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This chapter argues that the pressures of war led many to reassess the 'value' of their work in a wartime society, with the slippery concept of work of 'national importance'. The concept of 'national work' provides a new benchmark against which men sought to measure themselves. The chapter considers the impact on working lives of wartime regulations, as well as of the vicissitudes. It deals with the ideal of work that contributed to the war effort and closes with its polar opposite: work that it was thought allowed certain individuals to 'profiteer' from the calamity of war. The chapter examines the problems and opportunities that were particularly associated with the world of business. There is little doubt that middle-class working lives were deeply affected by wartime shortages of labour. Shortages occurred not only among working-class 'hands', but also white-collar and middle-class occupations.
This paper explores a dilemma often faced by marginalized groups: how to cope with oppression when doing so necessitates a choice between safeguarding immediate personal well-being and fighting for structural change. While mainstream conceptions of coping take it to be an individual-level phenomenon aimed at maintaining/restoring personal well-being through emotion regulation processes, a recent plea in psychology calls for the “decolonization” of coping, such that collective efforts aimed at liberatory change be construed as genuine instances of coping as well. We provide the first philosophical treatment of “decolonial coping” and assess its merits and drawbacks as compared to mainstream coping. Our focus on coping double binds contributes to the philosophical literature on double binds by broadening the range of scenarios that can plausibly be understood as instances of double binds and the normative analysis of the costs associated with each horn of the dilemma and with the double bind itself. We identify the affective injustice of apt ambivalence, thereby also addressing for the first time the relation between double binds and affective injustice.
People with complex emotional needs (CEN) often receive poor care and struggle to access the evidence-based therapy they require. As part of community transformation, the Help to Overcome Personal and Emotional problems (H.O.P.E) team in Northumberland, and the Relational and Emotional Difficulties Service (REDS) in Cambridge, were set up to ensure that people with CEN could receive timely therapy without accessing secondary or tertiary services. Both services focus on providing adapted versions of dialectical behaviour therapy (DBT). The present study aims to understand the process followed to establish the two teams, identify whether they have been able to deliver accessible and acceptable treatment, and reflect on shared learning points for other services to consider. The study provides descriptions of the two service designs, further to quantitative and qualitative feedback from participants that completed treatment with the services. The results confirm that people in Northumberland and Cambridgeshire who accessed the services found the therapy to be acceptable and reported significant improvement in their ability to regulate their emotions, a decrease in symptoms associated with CEN, and a greater sense of progress towards achieving meaningful goals in their lives. However, in line with the broader literature, a high number of people dropped out and did not complete the interventions. The results suggest that the H.O.P.E team and REDS are providing acceptable and accessible evidence-based treatment for people with CEN. Reflections for future services to consider regarding reducing drop-out rates, the length of treatment, inclusion criteria, engaging people from minority groups and the use of online vs face-to-face therapy are provided.
Key learning aims
(1) Understand the process followed to establish two different CEN services in primary care settings.
(2) Identify whether two CEN services have delivered accessible and acceptable treatment.
(3) Compare how two CEN services are structured, and highlight shared learning points for other services.
The active construction of the grotesque as a paradoxical 'order of disorder' has been a hallmark of Angela Carter's writing career. This chapter aims to show, The Bloody Chamber, Nights at the Circus and Wise Children collectively form a vivid contemporary grotesque that stays unfinished in its treatment of the excessive body. Both Nights at the Circus and Wise Children rely on the discourse and mechanisms of carnival for much of their literary vigour. However, Carter takes care to situate their often-comic narratives within wider contexts of historical change and its attendant troubles. The chapter focuses on the important congruence between the carnivalesque and dialogic forms in Mikhail Bakhtin's work. It explains how Bakhtin himself describes the English comic novel as a menippean tradition of a heteroglossic kind.
Richard Attenborough has long been recognised as a significant figure in British cinema history and film culture. After his screen debut in the war-time film In Which We Serve, Attenborough's cinema career developed through acting and later through producing and directing to become one of the industry's most renowned figures. Attenborough's entry into production stemmed from a desire to make films that had purpose and social relevance. Despite his artistic background, Attenborough's films with the exception of Oh! What a Lovely War, cannot be described as innovative in style. While Oh! What a Lovely War and Shadowlands have also been popular successes, others have been either nominated or have received national or international awards. Attenborough's influence has also been nationally recognised through his being officially honoured three times, initially as a Commander of the British Empire (CBE), then knighted and finally ennobled for his contributions.
Palliative psychiatry is an approach that aims to prevent and/or alleviate suffering and improve the quality of life of patients and their families through timely assessment and treatment when faced with physical, psychological, social, and spiritual problems associated with serious life-threatening mental illness. However, the need for psychiatric palliative care for individuals with serious mental illness has remained in the background and only became possible in the early 21st century. Therefore, it is essential that nurses, one of the most important actors of patient-centered care, assume the responsibility of providing palliative psychiatric care as a requirement of their patient advocacy role. The aim of this study was to determine the perception of palliative psychiatric care by psychiatric nurses in a country where palliative psychiatry has not yet emerged.
Methods
A study in qualitative descriptive design with semi-structured interviews. Fifteen psychiatric nurses participated in individual interviews. The data were analyzed using thematic analysis.
Results
Four themes (Perception of palliative psychiatric care, Palliative psychiatric care practices, Barriers to palliative psychiatric care, and Recommendations for providing palliative psychiatric care) and 14 sub-themes were identified.
Significance of results
Psychiatric nurses are not familiar with the concept of palliative psychiatric care and associate it with holistic and individualized care. Nurses stated that palliative psychiatric care targets serious psychiatric disorders, treatment-resistant conditions, comorbidities and end-of-life care. In order to overcome barriers to palliative psychiatric care, suggestions were made for reorganizing the health system, establishing palliative care centers, training professionals in this field, and efforts to combat stigma.
Cronos is a film that has been given an afterlife with the subsequent global success of Guillermo del Toro. Cronos is an interesting film to explore, as it shows del Toro without big budgets. At the time, it was the most expensive Mexican film ever made, with a budget of $2 million, according to the Internet Movie Database (IMDB); however, that is clearly miniscule in comparison with Hollywood and European art cinema productions. Most of the literature on Cronos has focused on the film's relationships to national cinema and to the vampire genre. This chapter explores the ways in which the writer-director applies his thesis on the importance of death to the horror genre and examines how this subverts an understanding of death as the dark element to be feared. It explores the film's application of alchemy, with a focus on the Cronos device and its inventor.
This chapter describes the railway development in France, the inauguration of Paris-St-Germain (PSG), the hesitant administrative arrangements accompaning the concessions of the State's role, and the insufficiency of investment capital to finance railway development. The Pereires' developing partnership was placed under great pressure from the start. Their satisfaction with the inauguration of the PSG rail line had been marred by the sudden death a month earlier of Isaac's wife Laurence at the age of twenty-five, leaving Isaac with two small sons, Eugene and Georges. Saint-Simonian Paulin Talabot had been pursuing Chevalier's 'Mediterranean system' as actively as the Pereires, though from a different direction. Railways were among the most immediate of the public infrastructure attacked by the workers. While the Pereires' railway interests survived the riots and fires which followed, they lost heavily. Railway stations were looted and vandalised.
Listening ability in second language (L2) assessment is elicited through test methods that often require other abilities, which may introduce construct-irrelevant variance and threaten the validity of the test. While previous research has examined the effects of item presentation and item format on test performance, studies on test-takers’ cognitive processing remain exploratory. This study investigates the effects of two test method variables, item presentation (operationalized as while-listening performance [WLP] vs. post-listening performance [PLP]) and item format (operationalized as multiple-choice questions [MCQs] vs. open-ended questions [OEQs]), on test-takers’ cognitive processing, using gaze behaviors as real-time indicators. A Graeco-Latin square design was employed to administer four psychometrically validated short-talk listening testlets across the test conditions. Eye-tracking data were collected while controlling for word count and typing speed as covariates. Linear mixed-effects modeling revealed higher total fixation duration, fixation counts, total visit duration, and visit counts in the WLP condition than in the PLP condition. Interaction effects for all four metrics further indicated that these differences were more pronounced for MCQs than for OEQs. Additionally, typing speed and word count contributed to the variance in eye-tracking measures. The findings contribute to our growing understanding of how test methods shape listening processes and offer implications for the design and interpretation of L2 listening assessments.
To understand how the workflows and infection prevention and control (IPC) practices of certified nursing assistants (CNAs) during high-contact resident care activities contribute to multidrug-resistant organism (MDRO) transmission in nursing homes.
Methods:
We conducted 10 high-fidelity simulations of two high-contact resident care activities, bed bathing and incontinence care, with CNAs from long-term or mixed-care units. Four genetic variants of λ phage were applied to select surfaces prior to simulations and subsequently sampled from the environment, residents, supplies, and CNAs. Simulations were video recorded and analyzed for patterns of hand-to-surface contact and performance of IPC practices, including hand hygiene, personal protective equipment use, and environmental surface cleaning or disinfection.
Results:
A median of 11.5 transmission events occurred per simulation. Most events (60%) occurred within residents’ immediate environments, reflecting how CNAs frequently transitioned between a resident, their surroundings, and care supplies, combined with infrequent hand hygiene and surface disinfection. Contamination of CNA scrubs and hands accounted for 24% of events, primarily from bed bathing, which involved frequent contact without a gown. Transmission to shared objects (e.g., linen bin, trash can, wheelchair) accounted for 16% of events and created additional opportunities for transmission between residents. Transmission between residents or their immediate environments was rare but typically associated with workflow disruptions from limited-supply availability.
Conclusions:
In high-fidelity simulations of high-contact resident care activities, transmission of surrogate markers for MDROs closely followed the workflows of CNAs. This method identifies potential transmission pathways and interventions for mitigating MDRO spread in nursing homes.
This chapter traces notions of the self in the plays of early modern Spain. Drawing on a vast corpus of unpublished plays with the technique of “distant reading”, it examines the relation between self and free will in a period of increasing authoritarian control by both church and state. These plays demonstrate a deep preoccupation with maintaining a sense of personal freedom and choice despite the pressure of external constraints: Kallendorf proposes that the self is conceived as a “fortress” within which some sense of personal autonomy can be retained. This is very different from the more free-form relational concepts of the self that we have seen developed in the volume up to this point: the self remains grounded in the body and operative in society, but society places the body under heavy restraint.
This chapter focuses on the pivotal role Mary Sidney played in the specific development of the English devotional lyric. It re-examines the terms in which John Donne praises 'thy Sydnean Psalmes' in 'Vpon the translation of the Psalmes by Sir Philip Sydney, and the Countesse of Pembroke his Sister'. In combining God's word, Mary Sidney's own words through translation and her brother's favourite sonnet form into an expression of communal praise, Mary Sidney's sonnet perhaps epitomises the truly collaborative nature of 'thy Sydnean Psalmes'. Calling upon his contemporaries specifically to celebrate 'thy Sydnean Psalmes', Donne's choice of syntactical rearrangement places the emphasis on the object and its possessors. Although Donne's poem has been curiously marginalised until relatively, its eloquent encapsulation of the essential problematic of early modern devotional poetics is remarkable.
• To understand the concept of artificial neural network (ANN).
• To comprehend the working of the human brain as an inspiration for the development of neural network.
• To understand the mapping of human brain neurons to an ANN.
• To understand the working of ANN with case studies.
• To understand the role of weights in building ANN.
• To perform forward and backward propagation to train the neural networks.
• To understand different activation functions like threshold function, sigmoid function, rectifier linear unit function, and hyperbolic tangent function.
• To find the optimized value of weights for minimizing the cost function by using the gradient descent approach and stochastic gradient descent algorithm.
• To understand the concept of the mini-batch method.
16.1 Introduction to Artificial Neural Network
Neural networks and deep learning are the buzzwords in modern-day computer science. And, if you think that these are the latest entrants in this field, you probably have a misconception. Neural networks have been around for quite some time, and they have only started picking up now, putting up a huge positive impact on computer science.
Artificial neural network (ANN) was invented in the 1960s and 1970s. It became a part of common tech talks, and people started thinking that this machine learning (ML) technique would solve all the complex problems that were challenging the researchers during that time. But sooner, the hopes and expectations died off over the next decade.
The decline could not be attributed to some loopholes in neural networks, but the major reason for the decline was the “technology” itself. The technology back then was not up to the right standard to facilitate neural networks as they needed a lot of data for training and huge computation resources for building the model. During that time, both data and computing power were scarce. Hence, the resulting neural network remained only on paper rather than taking centerstage of the machine to solve some real-world problems.
Later on, at the beginning of the 21st century, we saw a lot of improvements in storage techniques resulting in reduced cost per gigabyte of storage. Humanity witnessed a huge rise in big data due to the Internet boom and smartphones.