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This thesis examines British-Chinese encounters in the half century before the Opium War, an under-researched medium term period that had profound consequences for both China and Britain. Unlike previous studies on China’s early relations with Britain or the West, this thesis is conducted closely from a perceptional point of view, with its principal focus on British people’s first-hand impressions of China and attitudes towards Chinese affairs as a result of these encounters. It shows that British perceptions of China, by and large, increasingly worsened throughout this period. During the two royal embassies to China, British observers from the Macartney and the Amherst missions presented similarly negative views of Chinese civilisation, but proposed conflicting measures in terms of realising Britain’s commercial and diplomatic objectives in China. In the run up to the Opium War in the 1830s, the image of a Chinese government manipulated by a capricious and despotic monarchy was gradually constructed and seen as the primary cause of China’s backwardness. China was hence increasingly envisioned as an isolated ‘other’ that could not be communicated with by appeals to reason or through normal diplomatic negotiations. In this context, a coercive line of action, supported by British naval force, was eventually regarded as a just and viable approach to promote the wellbeing of both British and Chinese common people. Although these developing unfavourable views about China did not determine the outbreak of the Opium War, they were certainly important underlying forces without which open hostilities with China would probably have been neither justifiable nor acceptable to the British parliament or people. This thesis also seeks to set this half-century of British-Chinese encounters in the context of Chinese history. It briefly describes how a changing image of Britain was developed by the Chinese government and people during this period. It shows that both local elites in the southeastern coastal areas and the elites at the imperial court in Beijing obtained credible as well as inaccurate information about Britain and its people. These early notions held in the southeast and in the Beijing sometimes had an impact on each other, but sometimes stayed distinct and unaffected. This situation partly explains why the Chinese government was caught off guard when a serious challenge from Britain occurred in the form of the Opium War.

Every year about 30000 people have a stroke. It is caused by either a bleeding or a blood clot, and depending on where the damage is, the patient can get different types of difficulties following after the stroke. About 40 % of all stroke patients sufferfrom some kind of speech and/or communication difficulty, like aphasia or dysarthria. As hospital staff it´s important to know how to communicate with these people, to get a deeper understanding regards their needs. Aim: The aim of this study is to out of a patient's perspectivedescribeexperiences ofcommunication difficulties that can follow after a stroke. Method: A content analysis with a qualitative approach was used to analyse five autobiographies. Results: The result showed in what way stroke patients experienced their communication difficulties, and how they felt about the hospital staffs treatment related to their communication difficulties. During the analysis two major themes emerged: suffering and wellbeing. Also eight subthemes emerged:encounters with hospital staff with a bad appearance,to be locked in, frustration, to lose identity, sorrow, chock, encounters with hospital staff with a good appearance andgratefulness. Conclusion: As hospital staff it's important to know how to communicatewith stroke patients suffering from communication difficulties, to be able to give them good care. It's necessary to be aware of these patients own experiences according to the communication difficulty, to know how to communicate with them properly.

The paper is divided into six chapters. The first two provide a brief summary of the evolution of multiple percussion and biographical information about Kraft. The remaining chapters are an examination of the origin, sound sources, compositional style, and performance problems of the ten Encounters pieces. The paper concludes with several appendices, including a chronological listing of Kraft's compositions which use percussion, a list of percussion equipment and notational symbols used in the Encounters pieces, and a discography of Kraft's music.

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no / Cultural encounters form a dominant theme in the study of Iron Age Europe. This was particularly acute in regions where urbanising Mediterranean civilisations came into contact with ‘barbarian’ worlds. This volume presents preliminary work from the ENTRANS Project, which explores the nature and impact of such encounters in south-east Europe, alongside a series of papers on analogous European regions. A range of theoretical perspectives and methodological approaches are offered in an effort to promote dialogue around these central issues in European protohistory. / HERA / Only the cover and contents pages are available on Bradford Scholars.

Pain is a symptom that occurs in many diseases and in emergency care is a common symptom that affects a patient's psychosocial and physical needs. An accurate assessment of a patient’s pain may be difficult to obtain due to the subjective nature of pain and the patient’s inability to accurately express the pain they are experiencing. Nurses can support their patients’ experience by facilitating an increased understanding of pain and pain management. Therefore, patients’ individual needs revealed in the initial intake should dictate the management and decrease of their pain. The aim of this study was to describe adult patients' acute pain management experiences while in the emergency department. The method used in this study was a literature review with a systematic approach. The searches were performed in the databases PubMed and CINAHL, which after a quality evaluation resulted in 16 articles that were included in the review. These articles were analyzed in an integrated analysis that resulted in two main categories and five subcategories. The results showed two main categories that affected the patient’s pain management and satisfaction. These categories were “Caring encounters” and “Pain management”. The patients appreciated when the nurse’s caring encounters recognized their suffering and showed empathy. This could be achieved, among other things, through sufficient information and inclusion in their care. Another factor that affected the patient's experience was the combination of wait time for pain medication to be administered and communication of the patient’s pain relief expectations. With less time for administration and sufficient communication with the nurse, patients' experience of pain treatment was better. This literature review concludes that how the nurse treats their patient directly impacts the patient’s pain management and satisfaction in regard to their pain experience. Confirmation, information and inclusion were important to the patients. Patients who received some kind of pain treatment experienced higher levels of satisfaction with their pain situation. Patients’ knowledge and information of pain treatment further elevated levels of satisfaction / Smärta är ett symtom som förekommer vid många sjukdomstillstånd och inom akutsjukvården är det ett vanligt symtom som påverkar patientens psykosociala och fysiska behov. Att göra en smärtskattning kan vara svårt då smärta är en personlig upplevelse och att patienter inte alltid kan uttrycka sin smärta utan kan behöva hjälp av sjuksköterskan för att kommunicera upplevelser samt behov som smärtan framkallar. Sjuksköterskan kan här stödja patienten i dennes situation genom att underlätta förståelsen för smärtan och hanteringen av smärtan. Patientens individuella behov bör därför ligga i fokus i det initiala mötet som lägger grunden för att möjliggöra hantering och minskad smärta för patienten. Syftet var att beskriva vuxna patienters upplevelse av smärthantering på akutmottagning vid akut smärta. Metoden som används i studien är en litteraturöversikt med systematisk ansats. Sökningarna genomfördes i databaserna PubMed och CINAHL vilket efter kvalitetsgranskning resulterade i att 16 vetenskapliga artiklar inkluderades i studien. Dessa artiklar analyserades genom en integrerad analys som resulterade i två huvudkategorier och fem underkategorier. Resultatet beskrev två huvudkategorier som påverkade patientens smärthantering och tillfredsställelse. Dessa kategorier var “Bemötande” och “Smärtbehandling”. Patienterna uppskattade när sjuksköterskans bemötande bekräftade deras lidande och visade empati för deras situation. Detta kunde bland annat uppnås via tillräcklig information och delaktighet i sin vård. En annan faktor som påverkade patientens upplevelse var väntetiden till administrerade läkemedel mot smärta och att samtidigt informeras kring vilka förväntningar som patienten kan ha på sin smärtbehandling. Vid kortare tid till administrering och tillräcklig information var patienternas upplevelse av smärtbehandlingen bättre. Slutsatsen av denna litteraturöversikt visar på att hur patienten blir bemött i sin smärtsituation påverkar patienters smärthantering och tillfredsställelse i sin smärtsituation. Bekräftelse, information och delaktighet var viktigt för patienterna. Patienter som fick någon form av smärtstillande hade högre tillfredsställelse av sin smärtsituation. Tillfredsställelsen höjdes också av kunskap och information om smärtbehandlingen.

This thesis will explore how customers and bartenders accomplish the service encounter in a public house, or bar. Whilst there is a body of existing literature on service encounters, this mainly investigates customer satisfaction and ignores the mundane activities that comprise the service encounter itself. In an attempt to fill this gap, I will examine how the activities unfold sequentially by examining the spoken and embodied conduct of the participants, over the course of the encounter. The data comprise audio -and video- recorded, dyadic and multi-party interactions between customer(s) and bartender(s), occurring at the bar counter. The data were analyzed using conversation analysis (CA) to investigate the talk and embodied conduct of participants, as these unfold sequentially. The first analytic chapter investigates how interactions between customers and bartenders are opened. The analysis reveals practices for communicating availability to enter into a service encounter; with customers being found to do this primarily through embodied conduct, and bartenders primarily through spoken turns. The second analytic chapter investigates the role of objects in the ordering sequence. Specifically, the analysis reveals how the Cash Till and the seating tables in the bar are mobilized by participants to accomplish action. In the third analytic chapter, multi-party interactions are investigated, focusing on the organization of turn-taking when two or more customers interact with one or more bartenders. Here, customers are found to engage in activities where they align as a unit, with a lead speaker, who interacts with the bartender on behalf of the party. In the final analytic chapter, the payment sequence of the service encounter is explored to investigate at what sequential position in the interaction payment, as an action, is oriented to. Analysis reveals that a wallet, purse, or bag, may be displayed and money or a payment card retrieved, in a variety of sequential slots, with each contributing differentially to the efficiency of the interaction. I also find that payment may be prematurely proffered due to the preference for efficiency. Overall, the thesis makes innovative contributions to our understanding of customer and bartender practices for accomplishing core activities in what members come to recognize as a service encounter It also contributes substantially to basic conversation analytic research on openings , which has traditionally been founded on telephone interactions, as well as the action of requesting. I enhance our knowledge of face-to-face opening practices, by revealing that the canonical opening sequence (see Schegloff, 1968; 1979; 1986) is not present, at least in this context. From the findings, I also develop our understanding of how objects constrain, or further, progressivity in interaction; while arguing for the importance of analysing the participants semiotic field in aggregate with talk and embodied conduct. The thesis also contributes to existing literature on multi-party interactions, identifying a new turn-taking practice with a directional flow that works effectively to accomplish ordering. Finally, I contribute to knowledge on the provision of payment, an under-researched yet prominent action in the service encounter. This thesis will show the applicability of CA to service providers; by analysing the talk and embodied conduct in aggregate, effective practices for accomplishing a successful service encounter are revealed.

En este trabajo se analiza la elección de lengua de encuentros de servicio (inglés y español). Las herramientas metodológicas empleadas son tres: una observación de carácter etnográfico, una tarea controlada y un experimento de percepción visual en línea. La hipótesis central es que el fenotipo étnico juega un papel importante en la elección de lengua en encuentros de servicio que se llevan a cabo por primera vez. El lugar en donde se realizó la investigación es un panadería ubicada en el centro este de la ciudad de Tucson, Arizona.En el primer componente metodológico es la observación etnográfica, donde se analizaron las interacciones de las trabajadoras con los distintos clientes que frecuentaron el lugar. El análisis se centró en cuatro aspectos: (i) la expresión de identidad y membresía de grupo mediante el uso de los pronombres nosotros y nuestro, (ii) el traslado de roles domésticos en las dinámicas de interacción de las parejas latinas, (iii) la existencia de una co-membresía expresada a través de la realización de las pequeñas charlas y (iv) el valor simbólico del español en este establecimiento.Seguidamente, se realizó un experimento de percepción visual, cuyo objetivo fue decidir sobre la etnicidad de los 21 clientes que acudieron a la panadería y las trabajadoras del lugar. Dentro de los resultados se obtuvo un juicio de etnicidad para cada participante. De la misma forma, se observa que el grupo de los jueces bilingües sobresale dado que es el único grupo que presentan un 100% de acuerdo en cuanto a la asignación de etnicidad de una imagen dada. Por otra parte, los jueces bilingües y los monolingües (con una tendencia menos fuerte), conforme más tiempo vivan en la comunidad, mayor será el tiempo de respuesta. Los resultados anteriores ilustran el hecho de que vivir en la comunidad y convivir cotidianamente con ambos tipos de fenotipo hace a los hablantes más conscientes de las sutilezas que deben ser consideradas al momento de evaluar fenotipicamente a un interlocutor.Finalmente se analiza la tarea controlada, en la cual se reclutaron a 21 participantes para que acudieran a la panadería y actuaran como clientes. El análisis consiste en la correlación de distintos aspectos de la interacción tales como aspectos sociodemográficos. Dentro de los resultados destaca que el fenotipo étnico no es un factor de importancia cuando las trabajadoras abren el encuentro de servicio; éste no tiene gran influencia en su elección de lengua, ellas siempre abren el encuentro mercantil en español sin importar la etnicidad del interlocutor. No obstante, cuando los clientes abren el intercambio comunicativo ellos tienen la opción de hacerlo en inglés o en español y para aquellos que pueden hacerlo en español la elección de lengua es por defecto el español. Asimismo, se destaca que la influencia del contexto en el que sucede la elección de lengua es un espacio ideológico que brinda un valor simbólico al español.

Background: Self-harm is used to describe a group of diseases where the persons intention is to hurt thereself. This collective name includes conditions such as anorexia, burning, poisoning and self-cutting. The act of self-harm is almost never related to the patients' wish of death, it's more of a tool for the person to calm herself. Previous research shows that nurses often see these patients as troublesome often because of a lack of knowledge. There's just a few studies that examine the patients' views. Aim: The aim of this study was to describe how patients with self-harm was experiencing the meeting with the nurse. Method: The study was designed as a literature based study based on 12 qualitative articles. All articles are read and analyzed by Friberg (2012) model with the analysis of qualitative research. Results: The result of this study showed that the nurse plays a big part in how the patients experienced their treatment. If the patient feels that the nurse doesn't see, hear or respect her, the patient starts to feel that she is not worth health care. For the patient to feel and get better it's essential that there is a functional relationship between the patient and the nurse. Conclusion: Patients who self-harm is a difficult patientgroup to treat if there is a lack of knowledge. But these patients are dependent on the care that the nurse is providing them. Therefore a caring and trusting relationship is a must to provide high quality care.