99 research outputs found
Noiseonomics: The relationship between ambient noise levels in the sea and global economic trends
In recent years, the topic of noise in the sea and its effects on marine mammals has attracted considerable attention from both the scientific community and the general public. Since marine mammals rely heavily on acoustics as a primary means of communicating, navigating, and foraging in the ocean, any change in their acoustic environment may have an impact on their behavior. Specifically, a growing body of literature suggests that low-frequency, ambient noise levels in the open ocean increased approximately 3.3 dB per decade during the period 1950–2007. Here we show that this increase can be attributed primarily to commercial shipping activity, which in turn, can be linked to global economic growth. As a corollary, we conclude that ambient noise levels can be directly related to global economic conditions. We provide experimental evidence supporting this theory and discuss its implications for predicting future noise levels based on global economic trends
Aspekte der angloamerikanischen pädagogischen Differenzdebatte: Überlegungen zur Kontextualisierung
Der Beitrag bindet markante Linien der angloamerikanischen pädagogischen Auseinandersetzung um kulturelle/ethnische „Differenz“ an zwei weltsystemtheoretische Zugänge und zeigt Implikationen für die weitere erziehungswissenschaftliche Diskussion auf. Der eine weltsystemtheoretische Zugang ist mit den Namen Immanuel Wallerstein und Etienne Balibar verbunden und befasst sich mit dem Konnex von Nationalstaatlichkeit, Ethnizität und Klassenverhältnissen. Dabei kommt den Institutionen Familie und Schule (als öffentliches Bildungssystem) eine besondere Rolle zu. Es geht u. a. darum, wie gesellschaftliche Kohärenz trotz sozialer Ungleichheit gewährleistet wird. Die US-amerikanische Multikulturalismusdebatte ist hier ein Beispiel für Einsprüche, die den Konnex von Macht, Ethnizität und Kultur in nationalstaatlichen Gesellschaftsorganisationen thematisieren. Anders formuliert: Es geht um Einsprüche, die über die Mobilisierung von Gruppeninteressen auf gesellschaftliche Widersprüche und Ungerechtigkeiten aufmerksam machen, welche gesellschaftlich gelöst werden sollen. Daneben gibt es in der Multikulturalismusdebatte die Tendenz, den Streit auf Kultur, Differenz, Identität und Repräsentation zu fokussieren und auf Forderungen zur Beseitigung von Ungerechtigkeiten zu verzichten. Dann kann es zur unbeabsichtigten Stützung des „Gegendiskurses“ kommen, der Gegenstand des zweiten Teils ist. Hier werden weltsystemtheoretische Untersuchungen zunehmender Standardisierung und Universalisierung der Diskussion über staatlich kontrollierte Erziehung referiert – eine Sichtweise, die modernen Individualismus statt Gruppenzugehörigkeiten zentriert. (DIPF/ Orig.
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Hypnotherapy for procedural pain, itch, and state anxiety in children with acute burns: a feasibility and acceptability study protocol
Background: Burns and related procedures are painful and distressing for children, exposing them to acute and chronic sequelae that can negatively affect their physiological, psychological, and social functions. Non-pharmacological interventions such as distraction techniques are beneficial adjuncts to pharmacological agents for procedural pain, state anxiety, and itch in children with burns but have limitations (e.g. lack of research on burn-related itch, tailoring, and consensus on optimal treatment). Hypnotherapy is a non-pharmacological intervention that can be tailored for varied settings and populations with evidence of benefit for itch and superior effectiveness in comparison to other non-pharmacological interventions for children’s procedural pain and state anxiety. Thus, children with burns can benefit from hypnotherapy as an adjunct to pharmacological agents. Yet, in paediatric burns, rigorous studies of effectiveness are limited and no studies have been identified that screen for hypnotic suggestibility, an important predictor of hypnotherapy outcomes. Considering potential barriers to the delivery of hypnotherapy in paediatric burns, the proposed study will examine the feasibility and acceptability of hypnotic suggestibility screening followed by hypnotherapy for procedural pain, state anxiety, and itch in children with acute burns. Methods: An observational mixed-methods feasibility and acceptability study will be conducted over 15 weeks. Eligible children (N = 30) aged 4 to 16 years presenting to a paediatric burns outpatient centre in a metropolitan children’s hospital in Australia with acute burns requiring dressing changes will be included. Eligible parents of children (N = up to 30) and clinicians who perform dressing changes (N = up to 20) will also be included. Child participants screened as having medium to high suggestibility as assessed by behavioural measures will receive hypnotherapy during dressing changes. A process evaluation will target feasibility and acceptability as primary outcomes and implementation (i.e. fidelity in delivery), reach, potential effectiveness, and adoption of evaluation procedures and intervention as secondary outcomes. Discussion: Ethical approval was obtained from the Queensland Children’s Hospital and Health Service ethics committee. Results will be published in peer-reviewed publications and conference proceedings. The findings will guide the design of future trials on the effectiveness of hypnotherapy and inform the development of child-centred hypnotic interventions in children with burns. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12620000988954.</p
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Clinical Hypnosis for Procedural Pain and Distress in Children: A Scoping Review
Objective. Pain and distress are common in children undergoing medical procedures, exposing them to acute and chronic biopsychosocial impairments if inadequately treated. Clinical hypnosis has emerged as a potentially beneficial treatment for children’s procedural pain and distress due to evidence of effectiveness and potential superiority to other psychological interventions. However, systematic reviews of clinical hypnosis for children’s procedural pain and distress have been predominantly conducted in children undergoing oncology and needle procedures and are lacking in broader pediatric contexts. This scoping review maps the evidence of clinical hypnosis for children’s procedural pain and distress across broad pediatric contexts while highlighting knowledge gaps and areas requiring further investigation. Methods. Published databases (PubMed, Cochrane Library, PsycINFO, Embase, CINAHL, Scopus, and Web of Science) and grey literature were searched in addition to hand-searching reference lists and key journals (up to May 2022). Two independent reviewers screened the titles and abstracts of search results followed by a full-text review against eligibility criteria. Articles were included if they involved a clinical hypnosis intervention comprising an induction followed by therapeutic suggestions for pain and distress in children undergoing medical procedures. This review followed the Arksey and O’Malley (2005) methodology and incorporated additional scoping review recommendations by the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Results. A total of 38 eligible studies involving 2,205 children were included after 4,775 articles were screened. Research on clinical hypnosis for children’s procedural pain and distress was marked by a lack of fidelity measures and qualitative data as well as by inadequate intervention reporting and high attrition rates. Evidence regarding the safety of clinical hypnosis, pain unpleasantness outcomes, factors influencing outcomes, as well as barriers and facilitators to implementing hypnosis and study procedures was also lacking. Clinical hypnosis has potential benefits for children’s procedural pain and distress based on evidence of superiority to control conditions and nonpharmacological interventions (e.g., distraction, acupressure) with moderate to large effect sizes as reported in 76% of studies. However, heterogeneous interventions, contexts, study designs, and populations were identified, and the certainty of the evidence was not evaluated. Conclusions. The review suggests potential benefits of clinical hypnosis for children’s procedural pain and distress and thus provides a precursor for further systematic reviews and trials investigating the effectiveness of clinical hypnosis. The review also indicates the need to further explore the feasibility, acceptability, implementation, and safety of clinical hypnosis in children undergoing painful procedures. Based on the review, researchers implementing clinical hypnosis should adequately report interventions or use treatment manuals, follow recommended research guidelines, and assess the fidelity of intervention delivery to promote replicating and comparing interventions. The review also highlights common methodological shortcomings of published trials to avoid, such as the lack of implementation frameworks, small sample sizes, inadequate reporting of standard care or control conditions, and limited evidence on pain unpleasantness outcomes.</p
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