Living at home with eating difficulties following stroke: a phenomenological study of younger people's experiences.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.AIMS AND OBJECTIVES: To explore and describe the experience of eating and eating-related difficulties in stroke survivors living at home. BACKGROUND: The ability to consume food and to take pleasure in eating is an essential part of life. For people with stroke, eating difficulties are frequent. A phenomenological perspective of stroke survivors' experience of eating difficulties exceeding the acute stroke event and in-hospital rehabilitation is missing. DESIGN: A qualitative study founded on the Husslarian descriptive phenomenology. METHODS: Colaizzi's seven phases of data analysis provided a systematic approach to explore 17 in-depth interviews from seven participants and how eating difficulties influenced their daily lives. RESULTS: Eating difficulties revealed themselves in participants' relationship with the outer world in far-reaching disruptions of habits, capacities and actions. Four key themes illuminating the eating difficulties emerged: (1) preserving dignity by not conveying serious problems, (2) staying vigilant to bodily limitations, (3) stepping out of the security zone and (4) moving on without missing out. The findings exposed that eating difficulties might not only lead to serious consequences such as malnutrition but also, and equally importantly, lead to losses in the existential, social and cultural lifeworld. CONCLUSIONS: The experience of eating difficulties entails an ongoing readjustment process, which is strongly influenced by interactions with other people. The findings suggest that individualised long-term support is needed to facilitated the use of helpful strategies to manage eating difficulties. RELEVANCE TO CLINICAL PRACTICE: The long-term losses that people with eating difficulties experience are not reflected in conventional screening tools and interventions. To avoid haphazard identification presupposes professional knowledge of how eating difficulties are woven into daily life. This knowledge may inform innovative nursing strategies reaching beyond immediate rehabilitation. Partnership-based practice may provide an important framework to establish unique needs and to mobilise relevant actions and resources.Icelandic Nurses Association Research Assistant Fund of the University of Icelan

Horizon effects with surface waves on moving water

Surface waves on a stationary flow of water are considered, in a linear model that includes the surface tension of the fluid. The resulting gravity-capillary waves experience a rich array of horizon effects when propagating against the flow. In some cases three horizons (points where the group velocity of the wave reverses) exist for waves with a single laboratory frequency. Some of these effects are familiar in fluid mechanics under the name of wave blocking, but other aspects, in particular waves with negative co-moving frequency and the Hawking effect, were overlooked until surface waves were investigated as examples of analogue gravity [Sch\"utzhold R and Unruh W G 2002 Phys. Rev. D 66 044019]. A comprehensive presentation of the various horizon effects for gravity-capillary waves is given, with emphasis on the deep water/short wavelength case kh>>1 where many analytical results can be derived. A similarity of the state space of the waves to that of a thermodynamic system is pointed out.Comment: 30 pages, 15 figures. Minor change

3D characterization of CdSe nanoparticles attached to carbon nanotubes

The crystallographic structure of CdSe nanoparticles attached to carbon nanotubes has been elucidated by means of high resolution transmission electron microscopy and high angle annular dark field scanning transmission electron microscopy tomography. CdSe rod-like nanoparticles, grown in solution together with carbon nanotubes, undergo a morphological transformation and become attached to the carbon surface. Electron tomography reveals that the nanoparticles are hexagonal-based with the (001) planes epitaxially matched to the outer graphene layer.Comment: 7 pages, 8 figure

Field-effect transistors assembled from functionalized carbon nanotubes

We have fabricated field effect transistors from carbon nanotubes using a novel selective placement scheme. We use carbon nanotubes that are covalently bound to molecules containing hydroxamic acid functionality. The functionalized nanotubes bind strongly to basic metal oxide surfaces, but not to silicon dioxide. Upon annealing, the functionalization is removed, restoring the electronic properties of the nanotubes. The devices we have fabricated show excellent electrical characteristics.Comment: 5 pages, 6 figure

Synthesis of Single-Crystalline Lead Sulfide Nanoframes and Nanorings

We present a colloidal synthesis strategy to obtain single-crystalline PbS nanorings. By controlling the ripening process in the presence of halide ions, a transformation of initial PbS nanosheets to framelike structures and finally to nanorings was achieved. We found that the competing ligands oleic acid, oleate, and halide ions play an important role in the formation of these nanostructures. Therefore, we propose a formation mechanism based on a thermally induced ripening of crystal facets dependent on the surface passivation. With this method, it became possible to synthesize colloidal nanorings of cubic crystal phase galena PbS. The synthesis was followed via TEM, and the products are characterized by XRD, AFM, and STEM tomography. Control of the initial nanoframe morphology allows adjusting the later nanoring dimensions

Thermoelectric properties of lead chalcogenide core-shell nanostructures

We present the full thermoelectric characterization of nanostructured bulk PbTe and PbTe-PbSe samples fabricated from colloidal core-shell nanoparticles followed by spark plasma sintering. An unusually large thermopower is found in both materials, and the possibility of energy filtering as opposed to grain boundary scattering as an explanation is discussed. A decreased Debye temperature and an increased molar specific heat are in accordance with recent predictions for nanostructured materials. On the basis of these results we propose suitable core-shell material combinations for future thermoelectric materials of large electric conductivities in combination with an increased thermopower by energy filtering.Comment: 12 pages, 8 figure

A mathematical model of the human metabolic system and metabolic flexibility

In healthy subjects some tissues in the human body display metabolic flexibility, by this we mean the ability for the tissue to switch its fuel source between predominantly carbohydrates in the post prandial state and predominantly fats in the fasted state. Many of the pathways involved with human metabolism are controlled by insulin, and insulin- resistant states such as obesity and type-2 diabetes are characterised by a loss or impairment of metabolic flexibility. In this paper we derive a system of 12 first-order coupled differential equations that describe the transport between and storage in different tissues of the human body. We find steady state solutions to these equations and use these results to nondimensionalise the model. We then solve the model numerically to simulate a healthy balanced meal and a high fat meal and we discuss and compare these results. Our numerical results show good agreement with experimental data where we have data available to us and the results show behaviour that agrees with intuition where we currently have no data with which to compare

Towards a science of climate and energy choices

The linked problems of energy sustainability and climate change are among the most complex and daunting facing humanity at the start of the twenty-first century. This joint Nature Energy and Nature Climate Change Collection illustrates how understanding and addressing these problems will require an integrated science of coupled human and natural systems; including technological systems, but also extending well beyond the domain of engineering or even economics. It demonstrates the value of replacing the stylized assumptions about human behaviour that are common in policy analysis, with ones based on data-driven science. We draw from and engage articles in the Collection to identify key contributions to understanding non-technological factors connecting economic activity and greenhouse gas emissions, describe a multi-dimensional space of human action on climate and energy issues, and illustrate key themes, dimensions and contributions towards fundamental understanding and informed decision making

Tailoring Charge Donor–Acceptor Interaction in CsPbBr3 Perovskite Nanocrystals through Ligand Exchange

The surface ligands in colloidal metal halide perovskites influence not only their intrinsic optoelectronic properties but also their interaction with other materials and molecules. Donor-acceptor interactions of CsPbBr3 perovskite nanocrystals with TiO2 nanoparticles and nanotubes are explored by replacing long-chain oleylamine ligands with short-chain butylamines. Through postsynthesis ligand exchange, the nanocrystals are functionalized with butylamine ligands while their intrinsic properties are maintained. In solution, butylamine-capped nanocrystals exhibit reduced photoluminescence intensity with increasing TiO2 concentration but without any change in photoluminescence lifetime. Intriguingly, the Stern-Volmer plot depicts different slopes at low and high TiO2 concentrations, suggesting donor-acceptor interaction through mixed static photoluminescence quenching and quenching sphere of action mechanism . Oleylamine-capped nanocrystals in solution, on the other hand, show no interaction with TiO2, as indicated by consistent photoluminescence intensities and lifetimes before and after TiO2 addition. In films, both types exhibit decreased photoluminescence lifetime with TiO2, indicating enhanced donor-acceptor interaction, which is discussed in terms of electron transfer. TiO2 nanotubes enhance nonradiative recombination more in butylamine-capped CsPbBr3 perovskite nanocrystals, emphasizing the role of ligand chain length