scholarly journals CONSTRUCTING A SELF BETWEEN IMAGE AND TEXT: READING BECHDEL’S FUN HOME

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Zainab Younus
Keyword(s):  
Life Experience ◽  
Visual Representation ◽  
Public Life ◽  
Real Life ◽  
Construction Of Meaning ◽  
Text Reading ◽  
The Impact ◽  
The Relationship ◽  
Graphic Memoirs

Graphic memoirs offer a visual representation of the relationship between a moment and the construction of memory. McCloud describes the work of the comic author and the reader as a dance between “the seen and the unseen”. This is what makes the medium of graphic memoirs unique, as it “gives so much to its audience while asking so much from them as well” (1993, p. 92). My aim in this paper is to ascertain the impact using graphic conventions has on the effective and affective construction of meaning and identity in Alison Bechdel’s Fun Home: A Family Tragicomic (2006) and howr The Gutter becomes even more significant in graphic memoirs, because the use of panels can fracture the flow of the narrative into the sequenced segments which alternate with the blank spaces of the gutters. These blank spaces represent an effort to redefine the “connections between memory and history, private experience and public life” via a written account and the “act of witness” represented by a combination of the visual and the verbal (Cvetkovich, 2008, 111-20). Using this mix of image and text, Bechdel creates an almost palimpsestic effect as a majority of panels show items layered over other images, indicating a blending between the narrative of Bechdel’s real life experience and the representation of that life experience in the text. For the reader, this can imply a way to address the gaps in knowledge not only for them but also for Bechdel herself.

scholarly journals P664 The impact of vedolizumab on extra-intestinal manifestations in inflammatory bowel disease patients: A real-life experience of a single-centre cohort

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S546-S547
Author(s):  
M TRUYENS ◽  
J Geldof ◽  
G Dewitte ◽  
E Glorieus ◽  
G Varkas ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Disease Activity ◽  
Bowel Disease ◽  
Life Experience ◽  
Real Life ◽  
Intestinal Disease ◽  
Single Centre ◽  
Clinical Evolution ◽  
Inflammatory Bowel ◽  
The Impact

Abstract Background Vedolizumab (VDZ), a gut-specific anti-integrin, is approved as a treatment for moderate to severe Crohn’s disease (CD) and ulcerative colitis (UC). Extra-intestinal manifestations (EIMs) are frequently associated with inflammatory bowel disease (IBD). However, the effect of VDZ on EIMs remains unknown. The aim of the current study was to describe the prevalence of EIMs in IBD patients at VDZ initiation, the evolution during continued treatment as well as the occurrence of new EIMs. Methods A single-centre study was performed in IBD patients who were started on VDZ between May 2010 and February 2019. Retrospectively, the physician-reported EIMs and intestinal disease activity (clinical and endoscopic) were assessed at baseline, 6 months and 1 year after the start of VDZ. Results The cohort consisted of 134 patients, including 77 CD patients, 56 UC patients and 1 patient with unclassified IBD. At VDZ initiation EIMs were assessed in 127 patients and 17.3% had ≥ 1 EIM: 9 hepatic EIMs (2 patients with toxic hepatitis, 2 with autoimmune hepatitis and 5 with PSC), 7 arthropathies (6 patients with axial spondyloarthropathy and 1 with peripheral arthritis), 3 non-further specified axial or peripheral arthralgias and 3 cutaneous EIMs (urticaria, psoriasis and erythema nodosum). Clinical evolution of the EIMs is reported in Table 1, assessment of intestinal disease activity in Table 2. During follow-up, 23 new EIMs were seen, mainly arthralgia, which was often transient. VDZ was stopped in 39/130 (30%) patients due to active intestinal disease in 32 patients, patients’ choice (n = 1) or because of deep disease remission (n = 1). In five patients, VDZ was stopped because of insufficient control of EIM. Conclusion A good clinical intestinal response was observed. However, the clinical evolution of EIMs appears unaffected by the use of VDZ in our cohort. Prospective data are needed to confirm these results.

Once upon a time…. Storytelling to Enhance Teaching and Learning

2007 ◽  
Vol 68 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Daphne Lordly
Keyword(s):  
Learning Environment ◽  
Teaching And Learning ◽  
Life Experience ◽  
Real Life ◽  
Ways Of Knowing ◽  
Professional Students ◽  
External Focus ◽  
Teaching And Learning Environment ◽  
Survey Responses ◽  
The Impact

Purpose: The impact of storytelling in the classroom was examined, as was what motivates individuals to engage in storytelling. Methods: A storytelling methodology was introduced in an undergraduate nutrition course as an opportunity to enhance the teaching and learning environment. A 28-item, multi-part, self-administered survey was then distributed to the class (n=17). Results: Survey responses (n=15, 88% response) indicate that educators’ and students’ storytelling can positively influence the learning environment. This occurs through the creation of a greater focus on personalized information, glimpses of real-life experience, a connection with a topic as participants recognize similarities in their own personal experience and knowledge, and connections between different topics and through the emphasis on key concepts. Stories initiate useful conversations about unexplored struggles within practice, such as the emotional dimension(s) of an issue or what it means to be professional. Students are motivated to participate in storytelling through an external focus on others (i.e., helping others to learn) and an internal focus on self (i.e., seeking a connection with others to promote social dialogue). Several challenges related to the use of storytelling in the classroom emerged. Conclusions: Storytelling develops ways of knowing and dialoguing about issues, which has the potential to influence how students will approach their professional practice.

scholarly journals The pandemic threatens the Registered Reports system as well as human lives

2020 ◽  
Author(s):  
Kyoshiro Sasaki ◽  
Yuki Yamada
Keyword(s):  
Statistical Analysis ◽  
Experimental Design ◽  
Data Collection ◽  
Sample Size ◽  
Life Experience ◽  
Real Life ◽  
Research Practices ◽  
Questionable Research Practices ◽  
System P ◽  
The Impact

A Registered Reports system is key to preventing questionable research practices. Under this system, manuscripts, including their detailed protocols (i.e., hypothesis, experimental design, sample size, and methods of statistical analysis), are reviewed prior to data collection. If a protocol manuscript is accepted, publication of the full manuscript including the results and discussion is guaranteed in principle regardless of whether the collected data support the registered hypothesis. However, this assurance of publication might be broken under the impact of the COVID-19 pandemic. The present paper reports the first author’s real-life experience related to the collapse of the assurance of publication in the Registered Reports system and discusses the disbenefits of this collapse. Furthermore, we propose the implementation of a journal section specific to protocol manuscripts as a solution to the crisis of the Registered Reports system.

scholarly journals Understanding the Impact of Bipolar Disorder Experience from an Insiders' Perspective

2020 ◽  
pp. 1-5
Author(s):  
Sophie Favre ◽  
Hélène Richard-Lepouriel ◽  
Sophie Favre
Keyword(s):  
Bipolar Disorder ◽  
Clinical Practice ◽  
Lived Experience ◽  
Life Experience ◽  
Single Case ◽  
Real Life ◽  
Future Research ◽  
Type I ◽  
Key Informant ◽  
The Impact

Introduction: Bipolar disorder is characterized by recurrent episodes of depression and hypomania and is often associated with functional impairment even between mood episodes. A substantial proportion of patients experience inter-episode mood swings, making bipolar disorder a complex psychiatric disorder to manage. Patients’ perspectives can enhance clinical practice and research. The present study aimed to explore the impact of the bipolar disorder experience from a patient’s perspective to facilitate better understanding in clinical practice and future research. Method: We conducted a single case study with a key informant living with bipolar disorder (type I) for more than 20 years. The key informant constructed a chart of his mood disorder experiences. Subsequently, he commented on the chart and these comments were noted down by his therapist. Results: We present a chart of lived experience perception by a person living with bipolar disorder. The main axis was reality perception and it was related with mood, identity, and functioning. The comments on the chart provided a detailed and accurate description of a lived experience of functioning of bipolar disorder and its impact on a person’s life. Discussion: Globally, the experiences described by the key informant are consistent with previous literature. The principal finding was the meaning of the subjective experiences of reality perception, their relation with mood change, and impact on the person’s life. The perception of reality seems to be a key factor in the experience of bipolar mood swings. Not only did the disorder affect the self and the functioning, but at its extreme, reality “either did not matter or did not exist.” This feeling enhanced the sense of being disconnected from the world and the surroundings and led to the experience of extreme loneliness. Conclusion: The description in this study cannot be generalized, since it was conducted with only one subject. However, it provided a better insight into the detailed real-life experience that can be useful for clinicians treating persons living with bipolar disorder. Such descriptions obtained from a qualitative procedure can also be combined with quantitative data in patients' assessments and research. This study suggests that the experience of “disconnection” should be investigated further.

scholarly journals The Impact of Clinical Features on Efficacy and Safety of the Combination of Ramucirumab and Paclitaxel for Metastatic Gastro-Oesophageal Junction/ Gastric Cancer: Data of a Real Life Experience in an Italian Institution

2018 ◽  
Author(s):  
Emanuele Vita ◽  
Antonia Strippoli ◽  
Vincenzo Di Noia ◽  
Carmela Di Dio ◽  
Valeria Zurlo ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Life Experience ◽  
Real Life ◽  
Progression Free Survival ◽  
Phase Iii ◽  
Vegf Receptor ◽  
Efficacy And Safety ◽  
Her2 Positive ◽  
Cancer Data ◽  
The Impact

The RAINBOW Phase III study established the efficacy of the combination of paclitaxel and ramucirumab, a monoclonal antibody targeting VEGF receptor-2 (VEGF-R2), as second-line therapy. We retrospectively analyzed the data of patients treated with ramucirumab plus paclitaxel at our Institution to evaluate the impact of clinical heterogeneous figures on the efficacy and safety of this combination paclitaxel/ramucirumab in a real- life cohort of patients. After a median follow-up of 10.74 months, the median progression-free survival (PFS) was 5.8 months (95% CI: 3.04 - 5,63). Disease control rate (DCR) was 61% and the median duration of response (DOR) was 5.8 months. Median overall survival (OS) was 8.3 months. A trend toward better outcome was observed in HER2 positive patients. In multivariate analysis, nutritional status (p = 0.0001) and number of metastatic sites (p = 0.0266) resulted significantly related with longer PFS. Our analysis confirmed the efficacy and safety of the combination of ramucirumab with paclitaxel also in the real-life practice and the median PFS is significantly longer than that reported for Western population in previous studies. Subgroup analysis confirms the key-role of nutritional status as prognostic factor and suggests a possible interaction between EGF and angiogenesis pathways that deserves further investigations.

scholarly journals An Exploratory Survey ofDeqiSensation from the Views and Experiences of Chinese Patients and Acupuncturists

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Hong-Wen Yuan ◽  
Liang-Xiao Ma ◽  
Peng Zhang ◽  
Chi Lin ◽  
Dan-Dan Qi ◽  
...  
Keyword(s):  
Evaluation Method ◽  
Life Experience ◽  
Real Life ◽  
Measuring Method ◽  
Chinese Patients ◽  
Future Studies ◽  
Exploratory Survey ◽  
Tcm Theory ◽  
Acupuncture Effects ◽  
The Relationship

Deqisensation is believed to be important in clinical efficacy according to TCM theory. The measuring method ofDeqisensation has significant implications for the result of research trials. This study makes an investigation on acupuncture-experienced patients and expert acupuncturists in China and aims to find out the patient’s needling sensations and acupuncturist’s sensations which can be acceptable as descriptors ofDeqisensation, so as to provide foundation for more systematic and sensitive quantitative evaluation method ofDeqisensation. Results of this survey indicated that theDeqisensation noted by both patient and acupuncturist is equally important to the treatment efficacy. It is found that there are some differences between the patients’ real-life experience and the acupuncturists’ expectations on patients’Deqisensation. The “dull pain,” “aching,” “sore,” “numb,” “distended,” “heavy,” “electric,” “throbbing,” “warmness,” “coolness,” “spreading,” and “radiating” can be considered as the main manifestations ofDeqisensations. The acupuncturists believed thatDeqisensations were mainly “pulling,” “tight,” and “throbbing.” We suggest developing a questionnaire measuring theDeqisensations which includes both the sensations of the patient and acupuncturist, and this would be very important and necessary for a better understanding of the relationship betweenDeqisensation and acupuncture effects in future studies.

scholarly journals MODEL PEMBELAJARAN PENANAMAN NILAI-NILAI PANCASILA PADA PELAJARAN KEWARGANEGARAAN MELALUI PENDEKATAN CONTECTUAL TEACHING AND LEARNING

Nuansa ◽  
2017 ◽  
Vol 10 (2) ◽  
Author(s):  
Irwan Satria
Keyword(s):  
Civic Education ◽  
Teaching And Learning ◽  
Life Experience ◽  
Learning Experience ◽  
Real Life ◽  
Contextual Learning ◽  
Life Itself ◽  
Main Thing ◽  
Relationship Of ◽  
The Relationship

Contextual learning, enabling the learner to be active, evolves according to its potential. In the learning pro- cess, the main thing  is to link all these aspects. To relate it can be done in various ways, such as material that is studied directly related to the factual  conditions associated with real life experience. CTL approach is the relationship of matter or topic  with real life. So in the contextual learning is how to have  the learning experience owned by students always associated with actual problems that  occur  in the  environment. Thus learning in civic education based on Pancasila values  through contextual learning emphasizes the introduction, love and  application of Pancasila values  to learners. Learners are led to adaptation to the values of Pancasila so that it becomes a prophetic man, a human that is useful both for life itself and society, nation and states.

Safeguarding the future

2015 ◽  
Vol 55 (2) ◽  
pp. 436
Author(s):  
Shaughn Morgan
Keyword(s):  
Agricultural Sector ◽  
Agricultural Land ◽  
Real Life ◽  
Successful Outcome ◽  
Community Groups ◽  
Engagement Strategies ◽  
Petroleum Companies ◽  
The Government ◽  
The Impact ◽  
The Relationship

The present climate of coal seam gas (CSG) production in east coast Australia illustrates the importance of consultation and engagement with the government and stakeholders. This extends particularly to agricultural and community groups, and the impact they have on government policy decisions and in some instances, knee-jerk reactions based on emotion rather than science. Farmers are (and have been) strong environmental managers who want to ensure that the protection of prime agricultural land is safeguarded for future generations—however, so do petroleum companies and working side-by-side for a successful outcome is achievable. For instance, AGL Energy has invested in the agricultural sector from vineyards to growing cattle, allowing the company to engage in the sector directly. On the ground early engagement strategies increasingly need to be implemented with agriculture, which reassures the government and provides a win-win outcome by diffusing anti-groups and community divisions by bringing opportunities for sustainable economic benefit. One of the critical questions is how can this be done successfully without it being seen by the government and community as corporate spin. Particular reference will be made to NSW and the relationship that AGL Energy has built with agriculture organisations, such as Dairy Connect NSW and community groups such as Advance Gloucester. This extended abstract will illustrate that the opportunities for growth for CSG, agriculture and the community are only limited by narrow views of what is achievable and what is drawn from real-life experiences from AGL Energy operations in NSW.

Defense Expenditure and Economic Performance in SAARC Countries

2018 ◽  
pp. 46-58
Author(s):  
Sudhansu Sekhar Mahapatra ◽  
Madhabendra Sinha ◽  
Anjan Ray Chaudhury ◽  
Abhijit Dutta ◽  
Partha Pratim Sengupta
Keyword(s):  
Economic Growth ◽  
Economic Performance ◽  
Public Life ◽  
Defense Spending ◽  
Internal Security ◽  
External Threats ◽  
Defense Expenditure ◽  
External Relationships ◽  
The Impact ◽  
The Relationship

Governments in most of the nations aim to fulfil their requirements and protect themselves with the necessities of public life from the external threats, and also try to separate a significant portion for defense-related spending from the budget. But the impact of defense expenditures on economic growth is not apparent. It deserves an empirical investigation to explore the external effect of defense spending on the economic performance of the country. The authors choose six SAARC countries, namely Afghanistan, Bangladesh, India, Nepal, Pakistan, and Sri Lanka, where defense-related issues regarding internal security as well as external relationships with neighbor countries are the most significant to examine the relationship between defense expenditures and economic performance measured by GDP growth. The method of GMM estimation is applied in a dynamic panel structure of selected countries over the period 1970-2016. Empirical findings show that, besides some possible factors, defense spending has a positive and significant impact on economic growth in SAARC member nations.

The Impact of an ISSP on Public Service Delivery in the Digital Era

2019 ◽  
pp. 342-362
Keyword(s):  
Human Resources ◽  
Public Administration ◽  
Corporate Strategy ◽  
Real Life ◽  
Legal Aspects ◽  
Corporate Strategies ◽  
Digital Era ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

This chapter analyses the recommendations made in previous chapters, particularly those related to defining the ICT strategies of governments. The purpose of this analysis is to identify the management disciplines that come into play when defining an ISSP. Ten management disciplines were identified: corporate strategy, public administration processes and reform activities, human resources, operations, technology, customer relations, legal aspects, data utilisation, security, and managing of projects. These management themes are considered critical for the formulation of the ISSP. This chapter also analyses the relationship of the ISSP with the identified management disciplines and shows why defining an ISSP is a complex undertaking. Throughout the chapter, real-life examples are provided to illustrate the various points. The chapter discusses the impact of an ISSP on governments and public administration organisations in supporting corporate strategies and creating economic growth. The chapter posits that the ISSP document is as good as the futuristic vision of the nation's leaders.

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