Books on the topic 'Physical IPV'

A growing body of research finds that upward of half of transgender people experience intimate partner violence (IPV)—psychological, physical, or sexual abuse in romantic and sexual relationships—in their lifetimes, and consequences can be severe. Despite this, the movement to end IPV has focused almost exclusively on cisgender individuals, resulting in many transgender IPV (T-IPV) survivors being underserved and overlooked by the very laws and victim agencies tasked with protecting survivors. Research has illuminated a variety of unique aspects of T-IPV regarding the predictors of perpetration, the specific forms of abuse experienced, barriers to help seeking for survivors, and policy and intervention needs. As the first of its kind, this volume brings together leading T-IPV researchers and service providers to offer a comprehensive overview of past research and identify evidence-based strategies to foster systemic change in how transgender abuse is addressed in our policies and services. First the volume details known patterns of transgender abuse and examines, through an intersectional framework, the myriad ways in which discrimination and social inequality promote and enhance T-IPV. Second, the volume discusses how transphobia and cisnormativity impact the causes of T-IPV, survivor resiliency, and help seeking. Third, the volume reviews and critiques existing practices in how health care, shelters, policing, and the legal system intervene in T-IPV. The volume concludes with recommendations for transforming public health prevention, service provision, and research to ultimately build a safer and more inclusive world for transgender communities.

Aggression and coercive behaviors in the form of physical assaults, psychological aggression, and sexual coercion—often referred to as intimate partner violence (IPV)—are highly prevalent in couples during early adulthood (ages 18 through 29 years). Although such IPV has long been recognized as a major public health problem, the existing intervention programs have shown limited effects. Since the late 1990s researchers have sought to identify more nuanced developmental pathways and interactional processes of IPV in young couples in order to better inform prevention and intervention efforts. This chapter first discusses characteristics of IPV in early adulthood and then outlines key assumptions of the dynamic developmental systems model, an extension of coercion theory, as a framework for understanding the development of IPV. It then provides relevant empirical findings from the Oregon Youth Study–Couples Study. We also discuss clinical implications of the findings from our work.

Military service provides many opportunities but also may result in experiences that are highly stressful to Service members or military veterans and their families. This chapter explores the intersection of the common conditions of post-traumatic stress disorder, traumatic brain injury, substance misuse, and intimate partner violence (IPV). It discusses how these conditions impact intimacy and health and also compound elements of risk and danger within the couple relationship. Included are narratives from veterans and their wives or partners about how these conditions affect things such as taking medications and keeping medical appointments to feeling safe with each other. The importance of conducting screening and assessment for IPV perpetration and victimization and how IPV impacts these co-occurring conditions and vice versa, are also addressed. IPV impacts intimacy from the most basic aspect of feeling safe with each other, to talking about highly distressing traumatic experiences, to sharing physical closeness.

This chapter reviews (i) the different methods to measure bone mass, (ii) the growth and development of bone mass during childhood and adolescence, (iii) the effects of physical activity and exercise on physical fitness and bone health during youth, and (iv) the most effective exercise regimens to strengthen the bone.

‘Basic Concepts’ explains seven important physical concepts that are required to understand how a positive pressure ventilator system works: pressure, volume, flow, time, resistance, compliance, and time constant. A positive pressure ventilator system is a pneumatic device based on the operating principle of intermittent positive pressure ventilation (IPPV).

Aristotle’s conception of body at the heart of this study is the notion of a three‐dimensionally extended and continuous magnitude bounded by surfaces. This notion is distinct from the notion of a physical substance. Substances have bodies: they are extended, their parts are continuous with each other, and they have boundaries which demarcate them from their surroundings. It is argued that body has a pivotal role in Aristotle’s natural philosophy. A theory of bodies can be compared to Aristotle’s account of central concepts for natural science, such as motion, place, and time which are discussed in Physics III‐‐IV. The book argues that when Aristotle discusses the notion of body and related notions, he has primarily physical, as opposed to mathematical, bodies in mind. The physicist studies body insofar as it is the body of a physical substance, whereas the mathematician studies body as if it were separate. Although Aristotle never wrote a continuous treatment on bodies, it is possible to reconstruct a coherent and philosophically appealing theory of bodies. The second half of the book offers a systematic treatment of the concept of three‐dimensional magnitude and related notions such as boundary, extension, contact, and continuity. Both the structural features and the ontological status of body are discussed. In this sense, the second half of the book is a study in ancient mereotopology.

The Covid-19 pandemic is an ongoing disaster on a scale no one living can recall. Since the end of 2019, it is causing not only countless deaths and physical debility, but also extraordinary social disruption, changing every aspect of people’s working and social lives. As a consequence, in the wake of the virus has come a second wave of psychiatric consequences, mostly prominently anxiety, depression, and posttraumatic stress. This flood of illness and distress will likely continue at least until an effective vaccine is found and distributed and, even then, will leave psychic scars. How best to treat the slew of psychiatric suffering from such tragedy or, indeed, from any ongoing disaster? Interpersonal psychotherapy (IPT) is an evidence-based, time-limited, affect- and life event–focused psychotherapy, repeatedly tested in more than forty years of treatment research and shown to help patients with mood, anxiety, and trauma disorders. With adaptation to the particular current conditions, IPT appears an excellent fit for the strong feelings and symptoms arising from these horrific life events. his manual by Dr. John Markowitz, a leading IPT expert, equips therapists to treat the most common psychiatric consequences of the pandemic.

The role of family and community in integrative preventive medicine (IPM) is to leverage primary care as the chief means for disseminating and implementing a new integrative model of prevention. Thus IPM provides a shift from acute to chronic disease treatment and prevention with the goal of morbidity compression to extend the period of disease-free high-quality life. This shift results in a new focus for family and community medicine. Integrative preventive medicine realigns primary care with primary prevention, from reactive “sick” acute care to proactive preventive “health” care. It recreates “routine” physical exams as opportunities for primary prevention and patient health education. It empowers physicians to go beyond simply screening for secondary prevention and waiting for a disease to be diagnosed in favor of proactively engaging patients with an evidence-based lifestyle regimen to prevent the onset of disease and maintain optimal health for as long as possible.

This chapter builds a model in which labour market regulations influence labour productivity growth through labour markets. The model decomposes labour productivity growth into components attributable to (i) changes in efficiency; (ii) technological change; (iii) physical capital deepening; (iv) human capital accumulation; (v) labour market regulations changes. The empirical analysis Penn World Tables and Economic Freedom of the World data is performed for 1970–95 and 1995–2014. Findings can be summarized as follows. First, physical capital deepening is the major driving force behind productivity growth over the period. Labour market regulation changes having contributed next to nothing during 1970–95, become the second most important force of economic growth after 1995. Second, relatively rich nations benefit more from changes to labour market regulations than do relatively poor nations. Finally, contributions from labour market regulations changes to growth is stronger for countries with less liberalized labour markets.

Aimed at graduate students, researchers and academics in mathematics, engineering, oceanography, meteorology, and mechanics, this text provides a detailed introduction to the physical theory of rotating fluids, a significant part of geophysical fluid dynamics. The text is divided into four parts, with the first part providing the physical background of the geophysical models to be analyzed. Part two is devoted to a self contained proof of the existence of weak (or strong) solutions to the imcompressible Navier-Stokes equations. Part three deals with the rapidly rotating Navier-Stokes equations, first in the whole space, where dispersion effects are considered. The case where the domain has periodic boundary conditions is then analyzed, and finally rotating Navier-Stokes equations between two plates are studied, both in the case of periodic horizontal coordinated and those in R2. In Part IV, the stability of Ekman boundary layers and boundary layer effects in magnetohydrodynamics and quasigeostrophic equations are discussed. The boundary layers which appear near vertical walls are presented and formally linked with the classical Prandlt equations. Finally spherical layers are introduced, whose study is completely open.

Том 28 Трудов ФТИАН посвящен актуальным проблемам технологии микро- и наноэлектроники. Сборник включает в себя статьи, в которых представлены последние результаты сотрудников института по физике и моделированию процессов функционирования и технологии изготовления перспективных элементов современной микро- и наноэлектроники. Рассмотренные проблемы относятся, в частности, к разработке физических и математических моделей для эффективного исследования прочностной надежности многослойной наноэлектронной металлизации при больших плотностях тока, приводящих к сильной ионной электромиграции, анализа особенностей процессов, протекающих в нанотранзисторных структурах, а также возможностей совершенствования и оптимизации технологических процессов формирования наноструктурных элементов, в том числе и перспективных для создания полномасштабных твердотельных квантовых компьютеров. Для специалистов в области микро- и наноэлектроники, аспирантов и студентов старших курсов соответствующих специальностей. The next volume 28 of Proceedings of Valiev IPT of RAS (FTIAN) is devoted to urgent problems of micro- and nanoelectronics technology. The topics covered include the articles which present the last results ot the institute scientists on physics and modeling of the processes of operation and fabrication technology of element base for up-to-date or promising micro- and nanoelectronics are presented. In particular, the problems considered refer to development of physical and mathematical models necessary for effective research of the strength reliability of manylayer nanoelectronic interconnections at high current densities leading to the strong ion electromigration, for analyzing the peculiarities of the processes taking place in nanotransistor structures, as well as possibilities for development and optimization of the technological processes of fabrication of nanostructural elements, including ones that are promising for creation of a fullscale solid-state quantum computer. For specialists in the field of micro- and nanoelectronics and undergraduate and postgraduate students of the appropriate disciplines.

The topics discussed are all related to basic fluid mechanics. In these introductory notes I highlight some of the main features of fluid flows and their mathematical characterization. There is much physical intuition encapsulated in the differential equations, and one of our goals is to gain more experience (i) understanding the governing equations and various related principles of kinematics, (ii) developing intuition with approximating the equations, (iii) applying the principles to a wide range of problems, which includes (iv) being able to rationalize scaling laws and quantitative trends, often without having a detailed solution in hand. Where possible we provide examples of the ideas with ‘soft interfaces’ in mind.

The chapter includes the background gastrointestinal (GI) physiology and pathophysiology commonly seen in critical care, including the immune functions of the gut. Acute gastrointestinal bleeding, the acute abdomen, liver failure and dysfunction, liver support systems and transplantation, and the management of acute pancreatitis are covered. Physical examination techniques, diagnostic information, and history are reviewed. The rationale for the importance of nutritional support in critical care, the techniques and complications of enteral feeding tube placement , the types of parenteral intravenous (IV) access, including peripherally inserted central catheter (PICC) lines, and the monitoring of delivery of enteral and parenteral nutrition are detailed. The complications associated with enteral tube placement and management and parenteral intravenous access and management are also included.

Skeletal muscle is not only essential for human movement and performance, but is unfortunately also a common site for acute injuries related to physical activity and sports. The influence of exercise on skeletal muscle represents a wide range all the way from (i) physiological adaptation with regard to metabolism, morphology, and contractile properties, through (ii) physiological development of muscle hypertrophy, to (iii) pathological/physiological responses to heavy unaccustomed exercise with associated delayed onset of muscle soreness, and ending with (iv) muscle injury caused by either strain or contusion (and seldom laceration) trauma. In the present chapter we will focus on the muscle responses to acute stimuli that cause muscle injury of minor or larger magnitude, and the ensuing recovery....

Courting Sanctity traces the shifting relationship between holy women and the French royal court across the long thirteenth century. It argues that during the reign of Louis IX (r. 1226-70) holy women were central to the rise of the Capetian self-presentation as uniquely favored by God, that such women’s influence was questioned and reshaped under Philip III (r. 1270-85), and that would-be holy women were increasingly assumed to pose physical, spiritual, and political threats by the death of Philip IV (r. 1285-1314). Six holy women lie at the heart of the analysis. The saintly reputations of Isabelle of France and Douceline of Digne helped to crystalize the Capetians’ claims of divine favor by 1260. In the 1270s, the French court faced a crisis that centered on the testimony of Elizabeth of Spalbeek, a visionary holy woman from the Low Countries. After 1300, the arrests of Paupertas of Metz, Margueronne of Bellevillette, and Marguerite Porete formed key links in the chain of attacks launched by Philip IV against supposed spiritual dangers threatening the most Christian kingdom of France.

This Handbook traces the history of physics, bringing together chapters on major advances in the field from the seventeenth century to the present day. It is organized into four sections, following a broadly chronological structure. Part I explores the place of reason, mathematics, and experiment in the age of what we know as the scientific revolution of the seventeenth century. The contributions of Galileo, René Descartes, and Isaac Newton are central to this section, as is the multiplicity of paths to the common goal of understanding. Some of these paths reflected the turn to Thomas Kuhn’s category of ‘Baconian’ sciences — newer, more empirical investigations focused on heat, electricity, magnetism, optics, and chemistry. Part II looks at the ‘long’ eighteenth century — a period that covers developments relating to the physics of imponderable fluids, mechanics, electricity, and magnetism. Part III is broadly concerned with the nineteenth century and covers topics ranging from optics and thermal physics to thermodynamics, electromagnetism and field physics, electrodynamics, the evolution of the instrument-making industry between 1850 and 1930, and the applications of physics in medicine and metrology. Part IV takes us into the age of ‘modern physics’ and considers canonical landmarks such as the discovery of the photoelectric effect in 1887, Max Planck’s work on the quanta of radiation, Albert Einstein’s special theory of relativity of 1905, and the elaboration of the various facets of quantum physics between 1900 and 1930.

This study aims to present the plurality of the teacher’s perception, which emerges from the actions taken to minimize the difficulties that come up in remote education. Its relevance is found in the actions and reactions of those involved, and make up possibilities for generating public policies that motivate and foster quality education. The following research question guided this work: What lessons could be learned by those involved in their teaching practice after schools reopen? An exploratory research was carried out, by choosing the methodological approach of qualitative research. Data collection was performed using an online questionnaire, directed to teachers who worked in the classroom and started working in remote education. Sharing knowledge is complex and demands a variety of actions, interventions, processes that, however sophisticated the technology used, it certainly does not allow to develop all the strategies that the teacher uses in the classroom. Technologies help with physical distance. But we believe the exchange that happens naturally between teacher and student, and between student and student, exists only when everyone is in the same physical environment, under the same physical and human conditions, especially in basic education. The lessons learned: (i) improve our training or post-training with the introduction of disciplines related to digital and technological means; (ii) understand that remote education is a possibility to be applied in our teaching practice; (iii) include viable teaching, learning and assessment alternatives in the Political Pedagogical Project; (iv) at parent-teacher conferences or class meetings, seek to collect all possible observations, both positive and negative. We need to considerate new routes, minimize the questions that arise during practice, in order to adapt to the new technological strategies of the art of teaching.

Chronic kidney disease (CKD) is a prevalent medical condition posing a range of unique physical and self-management demands for patients and presenting a variety of patient management challenges for clinicians. Co-morbid depression and other psychiatric disorders represent a significant detriment to the quality of life and clinical outcomes of CKD patients. Evidence suggests that 12% to 40% of individuals in the later stages of CKD meet DSM (III, IV, or IV-TR) diagnostic criteria for a mood disorder. Moreover, the existence of comorbid depression has been associated with earlier patient mortality. Depression assessment is itself complicated by the physiologic and medical treatment status of the patient, and depression is believed to be both underdiagnosed and undertreated in this population. Rigorous empirical demonstrations of the safety and/or efficacy of both pharmacologic and nonpharmacologic treatments for depression are limited for this population. However, a number of important factors that should be considered in treating depression in kidney disease patients have been identified. This chapter summarizes these and other key clinical recommendations relevant to the evaluation and treatment of co-morbidity of depression in this population.

Beside reduction in tidal volume limiting peak airway pressure minimizes the risk for ventilator-associated-lung-injury in patients with acute respiratory distress syndrome. Pressure-controlled, time-cycled ventilation (PCV) enables the physician to keep airway pressures under strict limits by presetting inspiratory and expiratory pressures, and cycle times. PCV results in a square-waved airway pressure and a decelerating inspiratory gas flow holding the alveoli inflated for the preset time. Preset pressures and cycle times, and respiratory system mechanics affect alveolar and intrinsic positive end-expiratory (PEEPi) pressures, tidal volume, total minute, and alveolar ventilation. When compared with flow-controlled, time-cycled (‘volume-controlled’) ventilation, PCV results in reduced peak airway pressures, but higher mean airway. Homogeneity of regional peak alveolar pressure distribution within the lung is improved. However, no consistent data exist, showing PCV to improve patient outcome. During inverse ratio ventilation (IRV) elongation of inspiratory time increases mean airway pressure and enables full lung inflation, whereas shortening expiratory time causes incomplete lung emptying and increased PEEPi. Both mechanisms increase mean alveolar and transpulmonary pressures, and may thereby improve lung recruitment and gas exchange. However, when compared with conventional mechanical ventilation using an increased external PEEP to reach the same magnitude of total PEEP as that produced intrinsically by IRV, IRV has no advantage. Airway pressure release ventilation (APRV) provides a PCV-like squared pressure pattern by time-cycled switches between two continuous positive airway pressure levels, while allowing unrestricted spontaneous breathing in any ventilatory phase. Maintaining spontaneous breathing with APRV is associated with recruitment and improved ventilation of dependent lung areas, improved ventilation-perfusion matching, cardiac output, oxygenation, and oxygen delivery, whereas need for sedation, vasopressors, and inotropic agents and duration of ventilator support decreases.

Chapter 11 provides an organized approach to diagnosis and to the initial treatment plan, focusing on substance use disorders. The elements of pharmacological and behavioral approaches to treatment, including the management of withdrawal, are addressed separately (Sections III and IV). It begins with directions on initiation of the patient relationship, with the object of eliciting cooperation. The sources of information that should be interrogated are listed, including the history, screening tools, physical examination, laboratory studies, and collateral information (e.g., the prescription drug monitoring program or PDMP). A discussion of diagnosis includes the principles underlying the ICD-10 and the DSM-5. The process of enlisting the patient in a treatment agreement and in the formulation of a collaborative treatment plan is described; the practical elements of patient education in medication accountability and dosing are included. The chapter concludes with a treatment planning checklist to facilitate orderly transition to the treatment itself.

Cultural genocide broadly refers to ‘the extermination of a culture that does not involve physical extermination of its people’. This chapter examines how, from a criminal law concept, cultural genocide has moved to a concept aimed at protecting cultural diversity. This chapter in Section II will first examine how and why the crime was rejected under international criminal law. Based on this analysis, it will then examine how human rights law, which was meant to address the issue of cultural protection of minorities, has in fact left this area of the law undeveloped. Section III will then assess to what extent the notion of cultural genocide can act as an important tool for conflict prevention when minorities’ cultural assets are under attack. Finally, Section IV will explore how the indigenous peoples’ rights movement has renewed the idea that prohibiting cultural genocide constitutes an essential elements of human rights law.

The textbook contains information: on the general characteristics and technical requirements for plastic oils; about the composition of plastic oils; about the basic physical and chemical, operational, ecological properties of plastic lubricants and methods of their definition. Considerable attention is paid to the classification, range and labeling of lubricants. The basic technological schemes of production of plastic lubricants are considered. Attention is also paid to the safety and protection of the environment during the production and use of plastic lubricants. The considered textbook plays an important role in the formation of professional knowledge in students of 161 specialties "Chemical Technology and Engineering" and students of higher technical educational institutions of III-IV levels of accreditation of related fields of knowledge. It can be useful for oil and gas professionals and engineers involved in the operation of machinery and the use of fuel, lubricants and technical fluids.

This chapter reviews contemporary approaches to teaching and assessing communication skills at the medical school level, explicating considerations for effective communication in the context of oncology and primary care. Primary approaches for training involve small-group teaching with either role play or interviews with simulated patients. The SEGUE Framework for Teaching and Assessing Communication Skills is a widely used conceptual framework that is flexible enough for diverse situations, yet sufficiently specific to afford practical guidance. Several aspects of communication in oncology and palliative care make communication particularly challenging and important: (i) physician role; (ii) illness severity; (iii) interdisciplinary teams; (iv) dying and death; (v) family involvement. Accordingly, this context presents predicaments requiring advanced communication skills, which augment the basic skills needed to accomplish tasks outlined in the SEGUE Framework. These include addressing: (i) bad news; (ii) prognosis/uncertainty; (iii) goals of care/palliative care; (iv) conflict management; (v) family meetings; (vi) teamwork.

The influence of religion and spirituality (R/S) on surgeons dates back to the early history of modern surgery and continues into the 21st century. Research topics include intercessory prayer (IP), social cohesion, coping strategies, the role of chaplains and other clergy or faith leaders, and communal activities such as worship. While evidence for benefits of practices such as IP are inconclusive, patients involved in R/S activities or who hold R/S beliefs appear to have improved coping skills and quality of life (QOL). Although R/S has proven value for patients and surgeons, lack of R/S training is a barrier to surgeon involvement in addressing R/S issues such as operative procedures, treatment plans, organ donation, and end-of-life (EOL) situations. Increased training at the undergraduate, graduate, and post-graduate medical levels concerning R/S would provide surgeons and physician colleagues with skills and greater comfort in discussing these issues with patients and families. .

Once the internal evolution of Spinoza's thought has been analyzed, the objective is then to focus on the definition of affect in its psychophysical dimension. Chapter IV is entirely devoted to a detailed examination of and a commentary on the definition of affect in Part III of the Ethics. It highlights the following two main issues: - The problem of the two definitions – The nature of the affects according to Definition III Spinoza provides two definitions of affects, first at the beginning and then at the end of Part III of the Ethics, that seem contradictory. After showing in Definition III that affects cannot be reduced to passions, in the final general definition he equates them only with the passions of the soul. Once this apparent contradiction is resolved, it becomes possible to produce a complete analysis of the nature of affect by examining: 1)The difference between affects and affections 2) The nature of the body’s power of acting 3) The physical aspect of affects 4) The mental aspect of affects and the meaning of the adverb simul in Definition III 5) The four types of affects

This volume explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. The book comprises six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues, Section IV discusses death and dying among various vulnerable populations such as the elderly and persons with disabilities, and Section V deals with physician-assisted suicide and active euthanasia (lethal injection). Finally, Section VI looks at hospice and palliative care as a way to address the psychosocial and ethical problems of death and dying.

Depression is amorphous. It defies easy generalization and eludes medical and legal categories. Is it part of the self or its predator? Can sufferers be held responsible for their actions? Law has traditionally not dealt well with these complexities. Drawing upon a wide range of themes and expertise, this volume looks at depression from four viewpoints: that of the sufferer, the clinician, the ethicist, and the lawyer. Topics include the cultural history of depression, demography, aetiology, epidemiology and diagnosis, the autonomy debate, criminal responsibility, public health law, depression in the workplace, depression in children, adolescents and the physically ill and dying, and assisted suicide. First-hand accounts from sufferers are followed by contributions from clinicians who say what depression is, outline the demography and the therapeutic options, and indicate the legal and ethical problems that trouble them the most. Parts III and IV explore legal and ethical questions in depth.

The Oxford Handbook of Free Will provides a guide to current scholarship on the perennial problem of free will—perhaps the most hotly and voluminously debated of all philosophical problems. While reference is made throughout to the contributions of major thinkers of the past, the emphasis is on recent research. The articles combine the work of established scholars with younger thinkers who are beginning to make significant contributions. The book is divided into eight parts: Part I (Theology and Fatalism), Part II (Physics, Determinism, and Indeterminism), Part III (The Modal or Consequence Argument for Incompatibilism). Part IV (Compatibilist Perspectives on Freedom and Responsibility), Part V (Moral Responsibility, Alternative Possibilities, and Frankfurt-Style), Part VI (Libertarian Perspectives on Free Agency and Free Will), Part VII (Nonstandard Views: Successor Views to Hard Determinism and Others), and Part VIII (Neuroscience and Free Will). Taken as a whole, the book provides a roadmap to the state of the art thinking on this enduring topic.

God and the Gothic undertakes a complete reimagining of the Gothic literary canon to examine its engagement with theological ideas, tracing its origins to the apocalyptic critique of the Reformation female martyrs, and to the Dissolution of the Monasteries, now seen as usurpation of power by the authorities. A double gesture of repudiation and regret is evident in the consequent search for political, aesthetic, and religious mediation, which characterizes the aftermath of the Glorious Revolution and Whig Providential discourse. Part I interprets eighteenth-century Gothic novels in terms of this Whig debate about the true heir, culminating in Ann Radcliffe’s melancholic theology which uses distance and loss to enable a new mediation. Part II traces the origins of the doppelgänger in Calvinist anthropology and establishes that its employment by a range of Scottish writers offers a productive mode of subjectivity, necessary in a culture equally concerned with historical continuity. In Part III, Irish Gothic is shown to be seeking ways to mediate between Catholic and Protestant identities through models of sacrifice and ecumenism, while in Part IV, nineteenth-century Gothic is read as increasingly theological, responding to materialism by a project of re-enchantment. Ghost-story writers assert the metaphysical priority of the supernatural to establish the material world. Arthur Machen and other Order of the Golden Dawn members explore the double and other Gothic tropes as modes of mystical ascent, while raising the physical to the spiritual through magical control, and the M. R. James circle restores the sacramental and psychical efficacy of objects.

In the standard view, A acts paternalistically toward B if and only if: (i) A restricts B’s liberty, (ii) A acts against B’s will, (iii) A acts for B’s own good. For example, the state may tax or prohibit smoking in the interest of citizens’ health in circumstances in which such measures are resisted by them or some of them. Telling counterexamples have been produced to each of these conditions. In the revised view, A acts paternalistically toward B if and only if: (i) A acts so as to influence B by the use of means other than rational persuasion; (ii) A does not regard B’s will as structurally decisive (i.e., A takes the prevention of voluntary self-regarding harm to constitute a reason for influencing B); (iii) A does so for B’s good or to affect matters within B’s legitimate sphere of control; (iv) A’s act cannot be justified without counting its beneficial effects on B in its favor. The wrongness of paternalism lies in the way in which a paternalistic act by A toward B infringes B’s autonomy: A does not consider B’s will authoritative in determining how A should treat B in B’s self-regarding matters―A subjects B’s will to his in this sense. Hard paternalism as thus understood should be distinguished from soft paternalism or anti-paternalism. According to the latter, the prevention of voluntary self-regarding harm is never a good reason for interference. The latter is justifiable only to prevent involuntary self-regarding harm―harm pertaining to acts that are not his or do not represent his values or preferences. Hard paternalism may, pace what soft paternalism or anti-paternalism claims, sometimes be justifiable. This is particularly so when the voluntary self-regarding harm involved is significant and the infringement of liberty required to prevent it limited or acceptable given the harm at stake. The question of when a good or an advantage is profound and when an infringement of liberty is limited is, however, difficult and worthy of further investigation. Paternalistic justifications should be distinguished from other liberty-limiting principles. That is, they should, first, be distinguished from moral paternalism focusing on improving the person’s moral character and hence his moral well-being or on making the person better (as opposed to the improvement of the person’s physical and psychological condition focused on by ordinary or welfare paternalism). Second, it should be distinguished from legal moralism concerned with barring conduct that is intrinsically morally bad (that is, bad for reasons independent of how it affects people’s character or their physical or psychological condition).

This book was designed concerning the struggle of students on finding an updated bibliographic source with scientific terms and clearly focused on the study of biomaterials in dentistry and engineering. The present work is a state of art of fundamentals and scientific data reported in literature regarding the study and application of dental biomaterials and techniques used in experimental in vitro research. The book brings critical questions on the subject and research protocols for study of materials taking into consideration education, research, and clinical applications. The present book involves the following issues divided into chapters: i) properties of materiais; ii) thermal analysis methods for the characterization and processing of materials; iii) mechanical assays; iv) chemical analysis; v) surface analysis; vi) analysis by microscopy; vii) biocompatibility of materials. The participation of professors of dentistry, physics, biology, materials engineering, and biomedical engineering in this work promotes the desired interface between the fields of medicine and engineering. Students, professionals, and professors in Brazil, Portugal and Africa (Portuguese-speaking countries) can gather benefits from this book after the stablishment of the orthographic agreement and the matching of scientific terms.

This handbook explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. In this period, technology has radically changed medical practices and the way we die as structures of power have been reshaped by the rights claims of African Americans, women, gays, students, and, most relevant here, patients. Respecting patients’ values has been recognized as the essential moral component of clinical decision making. Technology’s promise has been seen to have a dark side: it prolongs the dying process. For the first time in history, human beings have the ability to control the timing of death. With this ability comes a responsibility that is awesome and inescapable. How we understand and manage this responsibility is the theme of this volume. The book has six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues. Section IV discusses death and dying among various vulnerable populations, such as the elderly and persons with disabilities. Section V deals with physician-assisted suicide and active euthanasia (lethal injection). Finally, Section VI looks at hospice and palliative care as ways to address the psychosocial and ethical problems of death and dying.

The Barents Sea is a region of the Arctic Ocean named after one of its first known explorers (1594–1597), Willem Barentsz from the Netherlands, although there are accounts of earlier explorations: the Norwegian seafarer Ottar rounded the northern tip of Europe and explored the Barents and White Seas between 870 and 890 ce, a journey followed by a number of Norsemen; Pomors hunted seals and walruses in the region; and Novgorodian merchants engaged in the fur trade. These seafarers were probably the first to accumulate knowledge about the nature of sea ice in the Barents region; however, scientific expeditions and the exploration of the climate of the region had to wait until the invention and employment of scientific instruments such as the thermometer and barometer. Most of the early exploration involved mapping the land and the sea ice and making geographical observations. There were also many unsuccessful attempts to use the Northeast Passage to reach the Bering Strait. The first scientific expeditions involved F. P. Litke (1821±1824), P. K. Pakhtusov (1834±1835), A. K. Tsivol’ka (1837±1839), and Henrik Mohn (1876–1878), who recorded oceanographic, ice, and meteorological conditions.The scientific study of the Barents region and its climate has been spearheaded by a number of campaigns. There were four generations of the International Polar Year (IPY): 1882–1883, 1932–1933, 1957–1958, and 2007–2008. A British polar campaign was launched in July 1945 with Antarctic operations administered by the Colonial Office, renamed as the Falkland Islands Dependencies Survey (FIDS); it included a scientific bureau by 1950. It was rebranded as the British Antarctic Survey (BAS) in 1962 (British Antarctic Survey History leaflet). While BAS had its initial emphasis on the Antarctic, it has also been involved in science projects in the Barents region. The most dedicated mission to the Arctic and the Barents region has been the Arctic Monitoring and Assessment Programme (AMAP), which has commissioned a series of reports on the Arctic climate: the Arctic Climate Impact Assessment (ACIA) report, the Snow Water Ice and Permafrost in the Arctic (SWIPA) report, and the Adaptive Actions in a Changing Arctic (AACA) report.The climate of the Barents Sea is strongly influenced by the warm waters from the Norwegian current bringing heat from the subtropical North Atlantic. The region is 10°C–15°C warmer than the average temperature on the same latitude, and a large part of the Barents Sea is open water even in winter. It is roughly bounded by the Svalbard archipelago, northern Fennoscandia, the Kanin Peninsula, Kolguyev Island, Novaya Zemlya, and Franz Josef Land, and is a shallow ocean basin which constrains physical processes such as currents and convection. To the west, the Greenland Sea forms a buffer region with some of the strongest temperature gradients on earth between Iceland and Greenland. The combination of a strong temperature gradient and westerlies influences air pressure, wind patterns, and storm tracks. The strong temperature contrast between sea ice and open water in the northern part sets the stage for polar lows, as well as heat and moisture exchange between ocean and atmosphere. Glaciers on the Arctic islands generate icebergs, which may drift in the Barents Sea subject to wind and ocean currents.The land encircling the Barents Sea includes regions with permafrost and tundra. Precipitation comes mainly from synoptic storms and weather fronts; it falls as snow in the winter and rain in the summer. The land area is snow-covered in winter, and rivers in the region drain the rainwater and meltwater into the Barents Sea. Pronounced natural variations in the seasonal weather statistics can be linked to variations in the polar jet stream and Rossby waves, which result in a clustering of storm activity, blocking high-pressure systems. The Barents region is subject to rapid climate change due to a “polar amplification,” and observations from Svalbard suggest that the past warming trend ranks among the strongest recorded on earth. The regional change is reinforced by a number of feedback effects, such as receding sea-ice cover and influx of mild moist air from the south.

The study is funded by Doha International Family Institute (DIFI), a member of Qatar Foundation, and is a collaboration between the Muslim Resource Centre for Social Support and Integration of London, Ontario; University of Guelph, Ontario; and University of Calgary, Alberta, all located in Canada; and the Doha International Family Institute, Qatar. The study received research ethics approval from the University of Guelph and the University of Calgary. This study aims to assess the impact of pre- and post-migration on marital relationships and family dynamics for Arab refugee families resettled in Canada. The study also examines the role of professional service providers in supporting these Arab refugee families. The unique experiences of Arab families displaced from their countries due to war and political conflict, and the various hardships experienced during their stay in transit countries, impact their family relations and interactions within the nuclear family context and their interconnectedness with their extended families. Furthermore, these families encounter various challenges within their resettlement process that interrupt their integration. Understanding the impact of traumatic experiences within the pre-migration journey as well as the impact of post-migration stressors on recently settled Arab refugee families in Canada provides insight into the shift in spousal and family relationships. Refugee research studies that focus on the impact of pre-migration trauma and displacement, the migration journey, and post-migration settlement on family relationships are scarce. Since the majority of global refugees in recent years come from Arab regions, mainly Syria, as a result of armed conflicts, this study is focused on the unique experiences of Arab refugee families fleeing conflict zones. The Canadian role in recently resettling a large influx of Arab refugees and assisting them to successfully integrate has not been without challenges. Traumatic pre-migration experiences as a result of being subjected to and/or witnessing violence, separation from and loss of family members, and loss of property and social status coupled with experiences of hardships in transit countries have a profound impact on families and their integration. Refugees are subjected to individual and collective traumatic experiences associated with cultural or ethnic disconnection, mental health struggles, and discrimination and racism. These experiences have been shown to impact family interactions. Arab refugee families have different definitions of “family” and “home” from Eurocentric conceptualizations which are grounded in individualistic worldviews. The discrepancy between collectivism and individualism is mainly recognized by collectivist newcomers as challenges in the areas of gender norms, expectations regarding parenting and the physical discipline of children, and diverse aspects of the family’s daily life. For this study, we interviewed 30 adults, all Arab refugees (14 Syrian and 16 Iraqi – 17 males, 13 females) residing in London, Ontario, Canada for a period of time ranging from six months to seven years. The study participants were married couples with and without children. During the semi-structured interviews, the participants were asked to reflect on their family life during pre-migration – in the country of origin before and during the war and in the transit country – and post-migration in Canada. The inter - views were conducted in Arabic, audio-recorded, and transcribed. We also conducted one focus group with seven service providers from diverse sectors in London, Ontario who work with Arab refugee families. The study used the underlying principles of constructivist grounded theory methodology to guide interviewing and a thematic analysis was performed. MAXQDA software was used to facilitate coding and the identification of key themes within the transcribed interviews. We also conducted a thematic analysis of the focus group transcription. The thematic analysis of the individual interviews identified four key themes: • Gender role changes influence spousal relationships; • Traumatic experiences bring suffering and resilience to family well-being; • Levels of marital conflict are higher following post-migration settlement; • Post-migration experiences challenge family values. The outcome of the thematic analysis of the service provider focus group identified three key themes: • The complex needs of newly arrived Arab refugee families; • Gaps in the services available to Arab refugee families; • Key aspects of training for cultural competencies. The key themes from the individual interviews demonstrate: (i) the dramatic sociocul - tural changes associated with migration that particularly emphasize different gender norms; (ii) the impact of trauma and the refugee experience itself on family relation - ships and personal well-being; (iii) the unique and complex aspects of the family journey; and (iv) how valued aspects of cultural and religious values and traditions are linked in complex ways for these Arab refugee families. These outcomes are consist - ent with previous studies. The study finds that women were strongly involved in supporting their spouses in every aspect of family life and tried to maintain their spouses’ tolerance towards stressors. The struggles of husbands to fulfill their roles as the providers and protec - tors throughout the migratory journey were evident. Some parents experienced role shifts that they understood to be due to the unstable conditions in which they were living but these changes were considered to be temporary. Despite the diversity of refugee family experiences, they shared some commonalities in how they experi - enced changes that were frightening for families, as well as some that enhanced safety and stability. These latter changes related to safety were welcomed by these fami - lies. Some of these families reported that they sought professional help, while others dealt with changes by becoming more distant in their marital relationship. The risk of violence increased as the result of trauma, integration stressors, and escalation in marital issues. These outcomes illustrate the importance of taking into consideration the complexity of the integration process in light of post-trauma and post-migration changes and the timespan each family needs to adjust and integrate. Moreover, these families expressed hope for a better future for their children and stated that they were willing to accept change for the sake of their children as well. At the same time, these parents voiced the significance of preserving their cultural and religious values and beliefs. The service providers identified gaps in service provision to refugee families in some key areas. These included the unpreparedness of professionals and insufficiency of the resources available for newcomer families from all levels of government. This was particularly relevant in the context of meeting the needs of the large influx of Syrian refugees who were resettled in Canada within the period of November 2015 to January 2017. Furthermore, language skills and addressing trauma needs were found to require more than one year to address. The service providers identified that a longer time span of government assistance for these families was necessary. In terms of training, the service providers pinpointed the value of learning more about culturally appropriate interventions and receiving professional development to enhance their work with refugee families. In light of these findings, we recommend an increased use of culturally integrative interventions and programs to provide both formal and informal support for families within their communities. Furthermore, future research that examines the impact of culturally-based training, cultural brokers, and various culturally integrative practices will contribute to understanding best practices. These findings with regard to refugee family relationships and experiences are exploratory in their nature and support future research that extends understanding in the area of spousal relationships, inter - generational stressors during adolescence, and parenting/gender role changes.