103 research outputs found

    Psychological morbidity and autonomic reactivity to emotional stimulus in parental cancer: a study with children caregivers

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    Literature suggests that parental cancer can provoke aversive emotional arousal in adult children, who may perceive caregiving as a traumatic experience. Limited research has been conducted on emotional and physiological impact of family caregiving for cancer patients undergoing chemotherapy. The aim of the present study was to examine psychological and physiological responses in parental cancer’s caregivers. Two matched groups of adult children, with 78 participants each (parental cancer vs. control), completed psychological measures of distress, post-traumatic stress disorder (PTSD) symptoms, and burden. Additionally, each participant visualised standardised pictures with different emotional valences, while cardiovascular (heart rate) and electrodermal responses (skin conductance) were recorded. Between-group analysis showed significant differences on all psychological variables, and on skin conductance for all types of pictures. However, for the heart rate responses, differences were found only for pictures with unpleasant emotional arousal. In the parental cancer group, the heart rate peak response stood out as a predictor of PTSD symptoms, after controlling for distress and burden. This study highlights the important role of psychophysiological measures of family caregiving in oncology. Physiological responses may explain a higher prevalence of PTSD symptoms. Therefore, biofeedback combined with targeted psychosocial interventions for relaxation could be of great clinical value for this populationFundação para a Ciência e a Tecnologia (FCT

    A look back to move ahead: New directions for research on proactive performance and other discretionary work behaviours

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    Over the last two decades, the multi-dimensional notion of job performance has been fully brought to life. The differentiation between core task performance and various aspects of discretionary work behaviour is now commonly applied. A multitude of empirical studies, enhancing our knowledge of the antecedents and consequences of the different performance aspects, have recently been summarised through various meta-analyses. We use this as an occasion for taking stock in order to identify new areas of theorising and empirical research. Focusing in particular on proactive performance aspects, the present paper identifies three themes that could inspire new research and model development. We suggest taking a new approach to the treatment of time in order to account for the dynamic nature of performance on the one hand, and to consider life-span changes on the other, developing comprehensive models on proactivity-enhancing interventions, and more strongly incorporating a cross- cultural perspective

    European Language Grid: An Overview

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    With 24 official EU and many additional languages, multilingualism in Europe and an inclusive Digital Single Market can only be enabled through Language Technologies (LTs). European LT business is dominated by hundreds of SMEs and a few large players. Many are world-class, with technologies that outperform the global players. However, European LT business is also fragmented – by nation states, languages, verticals and sectors, significantly holding back its impact. The European Language Grid (ELG) project addresses this fragmentation by establishing the ELG as the primary platform for LT in Europe. The ELG is a scalable cloud platform, providing, in an easy-to-integrate way, access to hundreds of commercial and non-commercial LTs for all European languages, including running tools and services as well as data sets and resources. Once fully operational, it will enable the commercial and non-commercial European LT community to deposit and upload their technologies and data sets into the ELG, to deploy them through the grid, and to connect with other resources. The ELG will boost the Multilingual Digital Single Market towards a thriving European LT community, creating new jobs and opportunities. Furthermore, the ELG project organises two open calls for up to 20 pilot projects. It also sets up 32 national competence centres and the European LT Council for outreach and coordination purposes

    Astrophysical magnetic fields and nonlinear dynamo theory

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    The current understanding of astrophysical magnetic fields is reviewed, focusing on their generation and maintenance by turbulence. In the astrophysical context this generation is usually explained by a self-excited dynamo, which involves flows that can amplify a weak 'seed' magnetic field exponentially fast. Particular emphasis is placed on the nonlinear saturation of the dynamo. Analytic and numerical results are discussed both for small scale dynamos, which are completely isotropic, and for large scale dynamos, where some form of parity breaking is crucial. Central to the discussion of large scale dynamos is the so-called alpha effect which explains the generation of a mean field if the turbulence lacks mirror symmetry, i.e. if the flow has kinetic helicity. Large scale dynamos produce small scale helical fields as a waste product that quench the large scale dynamo and hence the alpha effect. With this in mind, the microscopic theory of the alpha effect is revisited in full detail and recent results for the loss of helical magnetic fields are reviewed.Comment: 285 pages, 72 figures, accepted by Phys. Re

    Human papillomavirus testing versus repeat cytology for triage of minor cytological cervical lesions

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    Background: A typical squamous cells of undetermined significance (ASCUS) and low-grade squamous intra-epithelial lesions (LSIL) are minor lesions of the cervical epithelium, detectable by cytological examination of cells collected from the surface of the cervix of a woman. Usually, women with ASCUS and LSIL do not have cervical (pre-) cancer, however a substantial proportion of them do have underlying high-grade cervical intra-epithelial neoplasia (CIN, grade 2 or 3) and so are at increased risk for developing cervical cancer. Therefore, accurate triage of women with ASCUS or LSIL is required to identify those who need further management. This review evaluates two ways to triage women with ASCUS or LSIL: repeating the cytological test, and DNA testing for high-risk types of the human papillomavirus (hrHPV) - the main causal factor of cervical cancer. Objectives Main objective: To compare the accuracy of hrHPV testing with the Hybrid Capture 2 (HC2) assay against that of repeat cytology for detection of underlying cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) or grade 3 or worse (CIN3+) in women with ASCUS or LSIL. For the HC2 assay, a positive result was defined as proposed by the manufacturer. For repeat cytology, different cut-offs were used to define positivity: Atypical squamous cells of undetermined significance or worse (ASCUS+), low-grade squamous intra-epithelial lesions or worse (LSIL+) or high-grade squamous intra-epithelial lesions or worse (HSIL+). Secondary objective: To assess the accuracy of the HC2 assay to detect CIN2+ or CIN3+ in women with ASCUS or LSIL in a larger group of reports of studies that applied hrHPV testing and the reference standard (coloscopy and biopsy), irrespective whether or not repeat cytology was done. Search methods: We made a comprehensive literature search that included the Cochrane Register of Diagnostic Test Accuracy Studies; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), MEDLINE (through PubMed), and EMBASE (last search 6 January 2011). Selected journals likely to contain relevant papers were handsearched from 1992 to 2010 (December). We also searched CERVIX, the bibliographic database of the Unit of Cancer Epidemiology at the Scientific Institute of Public Health (Brussels, Belgium) which contains more than 20,000 references on cervical cancer. More recent searches, up to December 2012, targeted reports on the accuracy of triage of ASCUS or LSIL with other HPV DNA assays, or HPV RNA assays and other molecular markers. These searches will be used for new Cochrane reviews as well as for updates of the current review. Selection criteria: Studies eligible for inclusion in the review had to include: women presenting with a cervical cytology result of ASCUS or LSIL, who had undergone both HC2 testing and repeat cytology, or HC2 testing alone, and were subsequently subjected to reference standard verification with colposcopy and colposcopy-directed biopsies for histologic verification. Data collection and analysis: The review authors independently extracted data from the selected studies, and obtained additional data from report authors. Two groups of meta-analyses were performed: group I concerned triage of women with ASCUS, group II concerned women with LSIL. The bivariate model (METADAS-macro in SAS) was used to assess the absolute accuracy of the triage tests in both groups as well as the differences in accuracy between the triage tests. Main results: The pooled sensitivity of HC2 was significantly higher than that of repeat cytology at cut-off ASCUS+ to detect CIN2+ in both triage of ASCUS and LSIL (relative sensitivity of 1.27 (95% CI 1.16 to 1.39; P value < 0.0001) and 1.23 (95% CI 1.06 to 1.4; P value 0.007), respectively. In ASCUS triage, the pooled specificity of the triage methods did not differ significantly from each other (relative specificity: 0.99 (95% CI 0.97 to 1.03; P value 0.98)). However, the specificity of HC2 was substantially, and significantly, lower than that of repeat cytology in the triage of LSIL (relative specificity: 0.66 (95% CI 0.58 to 0.75) P value < 0.0001). Authors' conclusions: HPV-triage with HC2 can be recommended to triage women with ASCUS because it has higher accuracy (significantly higher sensitivity, and similar specificity) than repeat cytology. When triaging women with LSIL, an HC2 test yields a significantly higher sensitivity, but a significantly lower specificity, compared to a repeat cytology. Therefore, practice recommendations for management of women with LSIL should be balanced, taking local circumstances into account

    Provokation Spiritual Care?

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    Der Begriff der Spiritualit\ue4t umfasst in seiner Unbestimmtheit ein sehr weites Spektrum von Ansichten, sodass viele verschiedene individuelle Vorstellungen und Bed\ufcrfnisse darin Platz finden. Spiritual Care als eine neue Form, Spiritualit\ue4t in den Krankenhausalltag einzubringen, wird auch in Europa immer bekannter. Es haben sich eigene adaptierte Modelle von Spiritual Care herausgebildet, die schon in der Praxis in Krankenh\ue4usern umgesetzt werden. Auch die \uf6sterreichische Praxis der Krankenhausseelsorge ist ein spiritueller Dienst am Menschen, wird jedoch zum \ufcberwiegenden Teil von den Religionen getragen. Gibt es eine ?Provokation Spiritual Care?? Die Gefahr, dass Spiritual Care und Krankenhausseelsorge in Konkurrenz zueinander treten, scheint nicht gegeben. Zu unterschiedlich sind die Intentionen und Aufgaben, zu gro f ist das Bet\ue4tigungsfeld. Auch eine Substitution der Krankenhausseelsorge durch die Spiritual Care oder umgekehrt eine Aufnahme der Spiritual Care in die Krankenhausseelsorge, ist damit unwahrscheinlich. Ein klares Profil und ein starkes Leitbild werden notwendig sein, wenn sowohl Spiritual Care als auch Krankenhausseelsorge nebeneinander arbeiten wollen.Spirituality is a very vast expression, which can refer to a lot of different individual beliefs and longings. Spiritual Care is a new method of taking account of spiritual needs in the process of patient care in hospitals. Coming from the Anglo-American region it is also getting more and better known in Europe. Different adaptations were made when transferring Spiritual Care into European context, where different models of Spiritual Care are already in use. The Austrian Pastoral Care, which is managed by the churches and religious groups, performs spiritual service in hospitals, too. Is there a: ?Provocation Spiritual Care?? There is no danger of Spiritual Care getting into competition with Pastoral Care, because of the wide range of duties and responsibilities within the context. A substitution of Pastoral Care by Spiritual Care or the other way round ? the absorption of Spiritual Care by Pastoral Care ? is not likely to happen. A clear profile and an accurately defined concept will be necessary, if Spiritual Care and Pastoral Care should work side by side.eingereicht von Theresa StamplerGraz, Univ., Dipl.-Arb., 201

    Moral Plurality in Ethics Education. Educational Challenges and Strategies for Teaching Values in Contexts of Cultural and Ideological Diversity

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    Die vorliegende Masterarbeit behandelt die Herausforderungen und Chancen des Ethikunterrichts in Österreich, insbesondere angesichts der moralischen Pluralität unter den Schüler*innen. Unter moralischer Pluralität ist zu verstehen, dass von unterschiedlichen moralischen Grundwerten auszugehen ist, auf denen unterschiedliche Arten von Moral fußen, welche sich häufig nicht miteinander in Einklang bringen lassen. Diese Pluralität ergibt sich aus unterschiedlichen kulturellen, religiösen, sozialen oder politischen Hintergründen, was zu kontroversen und emotional geführten Diskussionen über moralisch relevante Themen führen kann. Die Arbeit hebt hervor, dass es oft keine einfachen Antworten auf moralische Fragen gibt, was im Kontext des Ethikunterrichts zu Herausforderungen führt. Lehrpersonen sind häufig gefordert einen Balanceakt zwischen Indoktrination und Relativismus zu bewältigen. Vor diesem Hintergrund können zwei Bildungsziele genannt werden, die von besonderer Bedeutung sind: Das Fördern einer toleranten Haltung gegenüber abweichenden, begründeten Wertvorstellungen und gleichzeitig die Achtung grundlegender Menschen- und Freiheitsrechte.This master's thesis explores the challenges and opportunities of ethics education in Austria, particularly considering the moral plurality among students. Moral plurality refers to the existence of differing fundamental moral values that form the basis of various forms of morality, often in conflict with one another. This diversity arises from students’ varied cultural, religious, social, and political backgrounds, which can lead to controversial and emotionally charged discussions on morally significant issues. The thesis emphasizes that moral questions often lack simple answers, which presents a challenge in ethics education. Teachers frequently face the task of balancing indoctrination and relativism. In this context, two key educational goals emerge as particularly important: fostering a tolerant attitude toward divergent, well-founded values, while also upholding fundamental human rights and civil liberties.eingereicht vonVerena Stampler, BEdMasterarbeit Universität Graz 2025Zusammenfassung auf deutsc
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