Spelling suggestions: "subject:"eommunity ervices"" "subject:"eommunity dervices""
91 |
Reconfiguring the future : stories of post-stroke transitionKearney, Penelope January 2009 (has links)
Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009
|
92 |
Reconfiguring the future : stories of post-stroke transitionKearney, Penelope January 2009 (has links)
Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009
|
93 |
Reconfiguring the future : stories of post-stroke transitionKearney, Penelope January 2009 (has links)
Stroke recovery is complex and poorly understood. As a legacy of pervasive pessimism in the face of limited treatment, it is conceptualised and researched from biomedical and psychosocial perspectives that address impairment, problems of performance, quality of life, burden and disruption. Little stroke research is conducted once professional input has ceased, and yet considerable change occurs after this period with evidence that post-stroke wellbeing is independent of impairment and function -- many people do well in the face of poor prognoses, while others remain miserable despite 'good recovery'. Current advances in acute stroke management are generating increasing optimism, but lack of understanding about individuals' post-stroke experiences and long-term outcomes continues. While it is recognised that the impact of stroke on the lives of survivors and families is profound, rehabilitation focuses on recovery as task achievement and measured functional outcomes. For many survivors and their families 'recovery' is contested, ambiguous and extended. For some, it becomes a lifetime marathon because stroke represents an assault, not only to the body, but to the self and the lifeworld -- it is a 'life' event. This narrative inquiry into life after stroke explores recovery as a process taking place over time and conceptualised as a life transition. The work is grounded in narrative theory with the concept of transition providing the lens and focus for the research, its processes and analyses. Individuals' stories remain intact enabling evocation of diverse stroke meanings and the mapping of individual experience. Bringing these whole stories into conversation with each other elucidates post-stroke transition which is interpreted in light of theories of response to traumatic loss and informed by narrative theory. The thesis presents stories of trauma, loss and grief, situated in past lives and selves where assumptions about selves and future lives are shattered. The future makes no sense in terms of participants' past and present lives; life plots are lost and stroke therefore represents 'lost futures'. Stories of moving on to new lives are focused on being and doing in the present and have an expectant view of life. Although mindful of past lives and enduring losses, survivors actively engage in processes to reconfigure their lives with hope for a meaningful future. Transition is interpreted as 'reconfiguring the future'. The life tasks of reconfiguration are embedded in dynamic models of traumatic loss where grief is conceptualised as recursive movement between loss and meaning reconstruction evident in narratives that slowly move towards wellbeing. Despite broad recognition that loss and grief are part of the stroke experience, they are rarely addressed; where attention is paid it is likely embedded in explanatory models of staged response that oversimplify human experience. This thesis offers a new framework. It represents a fresh interpretation that highlights the ongoing traumatic impact of stroke. The post-stroke journeys of survivors and families are affected by individual circumstances and meanings. Although their stories are permeated with loss, many people move forward towards lives worth living. This interpretation suggests ways of reconfiguring lives in the face of devastation and ongoing traumatic loss. The work identifies a complex interaction of individual, emotional and social factors contributing to transitions to wellbeing following stroke and thus adds to a prospective vision of post-stroke life that can inform rehabilitation, discharge and stroke support strategies. Post-stroke transition will be enhanced when we use narrative framing and understanding to guide rehabilitative practice that uses meaning-centred models to prepare survivors and their families for a return to the lifeworld. / Thesis (PhD)--University of South Australia, 2009
|
94 |
Hemodynamic and Geometric Changes of the Female Reproductive System in Health and DiseaseJessica L Ma (8799200) 05 May 2020 (has links)
<p>Preterm birth is the leading cause
of newborn mortality, with 15 million babies born premature worldwide every
year. Children that do survive early delivery are more likely to develop
cognitive abnormalities, motor deficits, heart disease, cerebral palsy, and
more. While little is known about the pathophysiology of preterm birth, several
pregnancy-related complications are related to preterm birth, namely cervical
insufficiency and preeclampsia. In the former, premature cervical remodeling
and softening can result in the shortening of the cervix, increasing a woman’s
risk of preterm birth; this condition is called cervical insufficiency (CI),
which is the inability of the cervix to remain closed as a result of weakened
tissues. CI is currently measured by a one-dimensional sonographic cervical
length, where < 25 mm indicates shortening. Preeclampsia is a disorder that
can be explained through the Page kidney phenomenon: compression of the left
renal vein (LRV) causes renal venous outflow obstruction, leading to elevated
intrarenal pressure and hypertension. The supine pressor test (SPT) is a diagnostic
tool for preeclampsia where a positive test is defined by an increase of 20
mmHg in diastolic blood pressure (BP) when shifting from the left lateral
recumbent to the supine position. Due to the intense risk of morbidity and
mortality for both the mother and the fetus, the need to monitor BP changes is
critical. Currently, there is an unmet clinical need to characterize the
hemodynamic and geometric properties of the female reproductive organs
throughout gestation. Utilizing ultrasound imaging can increase our knowledge
about the 3D anatomy and systemic changes during pregnancy, unravel risk
factors, establish preventative methods, and standardize treatment plans. In
this thesis research, we developed a murine model to 1) examine the
pathophysiology of renal vein stenosis, and 2) investigate the effects of
stenosis on various cervical dimensions. Renal vein stenosis was found to greatly
impact blood flow velocities, as well as cervical width (<i>p<0.05</i>). LRV
and cervical area and height also trend towards significance, and there is
negative damage to the left kidney and placentae within the stenosed cohort. We
also conducted a human study that showed reduced change in postural BP in
patients with higher body mass index (BMI). Systolic and diastolic BP in the
supine position was significantly greater than in the lateral position for all
BMIs with a baseline increase in BP of approximately 9-14 mmHg. These findings
suggest that therapeutic positioning and close monitoring of BP could mitigate
the risk of developing related disorders in pregnancy.</p>
|
95 |
Komunitní služby knihovny pro uživatele střední generace / The library community services for users of the middle generationVýskalová, Petra January 2015 (has links)
Thesis Community services of library for middle-aged citizens deals with ways, which transform services of libraries from traditional borrowing services to community services in recent years. Most importantly, it discusses which kind of events are seen as interesting for middle-aged citizens aged 40-55, or more precisely what makes this group visit the library. First part of the thesis deals with definition of basic terms, such as community library, services of libraries, middle-age citizens and lifelong education. Further, it describes examples of new concept of libraries and library services in practice in age, when printed documents are not as necessary for users as they used to be. Next step of the thesis is the analysis of statistic figures, services and events hosted by three chosen libraries - Masaryk public library in Vsetín, town libraries in Nový Jičín and Valašské Meziříčí. The survey of interest preferences of middle-aged users is divided into two parts. First part deals with effects of survey research among users and potential users of libraries in monitored age, where interest preferences and relationship of respondent to library and its services. Second part summarizes answers of nine of them, who were asked to comment on composition of events, which occurred in libraries in course...
|
96 |
Can the Poor Have Their Say? Structural Incorporation of Low-Income Voices in Corporate GovernanceCorbin, Brian Roland 05 August 2022 (has links)
No description available.
|
97 |
Uncovering the well-springs of migrant womens' agency: connecting with Australian public infrastructureBursian, Olga, olga.bursian@arts.monash.edu.au January 2007 (has links)
The study sought to uncover the constitution of migrant women's agency as they rebuild their lives in Australia, and to explore how contact with any publicly funded services might influence the capacity to be self determining subjects. The thesis used a framework of lifeworld theories (Bourdieu, Schutz, Giddens), materialist, trans-national feminist and post colonial writings, and a methodological approach based on critical hermeneutics (Ricoeur), feminist standpoint and decolonising theories. Thirty in depth interviews were carried out with 6 women migrating from each of 5 regions: Vietnam, Lebanon, the Horn of Africa, the former Soviet Union and the Philippines. Australian based immigration literature constituted the third corner of triangulation. The interviews were carried out through an exploration of themes format, eliciting data about the different ontological and epistemological assumptions of the cultures of origin. The findings revealed not only the women's remarkable tenacity and resilience as creative agents, but also the indispensability of Australia's publicly funded infrastructure or welfare state. The women were mostly privileged in terms of class, education and affirming relationships with males. Nevertheless, their self determination depended on contact with universal public policies, programs and with local community services. The welfare state seems to be modernity's means for re-establishing human connectedness that is the crux of the human condition. Connecting with fellow Australians in friendships and neighbourliness was also important in resettlement. Conclusions include a policy discussion in agreement with Australian and international scholars proposing that there is no alternative but for governments to invest in a welfare state for the civil societies and knowledge based economies of the 21st Century.
|
98 |
professional ethics for professional nursingKalaitzidis, Evdokia January 2006 (has links)
The thesis proposes and defends a maxim which can serve as a foundation and guideline for professional ethics in nursing, the maxim that nurses should act so far as possible to promote patient's self-determination. The thesis is informed by philosophical ethics and by knowledge of professional nursing practice.
|
Page generated in 0.1051 seconds