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- Fuller, Joanne M., et al.
(author)
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Why do patients struggle with their medicines?-A phenomenological hermeneutical study of how patients experience medicines in their everyday lives
- 2021
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In: Plos One. - : Public Library of Science (PLoS). - 1932-6203. ; 16:8
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Journal article (peer-reviewed)abstract
- Why do so many people struggle with their medicines despite decades of research on medicines taking? Research into how people experience medicines in their everyday life remains scarce with the majority of research in this area of focusing on whether or not people take their medicines as prescribed. Hence, this study used a phenomenological hermeneutical qualitative design to gain a deeper understanding of individuals' perspectives on the lived experience of medicine-taking. Findings from this study highlight five main themes where participants experience medicines as: 1) life-saving and indispensable, 2) normal and a daily routine, 3) confusing and concerning, 4) unsuitable without adjustment, and 5) intrusive and unwelcome. These results can be the basis for mutually agreed prescribing through a co-creative approach that aims at enhancing open and honest dialogues between patients and healthcare professionals in partnership about medicines.
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- Hawlader, Mohammad D H, et al.
(author)
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Ascaris lumbricoids Infection as a Risk Factor for Asthma and Atopy in Rural Bangladeshi Children.
- 2014
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In: Tropical Medicine and Health. - : Japanese Society of Tropical Medicine. - 1348-8945 .- 1349-4147. ; 42:2, s. 77-85
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Journal article (peer-reviewed)abstract
- Controversy persists as to whether helminth infections cause or protect against asthma and atopy. The aim of this study was to investigate the effects of helminth infection on asthma and atopy among Bangladeshi children. A total of 912 children aged 4.5 years (mean = 54.4, range = 53.5-60.8 months) participated in a cross-sectional study nested into a randomized controlled trial in Bangladesh. Ever-asthma, ever-wheezing and current wheezing were identified using the International Study of Asthma and Allergies in Childhood questionnaire. Current helminth infection was defined by the presence of helminth eggs in stools, measured by routine microscopic examination. Repeated Ascaris infection was defined by the presence of anti-Ascaris IgE ≥ 0.70 UA/ml in serum measured by the CAP-FEIA method. Atopy was defined by specific IgE to house dust mite (anti-DP IgE) ≥ 0.70 UA/ml measured by the CAP-FEIA method and/or positive skin prick test (≥ 5 mm). Anti-Ascaris IgE was significantly associated with ever asthma (odds ratio (OR) = 1.86, 95% CI: 1.14-3.04, highest vs. lowest quartile; P for trend 0.016). Anti-Ascaris IgE was also significantly associated with positive anti-DP IgE (OR = 9.89, 95% CI: 6.52-15.00, highest vs. lowest; P for trend < 0.001) and positive skin prick test (OR = 1.69, 95% CI: 1.01-2.81, highest vs. lowest, P for trend 0.076). These findings suggest that repeated Ascaris infection is a risk factor for asthma and atopy in rural Bangladeshi children. Further analysis is required to examine the mechanism of developing asthma and atopy in relation to helminth infection.
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| 4. |
- Barber, J.R., et al.
(author)
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Shakedown in frictional contact problems
- 2007
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In: 2007 Proceedings of the ASME/STLE International Joint Tribology Conference. - 0791838110 - 0791848108 ; , s. 517-519
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Conference paper (other academic/artistic)abstract
- If a linear elastic system with frictional interfaces is subjected to periodic loading, any slip which occurs generally reduces the tendency to slip during subsequent cycles and in some circumstances the system ‘shakes down’ to a state without slip. It has often been conjectured that a frictional Melan’s theorem should apply to this problem — i.e. that the existence of a state of residual stress sufficient to prevent further slip is a sufficient condition for the system to shake down. Here we discuss recent proofs that this is indeed the case for ‘complete’ contact problems if there is no coupling between relative tangential displacements at the interface and the corresponding normal contact tractions. By contrast, when coupling is present, the theorem applies only for a few special two-dimensional discrete cases. Counter-examples can be generated for all other cases. These results apply both in the discrete and the continuum formulation.
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- Courtney Mustaphi, Colin J., et al.
(author)
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A 3000-year record of vegetation changes and fire at a high-elevation wetland on Kilimanjaro, Tanzania
- 2021
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In: Quaternary Research. - : Cambridge University Press. - 0033-5894 .- 1096-0287. ; 99, s. 34-62
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Journal article (peer-reviewed)abstract
- Kilimanjaro is experiencing the consequences of climate change and multiple land-use pressures. Few paleoenvironmental and archeological records exist to examine historical patterns of late Holocene ecosystem changes on Kilimanjaro. Here we present pollen, phytolith, and charcoal (>125 mu m) data from a palustrine sediment core that provide a 3000-year radiocarbon-dated record collected from a wetland near the headwaters of the Maua watershed in the alpine and ericaceous vegetation zones. From 3000 to 800 cal yr BP, the pollen, phytolith, and charcoal records show subtle variability in ericaceous and montane forest assemblages with apparent multicentennial secular variability and a long-term pattern of increasing Poaceae and charcoal. From 800 to 600 cal yr BP, montane forest taxa varied rapidly, Cyperaceae abundances increased, and charcoal remained distinctly low. From 600 yr cal BP to the present, woody taxa decreased, and ericaceous taxa and Poaceae dominated, with a conspicuously increased charcoal influx. Uphill wetland ecosystems are crucial for ecological and socioeconomic resilience on and surrounding the mountain. The results were synthesized with the existing paleoenvironmental and archaeological data to explore the high spatiotemporal complexity of Kilimanjaro and to understand historical human-environment interactions. These paleoenvironmental records create a long-term context for current climate, biodiversity, and land-use changes on and around Kilimanjaro.
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- Murphy, Melissa Anna, et al.
(author)
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Cultivating inclusive public space with urban gardens
- 2023
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In: Local Environment. - : Routledge. - 1354-9839 .- 1469-6711. ; 28:1, s. 99-116
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Journal article (peer-reviewed)abstract
- A promise of urban gardening (UG) is allowing individuals to shape and engage with the built environment, bringing people together in public space. Municipalities may promote UG in public space for a wide variety of reasons such as enabling integration, reducing crime, or promoting area attractivity. While there is a general sense that UG can contribute to inclusive public space in these efforts, previous research provides ambiguous findings. UG in public space requires balancing inclusive and exclusive practices to create common values, as a select group of engaged members inherently shape space in their interest. UG initiatives vary considerably with respect to their aims, organisational forms, and spatial contexts - affecting inclusion in public space in different manners. The article seeks to unpack how urban settings, organisational forms, and municipal enabling affect UG practices towards inclusion in public space. To do so, the article draws on the theory of urban commons and intertwines it with research on inclusion in public space. This provides an understanding of multi-faceted UG governance and its exclusionary aspects. A framework is not only developed and applied to critically, but also constructively, to review how municipalities enable UG. A comparative analysis of UG initiatives in three Northern European municipalities explores both municipal enabling and the co-production of inclusive public space. The research abductively refines the framework for understanding the co-production of inclusive public space in UG. We argue that the findings and resulting framework have implications for research and for municipal enabling of UG towards inclusive public space.
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