation. Questionnaires were sent to 96 cancer patients participating in one of nine ongoing clinical phase 3 trials at the Department of Oncology, Uppsala University Hospital in Sweden. Eighty-eight patients completed the questionnaire (response rate 92%); 95% of these were patients in adjuvant therapy and 5% participated in clinical trials on palliative care. Two main reasons for participation were identified: personal hope for a cure and altruism. Patients show adequate understanding of the information provided to them in the consent process and participation entails high patient satisfaction. © 2014 John Wiley & Sons Ltd.

  17. Looking Ahead with Hope: Reviving the Reading Maturity Construct as Social Science for Adolescent and Adult Readers

    Science.gov (United States)

    Thomas, Matt

    2013-01-01

    "Reading maturity" is a construct that looks broadly at reading development encompassing not only basic reading skills but reading habits, attitudes, and dispositions. It has a rich history and this article calls for a need to make reading maturity a necessary part of the literacy curriculum. It offers a working description and reviews…

  18. Languished Hopes

    DEFF Research Database (Denmark)

    Brimnes, Niels

    ’s tuberculosis related deaths occurs in India. Languished Hopes: Tuberculosis, the State and International Assistance in Twentieth-century India narrates and analyses the history of tuberculosis in India in the twentieth century: how the disease was ‘discovered’, how it has been understood, and how national...

  19. Speech-Language Pathology and Clinical Linguistics--Hope beyond the Horizon!

    Science.gov (United States)

    Prema, K. S.

    2007-01-01

    The discipline of Speech-Language Pathology is a specialized field that most often adopts some of the principles from various other disciplines including Linguistics. Since long, the strength of Linguistics and its application to clinical population was evident through the work of Aphasiologists. Yet, to date, the two disciplines have remained…

  20. Reshuffle lifts French synchrotron hopes

    CERN Multimedia

    McCabe, H

    2000-01-01

    The sacking of Claude Allegre as research minister has raised doubts over the level of France's promised participation in the construction of Diamond but reawakened French hopes that the synchrotron Soleil may now be built (1 page).

  1. Languished Hopes

    DEFF Research Database (Denmark)

    Brimnes, Niels

    twenty years. Through his analysis of tuberculosis control measures in India, the author proffers a simple message: where there is massive poverty, there will be severe tuberculosis. Vaccines and drugs cannot do the job alone. The book will be of interest to students and scholars of history, medical......’s tuberculosis related deaths occurs in India. Languished Hopes: Tuberculosis, the State and International Assistance in Twentieth-century India narrates and analyses the history of tuberculosis in India in the twentieth century: how the disease was ‘discovered’, how it has been understood, and how national....... His focus is on the first two decades after independence, when tuberculosis control received unprecedented attention and underwent fundamental transformations. In this period the world’s largest vaccination campaign was rolled out in India, and new antibiotic drugs were distributed to infected Indians...

  2. Feature++: Automatic Feature Construction for Clinical Data Analysis.

    Science.gov (United States)

    Sun, Wen; Hao, Bibo; Yu, Yiqin; Li, Jing; Hu, Gang; Xie, Guotong

    2016-01-01

    With the rapid growth of clinical data and knowledge, feature construction for clinical analysis becomes increasingly important and challenging. Given a clinical dataset with up to hundreds or thousands of columns, the traditional manual feature construction process is usually too labour intensive to generate a full spectrum of features with potential values. As a result, advanced large-scale data analysis technologies, such as feature selection for predictive modelling, cannot be fully utilized for clinical data analysis. In this paper, we propose an automatic feature construction framework for clinical data analysis, namely, Feature++. It leverages available public knowledge to understand the semantics of the clinical data, and is able to integrate external data sources to automatically construct new features based on predefined rules and clinical knowledge. We demonstrate the effectiveness of Feature++ in a typical predictive modelling use case with a public clinical dataset, and the results suggest that the proposed approach is able to fulfil typical feature construction tasks with minimal dataset specific configurations, so that more accurate models can be obtained from various clinical datasets in a more efficient way.

  3. Construction of ethics in clinical research: clinical trials registration

    Directory of Open Access Journals (Sweden)

    C. A. Caramori

    2007-01-01

    Full Text Available Scientific development that has been achieved through decades finds in clinical research a great possibility of translating findings to human health application. Evidence given by clinical trials allows everyone to have access to the best health services. However, the millionaire world of pharmaceutical industries has stained clinical research with doubt and improbability. Study results (fruits of controlled clinical trials and scientific publications (selective, manipulated and with wrong conclusions led to an inappropriate clinical practice, favoring the involved economic aspect. In 2005, the International Committee of Medical Journal Editors (ICMJE, supported by the World Association of Medical Editors, started demanding as a requisite for publication that all clinical trials be registered at the database ClinicalTrials.gov. In 2006, the World Health Organization (WHO created the International Clinical Trial Registry Platform (ICTRP, which gathers several registry centers from all over the world, and required that all researchers and pharmaceutical industries register clinical trials. Such obligatory registration has progressed and will extend to all scientific journals indexed in all worldwide databases. Registration of clinical trials means another step of clinical research towards transparency, ethics and impartiality, resulting in real evidence to the forthcoming changes in clinical practice as well as in the health situation.

  4. Abbreviated instrument to measure hope: development and psychometric evaluation.

    Science.gov (United States)

    Herth, K

    1992-10-01

    The purpose of this research was to develop and evaluate psychometrically an abbreviated instrument to assess hope in adults in clinical settings. The Herth Hope Index (HHI), a 12-item adapted version of the Herth Hope Scale (HHS), was tested with a convenience sample of 172 ill adults. Alpha coefficient was 0.97 with a 2-week test-retest reliability of 0.91. Criterion-related validity was established by correlating the HHI with the parent HHS (r = 0.92), the Existential Well-Being Scale (r = 0.84) and the Nowotny Hope Scale (r = 0.81). Divergent validity with the Hopelessness Scale was established (r = -0.73). Construct validity was supported through the factorial isolation of three factors: (a) temporality and future; (b) positive readiness and expectancy; (c) interconnectedness. These three factors accounted for 41% of the total variance in the measure.

  5. Hope as fantasy

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    2017-01-01

    , for a miracle to occur, for more time, or in some cases hoping for death to come sooner than later. I recognize hope as a form of imaginative activity and practice, because hope is formed in light of an uncertain future, and rests upon imagined scenarios of what could be. Hope, like imagination, remembering...

  6. Social Construction: Vistas in Clinical Child and Adolescent Psychology

    Science.gov (United States)

    Gergen, Kenneth J.; Lightfoot, Cynthia; Sydow, Lisa

    2004-01-01

    We explore here the potentials of a social constructionist orientation to knowledge for research and clinical practice. Dialogues on social construction emphasize the communal origins of knowledge. They stress the cultural basis of knowledge claims, the significance of language, the value saturation of all knowledge, and the significance of…

  7. Scientists forging hope for peace

    CERN Multimedia

    Chui, G

    2004-01-01

    "As hopes for peace flare and fade in the Middle East, traditional enemies are working to build the region's first major center for cutting-edge research.....The project, called SESAME, is under construction in Jordan, which has donated a site and about $8 million in construction funding. The Palestinian Authority and nine countries, including Egypt, Iran, Israel and Pakistan, have signed on as members" (1 page).

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

    OpenAIRE

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

    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, cor...

  9. Body and Hope

    DEFF Research Database (Denmark)

    Teglbjærg, Johanne Stubbe

    In this book, Johanne Stubbe Teglbjærg Kristensen analyses the relationship between body and hope. She critically investigates the eschatologies of Paul Tillich, Jürgen Moltmann and Wolfhart Pannenberg from the perspective of the phenomenology of the body represented by Maurice Merleau......-Ponty. By focusing on the eschatological challenge of the body through a thematization of the issue of continuity, the author constructively interprets the classic eschatological themes of death, resurrection, judgement and the Second Coming. She shows how the classic eschatological issues of the relationship...... between time and eternity, as well as of the relationship between the individual and the community require new conceptions. By taking the phenomenology of the body into consideration, Teglbjærg Kristensen suggests both a new eschatological approach and a new conception of eschatology...

  10. [Anxiety in clinical settings: constructing a scale for medical students].

    Science.gov (United States)

    Rodrigues, Joana Ramos; Castelo-Branco, Miguel; Pereira, Henrique; Afonso, Rosa Marina

    2014-01-01

    The Scale of Anxiety in Clinical Setting (SACS) was constructed to assess the level of anxiety of medical students when exposed to the clinical setting and also to identify what situations are more likely to trigger higher levels of anxiety in that context. This instrument consists of 12 items and was constructed on the basis of the review of the literature on the topic of anxiety in clinical setting, and data from a focus group conducted with students between the 1st and the 5th year of the Medical course at University of Beira Interior (n = 10). The Scale of Anxiety in Clinical Setting psychometric properties were tested through a study with 557 medical students of four Portuguese universities, between the 1st and the 6th year. The Scale of Anxiety in Clinical Setting validation included the analysis of three key parameters: sensitivity, reliability and factorial validity, the last resulting in four factors: 'displeasure before invasive procedures', 'anxiety toward the sick', 'anxiety about performance' and 'anxiety toward the human dimension' with 70.6% of the variance explained. Total Scale of Anxiety in Clinical Setting shows a good internal consistency (Cronbach's Alpha = 0.84) and a good discriminatory ability, presenting as a consistent and reliable instrument for the assessment of anxiety in medical students when exposed to the clinical setting. The Scale of Anxiety in Clinical Setting evaluates the anxiety in medical students when exposed to the clinical setting and may be useful in the delineation of teaching strategies for the preparation of future doctors.

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    Jenny M Y Huen

    Full Text Available 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.

  14. Inside out Studio: Hope Arts Providence Project

    Science.gov (United States)

    Gerdts, Nadine

    2008-01-01

    The construction and infrastructure of a city provide the foundation of an ideal urban lab for high school students to discover how to dissect the multifaceted layers of a place and make it their own. For six weeks in the winter of 2008, ninth-grade students in Providence, Rhode Island's Hope High School/Hope Arts Community learned to look closely…

  15. Sisters Hope - the exposed self

    DEFF Research Database (Denmark)

    Lawaetz, Anna; Hallberg, Gry Worre

    Sisters Hope is an art-educational method and a practice-led research tool, rooted in the construction of a fictional parallel universe revolving around the twin sisters Coco and Coca Pebber. Our work is rooted in the ambition to democratize the aesthetic dimension through ‘affective engineering......’ and the establishment of fictional spaces outside the institutional art context. In the Unfolding Academia-context Sisters Hope investigates new forms of research and (re)presentation through the creation of interactive and affective learning-spaces. At Collective Futures Sisters Hope explored questions such as: How...... can we create a ‘learning space’ or a ‘research lab’, where the participants are inspired to approach their project in a new way with the outset in bodily and somatic experiences within the space? And how can we understand and distinguish what we understand to be the exposed self and the poetic self…...

  16. Pedagogies of Hope

    Science.gov (United States)

    Webb, Darren

    2013-01-01

    Hoping is an integral part of what it is to be human, and its significance for education has been widely noted. Hope is, however, a contested category of human experience and getting to grips with its characteristics and dynamics is a difficult task. The paper argues that hope is not a singular undifferentiated experience and is best understood as…

  17. Social construction: vistas in clinical child and adolescent psychology.

    Science.gov (United States)

    Gergen, Kenneth J; Lightfoot, Cynthia; Sydow, Lisa

    2004-06-01

    We explore here the potentials of a social constructionist orientation to knowledge for research and clinical practice. Dialogues on social construction emphasize the communal origins of knowledge. They stress the cultural basis of knowledge claims, the significance of language, the value saturation of all knowledge, and the significance of relationships as opposed to individuals. An initial illustration of constructionism in action centers on adolescent risk behavior. Such behavior is often constructed negatively within popular writings and the social science and thus ignores the meaning of such actions to the adolescents themselves. Discourse analysis indicates that for adolescents risky behavior serves important functions of enhancing group solidarity and establishing positive identity. A second illustration, exploring the implications of constructionism for therapy, places a strong emphasis on the therapist as a collaborator in the building of meaning. Traditional investments in diagnosis and treatment are replaced with the collaborative creation of new possibilities for action.

  18. Recognizing Dementia: Constructing Deconstruction in a Danish Memory Clinic.

    Science.gov (United States)

    Gjødsbøl, Iben M; Svendsen, Mette N

    2017-03-06

    This article investigates how a person with dementia is made up through intersubjective acts of recognition. Based on ethnographic fieldwork in a Danish memory clinic, we show that identification of disease requires patients to be substituted by their relatives in constructing believable medical narratives; yet during memory testing, patients are not allowed any substitution to clearly expose cognitive shortcomings. In combining works of theorists Ian Hacking and Paul Ricoeur, we argue that the clinical identification of dementia unmakes the knowing subject, a deconstruction that threatens to misrecognize and humiliate the person under examination. The article ends by proposing that dementia be the condition that forces us to rethink our ways of recognizing persons more generally. Thus, dementia diagnostics provide insights into different enactments of the person that invite us to explore practices of substitution and modes of interaction emerging when our fundamental dependency becomes unquestionable. © 2017 by the American Anthropological Association.

  19. Twenty years of the Journal of Clinical Psychology in Medical Settings: we hope you will enjoy the show.

    Science.gov (United States)

    Rozensky, Ronald H; Tovian, Steven M; Sweet, Jerry J

    2014-03-01

    The 20th anniversary of the Journal of Clinical Psychology in Medical Settings is celebrated by highlighting the scientist-practitioner philosophy on which it was founded. The goal of the Journal-to provide an outlet for evidence-based approaches to healthcare that underscore the important scientific and clinical contributions of psychology in medical settings-is discussed. The contemporary relevance of this approach is related to the current implementation of the Patient Protection and Affordable Care and its focus on accountability and the development of an interprofessional healthcare workforce; both of which have been foci of the Journal throughout its history and will continue to be so into the future. Several recommendations of future topic areas for the Journal to highlight regarding scientific, practice, policy, and education and training in professional health service psychology are offered. Successfully addressing these topics will support the growth of the field of psychology in the ever evolving healthcare system of the future and continue ensure that the Journal is a key source of professional information in health service psychology.

  20. Plant-Derived Anti-Inflammatory Compounds: Hopes and Disappointments regarding the Translation of Preclinical Knowledge into Clinical Progress

    Directory of Open Access Journals (Sweden)

    Robert Fürst

    2014-01-01

    Full Text Available Many diseases have been described to be associated with inflammatory processes. The currently available anti-inflammatory drug therapy is often not successful or causes intolerable side effects. Thus, new anti-inflammatory substances are still urgently needed. Plants were the first source of remedies in the history of mankind. Since their chemical characterization in the 19th century, herbal bioactive compounds have fueled drug development. Also, nowadays, new plant-derived agents continuously enrich our drug arsenal (e.g., vincristine, galantamine, and artemisinin. The number of new, pharmacologically active herbal ingredients, in particular that of anti-inflammatory compounds, rises continuously. The major obstacle in this field is the translation of preclinical knowledge into evidence-based clinical progress. Human trials of good quality are often missing or, when available, are frequently not suitable to really prove a therapeutical value. This minireview will summarize the current situation of 6 very prominent plant-derived anti-inflammatory compounds: curcumin, colchicine, resveratrol, capsaicin, epigallocatechin-3-gallate (EGCG, and quercetin. We will highlight their clinical potential and/or pinpoint an overestimation. Moreover, we will sum up the planned trials in order to provide insights into the inflammatory disorders that are hypothesized to be beneficially influenced by the compound.

  1. HOPE IN HIV-POSITIVE WOMEN

    OpenAIRE

    Galvão, Marli Teresinha Gimeniz; Bonfim, Danuta Yelena Goiana; Gir, Elucir; Carvalho, Carolina Maria de Lima; Almeida, Paulo Cesar de; Balsanelli, Alessandra Cristina Sartore

    2012-01-01

    The objective of this study was to assess the hope in the lives of HIV-positive women, using the Herth Hope Scale (HHS). Participants were 111 HIV-positive women who attended a referral outpatient clinic in Fortaleza-CE. From January to May 2009, interviews were held to collect biopsychosocial variables, and the HHS was applied. Data were analyzed using SPSS-8.0 and revealed an average hope index of 34.86, indicating that these women have little hope in life in view of their diagnosis of HIV....

  2. [Hope in HIV-positive women].

    Science.gov (United States)

    Galvão, Marli Teresinha Gimeniz; Bonfim, Danuta Yelena Goiana; Gir, Elucir; de Lima Carvalho, Carolina Maria; de Almeida, Paulo Cesar; Balsanelli, Alessandra Cristina Sartore

    2012-02-01

    The objective of this study was to assess the hope in the lives of HIV-positive women, using the Herth Hope Scale (HHS). Participants were 111 HIV-positive women who attended a referral outpatient clinic in Fortaleza-CE. From January to May 2009, interviews were held to collect biopsychosocial variables, and the HHS was applied. Data were analyzed using SPSS-8.0 and revealed an average hope index of 34.86, indicating that these women have little hope in life in view of their diagnosis of HIV. The scale item with the highest score was faith. This probably derives from the fact that Aids is incurable, transmissible and generates negative stigma, in addition to its relation with the idea of imminent death. In conclusion, measuring hope among HIV patients through the use of an instrument permits intervention assessment and planning, promoting assistance and motivation to live better and maintain a hopeful attitude.

  3. [To construct the clinical guideline of integrative Chinese and Western medicine based on clinical practical data].

    Science.gov (United States)

    Xu, Hao; Shi, Da-Zhuo; Liu, Bao-Yan

    2009-06-01

    Clinical guideline is of important significance to standardize clinical practice. Clinical guideline of evidence-based medicine puts stress on the classification and evaluation of evidences, especially in randomy controlled trial and gives recommendation based on the different grades and intensities of evidences. Since Chinese medicine has its own theoretical system in diagnosis and treatment, and the integrative Western and Chinese medicine (ICWM) is characterized by complicated intervention, making up a clinical guideline for Chinese medicine or ICWM based on the evidence obtained from modern medical research is apparently not so suitable. In this paper, the authors offered to develop a practice-based ICWM clinical guideline, which could be used in complementation with the evidence-based medical clinical guideline, and have a discussion on our preliminary research, looking forward to provide a new thinking path for constructing clinical guideline for Chinese medicine, ICWM and modern medicine.

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

    Science.gov (United States)

    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.

  5. A Virtual Hope Box smartphone app as an accessory to therapy: proof-of-concept in a clinical sample of veterans.

    Science.gov (United States)

    Bush, Nigel E; Dobscha, Steven K; Crumpton, Rosa; Denneson, Lauren M; Hoffman, Julia E; Crain, Aysha; Cromer, Risa; Kinn, Julie T

    2015-02-01

    A "Hope Box" is a therapeutic tool employed by clinicians with patients who are having difficulty coping with negative thoughts and stress, including patients who may be at risk of suicide or nonsuicidal self-harm. We conducted a proof-of-concept test of a "Virtual" Hope Box (VHB)-a smartphone app that delivers patient-tailored coping tools. Compared with a conventional hope box integrated into VA behavioral health treatment, high-risk patients and their clinicians used the VHB more regularly and found the VHB beneficial, useful, easy to set up, and said they were likely to use the VHB in the future and recommend the VHB to peers. © Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  6. Management Through Hope

    DEFF Research Database (Denmark)

    Papazu, Irina

    2016-01-01

    fieldwork conducted on Samsø in 2013 and 2014, the paper takes as its starting point a citizens’ meeting in which a new renewable energy project is proposed by a municipal coordinator. This meeting, in which the municipal coordinator exhibits a “change management” attitude, fails to win the citizens...... is that the REI project developers practised management through hope or “hope management”, in contrast to “change management”, creating a project that succeeded in accomplishing its goals of changing the island due to its openness, its rootedness in the island community’s past, and the project developers’ ability......, 2014), the paper contributes with an empirical analysis of the role of hope in the management of change processes....

  7. Hope: metaphorically speaking.

    Science.gov (United States)

    Turner, De Sales; Cox, Helen

    2004-04-01

    In a recent Gadamerian hermeneutic study, photography and in-depth interviews were used as key methods to explicate the phenomenon of hope. Whilst using photography within qualitative research has become increasingly popular over the last decade, little has been written about how to introduce photographs as conversation enhancers or how photographs have the capacity to unleash both conceptual and linguistic metaphors. This article gives insights into the experience of using photographs to illuminate the phenomenon of hope and identifies metaphors that were revealed through the participants' photographs.

  8. Highways of hope

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-08-15

    It is hoped that through public-private partnerships between Alpha Natural Resources and Pioneer Group and Virginia Department of Transportation, and between one of these coal companies and Buchanan County, Virginia, Industrial Development Authority a four-lane 'highway of hope' between Lovers Gap and Poplar Gap will be paved and a ridge top connector route will eventually be completed to Bull Gap where it will intersect with the Coalfields Expressway and US 460. The town of Grundy is also looking into strip mining coal from beneath the small mountaintop airport at Lovers Gap and turning it into a regional airport. The article discusses these plans. 4 photos.

  9. Reservoirs of hope

    International Development Research Centre (IDRC) Digital Library (Canada)

    RESEARCH THAT MATTERS. Reservoirs of hope. An IDRC-funded shared learning effort helps farmers deliver fresh water — and the prospect of a brighter ... in the dark — to a place where they would queue, sometimes for hours, to gather enough water for that day's consumption. By the time they arrived back home with ...

  10. Hope for Animals

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 20; Issue 8. Hope for Animals. Prasanna Venkhatesh V. Book Review Volume 20 Issue 8 August 2015 pp 753-754. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/020/08/0753-0754. Author Affiliations.

  11. Hope in Uncertainty

    Science.gov (United States)

    Miranda, Maria Eugenia

    2012-01-01

    When President Barack Obama announced that he would direct the Department of Homeland Security to grant deferred deportation and a work permit for two years to undocumented immigrant youth who meet certain criteria, he renewed hope for a better future for a million young people. Lauren Burke, an adjunct law professor at Brooklyn College of Law and…

  12. From Hurt to Hope.

    Science.gov (United States)

    Reclaiming Children and Youth, 2002

    2002-01-01

    A group of adolescent girls portray in art and in words their journey from trauma and hurt to trust and hope. Students, who are members of a positive peer culture group, designed and painted a mural in three sections. As a whole, the mural represents the three stages of the adolescent process. (Author)

  13. A sunbeam of hope

    DEFF Research Database (Denmark)

    Nielsen, Mikkel Rytter

    2010-01-01

    This article discusses how notions of identity and belonging are negotiated between generations within Pakistani families in Denmark. Presenting the case of A Sunbeam of Hope, a stage play written and performed by members of the Organisation of Pakistani Students and Academics (OPSA), I discuss how...

  14. The Power of Hope

    Science.gov (United States)

    Larson, Scott

    2013-01-01

    Many youth who have experienced pain and trauma have learned to survive. But surviving is not the same as thriving. Humans are able to flourish only as they find hope. How can adults help youth envision positive futures? One strategy is to help youth to have a concrete vision of a future worth having. One exercise asks young people to write their…

  15. The Fostering Hope Initiative

    Science.gov (United States)

    Rider, Steven; Winters, Katie; Dean, Joyce; Seymour, Jim

    2014-01-01

    The Fostering Hope Initiative is a neighborhood-based Collective Impact initiative that promotes optimum child and youth development by supporting vulnerable families, encouraging connections between neighbors, strengthening systems to ensure collective impact, and advocating for family-friendly public policy. This article describes the…

  16. Construction of databases: advances and significance in clinical research.

    Science.gov (United States)

    Long, Erping; Huang, Bingjie; Wang, Liming; Lin, Xiaoyu; Lin, Haotian

    2015-12-01

    Widely used in clinical research, the database is a new type of data management automation technology and the most efficient tool for data management. In this article, we first explain some basic concepts, such as the definition, classification, and establishment of databases. Afterward, the workflow for establishing databases, inputting data, verifying data, and managing databases is presented. Meanwhile, by discussing the application of databases in clinical research, we illuminate the important role of databases in clinical research practice. Lastly, we introduce the reanalysis of randomized controlled trials (RCTs) and cloud computing techniques, showing the most recent advancements of databases in clinical research.

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

    Science.gov (United States)

    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…

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

    Science.gov (United States)

    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.

  19. Constructing diagnostic likelihood: clinical decisions using subjective versus statistical probability.

    Science.gov (United States)

    Kinnear, John; Jackson, Ruth

    2017-07-01

    Although physicians are highly trained in the application of evidence-based medicine, and are assumed to make rational decisions, there is evidence that their decision making is prone to biases. One of the biases that has been shown to affect accuracy of judgements is that of representativeness and base-rate neglect, where the saliency of a person's features leads to overestimation of their likelihood of belonging to a group. This results in the substitution of 'subjective' probability for statistical probability. This study examines clinicians' propensity to make estimations of subjective probability when presented with clinical information that is considered typical of a medical condition. The strength of the representativeness bias is tested by presenting choices in textual and graphic form. Understanding of statistical probability is also tested by omitting all clinical information. For the questions that included clinical information, 46.7% and 45.5% of clinicians made judgements of statistical probability, respectively. Where the question omitted clinical information, 79.9% of clinicians made a judgement consistent with statistical probability. There was a statistically significant difference in responses to the questions with and without representativeness information (χ2 (1, n=254)=54.45, pprobability. One of the causes for this representativeness bias may be the way clinical medicine is taught where stereotypic presentations are emphasised in diagnostic decision making. 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/.

  20. Co-constructing space and place in clinical nursing education

    DEFF Research Database (Denmark)

    Kjær, Malene; Raudaskoski, Pirkko Liisa; Sørensen, Erik Elgaard

    2018-01-01

    Student nurses are socialised into the clinical profession of being a nurse as they participate in wards in the hospitals as part of their education. Through their clinical training they learn to interact with patient and colleagues. They also experience, how spaces and relations are intertwined...... throughout their learning period. The purpose of this study was to investigate the importance of place for the encounters between students and supervisors in clinical nursing. The paper at hand shows how different spaces such as a hallway, an office and being by the patients’ bedside prompts different...... interactional strategies. Through the use of video ethnography and nexus analysis, we show how the participants’ who orient to them in their interaction treat details in the settings – like a missing chair – or documents, as semiotic fields. Thus we find that the students, nurses and patients co...

  1. Parkinson's Disease: Hope through Research

    Science.gov (United States)

    ... Home » Disorders » Patient & Caregiver Education » Hope Through Research Parkinson's Disease: Hope Through Research Download publication What is ... and Yahr scale. Hoehn and Yahr Staging of Parkinson's Disease Stage one -- symptoms on one side of ...

  2. Multiple Sclerosis: Hope through Research

    Science.gov (United States)

    ... Disorders » Patient & Caregiver Education » Hope Through Research Multiple Sclerosis: Hope Through Research Download publication Introduction What is ... prevent MS from developing. top What is Multiple Sclerosis? Multiple sclerosis (MS) is a neuroinflammatory disease that ...

  3. Hope in Patients with Cancer

    Directory of Open Access Journals (Sweden)

    Selma Turan Kavradim

    2014-06-01

    Full Text Available Cancer, which is one of the major health problems leading to despair, uncertainty, pain and suffering, is perceived as a serious and chronic disease. Cancer negatively affects individuals' quality of life due to the physical, psychological, and socio-economic problems. Today, despite inspiring advances in diagnosis and treatment of cancer and increase in survival rates of patients, appearance of physical and psycho-social disorders during cancer course disrupts the adaptation mechanisms of patients and undermines expectations for the future. Most of the time in clinical practice, clinicians focus on physical assessments and treatment planning of cancer patients primarily, ignoring social, psychological, economic and cultural factors related with the disease. This approach definitely influences patients' hope levels and their effective dealing with the disease. The aim of this article is to guide medical staff and increase awareness about the concept of hope in patients with cancer. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 154-164

  4. Construction and Validation of the Clinical Judgment Skill Inventory: Clinical Judgment Skill Competencies That Measure Counselor Debiasing Techniques

    Science.gov (United States)

    Austin, Bryan S.; Leahy, Michael J.

    2015-01-01

    Purpose: To construct and validate a new self-report instrument, the Clinical Judgment Skill Inventory (CJSI), inclusive of clinical judgment skill competencies that address counselor biases and evidence-based strategies. Method: An Internet-based survey design was used and an exploratory factor analysis was performed on a sample of rehabilitation…

  5. Finding Hope in Despair: Charlene and Jay

    Science.gov (United States)

    Stone, Julie

    2009-01-01

    This article is excerpted from a chapter in "Finding Hope in Despair: Clinical Studies in Infant Mental Health" (edited by Marian Birch, published 2008 by ZERO TO THREE). Therapeutic intervention with children and families is not always successful, but the professional literature does not often address treatment failures. To address this need,…

  6. L’affiche Hope

    OpenAIRE

    Fraenkel, Béatrice

    2013-01-01

    L’affiche Hope fait partie des événements de la campagne de Barack Obama. Inspirée de l’affiche représentant Che Guevara, elle a introduit une touche de contre-culture et séduit un large public. Elle est l’œuvre d’un street artist, Shepard Fairey, qui se réclame d’une approche parodique de la propagande politique. D’où les questions que l’on est en droit de se poser : l’affiche serait-elle une sorte de piège à double sens, véhiculant sur Obama un message ambigu ? À regarder de plus près l’org...

  7. Construction

    Science.gov (United States)

    2002-01-01

    San Juan, PR Tren Urbano Subway Project, San Juan, PR U.S. Army South, San Juan, PR U.S. Coast Guard Housing Project, San Juan, PR U.S. Coast Guard...construction?, Foresight/CRISP Workshop on Nanotechnology, Royal Society of Arts . Cheltenham, England: 2001, p.5. 56 Concrete Proposals, Economist, July 24

  8. Negative Mood and Obsessive-Compulsive Related Clinical Constructs: An Examination of Underlying Factors

    Directory of Open Access Journals (Sweden)

    Gary I. Britton

    2017-09-01

    Full Text Available Emerging evidence suggests that many of the clinical constructs used to help understand and explain obsessive-compulsive (OC symptoms, and negative mood, may be causally interrelated. One approach to understanding this interrelatedness is a motivational systems approach. This approach suggests that rather than considering clinical constructs and negative affect as separable entities, they are all features of an integrated threat management system, and as such are highly coordinated and interdependent. The aim of the present study was to examine if clinical constructs related to OC symptoms and negative mood are best treated as separable or, alternatively, if these clinical constructs and negative mood are best seen as indicators of an underlying superordinate variable, as would be predicted by a motivational systems approach. A sample of 370 student participants completed measures of mood and the clinical constructs of inflated responsibility, intolerance of uncertainty, not just right experiences, and checking stop rules. An exploratory factor analysis suggested two plausible factor structures, one where all construct items and negative mood items loaded onto one underlying superordinate variable, and a second structure comprising of five factors, where each item loaded onto a factor representative of what the item was originally intended to measure. A confirmatory factor analysis showed that the five factor model was preferential to the one factor model, suggesting the four constructs and negative mood are best conceptualized as separate variables. Given the predictions of a motivational systems approach were not supported in the current study, other possible explanations for the causal interrelatedness between clinical constructs and negative mood are discussed.

  9. Hope as Fantasy in Action

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    Drawing on Vygotsky’s theory of imagination (Vygotsky 2004) I am proposing a phenomenology of hoping as fantasy in action. Based on analysis of 35 interviews with teenagers who are living in households with a somatically ill parent, I suggest that hoping plays a central role in the teenager...... and evaluated, and thus the fantasies involved in hoping becomes constitutive for experiencing. I apply Vygotsky’s experiential view of imaginary activities and explore the experiential status of the “imagined” and the relation between imagining and the real, through the empirical material on hope. This work...... illustrates a synthesis between cultural-historical and existential-phenomenological theorizing on the phenomenon of hope as a fantasy and a practice (Vygotsky 1998, Mattingly 2010, Heidegger 2010, Webb 2007). This is done in order to illustrate that hoping is a meaning-making effort that - in the event...

  10. The role of hope in financial risk seeking.

    Science.gov (United States)

    Reimann, Martin; Nenkov, Gergana Y; MacInnis, Deborah; Morrin, Maureen

    2014-12-01

    One construct validation study and four experiments showed that the relationship between hope and financial risk seeking depended on whether or not the possibility of a hoped-for outcome was threatened. Whereas high (vs. low) hope decreased financial risk seeking when the possibility of a hoped-for outcome was not threatened, high (vs. low) hope increased financial risk seeking when the outcome's possibility was threatened. These effects were observed in different contexts (i.e., gambling, stock investing, bidding, retirement investing), when applying different operationalizations of hope and threats to possibility, and when controlling for alternative explanations. We also showed that individuals' motivations to either achieve gains or avoid losses mediated the effects of hope on financial risk seeking. This research, which is the first to study the role of hope in financial decision making, adds to the extant literature by underscoring the psychological impact of threats to the possibility of attaining a hoped-for financial outcome. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  11. Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE.

    Science.gov (United States)

    Backonja, Uba; Robledo, Candace A; Wallace, Maeve E; Flores, Katrina F; Kiely, Michele

    2016-01-01

    Washington, DC, has among the highest rates of sexually transmitted infections and unintended pregnancy in the United States. Increasing women's reproductive health knowledge may help to address these reproductive health issues. This analysis assessed whether high-risk pregnant African American women in Washington, DC, who participated in an intervention to reduce behavioral and psychosocial risks had greater reproductive health knowledge than women receiving usual care. Project DC-HOPE was a randomized, controlled trial that included pregnant African American women in Washington, DC, recruited during prenatal care (PNC). Women in the intervention group were provided reproductive health education and received tailored counseling sessions to address their psychosocial and behavioral risk(s) (cigarette smoking, environmental tobacco smoke exposure, depression, and intimate partner violence). Women in the control group received usual PNC. Participants completed a 10-item reproductive knowledge assessment at baseline (n = 1,044) and postpartum (n = 830). Differences in total reproductive health knowledge scores at baseline and postpartum between groups were examined via χ(2) tests. Differences in postpartum mean total score by group were assessed via multiple linear regression. Women in both groups and at both time points scored approximately 50% on the knowledge assessments. At postpartum, women in the intervention group had higher total scores compared with women receiving usual care (mean 5.40 [SD 1.60] vs. 5.03 [SD 1.53] out of 10, respectively; p reproductive health knowledge, overall scores remained low. Development of interventions designed to impart accurate, individually tailored information to women may promote reproductive health knowledge among high-risk pregnant African American women residing in Washington, DC. Published by Elsevier Inc.

  12. Africa: signs of hope?

    Directory of Open Access Journals (Sweden)

    J.F. Kirsten

    2008-07-01

    Full Text Available The dawning of the 21st century generally brought new hope to African leaders and countless thousands of ordinary citizens of many countries on the continent. The first signs of a new turn of events shone through by the end of the last decade of the previous century. This was manifested by economic growth rates that started to pick up in a number of African states, by pro-democracy movements which in country after country succeeded in replacing authoritarian regimes, and by the winding down and termination of some of Africa’s most devastating wars. The results of this analysis confirm the above-mentioned positive political, economic and conflict trends in Africa. It is clearly a significant turn of events given the well-known political and economic predicament with which Africa is struggling. When this negative legacy and Cold War background of Africa is considered, the importance of present developments is clear to see. The identified heightened sense of purpose among the leaders and peoples of Africa and the changed mood and need among Africans to take charge of their own future that found expression in the New Partnership for Africa’s Development (NEPAD are indeed significant and bode well for the future of the continent. A word of warning here is, however, necessary. Our conduct with Africa must be very cautious and we must guard against over-optimism and the exaggerated belief that Africa is now on a trajectory of sustained development and peace. We cannot generalise about Africa – for that the continent is just too big and diverse from a geographical, cultural, economic and political point of view.

  13. Defining the construct of masters level clinical practice in manipulative physiotherapy.

    Science.gov (United States)

    Rushton, Alison; Lindsay, Geoff

    2010-02-01

    The study is the first to have explored the behaviours indicative of the construct of masters level manipulative physiotherapy clinical practice. An exploratory case study was employed, using multiple methods of interviews and participant observation, informed by initial documentary analysis. One 'case' of a university postgraduate course in manipulative physiotherapy in the UK was selected. Purposive sampling identified the participants (clinical tutors and students). Data analysis was an iterative process developing inductive categories from the data through a constant comparative process. The identified analytic categories were subsequently linked to form theoretical propositions. Saturation of the data was achieved. Data collection was concurrent with a previously reported Delphi study and the findings of each showed convergence. A high level of clinical reasoning was identified as the most important behaviour associated with the construct for manipulative physiotherapy. This was then subdivided into core components of practice; prioritisation for example. This study provides a sound basis for future research by affording insight into the construct of masters level manipulative physiotherapy clinical practice. Convergence of data with the Delphi study supported validation of the construct. The trustworthiness of the findings appeared good, and therefore provides justification for use of the construct in informing curriculum development at masters level.

  14. Autism, "recovery (to normalcy)", and the politics of hope.

    Science.gov (United States)

    Broderick, Alicia A

    2009-08-01

    This article draws on the traditions of critical discourse analysis (N. Fairclough, 1995, 2001; M. Foucault, 1972, 1980; J. P. Gee, 1999) in critically examining the discursive formation of "recovery" from autism in applied behavioral analysis (ABA) discourse and its relationship to constructs of hope. Constituted principally in the work of O. I. Lovaas (1987) and C. Maurice (1993), and central to ABA discourse on recovery, has been the construction of a particular vision of hope that has at least 2 integral conceptual elements: (a) Hope for recovery within ABA discourse is constructed in binary opposition to hopelessness, and (b) recovery within ABA discourse is discursively constructed as "recovery (to normalcy)." The author analyzes these 2 pivotal ABA texts within the context of an analysis of other uses of the term recovery in broader bodies of literature: (a) within prior autism-related literature, particularly autobiography, and (b) within literature emanating from the psychiatric survivors' movement. If, indeed, visions of hope inform educational policy and decision making, this analysis addresses S. Danforth's (1997) cogent query, "On what basis hope?", and asserts that moral and political commitments should be central sources of visions of hope and, therefore, inform educational policy and decision making for young children with labels of autism.

  15. Dictionary construction and identification of possible adverse drug events in Danish clinical narrative text

    DEFF Research Database (Denmark)

    Eriksson, Robert; Jensen, Peter Bjødstrup; Pletscher-Frankild, Sune

    2013-01-01

    clinical narrative text. We use a named entity recognition (NER) tagger to identify dictionary matches in the text and post-coordination rules to construct ADE compound terms. Finally, we apply post-processing rules and filters to handle, for example, negations and sentences about subjects other than....... Additionally, the synonym and anatomical location collapse improve the method.Conclusions The developed dictionary and method can be used to identify possible ADEs in Danish clinical narratives....

  16. International Adaptations of the Millon Clinical Multiaxial Inventory: Construct Validity and Clinical Applications

    NARCIS (Netherlands)

    Rossi, G.M.P.; Derksen, J.J.L.

    2015-01-01

    This article examines the influence of the Millon Clinical Multiaxial Inventory (MCMI) as a clinical and research instrument beyond the borders of the United States. The MCMI's theoretical and empirical grounding, its alignment with the Diagnostic and Statistical Manual of Mental Disorders (DSM),

  17. About article "Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity."

    NARCIS (Netherlands)

    Bosch, Jaap J. ten; Huysmans, Marie-Charlotte D.N.J.M.

    2003-01-01

    Letter to the editor about article: Nyvad B, Machiulskiene V, Baelum V (2003). Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 82:117-122. Published in: J Dent Res 82(11):862-863, 2003

  18. The Laughter as Hope Principle

    Directory of Open Access Journals (Sweden)

    Mateus Domingues da Silva

    2015-04-01

    Full Text Available The work aims to establish a parallel between the concept of laughter and the Hope Principle of Ernst Bloch, differentiating their relationship between the pursuit of individual happiness, said to be ideological, deceptive and precarious, and the pursuit of collective happiness, altruistic, that despite utopian it is also true and real, just for being selfless and real because, as a collective expression, indicating concretely and politically, is a real possibility.Keywords: Laughter, Hope Principle, Ernest Bloch, altruism.

  19. The Relationship between Hope, Eustress, Self-Efficacy, and Life Satisfaction among Undergraduates

    Science.gov (United States)

    O'Sullivan, Geraldine

    2011-01-01

    The construct of eustress was studied alongside hope and self-efficacy, to explore how these constructs are related to life satisfaction among undergraduates. Questionnaires were administered to undergraduates to test the hypotheses that (1) as eustress levels increase, so will life satisfaction levels; (2) when eustress, hope, and self-efficacy…

  20. On sinking and swimming: the dialectic of hope, hopelessness, and acceptance in terminal cancer.

    Science.gov (United States)

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

    2013-03-01

    For terminally ill cancer patients, hope and hopelessness are constructs that significantly impact 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.

  1. Discursive meaning of hope for older persons with advanced cancer and their caregivers.

    Science.gov (United States)

    Duggleby, Wendy; Holtslander, Lorraine; Steeves, Megan; Duggleby-Wenzel, Shanda; Cunningham, Shannon

    2010-09-01

    This study used van Dijk's critical-discourse approach to explore the current societal discourse on hope and to explore the hope of older terminally ill cancer patients, their significant others and primary nurse. Forty-three newspaper articles dealing with hope and cancer were collected and analyzed to explore how hope is socially constructed by print media. Individual face-to-face, qualitative, open-ended interviews were conducted with three triads, each consisting of an older palliative cancer patient, a significant other, and a primary nurse. The predominant discourse of hope and cancer in the newspaper articles was considered ageist, conveying the message that only one legitimate hope existed for persons with cancer: hope for a cure. The study findings suggested that this message caused confusion and distress for the patients, significant others, and their primary nurses because their own discourses of hope were focused on comfort, peace, and maintaining relationships at the end of life.

  2. Hope, Perceived Financial Risk and Propensity for Indebtedness

    Directory of Open Access Journals (Sweden)

    Lucia Barros

    2012-10-01

    Full Text Available Hope is an important construct in marketing, since it is an antecedent of important marketing variables, such as trust, expectation and satisfaction (MacInnis & Mello, 2005. Specifically, literature suggests that hope plays an important influence in risk perception (MacInnis & Mello, 2005 and propensity for indebtedness (Fleming, 2008. Thus, we aim to investigate the relationships among hope, risk perception related to purchasing and consumption and propensity for indebtedness by conducting two empirical studies. The first is a laboratory experiment, which accessed hope and risk perception of getting a mortgage loan. The second is a survey, investigating university students’ propensity to get indebted to pay for their university tuition, analyzed through the Structural Equations Modeling method. These studies found that higher levels of hope predicted an increase in the propensity to accept the mortgage loan, independent of actual risks, and an increase in the propensity of college students to get indebted to pay for their studies. In addition, the first study suggests that hope may lead to a decrease in risk perception, which, however, wasn’t confirmed by the second study. Finally, this research offers some methodological contributions, using an experimental approach to understand hope and its relationship with perceived financial risk and propensity for indebtedness.

  3. Quality assessment in in vivo NMR spectroscopy: III. Clinical test objects: design, construction, and solutions

    DEFF Research Database (Denmark)

    Leach, M.O.; Collins, D.J.; Keevil, S

    1995-01-01

    Based on the requirements of test protocols developed to evaluate clinical MRS single slice and volume localisation sequences, two clinical test objects, STO1 and STO2 have been developed. The properties of a range of potential construction materials have been assessed, demonstrating that the water....../Perspex interface produced minimum susceptibility effects. The design of the objects has been evaluated in trials on different magnetic resonance instruments, with size and loading being adjusted to allow use on currently available equipment. Appropriate test solutions for 31P and 1H measurements have been...

  4. Is the Construct of Relapse Heuristic, and Does It Advance Alcohol Use Disorder Clinical Practice?

    Science.gov (United States)

    Maisto, Stephen A; Witkiewitz, Katie; Moskal, Dezarie; Wilson, Adam D

    2016-11-01

    Alcohol use disorder (AUD) relapse is a construct that has been of major clinical and research interest but has been inconsistently defined. The purpose of this study was to review the definitions of AUD relapse that have been used in clinical research as a basis for drawing conclusions about its heuristic value. A systematic review of the literature was conducted on empirical studies that (a) were published in peer-reviewed journals, (b) were published between 2010 and 2015, (c) were written in English, and (d) provided a definition of alcohol relapse (or lapse) that was used in the study. The review yielded 139 individual studies that met inclusion criteria. The studies showed wide variability in how relapse was defined and interpreted in the literature, and there was little direct empirical or theoretical rationale provided for the definitions of relapse that were chosen. Furthermore, the concept of AUD relapse as a discrete state is not consistent with the empirical literature on the clinical course of alcohol consumption. We conclude that the heuristic value of AUD relapse as currently studied is low. An alternative approach that embeds the construct in theory and data on the clinical course of alcohol consumption and aligns with current trends in healthcare would seem to have a better chance of improving AUD clinical decision-making and knowledge about AUD in general.

  5. [Construction and thinking of data element standard directory of traditional Chinese medicine clinical pharmacy information].

    Science.gov (United States)

    Wang, Xiao-Xia; Jin, Zhong-Zheng; Guo, Gui-Ming; Zhai, Hua-Qiang; Jin, Shi-Yuan

    2014-05-01

    The aim of this study was to develop the data element standard directory of traditional Chinese medicine (TCM) clinical pharmacy information, to provide application standards and models of TCM clinical pharmacy for the electronic medical record (EMR). The developed line of work is as follows: initially establish research through four forms: literature analysis, questionnaires, discussion groups, expert advice. The research range from the Chinese herbal medicine research, herbal origin, harvesting, processing, identification of traits, physical and chemical identification, modern research, character, taste, Indications, clinical application, processing, dispensing medicine, Chinese medicine specifications, usage, dosage, caution, efficacy indications to small packaging applications, drug research, management and other related issues, including traditional Chinese medicine theory, application and hospital management information; according to the general and part 16 content of the national "Health Information Data Element Standards", and the basic method of extracting data element to study and develop the data element of TCM clinical pharmacy information from the defining content. Correspondingly propose the ideas and methods of construction of the "Data Element Standard Directory of TCM Clinical Pharmacy Information", sort out medicine clinical information data element standard catalog, divided into basic categories, clinical application class, management class three parts, and set norms and standards of identifying data elements, definitions, allowable value of traditional Chinese medicine clinical information, and discuss the sources and standards of information collection, leaving the interface, standardized and scientific terminology, docking with the existing standards, maintenance and management program and oter issues.

  6. Adaptation and validation of the dispositional hope scale for adolescents

    Directory of Open Access Journals (Sweden)

    Juliana Cerentini Pacico

    2013-01-01

    Full Text Available This paper describes the psychometric features and the validation process of the Adult Dispositional Hope Scale (ADHS for adolescents in the south of Brazil. This scale measures the Hope construct in terms of pathways and agency. The ADHS was translated to Portuguese and underwent a reverse translation. A sample of 450 students, from 14 to 18 years old (M=16.8 years, SD=3.4, 56% female, answered the ADHS, the Hope Index, the LOT-R and the Rosenberg's Self-Esteem Scale. A factorial analysis with varimax rotation showed that the scale is unidimensional and that its internal consistency was adequate (Cronbach's alpha = .80. No significant gender differences were found. Correlations of ADHS with the other constructs presented evidence of convergent validity in the present study.

  7. HOPEFULNESS IN HOPELESSNESS: A HERMENEUTICAL ...

    African Journals Online (AJOL)

    Dean SPGS NAU

    par Paul adopted a literary device “homoiopropheron” (meaning successive words beginning with the same letters or syllables. It can also be seen as ..... Karl Marx instead of a way that will challenge man to realizing his dreams and enjoying this world with the hope of still continuing the enjoyment in eternity. Thus, this ...

  8. A social negotiation of hope

    DEFF Research Database (Denmark)

    Ungruhe, Christian; Esson, James

    2017-01-01

    argue that young people’s efforts to make it abroad and “become a somebody” through football is not merely an individual fantasy; it is rather a social negotiation of hope to overcome widespread social immobility in the region. It is this collective practice among a large cohort of young males...

  9. Hope for the Crowded Planet

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    2005-01-01

    The basic environmental problem of population growth is discussed on the background of low bith rates in many countries, primarely in affluent countries plus China. This gives hope for. The problems from declining population raised by some economists, such as ageing population, are minor compared...

  10. Reclaiming hope: Affect, temporality, politics

    NARCIS (Netherlands)

    Taş, B.

    2016-01-01

    The critical task I take up in this research is to reconceptualize hope as an affective orientation in time, which requires remaining open to the risks that the unknowability of the future entails. I consider this opening a political contestation that is necessary to critique the current

  11. A model for translating ethnography and theory into culturally constructed clinical practices.

    Science.gov (United States)

    Nastasi, Bonnie Kaul; Schensul, Jean J; Schensul, Stephen L; Mekki-Berrada, Abelwahed; Pelto, Pertti J; Maitra, Shubhada; Verma, Ravi; Saggurti, Niranjan

    2015-03-01

    This article describes the development of a dynamic culturally constructed clinical practice model for HIV/STI prevention, the Narrative Intervention Model (NIM), and illustrates its application in practice, within the context of a 6-year transdisciplinary research program in Mumbai, India. Theory and research from anthropology, psychology, and public health, and mixed-method ethnographic research with practitioners, patients, and community members, contributed to the articulation of the NIM for HIV/STI risk reduction and prevention among married men living in low-income communities. The NIM involves a process of negotiation of patient narratives regarding their sexual health problems and related risk factors to facilitate risk reduction. The goal of the NIM is to facilitate cognitive-behavioral change through a three-stage process of co-construction (eliciting patient narrative), deconstruction (articulating discrepancies between current and desired narrative), and reconstruction (proposing alternative narratives that facilitate risk reduction). The NIM process extends the traditional clinical approach through the integration of biological, psychological, interpersonal, and cultural factors as depicted in the patient narrative. Our work demonstrates the use of a recursive integration of research and practice to address limitations of current evidence-based intervention approaches that fail to address the diversity of cultural constructions across populations and contexts.

  12. A Model for Translating Ethnography and Theory into Culturally Constructed Clinical Practices

    Science.gov (United States)

    Schensul, Jean J.; Schensul, Stephen L.; Mekki-Berrada, Abelwahed; Pelto, Pertti J.; Maitra, Shubhada; Verma, Ravi; Saggurti, Niranjan

    2015-01-01

    This article describes the development of a dynamic culturally constructed clinical practice model for HIV/STI prevention, the Narrative Intervention Model (NIM), and illustrates its application in practice, within the context of a 6-year transdisciplinary research program in Mumbai, India. Theory and research from anthropology, psychology, and public health, and mixed-method ethnographic research with practitioners, patients, and community members, contributed to the articulation of the NIM for HIV/STI risk reduction and prevention among married men living in low-income communities. The NIM involves a process of negotiation of patient narratives regarding their sexual health problems and related risk factors to facilitate risk reduction. The goal of the NIM is to facilitate cognitive-behavioral change through a three-stage process of co-construction (eliciting patient narrative), deconstruction (articulating discrepancies between current and desired narrative), and reconstruction (proposing alternative narratives that facilitate risk reduction). The NIM process extends the traditional clinical approach through the integration of biological, psychological, interpersonal, and cultural factors as depicted in the patient narrative. Our work demonstrates the use of a recursive integration of research and practice to address limitations of current evidence-based intervention approaches that fail to address the diversity of cultural constructions across populations and contexts. PMID:25292448

  13. Interrelationships between negative mood and clinical constructs: a motivational systems approach.

    Directory of Open Access Journals (Sweden)

    Gary Ian Britton

    2014-04-01

    Full Text Available A series of three experiments was designed to test predictions from a motivational systems approach to understanding the role of clinical constructs in anxiety-based problems. Negative mood, inflated responsibility and intolerance of uncertainty (IU were separately manipulated within analogue samples to examine their effect on the other two factors. In the first experiment (n = 59 the negative mood group scored significantly higher in terms of inflated responsibility than the positive mood group. In the second experiment (n = 63 the high responsibility group scored significantly higher in terms of both negative mood and IU than the low responsibility group. In the third experiment (n = 61 the high IU group scored significantly higher in terms of negative mood than the low IU group. Tests of indirect effects revealed an indirect effect of IU on inflated responsibility through negative mood and an indirect effect of negative mood on IU through inflated responsibility, suggesting all three constructs are casually interrelated. The findings are consistent with contemporary transdiagnostic views of clinical constructs, and support a view of anxiety that is underpinned by a coordinated and interdependent motivational system evolved to manage threat.

  14. [Construct a wireless clinical information system on the basis of the original information system].

    Science.gov (United States)

    Xie, Feng; Chen, Guo-Xiang; Jiang, Zhan-Tao

    2008-03-01

    This article describes how to construct a integrated wireless clinical information system based on the original information system. It is constructed on the basis of the hospital HIS through the middle ware which provides a data-interaction platform for all the existing data and the data which would be added in future for various information management systems. The software system adopts the Web Service technology in information services. The SOAP protocol is applied to the data interaction between the foreground and the background. The mode of the network structure is "Wireless Switchboard + Intelligence antenna". Relying on the wireless network, the handheld data terminal and the barcode, the network information can be extended to the patient bedsides and the mobile medical personnels.

  15. Autism, "Recovery (to Normalcy)," and the Politics of Hope

    Science.gov (United States)

    Broderick, Alicia A.

    2009-01-01

    This article draws on the traditions of critical discourse analysis (N. Fairclough, 1995, 2001; M. Foucault, 1972, 1980; J. P. Gee, 1999) in critically examining the discursive formation of "recovery" from autism in applied behavioral analysis (ABA) discourse and its relationship to constructs of hope. Constituted principally in the work of O. I.…

  16. Why many clinical psychologists are resistant to evidence-based practice: root causes and constructive remedies.

    Science.gov (United States)

    Lilienfeld, Scott O; Ritschel, Lorie A; Lynn, Steven Jay; Cautin, Robin L; Latzman, Robert D

    2013-11-01

    Psychotherapists are taught that when a client expresses resistance repeatedly, they must understand and address its underlying sources. Yet proponents of evidence-based practice (EBP) have routinely ignored the root causes of many clinical psychologists' reservations concerning the use of scientific evidence to inform clinical practice. As a consequence, much of the resistance to EBP persists, potentially widening the already large scientist-practitioner gap. Following a review of survey data on psychologists' attitudes toward EBP, we examine six sources underpinning resistance toward EBP in clinical psychology and allied domains: (a) naïve realism, which can lead clinicians to conclude erroneously that client change is due to an intervention itself rather than to a host of competing explanations; (b) deep-seated misconceptions regarding human nature (e.g., mistaken beliefs regarding the causal primacy of early experiences) that can hinder the adoption of evidence-based treatments; (c) statistical misunderstandings regarding the application of group probabilities to individuals; (d) erroneous apportioning of the burden of proof on skeptics rather than proponents of untested therapies; (e) widespread mischaracterizations of what EBP entails; and (f) pragmatic, educational, and attitudinal obstacles, such as the discomfort of many practitioners with evaluating the increasingly technical psychotherapy outcome literature. We advance educational proposals for articulating the importance of EBP to the forthcoming generation of clinical practitioners and researchers, and constructive remedies for addressing clinical psychologists' objections to EBP. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. The meaning of hope in nursing research

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C

    2009-01-01

    Scand J Caring Sci; 2009 The meaning of hope in nursing research: a meta-synthesisThe aim of this study was to develop a meta-synthesis of nursing research about hope as perceived by people during sickness and by healthy people. A meta-synthesis does not intend to cover all studies about hope....... Data were 15 qualitative studies published in nursing or allied health journals and conducted in USA, Great Britain, Canada, Australia, Norway, Sweden and Finland. The meta-synthesis resulted in six metaphors that illustrate dimensions of hope. These metaphors permeated the experiences of hope...... as weathering a storm. Knowing the multidimensionality of hope and what hope means from the patient's perspective might help nurses and other healthcare professionals to inspire hope as Florence Nightingale did when she walked with the lamp through the dark corridors and spread hope and light to the patients...

  18. Original article The Me and My Disease Scale: measuring state hope and determining its impact on coping in patients with type 2 diabetes mellitus and myocardial infarction

    Directory of Open Access Journals (Sweden)

    Zuzanna Kwissa-Gajewska

    2015-05-01

    Full Text Available Background The aim of this study was to examine the psychometric properties, factor structure, measurement invariance, internal consistency reliability and construct validity of the Me and My Disease Scale – a tool for state hope measurement for adults suffering from chronic medical conditions. Participants and procedure Two clinical groups, patients with type 2 diabetes (DM (n = 278 just before and 1 month after introducing insulin treatment, and cardiac patients (n = 232 five days and one month after their first uncomplicated myocardial infarction (MI, participated in the study. Cognitive appraisal, emotions and depression (MI group were measured to establish the construct validity of the scale. Results A single-factor model which consisted of 4 items was established. The structure was characterized by good measurement model fit and satisfactory indicators of reliability for the MI subgroup. A less satisfactory model fit was obtained for the DM subgroup – this may point to the impact of specific medical conditions on the scale. Furthermore, the findings indicated metric invariance for the scale. The moderate correlations between hope and cognitive appraisal, emotion and depression confirm the construct validity of the scale. Conclusions The Me and My Disease Scale is characterized by satisfactory psychometric parameters and can be used in scientific research to measure hope as a dimension of cognition and to compare the relationships between hope and other variables in medical patients. However, caution should be taken during analysis when comparing means between clinical groups.

  19. Dictionary construction and identification of possible adverse drug events in Danish clinical narrative text.

    Science.gov (United States)

    Eriksson, Robert; Jensen, Peter Bjødstrup; Frankild, Sune; Jensen, Lars Juhl; Brunak, Søren

    2013-01-01

    Drugs have tremendous potential to cure and relieve disease, but the risk of unintended effects is always present. Healthcare providers increasingly record data in electronic patient records (EPRs), in which we aim to identify possible adverse events (AEs) and, specifically, possible adverse drug events (ADEs). Based on the undesirable effects section from the summary of product characteristics (SPC) of 7446 drugs, we have built a Danish ADE dictionary. Starting from this dictionary we have developed a pipeline for identifying possible ADEs in unstructured clinical narrative text. We use a named entity recognition (NER) tagger to identify dictionary matches in the text and post-coordination rules to construct ADE compound terms. Finally, we apply post-processing rules and filters to handle, for example, negations and sentences about subjects other than the patient. Moreover, this method allows synonyms to be identified and anatomical location descriptions can be merged to allow appropriate grouping of effects in the same location. The method identified 1 970 731 (35 477 unique) possible ADEs in a large corpus of 6011 psychiatric hospital patient records. Validation was performed through manual inspection of possible ADEs, resulting in precision of 89% and recall of 75%. The presented dictionary-building method could be used to construct other ADE dictionaries. The complication of compound words in Germanic languages was addressed. Additionally, the synonym and anatomical location collapse improve the method. The developed dictionary and method can be used to identify possible ADEs in Danish clinical narratives.

  20. The construct validity of the MMPI-2/MMPI-2-RF Restructured Clinical (RC) scales and the assessment of personality disorders

    OpenAIRE

    Barth, Mathew John

    2017-01-01

    The current study examined the construct validity of the Restructured Clinical (RC) scales (Tellegen et al., 2003) of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) and MMPI-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008) and the assessment of personality disorders. Tellegen et al. (2003) constructed the RC scales to address the perceived psychometric limitations of the Clinical scales and to measur...

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

    Science.gov (United States)

    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.

  2. An Evaluation of Hope Following a Summer Camp for Inner-City Youth

    Science.gov (United States)

    Kirschman, Keri J.; Roberts, Michael C.; Shadlow, Joanna O.; Pelley, Terri J.

    2010-01-01

    This study reports changes in the positive psychology construct of hope resulting from adolescents' participation in a 6 week summer camp devoted to developing dance and psychosocial competence skills. Over 5 years, the inner-city camp participants were selected from substantial at-risk situations. Significant positive changes in overall hope were…

  3. Do the American Society of Clinical Oncology Value Framework and the European Society of Medical Oncology Magnitude of Clinical Benefit Scale Measure the Same Construct of Clinical Benefit?

    Science.gov (United States)

    Cheng, Sierra; McDonald, Erica J; Cheung, Matthew C; Arciero, Vanessa S; Qureshi, Mahin; Jiang, Di; Ezeife, Doreen; Sabharwal, Mona; Chambers, Alexandra; Han, Dolly; Leighl, Natasha; Sabarre, Kelley-Anne; Chan, Kelvin K W

    2017-08-20

    Purpose Whether the ASCO Value Framework and the European Society for Medical Oncology (ESMO) Magnitude of Clinical Benefit Scale (MCBS) measure similar constructs of clinical benefit is unclear. It is also unclear how they relate to quality-adjusted life-years (QALYs) and funding recommendations in the United Kingdom and Canada. Methods Randomized clinical trials of oncology drug approvals by the US Food and Drug Administration, European Medicines Agency, and Health Canada between 2006 and August 2015 were identified and scored using the ASCO version 1 (v1) framework, ASCO version 2 (v2) framework, and ESMO-MCBS by at least two independent reviewers. Spearman correlation coefficients were calculated to assess construct (between frameworks) and criterion validity (against QALYs from the National Institute for Health and Care Excellence [NICE] and the pan-Canadian Oncology Drug Review [pCODR]). Associations between scores and NICE/pCODR recommendations were examined. Inter-rater reliability was assessed using intraclass correlation coefficients. Results From 109 included randomized clinical trials, 108 ASCOv1, 111 ASCOv2, and 83 ESMO scores were determined. Correlation coefficients for ASCOv1 versus ESMO, ASCOv2 versus ESMO, and ASCOv1 versus ASCOv2 were 0.36 (95% CI, 0.15 to 0.54), 0.17 (95% CI, -0.06 to 0.37), and 0.50 (95% CI, 0.35 to 0.63), respectively. Compared with NICE QALYs, correlation coefficients were 0.45 (ASCOv1), 0.53 (ASCOv2), and 0.46 (ESMO); with pCODR QALYs, coefficients were 0.19 (ASCOv1), 0.20 (ASCOv2), and 0.36 (ESMO). None of the frameworks were significantly associated with NICE/pCODR recommendations. Inter-rater reliability was good for all frameworks. Conclusion The weak-to-moderate correlations of the ASCO frameworks with the ESMO-MCBS, as well as their correlations with QALYs and with NICE/pCODR funding recommendations, suggest different constructs of clinical benefit measured. Construct convergent validity with the ESMO-MCBS did not

  4. Feeling hopeful inspires support for social change

    NARCIS (Netherlands)

    Greenaway, Katharine H.; Cichocka, Aleksandra; van Veelen, Ruth; Likki, Tiina; Branscombe, Nyla R.

    2014-01-01

    Hope is an emotion that has been implicated in social change efforts, yet little research has examined whether feeling hopeful actually motivates support for social change. Study 1 (N = 274) confirmed that hope is associated with greater support for social change in two countries with different

  5. Feeling Hopeful Inspires Support for Social Change

    NARCIS (Netherlands)

    Greenaway, Katharine H.; Cichocka, Aleksandra; van Veelen, Ruth; Likki, Tiina; Branscombe, Nyla R.

    2016-01-01

    Hope is an emotion that has been implicated in social change efforts, yet little research has examined whether feeling hopeful actually motivates support for social change. Study 1 (N=274) confirmed that hope is associated with greater support for social change in two countries with different

  6. Risking Hope in a Worried World

    Science.gov (United States)

    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…

  7. Finding Hope in Synthetic Biology.

    Science.gov (United States)

    Takala, Tuija

    2017-04-01

    For some, synthetic biology represents great hope in offering possible solutions to many of the world's biggest problems, from hunger to sustainable development. Others remain fearful of the harmful uses, such as bioweapons, that synthetic biology can lend itself to, and most hold that issues of biosafety are of utmost importance. In this article, I will evaluate these points of view and conclude that although the biggest promises of synthetic biology are unlikely to become reality, and the probability of accidents is fairly substantial, synthetic biology could still be seen to benefit humanity by enhancing our ethical understanding and by offering a boost to world economy.

  8. [Lexical development. The construction of different vocabulary tests used in clinical practice].

    Science.gov (United States)

    Ptok, M; Kühn, D; Miller, S

    2014-04-01

    During first language acquisition (L1), children need to gather knowledge about the speech sounds and grammar of their mother tongue. Furthermore, communication skills require an adequate vocabulary. Individual profiles of vocabulary acquisition can vary considerably. However, actively using around 50 words by the age of 24 months is considered a milestone in first language acquisition. This is usually followed by the so-called vocabulary spurt, a rapid increase in lexical knowledge. This article provides an overview of the theories of lexical development and discusses how the acquisition of vocabulary may be explained. A selective literature search was conducted in PubMed and Scopus. Current textbooks were also considered. In order to acquire new words, a child has to identify what the new string of speech sounds refers to. The child has to construct a valid concept of the word and subsequently store both word and concept into long-term memory. Several theories have been put forward to explain lexicon organization, the acquisition of concepts and the mechanisms underlying the so-called fast mapping phenomenon in particular. All of these attempt to explain the phenomenon of lexicon acquisition in terms of a model scheme. In the context of the fast mapping mechanism, constraints and assumptions, cognitive, intentionalist and emergence-based theories are discussed. Knowledge of the different theories of vocabulary acquisition is mandatory to understand the construction of the tests used to assess vocabulary skills in clinical practice and to apply these appropriately.

  9. A Multitrait-Multimethod Analysis of the Construct Validity of Child Anxiety Disorders in a Clinical Sample

    Science.gov (United States)

    Langer, David A.; Wood, Jeffrey J.; Bergman, R. Lindsey; Piacentini, John C.

    2010-01-01

    The present study examines the construct validity of separation anxiety disorder (SAD), social phobia (SoP), panic disorder (PD), and generalized anxiety disorder (GAD) in a clinical sample of children. Participants were 174 children, 6 to 17 years old (94 boys) who had undergone a diagnostic evaluation at a university hospital based clinic.…

  10. Rorty, Addams, and Social Hope

    Directory of Open Access Journals (Sweden)

    Erik Schneiderhan

    2013-08-01

    Full Text Available This paper takes up the practice and ideas of Richard Rorty and Jane Addams, considering their work at the intersection of pragmatism and social action. It argues that both Richard Rorty and Jane Addams, each in their own way, were thinking through the significant challenges that confront individuals in their everyday lives: How do we adjudicate between the competing values of individual accountability and helping others in our community? This is our social test, and the way we each answer the question matters for the future of democracy and our degree of social hope. Rorty was a champion of engagement with the community, and believed that out of this experience comes our capacity to creatively weave the fabric of liberal democracy. The paper argues that Addams’s work at Hull-House in Chicago offers concrete examples of the potential of reciprocal social relations, providing practical substance to Rorty’s ideas and showing how we can create social hope through action.

  11. Can optimism, pessimism, hope, treatment credibility and treatment expectancy be distinguished in patients undergoing Total Hip and Total Knee Arthroplasty?

    NARCIS (Netherlands)

    Haanstra, T.M.; Tilbury, C.; Kamper, S.J.; Tordoir, R.L.; Vliet Vlieland, T.P.M.; Nelissen, R.G.H.H.; Cuijpers, P.; de Vet, H.C.W.; Dekker, J.; Knol, D.L.; Ostelo, R.W.J.G.

    2015-01-01

    Objectives: The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to

  12. Constructing core competency indicators for clinical teachers in Taiwan: a qualitative analysis and an analytic hierarchy process

    OpenAIRE

    Li, Ai-Tzu; Lin, Jou-Wei

    2014-01-01

    Background The objective of this study was to construct a framework of core competency indicators of medical doctors who teach in the clinical setting in Taiwan and to evaluate the relative importance of the indicators among these clinical teachers. Methods The preliminary framework of the indicators was developed from an in-depth interview conducted with 12 clinical teachers who had previously been recognized and awarded for their teaching excellence in university hospitals. The framework wa...

  13. Propostas alternativas de construção de políticas públicas em educação: novas esperanças de solução para velhos problemas? Alternative proposals for constructing public education policies: new hope for solving old problems?

    Directory of Open Access Journals (Sweden)

    Salete Campos de Moraes

    2009-01-01

    Full Text Available Discute-se a possibilidade de construção de políticas públicas alternativas no campo da educação, não apenas como proposições teóricas, mas aquelas construídas na perspectiva oposta à da tradição brasileira, qual seja, a de verticalização das relações entre Estado e sociedade civil. Ainda que se considere os recuos, obstáculos e entraves que caracterizam as mudanças de paradigmas em políticas públicas educacionais, é de se ressaltar que, nos últimos anos, tem-se construído, em várias cidades do país, novas formas de fazer política pública em educação. Tais experiências refletem projetos que trazem consigo a concepção de democratização das relações entre Estado e sociedade, e podem representar novas esperanças de solução para velhos problemas.This paper examines the possibility of constructing alternative public education policies, not only theoretical proposals, but also educational policies that have been constructed in opposition to the Brazilian tradition of vertical relations between the state and civil society. Even taking into account the difficulties that characterise paradigm shift in education policies, it can be seen that new approaches to such policies have been constructed in a number of brazilian cities in recent years. These experiences reflect forms of government that involve the concept of democratisation of the relations between state and society, which may represent new hope for solving old problems.

  14. Increased hope following successful treatment for hepatitis C infection.

    Science.gov (United States)

    Bjøro, Benedikte; Dalgard, Olav; Midgard, Håvard; Verbaan, Hans; Småstuen, Milada Cvancarova; Rustøen, Tone

    2017-10-30

    To evaluate hope in hepatitis C patients 9 years after curative treatment with pegylated interferon and ribavirin. Successful treatment of hepatitis C leads to improved quality of life in responders compared with non-responders. The long-term effect of successful treatment on hope in these patients is not known. Cross-sectional follow-up study of patients who displayed a sustained virological response to previous hepatitis C treatment. Patients infected with hepatitis C genotype 2 or 3 from a randomized controlled study during 2004-2006 were included. A representative subgroup of those who achieved a sustained virological response was re-evaluated in 2012-2014. The patients were examined, had a blood test and completed a questionnaire (Herth Hope Index and demographic and clinical characteristics). The hope level was compared between patients and an age-matched sample from the general population (N = 1481). The data were analysed using multiple regression. A total of 104 Norwegian and Swedish hepatitis C patients were included in this follow-up study; their mean age was 48 years and 61% were men. Patients treated for hepatitis C scored higher than the general population on the total Herth Hope Index and for 11 of the 12 individual items. Age, gender, educational level, employment status and civil status were associated with a higher Herth Hope Index in those who had received hepatitis C treatment. Patients achieving a sustained viral response had a higher hope level than the general population 9 years after successful treatment of hepatitis C virus infection. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  15. Hope, HIV and health: a prospective study.

    Science.gov (United States)

    Scioli, Anthony; MacNeil, Susan; Partridge, Vanessa; Tinker, Elizabeth; Hawkins, Ethan

    2012-01-01

    In this study we examined the impact of trait hope on the health of 16 HIV+ individuals. In 2006, hopefulness was assessed with a comprehensive measure derived from an integrative theory of hope. At this time, we also collected self-reported health data as well as blood samples that provided an index of immunological status (CD4). Subsequently, at 8, 24, and 48 months we obtained follow-up CD4 levels. To rule out a potential confound, we computed and found, no significant correlations between self-reports of hope or heath, and blind ratings of illness denial provided by a case manager. Total hope scores as well as hope sub-scores were significantly correlated with various dimensions of self-reported health as well as CDC established CD4 classification levels, both concurrently and prospectively.

  16. Constructive Discontent: Our Best Hope for Saving Pacific Salmon?

    Science.gov (United States)

    Martin, Jim

    1995-01-01

    Calls for unity among those trying to protect Western salmonids under threat of extinction. Identifies key issues dominating fisheries management and areas that represent opportunities for progress in environmental protection. Discusses policies currently used and proposed in the Pacific Northwest. (LZ)

  17. The discursive properties of "hope": a qualitative analysis of cancer patients' speech.

    Science.gov (United States)

    Eliott, Jaklin; Olver, Ian

    2002-02-01

    The authors of this article question the usefulness of the empirico-realist search for a definitive definition of hope. Semistructured interviews on "do-not-resuscitate" issues with 23 oncology clinic outpatients were tape-recorded, transcribed, and analyzed following grounded-theory methodology and discursive analytical methodology. Twelve patients spontaneously spoke about hope as objective or subjective, a burden or a resource. Hope represented an evaluation of empirical states of affairs or the wish for desired outcomes and was a warrant for action or an excuse for inaction. It was attributed to both patient and caregiver, to individuals or situations. Hope was present or future oriented, both vulnerable and enduring. The variety of versions of hope has implications for interactions between health care workers and patients. Recognizing a taxonomy of hope might prove more useful than searching for definitions.

  18. Measuring technology self efficacy: reliability and construct validity of a modified computer self efficacy scale in a clinical rehabilitation setting.

    Science.gov (United States)

    Laver, Kate; George, Stacey; Ratcliffe, Julie; Crotty, Maria

    2012-01-01

    To describe a modification of the computer self efficacy scale for use in clinical settings and to report on the modified scale's reliability and construct validity. The computer self efficacy scale was modified to make it applicable for clinical settings (for use with older people or people with disabilities using everyday technologies). The modified scale was piloted, then tested with patients in an Australian inpatient rehabilitation setting (n = 88) to determine the internal consistency using Cronbach's alpha coefficient. Construct validity was assessed by correlation of the scale with age and technology use. Factor analysis using principal components analysis was undertaken to identify important constructs within the scale. The modified computer self efficacy scale demonstrated high internal consistency with a standardised alpha coefficient of 0.94. Two constructs within the scale were apparent; using the technology alone, and using the technology with the support of others. Scores on the scale were correlated with age and frequency of use of some technologies thereby supporting construct validity. The modified computer self efficacy scale has demonstrated reliability and construct validity for measuring the self efficacy of older people or people with disabilities when using everyday technologies. This tool has the potential to assist clinicians in identifying older patients who may be more open to using new technologies to maintain independence.

  19. A Multitrait?Multimethod Analysis of the Construct Validity of Child Anxiety Disorders in a Clinical Sample

    OpenAIRE

    Langer, David A.; Wood, Jeffrey J.; Bergman, R. Lindsey; Piacentini, John C.

    2010-01-01

    The present study examines the construct validity of separation anxiety disorder (SAD), social phobia (SoP), panic disorder (PD), and generalized anxiety disorder (GAD) in a clinical sample of children. Participants were 174 children, 6 to 17 years old (94 boys) who had undergone a diagnostic evaluation at a university hospital based clinic. Parent and child ratings of symptom severity were assessed using the Multidimensional Anxiety Scale for Children (MASC). Diagnostician ratings were obtai...

  20. Deep hope: a song without words.

    Science.gov (United States)

    Coulehan, Jack

    2011-06-01

    Hope helps alleviate suffering. In the case of terminal illness, recent experience in palliative medicine has taught physicians that hope is durable and often thrives even in the face of imminent death. In this article, I examine the perspectives of philosophers, theologians, psychologists, clinicians, neuroscientists, and poets, and provide a series of observations, connections, and gestures about hope, particularly about what I call "deep hope." I end with some proposals about how such hope can be sustained and enhanced at the end of life. Studies of terminally ill patients have revealed clusters of personal and situational factors associated with enhancement or suppression of hope at the end of life. Interpersonal connectedness, attainable goals, spiritual beliefs and practices, personal attributes of determination, courage, and serenity, lightheartedness, uplifting memories, and affirmation of personal worth enhance hope, while uncontrollable pain and discomfort, abandonment and isolation, and devaluation of personhood suppress hope. I suggest that most of these factors can be modulated by good medical care, utilizing basic interpersonal techniques that demonstrate kindness, humanity, and respect.

  1. Emotional intelligence, happiness, hope and marital satisfaction ...

    African Journals Online (AJOL)

    Emotional intelligence, happiness, hope and marital satisfaction among married people in Makurdi Metropolis, Nigeria. ... Finally, married people should encourage happiness and hope in their marriages so that they will experience the desired satisfaction in the couples' world. Keywords: Emotional intelligence, Happiness, ...

  2. The Relationship between Employability and Hope

    Science.gov (United States)

    Hinton, Christa G.

    2012-01-01

    The purpose of the present study was to quantitatively examine the relationships between employability and hope. Using a sample of 266 Master of Business Administration students at a large Midwestern private university, this study hypothesized that one, there was a relationship between hope and employability and two, of the predictor variables,…

  3. Analisis Hope pada Atlet Bulu Tangkis Indonesia Juara Dunia Era ’70 dan ’90

    Directory of Open Access Journals (Sweden)

    Esther Widhi Andangsari

    2013-04-01

    Full Text Available The present study analyzed a profiling of hope of Indonesian badminton athletes with international achievements. Previous studies have shown that hope was positively related to various outcomes such as sports, academics, physical health, psychological adjustment, and psychotherapy. The participants were consisted of athletes used to play between 70’s and 90’s. This study utilized a qualitative approach with interpretative phenomenological analysis. Nine mental skills of athletes were used as a guideline of semi-structured interview. The verbatim of interview then was analyzed with hope components. Hope was constructed by three components: goals, pathways, and agency thinking. The analysis of participants’ experience showed nine major themes that are: attitude, motivation, goals and commitment, people skills, self-talk, mental imagery, managing anxiety, managing emotion, and concentration, with twelve subordinates themes. These themes are similar with high-hope people’s characteristics. 

  4. Nanotechnology-based Cryopreservation of Cell-Scaffold Constructs: A New Breakthrough to Clinical Application.

    Science.gov (United States)

    Chen, G; Lv, Y

    The developments of "off-the-shelf" cell-scaffold constructs received an increasing interest in tissue engineering and regenerative medicine. Although the direct cryopreservation of a single-cell suspension in the tube is a relative mature technology, the cryopreservation of cell-scaffold constructs remains a challenge. Nanotechnology shows tremendous potential for cryopreservation in regulating of freezing and thawing processes. For example, nanoparticles have been reported to modify the cryoprotective agent (CPA), adjust the process of cooling and warming cycles. In this review, we provide an overview of cryopreservation of cell-scaffold constructs firstly. The review further focuses on the effects of nanotechnology on cryopreservation of cell-scaffold constructs, including the nanostructure of scaffold, nanoparticles in cooling and warming process in cryopreservation. The perspectives on future challenges in this filed are also pointed out.

  5. Parents of children with cystic fibrosis: how they hope, cope and despair.

    Science.gov (United States)

    Wong, M G; Heriot, S A

    2008-05-01

    Cystic fibrosis is a chronic, life-threatening illness. Coping, vicarious hope and vicarious despair are constructs that may explain why some children and parents adjust well to cystic fibrosis, while others adjust poorly. Vicarious hope refers to parent expectations that desirable things will occur in their child's future, whereas vicarious despair refers to parent expectations that undesirable things will occur in their child's future. The aims of this study were: (1) to examine parent coping strategies and associations with child and parent adjustment to cystic fibrosis; (2) to investigate the effects of vicarious hope and vicarious despair on coping, parent adjustment and child adjustment; and (3) to examine distinctions between coping, vicarious hope and vicarious despair. Participants were 35 parents of children with cystic fibrosis. Self-blame and behavioural disengagement were coping strategies associated with child and parent maladjustment. Social support predicted less parental emotional impact. Vicarious hope and vicarious despair predicted child mental health, parent anxiety and parent emotional impact. Results indicate that vicarious hope and vicarious despair are distinct constructs from coping. Interventions directed at parent coping, vicarious hope and vicarious despair are implicated.

  6. Hope and persuasion by physicians during informed consent.

    Science.gov (United States)

    Miller, Victoria A; Cousino, Melissa; Leek, Angela C; Kodish, Eric D

    2014-10-10

    To describe hopeful and persuasive messages communicated by physicians during informed consent for phase I trials and examine whether such communication is associated with physician and parent ratings of the likelihood of benefit, physician and parent ratings of the strength of the physician's recommendation to enroll, parent ratings of control, and parent ratings of perceived pressure. Participants were children with cancer (n = 85) who were offered a phase I trial along with their parents and physicians. Informed consent conferences (ICCs) were audiotaped and coded for physician communication of hope and persuasion. Parents completed an interview (n = 60), and physicians completed a case-specific questionnaire. The most frequent hopeful statements related to expectations of positive outcomes and provision of options. Physicians failed to mention no treatment and/or palliative care as options in 68% of ICCs and that the disease was incurable in 85% of ICCs. When physicians mentioned no treatment and/or palliative care as options, both physicians and parents rated the physician's strength of recommendation to enroll in the trial lower. Hopes and goals other than cure or longer life were infrequently mentioned, and a minority of physicians communicated that the disease was incurable and that no treatment and/or palliative care were options. These findings are of concern, given the low likelihood of medical benefit from phase I trials. Physicians have an important role to play in helping families develop alternative goals when no curative options remain. © 2014 by American Society of Clinical Oncology.

  7. [Brain tumor immunotherapy: Illusion or hope?

    Science.gov (United States)

    Migliorini, Denis; Dutoit, Valérie; Walker, Paul R; Dietrich, Pierre-Yves

    2017-05-01

    Immunotherapy has proven efficient for many tumors and is now part of standard of care in many indications. What is the picture for brain tumors? The recent development of anti-CTLA-4 and PD1 immune checkpoint inhibitors, which have the ability to restore T lymphocytes activity, has gathered enthusiasm and is now paving the way towards more complex models of immune system manipulation. These models include, among others, vaccination and adoptive T cell transfer technologies. Complementary to those strategies, molecules capable of reshaping the immune tumor microenvironment are currently being investigated in early phase trials. Indeed, the tumor bed is hostile to anti-tumor immune responses due to many escape mechanisms, and this is particularly true in the context of brain tumors, a master in eliciting immunosuppressive cells and molecules. The goal of this review is to describe the hopes and challenges of brain tumors immunotherapy and to propose an inventory of the current clinical research with specific focus on the therapies targeting the tumor microenvironment. Copyright © 2017 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

  8. Validation of a Portuguese Version of the Snyder Hope Scale in a Sample of High School Students

    Science.gov (United States)

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

    2014-01-01

    C. R. Snyder conceptualized hope as a cognitive construct that reflects people's motivation and capacity to strive toward personally relevant goals. Using this definition, Snyder and colleagues developed and validated the Hope Scale (HS). This study is the first study to examine the psychometric properties of the HS in a sample of high school…

  9. Towards anchoring hope | van Louw | South African Journal of ...

    African Journals Online (AJOL)

    ... hope for Stellenbosch University probably lies in acknowledging that Botman's 'Pedagogy of Hope' emanates from and is embedded in Freire's idea that hope alone is not sufficient. Hope only becomes meaningful when there is a commitment to move beyond rhetoric towards strategic action – to anchor hope in practice.

  10. [Construction of Research-Oriented State Key Clinical Department by Highlighting the Characteris- tics and Advantages of Chinese Medicine].

    Science.gov (United States)

    Ma, Shi-yu; Guo, Li-heng; Han, Yun; Li, Jian; Zhang, Min-zhou

    2016-04-01

    As the largest research-oriented specialty department in national traditional Chinese medicine hospitals, the Department of Critical Care Medicine in Guangdong Provincial Hospital of Chinese Medicine insists on the development mode combined with clinical medicine and scientific research. By taking clinical and basic researches for integrative medicine preventing and treating acute myocardial in-farction and sepsis as a breakthrough, authors explored key problems of Chinese medicine in improving the prognosis related diseases and patients' quality of life. In recent 3 years our department has successively become the principal unit of the national key specialties cooperative group of critical care medicine (awarded by State Administration of Traditional Chinese Medicine), the key clinical specialties (awarded by National Health and Family Planning Commission), and Guangzhou key laboratory construction unit, and achieved overall lap in clinical medical treatment, personnel training, scientific research, and social service.

  11. Concepts of flight experiments for HOPE development

    Science.gov (United States)

    Sasaki, Hiroshi; Ito, Tetsuichi; Akimoto, Toshio; Miyaba, Hiroshi; Inaba, Motoyuki

    In connection with NASDA's design studies for HOPE, the H-II launch vehicle-lofted manned orbiter whose first flight is projected for the late 1990s, efforts are being made toward proof-of-concept (1) orbital reentry, 'OREX', (2) hypersonic flight, 'HYFLEX', and (3) approach and landing, 'ALEX' experiments, using small, simplified scale models of HOPE. Structures and materials suited to the mission segment in question are used in each of the three test series.

  12. Factorial invariance of the Adult State Hope Scale

    Directory of Open Access Journals (Sweden)

    Petrus Nel

    2014-02-01

    Full Text Available Orientation: Given the interest in the impact of positive psychology on employees, it is imperative to use reliable and valid instruments to operationalise positive-psychology constructs. One such construct is hope.Research purpose: The purpose of the study was to assess the degree of factorial invariance across race and gender by using a sample of aspiring chartered accountants.Motivation for the study: Previous research on the hope construct and associated measuring instruments have been conducted, using homogenous samples from Westernised cultures. Researchers need to be careful to assume that hope looks and behaves in exactly the same manner across cultures and groups.Research approach, design and method: A cross-sectional quantitative research design was used. A sample of 295 aspiring chartered accountants participated in the study. Exploratory factor analysis was used to determine the degree of factor similarity across groups, utilising Tucker’s coefficient of congruence. To supplement the exploratory factor analysis, a series of increasingly restrictive multi-group analyses were conducted to test the invariance of model parameters across the groups.Main findings: No significant differences were found in the factor patterns for the agency and pathways factors for (1 the white and designated groups and (2 females and males.Practical/managerial implications: Evidence related to factorial invariance was found. This should inform researchers and practitioners that both pathways and agency look similar across racial and gender groups.Contribution/value-add: Researchers are urged to use various statistical techniques, in combination, to determine the degree of factorial invariance across groups.

  13. Association of Sociodemographic Factors with Spirituality and Hope in Patients with Diabetic Foot Ulcers.

    Science.gov (United States)

    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.

  14. Constructing core competency indicators for clinical teachers in Taiwan: a qualitative analysis and an analytic hierarchy process.

    Science.gov (United States)

    Li, Ai-Tzu; Lin, Jou-Wei

    2014-04-11

    The objective of this study was to construct a framework of core competency indicators of medical doctors who teach in the clinical setting in Taiwan and to evaluate the relative importance of the indicators among these clinical teachers. The preliminary framework of the indicators was developed from an in-depth interview conducted with 12 clinical teachers who had previously been recognized and awarded for their teaching excellence in university hospitals. The framework was categorized into 4 dimensions: 1) Expertise (i.e., professional knowledge and skill); 2) Teaching Ability; 3) Attitudes and Traits; and 4) Beliefs and Values. These areas were further divided into 11 sub-dimensions and 40 indicators. Subsequently, a questionnaire built upon this qualitative analysis was distributed to another group of 17 clinical teachers. Saaty's eigenvector approach, or the so-called analytic hierarchy process (AHP), was applied to perform the pairwise comparisons between indicators and to determine the ranking and relative importance of the indicators. Fourteen questionnaires were deemed valid for AHP assessment due to completeness of data input. The relative contribution of the four main dimensions was 31% for Attitudes and Traits, 30% for Beliefs and Values, 22% for Expertise, and 17% for Teaching Ability. Specifically, 9 out of the 10 top-ranked indicators belonged to the "Attitudes and Traits" or "Beliefs and Values" dimensions, indicating that inner characteristics (i.e., attitudes, traits, beliefs, and values) were perceived as more important than surface ones (i.e., professional knowledge, skills, and teaching competency). We performed a qualitative analysis and developed a questionnaire based upon an interview with experienced clinical teachers in Taiwan, and used this tool to construct the key features for the role model. The application has also demonstrated the relative importance in the dimensions of the core competencies for clinical teachers in Taiwan.

  15. Preemptive strikes: Fear, hope, and defensive aggression.

    Science.gov (United States)

    Halevy, Nir

    2017-02-01

    Preemptive strikes are costly and harmful. Existing models of defensive aggression focus narrowly on the role fear plays in motivating preemptive strikes. Theoretically integrating the literatures on conflict, decision making, and emotion, the current research investigated how specific emotions associated with certainty or uncertainty, including fear, anger, disgust, hope, and happiness, influence preemptive strikes. Study 1 demonstrated that hope negatively predicts defensive exits from relationships in choice dilemmas. Studies 2 and 3 experimentally manipulated risk of being attacked in an incentivized, interactive decision making task-the Preemptive Strike Game. Risk of being attacked fueled preemptive strikes; reduced feelings of hope partially mediated this effect in Study 3. Studies 4 and 5 investigated preemptive strikes under uncertainty (rather than risk). In Study 4, reasoning about the factors that make one trustful of others curbed preemptive strikes; cogitating about the factors that underlie discrete emotions, however, did not influence defensive aggression. Study 5 demonstrated that the valence and uncertainty appraisals of incidental emotions interact in shaping preemptive strikes. Specifically, recalling an autobiographical emotional experience that produced hope significantly decreased attack rates relative to fear, happiness, and a control condition. Fear, anger, disgust, and happiness were either unrelated to preemptive strikes or showed inconsistent relationships with preemptive strikes across the 5 studies. These findings shed light on how emotions shape defensive aggression, advance knowledge on strategic choice under risk and uncertainty, and demonstrate hope's positive effects on social interactions and relationships. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  16. Reliability, construct and discriminative validity of clinical testing in subjects with and without chronic neck pain

    DEFF Research Database (Denmark)

    Jørgensen, René; Ris Hansen, Inge; Falla, Deborah

    2014-01-01

    -retest reliability in people with and without chronic neck pain. Moreover, construct and between-group discriminative validity of the tests were examined. METHODS: Twenty-one participants with chronic neck pain and 21 asymptomatic participants were included. Intra- and inter-reliability were evaluated for the Cranio......-Cervical Flexion Test (CCFT), Range of Movement (ROM), Joint Position Error (JPE), Gaze Stability (GS), Smooth Pursuit Neck Torsion Test (SPNTT), and neuromuscular control of the Deep Cervical Extensors (DCE). Test-retest reliability was assessed for Postural Control (SWAY) and Pressure Pain Threshold (PPT) over...... neck pain....

  17. Automating Construction of Machine Learning Models With Clinical Big Data: Proposal Rationale and Methods

    Science.gov (United States)

    Stone, Bryan L; Johnson, Michael D; Tarczy-Hornoch, Peter; Wilcox, Adam B; Mooney, Sean D; Sheng, Xiaoming; Haug, Peter J; Nkoy, Flory L

    2017-01-01

    Background To improve health outcomes and cut health care costs, we often need to conduct prediction/classification using large clinical datasets (aka, clinical big data), for example, to identify high-risk patients for preventive interventions. Machine learning has been proposed as a key technology for doing this. Machine learning has won most data science competitions and could support many clinical activities, yet only 15% of hospitals use it for even limited purposes. Despite familiarity with data, health care researchers often lack machine learning expertise to directly use clinical big data, creating a hurdle in realizing value from their data. Health care researchers can work with data scientists with deep machine learning knowledge, but it takes time and effort for both parties to communicate effectively. Facing a shortage in the United States of data scientists and hiring competition from companies with deep pockets, health care systems have difficulty recruiting data scientists. Building and generalizing a machine learning model often requires hundreds to thousands of manual iterations by data scientists to select the following: (1) hyper-parameter values and complex algorithms that greatly affect model accuracy and (2) operators and periods for temporally aggregating clinical attributes (eg, whether a patient’s weight kept rising in the past year). This process becomes infeasible with limited budgets. Objective This study’s goal is to enable health care researchers to directly use clinical big data, make machine learning feasible with limited budgets and data scientist resources, and realize value from data. Methods This study will allow us to achieve the following: (1) finish developing the new software, Automated Machine Learning (Auto-ML), to automate model selection for machine learning with clinical big data and validate Auto-ML on seven benchmark modeling problems of clinical importance; (2) apply Auto-ML and novel methodology to two new

  18. Automating Construction of Machine Learning Models With Clinical Big Data: Proposal Rationale and Methods.

    Science.gov (United States)

    Luo, Gang; Stone, Bryan L; Johnson, Michael D; Tarczy-Hornoch, Peter; Wilcox, Adam B; Mooney, Sean D; Sheng, Xiaoming; Haug, Peter J; Nkoy, Flory L

    2017-08-29

    To improve health outcomes and cut health care costs, we often need to conduct prediction/classification using large clinical datasets (aka, clinical big data), for example, to identify high-risk patients for preventive interventions. Machine learning has been proposed as a key technology for doing this. Machine learning has won most data science competitions and could support many clinical activities, yet only 15% of hospitals use it for even limited purposes. Despite familiarity with data, health care researchers often lack machine learning expertise to directly use clinical big data, creating a hurdle in realizing value from their data. Health care researchers can work with data scientists with deep machine learning knowledge, but it takes time and effort for both parties to communicate effectively. Facing a shortage in the United States of data scientists and hiring competition from companies with deep pockets, health care systems have difficulty recruiting data scientists. Building and generalizing a machine learning model often requires hundreds to thousands of manual iterations by data scientists to select the following: (1) hyper-parameter values and complex algorithms that greatly affect model accuracy and (2) operators and periods for temporally aggregating clinical attributes (eg, whether a patient's weight kept rising in the past year). This process becomes infeasible with limited budgets. This study's goal is to enable health care researchers to directly use clinical big data, make machine learning feasible with limited budgets and data scientist resources, and realize value from data. This study will allow us to achieve the following: (1) finish developing the new software, Automated Machine Learning (Auto-ML), to automate model selection for machine learning with clinical big data and validate Auto-ML on seven benchmark modeling problems of clinical importance; (2) apply Auto-ML and novel methodology to two new modeling problems crucial for care

  19. Dehydroepiandrosterone (DHEA): hypes and hopes.

    Science.gov (United States)

    Rutkowski, Krzysztof; Sowa, Paweł; Rutkowska-Talipska, Joanna; Kuryliszyn-Moskal, Anna; Rutkowski, Ryszard

    2014-07-01

    /negative results of some studies. Overreliance on animal models (DHEA is essentially a human molecule), different dosing protocols with non-pharmacological doses often unachievable in humans, rapid metabolism of DHEA, co-morbidities and organ-specific differences render data interpretation difficult. Nevertheless, a growing body of evidence supports the notion that DHEA is not just an overrated dietary supplement but a useful drug for some, but not all, human diseases. Large-scale randomised controlled trials are needed to fine-tune the indications and optimal dosing protocols before DHEA enters routine clinical practice.

  20. Exploring the construct validity of the social cognition and object relations scale in a clinical sample.

    Science.gov (United States)

    Stein, Michelle B; Slavin-Mulford, Jenelle; Sinclair, S Justin; Siefert, Caleb J; Blais, Mark A

    2012-01-01

    The Social Cognition and Object Relations Scale-Global rating method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011; Westen, 1995) measures the quality of object relations in narrative material. This study employed a multimethod approach to explore the structure and construct validity of the SCORS-G. The Thematic Apperception Test (TAT; Murray, 1943) was administered to 59 patients referred for psychological assessment at a large Northeastern U.S. hospital. The resulting 301 TAT narratives were rated using the SCORS-G method. The 8 SCORS variables were found to have high interrater reliability and good internal consistency. Principal components analysis revealed a 3-component solution with components tapping emotions/affect regulation in relationships, self-image, and aspects of cognition. Next, the construct validity of the SCORS-G components was explored using measures of intellectual and executive functioning, psychopathology, and normal personality. The 3 SCORS-G components showed unique and theoretically meaningful relationships across these broad and diverse psychological measures. This study demonstrates the value of using a standardized scoring method, like the SCORS-G, to reveal the rich and complex nature of narrative material.

  1. The Youth and Europe: Fears and Hopes

    Directory of Open Access Journals (Sweden)

    Nebojša Blanuša

    2007-01-01

    Full Text Available Based on a content analysis of directed associations on fears and hopes about Europe among the youth in Croatia, this paper analyses their attitude towards Croatia’s admission to the European Union. It also analyses the evaluative complexity and inner structure of this attitude. Research findings show that more than 20% of young people have no explicit attitude towards Croatia’s admission to the European Union. The explored attitude, among those who have it, is predominantly based on three hopes, i.e. expectations: economic progress, achievement of accountable governance and implementation of European values and standards in Croatia, but also on two fears: of economic colonisation and of political changes. Substantially, these hopes and fears comprise the utilitarian, value-related and political dimensions of transformation which are expected from the admission of a country to the European Union.

  2. Hope, Life, and Death: A Qualitative Analysis of Dying Cancer Patients' Talk about Hope

    Science.gov (United States)

    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…

  3. A syntactic analysis of Olu Obafemi's song of hope and only hope ...

    African Journals Online (AJOL)

    This article interprets the meanings embedded in two selected poems from Olu Obafemi's anthology. The purpose is to use syntactic knowledge to appreciate how structural arrangements of lexical items in poems obviate the obscurities in figurations. The two poems 'Song of Hope' and 'Only Hope Persists' capture the state ...

  4. Developing a clinical model to predict the need for relaparotomy in ...

    African Journals Online (AJOL)

    This model had a predictive value of >90%. Conclusions. We have constructed a model that uses clinical data available at initial laparotomy to predict the need for subsequent relaparotomy in patients with complicated acute appendicitis. It is hoped that this model can be integrated into routine clinical practice, but further ...

  5. HOPE Desarrollo de una metodología piloto para vinculación a Clinical Trials como herramienta de medicina basada en evidencias, para proporcionar medicina centrada en el paciente

    OpenAIRE

    Chacón Vargas, Karla Azucena

    2017-01-01

    Desarrollo de una metodología piloto con vinculación a Clinical Trials como una herramienta de medicina basada en la evidencia con medicina centrada en el paciente. Se desarrolló una metodología de búsqueda automatizada de información en la url de clinical trials. Con la colaboración de médicos especialistas de Chihuahua, México se obtuvo información clínica de pacientes reales en tratamiento paliativo. Desenvolupament d'una metodologia pilot amb vinculació a Clinical Trials com una ein...

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

    Science.gov (United States)

    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/.

  7. Constructing Baccalaureate Nursing Students' Ethical Experiences of Classroom Lessons and Clinical Practice

    Science.gov (United States)

    Knowles, Amy J. B.

    2014-01-01

    Ethics is an integral component of the nursing profession. This phenomenological study aimed to describe how baccalaureate nursing students experience learning ethics both in the classroom and clinical setting. The interviews in this study were conducted with eight second semester senior nursing students. Four themes emerged from analyses of the…

  8. The Construction of Self-Injury in the Clinical Literature: A Sociological Exploration

    Science.gov (United States)

    Chandler, Amy; Myers, Fiona; Platt, Stephen

    2011-01-01

    This article presents a sociologically informed critique of a range of academic literatures relating to self-injury. It is noted how a lack of consensus on definitional issues, together with the inaccurate portrayal of the "typical self-injurer" in the clinical literature, has impeded the development of a sound understanding of self-injury. Some…

  9. A simple set for ıntrauterine fetal blood transfusion constructed by readily available materials in every clinic.

    Science.gov (United States)

    Keskin, Uğur; Karasahin, Kazim Emre; Ulubay, Mustafa; Fidan, Ulaş; Gungor, Sadettin; Ergun, Ali

    2015-11-01

    Intrauterine fetal transfusion needs extensive experience and requires excellent eye-hand coordination, good equipment and experienced team workers to achieve success. While the needle is in the umbilical vein, an assistant withdraws and/or transfuses blood. The needle point should be kept still to prevent lacerations and dislodging. We propose a simple set for Intrauterine Fetal blood transfusion is constructed by readily available materials in every clinic to minimize needle tip movement and movements during syringe attachments and withdrawals during the intrauterine fetal transfusion. This makes possible to withdraw fetal blood sample, and to transfuse blood with minimal intervention.

  10. Faith, hope and love in sport

    Directory of Open Access Journals (Sweden)

    Jernej Pisk

    2017-11-01

    Full Text Available In the Christian religious tradition, theological virtues of faith, hope and love have a central role. Along with the cardinal virtues of prudence, justice, fortitude and temperance they present the whole of the good human life. While cardinal virtues can be cultivated by human will, faith, hope and love are given by God and therefore open ‘natural’ human life on Earth toward transcendent spiritual realities. Human beings as bio-psycho-social and spiritual beings incorporate theological virtues in all the activities of their life. In sport, faith, hope and love have an important, though often neglected, role. On a practical level faith can be recognized in any relation between athlete and coach. To trust one’s coach, without any guarantee that the outcome of prescribed workouts will lead to the desired results, needs strong faith, trust and confidence. Moreover, faith is the virtue that makes sport so attractive also for spectators even to the point of being a ‘secular’ religion for the masses. Hope is the virtue of ‘not yet’ or of something ‘being on its way’. For most athletes, daily workouts are not a goal, but just the means to that end. Any reason for doing sports needs a hope behind it in order to move or will oneself to action. Along with hope, understood as a golden mean, we find despair on the one hand and ‘false hope’ on the other. Both are corruptions of hope seen daily in the world of sport. To manage hope in sport practices correctly offers a path to success in sport at all levels. Love is at the apex of the theological virtues. There are many formulations of love both in ancient Greek and Roman times: eros, agape, caritas, amor. Each has its special characteristic meaning also in sport. In sport we can see laughter and tears because any love is connected with highest human joy and deepest depression. Yet, in summation, it is argued that love in sport must be understood as the binding force and source of

  11. Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK

    National Research Council Canada - National Science Library

    Simpson, Alan; Flood, Chris; Rowe, Julie; Quigley, Jody; Henry, Susan; Hall, Cerdic; Evans, Richard; Sherman, Paul; Bowers, Len

    2014-01-01

    ..., and sometimes attempt suicide. The benefits of peer support in mental health services have been identified in a number of studies with some suggesting clinical and economic gains in patients being discharged...

  12. Registered nurses' constructed meaning of concepts of solution and their use in clinical practice

    Science.gov (United States)

    Wilkes, Lesley M.; Batts, Judith E.

    1991-12-01

    Since the introduction of nursing into tertiary institutions in Australia in 1975, there has been increasing interest in the teaching of physical science to nurses. Various courses in physical science for nurse students have been developed. They vary in length and content but there is agreement that concepts taught should be closely related to nursing applications. The choice of relevant concepts tends to be made by individual curriculum developers. This paper reports an examination of the use of physical science concepts and their relevance from the perspective of registered nurses practising in general ward areas. Inherent in this study is the premise that for registered nurses to have ideas of the physical science underlying their practice they must have constructed meaning first for these concepts. Specific chemical concepts related to solutions are discussed in these terms.

  13. The construction of the therapeutic alliance in clinical work with adolescents

    Directory of Open Access Journals (Sweden)

    David Meghnagi

    2012-12-01

    Full Text Available The author analyzes the development of different theoretical and clinical models in the context of psychoanalytical and psychodynamic thought and their relation to the development of a new awareness of patient dignity and therapeutic alliance building in the case of adolescents. The various theories and different approaches to psychic problems are considered here as road maps to facilitate understanding of patients problems and activation of inner transformative processes to give meaning and significance to patients individual psychic histories.

  14. Relationship between the standards of removable partial denture construction, clinical acceptability, and patient satisfaction.

    Science.gov (United States)

    Frank, R P; Brudvik, J S; Leroux, B; Milgrom, P; Hawkins, N

    2000-05-01

    Little is known about the importance of published fabrication standards in determining the outcome of treatment with mandibular distal extension removable partial dentures in patients of community practices. This study describes mandibular partial dentures worn by patients from King County, Wash., and examines the validity of standards of design and fabrication by relating the standards to measures of clinical acceptability and patient satisfaction. Eighty-two people treated in private dental practices who responded to a mail survey about satisfaction with a partial denture were examined. Eight standards of fabrication, overall clinical acceptability of the prosthesis, and tissue health were evaluated clinically. Patient satisfaction was assessed by questionnaire. Associations between variables were assessed by contingency tables and odds ratios. Half the prostheses met 4 or fewer of the 8 standards, and these were responsible for nearly all the displacement of tissue by the framework. Forty-three percent of the dentures (35/82) were rated clinically acceptable. Of the remaining dentures, 38 could be made acceptable by modifications. The remaining 9 dentures needed replacement. Sixty-three percent of the patients examined were satisfied with the dentures. There was a relationship between tissue health and the fabrication standards related to rest form, base extension, stress distribution, and framework fit. This study found no relation between tissue health and other design or fabrication features. None of the standards were found to be related to patient satisfaction. This study found partial support for the validity of design/fabrication standards for removable partial dentures. The most important standards are rest form, base extension, and stress distribution. The standards appear to be unrelated to patient satisfaction.

  15. Clinical Functional Capacity Testing in Patients With Facioscapulohumeral Muscular Dystrophy: Construct Validity and Interrater Reliability of Antigravity Tests.

    Science.gov (United States)

    Rijken, Noortje H; van Engelen, Baziel G; Weerdesteyn, Vivian; Geurts, Alexander C

    2015-12-01

    To evaluate the construct validity and interrater reliability of 4 simple antigravity tests in a small group of patients with facioscapulohumeral muscular dystrophy (FSHD). Case-control study. University medical center. Patients with various severity levels of FSHD (n=9) and healthy control subjects (n=10) were included (N=19). Not applicable. A 4-point ordinal scale was designed to grade performance on the following 4 antigravity tests: sit to stance, stance to sit, step up, and step down. In addition, the 6-minute walk test, 10-m walking test, Berg Balance Scale, and timed Up and Go test were administered as conventional tests. Construct validity was determined by linear regression analysis using the Clinical Severity Score (CSS) as the dependent variable. Interrater agreement was tested using a κ analysis. Patients with FSHD performed worse on all 4 antigravity tests compared with the controls. Stronger correlations were found within than between test categories (antigravity vs conventional). The antigravity tests revealed the highest explained variance with regard to the CSS (R(2)=.86, P=.014). Interrater agreement was generally good. The results of this exploratory study support the construct validity and interrater reliability of the proposed antigravity tests for the assessment of functional capacity in patients with FSHD taking into account the use of compensatory strategies. Future research should further validate these results in a larger sample of patients with FSHD. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  16. Cura animarum as hope care: Towards a theology of the ...

    African Journals Online (AJOL)

    Cura animarum as hope care: Towards a theology of the resurrection within the human quest for meaning and hope. ... If pastoral caregiving is indeed about change and hope, the resurrection describes an ontology of hope by which human beings are transformed into a total new being. Beyond the discriminating and ...

  17. Cura animarum as hope care: Towards a theology of the ...

    African Journals Online (AJOL)

    2014-04-14

    Apr 14, 2014 ... The following critical questions are posed: is hope the antidote of dread and despair or a kind of escapism from the harsh realities of anguish and suffering? What is meant by hope in Christian spirituality and how is hope connected to a theology of the resurrection? Is resurrection hope merely a kind of ...

  18. Concept and technology development for HOPE spaceplane

    Science.gov (United States)

    Ito, Testsuichi; Akimoto, Toshio; Miyaba, Hiroshi; Kano, Yasuomi; Suzuki, Norio

    1990-10-01

    HOPE spaceplane has been studied for several years in NASDA. The purpose of the current study is to establish the feasible concept of HOPE and to prepare the technical bases. The primary mission of HOPE is the Space Station Freedom/JEM logistics transportation complementing with U.S. Space Shuttle fleet. Besides previous concept of ten ton class orbiter launched by H-II rocket, extended size orbiter concept has been studied along with enhancement of H-II rocket, which is called H-IID (derivative) rocket. An orbiter derived from this study weighs 20t at lift off and has three to five tons of payload capability, based on the H-IID configuration of H-II first stage with six solid boosters strapped on. Subsystems design and technology development in such field as aerodynamics, structure and materials, guidance-navigation and control, and Space Station interface are in progress. In order to acquire the reentry flight data, orbital reentry experiment is planned and under development utilizing orbital flight opportunity of H-II test flight in 1993. These concepts are under review and trade off in NASDA for establishing HOPE development scenario.

  19. Towards a Kantian Phenomenology of Hope

    NARCIS (Netherlands)

    Beyleveld, D.; Ziche, Paul

    2015-01-01

    The aim of this paper is to examine the extent to which Kant’s Critique of the Power of Judgment (CPoJ) can be, or otherwise ought to be, regarded as a transcendental phenomenology of hope. Kant states repeatedly that CPoJ mediates between the first two Critiques, or between the theoretical

  20. HOPE Scholarships Transform the University of Georgia.

    Science.gov (United States)

    Healy, Patrick

    1997-01-01

    Georgia's merit-based HOPE scholarships, which cover tuition and fees for over half the undergraduates at the University of Georgia, are credited for bringing better students to the university but also for bringing pressure for grade inflation to the institution. Recipients must maintain a B grade average. The university has become competitive…

  1. Sisters Hope - Protected by the Fiction

    DEFF Research Database (Denmark)

    Lawaetz, Anna; Hallberg, Gry Worre

    2011-01-01

    In this article we will introduce the fictional and art-pedagogical universe of Sisters Hope and describe how it in different ways transcends into contexts beyond the art world and thus functions as a tool to democratize the aesthetic dimension and mode of being within high schools, academia and ...... and the virtual world of social media....

  2. Physicist pins hopes on particle collider

    CERN Multimedia

    2007-01-01

    Physicist pins hopes on particle collider By Deseret Morning News Published: Monday, Dec. 31, 27 12:4 a.m. MST FONT Scott Thomas, a 187 State University graduate, is working at the frontiers of science. The theoretical physicist is crafting ways to extract fundamental secrets that seem certain to be uncovered by the Large Hadron Collider.

  3. Dancing Hope into Change for Dance Education

    Science.gov (United States)

    Bradley, Karen Kohn

    2009-01-01

    At Arts Advocacy Day 2009 in Washington, over 500 citizens educated, advocated, and lobbied for federal support for the arts and its positive impact on the U.S. economy. This year the Nancy Hanks Lecture was given by Wynton Marsalis, whose extraordinary address voiced the potential of the arts in this new era of hope. For dance educators, Marsalis…

  4. Role of hope in academic and sport achievement.

    Science.gov (United States)

    Curry, L A; Snyder, C R; Cook, D L; Ruby, B C; Rehm, M

    1997-12-01

    Hope is the sum of goal thoughts as tapped by pathways and agency. Pathways reflect the perceived capability to produce goal routes; agency reflects the perception that one can initiate action along these pathways. Using trait and state hope scales, studies explored hope in college student athletes. In Study 1, male and female athletes were higher in trait hope than nonathletes; moreover, hope significantly predicted semester grade averages beyond cumulative grade point average and overall self-worth. In Study 2, with female cross-country athletes, trait hope predicted athletic outcomes; further, weekly state hope tended to predict athletic outcomes beyond dispositional hope, training, and self-esteem, confidence, and mood. In Study 3, with female track athletes, dispositional hope significantly predicted athletic outcomes beyond variance related to athletic abilities and affectivity; moreover, athletes had higher hope than nonathletes.

  5. Constructing a clinical decision-making framework for image-guided radiotherapy using a Bayesian Network

    Science.gov (United States)

    Hargrave, C.; Moores, M.; Deegan, T.; Gibbs, A.; Poulsen, M.; Harden, F.; Mengersen, K.

    2014-03-01

    A decision-making framework for image-guided radiotherapy (IGRT) is being developed using a Bayesian Network (BN) to graphically describe, and probabilistically quantify, the many interacting factors that are involved in this complex clinical process. Outputs of the BN will provide decision-support for radiation therapists to assist them to make correct inferences relating to the likelihood of treatment delivery accuracy for a given image-guided set-up correction. The framework is being developed as a dynamic object-oriented BN, allowing for complex modelling with specific subregions, as well as representation of the sequential decision-making and belief updating associated with IGRT. A prototype graphic structure for the BN was developed by analysing IGRT practices at a local radiotherapy department and incorporating results obtained from a literature review. Clinical stakeholders reviewed the BN to validate its structure. The BN consists of a sub-network for evaluating the accuracy of IGRT practices and technology. The directed acyclic graph (DAG) contains nodes and directional arcs representing the causal relationship between the many interacting factors such as tumour site and its associated critical organs, technology and technique, and inter-user variability. The BN was extended to support on-line and off-line decision-making with respect to treatment plan compliance. Following conceptualisation of the framework, the BN will be quantified. It is anticipated that the finalised decision-making framework will provide a foundation to develop better decision-support strategies and automated correction algorithms for IGRT.

  6. Clinical applications of custom-made vaginal cylinders constructed using three-dimensional printing technology.

    Science.gov (United States)

    Sethi, Rajni; Cunha, Adam; Mellis, Katherine; Siauw, Timmy; Diederich, Chris; Pouliot, Jean; Hsu, I-Chow

    2016-06-01

    Three-dimensional (3D) printing technology allows physicians to rapidly create customized devices for patients. We report our initial clinical experience using this technology to create custom applicators for vaginal brachytherapy. Three brachytherapy patients with unique clinical needs were identified as likely to benefit from a customized vaginal applicator. Patient 1 underwent intracavitary vaginal cuff brachytherapy after hysterectomy and chemotherapy for stage IA papillary serous endometrial cancer using a custom printed 2.75 cm diameter segmented vaginal cylinder with a central channel. Patient 2 underwent interstitial brachytherapy for a vaginal cuff recurrence of endometrial cancer after prior hysterectomy, whole pelvis radiotherapy, and brachytherapy boost. We printed a 2 cm diameter vaginal cylinder with one central and six peripheral catheter channels to fit a narrow vaginal canal. Patient 3 underwent interstitial brachytherapy boost for stage IIIA vulvar cancer with vaginal extension. For more secure applicator fit within a wide vaginal canal, we printed a 3.5 cm diameter solid cylinder with one central tandem channel and ten peripheral catheter channels. The applicators were printed in a biocompatible, sterilizable thermoplastic. Patient 1 received 31.5 Gy to the surface in three fractions over two weeks. Patient 2 received 36 Gy to the CTV in six fractions over two implants one week apart, with interstitial hyperthermia once per implant. Patient 3 received 18 Gy in three fractions over one implant after 45 Gy external beam radiotherapy. Brachytherapy was tolerated well with no grade 3 or higher toxicity and no local recurrences. We established a workflow to rapidly manufacture and implement customized vaginal applicators that can be sterilized and are made of biocompatible material, resulting in high-quality brachytherapy for patients whose anatomy is not ideally suited for standard, commercially available applicators.

  7. Modeling the Construct of an Expert Evidence-Adaptive Knowledge Base for a Pressure Injury Clinical Decision Support System

    Directory of Open Access Journals (Sweden)

    Peck Chui Betty Khong

    2017-07-01

    Full Text Available The selection of appropriate wound products for the treatment of pressure injuries is paramount in promoting wound healing. However, nurses find it difficult to decide on the most optimal wound product(s due to limited live experiences in managing pressure injuries resulting from successfully implemented pressure injury prevention programs. The challenges of effective decision-making in wound treatments by nurses at the point of care are compounded by the yearly release of wide arrays of newly researched wound products into the consumer market. A clinical decision support system for pressure injury (PI-CDSS was built to facilitate effective decision-making and selection of optimal wound treatments. This paper describes the development of PI-CDSS with an expert knowledge base using an interactive development environment, Blaze Advisor. A conceptual framework using decision-making and decision theory, knowledge representation, and process modelling guided the construct of the PI-CDSS. This expert system has incorporated the practical and relevant decision knowledge of wound experts in assessment and wound treatments in its algorithm. The construct of the PI-CDSS is adaptive, with scalable capabilities for expansion to include other CDSSs and interoperability to interface with other existing clinical and administrative systems. The algorithm was formatively evaluated and tested for usability. The treatment modalities generated after using patient-specific assessment data were found to be consistent with the treatment plan(s proposed by the wound experts. The overall agreement exceeded 90% between the wound experts and the generated treatment modalities for the choice of wound products, instructions, and alerts. The PI-CDSS serves as a just-in-time wound treatment protocol with suggested clinical actions for nurses, based on the best evidence available.

  8. HOPE, SELF-ESTEEM, AND SELF-REGULATION: POSITIVE CHARACTERISTICS AMONG MEN AND WOMEN IN RECOVERY.

    Science.gov (United States)

    Ferrari, Joseph R; Stevens, Edward B; Legler, Raymond; Jason, Leonard A

    2012-04-01

    Hopefulness remains unclear in relation to aspects of self-control and self-esteem among adults in substance abuse recovery. The present study explored the relationship between dispositional hope (agency and pathway) with self-esteem (self-liking, self-competency, and self-confidence) and self-regulation (impulse control and self-discipline), using a latent variable measurement model and structural equation modeling among adults (n = 601) residing in a communal living setting for persons in substance abuse recovery. Results showed that multiple dimensions of these constructs were significant as individual predictors. With persons in recovery, self-regulation included impulsivity control and self-discipline, while self-esteem reflected self-liking, competence, and a sense of self-confidence. Furthermore, both hope-pathways and hope-agency significantly related to self-control/impulse control but not self-control/discipline, and self-esteem/competency was associated with hope-pathways but not hope-agency.

  9. Accountability: a missing construct in models of adherence behavior and in clinical practice

    Directory of Open Access Journals (Sweden)

    Oussedik E

    2017-07-01

    Full Text Available Elias Oussedik,1 Capri G Foy,2 E J Masicampo,3 Lara K Kammrath,3 Robert E Anderson,1 Steven R Feldman1,4,5 1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA; 2Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA; 3Department of Psychology, Wake Forest University, Winston-Salem, NC, USA; 4Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA; 5Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Abstract: Piano lessons, weekly laboratory meetings, and visits to health care providers have in common an accountability that encourages people to follow a specified course of action. The accountability inherent in the social interaction between a patient and a health care provider affects patients’ motivation to adhere to treatment. Nevertheless, accountability is a concept not found in adherence models, and is rarely employed in typical medical practice, where patients may be prescribed a treatment and not seen again until a return appointment 8–12 weeks later. The purpose of this paper is to describe the concept of accountability and to incorporate accountability into an existing adherence model framework. Based on the Self-Determination Theory, accountability can be considered in a spectrum from a paternalistic use of duress to comply with instructions (controlled accountability to patients’ autonomous internal desire to please a respected health care provider (autonomous accountability, the latter expected to best enhance long-term adherence behavior. Existing adherence models were reviewed with a panel of experts, and an accountability construct was incorporated into a modified version of Bandura’s Social Cognitive Theory. Defining accountability and incorporating it into an adherence model will facilitate the development of measures of accountability as well

  10. Data in support of proteomic analysis of pneumococcal pediatric clinical isolates to construct a protein array

    Directory of Open Access Journals (Sweden)

    Alfonso Olaya-Abril

    2016-03-01

    Full Text Available Surface proteins play key roles in the interaction between cells and their environment, and in pathogenic microorganisms they are the best targets for drug or vaccine discovery and/or development. In addition, surface proteins can be the basis for serodiagnostic tools aiming at developing more affordable techniques for early diagnosis of infection in patients. We carried out a proteomic analysis of a collection of pediatric clinical isolates of Streptococcus pneumoniae, an important human pathogen responsible for more than 1.5 million child deaths worldwide. For that, cultured live bacterial cells were “shaved” with trypsin, and the recovered peptides were analyzed by LC/MS/MS. We selected 95 proteins to be produced as recombinant polypeptides, and printed them on an array. We probed the protein array with a collection of patient sera to define serodiagnostic antigens. The mass spectrometry proteomics data correspond to those published in [1] and have been deposited to the ProteomeXchange Consortium [2] via the PRIDE partner repository [3] with the dataset identifier PXD001740. The protein array raw data are provided as supplemental material in this article.

  11. Construction of the Chinese Veteran Clinical Research (CVCR) platform for the assessment of non-communicable diseases.

    Science.gov (United States)

    Tan, Jiping; Li, Nan; Gao, Jing; Guo, Yuhe; Hu, Wei; Yang, Jinsheng; Yu, Baocheng; Yu, Jianmin; Du, Wei; Zhang, Wenjun; Cui, Lianqi; Wang, Qingsong; Xia, Xiangnan; Li, Jianjun; Zhou, Peiyi; Zhang, Baohe; Liu, Zhiying; Zhang, Shaogang; Sun, Lanying; Liu, Nan; Deng, Ruixiang; Dai, Wenguang; Yi, Fang; Chen, Wenjun; Zhang, Yongqing; Xue, Shenwu; Cui, Bo; Zhao, Yiming; Wang, Luning

    2014-01-01

    Based on the excellent medical care and management system for Chinese veterans, as well as the detailed medical documentation available, we aim to construct a Chinese Veteran Clinical Research (CVCR) platform on non-communicable diseases (NCDs) and carry out studies of the primary disabling NCDs. The Geriatric Neurology Department of Chinese People's Liberation Army General Hospital and veterans' hospitals serve as the leading and participating units in the platform construction. The fundamental constituents of the platform are veteran communities. Stratified typical cluster sampling is adopted to recruit veteran communities. A cross-sectional study of mental, neurological, and substance use (MNS) disorders are performed in two stages using screening scale such as the Mini-Mental State Examination and Montreal cognitive assessment, followed by systematic neuropsychological assessments to make clinical diagnoses, evaluated disease awareness and care situation. A total of 9 676 among 277 veteran communities from 18 cities are recruited into this platform, yielding a response rate of 83.86%. 8 812 subjects complete the MNS subproject screening and total response rate is 91.70%. The average participant age is (82.01±4.61) years, 69.47% of veterans are 80 years or older. Most participants are male (94.01%), 83.36% of subjects have at least a junior high school degree. The overall health status of veterans is good and stable. The most common NCD are cardiovascular disorders (86.44%), urinary and genital diseases (73.14%), eye and ear problems (66.25%), endocrine (56.56%) and neuro-psychiatric disturbances (50.78%). We first construct a veterans' comprehensive clinical research platform for the study of NCDs that is primarily composed of highly educated Chinese males of advanced age and utilize this platform to complete a cross-sectional national investigation of MNS disorders among veterans. The good and stable health condition of the veterans could facilitate the long

  12. Hope pictured in drawings by women newly diagnosed with gynecological cancer

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Hall, Elisabeth; Mogensen, Ole

    2013-01-01

    BACKGROUND:: In mysterious ways, hope makes life meaningful even in chaotic and uncontrolled situations. When a woman is newly diagnosed with gynecologic cancer, hope is ineffable and needs exploring. Drawings help express ineffable phenomena. OBJECTIVE:: The aim of the study was to explore how...... women newly diagnosed with gynecologic cancer express the meaning of hope in drawings. METHOD:: Participants were 15 women who on the same day had received the diagnosis of gynecologic cancer. They were between 24 and 87 years (median, 52 years) with a variety of gynecologic cancer diagnoses. Data from...... through metaphors and incorporates internal, external, and relational aspects. With other words, inner willpower, experiences in open nature, and closeness to loved ones contribute to hope when newly diagnosed with gynecologic cancer. IMPLICATION FOR PRACTICE:: The use of drawings in clinical situations...

  13. Effectiveness of Hope Therapy Protocol on Depression and Hope in Amphetamine Users

    Science.gov (United States)

    Sadeghi, Hasan; Ebrahimi, Leyla; Vatandoust, Leyla

    2015-01-01

    Background: Addiction has surpassed the boundaries of health and treatment and turned into a social crisis and a debilitating and major concern in today’s world. Amphetamine, one of the addictive drugs, is classified as psycho-stimulants drugs, which increase arousal, alertness, and motor activity. Humans report that this drug produces a significant euphoria and is highly addictive. Objectives: The present study aimed to evaluate the effectiveness of hope therapy protocol (HTP) on depression reduction and hope increase in amphetamine users. Patients and Methods: This study has a quasi-experimental design with experimental and control groups. The sample included all amphetamine consumers referring to day drug addiction treatment center in Ray City, Iran, selected with convenience method. In order to analyze the data, multivariate analysis of covariance (MANCOVA) was applied using SPSS software. Results: The results showed that F value of mean scores in depression and hope post-tests of the experimental and control groups are 24.94 and 25.73, respectively, which are significant (P < 0.01). Therefore, hope therapy training could reduce depressive symptoms in amphetamine consumers and improve their hope. Conclusions: Performing HTP can improve hopefulness and symptoms of patients, specially addicted ones. In addition, it can prevent substance abusers from returning to drugs and leaving the treatment period unfinished. PMID:26870707

  14. Borders and Modal Articulations. Semiotic Constructs of Sensemaking Processes Enabling a Fecund Dialogue Between Cultural Psychology and Clinical Psychology.

    Science.gov (United States)

    De Luca Picione, Raffaele; Freda, Maria Francesca

    2016-03-01

    The notion of the border is an interesting advancement in research on the processes of meaning making within the cultural psychology. The development of this notion in semiotic key allows to handle with adequate complexity construction, transformation, stability and the breakup of the relationship between person/world/otherness. These semiotic implications have already been widely discussed and exposed by authors such Valsiner (2007, 2014), Neuman (2003, 2008), Simão (Culture & Psychology, 9, 449-459, 2003, Theory & Psychology, 15, 549-574, 2005, 2015), with respect to issues of identity/relatedness, inside/outside, stability/change in the irreversible flow of the time. In this work, after showing some of the basics of such semiotic notion of border, we discuss the processes of construction and transformation of borders through the modal articulation, defined as the contextual positioning that the person assumes with respect to the establishment of a boundary in terms of necessity, obligation, willingness, possibility, permission, ability. This modal subjective positioning acquires considerable interest from the clinical point of view since its degree of plasticity vs that of rigidity is the basis of processes of development or stiffening of relations between person/world/otherness.

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

    Science.gov (United States)

    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.

  16. Sleep quality, the neglected outcome variable in clinical studies focusing on locomotor system; a construct validation study

    Directory of Open Access Journals (Sweden)

    Röder Christoph

    2010-09-01

    Full Text Available Abstract Background In addition to general health and pain, sleep is highly relevant to judging the well-being of an individual. Of these three important outcome variables, however, sleep is neglected in most outcome studies. Sleep is a very important resource for recovery from daily stresses and strains, and any alteration of sleep will likely affect mental and physical health, especially during disease. Sleep assessment therefore should be standard in all population-based or clinical studies focusing on the locomotor system. Yet current sleep assessment tools are either too long or too specific for general use. Methods Based on a literature review and subsequent patient-based rating of items, an expert panel designed a four-item questionnaire about sleep. Construct validation of the questionnaire in a random sample of the German-speaking Swiss population was performed in 2003. Reliability, correlation, and tests for internal consistency and validity were analyzed. Results Overall, 16,634 (70% out of 23,763 eligible individuals participated in the study. Test-retest reliability coefficients ranged from 0.72 to 0.87, and a Cronbach's alpha of 0.83 indicates good internal consistency. Results show a moderate to good correlation between sleep disturbances and health perception, and between sleep disturbances and overall pain. Conclusions The Sleep Standard Evaluation Questionnaire (SEQ-Sleep is a reliable and short tool with confirmed construct validity for sleep assessment in population-based observational studies. It is easy to administer and therefore suitable for postal surveys of the general population. Criterion validity remains to be determined.

  17. Working with Unrealistic or Unshared Hope in the Counselling Session

    Science.gov (United States)

    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…

  18. Education for Peace and a Pedagogy of Hope

    Science.gov (United States)

    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…

  19. Mediators of disability and hope for people with spinal cord injury.

    Science.gov (United States)

    Phillips, Brian N; Smedema, Susan M; Fleming, Allison R; Sung, Connie; Allen, Michael G

    2016-08-01

    To test potential strength-based mediators of functional disability and hope in adults with spinal cord injury. Two hundred and forty-two participants with spinal cord injury were recruited for this study. The mean age of participants was 44.6 years (standard deviation = 13.2), and 66.1% were men. Participants completed a survey containing a demographic questionnaire, as well as measures of functional disability, hope, self-esteem, proactive coping, perceived social support and disability acceptance. Mediation analysis was conducted using a bootstrap test for multiple mediators. Proactive coping, self-esteem and perceived social support significantly mediated the relationship between functional disability and hope, while disability acceptance did not. The combination of mediators resulted in functional disability no longer being a significant predictor of hope. The strength-based constructs of proactive coping, self-esteem and social support appear effective in predicting hope regardless of severity of spinal cord injury. Functional disability was no longer predictive of hope after controlling for these strength-based constructs. Disability acceptance did not significantly add to the mediation model. These results provide further evidence for strength-based interventions in rehabilitation. Implications for Rehabilitation Strength-based constructs of proactive coping, self-esteem and social support are important factors for addressing hope following spinal cord injury, regardless of level of severity. Rehabilitation services providers should focus efforts on supporting clients in the accurate appraisal of predictable stressors and then generate means for addressing them as a form of proactive coping. Rehabilitation services providers must be cautious when addressing self-esteem to focus on perceived competence and learning processes rather than self-esteem directly or through the accomplishment of goals that may not be achieved. Knowing that social supports are

  20. The Creating Hope Act: what is old is new again

    Directory of Open Access Journals (Sweden)

    Tolbert JA

    2014-06-01

    Full Text Available Jaszianne A Tolbert,1,2 Jennifer L Goldman,2-4 Ralph E Kauffman,2,4 Susan M Abdel-Rahman2,41Division of Hematology/Oncology, 2Division of Clinical Pharmacology and Therapeutic Innovation, 3Division of Infectious Diseases, Children's Mercy Hospital, Kansas City, MO, USA; 4Department of Pediatrics, University of Missouri-Kansas City, School of Medicine, Kansas City, MO, USAAbstract: The Creating Hope Act, passed as part of the Food and Drug Administration Safety and Innovation Act of 2012, is among the newest laws intended to foster drug development for rare and neglected diseases in children. The act expands the priority review voucher incentive that first appeared in the Food and Drug Administration Amendments Act of 2007 and was intended to stimulate the development of products for the prevention and treatment of tropical diseases. Notably, legislative and regulatory initiatives aimed at enhancing drug development both for use in children and for rare diseases have intermittently emerged over the past 3 decades. This manuscript provides an overview of related legislation that has preceded the Creating Hope Act and examines the potential impact of the new act in the context of the outcomes that have been observed with the earlier initiatives.Keywords: orphan drug, rare disease, pediatric, drug development, priority review voucher

  1. Hope and spirituality among patients with chronic kidney disease undergoing hemodialysis: a correlational study

    Directory of Open Access Journals (Sweden)

    Ana Carolina Ottaviani

    2014-04-01

    Full Text Available OBJECTIVE: to analyze the relationship between the hope and spirituality of patients with chronic kidney disease undergoing hemodialysis.METHOD: this is a cross-sectional, correlational study. The sample was composed of 127 patients of a Renal Replacement Unit. Data were collected through individual interviews guided by the following instruments: participant characterization, Herth Hope Index (HHI, and Pinto Pais-Ribeiro Spirituality Scale (PP-RSS.RESULTS: the average HHI score was 38.06 (±4.32 while the average PP-RSS score was 3.67 (±0.62 for "beliefs" and 3.21 (±0.53 for "hope/optimism". Spearman's coefficient indicated there was a moderate positive correlation between the HHI and PP-RSS dimensions of "beliefs" (r=0.430; p<0.001 and "hope/optimism" (r=0.376; p<0.001.CONCLUSION: Since a relationship between the sense of hope and spirituality of patients with chronic kidney disease was found, these constructs should be taken into account at the time health professionals deliver care to help patients coping with the disease and treatment.

  2. Students’ voice: The hopes and fears of student-teacher candidates

    Directory of Open Access Journals (Sweden)

    Shirli Shoyer

    2016-12-01

    Full Text Available It is widely claimed that learners interpret new information and experiences through their existing network of knowledge, experience, and beliefs. Research on professional identities of teachers highlight the impact of biographical factors such as teachers schooling experiences, motivations for entering teacher education programs, their initial teacher education experiences and contexts of professional practice, as influential of “construction, deconstruction and reconstruction” of teachers’ professional identities and the kind of teachers they become. The study investigates teacher education candidates’ hopes and fears concerning their future career as teachers. An open-ended questionnaire was distributed to 90 candidates in a teacher education college. The qualitative analysis identifies the domains of candidates’ hope and fears. The findings reveal that candidates expressed more hopes then fears. Their hopes and fears correspond with qualities of the “good teacher” and effective teaching. The study can support the development of prospective teachers towards expertise in teaching and assist program designers and educators in strengthening education programs by catering for students’ needs, taking into consideration their hopes and concerns.

  3. Measurement of DSM-5 section II personality disorder constructs using the MMPI-2-RF in clinical and forensic samples.

    Science.gov (United States)

    Anderson, Jaime L; Sellbom, Martin; Pymont, Carly; Smid, Wineke; De Saeger, Hilde; Kamphuis, Jan H

    2015-09-01

    In the current study, we evaluated the associations between the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008) scale scores and the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) Section II personality disorder (PD) criterion counts in inpatient and forensic psychiatric samples from The Netherlands using structured clinical interviews to operationalize PDs. The inpatient psychiatric sample included 190 male and female patients and the forensic sample included 162 male psychiatric patients. We conducted correlation and count regression analyses to evaluate the utility of relevant MMPI-2-RF scales in predicting PD criterion count scores. Generally, results from these analyses emerged as conceptually expected and provided evidence that MMPI-2-RF scales can be useful in assessing PDs. At the zero-order level, most hypothesized associations between Section II disorders and MMPI-2-RF scales were supported. Similarly, in the regression analyses, a unique set of predictors emerged for each PD that was generally in line with conceptual expectations. Additionally, the results provided general evidence that PDs can be captured by dimensional psychopathology constructs, which has implications for both DSM-5 Section III specifically and the personality psychopathology literature more broadly. (c) 2015 APA, all rights reserved.

  4. The Oncologist's Duty to Provide Hope: Fact or Fiction?

    Science.gov (United States)

    Wein, Simon

    2012-01-01

    There are many sources of conflict in oncology. Conflicts arise because there are numerous therapeutic options, each of which is imperfect, and these conflicts produce ethical dilemmas. A recent American Medical Association (AMA) publication outlined the principles of medical ethics for managing conflicts. Common conflicts in oncology include whether to resuscitate, to give more chemotherapy, and how much truth to tell. These conflicts are magnified because of the life and death scenario of advanced cancer. Denial, avoidance, and hope are psychologic mechanisms that enable adaptation to the life-threatening circumstances. Hope is widely written about though poorly understood and defined. Ethical statements regarding its virtue and importance to preserve are frequently given. In an effort to progress the understanding of hope, two critical features are defined: (1) hope as a thought process only exists in the future, and (2) hope is only ever associated with positive and good thoughts. The future is unknown and uncertain; therefore, hoping can be manipulated by presenting statistics in a way to boost hoping. Thus a dilemma and specific ethical responsibility falls on oncologists when discussing conflicts. Furthermore, since hope is a subjective assessment of a possibility that is considered "good" by the hoper, it cannot be perceived as "false." "False hope" is an erroneous assessment. Finally, this article introduces the concept that there might be a role to stop hoping-since hope of the future is also filled with doubt and fear-and instead live in the present and try to find joy and meaning today.

  5. The feeling of hope in cancer patients: an existential analysis

    Directory of Open Access Journals (Sweden)

    Catarina Aparecida Sales

    2014-10-01

    Full Text Available This study aimed at unveiling the feeling of hope in people who experience cancer in their existence. Qualitative study based on Heidegger’s phenomenology, performed with eight cancer patients assisted in a philanthropic organization, between December 2013 and February 2014, in a northwestern city in Paraná, Brazil, using the following guiding question: “How do you perceive the feeling of hope at this time in your life?” The analysis resulted in the ontological themes: searching for hope in dealing with cancer, and experiencing feelings of hope and despair in being with others. Patients revealed mixed feelings, going from the lack of hope at the time of diagnosis to a rekindling of hope, as well as those who never lost the will to live. We conclude that living with cancer causes extreme feelings; and hope emerges as a feeling capable of influencing and causes an expressive impact in coping with that.

  6. Relational hopes: A study of the lived experience of hope in some patients hospitalized for intentional self-harm

    Directory of Open Access Journals (Sweden)

    Henning Herrestad

    2010-02-01

    Full Text Available Hopelessness is a well-established predictor of suicide, and inspiring hope is an important goal in mental health care, but there are few studies of hope among persons with suicidal behavior. The aim of this study was to interpret the lived experience of hope in some patients hospitalized for intentional self-harm. Twelve persons that had engaged in suicidal behavior by ingesting an overdose of medication were interviewed shortly after hospitalization and asked to narrate about their hopes. The transcripts were analyzed using a phenomenological hermeneutic method inspired by Ricoeur's theory of interpretation. The naïve reading was one of hope being relational. The structural analysis identified three themes: hopes for life, hopes for death, and the act of hoping. We interpreted the common theme of the interviews as being definite and indefinite relational hopes for life and death. For clinicians, expressions of indefinite hopes may raise concerns about the low likelihood of fulfillment. However, the expression of indefinite hope may serve to avoid experiencing failure, disappointment, and hopelessness.

  7. Sarah Daynes, Time and Memory in Reggae Music. The Politics of Hope

    OpenAIRE

    Aarons, David

    2017-01-01

    In Time and Memory in Reggae Music: The Politics of Hope, sociologist Sarah Daynes offers thoughtful reflections on the dynamic relationship between time and memory as articulated in reggae music and Rastafari ideology. She uses music as a case study in collective memory, demonstrating how reggae artists draw on biblical and more recent events (e.g. the Trans-Atlantic slave trade) to construct and transmit memories that impact and are impacted by present and future events. This book also high...

  8. Effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis.

    Science.gov (United States)

    Rahimipour, Meisam; Shahgholian, Nahid; Yazdani, Mohsen

    2015-01-01

    Renal failure is a major public health problem in the world. These patients experience high levels of psychological tension, anxiety, and depression, which leads to their lowered quality of life, increased health care costs, and early mortality. Due to medication side effects in these patients, non-medicational methods are more in demand now. This study aimed to investigate the effect of hope therapy on depression, anxiety, and stress among the patients undergoing hemodialysis. This is a clinical trial. Fifty patients undergoing hemodialysis were selected. Patients were assigned to two groups of hope therapy and placebo. Intervention of hope therapy was administered for 60-90 min during dialysis sessions once a week for eight sessions. In the placebo group, non-specific intervention was administered with the same number of sessions. Depression, Anxiety, and Stress scale (DASS)-21 questionnaire was completed at the end of the last session and 4 weeks later. Data were analyzed by paired t-test, repeated measures analysis of variance (ANOVA), and least significant difference (LSD) post hoc test through SPSS 18. There was a significant difference in mean scores of depression, anxiety, and stress in hope therapy group before, immediately after, and 1 month after intervention (P depression, anxiety, and stress before and immediately after intervention in the placebo group. Changes in mean scores of depression, anxiety, and stress were significantly higher in hope therapy group compared to placebo (P depression, anxiety, and stress.

  9. Can Optimism, Pessimism, Hope, Treatment Credibility and Treatment Expectancy Be Distinguished in Patients Undergoing Total Hip and Total Knee Arthroplasty?

    Directory of Open Access Journals (Sweden)

    Tsjitske M Haanstra

    Full Text Available The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to examine whether currently available measurement instruments for these constructs capture the conceptual differences between these constructs within a treatment setting.Patients undergoing Total Hip and Total Knee Arthroplasty (THA and TKA (Total N = 361; 182 THA; 179 TKA, completed the Life Orientation Test-Revised for optimism and pessimism, the Hope Scale, the Credibility Expectancy Questionnaire for treatment credibility and treatment expectancy. Confirmatory factor analysis was used to examine whether the instruments measure distinct constructs. Four theory-driven models with one, two, four and five latent factors were evaluated using multiple fit indices and Δχ2 tests, followed by some posthoc models.The results of the theory driven confirmatory factor analysis showed that a five factor model in which all constructs loaded on separate factors yielded the most optimal and satisfactory fit. Posthoc, a bifactor model in which (besides the 5 separate factors a general factor is hypothesized accounting for the commonality of the items showed a significantly better fit than the five factor model. All specific factors, except for the hope factor, showed to explain a substantial amount of variance beyond the general factor.Based on our primary analyses we conclude that optimism, pessimism, hope, treatment credibility and treatment expectancy are distinguishable in THA and TKA patients. Postdoc, we determined that all constructs, except hope, showed substantial specific variance, while also sharing some general variance.

  10. Can Optimism, Pessimism, Hope, Treatment Credibility and Treatment Expectancy Be Distinguished in Patients Undergoing Total Hip and Total Knee Arthroplasty?

    Science.gov (United States)

    Haanstra, Tsjitske M; Tilbury, Claire; Kamper, Steven J; Tordoir, Rutger L; Vliet Vlieland, Thea P M; Nelissen, Rob G H H; Cuijpers, Pim; de Vet, Henrica C W; Dekker, Joost; Knol, Dirk L; Ostelo, Raymond W

    2015-01-01

    The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to examine whether currently available measurement instruments for these constructs capture the conceptual differences between these constructs within a treatment setting. Patients undergoing Total Hip and Total Knee Arthroplasty (THA and TKA) (Total N = 361; 182 THA; 179 TKA), completed the Life Orientation Test-Revised for optimism and pessimism, the Hope Scale, the Credibility Expectancy Questionnaire for treatment credibility and treatment expectancy. Confirmatory factor analysis was used to examine whether the instruments measure distinct constructs. Four theory-driven models with one, two, four and five latent factors were evaluated using multiple fit indices and Δχ2 tests, followed by some posthoc models. The results of the theory driven confirmatory factor analysis showed that a five factor model in which all constructs loaded on separate factors yielded the most optimal and satisfactory fit. Posthoc, a bifactor model in which (besides the 5 separate factors) a general factor is hypothesized accounting for the commonality of the items showed a significantly better fit than the five factor model. All specific factors, except for the hope factor, showed to explain a substantial amount of variance beyond the general factor. Based on our primary analyses we conclude that optimism, pessimism, hope, treatment credibility and treatment expectancy are distinguishable in THA and TKA patients. Postdoc, we determined that all constructs, except hope, showed substantial specific variance, while also sharing some general variance.

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

    Science.gov (United States)

    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.

  12. Hope as experienced in women newly diagnosed with gynaecological cancer

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C

    2009-01-01

    at a gynaecological department of a Danish university hospital. The women, aged 24-87 (median 52yrs), were diagnosed with ovarian, endometrial, cervical and vulvar cancer. RESULTS: Hope was found to be connected to both diagnosis, cure, family life and life itself and closely tied to hopelessness. The newly received......AIM: This article presents findings from a hermeneutic-phenomenological study with the aim to investigate the meaning of the lived experience of hope in women newly diagnosed with gynaecological cancer. METHOD: Fifteen women were interviewed the day they were receiving the diagnosis...... cancer diagnosis made the women oscillate between hope and hopelessness, between positive expectations of getting cured and frightening feelings of the disease taking over. Five major interrelated themes of hope were identified: hope of being cured, cared for and getting back to normal, hope as being...

  13. What Is Hope For Breast Cancer Patients? A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Emanuela Saita

    2015-05-01

    Full Text Available This study explores the function of hope in the life experience of women diagnosed with breast cancer. Despite its relevance, hope is a psychosocial concept still not fully explored by the literature. Aim of the present contribution is therefore to conduct a qualitative examination of semi-structure interviews of women with breast cancer. In particular the connection between hope and eight domains (diagnosis, life events, supportive network, healthcare network, medical treatment, acceptance of the disease, ability to make projects and spirituality associated with it is investigated. The analysis of the interviews of four breast cancer patients met during their hospital staying reveals that hope is an essential aspect of the ability to cope with the illness. Furthermore, our analysis confirms that hope can be placed on a continuum between Cognitive and Emotional dimensions, from the intersections of which 4 possible scenarios (Despairing Space, Fleeting Space, Hesitating Space and Hoping Space can be identified.

  14. Sizing study and aerodynamic design in hope concept

    Science.gov (United States)

    Kobayashi, Osamu; Ito, Tetsuichi; Akimoto, Toshio; Nomoto, Hideki; Suzuki, Norio

    National Space Development Agency of Japan (NASDA) has been studying an unmanned, winged vehicle for space transportation called H-II Orbiting Plane (HOPE). In determining the size of HOPE, it is necessary to consider the compatibility with the H-II rocket and the maximum possible wing loading of HOPE. Higher wing loading leads to more payload capability, as the wing area is limited by the attitude control capability of H-II rocket. HOPE has a double-delta wing. The wing design should be aimed at further improvement of the lift characteristics in hypersonic and low speed regions, so that HOPE has heavier payloads or better flight performances. Furthermore, this paper refers briefly to the design of the tip fins and the fuselage, and the trade study about the adoption of canard wings to HOPE.

  15. Hope, Arkansas to Hope, Albania: Naivete and Idealism to Reality and Tragedy

    OpenAIRE

    Bennett, B. C.

    2000-01-01

    The wars in Croatia, Bosnia and Kosovo were perpretrated by a radical nationalist Serbian cultural political consciousness that the American cultural political consciousness and leadership had difficulty responding to and understanding. There is a great cultural divide between a ‘pathology’ in Serbian culture, Milošević’s radical nationalism, and a humane ‘naivete’ in American cultural consciousness. I discuss why, finally, American political leadership, Bill Clinton from Hope, Arkansas, resp...

  16. 26 CFR 1.25A-3 - Hope Scholarship Credit.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 1 2010-04-01 2010-04-01 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...

  17. Biographical memoir: Alexander Beaumont Hope, Australian biophysicist, 1928-2008.

    Science.gov (United States)

    Barry, Peter H; Coster, Hans G L; Chow, Wah Soon

    2009-12-01

    This introductory article is the first of four short articles from the Tribute to Alex Hope Symposium held at the 2008 Australian Society for Biophysics meeting in Canberra, Australia, as a tribute to Professor Alex Hope, who died in July last year. As well as briefly introducing the other three articles by three former PhD students, it will also be a biographical memoir of Alex Hope.

  18. Exploring the relationship between hope and burnout in competitive sport.

    Science.gov (United States)

    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.

  19. Issues of hope and faith in the cancer patient.

    Science.gov (United States)

    Carni, E

    1988-12-01

    Akira Kurosawa's 1952 film about a man with a terminal gastric cancer introduces a discussion of hope and faith in the oncology patient. A psychodynamic relationship between hope and faith is explored, using Lawrence LeShan's research in cancer psychotherapy and Erik Erikson's lifespan developmental theory. LeShan describes a cancer personality characterized by hopeless despair, while Erikson formulates a psychogenetic framework for the development of hope and despair. Hope and faith are linked through the individual's earliest strivings toward basic trust in the world and his or her own self-efficacy. Accordingly, cancer psychotherapy may aim at restoring adult patients' faith in life and inner creative resources.

  20. Exploration and implementation for the construction of the quaternary teaching system of medical genetics including teaching, practice, research and clinical application.

    Science.gov (United States)

    Zhou, Feng-juan; Xie, Wen-mei; Wang, Qiang; Zhao, Xiao-rong

    2015-09-01

    Medical genetics, the connection between basic and clinical medicine, is a subject with strong applicability and plays important role in modern medical education system. Based on years of teaching experience and during the construction of state-level top quality course, our teaching team has established the quaternary teaching system of medical genetics which includes teaching, practice, research and clinical application. The four elements of the system interpenetrate, complement and reinforce each other. Specifically, classroom teaching is the basics which is further complemented by social practice, improved by research and promoted by clinical application. The quaternary teaching system provides a feasible way to integrate theoretical and clinical courses. After years of implementation, the teaching system has got great effects on the obvious improvement of research ability, social reputation and clinical service capacities of the research team.

  1. Clinical Functional Capacity Testing in Patients With Facioscapulohumeral Muscular Dystrophy: Construct Validity and Interrater Reliability of Antigravity Tests

    NARCIS (Netherlands)

    Rijken, N.H.M.; Engelen, B.G.M. van; Weerdesteyn, V.G.; Geurts, A.C.H.

    2015-01-01

    OBJECTIVE: To evaluate the construct validity and interrater reliability of 4 simple antigravity tests in a small group of patients with facioscapulohumeral muscular dystrophy (FSHD). DESIGN: Case-control study. SETTING: University medical center. PARTICIPANTS: Patients with various severity levels

  2. The inherent tensions and ambiguities of hope: towards a post-formal analysis of experiences of advanced-cancer patients.

    Science.gov (United States)

    Brown, Patrick; de Graaf, Sabine; Hillen, Marij

    2015-03-01

    Sociological and anthropological analyses of hope in health-care contexts have tended to address institutional processes, especially the power dynamics that function through such systems or political economies of hope, which in turn shape interactions through which hopes are managed. This article extends this approach through a more detailed consideration of the experience of hoping itself. Our post-formal analysis denotes the tensions that are intrinsic and defining features of lifeworlds around hope, emphasising the dissonance and fragility of hoping. Drawing upon interview and observational data involving patients with advanced-cancer diagnoses who were taking part in clinical trials, we explore three main tensions which emerged within the analysis: tensions involving time and liminality between future and present; ontological tensions involving the concrete and the possible, the 'realistic' and the positive; and tensions in taken-for-grantedness between the reflective and the mundane, the specific and the ambiguous. Rather than three separate sets of tensions, those involving time, ontology and taken-for-grantedness are very much interwoven. In denoting the influence of social processes in engendering tensions, we bridge sociological and anthropological approaches with a more definition-oriented literature, developing understandings of hoping and its key characteristics in relation to other processes of coping amidst vulnerability and uncertainty. © The Author(s) 2014.

  3. Preterm infants' orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention.

    Science.gov (United States)

    White-Traut, Rosemary; Rankin, Kristin M; Pham, Thao; Li, Zhuoying; Liu, Li

    2014-11-01

    Preterm infants are challenged by immature infant behavioral organization which may negatively influence their ability to oral feed. The purpose of this study was to determine whether the integrated H-HOPE (Hospital to Home: Optimizing the Infant's Environment) intervention would improve infant behavioral organization by increasing the frequency of orally directed behaviors and the proportion of time spent in an alert behavioral state when offered prior to oral feeding. Mother-infant dyads (n=198) were randomly assigned to the H-HOPE intervention or the Attention Control groups. Infants were born at 29-34 weeks gestation and were clinically stable. Mothers had at least two social environmental risk factors such as minority status or less than high school education. H-HOPE is an integrated intervention that included (1) twice-daily infant directed stimulation using the ATVV intervention (auditory, tactile, visual, and vestibular stimuli) and (2) maternal participatory guidance sessions by a nurse-community advocate team. Orally directed behaviors and behavioral states were assessed weekly prior to feeding during hospitalization when infants were able to feed orally. There were no differences between the groups at baseline (Day 0, prior to the initiation of the integrated H-HOPE intervention). We observed a pattern of increased frequency of orally directed behaviors in the H-HOPE intervention group when compared to the Attention Control group, however, the proportion of time spent in an alert behavioral state remained stable in both groups over the course of the study. On Day 7, the H-HOPE intervention group exhibited a significantly higher mean frequency of orally directed behaviors than the Attention Control group (12.6 vs. 7.1 pre-intervention, 51.8 vs. 33.2 during intervention, 4.3 vs. 3.2 immediately after intervention, and 8.9 vs. 5.3 immediately prior to feeding). On Day 7, the H-HOPE intervention group exhibited a significantly higher proportion of time spent

  4. A hopeful Quebec gets ready to produce gaz naturel

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, L.

    2010-06-15

    Quebec's natural gas industry is poised to expand as a result of a breakthrough well drilled in the Utica shale gas play in February 2010. The well has produced more than 12 million cubic feet per day. The Quebec Oil and Gas Association (QOGA) was formed in 2009, and has lobbied the provincial government to keep royalty rates at between 10 to 12.5 per cent. A task force has also been deployed to ensure the development of a prompt regulatory process. It is hoped that increased investment will encourage more drilling activity in the province. Quebec consumes approximately 200 billion cubic feet of natural gas per year. Increased sales are expected to come from new residential construction, where 1 in 5 homes are now being equipped with gas-fired heating. The QOGA is currently designing a training program for potential rig workers. Studies have indicated that gas royalties collected by the provincial government could exceed $1 billion per year in the future. 1 fig.

  5. Waterways of Hope | IDRC - International Development Research ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2010-12-15

    Dec 15, 2010 ... A number of community members and four young hired workers from the oasis used self-made tools of welded iron scraps for levelling. Once completed, a construction company from Farafra was hired to pour the canal's concrete foundation. The brick work was subsequently completed by a local contractor.

  6. Experiences of nursing students and educators during the co-construction of clinical nursing leadership learning activities: A qualitative research and development study.

    Science.gov (United States)

    Ha, Laurence; Pepin, Jacinthe

    2017-08-01

    Student voice posits that students' unique perspectives on teaching and learning can be used in conjunction with those of educators to create meaningful educational activities. The study aimed to describe nursing students' and educators' experiences during the co-construction of educational activities involving clinical nursing leadership. Qualitative research and development model. The study was conducted at a French-Canadian nursing faculty that provides a 3-year undergraduate program. Five undergraduate nursing students, four nursing educators, and the principal investigator formed the co-construction team. Data collected included all documents (written and audio) related to the co-construction process: three 2-hour team meetings, PI's fieldnotes and a focus group discussion that occurred once the co-construction process was completed. Thematic analysis was performed guided by Paillé and Muchielli's (2010) method. Data analysis revealed two interrelated themes: (1) unique, purposeful collaboration and (2) change that makes a difference. A space described as safe, without hierarchy and that included the "right" people helped the team achieve their objective of creating new educational activities on clinical nursing leadership. The two new learning activities developed by the team were perceived as useful for future nursing students. At the individual level, team members appreciated how co-construction helped them understand teaching and learning from new perspectives. A structured, efficient co-construction process contributed to positive changes in the nursing program and participants. Additional research is required to enhance understanding of the factors that facilitate and hinder student-educator collaboration outside the classroom. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Celebrating the Life and Legacy of Dr. John Hope Franklin

    Science.gov (United States)

    Harris, Robert L., Jr.; Levering-Lewis, David; French, John D.; Wharton, Clifton R., Jr.

    2009-01-01

    Dr. John Hope Franklin chronicled the experiences of African-Americans like no one before him, forcing America to recognize Black history as American history. His contributions were innumerable and his impact was abiding. In celebration of his life and legacy, the authors profile the celebrated scholar and activist, Dr. John Hope Franklin.

  8. Validation of a Portuguese Version of the Children's Hope Scale

    Science.gov (United States)

    Marques, Susana C.; Pais-Ribeiro, J. L.; Lopez, Shane J.

    2009-01-01

    The article describes the development of the Portuguese version of the Children's Hope Scale and the examination of its psychometric properties. A sample of 367 Portuguese students completed the Portuguese-language versions of the Children's Hope Scale (CHS; Snyder et al., 1997), Students' Life Satisfaction Scale (SLSS; Huebner, 1991), Global…

  9. Communicating hope with one breath | Edwards | HTS Teologiese ...

    African Journals Online (AJOL)

    ... pure consciousness and the experience of hope was described. Such an experience typically leads to further spiritual practice, healing and transformation. It was concluded that such ongoing spiritual practice is crucial for improving consciousness development, healing and hope for individuals, societies, planet Earth and ...

  10. Predictors of hope among women with breast cancer during chemotherapy

    Directory of Open Access Journals (Sweden)

    Alessandra Cristina Sartore Balsanelli

    Full Text Available Abstract OBJECTIVE Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. METHOD 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. RESULT 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. CONCLUSION 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.

  11. The Discipline of Hope: A Conversation with Herb Kohl.

    Science.gov (United States)

    Scherer, Marge

    1998-01-01

    The author of "The Discipline of Hope" (1998) values environments that foster a sense of belonging and love of learning. Besides engaging students' imagination, teachers must convince students that they are people of worth who can accomplish something in a difficult world. Children must remain hopeful, and adults must not abandon public…

  12. Hope-Focused Interventions in Substance Abuse Counselling

    Science.gov (United States)

    Koehn, Corinne; O'Neill, Linda; Sherry, John

    2012-01-01

    Hope is a vital component of psychological healing and plays a critical role in counselling. With despair so prominent for individuals with serious substance abuse problems, the question arises as to how to foster hope in such clients. There are recent suggestions in the general counselling literature that some of the work in counselling involve…

  13. Longing for a Better World: Hope in Professional Practices

    Science.gov (United States)

    Erwich, René; van der Stoep, Jan

    2017-01-01

    Christians are called to be a witness to the coming of the Kingdom of God and to cultivate practices in which peace and justice may flourish. In order to serve God in their daily work, Christians are faced with situations that cause both hope and despair. In this article, we explore what the concept of hope means for the education of Christian…

  14. Evaluation of construct and criterion validity for the 'Liverpool Osteoarthritis in Dogs' (LOAD clinical metrology instrument and comparison to two other instruments.

    Directory of Open Access Journals (Sweden)

    Myles Benjamin Walton

    Full Text Available OBJECTIVE: To test the 'Liverpool Osteoarthritis in Dogs' (LOAD questionnaire for construct and criterion validity, and to similarly test the Helsinki Chronic Pain Index (HCPI and the Canine Brief Pain Inventory (CBPI. DESIGN: Prospective Study. ANIMALS: 222 dogs with osteoarthritis. PROCEDURE: Osteoarthritis was diagnosed in a cohort of dogs on the basis of clinical history and orthopedic examination. Force-platform analysis was performed and a "symmetry index" for peak vertical force (PVF was calculated. Owners completed LOAD, CBPI and HCPI instruments. As a test of construct validity, inter-instrument correlations were calculated. As a test of criterion validity, the correlations between instrument scores and PVF symmetry scores were calculated. Additionally, internal consistency of all instruments was calculated and compared to those previously reported. Factor analysis is reported for the first time for LOAD, and is compared to that previously reported for CBPI and HCPI. RESULTS: Significant moderate correlations were found between all instruments, implying construct validity for all instruments. Significant weak correlations were found between LOAD scores and PVF symmetry index, and between CBPI scores and PVF symmetry index. CONCLUSION AND CLINICAL RELEVANCE: LOAD is an owner-completed clinical metrology instrument that can be recommended for the measurement of canine osteoarthritis. It is convenient to use, validated and, as demonstrated here for the first time, has a correlation with force-platform data.

  15. Types of hope and action styles of adolescents

    Directory of Open Access Journals (Sweden)

    Aleksandra Myślińska

    2016-04-01

    Full Text Available The problem discussed in this article concerns the relationship between hope and action styles in adolescents. An action style is a way in which man perceives and responds to the outside world, and it may be aimed at securing oneself or interacting with the surroundings. The main aim of this analysis was to find out if, and to what degree, the level of hope is connected with action styles. The following hypotheses are proposed: H – 1. There is a relationship between hope and an action style. H- 2. Persons with different types of hope are characterised by different styles of action. H – 3. Persons with a high level of hope have a cooperation -oriented style. H – 4. Persons with a low level of hope are often characterised by a style aimed at protecting themselves. 149 persons aged 17 – 18 participated in the study. The following methods were used: the Basic Hope Inventory (BHI-12 – compiled by Trzebiński and M. Zięba, the Hope for Success Questionnaire (KNS – adaptation of C. R. Snyder’s questionnaire made by M. Łaguna, J. Trzebiński and M. Zięba, as well as the Action Styles Questionnaire by Z. Uchnast . The results obtained have allowed the researchers to form the opinion that hope helps individuals function better in the world. The way in which a person perceives the world and their own capabilities translates into the style of action which they choose. A person who is full of hope seeks self -actualisation as well as cooperation with others.

  16. Cura animarum as hope care: Towards a theology of the resurrection within the human quest for meaning and hope

    Directory of Open Access Journals (Sweden)

    Daniel J. Louw

    2014-02-01

    Full Text Available The following critical questions are posed: is hope the antidote of dread and despair or a kind of escapism from the harsh realities of anguish and suffering? What is meant by hope in Christian spirituality and how is hope connected to a theology of the resurrection? Is resurrection hope merely a kind of cheap triumphantalism and variant of a theologia gloriae? The basic assumption is that the notion of the resurrection can contribute to ‘the thickening of alternative stories of faith’. A theologia resurrectionis is about the reframing of life by means of a radical paradox: ‘Where, O death is your victory? Where, O death is your sting?’ If pastoral caregiving is indeed about change and hope, the resurrection describes an ontology of hope by which human beings are transformed into a total new being. Beyond the discriminating and stigmatising categories of many social and cultural discourses on our being human, resurrection theology defines hope as a new state of mind and being. The identity of human beings is therefore not determined by descent, gender, race or social status, but by eschatology (new creation. Hope care is primarily about a new courage to be. It opens up different frameworks for meaningful living within the realm of human suffering.

  17. "Not Only Satisfied and Responsible, but Also Hopeful": Prospective Teachers' Career Choice Satisfaction, Hope, and Personal Responsibility

    Science.gov (United States)

    Eren, Altay

    2015-01-01

    The present study aimed to examine the relationships between prospective teachers' career choice satisfaction, hope, and sense of personal responsibility, with the intention of exploring the mediating role of hope in the relationship between career choice satisfaction and sense of personal responsibility. A total of 563 prospective teachers…

  18. Scheduling the Remediation of Port Hope: Logistical and Regulatory Challenges of a Multiple Site Urban Remediation Project - 13119

    Energy Technology Data Exchange (ETDEWEB)

    Ferguson Jones, Andrea; Lee, Angela [MMM Group Limited, 100 Commerce Valley Drive West, Thornhill, Ontario, L3T 0A1 (Canada); Palmeter, Tim [Public Works and Government Services Canada, 4900 Yonge Street, Toronto, Ontario, M2N 6A6 (Canada)

    2013-07-01

    The Port Hope Project is part of the larger CAN$1.28 billion Port Hope Area Initiative (PHAI), a community-based program for the development and implementation of a safe, local, long-term management solution for historic Low-Level Radioactive Waste (LLRW) in the Municipalities of Port Hope and Clarington, Ontario, Canada. Atomic Energy of Canada (AECL) is the Project Proponent, Public Works and Government Services (PWGSC) is managing the procurement of services and the MMM Group Limited - Conestoga Rovers and Associates Joint Venture (MMM-CRA Joint Venture) is providing detailed design and construction oversight and administration services for the Project. The Port Hope Project includes the construction of a long-term waste management facility (LTWMF) in the Municipality of Port Hope and the remediation of 18 (eighteen) large-scale LLRW, numerous small-scale sites still being identified and industrial sites within the Municipality. The total volume to be remediated is over one million cubic metres and will come from sites that include temporary storage sites, ravines, beaches, parks, private commercial and residential properties and vacant industrial sites all within the urban area of Port Hope. Challenges that will need to be overcome during this 10 year project include: - Requirements stipulated by the Environmental Assessment (EA) that affect Project logistics and schedule. - Coordination of site remediation with the construction schedule at the LTWMF. - Physical constraints on transport routes and at sites affecting production rates. - Despite being an urban undertaking, seasonal constrains for birds and fish (i.e., nesting and spawning seasons). - Municipal considerations. - Site-specific constraints. - Site interdependencies exist requiring consideration in the schedule. Several sites require the use of an adjacent site for staging. (authors)

  19. Meta-Analyses of Predictors of Hope in Adolescents.

    Science.gov (United States)

    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.

  20. Hope seen through the eyes of 10 Australian young people.

    Science.gov (United States)

    Turner, de Sales

    2005-12-01

    The aim of this paper is to report the findings of a phenomenological study that explored hope in 10 young people in Australia. Evidence suggests many Australian young people are in crisis. Examination of key reports that detail the incidence of suicide, early drug-taking behaviours, homelessness, self-harm behaviours, joblessness, depressive disorders, crime statistics and alcohol abuse suggest that many of today's young people have lost resilience as well as vital connections to their community. Two methods were employed to encourage the participants to reflect on their experiences of hope - what it is and what it meant to them. The first was to supply participants with a disposable colour film camera and ask them to take pictures that, in their view, showed hope. The second was participation in an in-depth interview that was prompted in part, by their photographs. Interview audiotapes were transcribed verbatim and analysis of the text used the Turner method. The data were collected in 2002. Four horizons of hope were revealed: at-one-with; a driving force; having choices; and connecting and being connected. These horizons are discussed, showing how, or if, the literature treats these dimensions of hope. Perspectives are offered on how they might be considered by nurses who are charged with caring for today's young people. Registered Nurses who work with young people must understand the phenomenon of hope from their unique perspective before they can offer appropriate hope-facilitating strategies.

  1. The Relationship between Religious Beliefs and Hope in Cancer Patients

    Directory of Open Access Journals (Sweden)

    Fateme Shoohani

    2015-08-01

    Full Text Available ​Background and objectives : Cancer causes permanent changes in an individual’s life style and their way of adapting to changes. Hope might be used as an important adaptation mechanism in cancer. Patients need social and individual support like beliefs to boost their hope. The purpose of this study was to determine the relationship between religious beliefs and hope in cancer cases. Material and Methods : This is an analytical study. 220 cancer patients in chemo and radiotherapy centers were assessed with convenience sampling. Standard Allport religious beliefs and Herth Hope Index questionnaires were used to collect data. Data were analyzed using SPSS13 with descriptive, inferential and regression tests. Results : The mean of hope score was 37.6± 3.74. There was significant relationship between hope and diagnosis period of time, cancer type (p Conclusion : Religious beliefs play an important role in boosting patients’ hope. Facilitating ritual atmosphere, decorating setting with religious posters and holding religious classes are suggested according to the results.

  2. The effect of Group Hope Therapy on subjective wellbeing, acceptance and rumination in HIV+ patients

    Directory of Open Access Journals (Sweden)

    Roghayeh Ataie Moghanloo

    2014-08-01

    Full Text Available Background: Women and men afflicted with HIV bear specific physical, mental and social problems. The aim of this research was to determine the effects of group hope therapy on subjective wellbeing, acceptance and rumination in HIV+ patients. Methods: The present study was a randomized clinical trial research with a pretest-posttest and control group. The study population included all the people infected with AIDS virus (HIV+ who referred to counseling and treatment center of behavioral disorders in Tabriz. The samples were selected through convenience sampling method. Total of 30 participants with the criteria for inclusion in the study were selected and randomly placed in one of the two groups (control and experimental groups. The research tools consisted of Reef Psychological Wellbeing Scale and acceptance and focus on thinking subscales of Emotion Regulation Strategies Questionnaire. The experimental group received 8 sessions of group hope therapy (independent variable. Data were analyzed by SPSS-19 software using multivariable covariance analysis (MANCOVA. Results: Results of multivariate covariance analysis (MANCOVA showed that group hope therapy positively affected the subjective wellbeing, acceptance and rumination in HIV+ patients (P<0.001. Conclusion: It seems hope therapy could be useful as a new treatment in domains of supportive psychological therapies in patients infected with HIV.

  3. Design, construction and testing of a low-cost automated (68)Gallium-labeling synthesis unit for clinical use.

    Science.gov (United States)

    Heidari, Pedram; Szretter, Alicia; Rushford, Laura E; Stevens, Maria; Collier, Lee; Sore, Judit; Hooker, Jacob; Mahmood, Umar

    2016-01-01

    The interest in (68)Gallium labeled PET probes continues to increase around the world. Widespread use in Europe and Asia has led to great interest for use at numerous sites in the US. One barrier to entry is the cost of the automated synthesis units for relatively simple labeling procedures. We describe the construction and testing of a relatively low-cost automated (68)Ga-labeling unit for human-use. We provide a guide for construction, including part lists and synthesis timelists to facilitate local implementation. Such inexpensive systems could help increase use around the globe and in the US in particular by removing one of the barriers to greater widespread availability. The developed automated synthesis unit reproducibly synthesized (68)Ga-DOTATOC with average yield of 71 ± 8% and a radiochemical purity ≥ 95% in a synthesis time of 25 ± 1 minutes. Automated product yields are comparable to that of manual synthesis. We demonstrate in-house construction and use of a low-cost automated synthesis unit for labeling of DOTATOC and similar peptides with (68)Gallium.

  4. New Hope Coal Australia: leaders in thin seam coal mining

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    New Hope Corporation Ltd.'s coal activities in Queensland are conducted under the business name of New Hope Coal Australia and comprise open-cut mines in the West Moreton coal fields, 40 km west of Brisbane. The company gained an award for its reject co-disposal system and another for its organic overburden conditioning programme. Walloon coal from the Jeebropilly and New Oakleigh open-cut mines has characteristics which are making it increasingly popular as power plant fuel. The article describes operations at these mines and also at Swanbank and Acland. Other projects with which New Hope is involved are mentioned. 4 photos.

  5. Research and clinical practice: constructing theoretical links / Pesquisa e prática clínica: construindo articulações teóricas

    Directory of Open Access Journals (Sweden)

    Terezinha Féres-Carneiro

    2008-01-01

    Full Text Available In this text, which was presented at the Inaugural Lecture from the Graduate Program of Developmental Psychology at Universidade Federal do Rio Grande do Sul (UFRGS on March 03, 2008, are discussed the links constructed by this author in the academic work as well as in the clinical practice. The history of a 36-year journey as both a professor-researcher and also as a clinical psychologist is reported here, with emphasis on the inseparable way of conceiving such functions. In this account it is explained and discussed the possibilities of articulating different theoretical-technical approaches in the clinic. The proposal for family and couple psychological assistance is a tripartite key of reading which takes into consideration the intra-psychological, the interactional and the social aspects of the aforementioned ones.

  6. [Cultural components within DSM-5: achievements, hopes, and expectations].

    Science.gov (United States)

    Alarcón, Renato D

    2014-01-01

    Cultural Psychiatry deals with the description, definition, evaluation and management of psychiatric conditions as a clinical reflection of cultural factors within an integral context, and as an explanatory, interpretative, nosological, therapeutic and preventive attribute in professional practice. This article attempts to analyze that link in the context of the dominant classification in our era, the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association (APA), with emphasis on the development of its latest version, DSM-5. The cultural content of the International Classification of Diseases (ICD) of the World Health Organization (WHO) can be the subject of further analysis, even when it can be said that, in general, it seemingly has less reach than the American classification. The author's participation, work and reflections about the DSM-5 Committee, created by the APA at the beginning of this century, constitute the basis of the presentation and discussion of concrete achievements, more or less idealized hopes, and more or less realistic expectations with a view to the future. Conclusions will also try to cover implications of DSM-5 cultural components in the field of Latin American and spanish-speaking psychiatry.

  7. Interaction of hope and optimism with anxiety and depression in a specific group of cancer survivors: a preliminary study

    Directory of Open Access Journals (Sweden)

    Rajandram Rama K

    2011-11-01

    Full Text Available Abstract Background Anxiety and depression have been identified as a common psychological distress faced by the majority of cancer patients. With the increasing number of cancer cases, increasing demands will be placed on health systems to address effective psychosocial care and therapy. The objective of this study was to assess the possible role of hope and optimism on anxiety and depression. We also wanted to investigate if there is a specific component of hope that could play a role in buffering anxiety and depression amongst cancer patients. Methods A retrospective cross sectional study was conducted in the outpatient station of the Oral and Maxillofacial Surgery at the University of Hong Kong, Hong Kong SAR, PR-China. Fifty patients successfully treated for OC cancer were recruited after their informed consents had been obtained during the review clinic. During their regular follow-up controls in the outpatient clinic the patients compiled the hospital anxiety and depression scale (HADS, hope scale (HS and the life orientation scale-revised (LOT-R. Results Hope was negatively correlated with depression (r = -.55, p p r = -.55, p r = -.35, p β = .40 versus optimism: β = .38. Hope and optimism together were significantly predictive of anxiety, whereas neither hope nor optimism alone was significant individual predictors of anxiety. Conclusions Hope and optimism both negatively correlated with patients' level of anxiety and depression. Besides theoretical implications, this study brings forward relevant findings related to developing specific clinical psychological care in the field of oncology that to date has not been researched specifically in the field of oncology. The results of this study will help guide the direction of future prospective studies in the field of oncology. This will contribute significantly to increasing patients quality of life as well enabling health care facilities to provide all cancer patients a more holistic

  8. The effect of Group Hope Therapy on subjective wellbeing, acceptance and rumination in HIV+ patients

    OpenAIRE

    Roghayeh Ataie Moghanloo; Vahid Ataie Moghanloo; Jalil Babapour -Kheiroddin; Hamid Poursharifi; Maliheh Pishvaei

    2014-01-01

    Background: Women and men afflicted with HIV bear specific physical, mental and social problems. The aim of this research was to determine the effects of group hope therapy on subjective wellbeing, acceptance and rumination in HIV+ patients. Methods: The present study was a randomized clinical trial research with a pretest-posttest and control group. The study population included all the people infected with AIDS virus (HIV+) who referred to counseling and treatment center of behavioral di...

  9. Hope, Arkansas to Hope, Albania: naivete and idealism to reality and tragedy.

    Science.gov (United States)

    Bennett, B C

    2000-06-01

    The wars in Croatia, Bosnia and Kosovo were perpretrated by a radical nationalist Serbian cultural political consciousness that the American cultural political consciousness and leadership had difficulty responding to and understanding. There is a great cultural divide between a 'pathology' in Serbian culture, Milosević's radical nationalism, and a humane 'naivete' in American cultural consciousness. I discuss why, finally, American political leadership, Bill Clinton from Hope, Arkansas, responded to the tragedy of these wars. However, we are still left with the question of good vs evil: What is the course of human history; psychotic political leadership causing repetitive human tragedy or can there be a higher humane and moral order to human cultural events?

  10. Cura animarum as hope care: Towards a theology of the ...

    African Journals Online (AJOL)

    2014-04-14

    Apr 14, 2014 ... resurrection within the human quest for meaning and hope. The following .... rationalistic and positivistic model it seems that there is little scope for a gospel of .... in the subjective memory of human beings. Therefore, the.

  11. Hope for Aphasia Patients | NIH MedlinePlus Magazine

    Science.gov (United States)

    ... main content NIH MedlinePlus the Magazine NIH MedlinePlus Salud ... Hope for Aphasia Patients New research, better outcomes Cynthia K. Thompson, Ph.D., is a top researcher on language recovery ...

  12. Hope, perceived financial risk and propensity for indebtedness

    National Research Council Canada - National Science Library

    Barros, Lucia; Botelho, Delane

    2012-01-01

    ... (MacInnis and Mello, 2005). The authors aim to investigate the relationships among hope, risk perception related to purchasing and consumption and propensity for indebtedness by conducting two empirical studies...

  13. Design and construction of ophthalmic simulators for clinical applications; Projeto e confeccao de simuladores oftalmicos para aplicacoes clinicas

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, Andrea

    2006-07-01

    This work presents a calculational methodology for dose determination in human eye structures, such as: sclera, choroid, retina, lens, vitreous body, optic nerve and disc, and cornea, as well as tumor due to treatment to the eye plaques. A human eye model was constructed taking into consideration its main structural and dimension characteristics. Beyond that a mathematical model for the Co-60 and 1-125 plaques with all geometric details were built employing the MCNP-4C code. This model is able to calculate the axial and radial doses in any point of the eye and for each of its structures. An acrylic eye simulator was also built with the aim to obtain experimental results for the both model validations. This simulator is made of an acrylic sphere split into foils of 1 mm thickness which allow the introduction of a radiographic film to measure the axial and radial doses. The experimental data were used to validate the MCNP-4C results. The data from the mathematical model will serve as the basis to build a data bank for all the eye structures allowing different position and sizes of tumor as well as the replacement of all ophthalmic plaques used in the treatment. This data bank will be the principal part for the construction of a national software for the dose calculation and can be of great help for a reliable treatment system planning in radiotherapy/brachytherapy. (author)

  14. Psychomotor speed in chronic low-back pain patients and healthy controls: construct validity and clinical significance of the measure.

    Science.gov (United States)

    Luoto, S; Taimela, S; Alaranta, H; Hurri, H

    1998-12-01

    The effect of ethanol on reaction times was studied in 5 healthy men to test the construct validity of the measure. Reaction times were studied among 61 healthy controls and 99 patients with chronic low-back pain (68 moderate and 31 severe) to evaluate the diagnostic value of reaction time measurements. Analysis of receiver operating characteristics was used to calculate the discriminative power of the reaction time measurements. The severity of low-back pain was associated with slow reaction times but the diagnostic value of a single reaction time measurement was low due to insufficient sensitivity. In conclusion, even though many patients with low-back pain suffer from central impairment of motor function, a single reaction time measurement is not usable in evaluation of the severity of low-back pain.

  15. RU 486: new hope for women.

    Science.gov (United States)

    Coyaji, B

    1993-01-01

    Although abortion has been legal in India since 1971, there are an estimated 2-10 times as many illegal as legal terminations, and sepsis resulting from abortions performed by nonqualified practitioners is a major contributor to maternal mortality. Continued reliance on illegal abortion is believed to reflect fear of surgery and anesthesia, a lack of access to abortion clinics, and social and cultural factors, especially a lack of confidentiality and privacy. RU-486 offers the potential to overcome these obstacles and extend the availability of safe abortion to Indian women. At present, 2 clinical trials are underway in India to test the acceptability and effectiveness of RU-486 with prostaglandins in various doses. In the 78 cases reviewed to date, compliance was 96%, acceptability was 83%, and 97% had a complete abortion. All but 1 participant indicated she would select RU-486 if a subsequent unwanted pregnancy occurred. Reasons given for preference of this methods included the lack of pain and discomfort, no need for hospital admission or surgery, and the protection of privacy. Use of a single 200 mg tablet has been found to reduce side effects such as nausea, vomiting, and diarrhea. More research is needed, however, to identify the optimum minimal effective does in India's many anemic, malnourished women.

  16. Evaluation of the Military Functional Assessment Program: Preliminary Assessment of the Construct Validity Using an Archived Database of Clinical Data.

    Science.gov (United States)

    Kelley, Amanda M; Ranes, Bethany M; Estrada, Art; Grandizio, Catherine M

    2015-01-01

    Several important factors must be considered when deciding to return a soldier to duty after a traumatic brain injury (TBI). Premature return increases risk for not only second-impact syndrome during the acute phase but also permanent changes from repetitive concussions. Thus, there is a critical need for return-to-duty (RTD) assessment criteria that encompass the spectrum of injury and disease experienced by US soldiers, particularly TBI. To provide evidence-based standards to eventually serve as criteria for operational competence and performance of a soldier after injury. Specifically, the relationships between clinical assessments and novel military-specific tasks were evaluated. Exploratory analyses (including nonparametric tests and Spearman rank correlations) of an archived database. A total of 79 patients with TBI who participated in an RTD assessment program at a US Army rehabilitation and recovery center. Military Functional Assessment Program (to determine a soldier's operational competence and performance after TBI) tasks; Dizziness Handicap Inventory; Dynamic Visual Acuity (vestibular function); Sensory Organization Test (postural control); Repeatable Battery for the Assessment of Neuropsychological Status (neuropsychological screening test); Beck Depression Inventory-II; Beck Anxiety Inventory; Comprehensive Trail Making Test (visual search and sequencing); posttraumatic stress disorder checklist military version; Alcohol Use Disorders Identification Test; Epworth Sleepiness Scale; Patient Health Questionnaire; and Military Acute Concussion Evaluation. Selected military operational assessment tasks correlated significantly with clinical measures of vestibular function, psychological well-being, and cognitive function. Differences on occupational therapy assessments, a concussion screening tool, and a self-report health questionnaire were seen between those who passed and those who failed the RTD assessment. Specifically, those who passed the RTD

  17. SU-F-E-10: Student-Driven Exploration of Radiographic Material Properties, Phantom Construction, and Clinical Workflows Or: The Extraordinary Life of CANDY MAN

    Energy Technology Data Exchange (ETDEWEB)

    Mahon, RN; Riblett, MJ; Hugo, GD [Virginia Commonwealth University, Richmond, VA (United States)

    2016-06-15

    Purpose: To develop a hands-on learning experience that explores the radiological and structural properties of everyday items and applies this knowledge to design a simple phantom for radiotherapy exercises. Methods: Students were asked to compile a list of readily available materials thought to have radiation attenuation properties similar to tissues within the human torso. Participants scanned samples of suggested materials and regions of interest (ROIs) were used to characterize bulk attenuation properties. Properties of each material were assessed via comparison to a Gammex Tissue characterization phantom and used to construct a list of inexpensive near-tissue-equivalent materials. Critical discussions focusing on samples found to differ from student expectations were used to revise and narrow the comprehensive list. From their newly acquired knowledge, students designed and constructed a simple thoracic phantom for use in a simulated clinical workflow. Students were tasked with setting up the phantom and acquiring planning CT images for use in treatment planning and dose delivery. Results: Under engineer and physicist supervision, students were trained to use a CT simulator and acquired images for approximately 60 different foodstuffs, candies, and household items. Through peer discussion, students gained valuable insights and were made to review preconceptions about radiographic material properties. From a subset of imaged materials, a simple phantom was successfully designed and constructed to represent a human thorax. Students received hands-on experience with clinical treatment workflows by learning how to perform CT simulation, create a treatment plan for an embedded tumor, align the phantom for treatment, and deliver a treatment fraction. Conclusion: In this activity, students demonstrated their ability to reason through the radiographic material selection process, construct a simple phantom to specifications, and exercise their knowledge of clinical

  18. Bifactor analysis and construct validity of the five facet mindfulness questionnaire (FFMQ) in non-clinical Spanish samples.

    Science.gov (United States)

    Aguado, Jaume; Luciano, Juan V; Cebolla, Ausias; Serrano-Blanco, Antoni; Soler, Joaquim; García-Campayo, Javier

    2015-01-01

    The objective of the present study was to examine the dimensionality, reliability, and construct validity of the Five Facet Mindfulness Questionnaire (FFMQ) in three Spanish samples using structural equation modeling (SEM). Pooling the FFMQ data from 3 Spanish samples (n = 1191), we estimated the fit of two competing models (correlated five-factor vs. bifactor) via confirmatory factor analysis. The factorial invariance of the best fitting model across meditative practice was also addressed. The pattern of relationships between the FFMQ latent dimensions and anxiety, depression, and distress was analyzed using SEM. FFMQ reliability was examined by computing the omega and omega hierarchical coefficients. The bifactor model, which accounted for the covariance among FFMQ items with regard to one general factor (mindfulness) and five orthogonal factors (observing, describing, acting with awareness, non-judgment, and non-reactivity), fit the FFMQ structure better than the correlated five-factor model. The relationships between the latent variables and their manifest indicators were not invariant across the meditative experience. Observing items had significant loadings on the general mindfulness factor, but only in the meditator sub-sample. The SEM analysis revealed significant links between mindfulness and symptoms of depression and stress. When the general factor was partialled out, the acting with awareness facet did not show adequate reliability. The FFMQ shows a robust bifactor structure among Spanish individuals. Nevertheless, the Observing subscale does not seem to be adequate for assessing mindfulness in individuals without meditative experience.

  19. Flexible positions, managed hopes: the promissory bioeconomy of a whole genome sequencing cancer study.

    Science.gov (United States)

    Haase, Rachel; Michie, Marsha; Skinner, Debra

    2015-04-01

    Genomic research has rapidly expanded its scope and ambition over the past decade, promoted by both public and private sectors as having the potential to revolutionize clinical medicine. This promissory bioeconomy of genomic research and technology is generated by, and in turn generates, the hopes and expectations shared by investors, researchers and clinicians, patients, and the general public alike. Examinations of such bioeconomies have often focused on the public discourse, media representations, and capital investments that fuel these "regimes of hope," but also crucial are the more intimate contexts of small-scale medical research, and the private hopes, dreams, and disappointments of those involved. Here we examine one local site of production in a university-based clinical research project that sought to identify novel cancer predisposition genes through whole genome sequencing in individuals at high risk for cancer. In-depth interviews with 24 adults who donated samples to the study revealed an ability to shift flexibly between positioning themselves as research participants on the one hand, and as patients or as family members of patients, on the other. Similarly, interviews with members of the research team highlighted the dual nature of their positions as researchers and as clinicians. For both parties, this dual positioning shaped their investment in the project and valuing of its possible outcomes. In their narratives, all parties shifted between these different relational positions as they managed hopes and expectations for the research project. We suggest that this flexibility facilitated study implementation and participation in the face of potential and probable disappointment on one or more fronts, and acted as a key element in the resilience of this local promissory bioeconomy. We conclude that these multiple dimensions of relationality and positionality are inherent and essential in the creation of any complex economy, "bio" or otherwise

  20. A test of social cognitive theory reciprocal and sequential effects: hope, superstitious belief and environmental factors among lottery gamblers in Thailand.

    Science.gov (United States)

    Ariyabuddhiphongs, Vanchai; Chanchalermporn, Nathanat

    2007-06-01

    This study tested social cognitive theory (Bandura, 1986) hypotheses of reciprocal and sequential effects among person, environment variables and behavior. The study examined the impact of hope, superstitious belief and environmental factors on the frequency, amounts of lottery gambling and chasing of particular numbers among Thai lottery gamblers. One hundred and fifty gamblers who visited two temples in Bangkok to search for number clues before buying tickets and 150 gamblers who simply bought lottery tickets from the stalls were recruited for the study. Models were constructed to test the effect of hope, superstitious belief and environmental factors on gambling behavior, and the reciprocal effect of gambling behavior on hope, superstitious belief and environmental factors. Results confirmed the theoretical reciprocal effects. A sequential effect model showing the effects of environmental factors on superstitious belief, hope and gambling behavior was also constructed and hope was found to be the result of superstitious belief. To reduce lottery gambling, the players need to be warned of their distorted hope and the small chance of winning lottery.

  1. Families as catalysts for peer adherence support in enhancing hope for people living with HIV/AIDS in South Africa.

    Science.gov (United States)

    Masquillier, Caroline; Wouters, Edwin; Mortelmans, Dimitri; Booysen, Frederik le Roux

    2014-01-01

    Hope is an essential dimension of successful coping in the context of illnesses such as HIV/AIDS, because positive expectations for the future alleviate emotional distress, enhance quality of life and have been linked to the capacity for behavioural change. The social environment (e.g. family, peers) is a regulator of hope for people living with HIV/AIDS (PLWHA). In this regard, the dual aim of this article is (1) to analyze the influence of a peer adherence support (PAS) intervention and the family environment on the state of hope in PLWHA and (2) to investigate the interrelationship between the two determinants. The Effective AIDS Treatment and Support in the Free State study is a prospective randomized controlled trial. Participants were recruited from 12 public antiretroviral treatment (ART) clinics across five districts in the Free State Province of South Africa. Each of these patients was assigned to one of the following groups: a control group receiving standard care, a group receiving additional biweekly PAS or a group receiving PAS and nutritional support. Latent cross-lagged modelling (Mplus) was used to analyse the impact of PAS and the family environment on the level of hope in PLWHA. The results of the study indicate that neither PAS nor the family environment has a direct effect on the level of hope in PLWHA. Subsequent analysis reveals a positive significant interaction between family functioning and PAS at the second follow-up, indicating that better family functioning increases the positive effect of PAS on the state of hope in PLWHA. The interplay between well-functioning families and external PAS generates higher levels of hope, which is an essential dimension in the success of lifelong treatment. This study provides additional insight into the important role played by family dynamics in HIV/AIDS care, and it underscores the need for PAS interventions that are sensitive to the contexts in which they are implemented.

  2. Families as catalysts for peer adherence support in enhancing hope for people living with HIV/AIDS in South Africa

    Directory of Open Access Journals (Sweden)

    Caroline Masquillier

    2014-04-01

    Full Text Available Introduction: Hope is an essential dimension of successful coping in the context of illnesses such as HIV/AIDS, because positive expectations for the future alleviate emotional distress, enhance quality of life and have been linked to the capacity for behavioural change. The social environment (e.g. family, peers is a regulator of hope for people living with HIV/AIDS (PLWHA. In this regard, the dual aim of this article is (1 to analyze the influence of a peer adherence support (PAS intervention and the family environment on the state of hope in PLWHA and (2 to investigate the interrelationship between the two determinants. Methods: The Effective AIDS Treatment and Support in the Free State study is a prospective randomized controlled trial. Participants were recruited from 12 public antiretroviral treatment (ART clinics across five districts in the Free State Province of South Africa. Each of these patients was assigned to one of the following groups: a control group receiving standard care, a group receiving additional biweekly PAS or a group receiving PAS and nutritional support. Latent cross-lagged modelling (Mplus was used to analyse the impact of PAS and the family environment on the level of hope in PLWHA. Results: The results of the study indicate that neither PAS nor the family environment has a direct effect on the level of hope in PLWHA. Subsequent analysis reveals a positive significant interaction between family functioning and PAS at the second follow-up, indicating that better family functioning increases the positive effect of PAS on the state of hope in PLWHA. Conclusions: The interplay between well-functioning families and external PAS generates higher levels of hope, which is an essential dimension in the success of lifelong treatment. This study provides additional insight into the important role played by family dynamics in HIV/AIDS care, and it underscores the need for PAS interventions that are sensitive to the contexts in

  3. Cancer and Leukemia Group B Pathology Committee guidelines for tissue microarray construction representing multicenter prospective clinical trial tissues.

    Science.gov (United States)

    Rimm, David L; Nielsen, Torsten O; Jewell, Scott D; Rohrer, Daniel C; Broadwater, Gloria; Waldman, Frederic; Mitchell, Kisha A; Singh, Baljit; Tsongalis, Gregory J; Frankel, Wendy L; Magliocco, Anthony M; Lara, Jonathan F; Hsi, Eric D; Bleiweiss, Ira J; Badve, Sunil S; Chen, Beiyun; Ravdin, Peter M; Schilsky, Richard L; Thor, Ann; Berry, Donald A

    2011-06-01

    Practice-changing evidence requires confirmation, preferably in multi-institutional clinical trials. The collection of tissue within such trials has enabled biomarker studies and evaluation of companion diagnostic tests. Tissue microarrays (TMAs) have become a standard approach in many cooperative oncology groups. A principal goal is to maximize the number of assays with this precious tissue. However, production strategies for these arrays have not been standardized, possibly decreasing the value of the study. In this article, members of the Cancer and Leukemia Group B Pathology Committee relay our experiences as array facility directors and propose guidelines regarding the production of high-quality TMAs for cooperative group studies. We also discuss statistical issues arising from having a proportion of patients available for TMAs and the possibility that patients with TMAs fail to represent the greater study population.

  4. Directly Imaged Giant Planets: What Do We Hope to Learn?

    Science.gov (United States)

    Marley, Mark

    2015-01-01

    As we move into an era when GPI and SPHERE are (hopefully) discovering and characterizing new young giant planets, it is worthwhile to step back and review our science goals for young giant planets. Of course for individual planets we ideally would hope to measure mass, radius, atmospheric composition, temperature, and cloud properties, but how do these characteristics fit into our broader understanding of planetary system origin and evolution theories? In my presentation I will review both the specifics of what we hope to learn from newly discovered young worlds as well as how these characteristics inform our broader understanding of giant planets and planetary systems. Finally I will consider the limitations realistic datasets will place on our ability to understand newly discovered planets, illustrating with data from any new such worlds that are available by the conference date.

  5. Aspects regarding the hope for successful reintegration of female detainees.

    Science.gov (United States)

    Enache, Alexandra; Pasca, Viorel; Luta, Veronica; Ciopec, Flavius; Ursachi, Georgeta; Radu, Daniel; Stratul, Stefan; Zarie, Gabriela; Mutiu, Florentina

    2009-04-01

    We investigated in the female inmate population whether they had and which were the foundations of hope for a better future after liberation. We created and applied a questionnaire structured on four general information chapters regarding health, attitude and spiritual life. In total, 67 questions with 293 items. For this study, we selected 62 items. Hope for better reintegration was layed on family support and (re)imployment. The majority considered that the length of the detention influences the chances for social reintegration. The family perception was clarified and the relationship with the parents and spouse was tightened. The spiritual questions reflected a moderate return to religion. The study proved that the female detainees have a positive perception on the role of education and that the efforts of different educational factors during detention was strongly positive. The development of moral, family, social and spiritual values was beneficial and raised the hopes of social reintegration.

  6. A Mother’S Plight – Fear and Hope in Kamala Markandaya’S Nectar in a Sieve

    Directory of Open Access Journals (Sweden)

    Rogobete Daniela

    2014-03-01

    Full Text Available This paper dwells upon Kamala Markandaya’s construction of motherhood in postindependence rural India as depicted in her 1955 novel, “Nectar in a Sieve”. Caught between changing times, between colonial and postcolonial paradigms, perennial traditions and shifting values, different world views and cultural systems, Markandaya’s main character finds solace and strength in her philosophy of hope and endurance

  7. Cancer fear and fatalism: how African American participants construct the role of research subject in relation to clinical cancer research.

    Science.gov (United States)

    Somayaji, Darryl; Cloyes, Kristin Gates

    2015-01-01

    Lack of African American participation in cancer clinical trials has been identified as a critical problem. Historical interactions related to race, identity, and power may contribute to continued inequity in healthcare and research participation. The aim of this study was to explore the perceptions of African Americans regarding cancer and research and how these perceptions shape their beliefs about participating as cancer research subjects. Three African American focus groups were conducted including people who had never participated in cancer research, those who had, and those who were asked but refused (n = 16). Discussion focused on their perceptions of cancer research and actual or potential participation as research subjects. Data were coded using both structured and inductive coding methods. Fear and fatalism emerged in relation to research, race, power, and identity and were related to larger historical and social issues rather than only individual thoughts or feelings. Participants described fears of the unknown, death, mistrust, conspiracy, and discrimination together with positive/negative tensions between self, family, and community responsibilities. Complex identities linked perceptions of cancer and cancer research with broader historical and cultural issues. Fear, fatalism, and current and historical relationships influence how people perceive themselves as research subjects and may influence their decisions to participate in cancer research. Acknowledging how complex factors including race and racism contribute to health disparities may give nurses and other healthcare providers a better appreciation of how historical, social, and cultural dynamics at individual, community, and organizational levels influence access to and participation in cancer research.

  8. Osseointegrated dental implants as alternative therapy to bridge construction or orthodontics in young patients: seven years of clinical experience.

    Science.gov (United States)

    Ledermann, P D; Hassell, T M; Hefti, A F

    1993-01-01

    Young patients often require fixed bridgework or orthodontic therapy in cases of traumatic tooth loss or congenitally missing teeth. Dental implants represent an alternative to the more conventional treatment methods. We report positive experience over a seven-year period with 42 titanium Ha-Ti implants in 34 patients aged 9 to 18 years. Fourteen implants were placed into prepared tooth sockets immediately after traumatic luxation of anterior teeth in 12 patients aged 9 to 18 years (median age 16). An additional 22 patients (median age 15.5, range 11 to 18) also received implants (N = 28), but these were placed only after healing of extraction sites, or as substitutes for congenitally missing teeth. Implants remained in situ for an average of 7.7 months before loading. During the healing period, three implants were lost due to additional trauma and one became infected. The 38 remaining implants osseointegrated and since have been loaded for five to 79 months in successful function. There was no difference between immediate and delayed implants in clinical success. These experiences demonstrate that appropriate, versatile, osseointegrated implants can provide a successful treatment method for young patients, without damaging adjacent teeth.

  9. The role of feared possible selves in obsessive-compulsive and related disorders: A comparative analysis of a core cognitive self-construct in clinical samples.

    Science.gov (United States)

    Aardema, Frederick; Moulding, Richard; Melli, Gabriele; Radomsky, Adam S; Doron, Guy; Audet, Jean-Sebastien; Purcell-Lalonde, Magali

    2018-01-01

    Increasingly, cognitive-behavioural models have been considering the role of beliefs about the self in the development and maintenance of obsessive-compulsive disorder (OCD), including sensitive domains of self-concept and feared self-perceptions. This has led to the development of the Fear of Self Questionnaire (FSQ; Aardema et al., ), which has shown strong internal consistency, divergent and convergent validity, and found to be a major predictor of unwanted thoughts and impulses (i.e., repugnant obsessions). The current study aimed to investigate fear of self-perceptions using the FSQ in an OCD sample (n = 144) and related psychological disorders (eating disorders, n = 57; body dysmorphic disorder, n = 33) in comparison to a non-clinical (n = 141) and clinical comparison group (anxiety/depressive disorders, n = 27). Following an exploratory factor analysis of the scale in the OCD sample, the results showed that participants with OCD in general did not score significantly higher on fear of self-perceptions than did the clinical comparison participants. However, consistent with previous findings, fear of self was highly characteristic among OCD patients with unwanted repugnant thoughts and impulses. In addition, fear of self-perceptions were significantly more elevated in those with eating or body dysmorphic disorders relative to the other non-clinical and clinical groups. The construct of a "feared possible self" may be particularly relevant in disorders where negative self-perception is a dominant theme, either involving concerns about one's inner self or concerns related to perceived bodily faults. Copyright © 2017 John Wiley & Sons, Ltd.

  10. Behavioral health coaching for rural-living older adults with diabetes and depression: an open pilot of the HOPE Study

    Science.gov (United States)

    2012-01-01

    Background Patients with diabetes are at increased risk for depression, compounding the burden of disease. When comorbid with diabetes, depression leads to poorer health outcomes and often complicates diabetes self-management. Unfortunately, treatment options for these complex patients are limited and comprehensive services are rarely available for patients in rural settings. Methods A small open trial was conducted to test the acceptability, feasibility and preliminary outcomes of a telephone-delivered coaching intervention for rural-dwelling older adults with uncontrolled diabetes and comorbid, clinically significant depressive symptoms. A total of eight older adults were enrolled in Healthy Outcomes through Patient Empowerment (HOPE), a 10-session (12-week), telephone-based coaching intervention. Primary study constructs included measures of diabetes control (Hemoglobin [Hb] A1c), depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]), and diabetes-related distress (Problem Areas in Diabetes Scale [PAID]). Assessments were conducted at baseline, post-intervention, and 6-month follow-up. Acceptability and feasibility were evaluated using patient surveys, focused exit interviews, and session attendance data. Results Clinically significant improvements were realized post-intervention and at 6-month follow-up for outcomes related to diabetes and depression. Effect sizes using Cohen's d were determined post-intervention and at 6-month follow-up, respectively, for HbA1c (d=0.36; d=0.28), PHQ-9 (d=1.48; d=1.67, and PAID (d=1.50; d=1.06) scores. Among study participants, HbA1c improved from baseline by a mean (M) of 1.13 (SD=1.70) post-intervention and M=0.84 (SD=1.62) at 6 months. Depression scores, measured by the PHQ-9, improved from baseline by M=5.14 (SD=2.27) post-intervention and M=7.03 (SD=4.43) at 6-month follow-up. PAID scores also improved by M=17.68 (SD=10.7) post-intervention and M=20.42 (SD=20.66) from baseline to 6-month follow-up. Case examples

  11. Concept of H-II orbiting plane, HOPE

    Science.gov (United States)

    Akimoto, Toshio; Ito, Tetsuichi; Miyaba, Hiroshi

    An unmanned winged vehicle to be lauched by the H-II rocket, the H-II Orbiting Plane (HOPE), is described. HOPE will be launched into a 250-km altitude orbit, will remain in space for 1 to 3 days (performing experiments or rendezvous and docking to the space station), and will then return to land on a runway automatically. A double delta wing design was selected, along with tip fins for the tail. Trade-off studies were performed for airframe structural materials, thermal protection system materials, the guidance, navigation, and control system, and the development of fuel cells.

  12. Constructed Wetlands

    Science.gov (United States)

    these systems can improve water quality, engineers and scientists construct systems that replicate the functions of natural wetlands. Constructed wetlands are treatment systems that use natural processes

  13. Coping strategies, hope, and treatment efficacy in pharmacoresistant inpatients with neurotic spectrum disorders

    Directory of Open Access Journals (Sweden)

    Ociskova M

    2015-05-01

    Full Text Available Marie Ociskova,1,2 Jan Prasko,2 Dana Kamaradova,2 Ales Grambal,2 Petra Kasalova,2 Zuzana Sigmundova,2 Klara Latalova,2 Kristyna Vrbova2 1Department of Psychology, Faculty of Arts, 2Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic Background: Approximately 30%–60% of patients with neurotic spectrum disorders remain symptomatic despite treatment. Identifying the predictors of good response to psychiatric and psychotherapeutic treatment may be useful for increasing treatment efficacy in neurotic patients. The objective of this study was to investigate the influence of hope, coping strategies, and dissociation on the treatment response of this group of patients.Methods: Pharmacoresistant patients, who underwent a 6-week psychotherapeutic program, were enrolled in the study. All patients completed the Clinical Global Impression (CGI – both objective and subjective forms, Beck Anxiety Inventory (BAI, and Beck Depression Inventory (BDI-II at baseline and after 6 weeks. The COPE Inventory, the Adult Dispositional Hope Scale (ADHS, and the Dissociative Experiences Scale (DES were completed at the start of the treatment.Results: Seventy-six patients completed the study. The mean scores for all scales measuring the severity of the disorders (BAI, BDI-II, subjective and objective CGI significantly decreased during the treatment. Several subscores of the COPE Inventory, the overall score of ADHS, and the overall score of DES significantly correlated with the treatment outcome. Multiple regression was used to find out which factors were the most significant predictors of the therapeutic outcomes. The most important predictors of the treatment response were the overall levels of hope and dissociation.Conclusion: According to our results, a group of patients with a primary neurotic disorder, who prefer the use of maladaptive coping strategies, feel hopelessness, and

  14. A comparison of the Yale-Brown Obsessive Compulsive Scale for "heavy drinking" with a single item craving measure: construct validity and clinical utility.

    Science.gov (United States)

    Connor, Jason P; Feeney, Gerald F X; Young, Ross McD

    2005-01-01

    The measurement of alcohol "craving" began with single-item scales. Multifactorial scales developed with the intention to capture more fully the phenomenon of craving. This study examines the construct validity of a multifactorial scale, the Yale-Brown Obsessive Compulsive Scale for heavy drinking (Y-BOCS-hd). The study compares its clinical utility with a single item visual-analogue craving scale. The study includes 212 alcohol dependent subjects (127 males, 75 females) undertaking an outpatient treatment program between 1999-2001. Subjects completed the Y-BOCS-hd and a single item visual-analogue scale, in addition to alcohol consumption and dependence severity measures. The Y-BOCS-hd had strong construct validity. Both the visual-analogue alcohol craving scale and Y-BOCS-hd were weakly associated with pretreatment dependence severity. There was a significant association between pretreatment alcohol consumption and the visual-analogue craving scale. Neither craving measure was able to predict total program abstinence or days abstinent. The relationship between obsessive-compulsive behavior in alcohol dependence and craving remains unclear.

  15. Should palliative care patients' hope be truthful, helpful or valuable? An interpretative synthesis of literature describing healthcare professionals' perspectives on hope of palliative care patients

    NARCIS (Netherlands)

    Olsman, E.; Leget, C.; Onwuteaka-Philipsen, B.D.; Willems, D.

    2014-01-01

    Background: Healthcare professionals? perspectives on palliative care patients? hope influence communication. However, these perspectives have hardly been examined. Aim: To describe healthcare professionals? perspectives on palliative care patients? hope found in the literature. Design: The

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

    Science.gov (United States)

    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.

  17. Models-Based Practice: Great White Hope or White Elephant?

    Science.gov (United States)

    Casey, Ashley

    2014-01-01

    Background: Many critical curriculum theorists in physical education have advocated a model- or models-based approach to teaching in the subject. This paper explores the literature base around models-based practice (MBP) and asks if this multi-models approach to curriculum planning has the potential to be the great white hope of pedagogical change…

  18. Engendering Hope: Women's (Dis)engagement in Change in Afghanistan

    Science.gov (United States)

    Sehin, Oleksandra; Coryell, Joellen; Stewart, Trae

    2017-01-01

    Afghan women's human rights are a crucial concern for the international community and the government in Afghanistan. Framed by hope theory, this study captured Afghan women's understandings of recent realities, particularly those focused on expanding women's roles in Afghan life and community. Based on focus groups with 107 women conducted in 10…

  19. Hope in Janusz Korczak's Pedagogy of Realistic Idealism

    Science.gov (United States)

    Silverman, Marc

    2017-01-01

    This article explores the approach of "Realistic Idealism" to moral education developed by the humanist-progressive moral educator Janusz Korczak, and the role hope plays in it. This pair of terms seems to be an oxymoron. However, their employment is intentional and the article will demonstrate their dialectical interdependence:…

  20. The Role of Hope in Spinal Cord Injury Rehabilitation.

    Science.gov (United States)

    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…

  1. The immune enhancer, thymoquinone, and the hope of utilizing the ...

    African Journals Online (AJOL)

    The immune enhancer, thymoquinone, and the hope of utilizing the immune system of Aedes caspius against disease agents. ... immunity-reproduction conflict, it was concluded that the impact of immune stimulation and/or enhancement on the vector reproduction constitutes a limiting factor to the utilization of thymoquinone ...

  2. On the dimensionality of the Dispositional Hope Scale

    NARCIS (Netherlands)

    Brouwer, Danny; Meijer, Rob R.; Weekers, Anke M.; Baneke, Joost J.

    The Dispositional Hope Scale (DHS; C. R. Snyder et al., 1991) consists of two subsets of items measuring Agency and Pathways. ne authors used bifactor analysis to evaluate the dimensionality structure of the scale. Data from 676 persons (295 psychiatric patients, 112 delinquents, and 269 students)

  3. The Hope Bridge Program: Addressing Recidivism through Education and Employment

    Science.gov (United States)

    Fuentes, Juanita; Rael, George; Duncan, Catherine

    2010-01-01

    Pueblo Community College has 13 correctional facilities within its service area. Former offenders are faced with numerous challenges that may prevent them from successfully redirecting their lives. The current three-year recidivism rate in Colorado is 53.2%. Data collected at the end of the first year of the HOPE Bridge Program indicates that…

  4. Hope and Resilience - Suicide Prevention in the Arctic

    DEFF Research Database (Denmark)

    Pedersen, Cecilia Petrine; Larsen, Christina Viskum Lytken

    Konference rapport fra seminaret "Hope and Resilience in Suicide Prevention", der blev afholdt i Nuuk, november 2009. Rapporten beskriver baggrunden for seminaret og indeholder referater af oplæg fra seminaret givet af forskere, praktikere og unge. Et væsentligt indhold i rapporten er desuden...

  5. Factors associated with retention in HIV care at Sediba Hope ...

    African Journals Online (AJOL)

    2015-07-01

    Jul 1, 2015 ... Factors associated with retention in HIV care at Sediba Hope Medical Centre. Read online: Scan this QR code with your smart phone or mobile device to read online. Introduction. Adhering to antiretroviral treatment (ART) is a lifelong commitment that requires patients to diligently adhere to daily medication ...

  6. 'All stories bring hope because stories bring awareness': students ...

    African Journals Online (AJOL)

    Hennie

    2014-11-10

    Nov 10, 2014 ... Using narrative inquiry, and specifically Bamberg's. (2006) 'small stories' ... on the link between personal experience/narrative and larger social issues that affect students' practice in South. African schools, we hope to ..... ports on findings from a deductive analysis of 30 small stories told in the focus group ...

  7. A defamiliarising 'scholarship of hope': A youth subjectivity and ...

    African Journals Online (AJOL)

    ... of this article is that a scholarship of hope ought to be based on bringing understandings of excluded communities and their perspectives and knowledges to academic consciousness. Such a scholarship is also meant to inform the critical pedagogical work of educators in school classrooms and university lecture halls.

  8. On a new species of the Longicorn genus Zonopterus, Hope

    NARCIS (Netherlands)

    Ritsema Cz., C.

    1889-01-01

    This species, of which I have three female specimens before me, is most nearly allied to and strongly resembles the type of the genus: Zonopterus flavitarsis Hope 1). It is of the same size and general form, but the sides of the prothorax, which are distinctly bisinuate in flavitarsis, are more

  9. Sacred Uncertainty: Hope, Fear, and the Quest for Transcendence ...

    African Journals Online (AJOL)

    Myth and religion have historically been driven by a quest for certainty, in the form of understanding, control, or both. This article contrasts the thinking of Ken Wilber and Chögyam Trungpa in examining the origins of this quest in the development of individual consciousness, and in assessing the central role of hope and fear ...

  10. Hopefulness for Teachers of ELLs in the Era of NCLB

    Science.gov (United States)

    Colombo, Michaela; McMakin, Deborah; Jacobs, Cynthia; Shestok, Carol

    2013-01-01

    In this article the authors explore the role of critical hope as an essential quality in teachers' preparation to teach English Language Learners (ELLs) in the era of No Child Left Behind. The authors found that high stakes testing with inappropriate measures combined with teachers' lack of preparation to teach ELLs resulted in a downward spiral…

  11. Mesoscale features and phytoplankton biomass at the GoodHope ...

    African Journals Online (AJOL)

    Two sets of high-resolution subsurface hydrographic and underway surface chlorophylla (Chl a) measurements are used, in conjunction with satellite remotely sensed data, to investigate the upper layer oceanography (mesoscale features and mixed layer depth variability) and phytoplankton biomass at the GoodHope line ...

  12. The pedagogy of hope at IMSTUS: Interpretation and manifestation ...

    African Journals Online (AJOL)

    The purpose of this chapter is to discuss how the idea of a Pedagogy of Hope is perceived, interpreted and realised at the Institute for Mathematics and Science Teaching of the University of Stellenbosch (IMSTUS). First some background information is given about the impact of the programmes which, it is argued, cannot be ...

  13. Schizophrenia-Window-of-Hope.com: Development of a psycho ...

    African Journals Online (AJOL)

    A multidisciplinary mental health team compiled a manual for use by SADAG helpline operators, but owing to the huge amount of information it was realised that the resource would be more efficient if both a helpline and an Internet resource could be created. The website (www.schizophrenia-window-of-hope. com) was ...

  14. When coercion meets hope: Can forensic psychiatry adopt the ...

    African Journals Online (AJOL)

    objectively evaluated predetermined risk factors, and thereby apparently provided an assessment of the degree of risk any individual posed. This promise has not been. When coercion meets hope: Can forensic psychiatry adopt the recovery model? SZ Kaliski, HG de Clercq. Forensic Mental Health Services, Department of ...

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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.

  17. ["Without hope it doesn't work". An empirical investigation about the importance of hope for caregivers in South Tyrol (italy)].

    Science.gov (United States)

    Profanter, Luisa

    2007-04-01

    Recent studies on the relevance of hope in nursing have clearly shown that we are dealing with an emotional need as well as a basic coping strategy for both patients and their families. In German speaking countries we are still lacking studies analysing how family caregivers live hope. It is the aim of this study to find out more about the importance of hope for caregivers in South Tvrol (Italy). The research is based on twelve narrative interviews with family caregivers who have been looking after their needy relatives in their own homes for years. Data analysis occurred via qualitative content analysis. The results show the vital role hope plays in coping with caring situations over years. The way caregivers define hope, their objects, and sources of hope as well as their experiences of hope determines how they organise and manage daily and future situations. Hope is defined as love, trust, or blessing. The various objects of hope revolve around doing the very best for the patients and the respective families. Family, faith, and life experience are the main sources of hope and strength. Caregivers' experience of hope is characterised by ups and downs, in other words by periods determined by confidence and periods determined by worries. Hope is both a prerequisite for and a result of successful coping.

  18. Construction management

    CERN Document Server

    Pellicer, Eugenio; Teixeira, José C; Moura, Helder P; Catalá, Joaquín

    2014-01-01

    The management of construction projects is a wide ranging and challenging discipline in an increasingly international industry, facing continual challenges and demands for improvements in safety, in quality and cost control, and in the avoidance of contractual disputes. Construction Management grew out of a Leonardo da Vinci project to develop a series of Common Learning Outcomes for European Managers in Construction. Financed by the European Union, the project aimed to develop a library of basic materials for developing construction management skills for use in a pan-European context. Focused exclusively on the management of the construction phase of a building project from the contractor's point of view, Construction Management covers the complete range of topics of which mastery is required by the construction management professional for the effective delivery of new construction projects. With the continued internationalisation of the construction industry, Construction Management will be required rea...

  19. Correlation of Hope and Self-Efficacy With Job Satisfaction, Job Stress, and Organizational Commitment for Correctional Officers in the Taiwan Prison System.

    Science.gov (United States)

    Law, Fang Mei; Guo, Gwo Jen

    2016-08-01

    The aim of this study was to explore the correlation of hope and self-efficacy with job satisfaction, job stress, and organizational commitment for correctional officers in the Taiwan prison system while controlling for the shared effects of the nature of the institution (i.e., for male or female inmates) and personal characteristics of the officers (i.e., gender, age, and years of work experience). Hope in the context of this study refers to a cognitive set and motivational state that involves reciprocal interaction between goal-directed energy (agency) and planned pathways to meet the goals (pathway). It is a personality trait of hopefulness, rather than having hope for the prisoners restructuring their future. Self-efficacy refers to the belief that individuals have regarding their ability to perform necessary tasks to achieve goals. Although they share similar constructs, hope theory places emphasis on cross-situational goal-directed thought, whereas the concept of self-efficacy focuses on situation-specific goals. The participants were 133 correctional personnel from two correctional institutions, one with male inmates and the other with female inmates, in central Taiwan. The results of ordinary least squares regression analysis indicated that hope had a significant positive association with job satisfaction and a significant negative association with job stress. Self-efficacy had a significant positive association with job satisfaction and organizational commitment. Finally, job satisfaction had a significant positive association with organizational commitment. © The Author(s) 2015.

  20. Construct validity and clinical utility of current research criteria of DSM-5 somatic symptom disorder diagnosis in patients with fibromyalgia syndrome.

    Science.gov (United States)

    Häuser, Winfried; Bialas, Patric; Welsch, Katja; Wolfe, Frederick

    2015-06-01

    The validity and clinical utility of current research criteria of the DSM 5 category somatic symptom disorder (SSD) needs to be tested outside the setting of psychiatry. Consecutive patients with an established diagnosis of fibromyalgia syndrome (FMS) were evaluated by medical examination, psychiatric interview and self-report questionnaires in an outpatient pain medicine center. The diagnosis of SSD was established using published research criteria. The discriminative concurrent criterion validity of SSD was tested by comparing FMS-patients with and without SSD as to the amount of impairment and of health care seeking. Two clinicians blinded as to the purpose of the study, assessed the medical reports of patients after the evaluation for the determination of the need for psychotherapy based on the German FMS - guideline recommendations (clinical utility). 25.6% of 156 patients met the criteria of SSD. Patients meeting SSD criteria scored significantly higher in a self-report measure of disability. There were no significant differences in the number of patients on sick leave or applying for disability pension and in self-reported doctor visits and physiotherapy in the previous six months. 95.0% of patients with SSD and 71.6% of patients without SSD met the criteria of a current anxiety or depressive disorder as assessed by the psychiatric interview. 80.0% of patients with SSD and 66.7% of patients without SSD received a recommendation for psychotherapy. The construct validity and clinical utility of current research criteria of DSM 5 category SSD were limited in German patients with FMS. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Pesquisa e prática clínica: construindo articulações teóricas Research and clinical practice: constructing theoretical links

    Directory of Open Access Journals (Sweden)

    Terezinha Féres-Carneiro

    2008-01-01

    Full Text Available Neste texto, apresentado na Aula Inaugural, proferida no Programa de Pós-graduação em Psicologia do Desenvolvimento da Universidade Federal do Rio Grande do Sul (UFRGS em 10/03/08, discutem-se as articulações construídas pela autora a partir de sua inserção na academia e na prática clínica. A história de um percurso de 36 anos, como docente-pesquisadora e como psicóloga clínica, é relatada, ressaltando o modo indissociável de conceber tais funções. Neste relato, são explicitadas e discutidas as possibilidades de articular diferentes enfoques teórico-técnicos na clínica. Uma tríplice chave de leitura, que considere o intra-psíquico, o interacional e o social, é proposta no atendimento a famílias e casais.In this text, which was presented at the Inaugural Lecture from the Graduate Program of Developmental Psychology at Universidade Federal do Rio Grande do Sul (UFRGS on March 03, 2008, are discussed the links constructed by this author in the academic work as well as in the clinical practice. The history of a 36-year journey as both a professor-researcher and also as a clinical psychologist is reported here, with emphasis on the inseparable way of conceiving such functions. In this account it is explained and discussed the possibilities of articulating different theoretical-technical approaches in the clinic. The proposal for family and couple psychological assistance is a tripartite key of reading which takes into consideration the intra-psychological, the interactional and the social aspects of the aforementioned ones.

  2. Effect of self-care educational program based on Orem’s Theory on hope in patients with Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Dahmardeh H

    2015-08-01

    Full Text Available Background and Objective: Multiple sclerosis (MS as one of the major causes of disability in the world, can create a sense of hopelessness in patient. Thus the application of self-care methods is very important for these patients. The current study was conducted to determine the effect of self-care educational program based on Orem’s Theory on hope in patients with Multiple sclerosis. Materials and Method: In this clinical trial study, 88 patients with multiple sclerosis who were registered in MS Association of Zahedan, were selected through convenience sampling and then randomly allocated into two intervention and control groups of 44 people in 2014-2015. Then, nine educational sessions were designed and conducted according to patients’ needs based on Orem’s Theory. The rate of implementing the program by patients was measured through a self-report checklist. The hope of patients was measured by Snyder Hope Scale before and 3 months after the intervention. Data were analyzed by SPSS 16 using independent T-test, paired t-test and Chi-square. Results: The mean of total hope score, aspects of pathway thinking and agency thinking didn’t show significant difference between two groups before and after the intervention, but the mean of change score of total hope and aspects of pathway thinking and agency thinking in intervention group was increased significantly after the educational program in compare with control group (p<0.001. Conclusion: According to the results, implementation of Orem’s self-care program can increase the hope in patients with MS. Given the limitations of the present study, further studies is recommended.

  3. Usability Constructs

    DEFF Research Database (Denmark)

    Hertzum, Morten; Clemmesen, Torkil; Hornbæk, Kasper Anders Søren

    2007-01-01

    Whereas research on usability predominantly employs universal definitions of the aspects that comprise usability, people experience their use of information systems through personal constructs. Based on 48 repertory-grid interviews, this study investigates how such personal constructs are affecte...

  4. Accelerated construction

    Science.gov (United States)

    2004-01-01

    Accelerated Construction Technology Transfer (ACTT) is a strategic process that uses various innovative techniques, strategies, and technologies to minimize actual construction time, while enhancing quality and safety on today's large, complex multip...

  5. Predictors of hope among women with breast cancer during chemotherapy.

    Science.gov (United States)

    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

  6. Transformative education: Pathways to identity, independence and hope

    Directory of Open Access Journals (Sweden)

    Peter Howard

    2010-11-01

    Full Text Available In 2008–2010, the Australian Government’s social inclusion agenda and the Bradley Review of Higher Education profiled the importance of education for people from disadvantaged backgrounds. This education needs to be transformative in both its nature and its outcomes. The Clemente Australia program is presented here as a means of providing such transformative education for people who are disadvantaged or socially isolated. This case study of Clemente Australia shows how the program is built upon a psychology of hope and provides pathways not only to new hope but also to a new sense of identity and independence. Clemente Australia (CA is an example of community embedded, socially supported university education (CESS. Essential elements of CA are respecting people for who they are and for where they are within their individual life journeys; building student capacity to be more proactive in reflecting upon and engaging with the world; learning with and relating to others; and promoting educative justice through the recognition of the students’ human rights to participate in tertiary education in a way that meets their personal and academic learning needs. For the students, the university (Australian Catholic University and other partners in CA, it is evident that there has been an ongoing shift from dependence upon the provision of materials and services to empowerment and enhanced capabilities in identifying the supports and processes required to meet the personal and professional needs of students, staff and community agencies. This shift has occurred through the scaffolding processes provided, the establishment of innovative partnerships and purposeful reflection. It has involved listening to one another, welcoming people into new worlds and challenging one another in the provision of transformative education to realise the fulfilment of hope for many Australians experiencing disadvantage. key words: transformation; education

  7. Treating Infidelity: Therapists' Ratings Of Hope, Threat, Forgiveness, And Justification

    OpenAIRE

    Dodini, Aaron Jarrett

    2000-01-01

    This exploratory study examined the beliefs of 82 experienced Marriage and Family Therapists regarding the treatment of marital infidelity. Participants were asked to read an on-line vignette and respond to a subsequent web based questionnaire by rating levels of hope, threat, forgiveness, and justification for a couple in regard to various affair scenarios. This study employed an experimental design using six groups to discover possible differences in responses across the dependent variabl...

  8. Hopes and fears of teacher candidates concerning the teaching profession

    Directory of Open Access Journals (Sweden)

    Creţu Daniela

    2017-01-01

    Full Text Available Romanian university students have the opportunity to enroll in the education program for the teaching profession starting with their first year at the university. Most undergraduates choose the education program for the teaching profession, although some of them do not see themselves as teachers. The schooling experiences, the motivation for entering the teacher education programs, the initial teacher education experiences and their future plans can be important factors in considering the perspective of becoming a teacher or not. Focused on a future orientation, the goal of this study was to investigate teacher education candidates’ hopes and fears concerning a possible career as teacher. Using an open-ended questionnaire as a research tool, a qualitative analysis was made on the hopes and fears expressed by the teacher candidates. Our findings showed different categories of hopes and fears and generated an enriched understanding of teacher candidates’ views on this subject. The study can be a valuable support for teacher educators preoccupied to understand teacher candidates’ perceptions and to assist them in getting closer to their ideals by improving the education program.

  9. Standardization of the Czech version of the Snyder´s Adult dispositional hope scale

    Directory of Open Access Journals (Sweden)

    Marie Ocisková

    2016-01-01

    Full Text Available Hope is one of important factors affecting the psychological state of individuals. It influences well-being and self-esteem, academic and athletic performance, and even the probability of repeated incarceration of offenders. It also predicts the efficacy of the systematic psychotherapy of mental disorders, as well as the supportive psychotherapy in patients with oncologic illnesses. Hope has a central position in positive and clinical psychology. The aim of the presented work was to translate the adult dispositional hope scale into Czech, verify its psychometric properties and develop the norms for interpreting the resulting scores. The scale could be helpful both in mental health research and practice. 394 healthy adults participated in the study. The average age of the probands was 27.1 + 11.7 years. There were more women (n = 303; i.e. 76.9 % than men. The most common level of education was secondary (n = 309; 78.4 %. The participants were mainly students (n = 273; 69.3 % or employees and self-employed individuals (n = 113; 28.7 %. Most of them were single (n = 300; 76.1 % or married (n = 84; 21.3 %. The Adult Dispositional Hope Scale consists of 12 items. Four items measure pathways thinking (i.e. the ability to find ways to achieve one's goals and four items assess agency (i.e. goal-directed energy. The remaining four items are fillers that are not interpreted. Apart from this scale, all participants completed a demographic questionnaire and the second version of the Beck Depression Inventory. The statistical analyses consisted of the Cronbach's alpha and Spearman-Brown coefficient analysis, the exploratory and confirmatory factor analysis, the correlation between the standardized scale and the Beck Depression Inventory-II, and finally the creation of the norms based on the stens. The overall rate of hope was not statistically significantly associated with the subjects' age (Spearman r = -0.06, non-significant, nor with their sex (Mann

  10. The Hope Research Community of Practice: Building Advanced Practice Nurses' Research Capacity.

    Science.gov (United States)

    Landeen, Janet; Kirkpatrick, Helen; Doyle, Winnifred

    2017-09-01

    Background Clinical nurses have multiple challenges in conducting high-quality nursing research to inform practice. Theoretically, the development of a community of practice on nursing research centered on the concept of hope is an approach that may address some of the challenges. Purpose This article describes the delivery and evaluation of a hope research community of practice (HRCoP) approach to facilitate research expertise in a group of advanced practice nurses in one hospital. It addressed the question: Does the establishment of a HRCoP for master's prepared nurses increase their confidence and competence in leading nursing research? Method Using interpretive descriptive qualitative research methodology, five participants were interviewed about their experiences within the HRCoP and facilitators engaged in participant observation. Results At 13 months, only four of the original seven participants remained in the HRCoP. While all participants discussed positive impacts of participation, they identified challenges of having protected time to complete their individual research projects, despite having administrative support to do so. Progress on individual research projects varied. Conclusion Nurse-led research remains a challenge for practicing nurses despite participating in an evidence-based HRCoP. Lessons learned from this project can be useful to other academic clinical partnerships.

  11. The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples.

    Science.gov (United States)

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel; Zanetti, M Assunta; Volpato, Chiara; Riva, Giuseppe; Clerici, Massimo; Cipresso, Pietro

    2016-02-01

    Anxiety in situations where one's overall appearance (including body shape) may be negatively evaluated is hypothesized to play a central role in Eating Disorders (EDs) and in their co-occurrence with Social Anxiety Disorder (SAD). Three studies were conducted among community (N = 1995) and clinical (N = 703) ED samples of 11- to 18-year-old Italian girls and boys to (a) evaluate the psychometric qualities and measurement equivalence/invariance (ME/I) of the Social Appearance Anxiety (SAA) Scale (SAAS) and (b) determine to what extent SAA or other situational domains of social anxiety related to EDs distinguish adolescents with an ED only from those with SAD. Results upheld the one-factor structure and ME/I of the SAAS across samples, gender, age categories, and diagnostic status (i.e., ED participants with and without comorbid SAD). The SAAS demonstrated high internal consistency and 3-week test-retest reliability. The strength of the inter-relationships between SAAS and measures of body image, teasing about appearance, ED symptoms, depression, social anxiety, avoidance, and distress, as well as the ability of SAAS to discriminate community adolescents with high and low levels of ED symptoms and community participants from ED participants provided construct validity evidence. Only SAA strongly differentiated adolescents with any ED from those with comorbid SAD (23.2 %). Latent mean comparisons across all study groups were performed and discussed.

  12. Conversations about doing hope : a narrative therapeutic journey exploring hope with young people from the child-headed household

    OpenAIRE

    2013-01-01

    D.Ed. (Educational Psychology) Hope builds resiliency and, therefore, as a protective phenomenon has particular relevance to orphans and vulnerable young people who face adversity on a daily basis. The HIV/AIDS pandemic is adding more strain to the already overburdened safety nets of families and communities in South Africa, where the emergence of child-headed households and the rising numbers of vulnerable young people calls for a more comprehensive response to address their needs and to ...

  13. Chemotherapy rechallenge after regorafenib treatment in metastatic colorectal cancer: still hope after the last hope?

    Science.gov (United States)

    Bertocchi, Paola; Aroldi, Francesca; Prochilo, Tiziana; Meriggi, Fausto; Beretta, Giordano Domenico; Zaniboni, Alberto

    2017-04-01

    The introduction of biological agents in cancer therapy is changing the progression of metastatic colorectal cancer. Currently, resistance to biological agents is an emerging problem; the progression of the disease is caused by the development of resistant clones. According to some authors, these clones can be re-sensitized to traditional and previously utilized chemotherapy agents. The results of the CORRECT study demonstrated the efficacy of regorafenib monotherapy in both KRAS wild type and mutant pretreated patients (pts). Two recent reports showed the potential of reintroduction of chemotherapy, even after treatment with regorafenib. We performed a retrospective review of clinical data from patients treated with regorafenib at our institution between March 2012 and March 2013. We analysed patient characteristics, KRAS/NRAS status, response to treatment (evaluated by RECIST v1.1 criteria) and survival. Regorafenib was administered to 128 patients, and 11 (8.6%) received post-regorafenib therapy (to our knowledge). Seven (63.6%) patients were wild type for KRAS/NRAS. Post-regorafenib therapy represented for all the patients at least the fourth line: all the pts received both oxaliplatin- and irinotecan-based chemotherapy, all of them were treated with bevacizumab, and 7 patients also received cetuximab. Eight patients (72.7%) were treated with standard chemotherapy after regorafenib (irinotecan monotherapy, capecitabine plus oxaliplatin or irinotecan, dacarbazine or raltitrexed), while 3 patients received an experimental therapy (clinical trial). Nine of the 11 (81.8%) patients had PD and 2 patients had SD. The median progression-free survival was 1.6+ months (range 0.5-3.5), the median OS post-regorafenib was 2.1+ months (range 0.5-10.2) and the 6-month OS was 27.3%. Our retrospective analysis showed that after regorafenib therapy, re-introduction of chemotherapy is possible. Unfortunately, we reported a high percentage of disease progression beyond regorafenib

  14. Personality features, dissociation, self-stigma, hope, and the complex treatment of depressive disorder.

    Science.gov (United States)

    Prasko, Jan; Ociskova, Marie; Grambal, Ales; Sigmundova, Zuzana; Kasalova, Petra; Marackova, Marketa; Holubova, Michaela; Vrbova, Kristyna; Latalova, Klara; Slepecky, Milos

    2016-01-01

    Identifying the predictors of response to psychiatric and psychotherapeutic treatments may be useful for increasing treatment efficacy in pharmacoresistant depressive patients. The goal of this study was to examine the influence of dissociation, hope, personality trait, and selected demographic factors in treatment response of this group of patients. Pharmacoresistant depressive inpatients were enrolled in the study. All patients completed Clinical Global Impression - both objective and subjective form (CGI), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) at baseline and after 6 weeks of combined pharmacotherapy and psychotherapy (group cognitive-behavioral or group psychodynamic) treatment as an outcome measures. The Internalized Stigma of Mental Illness Scale (ISMI), Dissociative Experience Scale (DES), Adult Dispositional Hope Scale (ADHS), and Temperament and Character Inventory (TCI-R) were completed at the start of the treatment with the intention to find the predictors of treatment efficacy. The study included 72 patients who were hospitalized for the pharmacoresistant major depression; 63 of them completed the study. The mean scores of BDI-II, BAI, subjCGI, and objCGI significantly decreased during the treatment. BDI-II relative change statistically significantly correlated with the total ISMI score, Discrimination Experience (ISMI subscale), and Harm Avoidance (TCI-R personality trait). According to stepwise regression, the strongest factors connected to BDI-II relative change were the duration of the disorder and Discrimination Experience (domain of ISMI). ObjCGI relative change significantly correlated with the level of dissociation (DES), the total ISMI score, hope in ADHS total score, and Self-Directedness (TCI-R). According to stepwise regression, the strongest factor connected to objCGI relative change was Discrimination Experience (domain of ISMI). The existence of comorbid personality disorder did not influence the treatment

  15. Origins of Early Adolescents' Hope: Personality, Parental Attachment, and Stressful Life Events

    Science.gov (United States)

    Otis, Kristin L.; Huebner, E. Scott; Hills, Kimberly J.

    2016-01-01

    Psychology has recently increased attention to identifying psychological qualities in individuals that indicate positive mental health, such as hope. In an effort to understand further the origins of hope, we examined the relations among parental attachment, stressful life events, personality variables, and hope in a sample of 647 middle school…

  16. Vicarious Futurity, Hope, and Well-Being in Parents of Children with Autism Spectrum Disorder

    Science.gov (United States)

    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…

  17. Hope in Adolescent Careers: Mediating Effects of Work Motivation on Career Outcomes in Swiss Apprentices

    Science.gov (United States)

    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…

  18. 78 FR 64048 - Noise Exposure Map Notice for Bob Hope Airport, Burbank, California

    Science.gov (United States)

    2013-10-25

    ... Federal Aviation Administration Noise Exposure Map Notice for Bob Hope Airport, Burbank, California AGENCY... that the noise exposure maps submitted by Burbank-Glendale-Pasadena Airport Authority, for Bob Hope... the noise exposure maps submitted for Bob Hope Airport are in compliance with applicable requirements...

  19. Paulo Freire and "The Need for a Kind of Education in Hope"

    Science.gov (United States)

    Webb, Darren

    2010-01-01

    This paper explores Paulo Freire's philosophy of hope. This is significant because, for Freire, it was human hope that rendered education possible, necessary and necessarily political. Like other areas of his thought, however, his reading of hope contained ambiguities and contradictions, and the paper explores these by locating Freire's thought in…

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

    Science.gov (United States)

    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…

  1. Researching the meaning of life: finding new sources of hope.

    Science.gov (United States)

    Alon, Shirly

    2010-01-01

    The purpose of the paper is to discuss means of assisting terminally ill patients in seeking for sources of meaning and hope, alongside the acknowledgment that their lifespan is short.Psycho-spiritual aspects make a substantial component patients suffering from incurable illness have to deal with. Evaluating and mapping the causes and expressions of psychological--spiritual suffering may assist in tailoring appropriate strategies of distress relief. Therefore, interventions should be given in accordance with their specific focus of difficulties, as well as with wishes and needs. Appropriate interventions in palliative psychotherapeutic rapport are inspired by identifying new sources for meaning in current life (sometimes, aided by past experiences or future visions). Reinforcing sources for meaning may attempt in providing patients amongst:--equilibrium, between suffering and sorrow (which sometimes take over the patient's world), and on the other hand, new experiences, sense of satisfaction and fulfillment. Individual's acknowledgment that he is not completely withdrawn from the circle of life, and yet significance and fulfillment in life still exists. For a holistic meaning ? centered intervention it is advisable to simultaneously integrate two central axes: the existential analysis, inspired by concepts driven from Frenkl's Logotherapy, such as freedom of choice, personal responsibility, inner truth, hope and transcendentalism; the operative axis, enhancing meaning and hope by assisting patient's wishes come true. Patients are aware, many times, that those wishes may be their last one, therefore perceive their fulfillment as crucial for their sense of meaning. Moreover, those wishes may elevate patient and family's spirit and reduce risk of demoralization. Whereas existential--spiritual interventions are recommended to be given by qualified professional therapists, the operation of fulfilling wishes is feasible by everyone, from family members to multi

  2. Neuromarketing: the hope and hype of neuroimaging in business.

    Science.gov (United States)

    Ariely, Dan; Berns, Gregory S

    2010-04-01

    The application of neuroimaging methods to product marketing - neuromarketing - has recently gained considerable popularity. We propose that there are two main reasons for this trend. First, the possibility that neuroimaging will become cheaper and faster than other marketing methods; and second, the hope that neuroimaging will provide marketers with information that is not obtainable through conventional marketing methods. Although neuroimaging is unlikely to be cheaper than other tools in the near future, there is growing evidence that it may provide hidden information about the consumer experience. The most promising application of neuroimaging methods to marketing may come before a product is even released - when it is just an idea being developed.

  3. Finding Hope in the Face-to-Face

    Science.gov (United States)

    Edgoose, Jennifer Y. C.; Edgoose, Julian M.

    2017-01-01

    What does it mean to look into the face of a patient who looks back? Face-to-face encounters are at the heart of the patient-clinician relationship but their singular significance is often lost amid the demands of today’s high-tech, metric-driven health care systems. Using the framework provided by the philosopher and Holocaust survivor Emmanuel Levinas, the authors explore the unique responsibility and potential for hope found only in face-to-face encounters. Revisiting this most fundamental attribute of medicine is likely our greatest chance to reclaim who we are as clinicians and why we do what we do. PMID:28483894

  4. Ernst Block and the Utopian Hope of Modernity

    Directory of Open Access Journals (Sweden)

    Christian Retamal

    2015-03-01

    Full Text Available In the present paper, the influence of Ernst Bloch, one of the most important thinkers of western Marxism, is analysed, particularly because of the revival of his thought lately. The role assigned by the author to utopia as an element that puts modernity into action depending on teleological hope is studied. In addition, the influence of psychoanalysis on Bloch’s thought and his intellectual relations with contemporary philosophers are analysed, along with the critical readings that can be done from the present perspective.

  5. Trust as a Leap of Hope for Transaction Value

    DEFF Research Database (Denmark)

    Li, Peter Ping

    2015-01-01

    trustor’s propensity to trust as well as above and beyond trustor confident expectation of trustee’s trustworthiness (either due to trustee’s trait-like characters or due to institutional assurance). In this sense, trust should be reframed as a leap of hope to enhance transaction value by taking advantage...... of vulnerability. This is because the most laudable potential contribution from trust research to other domains of social research may lie in the reframing of high vulnerability from a risk to be avoided to an opportunity to be created and captured. The critical implications of this reframing to advance future...

  6. "Creating hope" and other incentives for drug development for children.

    Science.gov (United States)

    Connor, Edward; Cure, Pablo

    2011-01-19

    Enhancing drug development for pediatric disease is a priority and a public responsibility. The Creating Hope Act of 2010 is important new proposed legislation that adds drugs and biologics for treating rare diseases in children to those for neglected tropical diseases as eligible for a priority review voucher from the U.S. Food and Drug Administration. The Act enhances existing incentive programs through specific financial benefits to companies who seek a pediatric indication for a new drug to treat an orphan disease that occurs specifically in children.

  7. Spirituality matters: creating a time and place for hope.

    Science.gov (United States)

    Revheim, Nadine; Greenberg, William M

    2007-01-01

    Individuals with serious psychiatric disabilities may become demoralized or hopeless consequent to longstanding disability and stigma. Potential antidotes are social support from the religious community and use of personal spiritual resources as coping mechanisms. The "Spirituality Matters Group" offers comfort and hope through structured and innovative exercises focusing on spiritual beliefs and coping. Activities facilitate verbal expression and appropriate social interaction, and build a sense of community. Activities and themes from selected group sessions are discussed within a recovery-oriented "emotion-focused coping" framework.

  8. Personality features, dissociation, self-stigma, hope, and the complex treatment of depressive disorder

    Directory of Open Access Journals (Sweden)

    Prasko J

    2016-10-01

    Full Text Available Jan Prasko,1 Marie Ociskova,1 Ales Grambal,1 Zuzana Sigmundova,1 Petra Kasalova,1 Marketa Marackova,1 Michaela Holubova,1,2 Kristyna Vrbova,1 Klara Latalova,1 Milos Slepecky3 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, 2Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic; 3Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic Objective: Identifying the predictors of response to psychiatric and psychotherapeutic treatments may be useful for increasing treatment efficacy in pharmacoresistant depressive patients. The goal of this study was to examine the influence of dissociation, hope, personality trait, and selected demographic factors in treatment response of this group of patients.Methods: Pharmacoresistant depressive inpatients were enrolled in the study. All patients completed Clinical Global Impression – both objective and subjective form (CGI, Beck Depression Inventory (BDI, and Beck Anxiety Inventory (BAI at baseline and after 6 weeks of combined pharmacotherapy and psychotherapy (group cognitive-behavioral or group psychodynamic treatment as an outcome measures. The Internalized Stigma of Mental Illness Scale (ISMI, Dissociative Experience Scale (DES, Adult Dispositional Hope Scale (ADHS, and Temperament and Character Inventory (TCI-R were completed at the start of the treatment with the intention to find the predictors of treatment efficacy.Results: The study included 72 patients who were hospitalized for the pharmacoresistant major depression; 63 of them completed the study. The mean scores of BDI-II, BAI, subjCGI, and objCGI significantly decreased during the treatment. BDI-II relative change statistically significantly correlated with the total ISMI score, Discrimination Experience (ISMI subscale, and Harm Avoidance (TCI-R personality trait

  9. Giving me hope: women's reflections on a breastfeeding peer support service.

    Science.gov (United States)

    Thomson, Gill; Crossland, Nicola; Dykes, Fiona

    2012-07-01

    Breastfeeding peer support has been identified as a key intervention to help improve breastfeeding and exclusive breastfeeding rates. The World Health Organization, and, in the UK, the National Institute for Health and Clinical Excellence, recommend the implementation of sustainable peer support programmes. As part of an evaluation into a comprehensive breastfeeding peer support service in north-west England, in-depth interviews were conducted with 47 women who had received a breastfeeding peer support service. In this paper, we have drawn upon the work of Morse and colleagues to interpret the data in relation to behavioural manifestations of hope, together with insights into the strategies used by the peer supporters to augment hopefulness for women's breastfeeding goals. These theoretical and practice-based findings offer insights into how the breastfeeding peer supporters provided realistic assessments across varying situational contexts, formed strategies and plans to help women overcome any obstacles, made women aware of any negative outcomes, mobilised external and personal resources to facilitate goal attainment, provided evaluations and feedback on women's (and infants') progress, and through praise, reassurance and instilling calm, the peer supporters helped women to focus their energy to achieve their breastfeeding goals. Practice-based implications are considered. © 2011 Blackwell Publishing Ltd.

  10. Comorbidity of schizophrenia and social phobia - impact on quality of life, hope, and personality traits: a cross sectional study.

    Science.gov (United States)

    Vrbova, Kristyna; Prasko, Jan; Ociskova, Marie; Holubova, Michaela

    2017-01-01

    The purpose of the study was to explore whether the comorbidity of social phobia affects symptoms severity, positive and negative symptoms, self-stigma, hope, and quality of life in patients with schizophrenia spectrum disorders. This is a cross-sectional study in which all participants completed the Internalized Stigma of Mental Illness (ISMI) scale, Adult Dispositional Hope Scale (ADHS), Liebowitz Social Anxiety Scale (LSAS), Beck Anxiety Inventory (BAI), Beck Depression Inventory-II (BDI-II), Positive and Negative Syndrome Scale (PANSS), Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), Temperament and Character Inventory - Revised (TCI-R), and the demographic questionnaire. The disorder severity was assessed both by a psychiatrist (Clinical Global Impression Severity - the objective version [objCGI-S] scale) and by the patients (Clinical Global Impression Severity - the subjective version [subjCGI-S] scale). The patients were in a stabilized state that did not require changes in the treatment. Diagnosis of schizophrenia, schizoaffective disorder, or delusional disorder was determined according to the International Classification of Diseases 10th Revision (ICD-10) research criteria. A structured interview by Mini International Neuropsychiatric Interview was used to confirm the diagnosis. The study included 61 patients of both genders. Clinically, the patients with comorbid social phobia had the earlier onset of the illness, more severe current psychopathology, more intense anxiety (general and social), and higher severity of depressive symptoms. The patients with comorbid social phobia showed the significantly lower quality of life compared to the patients without this comorbidity. The patients with comorbid social phobia also had a statistically lower mean level of hope and experienced a higher rate of the self-stigma. They also exhibited higher average scores of personality trait harm avoidance (HA) and a lower score of personality trait self

  11. Numerical evaluation of induction heating assisted compaction technology for low temperature asphalt pavement construction

    NARCIS (Netherlands)

    Zhou, C.; Liu, X.; Apostolidis, P.

    2017-01-01

    Low Temperature Asphalt (LTA) technologies are utilized in asphalt pavement industry to lower energy demands and greenhouse gas emission during mixing and construction processes. Although these technologies are currently available and hope to demonstrate similar performance with Hot Mix Asphalt

  12. Construction Management.

    Science.gov (United States)

    Abbott, James F.

    This article provides a detailed discussion of a team approach to building that involves a construction manager, an architect, and a contractor. Bidding methods are outlined; the major components in construction management -- value engineering and fast track scheduling -- and the use of performance specifications are discussed. The construction…

  13. Superstring construction

    CERN Document Server

    1989-01-01

    The book includes a selection of papers on the construction of superstring theories, mainly written during the years 1984-1987. It covers ten-dimensional supersymmetric and non-supersymmetric strings, four-dimensional heterotic strings and four-dimensional type-II strings. An introduction to more recent developments in conformal field theory in relation to string construction is provided.

  14. ' CONSTRUCTION INDUSTRY

    African Journals Online (AJOL)

    CONSTRUCTION INDUSTRY. N. Aniekwu. Civil Engineering Department,. University of Benin,. Benin City. Nigeria. ABSTRACT. This paper deals with safety in the Nigerian construction industry. Three aspects of safety were identified as paramount in the study and include accident causations, accident prevention and the.

  15. Hope thinking and past trauma mediate the relationships of body mass index with perceived mental health treatment need and mental health treatment use.

    Science.gov (United States)

    Hendricks, A N; Dhurandhar, E J; Fontaine, K R; Hendricks, P S

    2015-02-01

    Greater body mass is associated with a greater risk of mental health conditions and more frequent mental health treatment use. However, factors that might influence perceived mental health treatment need and mental health treatment use among those of greater weight, including hope thinking, trauma history and perceived mental health treatment stigma, are not well understood. The objective of this study was to determine if hope thinking, trauma history and/or perceived mental health treatment stigma mediate the relationships of body mass index [BMI] with perceived mental health treatment need and mental health treatment use. Primary care clinic patients in the Midwest United States (N = 196; BMI range = 18.5 to 47.0, mean = 29.26 ± 6.61, median = 27.90) were recruited to complete a battery of self-report measures that assessed perceived mental health treatment need, mental health treatment use, hope thinking (Trait Hope Scale), trauma history (a single-item traumatic event history screen from the posttraumatic stress disorder module of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition), and perceived mental health treatment stigma (Stigma Scale for Receiving Psychological Help). Reduced hope thinking and a greater incidence of past trauma accounted for greater perceived mental health treatment need and greater mental health treatment use among those of greater BMI. BMI was not related to perceived unmet mental health treatment need. Increased perceived mental health treatment need and mental health treatment use among those of greater BMI may be explained by lower hope thinking and a greater incidence of trauma in this population. Heavier patients may benefit from interventions designed to augment hope and address traumatic histories. © 2014 World Obesity.

  16. Adaptation and validation of The Hope Index for Brazilian adolescents Adaptação e validação da The Hope Index para adolescentes Brasileiros

    Directory of Open Access Journals (Sweden)

    Juliana Cerentini Pacico

    2011-01-01

    Full Text Available This study aimed at adapting and validating the Staats Hope Index for Brazilian adolescents. Participants were 450 high school students aged from 14 to 18 years old being 56% females. They responded to the Staats Hope Index, Adult Dispositional Hope Scale, Revised Life Orientation Test (LOT-R and Rosenberg Self-Esteem Scale. A factor analysis extracted two factors, replicating the structure of the original scale. Coefficients alphas were .83 and .81, for each factor, respectively. The correlations of the Hope Index factors with dispositional hope, optimism and self-esteem were similar to the findings reported in the literature and indicated convergent validity. The results indicate that the Hope Index is valid to be used in Brazil and that hope is perceived similarly by Brazilians and Americans despite of some cultural differences.O objetivo deste estudo foi adaptar e validar a escala The Hope Index para adolescentes brasileiros. Participaram 450 estudantes do ensino médio, sendo 56% do sexo feminino. As idades variaram entre 14 e 18 anos. Os instrumentos utilizados foram the Hope Index, Adult Dispositional Hope Scale, Revised Life Orientation Test (LOT-R e Rosenberg Self-esteem Scale. A análise fatorial revelou duas dimensões, conforme a estrutura original da escala com valores do coeficiente alfa de 0,83 e 0,81. As correlações dos fatores da escala The Hope Index com esperança disposicional, otimismo e autoestima foram similares aos achados da literatura e indicam validade convergente. Esses resultados indicam que a escala é válida para uso no Brasil e que Brasileiros e Americanos percebem a esperança de modo similar, apesar de algumas diferenças culturais.

  17. ["Designer baby" changed to French for "double hope baby"].

    Science.gov (United States)

    Fagniez, P-L; Loriau, J; Tayar, C

    2005-10-01

    Scientific advances during the last decades regarding potential intervention on embryos arouse many questions in society to prepare the ground concerning the limits that should be set for these practices. For the first time in 1994, a parliamentary proceeding allowed the definition of a French model of bioethics through laws of the same name. These laws, among others, authorized in a well and strictly defined setting the practice of preimplantation genetic diagnosis (PGD). Because of technical progress concerning PGD, new questions arose, especially concerning the accomplishment of designer babies. The French Chamber of Representatives came in with a new law that banishes the concept of designer babies and replaces it with another concept: double hope babies, in French "bébé du double espoir". A first hope of a pregnancy giving birth to a healthy child and the second being that this child conceived with the aid of PGD could help treat an elder brother. Because of the issuing of two specific laws in a ten years interval, France occupies a privileged place in a Europe where bioethical issues continue to be debated, particularly PGD.

  18. A reinforcement learning model of joy, distress, hope and fear

    Science.gov (United States)

    Broekens, Joost; Jacobs, Elmer; Jonker, Catholijn M.

    2015-07-01

    In this paper we computationally study the relation between adaptive behaviour and emotion. Using the reinforcement learning framework, we propose that learned state utility, ?, models fear (negative) and hope (positive) based on the fact that both signals are about anticipation of loss or gain. Further, we propose that joy/distress is a signal similar to the error signal. We present agent-based simulation experiments that show that this model replicates psychological and behavioural dynamics of emotion. This work distinguishes itself by assessing the dynamics of emotion in an adaptive agent framework - coupling it to the literature on habituation, development, extinction and hope theory. Our results support the idea that the function of emotion is to provide a complex feedback signal for an organism to adapt its behaviour. Our work is relevant for understanding the relation between emotion and adaptation in animals, as well as for human-robot interaction, in particular how emotional signals can be used to communicate between adaptive agents and humans.

  19. Physician-assisted suicide in psychiatry and loss of hope.

    Science.gov (United States)

    Berghmans, Ron; Widdershoven, Guy; Widdershoven-Heerding, Ineke

    2013-01-01

    In the Netherlands, euthanasia and physician-assisted suicide (PAS) are considered acceptable medical practices in specific circumstances. The majority of cases of euthanasia and PAS involve patients suffering from cancer. However, in 1994 the Dutch Supreme Court in the so-called Chabot-case ruled that "the seriousness of the suffering of the patient does not depend on the cause of the suffering", thereby rejecting a distinction between physical (or somatic) and mental suffering. This opened the way for further debate about the acceptability of PAS in cases of serious and refractory mental illness. An important objection against offering PAS to mentally ill patients is that this might reinforce loss of hope, and demoralization. Based on an analysis of a reported case, this argument is evaluated. It is argued that offering PAS to a patient with a mental illness who suffers unbearably, enduringly and without prospect of relief does not necessarily imply taking away hope and can be ethically acceptable. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Sharing Values as a Foundation for Collective Hope

    Directory of Open Access Journals (Sweden)

    Niki Harré

    2017-08-01

    Full Text Available A widespread “tale of terror” amongst those seeking social change is that people in modern Western societies are caught in a neo-liberal paradigm and have come to care most about materialism, individual success and status. Our research attempted to challenge this tale. Study 1 involved New Zealand participants (N = 1085 from largely, but not exclusively, left-leaning groups. We used an open-ended process to identify their “infinite” values (that which they consider of value for its own sake; and found these concerned connection to people and other life forms, expression, nature, personal strengths, vitality, and spirituality. Systems and regulations, success and status, money, ownership and domination were named as of “finite” value (of value because of what they signify or enable. These findings suggest that our participants readily distinguished between what is inherently valuable and what is of instrumental value or signifies social status. Study 2 (N = 121 investigated participants’ responses to a word cloud that displayed the infinite values identified in Study 1. These were predominantly a sense of belonging to a human community, reassurance, and feeling uplifted and hopeful. We suggest that the word cloud offered a “tale of joy” showing that, contrary to standard neo-liberal rhetoric, people do care deeply about the common good. We also suggest that such a tale is critical to social movements that depend on a sense of collective hope.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  3. Modelling Constructs

    DEFF Research Database (Denmark)

    Kindler, Ekkart

    2009-01-01

    , these notations have been extended in order to increase expressiveness and to be more competitive. This resulted in an increasing number of notations and formalisms for modelling business processes and in an increase of the different modelling constructs provided by modelling notations, which makes it difficult...... to compare modelling notations and to make transformations between them. One of the reasons is that, in each notation, the new concepts are introduced in a different way by extending the already existing constructs. In this chapter, we go the opposite direction: We show that it is possible to add most...... constructs and how they can be combined with more advanced constructs. Second, it will help combining different modelling notations with each other. Note that, though we introduce a notation for blocks in this chapter, we are not so much interested in promoting this notation here. The notation should just...

  4. Biomarkers in Asthma: A Real Hope to Better Manage Asthma

    Science.gov (United States)

    Erzurum, Serpil C.; Gaston, Benjamin M.

    2012-01-01

    SYNOPSIS Diagnosis and treatment of asthma are currently based on assessment of patient symptoms and physiologic tests of airway reactivity. The morbidities and costs associated with the over and/or under treatment of this common disease, as well as the growing numbers of biologically-specific targeted strategies for therapy, provide a rationale for development of biomarkers to evaluate the presence and type of inflammation in individuals with asthma in order to optimize treatment plans. Research over the past decade has identified an array of biochemical and cellular biomarkers, which reflect the heterogeneous and multiple mechanistic pathways that may lead to asthma. These mechanistic biomarkers offer hope for optimal design of therapies targeting the specific pathways that lead to inflammation. This article provides an overview of blood, urine and airway biomarkers, summarizes the pathologic pathways that they signify, and begins to describe the utility of biomarkers in the future care of patients with asthma. PMID:22929095

  5. Duchenne muscular dystrophy: genome editing gives new hope for treatment.

    Science.gov (United States)

    Crispi, Vassili; Matsakas, Antonios

    2018-01-31

    Duchenne muscular dystrophy (DMD) is a progressive wasting disease of skeletal and cardiac muscles, representing one of the most common recessive fatal inherited genetic diseases with 1:3500-1:5000 in yearly incidence. It is caused by mutations in the DMD gene that encodes the membrane-associated dystrophin protein. Over the years, many have been the approaches to management of DMD, but despite all efforts, no effective treatment has yet been discovered. Hope for the development of potential therapeutics has followed the recent advances in genome editing and gene therapy. This review gives an overview to DMD and summarises current lines of evidence with regard to treatment and disease management alongside the appropriate considerations. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  6. Suffering, hope, and entrapment: resilience and cultural values in Afghanistan.

    Science.gov (United States)

    Eggerman, Mark; Panter-Brick, Catherine

    2010-07-01

    A critical health-related issue in war-affected areas is how people make sense of adversity and why they show resilience in a high-risk environment. In Afghanistan, the burden of poor mental health arises in contexts of pervasive poverty, social inequality, and persistent violence. In 2006, we conducted face-to-face interviews with 1011 children (age 11-16) and 1011 adult caregivers, randomly selected in a school-based survey in three northern and central areas. Participants narrated their experiences as part of a systematic health survey, including an open-ended questionnaire on major life stressors and solutions to mitigate them. Responses were analysed using an inductive thematic approach and categorised for quantitative presentation, producing a conceptual model. For adults, the primary concern is repairing their "broken economy," the root of all miseries in social, educational, governance, and health domains. For students, frustrations focus on learning environments as well as poverty, as education is perceived as the gateway to upward social and economic mobility. Hope arises from a sense of moral and social order embodied in the expression of key cultural values: faith, family unity, service, effort, morals, and honour. These values form the bedrock of resilience, drive social aspirations, and underpin self-respect and dignity. However, economic impediments, social expectations, and cultural dictates also combine to create entrapment, as the ability to realise personal and social aspirations is frustrated by structural inequalities injurious to health and wellbeing. This study contributes to a small but growing body of work on resilience in public health and conflict settings. It demonstrates that culture functions both as an anchor for resilience and an anvil of pain, and highlights the relevance of ethnographic work in identifying what matters most in formulating social and public health policies to promote a hopeful future. Copyright (c) 2010 Elsevier Ltd

  7. Construction dispute research conceptualisation, avoidance and resolution

    CERN Document Server

    2014-01-01

    There are three specific purposes of Construction Dispute Research. First, this volume aims to summarise studies on construction dispute. Second, apart from the theoretical constructs, where appropriate empirical tests are also included. This approach serves to go beyond the commonly used anecdotal approach for the subject matters. Third, it is the sincere hope of the authors that this book will help shaping research agenda of construction dispute.  The studies are mostly framed from a management perspective drawing on methods and concepts in contract law, economics, psychology and management science.   The book has twenty chapters that are arranged in four parts covering conceptualisation, avoidance, negotiation and mediation. Part 1 is devoted for dispute conceptualisation. A building is only as strong as its foundation. Thus it is no better start to study construction dispute by conceptualisation. The theme of Part 2 is dispute avoidance. The conventional wisdom of ‘prevention is better than cure’ se...

  8. Patients' experiences of hope and suffering during the first year following acute spinal cord injury.

    Science.gov (United States)

    Lohne, Vibeke; Severinsson, Elisabeth

    2005-03-01

    The aim of this study was to explore patients' experiences of hope during the first year suffering from spinal cord injury. There is a lack of substantial precision with regard to the concept of hope. Very few qualitative studies focusing on experiences of hope in spinal cord-injured patients have been identified in the literature. In this study, "hope" was defined as future oriented towards improvement. Data were collected by means of personal interviews (n = 10) at the participants' homes in Norway. A phenomenological-hermeneutic approach, inspired by Ricoeur, was used to extract the meaning of the patients' experiences. The analysis was performed in several steps, as a hermeneutic process. In this study, the findings revealed two main themes: "The Vicious Circle" and "Longing". The vicious circle constituted aspects of suffering, and the common hope experienced by the subjects was therefore to leave the vicious circle. Experiences of suffering were experienced as feelings of loneliness, impatience, disappointment, bitterness and dependency. The "Longing" was based on the subject's former life and was the source of awakened new hopes, which again was experienced comforting. Experiences of suffering created hope and longing. The meaning of hope was to find a possible way out of the circle and the hoping was experienced as a comfort. Implications to nursing practice are listening to the suffering and longing individual and comforting the suffering by pointing towards possible future roads of hope.

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

    Science.gov (United States)

    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.

  10. Comorbidity of schizophrenia and social phobia – impact on quality of life, hope, and personality traits: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Vrbova K

    2017-08-01

    Full Text Available Kristyna Vrbova,1 Jan Prasko,1 Marie Ociskova,1 Michaela Holubova1,2 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic; 2Department of Psychiatry, Hospital Liberec, Liberec, Czech Republic Objective: The purpose of the study was to explore whether the comorbidity of social phobia affects symptoms severity, positive and negative symptoms, self-stigma, hope, and quality of life in patients with schizophrenia spectrum disorders. Methods: This is a cross-sectional study in which all participants completed the Internalized Stigma of Mental Illness (ISMI scale, Adult Dispositional Hope Scale (ADHS, Liebowitz Social Anxiety Scale (LSAS, Beck Anxiety Inventory (BAI, Beck Depression Inventory-II (BDI-II, Positive and Negative Syndrome Scale (PANSS, Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q, Temperament and Character Inventory – Revised (TCI-R, and the demographic questionnaire. The disorder severity was assessed both by a psychiatrist (Clinical Global Impression Severity – the objective version [objCGI-S] scale and by the patients (Clinical Global Impression Severity – the subjective version [subjCGI-S] scale. The patients were in a stabilized state that did not require changes in the treatment. Diagnosis of schizophrenia, schizoaffective disorder, or delusional disorder was determined according to the International Classification of Diseases 10th Revision (ICD-10 research criteria. A structured interview by Mini International Neuropsychiatric Interview was used to confirm the diagnosis. Results: The study included 61 patients of both genders. Clinically, the patients with comorbid social phobia had the earlier onset of the illness, more severe current psychopathology, more intense anxiety (general and social, and higher severity of depressive symptoms. The patients with comorbid social phobia showed the significantly lower quality

  11. Construction safety

    CERN Document Server

    Li, Rita Yi Man

    2013-01-01

    A close-to-ideal blend of suburb and city, speedy construction of towers of Babylon, the sparkling proportion of glass and steel buildings’ facade at night showcase the wisdom of humans. They also witness the footsteps, sweats and tears of architects and engineers. Unfortunately, these signatures of human civilizations are swathed in towering figures of construction accidents. Fretting about these on sites, different countries adopt different measures on sites. This book firstly sketches the construction accidents on sites, followed by a review on safety measures in some of the developing countries such as Bermuda, Egypt, Kuwait and China; as well as developed countries, for example, the United States, France and Singapore. It also highlights the enormous compensation costs with the courts’ experiences in the United Kingdom and Hong Kong.

  12. [The evaluation of the level of hope of elderly chronic kidney disease patients undergoing hemodialysis].

    Science.gov (United States)

    Orlandi, Fabiana de Souza; Pepino, Barbara Garbelotti; Pavarini, Sofia Cristina Iost; Dos Santos, Damiana Aparecida; de Mendiondo, Marisa Silvana Zazzetta

    2012-08-01

    The objective of the present study was to evaluate the level of hope of elderly chronic kidney disease patients undergoing hemodialysis, using the Herth Hope Scale (HHS). This cross-sectional descriptive study was performed at a Renal Replacement Therapy Unit located in upstate São Paulo. The sample consisted of 50 elderly patients currently undergoing hemodialysis treatment. After obtaining the participants' consent to participate, individual interviews were performed with the elderly individuals, utilizing a characterization instrument and the Herth Hope Scale. All of the ethical premises were complied with (protocol 512/2009). Regarding the results, most participants were male (60%) and their mean age was 70.20 (±6.1) years. The mean score on the Herth Hope Scale was 36.20 (±2.90). In conclusion, compared with the Brazilian study regarding the validation of the Herth Hope Scale, the subjects' level of hope was lower, thus indicating a need to intervene regarding this feeling.

  13. Good news for a change: Hope for a troubled planet

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, D.; Dressel, H.

    2002-07-01

    This book by the noted Canadian environmentalists, David Suzuki and Holly Dressel, attempts to marshall arguments in favour of an affirmative answer to the question {sup I}s there any hope for this troubled planet?' The answer is a confident 'yes', notwithstanding the fact that along with social upheavals and terrorist attacks we daily read reports of yet another animal species on the brink of extinction, of ocean fisheries collapsing, and of how industrial activity is wreaking havoc with our soil, air and water. There appears to be no readily perceptible signs of a slowdown in this headlong rush to destroying the planet, despite the warnings of many credible scientists, telling us that our actions are suicidal. Despite this apparent rush to oblivion Suzuki and Dressel see some hopeful signs of common sense coming to the fore. They see thousands of individuals, groups and businesses slowly changing their ways. They see that despite the dire warnings of false prophets, a growing number of businesses are still making money while benefiting their local communities. They see anti-globalization activists who are learning to practice real participatory democracy and create real communities. They see farmers and ranchers who are sharing their land with other species, including predators and pests, while still prospering. They see even some governments, local and national, which are starting to base economic development strategies on humanity's collective dependency on nature, while decreasing large-scale interference with our ecosystems. In their search for hopeful signs Suzuki and Dressel have uncovered hundreds of working solutions and examples of how an increasing number of people are realizing the danger of our current life style and are attempting to come up with ways to change that allows us to live happily and contentedly while sharing the planet with other creatures and stop polluting the atmosphere. They describe farming methods that protect

  14. Construction work

    CERN Multimedia

    2004-01-01

    Construction work on building 179 will start on the 16th February 2004 and continue until November 2004. The road between buildings 179 and 158 will temporarily become a one way street from Route Democrite towards building 7. The parking places between buildings 179 and 7 will become obsolete. The ISOLDE collaboration would like to apologize for any inconveniences.

  15. A Study of Hope in the Future among Students and its Affecting Factors

    OpenAIRE

    Mohammad Bagher Alizadeh Aghdam

    2013-01-01

    Introduction   Hopefulness and hopelessness towards future is one of the important and considerable issues in social science which has been studied scientifically since 1960s. This issue was studied in different forms in relation with negative feelings, compatibility. Being hopeful is considered as the most important motivation in one’s life, because hope is root of creativity and development in human life. It prepares bed for goal achievement and also helps people to get it. Snyder and his c...

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

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

    NARCIS (Netherlands)

    Olsman, Erik; Willems, Dick; Leget, Carlo

    2016-01-01

    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

  19. Hope of Success and Fear of Failure Predicting Academic Procrastination Students Who Working on a Thesis

    National Research Council Canada - National Science Library

    Sari Zakiah Akmal; Fitri Arlinkasari; Andi Ulfa Febriani

    2017-01-01

    ... (hope of success and fear of failure) in predicting academic procrastination. The study used a quantitative approach by distributing academic procrastination and achievement motivation questionnaires...

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

    Science.gov (United States)

    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.

  1. Injured athletes' rehabilitation beliefs and subjective well-being: the contribution of hope and social support.

    Science.gov (United States)

    Lu, Frank J H; Hsu, Yawen

    2013-01-01

    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. To examine how hope and social support uniquely and jointly predict postinjury rehabilitation beliefs, rehabilitation behavior, and subjective well-being. Cross-sectional study. Four sports-injury rehabilitation centers of local universities in Taiwan. A total of 224 injured Taiwanese collegiate student-athletes. 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. 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. Enhancing hope perceptions and strengthening injured athletes' social support during rehabilitation are beneficial to rehabilitation behavior and subjective well-being.

  2. The transition from youth to adulthood and the importance of hope and life goals

    DEFF Research Database (Denmark)

    Olsen, Jan Brødslev; Hansen, Claus D.

    differences: young adults with a family of origin with low parental education have a lower score on the trait hope scale. What appears to be most important for high-hope score is feeling energetic and full of life and being admired and having a good sex life also show relatively strong associations with hope......It is widely accepted among scholars (Erikson, Levinson, Arnett, Marcia) that the transition from childhood to adulthood is a life-period in its own right and with its own developmental efforts and tasks. It is therefore obvious that hope and life goals must play an important role in this period...

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

    Science.gov (United States)

    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 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 resilience and hope kept stable after adjusting for age, gender, and presence of depression (p 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.

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

    Science.gov (United States)

    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

  5. "You are our only hope": trading metaphorical "magic bullets" for stem cell "superheroes".

    Science.gov (United States)

    Burns, Lawrence

    2009-01-01

    In the wake of two recent developments in stem cell research, it is a fitting time to reassess the claim that stem cells will radically transform the concept and function of medicine. The first is the U.S. Food and Drug Administration's decision in January 2009 to approve Geron Corporation's Phase I clinical trial using human embryonic stem cells for patients with spinal cord injuries. The second is the National Institutes of Health's decision to permit federal funding of research using donated IVF human embryos in their July 2009 Guidelines on Human Stem Cell Research. We are now poised to see whether stem cell research can deliver on what it promises. However, what exactly does it promise and how? Moreover, who is doing the promising? Turning to the use of metaphor can help us to answer these questions and enable us to develop a better appreciation of the unique features of promised stem cell therapies. Indeed, metaphors have exerted profound influence in medicine, and it is fitting that we seek new metaphors for new therapies where appropriate. In this case, other metaphors such as magic bullets or the Holy Grail cannot capture what is unique about stem cells. Accordingly, I propose a new metaphor: the stem cell superhero. Stem cell superheroes are characterized by the following traits: they are seemingly capable of fighting the evil of virtually all disease (unlike "magic bullets") and they seem to be our only hope of doing so, although to summon them we must make difficult moral choices. In the course of assessing the merits of three recent yet covert references to the superhero metaphor, I conclude that this powerful new paradigm employs a problematic logic (i.e., we cannot know that something is "our only hope"), but that the aspiration as such is a good one.

  6. Singapore Healthy Older People Everyday (HOPE) Study: Prevalence of Frailty and Associated Factors in Older Adults.

    Science.gov (United States)

    Merchant, Reshma A; Chen, Matthew Zhixuan; Tan, Linda Wei Lin; Lim, Moses YiDong; Ho, Han Kwee; van Dam, Rob M

    2017-08-01

    In the context of a rapidly ageing population, Singapore is anticipating a rise in multimorbidity, disability, and dependency, which are driven by physical frailty. Healthy Older People Everyday (HOPE) is an epidemiologic population-based study on community-dwelling older adults aged 65 years and older in Singapore. To investigate the prevalence of frail and prefrail states and their association with polypharmacy, multimorbidity, cognitive and functional status, and perceived health status among community-dwelling older adults in Singapore. Participants for HOPE were older adults aged 65 years and older recruited from a cohort study on the northwest region of Singapore. Analysis was performed on data collected from a combination of interviewer-administered questionnaires (including FRAIL scale, EQ-5D, Mini Mental State Examination, Barthel index, and Lawton IADL scale), clinical assessments, and physical measurements (including hand grip strength and Timed-Up-and-Go [TUG] test). A total of 1051 older adults (mean age 71.2 years) completed the study. More than half (57.2%) were female. The prevalence of frailty and prefrailty was 6.2% and 37%, respectively. Frailty was associated with older age, female gender, Indian (instead of Chinese) ethnicity, multimorbidity, polypharmacy, cognitive and functional impairment, weaker hand grip strength, longer TUG times, and poor perceived health status. Those with underlying cognitive impairment and frailty were at greater risk of adverse health outcome. Frailty is a complex health state with multiple domains and dimensions. In our study in a multiethnic Asian population, we identified nonmodifiable factors and modifiable risk factors (multimorbidity, polypharmacy, cognitive and functional impairment) that were associated with frailty. Interventions will have to be multipronged and will require a collaborated effort in order to effect change and improve the health span in rapidly ageing populations. Copyright © 2017 AMDA

  7. Development of a Metacognitive Effort Construct of Empathy during Clinical Training: A Longitudinal Study of the Factor Structure of the Jefferson Scale of Empathy

    Science.gov (United States)

    Stansfield, R. Brent; Schwartz, Alan; O'Brien, Celia Laird; Dekhtyar, Michael; Dunham, Lisette; Quirk, Mark

    2016-01-01

    Empathy is crucial for effective clinical care but appears to decline during undergraduate medical training. Understanding the nature of this decline is necessary for addressing it. The Jefferson Scale of Empathy (JSE) is used to measure medical students' clinical empathy attitudes. One recent study described a 3-factor model of the JSE. This…

  8. AIDS and the workplace: signs of hope from Zimbabwe.

    Science.gov (United States)

    Williams, G; Ray, S

    1994-01-01

    Strategies for Hope is a series of booklets and videos about innovative and practical approaches to AIDS management and prevention in developing countries. It is published by the UK development agency ACTIONAID and the African Medical and Research Foundation with technical and financial support from the World Health Organization Global Program on AIDS. More than 500,000 booklets and 5000 videos have been distributed worldwide. The authors describe what they learned while researching the eighth booklet in the series, Work Against AIDS, analyzing seven workplace-based AIDS programs in Zimbabwe. They argue that the workplace can play a far greater role in AIDS awareness and prevention than is generally realized. AIDS is already affecting the health and productivity of the workforce in Zimbabwe, where in some areas more than 15% of adults are estimated to be HIV-positive. Morbidity and mortality are rising with concomitant worker absenteeism, yet most workplaces in Zimbabwe do not have even a poster about AIDS on display. There are, however, some impressive education programs under way. These programs, run by a significant number of volunteer peer educators, are working to reduce the stigma attached with sexually transmitted diseases and promote low-cost or free treatment. The authors also note as most promising the program of the Zimbabwe Congress of Trade Unions training 700 Health and Safety representatives at shop-floor and branch levels in AIDS-related human rights issues at the workplace as well as AIDS awareness and prevention.

  9. Spectacle of Maps: Cartographic Hopes and Anxieties in the Pamirs

    Directory of Open Access Journals (Sweden)

    Martin Saxer

    2016-12-01

    Full Text Available Over the past 150 years, a great number of cartographic anxieties and hopes have shaped lives and relations in the Pamirs. The Great Game over imperial spheres of influence was followed by Soviet and Chinese anxieties regarding territorial integrity and the loyalty of their borderland populations; since the end of the Cold War, settling the remaining demarcated borders has become a primary concern in Central Asia; meanwhile, mining companies are anxious to claim territories for mineral extraction, and the maps of national parks and nature reserves aim at mitigating ecological anxieties and claim spaces for conservation. The result is a veritable spectacle of maps. Following Rob Kitchin and Martin Dodge (2007, this article argues that maps are “ontogenetic” rather than representational—they foster realities on the ground. Map-making projects derived from cartographic anxieties are embedded in particular visions of the future, and thus they can serve as a vantage point from which to explore the changing modes of outside engagement in the Pamirs.

  10. Two bad-time stories and a song of hope

    Directory of Open Access Journals (Sweden)

    A.H. Gagiano

    2002-08-01

    Full Text Available Using three fairly recently published South African texts – David B. Coplan’s In the Time of Cannibals – The Word Music of South Africa’s Basotho Migrants (1994; A.H.M. Scholtz’s Vatmaar – ’n Lewendagge verhaal van ’n tyd wat nie meer is nie (1995 in its English translation, A Place Called Vatmaar (2000 and Mongane (Wally Serote’s Come and Hope with Me (1994 – this essay looks at the role such texts can play to give public expression to the voices of formerly silenced communities. The essay contends that the deep fissures in South African society require intense efforts in order to make those isolated from one another mutually intelligible. All South Africans need to broaden their cultural vocabularies. This is where texts such as novels and those containing the oral art of neglected communities can function as ‘translations’, and have profound social importance. It can be predicted that rehistoricising writings and culturally recontextualising teaching practices will continue to be required in this country, but also texts that contain the vision of a shared South African future.

  11. Medically managing obesity: Offering hope or a disincentive to change?

    Science.gov (United States)

    Ogden, Jane; Arulgnanaseelan, Juliet

    2017-01-01

    As weight loss in primary care remains minimal, Health Professionals are advised to medically manage obesity-related risk factors including blood pressure and cholesterol. This experimental study evaluated the impact of medically managing risk factors on obese patients' motivation to change their behaviour. A vignette study with two arms: successful medical management (ie risk factors have improved) vs failed medical management (ie no change) set in three General Practices in the South of England. Overweight and obese patients (n=170) rated their behavioural intentions and beliefs after reading a vignette describing an overweight patient who had received either successful or failed medical management of their risk factors (blood pressure and cholesterol). Following successful medical management overweight and obese patients reported increased intentions to lose weight and a greater understanding of their condition. Medical management may change patient's understanding of their weight problem and motivate them to lose weight. Successful management relating to improvements in blood pressure and cholesterol may offer renewed hope and motivate obese patients to change their behaviour. This could be used as a teachable moment to encourage patients to see that obesity need not be an inevitable part of their lives. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  12. Worry becomes hope in education for sustainable development

    Directory of Open Access Journals (Sweden)

    Lena Persson

    2011-01-01

    Full Text Available Researchers in environmental education and education for sustainable development (ESD have discussed in what ways young people’s experience in school may contribute to their action competence. This paper illustrates how an action research study centered on students’ reflections can contribute to a change in teaching that supports their action competence in education for sustainable development (ESD. The emphasis is on a pluralistic approach to ESD in which problems concerning sustainable development are considered as open-ended where students’ voices, action competence and decision-makingplay an important role. The researcher together with a teacher and her Year 9 class in a suburb of Stockholm carried out the action research study. The research corpus for the study was the students’ reflections in log books and interviews. Interviews were conducted with a smaller group of five students, and an interview was also made with the teacher at the end of the project to document her experiences. The case illustrates how students’ worries weremade salient through their reflections, which in turn made a change in teaching possible that transformed students’ worries into hope and supported their action competence. This way of working in the school practice may help teachers to think about ESD in new ways as well as in other areas of education.

  13. Action towards hope: Addressing learner behaviour in a classroom

    Directory of Open Access Journals (Sweden)

    Raelene LeeFon

    2013-11-01

    Full Text Available Unruly learners and disciplinary problems are an intractable part of every teacher’s teaching experience. It appears that, even though most schools have enacted a code of conduct to regulate learner behaviour, this does not always have the desired effect. Disciplinary problems in schools impact negatively on the teaching and learning environment as well as on teachers’ personal and professional well-being and morale. Framed within the context of a biblical worldview, this article narrates the experiences of one teacher who decided to take action towards hope. The situation in her classroom was quite desperate with learners coming to school unprepared and behaving very badly and parents being uninterested in the performance of their children at school. She realised that she could not change the learners or their parents unless she started with herself. In this context, she, as a postgraduate student under the supervision of the co-authors, embarked on an action-research project to promote positive learner behaviour. By collaborating with the learners on a set of classroom rules, engaging in reflective teaching and changing her own behaviour towards the learners, the situation in her classroom improved. Based on her experiences, this article argues that teachers should empower themselves with knowledge and a better understanding of the concept of discipline rather than viewing the classroom as a battlefield. It is important to acknowledge and show respect and appreciation for each learner in his or her own context.

  14. Resilience or hope? Incremental and convergent validity of the resilience scale for adults (RSA) and the Herth hope scale (HHS) in the prediction of anxiety and depression

    OpenAIRE

    Morote, Roxanna; Hjemdal, Odin; Krysinska, Karolina; Martinez Uribe, Patricia; Corveleyn, Jozef

    2017-01-01

    Background Hope and resilience protect against inner vulnerabilities or harsh life circumstances; they explain individual differences in physical or mental health outcomes under high stress. They have been studied in complementary or competing theoretical frameworks; therefore, the study of measures of hope and resilience should be undertaken prior to explore if they are truly value-added for research. This study investigates the convergent and incremental validity of the Resilience Scale for...

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

    Science.gov (United States)

    Shamsalinia, Abbas; Pourghaznein, Tayebe; Parsa, Marzie

    2016-01-01

    Background and Purpose: 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. Material and Methods: 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. Results: 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). Conclusion: 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. PMID:26234981

  16. A SYNTACTIC ANALYSIS OF OLU OBAFEMI'S SONG OF HOPE ...

    African Journals Online (AJOL)

    A theory of syntax which formerly served as a descriptive vocabulary was replaced by a system of technical constructs designed specially to make description more ..... mastery of the structure of the language which he uses to express his thoughts. Although poets flout the conventional syntactic rules of language, there is a ...

  17. 'All stories bring hope because stories bring awareness': students ...

    African Journals Online (AJOL)

    Using narrative inquiry, and specifically Bamberg's (2006) 'small stories' approach, the research team analysed 30 stories students constructed in four focus group conversations at the end of the project. In these stories, most of Nussbaum's (2010) capabilities were evident. We found that, in the collective sharing of their ...

  18. Personal construct psychotherapy of addictions.

    Science.gov (United States)

    Klion, R E; Pfenninger, D T

    1997-01-01

    Personal construct psychotherapy and its utility in understanding and treating addictions is explored. Several clinical phenomena related to chemical dependency are discussed from the perspective of constructivism. Framed within the context of Prochaska, DiClemente, & Norcross' (1992) stages of change model, several psychotherapeutic techniques are outlined. These concepts and techniques are offered as theoretically based heuristics and are intended to illustrate the potential utility of a clinical approach based upon personal construct theory.

  19. Novel β-lactamase inhibitors: a therapeutic hope against the scourge of multidrug resistance

    Directory of Open Access Journals (Sweden)

    Richard eWatkins

    2013-12-01

    Full Text Available The increasing incidence and prevalence of multidrug resistance (MDR among contemporary Gram-negative bacteria represents a significant threat to human health. Since their discovery, β-lactam antibiotics are a major component of the armamentarium against these serious pathogens. Unfortunately, a wide range of β-lactamase enzymes have emerged that are capable of inactivating these powerful drugs. In the past 30 years, a major advancement in the battle against microbes has been the development of β-lactamase inhibitors, which restore the efficacy of β-lactam antibiotics (e.g., ampicillin/sulbactam, amoxicillin/clavulanate, ticarcillin/clavulanate, and piperacillin/tazobactam. Unfortunately, many newly discovered β-lactamases are not inactivated by currently available inhibitors. Is there hope? For the first time in many years, we can anticipate the development and introduction into clinical practice of novel inhibitors. Although these inhibitors may still not be effective for all β-lactamases, their introduction is still welcome. This review focuses on the novel β-lactamase inhibitors that are closest to being introduced in the clinic.

  20. The city of hope-quality of life-ostomy questionnaire: persian translation and validation.

    Science.gov (United States)

    Anaraki, F; Vafaie, M; Behboo, R; Esmaeilpour, S; Maghsoodi, N; Safaee, A; Grant, M

    2014-07-01

    Since there is no disease-specific instrument for measuring quality-of-life (QOL) in Ostomy patients in Persian language. This study was designed to translate and evaluate the validity and reliability of City of Hope-quality of life-Ostomy questionnaire (COH-QOL-Ostomy questionnaire). This study was designed as cross-sectional study. Reliability of the subscales and the summary scores were demonstrated by intra-class correlation coefficients. Pearson's correlations of an item with its own scale and other scales were calculated to evaluated convergent and discriminant validity. Clinical validity was also evaluated by known-group comparisons. Cronbach's alpha coefficient for all subscales was about 0.70 or higher. Results of interscale correlation were satisfactory and each subscale only measured a single and specified trait. All subscales met the standards of convergent and discriminant validity. Known group comparison analysis showed significant differences in social and spiritual well-being. The findings confirmed the reliability and validity of Persian version of COH-QOL-Ostomy questionnaire. The instrument was also well received by the Iranian patients. It can be considered as a valuable instrument to assess the different aspects of health related quality-of-life in Ostomy patients and used in clinical research in the future.

  1. The City of Hope-Quality of Life-Ostomy Questionnaire: Persian Translation and Validation

    Science.gov (United States)

    Anaraki, F; Vafaie, M; Behboo, R; Esmaeilpour, S; Maghsoodi, N; Safaee, A; Grant, M

    2014-01-01

    Background: Since there is no disease-specific instrument for measuring quality-of-life (QOL) in Ostomy patients in Persian language. Aim: This study was designed to translate and evaluate the validity and reliability of City of Hope-quality of life-Ostomy questionnaire (COH-QOL-Ostomy questionnaire). Subjects and Methods: This study was designed as cross-sectional study. Reliability of the subscales and the summary scores were demonstrated by intra-class correlation coefficients. Pearson's correlations of an item with its own scale and other scales were calculated to evaluated convergent and discriminant validity. Clinical validity was also evaluated by known-group comparisons. Results: Cronbach's alpha coefficient for all subscales was about 0.70 or higher. Results of interscale correlation were satisfactory and each subscale only measured a single and specified trait. All subscales met the standards of convergent and discriminant validity. Known group comparison analysis showed significant differences in social and spiritual well-being. Conclusion: The findings confirmed the reliability and validity of Persian version of COH-QOL-Ostomy questionnaire. The instrument was also well received by the Iranian patients. It can be considered as a valuable instrument to assess the different aspects of health related quality-of-life in Ostomy patients and used in clinical research in the future. PMID:25221719

  2. Facts and Hopes in Immunotherapy of Lymphoma and Myeloma.

    Science.gov (United States)

    Pianko, Matthew J; Moskowitz, Alison J; Lesokhin, Alexander M

    2017-09-12

    Immune checkpoint blockade has driven a revolution in modern oncology, and robust drug development of immune checkpoint inhibitors is underway in both solid tumors and hematologic malignancies. High response rates to programmed cell death 1 (PD-1) blockade using nivolumab or pembrolizumab in classical Hodgkin lymphoma (cHL) and several variants of non-Hodgkin lymphoma (NHL) revealed an intrinsic biologic sensitivity to this approach, and work is ongoing exploring combinations with immune checkpoint inhibitors in both cHL and NHL. There are also preliminary data suggesting antitumor efficacy of PD-1 inhibitors used in combination with immunomodulatory drugs in multiple myeloma (MM), and effects of novel monoclonal antibody therapies on the tumor microenvironment may lead to synergy with checkpoint blockade. Although immune checkpoint inhibitors are generally well-tolerated, clinicians must use caution and remain vigilant when treating patients with these agents in order to identify immune related toxicities and prevent treatment-related morbidity and mortality. Autologous stem cell transplant is a useful tool for treatment of hematologic malignancies and has potential as a platform for use of immune checkpoint inhibitors. An important safety signal has emerged surrounding the risk of graft-versus-host-disease (GVHD) associated with use of PD-1 inhibitors before and after allogeneic stem cell transplant. We aim to discuss the facts known to date in the use of immune checkpoint inhibitors for patients with lymphoid malignancies, and discuss our hopes for expanding the benefits of immunotherapy to patients in the future. Copyright ©2017, American Association for Cancer Research.

  3. A Quantitative Investigation of Prospective Teachers' Hopes and Their Motivational Forces

    Science.gov (United States)

    Eren, Altay; Yesilbursa, Amanda

    2017-01-01

    The present study aimed to investigate the diverse aspects of prospective teachers' dispositional hopes, teaching-specific hopes, and their sources, as well as to explore whether these would significantly predict their preparation for the teaching profession. A total of 851 prospective teachers voluntarily participated in the study. A series of…

  4. How does information influence hope in family members of traumatic coma patients in intensive care unit?

    NARCIS (Netherlands)

    Prof. Dr. M.S.H. Duijnstee; S.T.L. Verhaeghe; F.J. van Zuuren; T. Defloor; M.H.F. Grypdonck

    2007-01-01

    AIMS: To assess the interplay between hope and the information provided by health care professionals. BACKGROUND: 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

  5. "Hope in Failure": A Level Students, Discursive Agency, Post-Feminism and Feminism

    Science.gov (United States)

    Taylor, Carol A.

    2011-01-01

    This article begins with Pollock's comment that Judith Butler "finds hope in failure" and its aim is to explore what "hope in failure" means in relation to A Level students' engagements with post-feminism and feminism. The article grounds its argument in an exploration of how post-feminism and feminism intersect with sixth form…

  6. Generating Hope: The Future of the Teaching Profession in a Globalized World

    Science.gov (United States)

    Roebben, Bert

    2017-01-01

    In writing this article it became clear to the author that, more than ever before, the reasons for hope need to be consciously collected, reflected, and re-enacted by teachers and educators who are really prepared and able to make a difference in the long run. In this article the idea of hope in education is developed in three steps: a…

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

    Science.gov (United States)

    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.

  8. Hope and Adaptation to Old Age: Their Relationship with Individual-Demographic Factors

    Science.gov (United States)

    Moraitou, Despina; Kolovou, Chrysa; Papasozomenou, Chrysa; Paschoula, Catherine

    2006-01-01

    This study examined the relationship between hope as disposition, adaptation to old age, and individual-demographic factors. One hundred and fifty older adults, aged 60-93 years old, completed the Adult Dispositional Hope Scale developed by Snyder et AL. [1991, Journal of Personality and Social Psychology, 60, pp. 570-585], and the Adaptation to…

  9. Hope, Self-Esteem, and Self-Regulation: Positive Characteristics among Men and Women in Recovery

    Science.gov (United States)

    Ferrari, Joseph R.; Stevens, Edward B.; Legler, Raymond; Jason, Leonard A.

    2012-01-01

    Hopefulness remains unclear in relation to aspects of self-control and self-esteem among adults in substance abuse recovery. The present study explored the relationship between dispositional hope (agency and pathway) with self-esteem (self-liking, self-competency, and self-confidence) and self-regulation (impulse control and self-discipline),…

  10. The Role of Hope in Engaging in Healthy Behaviors among College Students

    Science.gov (United States)

    Berg, Carla J.; Ritschel, Lorie A.; Swan, Deanne W.; An, Lawrence C.; Ahluwalia, Jasjit S.

    2011-01-01

    Objectives: To examine hope in relation to alcohol use, binge drinking, smoking, exercise, and limiting of dietary fat among college students. Methods: Undergraduate students (N = 2265) completed an online survey. Results: Lower hope scores were related to binge drinking and smoking in the past month and more frequent drinking and binge drinking,…

  11. The ministry of hope at grassroots level in a post-apartheid South Africa

    Directory of Open Access Journals (Sweden)

    Amanda L. du Plessis

    2013-09-01

    Full Text Available In this article the the ministry of hope to women without hope are investigated in the South African context of hope and reconciliation. Since apartheid ended 19 years ago, a democratic policy has been followed. The Truth and Reconciliation Commission was assigned the task to lead the population of South Africa to hope and reconciliation. The question may truly be asked whether the current picture could be that of a healed country. On the one hand, a large part of the population demonstrates a negative attitude regarding future expectations of South Africa; on the other hand, there are people at grassroots level who strive daily to bring about reconciliation in society by trying to make life easier for others. Utilising the available resources, which are minimal, the women called Mamas Africa are examples of people who serve the hopeless with hope every day. The central theoretical argument is that the Mamas Africaphenomenon has the potential of bringing hope, should it branch out widely. The concept of Mamas Africarefers to women from all races who promote mutual commitment based on their faith, and also make a difference in the South African society. In this article, an empirical investigation was made into the motivation behind the Mamas Africaphenomenon in the first place. Secondly, a normative investigation was conducted into the theology of hope from the perspective of reformed theology; and finally, pragmatic guidelines have been provided for the ministry of hope to the hopeless in the South African society.

  12. Stress, Self-Esteem, Hope, Optimism, and Well-Being in Urban, Ethnic Minority Adolescents

    Science.gov (United States)

    Vacek, Kimberly R.; Coyle, Laura D.; Vera, Elizabeth M.

    2010-01-01

    This study examined hope, optimism, self-esteem, social support, stress, and indices of subjective well-being (SWB) in 137 low-income, urban, ethnic minority adolescents. Hope, optimism, and self-esteem were significant predictors of SWB indices, but stress predicted only 1 SWB index: negative affect. No moderators of stress and negative affect…

  13. Acculturation and Hope as Predictors of Career Decision Self-Efficacy among Korean International Undergraduate Students

    Science.gov (United States)

    In, Hyoyeon

    2016-01-01

    This study examined the role of acculturation to the host culture, acculturation to the home culture, and dispositional hope in career decision self-efficacy (CDSE) in a sample of 213 Korean international undergraduate students enrolled in U.S. universities. The findings revealed that hope and acculturation to the host culture uniquely and…

  14. Education for peace and a pedagogy of hope | Carl | South African ...

    African Journals Online (AJOL)

    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 ...

  15. What hope is there for South Africa? A public theological reflection ...

    African Journals Online (AJOL)

    2015-04-29

    Apr 29, 2015 ... village' or in the cyber space. ( pp. 12–16). John de Gruchy's (2013) wonderful new book Led .... This Gospel of Jesus Christ offers hope and security for the whole life of man [sic], not just man's spiritual and ... Firstly, it reminds both the nation and the church that its true source of hope and security is to be ...

  16. Hope in Civic Action: To Be Optimistic and Non-Prejudicial

    Science.gov (United States)

    Ferrari, Joseph R.; Haq, Arsalan; Williams, Shannon M.

    2014-01-01

    The present study explored perceptions of hope for social change through civic engagement. Psychology majors, active in campus clubs and organizations (n = 52; M age = 19 years old) completed survey measures predicting hopeful (agency and pathways) tendencies by positive personality qualities, such as positive perceptions of life, being…

  17. Hope Eghagha and the New Counter-Discourse in Death, Not a ...

    African Journals Online (AJOL)

    The primary sources of information are derivable from Hope Eghagha's Death, Not a Redeemer and Wole Soyinka's Death and the King's Horseman while its secondary sources are critical analyses of both theories and texts gleaned from the library. Keywords: Hope Eghagha, New Counter-Discourse, Wole Soyinka, Death, ...

  18. Correlation between social relational quality and hope among patients with permanent colostomies

    Directory of Open Access Journals (Sweden)

    Bao-Jia Luo

    2014-12-01

    Conclusions: A positive correlation exists between social relational quality and hope among patients with permanent colostomies. This finding suggests that such patients should be given hope and that their families should be encouraged to provide more support for better acceptance and adjustment.

  19. Constructing Catalonia

    Directory of Open Access Journals (Sweden)

    Bill Philips

    2009-07-01

    Full Text Available Catalonia, in common with other nations, has long been concerned with the question of identity and difference. Its problematic relationship with Spain has led to an emphasis on differentiating itself from its larger neighbour (if we are to accept, as most Spaniards do not, that Catalonia is not Spain, a situation complicated by the loss of the Spanish colonies of Cuba and The Philippines in 1898, and the Spanish Civil War and subsequent dictatorship from 1936 to 1976. Beginning in the late nineteenth century, the construction of a Catalan identity followed a similar route to that taken by other European nations such as England, Ireland and, indeed, Spain, including an emphasis on rural values, activities and the countryside, and the conversion of specifically local traditions into national past times. It is only in the last ten years or so that this model of Catalan identity has been recognised for what it is – a model constructed and encouraged for and by specific nationalist political interests. Ironically, Catalonia’s identity abroad has also been constructed and manipulated for political purposes, but from quite a different perspective. Orwell’s /Homage to Catalonia/ (1938 narrates an extremely blinkered version of the Spanish Civil War which has achieved iconic status as a result of cold war politics. Subsequent portrayals of the Spanish Civil War – Valentine Cunningham’s /The Penguin Book of Spanish Civil War Verse/ (ed., Penguin, 1980, or Ken Loach’s 1995 film /Land and Freedom/ base their arguments unquestioningly on /Homage to Catalonia/, perpetuating a view of the nation’s recent history that is both reductive and inaccurate

  20. Living with hope: developing a psychosocial supportive program for rural women caregivers of persons with advanced cancer

    Directory of Open Access Journals (Sweden)

    Williams Allison M

    2010-03-01

    Full Text Available Abstract Background Hope is defined by caregivers as the inner strength to achieve future good and to continue care giving. Pilot test findings of a Living with Hope Program (LWHP suggested it is an acceptable and feasible intervention for use by family caregivers. Although it shows promise in potentially increasing hope and quality of life, further testing and development is needed. Questions remain as to: a what are the mechanisms through which the LWHP affects outcomes and b how long it is effective? The overall purpose of this time series mixed method study is the further development and testing of the LWHP by: a. Determining the mechanisms of the LWHP by testing a LWHP conceptual model in which self-efficacy, and loss/grief are hypothesized intermediary variables for changes in hope, and subsequently quality of life among rural women caring for persons with advanced cancer, and; b. Exploring the longitudinal effects of the LWHP on hope, quality of life and health services utilization among rural women caring for persons with advanced cancer. Methods/Design Using a time-series embedded mixed method design, data will be collected from 200 rural women caregivers. Following the collection of baseline and outcome variables, the intervention (LWHP is applied to all subjects. Subjects are followed over time with repeated measures of outcome variables (1 wk, 2 wk, 3, 6 and 12 months. The journals that are completed as part of the LWHP comprise the qualitative data. Health services utilization data will be collected from the Saskatchewan Health Administrative Database for all subjects one year prior and one year after study enrolment. Path analysis will be used to test the model post LWHP, at 1 and 2 weeks. Two-factor ANCOVA will determine patterns over time and Cortazzi's narrative analysis will be used to analyze subjects journals completed as part of the LWHP. Discussion Data Collection began January 2009 and is expected to be completed within 2

  1. Constructing dialogues

    DEFF Research Database (Denmark)

    Bundgaard, Charlotte

    2017-01-01

    The concept of montage is proposed as a driver for establishing heterogeneous, open and dynamic new-industrial architecture. Drawing parallels between the intense industrialization that occurred in Denmark in the 1960s and current scenarios of IT-based production methods, montage is unfolded both...... as an aesthetic strategy and a technical procedure, taking inspiration from both visual arts and architecture. Montage is presented as a means of creating active, architectural interactions - material as well as in terms of meaning - not only in the realm of industrialization but also in the intersection between...... industrial production methods and on-site, craft-based fields of construction....

  2. Constructing History

    DEFF Research Database (Denmark)

    Jørgensen, Michael Riber

    2010-01-01

    The Icelandic sagas can be read and interpreted in many ways. This article examines the sagas both as literary expressions of a longstanding oral tradition and as part of a collective and cultural memory. The focus in the first part is on people and places in the sagas as ‘realms of memory’: things...... that help construct a common past and a common identity. The second part of the article explores the role of the sagas in medieval Iceland as ‘key myths’ that explain the origin and uniqueness of a society, and as moral and legal role models legitimizing the current social order....

  3. Optimizing the use of video-tapes of clinical sessions: the data-mining approach for scale construction and theory building for bereaved persons in Hong Kong.

    Science.gov (United States)

    Chow, Amy Yin Man

    2010-01-01

    Video-taping clinical sessions is a common practice among social workers so that the tapes may be used for clinical supervision and reviewed with the individuals or families involved. They are usually underused for research purposes. This article reports on an innovative research method using such tapes as a basis for clinical data mining to explore the bereavement experience of Chinese people in Hong Kong. Using this data, a rich item pool, containing both negative and positive reactions, was generated to allow the development of a culturally relevant measurement tool of grief reactions. The data also facilitated theory building in the area of grief and bereavement. This study extended the use of video-tapes in clinical sessions for research purposes and helped to collect reliable and timely data in a non-intrusive way. It has also advanced the use of quantitative data in the clinical data-mining approach. The study encouraged collaboration between clinicians and researchers to develop knowledge and skills about their special target group of clients.

  4. Exploring the Effects of Hope on GPA and Retention among College Undergraduate Students on Academic Probation

    Directory of Open Access Journals (Sweden)

    Holly Seirup

    2011-01-01

    Full Text Available This study analyzed the impact of hope on the academic achievement and retention of 235 students on academic probation at a private Northeastern university. Probationary students were enrolled in a mandatory online course designed to facilitate academic and nonacademic skills, to improve student GPAs and overall retention. The Hope Scale (Snyder et al. (1991 was administered to identify whether students with greater levels of hope would experience an increase in academic success upon completion of the course. Students were broken down into groups of high, medium, and low hope based on their scores on the instrument. Results showed students who completed the course were more likely to be retained than those who did not complete the course, had a slight increase in GPA by the end of the semester, and high-hope students showed the greatest overall gain in GPAs.

  5. The Relationship between Body Esteem and Hope and Mental Health in Breast Cancer Patients after Mastectomy.

    Science.gov (United States)

    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.

  6. Perceptions of a changing world induce hope and promote peace in intractable conflicts.

    Science.gov (United States)

    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.

  7. The Effectiveness of Cognitive-Behavioral Therapy on Bereaved University Students' Hope

    Directory of Open Access Journals (Sweden)

    Seyyed Nahid Hosseininezhad

    2016-05-01

    Full Text Available The present research aims to study the effectiveness of cognitive-behavioral therapy (CBT on bereaved students' hope. This is an applied research of quasi-experimental type and pretest and posttest design with control group. We selected 30 bereaved university students using stratified sampling method. We used Schneider Hope Questionnaire as the pretest-posttest in the research and analyzed using the statistical method of covariance analysis. The data analysis results indicate that cognitive-behavioral therapy increases bereaved students' hope and there is a significant difference between the two groups. The results of this study show that cognitive-behavioral group therapy influences hope and increases bereaved students' hope by helping them in their emotional discharge and acceptance of death.

  8. Uplifting Fear Appeals: Considering the Role of Hope in Fear-Based Persuasive Messages.

    Science.gov (United States)

    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.

  9. Effectiveness of training Hope for living in the quality of life of elderly people in Ahwaz

    Directory of Open Access Journals (Sweden)

    Fariba Madadi

    2016-07-01

    Full Text Available The aim of this study was to evaluate effectiveness of training hope in the quality of life of elderly people. This study was an experimental research containing pre-test and post-test with control group. The research tools included adult hope and quality of life scales. The sample consisted of 30 elderly people from charities of Ahvaz being randomly selected and then divided into two experimental and control groups. Before training hope, both groups – experimental and control- were pre-tested. Then, the experimental group received 10 fifty-minute sessions of hope training whereas the control group did not receive any training. Upon completion of the course, immediately the posttests were taken from both groups. The results of multivariate covariance analysis (MANCOVA and one-way (ANCOVA showed that training hope significantly increased quality of life and its subscales among the elderly people.

  10. Assessment of High-Stakes Testing, Hopeful Thinking, and Goal Orientation among Baccalaureate Nursing Students.

    Science.gov (United States)

    March, Alice L; Robinson, Cecil

    2015-09-17

    High-stakes didactic testing assesses competency. Exams are stressful, and decreasing anxiety may enhance learning. Academic progression and graduation rates may result when higher levels of hopeful thinking (the belief in one's ability to achieve desired goals), and certain achievement goal orientation (why one desires to succeed) are present. This non-experimental study engaged undergraduate nursing students via surveys to examined relationships among hopeful thinking, goal orientation, and scores on standardized high-stakes examination of students. Regression analyses (N = 151) indicated that hopeful thinking was significantly related to higher exam scores, and that performance-avoidance goal scores were significantly related to lower scores. The positive relationship between hopeful thinking and exam scores suggests the need to consider supporting hopeful thinking in nursing education. Additional research may explicate the relationship between performance-avoidance and scores on high-stakes exams.

  11. Do social connections and hope matter in predicting early adolescent violence?

    Science.gov (United States)

    Stoddard, Sarah A; McMorris, Barbara J; Sieving, Renee E

    2011-12-01

    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.

  12. A social work study on different factors influencing youth on hope for the future

    Directory of Open Access Journals (Sweden)

    Akram Fakhri Fakhramini

    2013-03-01

    Full Text Available In this paper, we present an empirical study to study the effects of religious duties, communicating with parents; leisure, media planning, city planning, socio-economic and education on different factors influencing the future of youth. The proposed study of this paper designs a questionnaire and distributes it among 400 people aged 18 to 29 and the results are investigated using Pearson correlation ratios. The results of our investigation indicate that there are some positive and meaningful relationship between religious duties and their hope for future (r=44%, a positive and meaningful relationship between leisure and hope for future (31%. In addition, there is a relatively positive and somewhat meaningful relationship between city planning and hope for future (15% and finally, a small but positive relationship between media planning and hope for the future (6%. However, there is no evidence belief that there is any meaningful relationship between education and hope for the future.

  13. Comorbidity of schizophrenia and social phobia – impact on quality of life, hope, and personality traits: a cross sectional study

    Science.gov (United States)

    Vrbova, Kristyna; Prasko, Jan; Ociskova, Marie; Holubova, Michaela

    2017-01-01

    Objective The purpose of the study was to explore whether the comorbidity of social phobia affects symptoms severity, positive and negative symptoms, self-stigma, hope, and quality of life in patients with schizophrenia spectrum disorders. Methods This is a cross-sectional study in which all participants completed the Internalized Stigma of Mental Illness (ISMI) scale, Adult Dispositional Hope Scale (ADHS), Liebowitz Social Anxiety Scale (LSAS), Beck Anxiety Inventory (BAI), Beck Depression Inventory-II (BDI-II), Positive and Negative Syndrome Scale (PANSS), Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), Temperament and Character Inventory – Revised (TCI-R), and the demographic questionnaire. The disorder severity was assessed both by a psychiatrist (Clinical Global Impression Severity – the objective version [objCGI-S] scale) and by the patients (Clinical Global Impression Severity – the subjective version [subjCGI-S] scale). The patients were in a stabilized state that did not require changes in the treatment. Diagnosis of schizophrenia, schizoaffective disorder, or delusional disorder was determined according to the International Classification of Diseases 10th Revision (ICD-10) research criteria. A structured interview by Mini International Neuropsychiatric Interview was used to confirm the diagnosis. Results The study included 61 patients of both genders. Clinically, the patients with comorbid social phobia had the earlier onset of the illness, more severe current psychopathology, more intense anxiety (general and social), and higher severity of depressive symptoms. The patients with comorbid social phobia showed the significantly lower quality of life compared to the patients without this comorbidity. The patients with comorbid social phobia also had a statistically lower mean level of hope and experienced a higher rate of the self-stigma. They also exhibited higher average scores of personality trait harm avoidance (HA) and a lower

  14. The HOPE social media intervention for global HIV prevention in Peru: a cluster randomised controlled trial.

    Science.gov (United States)

    Young, Sean D; Cumberland, William G; Nianogo, Roch; Menacho, Luis A; Galea, Jerome T; Coates, Thomas

    2015-01-01

    Social media technologies offer new approaches to HIV prevention and promotion of testing. We examined the efficacy of the Harnessing Online Peer Education (HOPE) social media intervention to increase HIV testing among men who have sex with men (MSM) in Peru. In this cluster randomised controlled trial, Peruvian MSM from Greater Lima (including Callao) who had sex with a man in the past 12 months, were 18 years of age or older, were HIV negative or serostatus unknown, and had a Facebook account or were willing to create one (N=556) were randomly assigned (1:1) by concealed allocation to join intervention or control groups on Facebook for 12 weeks. For the intervention, Peruvian MSM were trained and assigned to be HIV prevention mentors (peer-leaders) to participants in Facebook groups. The interventions period lasted 12 weeks. Participants in control groups received an enhanced standard of care, including standard offline HIV prevention available in Peru and participation in Facebook groups (without peer leaders) that provided study updates and HIV testing information. After accepting a request to join the groups, continued participation was voluntary. Participants also completed questionnaires on HIV risk behaviours and social media use at baseline and 12 week follow-up. The primary outcome was the number of participants who received a free HIV test at a local community clinic. The facebook groups were analysed as clusters to account for intracluster correlations. This trial is registered with ClinicalTrials.gov, number NCT01701206. Of 49 peer-leaders recruited, 34 completed training and were assigned at random to the intervention Facebook groups. Between March 19, 2012, and June 11, 2012, and Sept 26, 2012, and Dec 19, 2012, 556 participants were randomly assigned to intervention groups (N=278) or control groups (N=278); we analyse data for 252 and 246. 43 participants (17%) in the intervention group and 16 (7%) in the control groups got tested for HIV (adjusted

  15. Translational Approaches towards Cancer Gene Therapy: Hurdles and Hopes

    Directory of Open Access Journals (Sweden)

    Yadollah Omidi

    2012-09-01

    Full Text Available Introduction: Of the cancer gene therapy approaches, gene silencing, suicide/apoptosis inducing gene therapy, immunogene therapy and targeted gene therapy are deemed to sub­stantially control the biological consequences of genomic changes in cancerous cells. Thus, a large number of clinical trials have been conducted against various malignancies. In this review, we will discuss recent translational progresses of gene and cell therapy of cancer. Methods: Essential information on gene therapy of cancer were reviewed and discussed towards their clinical translations. Results: Gene transfer has been rigorously studied in vitro and in vivo, in which some of these gene therapy endeavours have been carried on towards translational investigations and clinical applications. About 65% of gene therapy trials are related to cancer therapy. Some of these trials have been combined with cell therapy to produce personalized medicines such as Sipuleucel-T (Provenge®, marketed by Dendreon, USA for the treatment of asymptomatic/minimally symptomatic metastatic hormone-refractory prostate cancer. Conclusion: Translational approach links two diverse boundaries of basic and clinical researches. For successful translation of geno­medicines into clinical applications, it is essential 1 to have the guidelines and standard operating procedures for development and application of the genomedicines specific to clinically relevant biomarker(s; 2 to conduct necessary animal experimental studies to show the “proof of concept” for the proposed genomedicines; 3 to perform an initial clinical investigation; and 4 to initiate extensive clinical trials to address all necessary requirements. In short, translational researches need to be refined to accelerate the geno­medicine development and clinical applications.

  16. Do Balanced Scales Assess Bipolar Constructs? The Case of the STAI Scales

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    Vautier, Stephane; Pohl, Steffi

    2009-01-01

    Balanced scales, that is, scales based on items whose content is either negatively or positively polarized, are often used in the hope of measuring a bipolar construct. Research has shown that usually balanced scales do not yield 1-dimensional measurements. This threatens their construct validity. The authors show how to test bipolarity while…

  17. Time Overrun in Construction Project

    Science.gov (United States)

    Othman, I.; Shafiq, Nasir; Nuruddin, M. F.

    2017-12-01

    Timely completion is the key criteria to achieve success in any project despite the industry. Unfortunately construction industry in Malaysia has been labelled as industry facing poor performance leading to failure in achieving effective time management. As the consequence most of the project face huge amount of time overrun. This study assesses the causes of construction projects time overrun in Malaysia using structured questionnaire survey. Each respondent is asked to assign a one-to-five rating for each of the 18 time factors identified from literature review. Out of the 50 questionnaires sent out, 33 were received back representing 68% of the response rate. Data received from the questionnaires were analysed and processed using the descriptive statistics procedures. Findings from the study revealed that design and documentation issues, project management and contract administration, ineffective project planning and scheduling, contractor’s site management, financial resource management were the major factors that cause the time overrun. This study is hoped to help the practitioners to implement the mitigation measure at planning stage in order to achieve successful construction projects.

  18. Analysis of the safety evaluation for premarketing clinical trials of hemodialyzer and of postmarketing safety reports of hemodialyzer in Japan and the US: insights into the construction of a sophisticated premarketing evaluation.

    Science.gov (United States)

    Saito, Masami; Iwasaki, Kiyotaka

    2017-03-01

    Our aim was to conduct a scoping review of the regulations for hemodialyzers in the safety evaluation in Japan and the United States, and to evaluate the criteria for premarketing clinical trials and postmarketing safety reports to inform the development of a sophisticated premarketing evaluation in Japan. Regulations for approval of hemodialyzers were identified from the databases of the Ministry of Health, Labor and Welfare in Japan and the Federal Drug Agency (FDA) in the United States (US). The criteria for premarket clinical trials and postmarketing safety reports were evaluated for both countries. Standards in Japan required evaluation of blood compatibility and reporting of acute adverse effects by a premarketing clinical trial in 6 of 86 applications with semipermeable membrane materials deemed to be different to those of previously approved devices from 1983 to 31 August 2015. By comparison, the clinical trial was required in one of 545 approvals in the US from 1976 to 29 January 2016, but blood compatibility was not the point. All postmarketing adverse effects identified in Japan were included in the set of 'warnings'. The more stringent requirements for evaluation of blood compatibility and acute adverse effects in Japan seemed to be related to differences in the history of quality management systems for medical devices between the two countries. This study revealed that there were differences between Japan and the US in requiring the premarketing clinical trials for the hemodialyzers. Our findings could be useful for constructing sophisticated premarketing safety evaluation.

  19. Tamoxifen citrate: a glimmer of hope for silicosis.

    Science.gov (United States)

    Yoldas, Omer; Karaca, Turgut; Bilgin, Bulent Caglar; Yilmaz, Omer Hinc; Simsek, Gulcin Guler; Alici, Ibrahim Onur; Uzdogan, Andaç; Karaca, Nihal; Akin, Tezcan; Yoldas, Suna; Akbiyik, Filiz

    2015-01-01

    significantly lower in rats treated with tamoxifen. Tamoxifen treatment after and/or before induction of silicosis decreased lung fibrosis score with blood TGF-β levels. We hope that this study may introduce a new indication as prophylactic use of tamoxifen in high-risk groups for silicosis and for treatment of silicosis. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Earthquake Parameters Inferred from the Hoping River Pseudotachylyte, Taiwan

    Science.gov (United States)

    Korren, C.; Ferre, E. C.; Yeh, E. C.; Chou, Y. M.

    2014-12-01

    Taiwan, one of the most seismically active areas in the world, repeatedly experiences violent earthquakes, such as the 1999 Mw 7.6 Chi-Chi earthquake, in highly populated areas. The main island of Taiwan lies in the convergent tectonic region between the Eurasian Plate and Philippine Sea Plate. Fault pseudotachylytes form by frictional melting along the fault plane during large seismic slip events and therefore constitute earthquake fossils. The width of a pseudotachylyte generation vein is a crude proxy for earthquake magnitude. The attitude of oblique injection veins primarily reflects slip kinematics. Additional constraints on the seismic slip direction and slip sense can be obtained 1) from the principal axes of the magnetic fabric of generation veins and 2) from 3D tomographic analysis of vein geometry. A new pseudotachylyte locality discovered along the Hoping River offers an unparalleled opportunity to learn more about the Plio-Pleistocene paleoseismology and seismic kinematics of northeastern Taiwan. Field work measured the orientations and relations of structural features yields a complex geometry of generation and injection veins. Pseudotachylytes were sampled for tomographic, magnetic fabric and scanning electron microscope analyses. An oriented block of pseudotachylyte was sliced then stitched into a 3-D tomographic model using the Image-J software image stack plug-in. Tomographic analysis shows pseudotachylyte veins originate from a single slip event at sample size. An average vein thickness ranges from 1 mm proximal to areas with abundant injection veins to 2 mm. The displacement calculated after Sibson's 1975 method, displacement equals the square of vein thickness multiplied by 436 yields a range from 4.36 cm to 17.44 cm. The pseudotachylytes displacement typifies earthquakes less than magnitude 5. However, this crude estimate of displacement requires further discussion. Comparison of the calculated displacements by different methodology may further

  1. Alternative hypotheses for the effects of drugs in small-scale clinical studies.

    Science.gov (United States)

    Salsburg, D

    1986-09-01

    New drugs that will be investigated in the future are expected to deal with chronic diseases, where the number of patients available for controlled clinical trials will be small and where the long-term sequelae that it is hoped will be ameliorated take a long time to occur. Thus, it would be useful to construct powerful tests of hypotheses that can be used to compare subtle intermediate measures of change in condition. This paper examines the probabilistic characteristics of these measures and the changes in them that might be expected from drug therapy.

  2. Construct validity of 2 measures to assess reasons for antipsychotic discontinuation and continuation from patients’ and clinicians’ perspectives in a clinical trial

    Directory of Open Access Journals (Sweden)

    Faries Douglas

    2012-09-01

    Full Text Available Abstract Background Little is known about the specific reasons for antipsychotic discontinuation or continuation from patients’ or clinicians’ perspectives. This study aimed to assess the construct validity of 2 new measures of the Reasons for Antipsychotic Discontinuation/Continuation (RAD: RAD-I (a structured interview assessing the patient’s perspective and RAD-Q (a questionnaire assessing the clinician’s perspective. Methods Data were used from a 12-week antipsychotic trial of schizophrenia patients in which the RAD was administered at study entry and at study completion (or discontinuation. Construct validity was assessed through comparisons of RAD responses, clinicians’ responses to a standard patient disposition form identifying reasons for patient’s study discontinuation, and several standard psychiatric measures. Percent agreement quantified the correspondence between patient and clinician scores. Results Patients indicating lack of improvement/worsening of positive symptoms as a ‘somewhat’ to ‘primary’ reason for medication discontinuation had statistically significantly less improvement in Positive and Negative Syndrome Scale positive score than patients not reporting these as a reason (concurrent validity. Similar results were observed for the RAD negative symptom, functional, social support, and adherence items, whereas the mood and cognitive items were not significantly associated with change scores on standard psychiatric measures. Responses to the RAD were also weakly associated with variables that theoretically should not be related to them (divergent validity. Level of agreement between the clinician- and patient-rated RAD scores was high (60%-100%. Conclusions Initial validation of the RAD suggests that the instruments are valid tools for gathering detailed information regarding reasons for antipsychotic discontinuation and continuation from patients’ and clinicians’ perspectives.

  3. RReACT goes global: perils and pitfalls of constructing a global open-access database of registered analgesic clinical trials and trial results.

    Science.gov (United States)

    Munch, Troels; Dufka, Faustine L; Greene, Kaitlin; Smith, Shannon M; Dworkin, Robert H; Rowbotham, Michael C

    2014-07-01

    Eliminating publication bias requires ensuring public awareness of studies and access to results. Clinical trial registries provide basic trial information, but access to unbiased trial results is inadequate. Nearly all studies of trial registration and results reporting have been limited to the ClinicalTrials.gov registry. We analyzed trial registration, registry functionality, cross-registry harmonization, and results reporting on all 15 primary registries in the World Health Organization International Clinical Trials Registry Platform (ICTRP) for postherpetic neuralgia, painful diabetic neuropathy, and fibromyalgia. A total of 447 unique trials were identified, with 86 trials listed on more than one registry. A comprehensive search algorithm was used to find trial results in the peer-reviewed literature and the grey literature. Creating a global database of registered trials and trial results proved surprisingly difficult for several reasons: (1) ICTRP does not reliably identify trials listed on multiple registries, manual searches are necessary; (2) Searching ICTRP yields different results than searching individual registries; (3) Outcome measure descriptions for multiply registered trials vary between registries; (4) Registry-publication pairings are often inaccurate or incomplete; (5) Grey literature results are not permanent. Overall, only 46% of all trials had results available. Trials registered on ClinicalTrials.gov were significantly more likely to have results (52% vs. 18%, Ptrial registration numbers on all meeting abstracts and peer-reviewed papers, specific strategies are offered to facilitate identifying multiply registered studies and ensuring accurate pairing of results and publications. Copyright © 2014 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

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

    Science.gov (United States)

    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.

  5. Hope: A further dimension for engaging family members of people with ABI.

    Science.gov (United States)

    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.

  6. Hope and optimism: latent structures and influences on grade expectancy and academic performance.

    Science.gov (United States)

    Rand, Kevin L

    2009-02-01

    A synthesized model of trait hope (Snyder 1994, 2002) and trait optimism (Scheier & Carver, 1985) is proposed. In this model hope and optimism are conceptualized as facets of an overarching trait called goal attitude. Structural equation modeling is used to test the plausibility of the proposed model in a sample of 345 students in a university psychology course who completed the Adult Hope Scale (Snyder et al., 1991) and the Life Orientation Test-Revised (Scheier, Carver, & Bridges, 1994). The proposed model shows acceptable fit to the observed data. The synthesized model is used to examine the unique and common influences of hope and optimism on grade expectancy and academic performance in 312 students who completed the course. The results show that hope uniquely influenced students' grade expectancies, whereas optimism did not. In turn, grade expectancies influenced academic performance. Neither hope nor optimism had a unique, direct influence on academic performance. In contrast, the shared aspect of hope and optimism (i.e., goal attitude) had a direct influence on academic performance.

  7. Development Education and Its Context: Between Unease and Hope

    Directory of Open Access Journals (Sweden)

    Suyapa Martínez Scott

    2012-08-01

    Full Text Available The concept of Development Education is analyzed in this paper. The analysis takes into account the two terms of the construct: education and development, as both and each of them are a way of approaching the reading and understanding of the World in which we live. For this reason some of the main economic theories, including the thesis of the so–called decrease, are reviewed. Next, the specific features of Development Education are taken into consideration, as well as the goals it pursues, the values it promotes and the methodology it requires, since this educational scope cannot be carried out taking any methodological approach.

  8. A neurolinguistic model of grammatical construction processing.

    Science.gov (United States)

    Dominey, Peter Ford; Hoen, Michel; Inui, Toshio

    2006-12-01

    One of the functions of everyday human language is to communicate meaning. Thus, when one hears or reads the sentence, "John gave a book to Mary," some aspect of an event concerning the transfer of possession of a book from John to Mary is (hopefully) transmitted. One theoretical approach to language referred to as construction grammar emphasizes this link between sentence structure and meaning in the form of grammatical constructions. The objective of the current research is to (1) outline a functional description of grammatical construction processing based on principles of psycholinguistics, (2) develop a model of how these functions can be implemented in human neurophysiology, and then (3) demonstrate the feasibility of the resulting model in processing languages of typologically diverse natures, that is, English, French, and Japanese. In this context, particular interest will be directed toward the processing of novel compositional structure of relative phrases. The simulation results are discussed in the context of recent neurophysiological studies of language processing.

  9. The Relationship Between Trust-in-God, Positive and Negative Affect, and Hope.

    Science.gov (United States)

    Fadardi, Javad S; Azadi, Zeinab

    2017-06-01

    We aimed to test the relationships between Trust-in-God, positive and negative affect, and feelings of hope. A sample of university students (N = 282, 50 % female) completed the Positive and Negative Affect Schedule, the Adult Dispositional Hope Scale, and a Persian measure of Trust-in-God for Muslims. The results of a series of hierarchical regression analyses indicated that Trust-in-God was positively associated with participants' scores for hope and positive affect but was negatively associated with their scores for negative affect. The results support the relationship between Trust-in-God and indices of mental health.

  10. Resilience or hope? Incremental and convergent validity of the resilience scale for adults (RSA) and the Herth hope scale (HHS) in the prediction of anxiety and depression.

    Science.gov (United States)

    Morote, Roxanna; Hjemdal, Odin; Krysinska, Karolina; Martinez Uribe, Patricia; Corveleyn, Jozef

    2017-10-27

    Hope and resilience protect against inner vulnerabilities or harsh life circumstances; they explain individual differences in physical or mental health outcomes under high stress. They have been studied in complementary or competing theoretical frameworks; therefore, the study of measures of hope and resilience should be undertaken prior to explore if they are truly value-added for research. This study investigates the convergent and incremental validity of the Resilience Scale for Adults (RSA) and the Herth Hope Scale (HHS), in the prediction of anxiety and depression (HSCL-25). Participants in this community-based sample are 762 adults from 18 to 74 years old. They answered the RSA, HHS, Spanish Language Stressful Life-Events Checklist (SL-SLE), and the Hopkins Symptom Checklist-25 (HSCL-25). Incremental validity analyses combined hierarchical regression and structural equation models (SEM). First, hierarchical regression models were compared based on three criteria (R 2 Diff., ΔF, and semi-partial r), then the direct effect of resilience on affective symptoms was compared with the mediated effect of resilience on affective symptoms through hope. The hierarchical models showed that (1) hope and resilience account significantly for the variance of affective symptoms above age, sex, and life-stress; (2) Resilience Total score has greater incremental validity than positive scales of HHS Hope; and (3) RSA Total score, HHS Optimism/Spiritual support, Stressful life-events and sex are unique predictors of affective symptoms. The SEM analyses verified a stronger direct effect of resilience in the prediction of affective symptoms above the significant partial mediated effect of resilience through hope. Additionally, results show that age and better educational opportunities were associated with protection (i.e. resilience and hope) and emotional well-being (i.e. affective symptoms and hopelessness). Women showed higher scores in social competences and resources (RSA

  11. Resilience or hope? Incremental and convergent validity of the resilience scale for adults (RSA and the Herth hope scale (HHS in the prediction of anxiety and depression

    Directory of Open Access Journals (Sweden)

    Roxanna Morote

    2017-10-01

    Full Text Available Abstract Background Hope and resilience protect against inner vulnerabilities or harsh life circumstances; they explain individual differences in physical or mental health outcomes under high stress. They have been studied in complementary or competing theoretical frameworks; therefore, the study of measures of hope and resilience should be undertaken prior to explore if they are truly value-added for research. This study investigates the convergent and incremental validity of the Resilience Scale for Adults (RSA and the Herth Hope Scale (HHS, in the prediction of anxiety and depression (HSCL-25. Methods Participants in this community-based sample are 762 adults from 18 to 74 years old. They answered the RSA, HHS, Spanish Language Stressful Life-Events Checklist (SL-SLE, and the Hopkins Symptom Checklist-25 (HSCL-25. Incremental validity analyses combined hierarchical regression and structural equation models (SEM. First, hierarchical regression models were compared based on three criteria (R 2 Diff., ΔF, and semi-partial r, then the direct effect of resilience on affective symptoms was compared with the mediated effect of resilience on affective symptoms through hope. Results The hierarchical models showed that (1 hope and resilience account significantly for the variance of affective symptoms above age, sex, and life-stress; (2 Resilience Total score has greater incremental validity than positive scales of HHS Hope; and (3 RSA Total score, HHS Optimism/Spiritual support, Stressful life-events and sex are unique predictors of affective symptoms. The SEM analyses verified a stronger direct effect of resilience in the prediction of affective symptoms above the significant partial mediated effect of resilience through hope. Additionally, results show that age and better educational opportunities were associated with protection (i.e. resilience and hope and emotional well-being (i.e. affective symptoms and hopelessness. Women showed higher scores

  12. Regeneration of the dentine-pulp complex with revitalization/revascularization therapy: challenges and hopes.

    Science.gov (United States)

    Lin, L M; Ricucci, D; Huang, G T-J

    2014-08-01

    The concept of regenerative endodontics has gained much attention in clinical endodontics in the past decade. One aspect of this discipline is the application of revitalization/revascularization therapies for infected and/or necrotic immature pulps in permanent teeth. Following the publication of a case report (Iwaya et al. ), investigators have been rigorously examining the types of tissues formed in the canals as well as exploring strategies to regenerate the pulp-dentine complex in revitalized teeth. This review will provide an update on the types of tissues generated in the canals after revitalization/revascularization therapy in both animal and human studies. The understanding of the role of stem cells and microenvironment in the process of wound healing resulting in either regeneration or repair will be thoroughly discussed. Stem cells and microenvironmental cues introduced into the canal during revitalization/revascularization procedures will be examined. In addition, requirement of a sterile microenvironment in the canal and vital tissue generation in revitalization/revascularization therapy will be emphasized. The challenges that we face and the hopes that we have in revitalization/revascularization therapy for regenerative endodontics will be presented. © 2013 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  13. Tuberculoma of the brain - A diagnostic dilemma: Magnetic resonance spectroscopy a new ray of hope

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    Subhasis Mukherjee

    2015-01-01

    Full Text Available Tuberculoma of the brain is an important clinical entity. The main challenge in the management of brain tuberculoma is its diagnosis. Appearance in computed tomography (CT scan of brain is common and consists of solitary or multiple ring-enhancing lesions with moderate perilesional edema, but these are not specific for tuberculoma as neurocysticercosis (NCC, coccidiomycosis, toxoplasmosis, metastasis and few other diseases may also have similar appearance on CT scan brain. Cerebrospinal fluid examination is often normal and biopsy and tissue culture from the lesion though the diagnosis of choice is technically too demanding and not feasible in most of the times. All these put the clinicians in a great dilemma as regard to a confidant diagnosis of tuberculoma of the brain. With advancement of imaging techniques, magnetic resonance imaging (MRI of brain with magnetic resonance spectroscopy (MRS has shown a great hope in this context as MRS shows a specific lipid peak in cases of tuberculoma which is not seen in any other differential diagnoses of tuberculoma. This review article is written to have an overview regarding the current diagnostic approach for brain tuberculoma with special emphasis on the role of MRS. Extensive literature review of the articles published in English was conducted using Google search, Google Scholar, PubMed and Medline using the keywords such as ring-enhancing lesions, etiology, tuberculoma, NCC, CT scan brain, MRI, MRS, images.

  14. A New Hope in Immunotherapy for Malignant Gliomas: Adoptive T Cell Transfer Therapy

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    Dong-Sup Chung

    2014-01-01

    Full Text Available Immunotherapy emerged as a promising therapeutic approach to highly incurable malignant gliomas due to tumor-specific cytotoxicity, minimal side effect, and a durable antitumor effect by memory T cells. But, antitumor activities of endogenously activated T cells induced by immunotherapy such as vaccination are not sufficient to control tumors because tumor-specific antigens may be self-antigens and tumors have immune evasion mechanisms to avoid immune surveillance system of host. Although recent clinical results from vaccine strategy for malignant gliomas are encouraging, these trials have some limitations, particularly their failure to expand tumor antigen-specific T cells reproducibly and effectively. An alternative strategy to overcome these limitations is adoptive T cell transfer therapy, in which tumor-specific T cells are expanded ex vivo rapidly and then transferred to patients. Moreover, enhanced biologic functions of T cells generated by genetic engineering and modified immunosuppressive microenvironment of host by homeostatic T cell expansion and/or elimination of immunosuppressive cells and molecules can induce more potent antitumor T cell responses and make this strategy hold promise in promoting a patient response for malignant glioma treatment. Here we will review the past and current progresses and discuss a new hope in adoptive T cell therapy for malignant gliomas.

  15. Hope for happy endings: stories of clients and clinicians.

    Science.gov (United States)

    Hinckley, Jacqueline

    2010-01-01

    In this introduction to the issue, it is asserted that a positive therapeutic relationship may be equally important to good rehabilitation outcomes as the administration of an effective, evidence-based treatment. The author illustrates this assertion with two variations of a clinical story in which aspects of the therapeutic relationship are manipulated. The narrative methodologies used in the articles in this issue, including ethnography, autoethnography, and personal narrative, are defined. Because details of the therapeutic relationship can best be explored through narrative methodologies, there will always be a role for narratives in the understanding of best clinical practice.

  16. The Five Digits Test in the assessment of older adults with low formal education: construct validity and reliability in a Brazilian clinical sample

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    Jonas Jardim de Paula

    2017-08-01

    Full Text Available Abstract Introduction In the assessment of older adults with very low formal education, typical tests of selective attention and inhibitory control are biased by reading abilities. In this sense, we aim to assess the psychometric characteristics of the Five Digits Test (FDT, a numerical Stroop paradigm, in older adults without cognitive disorders, with mild cognitive impairment, and with dementia. Methods We assessed 211 Brazilian older adults with low formal education using the FDT and other cognitive measures. Construct validity and reliability were assessed by correlations and internal consistency. Results The FDT test had weak correlations with crystalized intelligence tests and moderate-high correlations with fluid intelligence measures and tests of global cognitive status and executive functions. The split-half coefficient of reliability showed high internal consistency (>0.900. Conclusion Together, the results suggest that the FDT is a valid and reliable measure for the assessment of processing speed and executive functions in older adults with low formal education.

  17. High hopes: can molecular electronics realise its potential?

    Science.gov (United States)

    Coskun, Ali; Spruell, Jason M; Barin, Gokhan; Dichtel, William R; Flood, Amar H; Botros, Youssry Y; Stoddart, J Fraser

    2012-07-21

    Manipulating and controlling the self-organisation of small collections of molecules, as an alternative to investigating individual molecules, has motivated researchers bent on processing and storing information in molecular electronic devices (MEDs). Although numerous ingenious examples of single-molecule devices have provided fundamental insights into their molecular electronic properties, MEDs incorporating hundreds to thousands of molecules trapped between wires in two-dimensional arrays within crossbar architectures offer a glimmer of hope for molecular memory applications. In this critical review, we focus attention on the collective behaviour of switchable mechanically interlocked molecules (MIMs)--specifically, bistable rotaxanes and catenanes--which exhibit reset lifetimes between their ON and OFF states ranging from seconds in solution to hours in crossbar devices. When these switchable MIMs are introduced into high viscosity polymer matrices, or self-assembled as monolayers onto metal surfaces, both in the form of nanoparticles and flat electrodes, or organised as tightly packed islands of hundreds and thousands of molecules sandwiched between two electrodes, the thermodynamics which characterise their switching remain approximately constant while the kinetics associated with their reset follow an intuitively predictable trend--that is, fast when they are free in solution and sluggish when they are constrained within closely packed monolayers. The importance of seamless interactions and constant feedback between the makers, the measurers and the modellers in establishing the structure-property relationships in these integrated functioning systems cannot be stressed enough as rationalising the many different factors that impact device performance becomes more and more demanding. The choice of electrodes, as well as the self-organised superstructures of the monolayers of switchable MIMs employed in the molecular switch tunnel junctions (MSTJs) associated

  18. The Social Appearance Anxiety Scale in Italian adolescent populations: Construct validation and group discrimination in community and clinical eating disorders samples

    OpenAIRE

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel M.; Zanetti, M. Assunta; Volpato, Chiara; Riva, Giuseppe; Clerici, Massimo; Cipresso, Pietro

    2015-01-01

    Anxiety in situations where one’s overall appearance (including body shape) may be negatively evaluated is hypothesized to play a central role in Eating Disorders (EDs) and in their co-occurrence with Social Anxiety Disorder (SAD). Three studies were conducted among community (N = 1995) and clinical (N = 703) ED samples of 11- to 18-year-old Italian girls and boys to (a) evaluate the psychometric qualities and measurement equivalence/invariance (ME/I) of the Social Appearance Anxiety (SAA) Sc...

  19. Transmodern Critical Tourism Studies: A Call for Hope and Transformation

    Directory of Open Access Journals (Sweden)

    Irena Ateljevic

    2011-12-01

    Full Text Available AbstractIn this paper I engage with a broad range of literature that provides evidence of an emerging and significant paradigm shift in human evolution as we face an increasingly distressed and unsustainable world that screams for some hope and transformation. To describe this shift, different authors use a variety of terms, such as transmodernity paradigm (Ghisi; transmodern philosophy of political liberation (Dussel; Hegelian dialectical triad of thesis, antithesis and synthesis (Magda; reflective/living-systems paradigm (Elgin; partnership model of caring economics (Eisler; relational global consciousness and biosphere politics (Rifkin. Reviewing a broad range of these perspectives, I will argue that tourism is actually one of the key indicators that manifest the global shift in human consciousness. In consequence, an engagement with transmodern critical tourism studies and hopeful tourism scholarship gives us an enormous political weight to point to the agency and authority of tourism to possibly change the world for the better and assist it in its longings for more caring global economy and society. In doing so, we can finally penetrate public discourses and change their dominant interpretations of tourism as being nothing more than a frivolous leisure activity or yet another form of economic developmentKeywords: tCatharine Sedgwick’s Hope Leslie (1827 and the Revision of the Puritan Past

    Directory of Open Access Journals (Sweden)

    Teresa Requena Pelegrí

    2009-06-01

    Full Text Available Catharine Maria Sedgwick’s texts and achievement have been long overshadowed by the undisputed recognition of some of her male contemporaries. James Fenimore Cooper, Washington Irving or William Cullen Bryant have received all the credit for having shaped -and for many, created- U.S. literature. However, Sedgwick’s contribution to the development of a specific native tradition in American letters is undeniable. Long before Ralph Waldo Emerson’s call for a specifically national subject-matter, Sedgwick was consciously giving her texts an American perspective by combining the techniques used in sentimental fiction with the historical romance. Set in colonial times, Hope Leslie or Early Times in the Massachusetts (1827 constitutes one of Sedgwick’s poignant explorations of the Puritan past of the country and its interrelation with issues of gender and race. By fusing Puritan historical accounts with fiction, Sedgwick’s technique succeeds in foregrounding the partiality of historical accounts in opposition to their supposedly objective exposition of facts and in this way the text manages to challenge Puritan self-righteous historiography. Moreover, the use of the Puritan past as material for her fiction together with the inclusion of Native American characters makes Sedgwick an extremely interesting foil to other contemporaries such as Nathaniel Hawthorne or James Fenimore Cooper. This paper wishes to explore Sedgwick’s version of the Puritan presence in the American colonies and compare it with Nathaniel Hawthorne’s to demonstrate how the former made gender indistinguishable form the construction of a national narrative. The paper also tackles Sedgwick’s sexual and racial politics in her treatment of fully developed Native American characters thus constituting an enlightening counterpart to the stereotypical and reductive portrayal found in James Fenimore Cooper’s work.

  1. Medicinal plants and dementia therapy: herbal hopes for brain aging?

    Science.gov (United States)

    Perry, Elaine; Howes, Melanie-Jayne R

    2011-12-01

    An escalating "epidemic" of diseases like Alzheimer's has not yet been met by effective symptomatic treatments or preventative strategies. Among a few current prescription drugs are cholinesterase inhibitors including galantamine, originating from the snowdrop. Research into ethnobotanicals for memory or cognition has burgeoned in recent years. Based on a multi-faceted review of medicinal plants or phytochemicals, including traditional uses, relevant bioactivities, psychological and clinical evidence on efficacy and safety, this overview focuses on those for which there is promising clinical trial evidence in people with dementia, together with at least one other of these lines of supporting evidence. With respect to cognitive function, such plants reviewed include sage, Ginkgo biloba, and complex mixtures of other traditional remedies. Behavioral and psychological symptoms of dementia (BPSD) challenge carers and lead to institutionalization. Symptoms can be alleviated by some plant species (e.g., lemon balm and lavender alleviate agitation in people with dementia; St John's wort treats depression in the normal population). The ultimate goal of disease prevention is considered from the perspective of limited epidemiological and clinical trial evidence to date. The potential value of numerous plant extracts or chemicals (e.g., curcumin) with neuroprotective but as yet no clinical data are reviewed. Given intense clinical need and carer concerns, which lead to exploration of such alternatives as herbal medicines, the following research priorities are indicated: investigating botanical agents which enhance cognition in populations with mild memory impairment or at earliest disease stages, and those for BPSD in people with dementia at more advanced stages; establishing an ongoing authoritative database on herbal medicine for dementia; and further epidemiological and follow up studies of promising phytopharmaceuticals or related nutraceuticals for disease prevention.

  2. The dark side of hope and trust: constructed expectations and the value-for-money regulation of new medicines

    NARCIS (Netherlands)

    Brown, P.R.

    2011-01-01

    New medicines represent exciting possibilities to individual patients for improved futures through reduced morbidity, as well as the potential for disappointment where promised outcomes are not forthcoming. For healthcare systems these technologies can enable enhanced effectiveness as well as

  3. The clinical obesity maintenance model: an integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function.

    Science.gov (United States)

    Raman, Jayanthi; Smith, Evelyn; Hay, Phillipa

    2013-01-01

    Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.

  4. The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function

    Directory of Open Access Journals (Sweden)

    Jayanthi Raman

    2013-01-01

    Full Text Available Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM. It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.

  5. The Place Where Hope Lives: The Children's Inn Comforts Kids and Their Families

    Science.gov (United States)

    ... The Place Where Hope Lives: The Children's Inn Comforts Kids and Their Families Past Issues / Fall 2006 ... the "normal" range. Channing hugs fellow cystinosis patient, Alex: They could almost pass for twins. After seeing ...

  6. Parkinson's Disease: New Research Offers Hope for Better Diagnosis and Treatments

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Parkinson's Disease New Research Offers Hope for Better Diagnosis ... As many as one million Americans live with Parkinson's disease (PD), which is more than the combined ...

  7. Balancing truth-telling in the preservation of hope: a relational ethics approach.

    Science.gov (United States)

    Pergert, Pernilla; Lützén, Kim

    2012-01-01

    Truth-telling in healthcare practice can be regarded as a universal communicative virtue; however, there are different views on what consequence it has for giving or diminishing hope. The aim of this article is to explore the relationship between the concepts of truth-telling and hope from a relational ethics approach in the context of healthcare practice. Healthcare staff protect themselves and others to preserve hope in the care of seriously sick patients and in end-of-life care. This is done by balancing truth-telling guided by different conditions such as the cultural norms of patients, family and staff. Our main conclusion is that the balancing of truth-telling needs to be decided in a mutual understanding in the caring relationship, but hope must always be inspired. Instead of focusing on autonomy as the only guiding principle, we would like to propose that relational ethics can serve as a meaningful perspective in balancing truth-telling.

  8. Multiple Sclerosis: Hope Through Research | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... this page please turn Javascript on. Feature: Multiple Sclerosis Hope Through Research Past Issues / Spring 2012 Table ... television journalist Neil Cavuto was diagnosed with multiple sclerosis (MS) more than 15 years ago. And that ...

  9. Metformin and Anti-Cancer Therapeutics: Hopes for a More Enhanced Armamentarium Against Human Neoplasias?

    Science.gov (United States)

    Christodoulou, Maria-Ioanna; Scorilas, Andreas

    2017-01-01

    Metformin, a natural product from Galega officinalis, is an oral drug, now in the forefront of the therapeutic management of type-2 diabetes mellitus. A series of clinical observations of the last decades, support that metformin may contribute to lowering the risk of cancer development in diabetic patients, and also to improvement of response-to-therapy and survival in individuals with certain types of malignancies. Moreover, several preclinical in vitro and in vivo data indicate that metformin indeed exerts anti-proliferative capacities upon tumor cells mediated through a variety of mechanisms. Interestingly, metformin has been shown to act in synergy with certain anti-cancer agents and also to overcome chemo- and/or radio-resistance of various types of tumors, providing a hopeful rationale for novel therapeutic strategies against cancer development and progression. However, this remains an issue of controversy, since significant contradictions exist among the available data. Limitations of preclinical studies and caveats of epidemiological works, together with significant variances among the several types of cancer and the fact that the mode of metformin's action is largely unknown, make longitudinal surveys urgently needed. Now, a plethora of large clinical trials are active worldwide, aiming at determining the effect of metformin in the prevention or prognosis of a variety of human cancers. If encouraging results arise, metformin will be an attractive candidate adjuvant in the management of human neoplasias, due to its safety, tolerability and low-cost, expected to mitigate adverse effects and no-response parameters of current anti-cancer therapeutics, thus improving the quality of life and survival of cancer patients. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  10. Preliminary Assessment of Apache Hopefulness: Relationships with Hopelessness and with Collective as well as Personal Self-Esteem

    Science.gov (United States)

    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…

  11. Race and Ethnic Differences in Hope and Hopelessness as Moderators of the Association between Depressive Symptoms and Suicidal Behavior

    Science.gov (United States)

    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.…

  12. A Spanish-Language Version of the Herth Hope Scale: Development and Psychometric Evaluation in a Peruvian Sample

    Science.gov (United States)

    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…

  13. Operation Provide Hope: Nation-Building Through Healthcare

    Science.gov (United States)

    2013-03-01

    attended.16 This gathering marked the first attempt by any country to try to orchestrate multinational assistance programs to the NIS.17 “President...Victor Storms Provides Defibrillator Training to Ukrainian Nurses at Simferopol Municipal Clinical Hospital, September 2010.61 Supporting the...the role of healthcare in nation-building. RAND’s team of experts including political scientists, physicians, and economists examined past attempts

  14. HOPE, SELF-ESTEEM, AND SELF-REGULATION: POSITIVE CHARACTERISTICS AMONG MEN AND WOMEN IN RECOVERY

    OpenAIRE

    Ferrari, Joseph R.; Stevens, Edward B; Legler, Raymond; Jason, Leonard A.

    2012-01-01

    Hopefulness remains unclear in relation to aspects of self-control and self-esteem among adults in substance abuse recovery. The present study explored the relationship between dispositional hope (agency and pathway) with self-esteem (self-liking, self-competency, and self-confidence) and self-regulation (impulse control and self-discipline), using a latent variable measurement model and structural equation modeling among adults (n = 601) residing in a communal living setting for persons in s...

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

    Science.gov (United States)

    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.

  16. Optimism as a predictor of the effects of laboratory-induced stress on fears and hope.

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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 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.

  18. Motivating Action through Fostering Climate Change Hope and Concern and Avoiding Despair among Adolescents

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    Kathryn Stevenson

    2015-12-01

    Full Text Available Efforts to build climate change concern seem warranted to overcome apathy and promote action. However, research suggests that these efforts can backfire by breeding despair, denial and inaction. This may be especially true among younger audiences, as despair is highest among those who view climate challenges as out of their control, and children generally have lower perceived and actual control than adults in political and personal arenas. Though many studies have documented feelings of despair and sadness among younger audiences, few have explored how climate change hope may counteract despair and encourage productive responses to climate change concern. This study examined how climate change hope, despair, and concern predict pro-environmental behavior with a quantitative survey of a random sample of middle school students in North Carolina, USA (n = 1486. We did not find an interaction between climate change hope and concern or despair, but instead found climate change hope and concern independently and positively related to behavior and despair negatively related to behavior. These results suggest that climate change concern among K-12 audiences may be an important antecedent to behavior which does not dampen the positive impacts of hope. Further, rather than mitigating the negative effects of climate change despair, hope may be an independent predecessor to behavior. Students at Title I (a measure of low socioeconomic status schools were less likely to engage in pro-environmental behaviors, suggesting climate literacy efforts should target schools with lower levels of socioeconomic status specifically.

  19. Hope and cardiovascular health-promoting behaviour: education alone is not enough.

    Science.gov (United States)

    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.

  20. Exploring the Experience of Nursing Home Residents Participation in a Hope-Focused Group

    Directory of Open Access Journals (Sweden)

    Sharon L. Moore

    2014-01-01

    Full Text Available A qualitative intervention was used to explore how older adults living in a long-term care environment (nursing home understand hope and experience being participants in a group in which a hope intervention was carried out. A group project in which each session focused intentionally on a hope strategy was carried out with a convenience sample of 10 women (ages 75–99 who were members of an existing group. Data were analyzed using thematic analysis of the interviews (conducted before the group intervention was carried out and again at the end, field notes, and collaborative conversations regarding emerging themes. Findings from this study suggest that hope is not static and that it can change over time in response to one’s situations and circumstances. Also evident in this study is the potential for using a group process in long-term care to foster hope in an intentional way to make it more visible in the lives of the residents and their environment suggesting that one is “never too old for hope.”

  1. Exploring ubuntu discourse in South Africa: Loss, liminality and hope

    Directory of Open Access Journals (Sweden)

    John L.B. Eliastam

    2015-06-01

    Full Text Available This article explores the current state of the social value of ubuntu. The notion of ubuntu seems to offer possibilities for nation building and social cohesion in post-Apartheid South Africa.However, this is contested by scholars who argue that the concept is vague and open to abuse.Interviews reveal that, whilst core elements remain, the meaning of ubuntu has been eroded,and is subject to distortion and even abuse. Ubuntu exists tightly interwoven with un-ubuntu. The notion of liminality is introduced to understand the current state of both ubuntu and South African society in transition. A liminal space offers possibilities for the creative re-imaginingand recovery of ubuntu as a social value that can drive social transformation in South Africa.The lens of discursive leadership offers insight into the ways in which leaders can stimulate and shape ubuntu discourse and facilitate the construction of new meaning in society.Intradisciplinary and/or interdisciplinary implications: The article forms part of broader research into perceptions of difference and threat, and prejudice on the part of South Africans towards foreigners. Ubuntu is a social value that should challenge prejudice and xenophobia and shape social relationships. Research in a rural and urban context in the Eastern Cape suggests that ubuntu discourse has been eroded and is in need of reinvigoration.

  2. Stem Cell Genetic Therapy for Fanconi Anemia - A New Hope.

    Science.gov (United States)

    Hanenberg, Helmut; Roellecke, Katharina; Wiek, Constanze

    2017-01-01

    Fanconi anemia (FA) is a rare inherited DNA disorder clinically characterized by congenital malformations, progressive bone marrow failure, and cancer susceptibility. Due to a strong survival advantage of spontaneously corrected 'normal' hematopoietic stem cells (HSCs) in a few patients, FA is considered a model disorder for genetic correction of autologous stem cells, where genetically corrected stem cells and their progeny have a strong in vivo selective advantage, ultimately leading to normal hematopoiesis. Despite these apparently ideal circumstances, three HSC gene therapy trials with gammaretroviral vectors (stage I) designed to cure the hematological manifestation of FA completely failed to provide long-term clinical benefits for patients, predominantly due to the combination of insufficient gene transfer technologies and incompletely understood FA HSC pathobiology. Currently, FA gene therapy is in stage II where, based on an improved understanding of the cellular defects in FA HSCs, consequently adapted transduction protocols are being used in two phase I/II trials for in vitro genetic correction of FANCA-deficient hematopoietic stem cells. These results are eagerly awaited. Independent from the outcome of these studies, technologies are already available that seem highly attractive for testing in FA. In stage III, this would ultimately include targeted in vivo correction of autologous HSCs by overexpression of nonintegrating lentiviral vectors with scaffold/matrix attachment region elements using specific envelopes as pseudotypes. Although currently still challenging, in a few years in vivo genome editing approaches will be readily available in stage IV, in which the delivery of the editing machinery/ complex is targeted to the autologous FA HSCs by the nonintegrating lentiviral vectors established in stage III. Even low levels of corrected stem cells will then quickly repopulate the entire hematopoiesis of the patient. We therefore are sanguine that in

  3. Osteosarcoma: Accelerating Progress Makes for a Hopeful Future

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    Amanda J. Saraf

    2018-01-01

    Full Text Available Patients who develop osteosarcoma in 2017 receive treatment that remains essentially unchanged since the 1970s. Outcomes likewise remain largely unimproved. Large, collaborative, multinational efforts to improve therapy have evaluated strategies leveraging both cytotoxic intensification and immunomodulatory agents. While these have confirmed our capacity to conduct such trials, results have proved largely disappointing. This has motivated efforts to focus on the basic biology of osteosarcoma, where understanding remains poor but has improved significantly. Recent advances have identified characteristic genetic features of osteosarcoma, including profound chromosomal disruption, marked patient-patient heterogeneity, and a paucity of recurrent mutations. Analyses suggest genesis in early catastrophic genetic events, although the nature of the inciting events remains unclear. While p53 and Rb inactivation occurs in most osteosarcomas, the landscape of associated driver mutations has proved extensive. Few mutations recur with high frequency, though patterns continue to emerge that suggest recurrent alterations within specific pathways. Biological pathways implicated in osteosarcoma biology through genetic and other preclinical studies include PI3K/mTOR, WNT/βcatenin, TGFβ, RANKL/NF-κB, and IGF. Unfortunately, clinical studies evaluating targeted agents have to date yielded disappointing results, as have studies examining modern immunotherapeutics. It remains unclear whether this pattern of clinical failures exposes inadequacies of our preclinical models, unrealistic expectations for single-agent responses in heavily pretreated patients, or biology less relevant than suggested. Nearly all patients who succumb to osteosarcoma develop lung metastases, which exhibit marked chemoresistance. Much scientific effort has recently sought to enhance our mechanistic understanding of metastasis biology. This research has potential to reveal novel targets for

  4. A Gay Woman's Experiences During Her Career In The Department Of Defence: Fleet Of Hope: A Social Science Commentary – Part 2

    Directory of Open Access Journals (Sweden)

    Benedictor Leah Tlou

    2003-11-01

    Full Text Available This article is a follow-up on the autobiographical sketch, of a lesbian entitled: Fleet of Hope and offers social science comments on this “insider" account. After the South African Department of Defense’s Policy on the Prevention and Elimination of Unfair Discrimination on the Grounds of Sexual Orientation have been outlined, and key theoretical concepts and views of scholars have been described briefly, an attempt is made to illuminate the gay woman’s experiences including her former experiences of her career in the South African Department of Defense with the aid of these constructs. The article is concluded with some recommendations.

  5. Neural Imaginaries and Clinical Epistemology: Rhetorically Mapping the Adolescent Brain in the Clinical Encounter

    Science.gov (United States)

    Buchbinder, Mara

    2014-01-01

    The social work of brain images has taken center stage in recent theorizing of the intersections between neuroscience and society. However, neuroimaging is only one of the discursive modes through which public representations of neurobiology travel. This article adopts an expanded view toward the social implications of neuroscientific thinking to examine how neural imaginaries are constructed in the absence of visual evidence. Drawing on ethnographic fieldwork conducted over 18 months (2008–2009) in a United States multidisciplinary pediatric pain clinic, I examine the pragmatic clinical work undertaken to represent ambiguous symptoms in neurobiological form. Focusing on one physician, I illustrate how, by rhetorically mapping the brain as a therapeutic tool, she engaged in a distinctive form of representation that I call neural imagining. In shifting my focus away from the purely material dimensions of brain images, I juxtapose the cultural work of brain scanning technologies with clinical neural imaginaries in which the teenage brain becomes a space of possibility, not to map things as they are, but rather, things as we hope they might be. These neural imaginaries rely upon a distinctive clinical epistemology that privileges the creative work of the imagination over visualization technologies in revealing the truths of the body. By creating a therapeutic space for adolescents to exercise their imaginative faculties and a discursive template for doing so, neural imagining relocates adolescents’ agency with respect to epistemologies of bodily knowledge and the role of visualization practices therein. In doing so, it provides a more hopeful alternative to the dominant popular and scientific representations of the teenage brain that view it primarily through the lens of pathology. PMID:24780561

  6. The Heffter Research Institute: past and hopeful future.

    Science.gov (United States)

    Nichols, David E

    2014-01-01

    This essay describes the founding of the Heffter Research Institute in 1993 and its development up to the present. The Institute is the only scientific research organization dedicated to scientific research into the medical value of psychedelics, and it has particularly focused on the use of psilocybin. The first clinical treatment study was of the value of psilocybin in obsessive-compulsive disorder. Next was a UCLA study of psilocybin to treat end-of-life distress in end-stage cancer patients. While that study was ongoing, a trial was started at Johns Hopkins University (JHU) to study the efficacy of psilocybin in treating anxiety and depression resulting from a cancer diagnosis. Following the successful completion of the UCLA project, a larger study was started at New York University, which is near completion. A pilot study of the value of psilocybin in treating alcoholism at the University of New Mexico also is nearing completion, with a larger two-site study being planned. Other studies underway involve the use of psilocybin in a smoking cessation program and a study of the effects of psilocybin in long-term meditators, both at JHU. The institute is now planning for a Phase 3 clinical trial of psilocybin to treat distress in end-stage cancer patients.

  7. Stem cell therapy - Hope and scope in pediatric surgery

    Directory of Open Access Journals (Sweden)

    Gupta Devendra

    2005-01-01

    Full Text Available A stem cell is an undifferentiated cell in the body with undetermined function capable of forming various tissues under definite signals received from the body. Stem cell research in animals using embryonal stem cells has been an ongoing program in the west with fruitful results. However, only limited information is available with the use of stem cells in human beings. Of the various sources of stem cells, umbilical cord blood stem cell research has shown potential for future treatment in Alzheimer′s, Parkinson′s, heart attack, stroke and spinal cord injuries. Human trials have been done in diseases like spinal cord injury and chronic liver cirrhosis. Cord blood stem cells have already been effectively used in the treatment of sickle cell, leukemia, non-Hodgkin′s lymphoma and some other cancers, life threatening anemias and auto-immune diseases. Current challenges with the use of stem cells in clinical practice include the provisions to direct the differentiation of embryonic stem cells into specialized cell populations, and also devise ways to guard their development or proliferation once placed in vivo. Only further research and its clinical application will solve the many unanswered queries.

  8. Systemic Delivery of Oncolytic Viruses: Hopes and Hurdles

    Directory of Open Access Journals (Sweden)

    Mark S. Ferguson

    2012-01-01

    Full Text Available Despite recent advances in both surgery and chemoradiotherapy, mortality rates for advanced cancer remain high. There is a pressing need for novel therapeutic strategies; one option is systemic oncolytic viral therapy. Intravenous administration affords the opportunity to treat both the primary tumour and any metastatic deposits simultaneously. Data from clinical trials have shown that oncolytic viruses can be systemically delivered safely with limited toxicity but the results are equivocal in terms of efficacy, particularly when delivered with adjuvant chemotherapy. A key reason for this is the rapid clearance of the viruses from the circulation before they reach their targets. This phenomenon is mainly mediated through neutralising antibodies, complement activation, antiviral cytokines, and tissue-resident macrophages, as well as nonspecific uptake by other tissues such as the lung, liver and spleen, and suboptimal viral escape from the vascular compartment. A range of methods have been reported in the literature, which are designed to overcome these hurdles in preclinical models. In this paper, the potential advantages of, and obstacles to, successful systemic delivery of oncolytic viruses are discussed. The next stage of development will be the commencement of clinical trials combining these novel approaches for overcoming the barriers with systemically delivered oncolytic viruses.

  9. Psychometric properties of three single-item pain scales in patients with rheumatoid arthritis seen during routine clinical care: a comparative perspective on construct validity, reproducibility and internal responsiveness.

    Science.gov (United States)

    Sendlbeck, Melanie; Araujo, Elizabeth G; Schett, Georg; Englbrecht, Matthias

    2015-01-01

    To investigate the construct validity, reproducibility (ie, retest reliability) and internal responsiveness to treatment change of common single-item scales measuring overall pain in patients with rheumatoid arthritis (RA) and to investigate the corresponding effect of common pain-related comorbidities and medical consultation on these outcomes. 236 patients with RA completed a set of questionnaires including a visual analogue scale (VAS), a numerical rating scale (NRS) and a verbal rating scale (VRS) measuring overall pain before and immediately after routine medical consultation as well as 1 week after the patient's visit. Construct validity and retest reliability were evaluated using the Bravais-Pearson correlation while standardised response means (SRM) were calculated for evaluating internal responsiveness. Differences in the perception of pain were calculated using dependent samples t-tests. In the total sample, construct validity was good across all three time points (convergent validity of pain scales: rT1-T3=0.82-0.92, pvalidity as correlation of pain scales with age: rage=0.01-0.16, p>0.05). In patients maintaining antirheumatic treatment, retest reliability of pain scales was confirmed for all scales and across time points (rVAS=0.82-0.95, rNRS=0.89-0.98, rVRS=0.80-0.90, pVAS especially suggested a change in pain perception after medical consultation in patients maintaining therapy. The VAS, NRS and VRS are valid and retest reliable in an outpatient clinical practice setting. The low pain scales' internal responsiveness to treatment change is likely to be due to the short follow-up period. Patients with RA maintaining antirheumatic therapy seem to experience less pain after medical consultation.

  10. What Matters More About the Interpersonal Reactivity Index and the Jefferson Scale of Empathy? Their Underlying Constructs or Their Relationships With Pertinent Measures of Clinical Competence and Patient Outcomes?

    Science.gov (United States)

    Hojat, Mohammadreza; Gonnella, Joseph S

    2017-06-01

    In their study published in this issue of Academic Medicine, Costa and colleagues confirmed the underlying constructs of the Interpersonal Reactivity Index (IRI) and the Jefferson Scale of Empathy (JSE) in medical students. The authors of this Commentary propose that in comparing two instruments that both purport to measure empathy, researchers or test users must pay close attention to the target populations, the conceptualizations of empathy, and the validity evidence in relation to pertinent criterion measures. The Commentary's authors draw attention to the fact that the IRI was developed for administration to the general population, whereas the JSE was developed specifically for administration to students and practitioners of health professions. Also, the author of the IRI conceptualized empathy as a combination of cognitive and emotional attributes, whereas the authors of the JSE defined empathy as a predominantly cognitive attribute. These differences are reflected in the content of the items, which determines the underlying constructs of the two instruments. The Commentary authors suggest that any empathy-measuring instrument in the context of health professions education and patient care requires the crucial evidence of significant relationships with indicators of clinical competence and positive patient outcomes. Such validity evidence is readily available for the JSE, and the Commentary authors recommend that researchers make efforts to provide pertinent validity support for any other instrument measuring empathy in health professionals-in-training and in-practice.

  11. Will stem cells bring hope to pathological skin scar treatment?

    Science.gov (United States)

    Li, Qiankun; Zhang, Cuiping; Fu, Xiaobing

    2016-08-01

    Pathological skin scars, such as keloids, aesthetically and psychosocially affect patients. The quest for scar reduction and the increasing recognition of patient satisfaction has led to the continued exploration of scar treatment. Stem cells are a promising source for tissue repair and regeneration. The multi-potency and secretory functions of these cells could offer possible treatments for pathological scars and have been examined in recent studies. Here, we analyze the factors that influence the formation of pathological skin scars, summarize recent research on pathological scar treatment with stem cells and elaborate on the possible mechanisms of this treatment. Additionally, other effects of stem cell treatments are also presented while evaluating potential side effects of stem cell-based pathological scar treatments. Thus, this review may provide meaningful guidance in the clinic for scar treatments with stem cells. Copyright © 2016. Published by Elsevier Inc.

  12. Stem Cells: New Hope For Spinal Cord Injury

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    Gazdic Marina

    2015-03-01

    Full Text Available Stem cell therapy offers several attractive strategies for spinal cord repair. The regenerative potential of pluripotent stem cells was confirmed in an animal model of Spinal Cord Injury (SCI; nevertheless, optimized growth and differentiation protocols along with reliable safety assays should be established prior to the clinical application of hESCs and iPSCs. Th e therapeutic effects of mesenchymal stem cells (MSCs in SCI result from neurotrophin secretion, angiogenesis, and antiinflammatory actions. Several preclinical SCI studies have reported that the occurrence of axonal extension, remyelination and neuroprotection occur after the transplantation of olfactory ensheathing cells (OECs. The transplantation of neural stem cells NSCs (NSCs promotes partial functional improvement after SCI because of their potential to differentiate into neurons, oligodendrocytes, and astrocytes. The ideal source of stem cells for safe and efficient cell-based therapy for SCI remains a challenging issue that requires further investigation.

  13. Palbociclib: A new hope in the treatment of breast cancer

    Directory of Open Access Journals (Sweden)

    R Priyadharsini Palanisamy

    2016-01-01

    Full Text Available Breast cancer being one of the common cancers has high morbidity and mortality. Despite the conventional treatment, the burden of the disease increases year after year. There is a need for newer drugs that target the different mechanisms in the pathogenesis. The interaction of cyclins with cyclin dependent kinases (CDKs plays a major role in the abnormal cell cycle in cancer and it is considered to be an important target. Palbociclib is a CDK inhibitor currently approved for the treatment of breast cancer. The preclinical studies with breast cancer lines were sensitive to palbociclib and the clinical trials phase I, phase II (PALOMA 1, and phase III (PALOMA 2, 3, PENTELOPE, PEARL showed that the drug was efficacious when combined other conventional drugs for breast cancer. Palbociclib was also been tested in various other germ cell tumors, melanoma, multiple myeloma, glioblastoma multiforme etc., The major adverse effect of the drug includes hematological toxicity mainly neutropenia, gastrointestinal adverse effects.

  14. Palbociclib: A new hope in the treatment of breast cancer.

    Science.gov (United States)

    Palanisamy, R Priyadharsini

    2016-01-01

    Breast cancer being one of the common cancers has high morbidity and mortality. Despite the conventional treatment, the burden of the disease increases year after year. There is a need for newer drugs that target the different mechanisms in the pathogenesis. The interaction of cyclins with cyclin dependent kinases (CDKs) plays a major role in the abnormal cell cycle in cancer and it is considered to be an important target. Palbociclib is a CDK inhibitor currently approved for the treatment of breast cancer. The preclinical studies with breast cancer lines were sensitive to palbociclib and the clinical trials phase I, phase II (PALOMA 1), and phase III (PALOMA 2, 3, PENTELOPE, PEARL) showed that the drug was efficacious when combined other conventional drugs for breast cancer. Palbociclib was also been tested in various other germ cell tumors, melanoma, multiple myeloma, glioblastoma multiforme etc., The major adverse effect of the drug includes hematological toxicity mainly neutropenia, gastrointestinal adverse effects.

  15. Amyloid-beta immunotherapy: the hope for Alzheimer disease?

    Science.gov (United States)

    Barrera-Ocampo, Alvaro; Lopera, Francisco

    2016-12-30

    Alzheimer disease (AD) is the most prevalent form of dementia of adult-onset, characterized by progressive impairment in cognition and memory. There is no cure for the disease and the current treatments are only symptomatic. Drug discovery is an expensive and time-consuming process; in the last decade no new drugs have been found for AD despite the efforts of the scientific community and pharmaceutical companies. The Aβ immunotherapy is one of the most promising approaches to modify the course of AD. This therapeutic strategy uses synthetic peptides or monoclonal antibodies (mAb) to decrease the Aβ load in the brain and slow the progression of the disease. Therefore, this article will discuss the main aspects of AD neuropathogenesis, the classical pharmacologic treatment, as well as the active and passive immunization describing drug prototypes evaluated in different clinical trials.

  16. Hope, problem-solving ability, and coping in a college student population: some implications for theory and practice.

    Science.gov (United States)

    Chang, E C

    1998-11-01

    The influence of high versus low hope on problem-solving ability and on coping with stressful academic and interpersonal situations was examined in 211 college students. Consistent with Snyder's (1995) model, high-hope students were found to have greater problem-solving abilities than low-hope students. High-hope students were also found to employ less disengagement strategies than low-hope students for coping with stressful academic situations. No difference was found in the strategies used by high- and low-hope students for coping with stressful interpersonal situations. Separate hierarchical regression analyses indicated that hope was an important predictor of both academic and interpersonal life satisfaction independent of coping activities. Implications of the present findings for both theory and practice are discussed.

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

    Science.gov (United States)

    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.

  18. Association of trait and specific hopes: cross sectional study on students and workers of health professions in Split, Croatia

    Directory of Open Access Journals (Sweden)

    Mario Malički

    2016-01-01

    Full Text Available Introduction. Hope (hoping is most commonly assessed as a dispositional trait and associated with quality of life, self-care agency and non-attempts of suicide. However, little research has been conducted on hoping for specific events.Materials and Methods. We distributed a survey consisting of Integrative Hope Scale (IHS and visual analogue scales on which respondents could declare their levels (intensity of hope for specific events, to all first year health students enrolled at the University Department of Health Studies, Split, Croatia in 2011/2012, as well as to working health professionals attending a nursing conference in April 2012.Results. A total of 161 (89.4% students and 88 (89.8% working health professionals returned the completed questionnaires. We found high trait hope scores of students and working health professionals (Md = 111, 95% CI [109–113] vs. Md = 115, 95% CI [112–119]; U = 5,353, P = 0.065, and weak to moderate correlations of trait and specific hopes (r = 0.18–0.48, Spearman’s rank correlation coefficient. Students and workers reported 31 different things they hoped for most in life, of which the most prevalent were being healthy and happy. There was very little agreement between participants’ reported influence of the four factors compromising the trait hope (self-confidence, ambition, optimism, and social support on their specific hopes.Conclusions. Our findings, while strengthening the validity of hope as a trait, indicate that specific hopes of individuals are moderated by factors not captured by the IHS trait scale. Further research should explore specific hoping in detail, as well as the effectiveness of interventions aimed at increasing specific or generalized hoping.

  19. Trajectory of parental hope when a child has difficult-to-treat cancer: a prospective qualitative study.

    Science.gov (United States)

    Granek, L; Barrera, M; Shaheed, J; Nicholas, D; Beaune, L; D'Agostino, N; Bouffet, E; Antle, B

    2013-11-01

    This prospective and longitudinal study was designed to further our understanding of parental hope when a child is being treated for a malignancy resistant to treatment over three time points during the first year after diagnosis using a qualitative approach to inquiry. We prospectively recruited parents of pediatric cancer patients with a poor prognosis who were treated in the Hematology/Oncology Program at a large children's hospital for this longitudinal grounded theory study. Parents were interviewed at three time points: within 3 months of the initial diagnosis, at 6 months, and at 9 months. Data collection and analysis took place concurrently using line-by-line coding. Constant comparison was used to examine relationships within and across codes and categories. Two overarching categories defining hope as a positive inner source were found across time, but their frequency varied depending on how well the child was doing and disease progression: future-oriented hope and present-oriented hope. Under future-oriented hope, we identified the following: hope for a cure and treatment success, hope for the child's future, hope for a miracle, and hope for more quality time with child. Under present-oriented hope, we identified hope for day-to-day/moment-to-moment, hope for no pain and suffering, and hope for no complications. For parents of children with a diagnosis of cancer with a poor prognosis, hope is an internal resource that can be present and future focused. These views fluctuated over time in response to changes in the child's well-being and disease progression. Copyright © 2013 John Wiley & Sons, Ltd.

  20. Emerging potential treatments: new hope for idiopathic pulmonary fibrosis patients?

    Directory of Open Access Journals (Sweden)

    U. Costabel

    2011-09-01

    Full Text Available Currently, there are no approved pharmacological treatments for the management of patients with idiopathic pulmonary fibrosis (IPF in the USA or Europe. Pirfenidone is an orally bio-available small molecule that exhibits antifibrotic and anti-inflammatory properties in a variety of in vitro and animal models. Pirfenidone has been evaluated in four randomised, double-blind, placebo-controlled clinical trials conducted in Japan, North America and Europe. The totality of the data from these trials indicates that pirfenidone is able to reduce the rate of decline in lung function, measured as change in per cent predicted forced vital capacity (FVC or vital capacity. There was also an effect on secondary end-points of progression free survival, categorical change in per cent predicted FVC, and the 6-min walk test. A recent meta-analysis of the three phase III studies in IPF demonstrated that pirfenidone significantly reduced the risk of disease progression by 30%. The efficacy of pirfenidone is associated with an acceptable tolerability and safety profile.

  1. Cannabinoids: a new hope for breast cancer therapy?

    Science.gov (United States)

    Caffarel, María M; Andradas, Clara; Pérez-Gómez, Eduardo; Guzmán, Manuel; Sánchez, Cristina

    2012-11-01

    Breast cancer is a very common disease that affects approximately 1 in 10 women at some point in their lives. Importantly, breast cancer cannot be considered a single disease as it is characterized by distinct pathological and molecular subtypes that are treated with different therapies and have diverse clinical outcomes. Although some highly successful treatments have been developed, certain breast tumors are resistant to conventional therapies and a considerable number of them relapse. Therefore, new strategies are urgently needed, and the challenge for the future will most likely be the development of individualized therapies that specifically target each patient's tumor. Experimental evidence accumulated during the last decade supports that cannabinoids, the active components of Cannabis sativa and their derivatives, possess anticancer activity. Thus, these compounds exert anti-proliferative, pro-apoptotic, anti-migratory and anti-invasive actions in a wide spectrum of cancer cells in culture. Moreover, tumor growth, angiogenesis and metastasis are hampered by cannabinoids in xenograft-based and genetically-engineered mouse models of cancer. This review summarizes our current knowledge on the anti-tumor potential of cannabinoids in breast cancer, which suggests that cannabinoid-based medicines may be useful for the treatment of most breast tumor subtypes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Metaphor Analysis and the Construction of Gender

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    Rudolf Schmitt

    2009-02-01

    Full Text Available Recently there has been an increasing number of studies on the construction of gender based on metaphors (KOLLER, 2004a, 2004b, 2005; ANDERSON VASBY & HORN SHEELER, 2005; EBELING & SCHMITZ, 2006; BOCK VON WÜLFINGEN, 2007. Many of these studies seem to have overlooked one of the most thoroughly developed theories of metaphor, LAKOFF and JOHNSON's so-called cognitive theory of metaphor or limited themselves to LAKOFF and JOHNSON's first book from 1980. In this article I explore current research on metaphor and gender and sketch the central topics of the cognitive theory of metaphor and develop a revision of this theory. It is hoped that this will enhance further research in metaphor analysis concerning the construction of gender. URN: urn:nbn:de:0114-fqs0902167

  3. Hope, optimism and survival in a randomised trial of chemotherapy for metastatic colorectal cancer.

    Science.gov (United States)

    Schofield, Penelope E; Stockler, M R; Zannino, D; Tebbutt, N C; Price, T J; Simes, R J; Wong, N; Pavlakis, N; Ransom, D; Moylan, E; Underhill, C; Wyld, D; Burns, I; Ward, R; Wilcken, N; Jefford, M

    2016-01-01

    Psychological responses to cancer are widely believed to affect survival. We investigated associations between hope, optimism, anxiety, depression, health utility and survival in patients starting first-line chemotherapy for metastatic colorectal cancer. Four hundred twenty-nine subjects with metastatic colorectal cancer in a randomised controlled trial of chemotherapy completed baseline questionnaires assessing the following: hopefulness, optimism, anxiety and depression and health utility. Hazard ratios (HRs) and P values were calculated with Cox models for overall survival (OS) and progression-free survival (PFS) in univariable and multivariable analyses. Median follow-up was 31 months. Univariable analyses showed that OS was associated negatively with depression (HR 2.04, P optimism, anxiety or hopefulness. PFS was not associated with hope, optimism, anxiety or depression in any analyses. Depression and health utility, but not optimism, hope or anxiety, were associated with survival after controlling for known prognostic factors in patients with advanced colorectal cancer. Further research is required to understand the nature of the relationship between depression and survival. If a causal mechanism is identified, this may lead to interventional possibilities.

  4. Engaging children at-risk through World Vision Australia’s Kids Hope Aus. Program

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    Stephen Larmar

    2010-04-01

    Full Text Available This paper reports on the findings of a pilot study examining teacher perceptions of the efficacy of the Kids Hope Aus. program. Kids Hope Aus. is an early intervention and prevention program for children at risk of social and academic disengagement. The program emphasises the significance of developing a child’s social skills to build resilience and enhance the child’s social engagement and general academic achievement within the school setting. The intervention incorporates an adult/child-mentoring framework that serves to ameliorate the effects of specific risk factors that place children at greater risk of vulnerability. The evaluation involved 188 teachers drawn from rural and metropolitan districts in the State of Victoria, Australia, of children who participated in the Kids Hope Aus. program. The findings of the study provide preliminary data that identifies the Kids Hope Aus. program as a cogent intervention framework for fostering greater social inclusion and academic enhancement for young children that can be easily disseminated in regular school communities.  Keywords:  mentoring, at-risk children, Kids Hope Aus., early intervention and prevention.

  5. An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007.

    Science.gov (United States)

    Chen, Jing; Moir, Deborah; Lane, Rachel; Thompson, Patsy

    2013-03-01

    A plant processing radium and uranium ores has been operating in the town of Port Hope since 1932. Given the nuclear industry located in the community and ongoing public health concerns, cancer incidence rates in Port Hope were studied for a recent 16 year period (1992-2007) for continued periodic cancer incidence surveillance of the community. The cancer incidence in the local community for all cancers combined was similar to the Ontario population, health regions with similar socio-economic characteristics in Ontario and in Canada, and the Canadian population. No statistically significant differences in childhood cancer, leukaemia or other radiosensitive cancer incidence were observed, with the exception of statistically significant elevated lung cancer incidence among women. However, the statistical significance was reduced or disappeared when the comparison was made to populations with similar socio-economic characteristics. These findings are consistent with previous ecological, case-control and cohort studies conducted in Port Hope, environmental assessments, and epidemiological studies conducted elsewhere on populations living around similar facilities or exposed to similar environmental contaminants. Although the current study covered an extended period of time, the power to detect risk at the sub-regional level of analysis was limited since the Port Hope population is small (16,500). The study nevertheless indicated that large differences in cancer incidence are not occurring in Port Hope compared to other similar communities and the general population.

  6. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy

    Directory of Open Access Journals (Sweden)

    Mohammad Heidari

    2015-01-01

    Full Text Available Background: 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. Objective: The present study aimed to determine the relationship between appreciating the body, hope and mental health in women with breast cancer after mastectomy. Materials and Methods: 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. Results: 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. Conclusion: Body esteem has a significant linear relationship with hope and mental health.

  7. Hope of patient recovery in the ICU from the viewpoint of Iranian nurses: concept analysis.

    Science.gov (United States)

    Jahantigh, Mojgan; Rezaee, Nasrin; Rezaei, Nahid

    2014-07-15

    Nurses' care quality for patients in the ICU depends on their degree/ level of hope to improving patient, but there is no consensus on the concept "hoping to improve patient." The purpose of the present study is to analyze the concept nurses hoping to improving patient in the ICU. To analyze this concept, hybrid model is used which consists of theoretical phase, field work phase, and final analytical phase. In field phase work, semi-structured, face to face and individual interviews were done for nurses working in the ICU, and the data gathered from the interviews were analyzed using inductive content analysis. In theoretical phase, the concept hoping to improve patient was characterized by being available, being professional, expecting positively, and being future- oriented. The scientific definition of this concept was explained through properties which are necessary for qualified nursing care. In field work phase, the categories include nursing care, inner feeling, belief and consequences. In final analytical phase, final definition of the concept was explained through properties such as dynamic expectation, being realistic, and being goal- oriented which is a better function and attitude in effective nursing care accompanying peace of mind for nurses. Concept analysis showed that nurse's awareness of hoping to improve patient helps the nurse do his job in the best way and with peace of mind.

  8. Oximes in organophosphate poisoning: 60 years of hope and despair.

    Science.gov (United States)

    Worek, Franz; Thiermann, Horst; Wille, Timo

    2016-11-25

    The high number of annual fatalities following suicidal poisoning by organophosphorus (OP) pesticides and the recent homicidal use of the chemical warfare nerve agent sarin against civilian population in Syria underlines the continuous threat by these highly toxic agents. The need for an effective treatment of OP poisoning resulted in the implementation of a combination therapy with the muscarinic receptor antagonist atropine and an oxime for the reactivation of OP-inhibited acetylcholinesterase (AChE). Since the invention of the first clinically used oxime pralidoxime (2-PAM) in the 1950s ongoing research attempted to identify more effective oximes. In fact, several thousand oximes were synthesized in the past six decades. These include charged and non-charged compounds, mono- and bispyridinium oximes, asymmetric oximes, oximes with different substitutes and more recently non-oxime reactivators. Multiple in vitro and in vivo studies investigated the potential of oximes to reactivate OP-inhibited AChE and to reverse OP-induced cholinergic signs. Depending on the experimental model, the investigated species and the tested OP largely variable results were obtained by different laboratories. These findings and the inconsistent effectiveness of oximes in the treatment of OP-pesticide poisoned patients led to a continuous discussion on the value of oximes. In order to provide a forward-looking evaluation of the significance of oximes in OP poisoning multiple aspects, including intrinsic toxicity, in vitro reactivation potency, efficacy and pharmacokinetics, as well as the impact of the causative OP have to be considered. The different influencing factors in order to define the benefit and limitations of oximes in OP poisoning will be discussed. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  11. Spiritual well-being and hope in the preoperative period of cardiac surgery

    Directory of Open Access Journals (Sweden)

    Simone Maria Muniz da Silva Bezerra

    Full Text Available ABSTRACT Objective: To characterize relations between spiritual well-being and hope of patients in the preoperative period of cardiac surgery. Method: Exploratory cross-sectional study with quantitative approach, performed in the infirmaries of a reference hospital in cardiology. We evaluated 69 patients hospitalized in preoperative period of myocardial revascularization, valve repair or replacement. Results: We verified that patients hold relevant scores of hope and welfare in all areas, being the existential well-being significantly lower than the religious one. The average of the spiritual well-being score was below the required to be considered high. There was no significant correlation between welfare and hope. Conclusion: Nurses should develop a watchful eye to these issues, be trained in specific protocols of spiritual anamnese and use the real moments of care to strengthen the patients.

  12. Sustaining hope and life courage in patients undergoing ovarian cancer surgery - the impact of care

    DEFF Research Database (Denmark)

    Seibaek, L; Delmar, C; Hounsgaard, L

    2018-01-01

    body and mind," where findings dealt with personal reflections and experiences in relation to the subthemes: "Experiencing discomfort," "The impact of care" and "Comfort and hope." The women's general health condition became impacted not only by their ovarian cancer disease but also by the treatment......Ovarian cancer is the leading cause of death from a gynaecological malignancy in the Western World. To explore if experiences of physical comfort influenced hope and life courage during final diagnosis and early treatment, qualitative research interviews were performed with women undergoing surgery...... for ovarian cancer. By applying a phenomenological-hermeneutic methodology, the findings were systematically identified, put into meaning-structures, interpreted and critically discussed. The empirical material constituted a main theme concerning "Hope and life courage are created in the interplay between...

  13. Current status of the H-II Orbiting Plane-Experimental (HOPE-X) development

    Science.gov (United States)

    Fukui, Toshio; Miho, Kazuyuki; Nakano, Eiichiro

    1998-01-01

    The objective of the H-II Orbiting Plane-Experimental(HOPE-X) project is to develop the major technologies necessary for two-way space transportation systems on the bases of precursor elemental flight experiments such as OREX, HYFLEX and ALFLEX and to demonstrate them through the flight experiment of an operational size vehicle. At present, the HOPE-X project is in the development phase and various efforts for system design and fundamental technologies are being conducted through the co-operational works between the National Aerospace Laboratory (NAL) and the National Space Development Agency of Japan (NASDA). Moreover the plan to improve the HOPE-X vehicle after the flight experiment and to use it for practical missions is investigated.

  14. Critical hopefulness: a person-centered analysis of the intersection of cognitive and emotional empowerment.

    Science.gov (United States)

    Christens, Brian D; Collura, Jessica J; Tahir, Faizan

    2013-09-01

    Leaders in struggles for social justice agree on the importance and the difficulty of maintaining hopefulness while developing critical awareness of social issues. Research has indicated that the analogous components of psychological empowerment (emotional and cognitive) often do not co-vary across populations. This study used a person-centered analytic approach, latent class analysis, to identify subpopulations of participants (n = 1,322) according to the cognitive and emotional components of psychological empowerment. Four distinct sub-groups emerged: those who were relatively (1) critical but alienated, (2) uncritical but hopeful, (3) uncritical and alienated, or (4) critical and hopeful. These clusters were then examined for demographic differences and relationships with a set of conceptually relevant variables including social capital, psychological sense of community, openness, organizational participation and mental wellbeing. Results shed light on the complexity of empowerment processes and yield implications for ongoing community research and action.

  15. Evaluation on Hope and Psychological Symptoms in Infertile Couples Undergoing Assisted Reproduction Treatment

    Directory of Open Access Journals (Sweden)

    maryam mohammadi

    2017-03-01

    Full Text Available Background: This study evaluated hope, depression, anxiety, and stress among three groups of infertile couples. Materials and Methods: This cross-sectional study consisted of three groups of infertile couples-candidates for oocyte donation (n=60, embryo donation (n=60, and normal infertile (n=60. Participants included couples seen at Royan Institute, Tehran, Iran between 2013-2014 who were at least 18 years of age and could read and write in Persian. Participants provided demographic and general characteristics and completed the Persian version of the Adult Trait Hope Scale (hope, agency and pathway and Depression, Anxiety, and Stress Scale (DASS. Data was analyzed by the paired t test, ANOVA, ANCOVA and Pearson correlation tests using SPSS statistical software. Results: Overall, 180 infertile couples participated in the three groups. There was a significant higher mean score for hope in husbands compared to wives in the normal infertile group (P=0.046. Husbands in the normal infertile group also had a significantly higher mean score for pathway (P=0.032. The frequency of anxiety significantly differed in female subjects (P=0.028. In the normal infertile group, the anxiety distribution significantly differed between wives and husbands (P=0.006. There was a significantly different stress frequency in male subjects (P=0.048. In the embryo donation group, stress significantly differed between wives and husbands (P=0.002. In the normal infertile group, stress also significantly differed between wives and husbands (P=0.05. Conclusion: The results have suggested that hope might be important in reducing psychological symptoms and psychological adjustment in those exposed to infertility problems who follow medical recommendations, which accelerates recovery. It is recommended to hold psychological counseling sessions (hope therapy during reproduction cycles.

  16. Validation of the Adult Domain-Specific Hope Scale in Iranian Postgraduate Students

    Directory of Open Access Journals (Sweden)

    Mohsen Ahmadi Tahour Soltani

    2012-09-01

    Full Text Available Background: The aim of the present study was to investigate psychometric properties and the Standardization of Simpson’s Hope Scale (1999 in Iranian university students. Materials and Methods: In this descriptive-survey research, 1000 students with age range of 18 to 34 and with the mean age of 23.9±5.13 were selected via the categorical cluster sampling method from different universities. Then they answered the Snyder’s Hope Scale, Oxford Happiness Scale, the Ahwaz Hardiness Scale, the Beck Hopelessness Inventory, Riff’s Psychological Well-being Scale, as well as Sympson’s (1999 Hope Scale (with little change.Results: Coefficients of Cronbach’s alpha (0.94, split-half (0.85, convergent validity with Hardiness (0.40, Happiness (0.64, Psychological Well-being scales (0.47, divergent validity (Beck Hopelessness, -0.25 criterion validity (Snyder’s Hope 0.55 were calculated, which were significant at p<0.01 level. The exploratory factor analysis showed that the 40-item Hope Scale for adults is saturated with five factors (social, academic, family, occupational, and leisure hope that explain 56% of the scale’s variance. Second-order confirmatory factor analysis indicated that the five mentioned factors are well loaded on a principal factor, and therefore, the six-factor model was well fitted with the data (AGFI=0.93, RMSEA= 0.037, NFI=0.98.Conclusion: The results showed that this test has high reliability and validity and can be used in other studies.

  17. A search for hope and understanding: an analysis of threatened miscarriage internet forums.

    Science.gov (United States)

    Betts, Debra; Dahlen, Hannah G; Smith, Caroline A

    2014-06-01

    threatened miscarriage is a common complication of early pregnancy, which increases the risk of miscarriage or pregnancy complications such as premature birth. Currently there is limited evidence to recommend beneficial medical treatments or lifestyle changes, resulting in a 'watchful waiting' approach. The aim of this study was to describe women's experiences of threatened miscarriage through examining postings to Internet discussion forums. a Goggle alert for threatened miscarriage was created with emails containing hyperlinks sent to the first author and collected over a seven month period (April to November 2011). Data was analysed using thematic analysis. one hundred and twenty one discussion threads were collected. The overarching theme that emerged was one of 'a search for hope and understanding'. Within this there were four sub themes that illustrated this search. 'A reason for hope: stories and real life experiences' illustrated how women sought hope for a viable pregnancy through others. 'Becoming the expert,' captures how women gave advice from their own experiences. 'A safe place to share' and 'connecting to empathic support' illustrates how women used this medium for long distance support. internet discussion forums were used by women to seek hope and support they were not receiving from their health professionals. Women urged each other to remain hopeful despite a negative medical prognosis. There was an acceptance of a lay expertise within the forums that was valid enough to challenge medical expertise. health practitioners may need education that helps them balance their delivery of medical information with hope in order to increase feelings of trust. With women seeing the Internet as a useful form of support, it may be relevant for practitioners to consider recommending relevant Internet sites and discuss this with women. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Evaluation on Hope and Psychological Symptoms in Infertile Couples Undergoing Assisted Reproduction Treatment.

    Science.gov (United States)

    Omani Samani, Reza; Vesali, Samira; Navid, Behnaz; Vakiliniya, Bahareh; Mohammadi, Maryam

    2017-01-01

    This study evaluated hope, depression, anxiety, and stress among three groups of infertile couples. This cross-sectional study consisted of three groups of infertile couples-candidates for oocyte donation (n=60), embryo donation (n=60), and normal infertile (n=60). Participants included couples seen at Royan Institute, Tehran, Iran between 2013-2014 who were at least 18 years of age and could read and write in Persian. Participants provided demographic and general characteristics and completed the Persian version of the Adult Trait Hope Scale (hope, agency and pathway) and Depression, Anxiety, and Stress Scale (DASS). Data was analyzed by the paired t test, ANOVA, ANCOVA and Pearson correlation tests using SPSS statistical software. Overall, 180 infertile couples participated in the three groups. There was a significant higher mean score for hope in husbands compared to wives in the normal infertile group (P=0.046). Husbands in the normal infertile group also had a significantly higher mean score for pathway (P=0.032). The frequency of anxiety significantly differed in female subjects (P=0.028). In the normal infertile group, the anxiety distribution significantly differed between wives and husbands (P=0.006). There was a significantly different stress frequency in male subjects (P=0.048). In the embryo donation group, stress significantly differed between wives and husbands (P=0.002). In the normal infertile group, stress also significantly differed between wives and husbands (P=0.05). The results have suggested that hope might be important in reducing psychological symptoms and psychological adjustment in those exposed to infertility problems who follow medical recommendations, which accelerates recovery. It is recommended to hold psychological counseling sessions (hope therapy) during reproduction cycles.

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

    Science.gov (United States)

    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

  20. The HD(CP)2 Observational Prototype Experiment HOPE - Overview and Examples

    Science.gov (United States)

    Macke, Andreas

    2017-04-01

    The "HD(CP)2 Observational Prototype Experiment" (HOPE) was executed as a major 2-month field experiment in Jülich, Germany, performed in April and May 2013, followed by a smaller campaign in Melpitz, Germany in September 2013. HOPE has been designed to provide information on land-surface-atmospheric boundary layer exchange, aerosol, cloud and precipitation pattern for process studies and model evaluation with a focuses on the onset of clouds and precipitation in the convective atmospheric boundary layer. HOPE-Jülich instrumentation included a radio sounding station, 4 Doppler lidars, 4 Raman lidars,1 water vapour differential absorption lidar, 3 cloud radars, 5 microwave radiometers, 3 rain radars, 6 sky imagers, 99 pyranometers, and 4 Sun photometers operated in synergy at different supersites. The HOPE-Melpitz campaign combined ground-based remote sensing of aerosols and clouds with helicopter- and ballon-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 x 10 x 10 km3. HOPE data will significantly contribute to our understanding of boundary layer dynamics and the formation of clouds and precipitation. The datasets are made available through the Standardized Atmospheric Measurement Data SAMD archive at https://icdc.cen.uni-hamburg.de/index.php?id=samd. The presentation is based on an overview paper in ACP where results published in an ACP HOPE special issue are summarized, see http://www.atmos-chem-phys.net/special_issue366.html. Citation: Macke, A., Seifert, P., Baars, H., Beekmans, C., Behrendt, A., Bohn, B., Bühl, J., Crewell, S., Damian, T., Deneke, H., Düsing, S., Foth, A., Di Girolamo, P., Hammann, E., Heinze, R., Hirsikko, A., Kalisch, J., Kalthoff, N., Kinne, S., Kohler, M., Löhnert, U

  1. Composing hope through collage: A community-based intervention for cancer survivors living with lymphedema

    Directory of Open Access Journals (Sweden)

    Roanne Thomas

    2016-07-01

    Full Text Available Secondary lymphedema after cancer may result in distress, yet few interventions exist to support coping skills in this population. As part of a community-based intervention, we piloted the use of creative practices to promote active orientations to hope. A total of 19 participants completed the workshops; 11 collaged. The main themes address the collage processes as well as their content. The former addresses sub-themes such as selecting/composing. The latter includes sub-themes related to movement depicted in the collages. Collages and their associated discussions concretized hoping as an active and accessible process for participants living with two chronic illnesses.

  2. Emotions and sport performance: an exploration of happiness, hope, and anger.

    Science.gov (United States)

    Woodman, Tim; Davis, Paul A; Hardy, Lew; Callow, Nichola; Glasscock, Ian; Yuill-Proctor, Jason

    2009-04-01

    We conducted three experiments to examine the relationships between emotions and subcomponents of performance. Experiment 1 revealed that anger was associated with enhanced gross muscular peak force performance but that happiness did not influence grammatical reasoning performance. Following Lazarus (1991, 2000a), we examined hope rather than happiness in Experiment 2. As hypothesized, hope yielded faster soccer-related reaction times in soccer players. Experiment 3 was an examination of extraversion as a moderator of the anger-performance relationship. When angry, extraverts' peak force increased more than introverts'. Results are discussed and future research directions are offered in relation to Lazarus's framework.

  3. Concrete construction engineering handbook

    CERN Document Server

    Nawy, Edward G

    2008-01-01

    Provides coverage of concrete construction engineering and technology. This work features discussions focusing on: the advances in engineered concrete materials; reinforced concrete construction; specialized construction techniques; and, design recommendations for high performance.

  4. A Hope Intervention Compared to Friendly Visitors as a Technique to Reduce Depression among Older Nursing Home Residents

    Directory of Open Access Journals (Sweden)

    Donna M. Wilson

    2010-01-01

    Full Text Available Depression is common among older persons. An experimental study was undertaken to test the impact of a four-week hope program on depressed nursing home residents. Residents aged 65 or older, who met the criteria for this pilot study and agreed to participate, were randomly assigned to (a an intervention group, and provided with weekday hope interventions mainly involving positive messages and pictures or (b a modified control group, and provided with a friendly weekday greeting. The structured hope intervention was not proven effective for reducing depression or raising hope. Instead, a significant reduction in depression among the control subjects was found, as well as a nonsignificant increase in their level of hope. Although these findings suggest friendly visitors may be a more efficacious nonpharmacological approach for reducing depression, further investigations are needed to confirm this and to explore the impact of other hope interventions.

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

    Science.gov (United States)

    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.

  6. More in hope than expectation: a systematic review of women's expectations and experience of pain relief in labour

    Directory of Open Access Journals (Sweden)

    Macphail Sheila

    2008-03-01

    Full Text Available Abstract Background Childbirth is one of the most painful events that a woman is likely to experience, the multi-dimensional aspect and intensity of which far exceeds disease conditions. A woman's lack of knowledge about the risks and benefits of the various methods of pain relief can heighten anxiety. Women are increasingly expected, and are expecting, to participate in decisions about their healthcare. Involvement should allow women to make better-informed decisions; the National Institute for Clinical Excellence has stated that we need effective ways of supporting pregnant women in making informed decisions during labour. Our aim was to systematically review the empirical literature on women's expectations and experiences of pain and pain relief during labour, as well as their involvement in the decision-making process. Methods A systematic review was conducted using the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL, Bath Information and Database Service (BIDS, Excerpta Medica Database Guide (EMBASE, Midwives Information and Resource (MIDIRS, Sociological Abstracts and PsychINFO. Studies that examined experience and expectations of pain, and its relief in labour, were appraised and the findings were integrated into a systematic review. Results Appraisal revealed four key themes: the level and type of pain, pain relief, involvement in decision-making and control. Studies predominantly showed that women underestimated the pain they would experience. Women may hope for a labour free of pain relief, but many found that they needed or benefited from it. There is a distinction between women's desire for a drug-free labour and the expectation that they may need some sort of pain relief. Inaccurate or unrealistic expectations about pain may mean that women are not prepared appropriately for labour. Many women acknowledged that they wanted to

  7. Integrated Technologies Like Noninvasive Brain Stimulation (NIBS for Stroke Rehabilitation; New Hopes for Patients, Neuroscientists, and Clinicians in Iran

    Directory of Open Access Journals (Sweden)

    Shahid Bashir

    2010-08-01

    Full Text Available A B S T R A C TThe applications of neurophysiological therapy techniques range far and few in the realm of modern day medicine. However, the concept of electromagnetic stimulation, the basis for many noninvasive brain stimulation (NIBS techniques today, has been of interest to the scientific community since the late nineteenth century. Recently, transcranial direct current stimulation (tDCS and transcranial magnetic stimulation (TMS, two noninvasive neurostimulation techniques, have begun to gain popularity and acceptance in the clinical neurophysiology, neurorehabilitaion, neurology, neuroscience, and psychiatry has spread widely, mostly in research applications, but increasingly with clinical aims in mind. These two neurophysiological techniques have proven to be valuable assets in not only the diagnosis, but also the treatment of many neurological disorders (post-stroke motor deficits, tinnitus, fibromyalgia, depression, epilepsy, autism, ageing and parkinson’s disease. Its effects can be modulated by combination with pharmacological treatment that has undergone resurgence in recent years. In this review we discuss how these integrated technology like NIBS for evaluation in the clinical evidence to date and what mechanism it work for stroke rehabilitation particularly. Then, we will review the current situation of stroke rehabilitation in Iran and new hopes that NIBS could bring for clinicians and patients in this nationally prioritized field.

  8. Loneliness and Negative Affective Conditions in Adults: Is There Any Room for Hope in Predicting Anxiety and Depressive Symptoms?

    Science.gov (United States)

    Muyan, Mine; Chang, Edward C; Jilani, Zunaira; Yu, Tina; Lin, Jiachen; Hirsch, Jameson K

    2016-01-01

    This study examined the role of hope in understanding the link between loneliness and negative affective conditions (viz., anxiety and depressive symptoms) in a sample of 318 adults. As expected, loneliness was found to be a significant predictor of both anxiety and depressive symptoms. Noteworthy, hope was found to significantly augment the prediction of depressive symptoms, even after accounting for loneliness. Furthermore, we found evidence for a significant Loneliness × Hope interaction effect in predicting anxiety. A plot of the interaction confirmed that the association between loneliness and anxiety was weaker among high, compared to low, hope adults. Some implications of the present findings are discussed.

  9. Constructing Healthcare Spaces

    DEFF Research Database (Denmark)

    Harty, Chris; Holm Jacobsen, Peter; Tryggestad, Kjell

    2015-01-01

    The aim of this paper is to inquire into the role of project visualisations in shaping healthcare spaces and practices. The study draws upon an ethnographic field study from a large on-going hospital construction project in Denmark, and focuses on the early phases of on-boarding the design team...... into the project organisation. The theoretical contribution concerns the ways in which project visualisations plays an active role in developing novel conceptions of space and how these are mobilized in the process of on-boarding, in terms of 1. Design space (especially the engagement of users in the design...... process), 2.Organisational space (work processes and their spatial-temporal dimension) and; 3. Economic space (cost estimations and budgets). In practice, our findings show that the visualisations of different yet connected project spaces and the development of future clinical practices is related...

  10. The effect of palliative daycare on hope: a comparison of daycare patients with two control groups.

    Science.gov (United States)

    Guy, Margaret P; Higginson, Irene J; Amesbury, Brendan D W

    2011-01-01

    Despite expansion in palliative daycare services, research has not demonstrated an improvement in patient outcomes. This study aimed to determine the effect of palliative daycare on hope. This was a prospective cohort study that compared three groups of patients: a daycare group and two control groups, one recruited before daycare opened and a matched comparison group. Patients were interviewed at baseline and at two follow-ups using the Herth Hope Index. In all, 22 daycare patients completed a baseline interview (T1); 12 a second (T2); and 9 a third (T3). Corresponding numbers were: before group (56, 34, 24) and matched group (49, 29, 19). An independent samples t-test confirmed a significant difference between the groups from T1 to T2 (mean difference=3.20, p=0.007), with the daycare group experiencing an increase in hope not seen in the other groups. However, this was not maintained. Daycare may effect an initial improvement in hope. The study suffered from attrition and the sample was small. Further robust evaluation of daycare is needed.

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

    Science.gov (United States)

    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 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.

  12. Enhancing Behavioral Couple Therapy: Addressing the Therapeutic Alliance, Hope, and Diversity

    Science.gov (United States)

    Kelly, Shalonda; Iwamasa, Gayle Y.

    2005-01-01

    The strengths and weaknesses of behavioral couple therapy (BCT) are well documented and disseminated, and this couple therapy approach continues to evolve. Newer behaviorally based approaches share an openness to integration and can enhance the ability of BCT to address three key process-related variables: the therapeutic alliance, hope, and…

  13. Hope and Anxiety in Physics Class: Exploring Their Motivational Antecedents and Influence on Metacognition and Performance

    Science.gov (United States)

    González, Antonio; Fernández, María-Victoria Carrera; Paoloni, Paola-Verónica

    2017-01-01

    Recent research on achievement in science asserts that motivation, emotion, and metacognition are important driving forces for learning. This study sought to examine the relationships between two physics class emotions (hope and anxiety), their motivational predictors (instrumentality and self-efficacy), and their effects on metacognitive problem…

  14. Investigating Prospective Teachers' Teaching-Specific Hopes as Predictors of Their Sense of Personal Responsibility

    Science.gov (United States)

    Eren, Altay

    2017-01-01

    This study examined whether prospective teachers' teaching-specific hopes significantly predicted their sense of personal responsibility. A total of 503 prospective teachers voluntarily participated in the study. Correlation and structural equation modelling analyses were conducted to examine the links between prospective teachers'…

  15. European project HOPE (Health Optimization Protocol for Energy-efficient Buildings)

    NARCIS (Netherlands)

    Bluyssen, P.M.; Cox, C.W.J.; Maroni, M.; Boschi, N.; Raw, G.; Roulet, C.A.; Foradini, F.

    2003-01-01

    In January 2002, a new European project named HOPE (Health Optimization Protocol for Energy-efficient Buildings) started with 14 participants from nine European countries. The final goal of the project is to provide the means to increase the number of energy-efficient buildings, i.e. buildings that

  16. Problematic Internet Usage: Personality Traits, Gender, Age and Effect of Dispositional Hope Level

    Science.gov (United States)

    Cetin Gudunz, Hicran; Eksioglu, Subhan; Tarhan, Sinem

    2017-01-01

    Purpose: The aim of this study is to examine the effect of personality traits, gender, age and effects of dispositional hope level in problematic internet usage of university students. Research Methods: This paper is an example of a descriptive study, which presents the relationship between problematic internet usage of university students…

  17. Taxonomic review of the Afrotropical Genus Dicronorhina Hope, with notes on its relatives (Coleoptera: Cetoniidae)

    NARCIS (Netherlands)

    Lekkerkerk, R.W.; Krikken, J.

    1986-01-01

    The Afrotropical genus Dicronorhina Hope (= Dicranorrhina auctorum, unjustified emendation) is diagnosed and discussed. The characters of the species, subspecies and varieties are examined, and presented in a synoptic table and in an analytical key. An annotated checklist of the species, subspecies

  18. New Horizon of Spiritual Well-Being and Hope among Cancer Patients: A Psychological Aspect

    Science.gov (United States)

    Liaquat, Sidra; Sultan, Sarwat; Hussain, Irshad

    2013-01-01

    The purpose of this study was to address the importance of spiritual well-being and hope among cancer patients diagnosed with its different stages. Through stratified sampling techniques, 120 cancer patients from four stages evenly divided into male and female participated in this study. Spiritual Well-being Scale (Paloutzian & Ellison, 1982)…

  19. Dyadic influence of hope and optimism on patient marital satisfaction among couples with advanced breast cancer.

    Science.gov (United States)

    Rock, Emily E; Steiner, Jennifer L; Rand, Kevin L; Bigatti, Silvia M

    2014-09-01

    An estimated 10-40 % of breast cancer (BC) patients report negative changes to their partnered relationships. Literature suggests that for these patients, marital satisfaction is related to depression and other quality of life factors which are associated with survivorship and treatment response. However, existing literature does not provide a clear explanation of the factors that strengthen vs. create strain in couples facing cancer. Given the benefits of a satisfying relationship to patient quality of life, it is important to better understand factors that put patients at greater risk for marital difficulties. This study examined the differential and combined roles of hope and optimism among BC patients and their partners on patient marital satisfaction. Fifty-six breast cancer patient-partner dyads completed study questionnaires as part of a larger study. Regression analyses were used to examine the main and interaction effects of patient and partner hope and optimism on patient marital satisfaction. Higher patient and partner hope predicted greater patient marital satisfaction, whereas optimism did not. These results are divergent from the literature on optimism and well-being, which shows the importance of studying these two traits concurrently. Interaction effects suggest certain combinations of patient and partner hope and optimism are more beneficial than others for patient marital satisfaction and suggest a dyadic approach is important for investigation of well-being in breast cancer.

  20. Obama, where Art Thou? Hoping for Change in U.S. Education Policy

    Science.gov (United States)

    Au, Wayne

    2009-01-01

    In this essay, Wayne Au carefully considers the educational stance of Barack Obama by exploring the president's speeches and his personnel and policy choices. Au considers the election of Obama as a moment of possibility for change in American education, but also questions whether Obama's hopeful message about education will be fully realized,…