Journal articles on the topic 'Beckner type systems'

Background. The standard of care for patients with operable gastric and gastro-oesophageal junction (GOJ) tumours involves neoadjuvant chemotherapy. This improves survival and reduces risk of tumour recurrence following surgery. The various grading criteria published to assess histological response to neoadjuvant treatments have never been compared in terms of their reproducibility and ability to predict survival. Methods. A study was carried out of 66 patients with gastric and GOJ (types II and III) adenocarcinoma treated with neoadjuvant chemotherapy according to the MAGIC protocol. Histology slides were reviewed independently by two histopathologists using three published grading systems (Mandard, Japanese, and Becker). Histological, demographic, and survival data were collected. The kappa statistic was used to assess interobserver reproducibility. Results. Three (5%) patients had a complete pathological response. There was reasonable interobserver agreement for the grading systems: κ-scores = 0.44 (Mandard), 0.28 (Japanese), and 0.51 (Becker). Only Mandard and Becker scores provided prognostic information: 5-year overall survival rates of 100% for complete or near complete responders versus 35% for nonresponders () for both. Positive lymph nodes () and resection margins () were associated with poor survival. Conclusion. Becker’s score is most reproducible for the evaluation of histological response. Furthermore, lymph node and resection margins status provides prognostic information.

Neuromuscular diseases (NMDs) belong to a class of functional impairments that cause dysfunctions of the motor neuron-muscle functional axis components. Inherited monogenic neuromuscular disorders encompass both muscular dystrophies and motor neuron diseases. Understanding of their causative genetic defects and pathological genetic mechanisms has led to the unprecedented clinical translation of genetic therapies. Challenged by a broad range of gene defect types, researchers have developed different approaches to tackle mutations by hijacking the cellular gene expression machinery to minimize the mutational damage and produce the functional target proteins. Such manipulations may be directed to any point of the gene expression axis, such as classical gene augmentation, modulating premature termination codon ribosomal bypass, splicing modification of pre-mRNA, etc. With the soar of the CRISPR-based gene editing systems, researchers now gravitate toward genome surgery in tackling NMDs by directly correcting the mutational defects at the genome level and expanding the scope of targetable NMDs. In this article, we will review the current development of gene therapy and focus on NMDs that are available in published reports, including Duchenne Muscular Dystrophy (DMD), Becker muscular dystrophy (BMD), X-linked myotubular myopathy (XLMTM), Spinal Muscular Atrophy (SMA), and Limb-girdle muscular dystrophy Type 2C (LGMD2C).

The aim of this study was to investigate the relationship between Performance of Upper Limb (PUL) and Jebsen–Taylor Test (JTT) to assess and monitor upper limb function progression in patients with muscular dystrophy. Thirty patients diagnosed with Duchenne muscular dystrophy, limb-girdle muscular dystrophy, Becker muscular dystrophy, myotonic dystrophy Type 1, and fascioscapulohumeral dystrophy were submitted to the shoulder, elbow, and wrist domains of PUL, and to JTT subtests. Spearman tests investigated the relationships between PUL and JTT total scores and domains. Correlations were classified as strong ( r ≥ 0.70), moderate (0.40 ≤ r < 0.70), or weak ( r ≤ 0.40). There were strong correlations between the PUL and JTT total scores ( r = −0.706). Although JTT measures time and PUL provides kinesiologic scores, these measures were related. Therefore, muscle synergies, which control the compensatory movements and motor functions involving mainly shoulder, elbow, wrist, and finger movements, are related to timed performance in patients with muscular dystrophies.

It is very easy to use a Planck distribution to show that a color index is a temperature parameter, but it is more difficult to calibrate such a color index in terms of temperature because only a few Teff values are determined. A pioneering work is that of Kuiper (1938), who derived a temperature scale according to spectral type (from A0 to M2 for dwarfs and from G0 to M8 for giants) and a Becker index. The first study giving a relation between Teff and a photoelectric color index is that of Popper (1959) in which the author derives a relation between Teff and B-V for the A and F stars and for G8 to K5 (dwarf and giant) stars. On this occasion, Popper shows the relation between temperature parameters of two photometric systems, R-I from the six-color system of Stebbins and Whitford, and B-V. This work was followed by a quantity of others from numerous authors in various systems, one of the most important being that of Johnson (1966). The purpose of the present study is not to review all the relations to be found in the literature but to define a set of stars which can be used to determine a calibration of a photometric parameter in terms of Teff.

While historical cultural materials inform users of the past, they may also contain language that perpetuates long-entrenched patterns of discrimination. In organizing and providing access to such materials, cultural heritage institutions must negotiate historical language and context with the comprehension and perspectives of modern audiences. Excerpted from a larger project exploring representation and access around historical terminology and personal identity, the present work offers insight into how knowl­edge organization systems may be used to help modern users confront and make sense of past, discriminatory language in the archive. Using keywords drawn from the titles of 19th and 20th sideshow performer photographs, this work details the construction of a mapping dictionary that brings together corresponding terminology from several vocabulary sources along with annotations designed to explain historical terms to modern audiences. The development of this dictionary revealed several major types of problematic and potentially discriminatory language including historical euphemisms, misnomers, outdated terms, and sensationalist monikers. The finished dictionary offers opportunities to address these through explanatory annotations and to provide a richer, multi-perspective approach to subject analysis for these and other historical materials.

Modern intensive farming led to a significant increase in agricultural production. In all countries, pure (single-species) crops dominate, causing many problems in agriculture. Single-species agro-systems are highly productive, but potentially unstable, since they depend entirely on significant resources from outside. There are several ways of diversifying agroecosystems. One of the most promising areas is the introduction into practice of combined crops. The paper has studied and analyzed various technologies for sowing seeds from several crops simultaneously on the same area in a single row. The paper has studied and analyzed various technologies for sowing seeds from several crops simultaneously on the same area in a single row. The characteristics of pneumatic seed drills of dotted sowing working both on vacuum and overpressure of air flow are given. The first include the designs of seeders of domestic production in the type of SUPN-8, in which significant changes are made, to the second - the seeders of the German company «Becker», in which the above changes completely exclude the possibility of damage to the seeds. A pneumatic sowing device is presented that allows sowing three crops at the same time as placing them at different depths of sowing, as well as a device capable of sowing in three ways: dotted, nested and combined. Developed pneumatic sowing machines for combined and nesting crops allow to simplify the design and increase the operational reliability of the device, improve the ecology, obtain fuel economy, eliminate seed damage. Seeders equipped with automated pneumatic systems are able to increase the yield of silage by 20-30 %, improve the quality of feed for livestock and save crop areas by cultivating several crops on the same field. The design of the device allows you to place seeds of different cultures in one row and at different depths of embedding. The novelty in this work is the simultaneous sowing of two crops simultaneously in one row at different depths of the embankment with different schemes and step-by-sowing, confirmed by patents for the invention.

The structure and spectroscopic properties of polycyclic aromatic ligands of 2,3,6,7,10,11-hexakis (alkylthio) triphenylene (alkyl: methyl, ethyl, and isopropyl; corresponding to the abbreviations of the molecules: HMTT, HETT and HiPTT) were studied using density functional theory (DFT) and time dependent density functional theory (TD-DFT) methods with triple-zeta valence polarization (TZVP) basis set. It was shown that the type of functional theory used, Becke-Perdew (BP) and Leeuwen-Baerends (LB94) implemented in Amsterdam Density functional (ADF) program package, does not have essential influence on the geometry of studied compounds in both ground and excited states. However, significant differences were obtained for the band gap values with relativistic effects of the zero order regular approximation scalar corrections (ZORA) and LB94 functional seems to reproduce better the experimental optical band gap of these systems.

Electronic structures of ternary alloys of group III (Al, Ga, In) and rare earth (Sc, Y, Lu) nitrides were investigated from first principles. The general gradient approximation (GGA) was employed in predictions of structural parameters, whereas electronic properties of the alloys were studied with the modified Becke–Johnson GGA approach. The evolution of structural parameters in the materials reveals a strong tendency to flattening of the wurtzite type atomic layers. The introduction of rare earth (RE) ions into Al- and In-based nitrides leads to narrowing and widening of a band gap, respectively. Al-based materials doped with Y and Lu may also exhibit a strong band gap bowing. The increase of a band gap was obtained for Ga1−xScxN alloys. Relatively small modifications of electronic structure related to a RE ion content are expected in Ga1−xYxN and Ga1−xLuxN systems. The findings presented in this work may encourage further experimental investigations of electronic structures of mixed group III and RE nitride materials because, except for Sc-doped GaN and AlN systems, these novel semiconductors were not obtained up to now.

Arbuscular mycorrhizal fungi (AMF) are ubiquitous underground symbiotic associations between most plants and fungi from the phylum Glomeromycota. From this symbiosis plants generally improve their capacity to obtain less mobile soil nutrients (like phosphorus) and increase resistance against biotic and abiotic stresses. Concomitantly the fungus has access to host carbon photosynthates. As obligate symbionts these fungi require always a host to survive, hence dual cultures is an obligatory laboratory requisite to maintain and multiply live Glomeromycota fungi. These cultures are mainly of three sorts: 1) Open pot cultures, 2) in vitro cultures with Ti DNA transformed root systems, 3) and in vitro cultures with L. cruciata, presented here. The internal mycelium of AMF usually assumes one or both of the morph-types named Arum (first described on Arum maculatum) and Paris (observed in Paris quadrifolia). The Paris-type morphology is characterized by hyphae with an intra-cellular growth, from cell-to-cell, forming coils and arbusculate coils. The Arum-type shows mainly intercellular hyphae growth, longitudinally between cells, with the arbuscules mounting upright on short intra-cellular branches.This study presents the first comparative morphologic characterization of 4 species of AMF grown in vitro with Lunularia cruciata (L.) Dumortier ex. Lindberg. Glomus clarum Nicol. & Schenck (CNPAB 005), G. intraradices Schenck & Smith (MUCL 43204), G. proliferum Dalpé & Declerck (MUCL 41827); and Gigaspora margarita Becker & Hall (CNPAB 001) internal hyphae share the same morph-type of L. cruciata colonization: the Paris-type. Stable and viable monoxenic cultures of AMF with L. cruciata were first presented by Fonseca and co-workers in 2006 for G. intraradices and G. proliferum on Petri dish (Fig. 1.1). In this work we bring two more species (G. clarum and Gi. margarita) cultured in vitro with L. cruciata, on bi-layer medium in flask containers (Fig. 1.2). The production of spores occurred mainly, among the rhizoids, between overlapping thallus and over the thallus (Fig. 1.3). Only the Glomus species produced spores within the medium.L. cruciata belongs to a group of complex thalloid liverworts with an internally differentiated anatomy: an upper epidermis forming air chambers where the chlorophyllous cells are located, a conspicuous vacuolated parenchyma, and the lower epidermis with its scales and rhizoids (Fig. 1.4). All four species show highly similar architecture of colonization with most fungi distributed in the thallus’ midrib parenchyma, and with internal mycelium architecture compatible with the Paris-type colonization (Figures 1.5 to 1.8). Although consistent the occurrence of Paris-type colonization among these four species, more species needed to be examined before a generalization can be given. The availability of AMF isolates for research at international fungi collections and laboratories is limited, and from these axenic isolates for in vitro culture are very few, which hinders the prove of the hypotheses that Paris-type colonization is the main pattern of hyphae colonization in L. cruciata mycothallus.

Theories of life span development describe human growth and change over the life cycle (Robbins, Chatterjee, & Canda, 2006). Major types of developmental theories include biological, psychodynamic, behavioral, and social learning, cognitive, moral, and spiritual, and those influenced by systems, empowerment, and conflict theory. Life span development theories commonly focus on ontogenesis and sequential mastery of skills, tasks, and abilities. Social work scholars have pointed out that a limitation of life span and other developmental theory is lack of attention to resilience (Greene, 2007; Robbins et al., 1998). The concept of resilience was developed to “describe relative resistance to psychosocial risk experiences” (Rutter, 1999b, p. 119). Longitudinal studies focused on typical and atypical child development informed theory formulation in developmental psychopathology (Garmezy & Rutter, 1983; Luthar, Cichetti,& Becker, 2000) and in an evolving resilience model (Richardson, 2002; Werner & Smith, 1992). Research on resilience has found a positive relationship between a number of individual traits and contextual variables and resistance to a variety of risk factors among children and adolescents. More recently, resilience research has examined the operation of these same factors in the young adult, middle-age, and elder life stages. This article examines the historical and conceptual progression of the two developmental theories—life span and resiliency—and discusses their application to social work practice and education in human behavior in the social environment.

Background: Tuberculosis (TB) is recognized as an important health risk for health workers, however, the absence of occupational health surveillance has created knowledge gaps regarding occupational infection rates and contributing factors. This study aimed to determine the rates and contributing factors of active TB cases in laboratory healthcare employees at the National Health Laboratory Service (NHLS) in South Africa, as identified from an occupational surveillance system. Methods: TB cases were reported on the Occupational Health and Safety Information System (OHASIS), which recorded data on occupation type and activities and factors leading to confirmed TB. Data collected from 2012 to 2019 were used to calculate and compare TB risks within NHLS occupational groups. Results: During the study period, there were 92 cases of TB identified in the OHASIS database. General workers, rather than skilled and unskilled laboratory workers and medical staff, had the highest incidence rate (422 per 100,000 person-years). OHASIS data revealed subgroups that seemed to be well protected, while pointing to exposure situations that beckoned policy development, as well as identified subgroups of workers for whom better training is warranted. Conclusions: Functional occupational health surveillance systems can identify subgroups most at risk as well as areas of programme success and areas where increased support is needed, helping to target and monitor policy and procedure modification and training needs.

Asymmetric protein-arginine dimethylation is a major post-translational modification (PTM) catalyzed by protein-arginine methyltransferase (PRMT). Regular proteolysis releases asymmetric dimethylarginine (ADMA). Of the daily produced ADMA, about 10% are excreted unchanged in the urine. The remaining 90% are hydrolyzed by dimethylarginine dimethylaminohydrolase (DDAH) to L-citrulline and dimethylamine (DMA), which is readily excreted in the urine. The PRMT/DDAH pathway is almost the exclusive origin of urinary ADMA and the major source of urinary DMA. Dietary fish and seafood represent additional abundant sources of urinary DMA. The present article provides an overview of urinary ADMA and DMA reported thus far in epidemiological, clinical and pharmacological studies, in connection with the L-arginine/nitric oxide (NO) pathway and beyond, in neonates, children and adolescents, young and elderly subjects, males and females. Discussed diseases mainly include those relating to the renal and cardiovascular systems such as peripheral arterial occlusive disease, coronary artery disease, chronic kidney disease, rheumatoid arthritis, Becker muscular disease, Duchenne muscular disease (DMD), attention deficit hyperactivity disorder (ADHD), and type I diabetes. Under standardized conditions involving the abstinence of DMA-rich fresh and canned fish and seafood, urinary DMA and ADMA are useful as measures of whole-body asymmetric arginine-dimethylation in health and disease. The creatinine-corrected excretion rates of DMA range from 10 to 80 µmol/mmol in adults and up to 400 µmol/mmol in children and adolescents. The creatinine-corrected excretion rates of ADMA are on average 10 times lower. In general, diseases are associated with higher urinary DMA and ADMA excretion rates, and pharmacological treatment, such as with steroids and creatine (in DMD), decreases their excretion rates, which may be accompanied by a decreased urinary excretion of nitrate, the major metabolite of NO. In healthy subjects and in rheumatoid arthritis patients, the urinary excretion rate of DMA correlates positively with the excretion rate of dihydroxyphenylglycol (DHPG), the major urinary catecholamines metabolite, suggesting a potential interplay in the PRMT/DDAH/NO pathway.

<p><strong>Objective: </strong>The aim of the study is to explore the effects of solvent polarity on solvation free energy, dipole moment, polarizability, first order hyperpolarizability and different molecular properties like chemical hardness and softness, chemical potential, electronegativity, electrophilicity index of aspirin which may lead to better understand the reactivity and stability of aspirin in different solvent systems.</p><p><strong>Methods: </strong>Becke, 3-parameter, Lee-Yang-Parr (B3LYP) level of theory with 6-31G(d,p) basis set was employed to conduct all type of calculations for both in the gas phase and in solution. The solvation free energy, dipole moment and molecular properties were calculated by applying the Solvation Model on Density (SMD) in four solvent systems namely water, methanol, ethanol and <em>n</em>-octanol.</p><p><strong>Results: </strong>The solvation energies steadily increased as the dielectric constant was decreased i.e. free energy increases with decreasing polarity of the solvent. The dipole moment of aspirin was found to be increased when going from non-polar to polar solvents. The dipole moment of aspirin was higher in different solvents than that of the gas phase. The polarizability and first order hyperpolarizability were also increased with the increasing dielectric constant of the solvent. Moreover, ongoing from non-polar to polar solvent the chemical potential, electronegativity and electrophilicity index were increased except in <em>n</em>-octanol. The chemical potential, electronegativity and electrophilicity index of aspirin in <em>n</em>-octanol was higher than that of ethanol. On the other hand, chemical hardness was increased with decreasing polarity of the solvent and the inverse relation was found in the case of softness.</p><p><strong>Conclusion: </strong>The calculated solvation free energy, dipole moment, polarizability, first order hyperpolarizability and molecular properties found in this study may lead to the understanding of stability and reactivity of aspirin in different solvent systems.</p>

Summary Naturally fractured reservoirs contain a significant amount of the world oil reserves. A number of these reservoirs contain several billion barrels of oil. Accurate and efficient reservoir simulation of naturally fractured reservoirs is one of the most important, challenging, and computationally intensive problems in reservoir engineering. Parallel reservoir simulators developed for naturally fractured reservoirs can effectively address the computational problem. A new accurate parallel simulator for large-scale naturally fractured reservoirs, capable of modeling fluid flow in both rock matrix and fractures, has been developed. The simulator is a parallel, 3D, fully implicit, equation-of-state compositional model that solves very large, sparse linear systems arising from discretization of the governing partial differential equations. A generalized dual-porosity model, the multiple-interacting-continua (MINC), has been implemented in this simulator. The matrix blocks are discretized into subgrids in both horizontal and vertical directions to offer a more accurate transient flow description in matrix blocks. We believe this implementation has led to a unique and powerful reservoir simulator that can be used by small and large oil producers to help them in the design and prediction of complex gas and waterflooding processes on their desktops or a cluster of computers. Some features of this simulator, such as modeling both gas and water processes and the ability of 2D matrix subgridding are not available in any commercial simulator to the best of our knowledge. The code was developed on a cluster of processors, which has proven to be a very efficient and convenient resource for developing parallel programs. The results were successfully verified against analytical solutions and commercial simulators (ECLIPSE and GEM). Excellent results were achieved for a variety of reservoir case studies. Applications of this model for several IOR processes (including gas and water injection) are demonstrated. Results from using the simulator on a cluster of processors are also presented. Excellent speedup ratios were obtained. Introduction The dual-porosity model is one of the most widely used conceptual models for simulating naturally fractured reservoirs. In the dual-porosity model, two types of porosity are present in a rock volume: fracture and matrix. Matrix blocks are surrounded by fractures and the system is visualized as a set of stacked volumes, representing matrix blocks separated by fractures (Fig. 1). There is no communication between matrix blocks in this model, and the fracture network is continuous. Matrix blocks do communicate with the fractures that surround them. A mass balance for each of the media yields two continuity equations that are connected by matrix-fracture transfer functions which characterize fluid flow between matrix blocks and fractures. The performance of dual-porosity simulators is largely determined by the accuracy of this transfer function. The dual-porosity continuum approach was first proposed by Barenblatt et al. (1960) for a single-phase system. Later, Warren and Root (1963) used this approach to develop a pressure-transient analysis method for naturally fractured reservoirs. Kazemi et al. (1976) extended the Warren and Root method to multiphase flow using a 2D, two-phase, black-oil formulation. The two equations were then linked by means of a matrix-fracture transfer function. Since the publication of Kazemi et al. (1976), the dual-porosity approach has been widely used in the industry to develop field-scale reservoir simulation models for naturally fractured reservoir performance (Thomas et al. 1983; Gilman and Kazemi 1983; Dean and Lo 1988; Beckner et al. 1988; Rossen and Shen 1989). In simulating a fractured reservoir, we are faced with the fact that matrix blocks may contain well over 90% of the total oil reserve. The primary problem of oil recovery from a fractured reservoir is essentially that of extracting oil from these matrix blocks. Therefore it is crucial to understand the mechanisms that take place in matrix blocks and to simulate these processes within their container as accurately as possible. Discretizing the matrix blocks into subgrids or subdomains is a very good solution to accurately take into account transient and spatially nonlinear flow behavior in the matrix blocks. The resulting finite-difference equations are solved along with the fracture equations to calculate matrix-fracture transfer flow. The way that matrix blocks are discretized varies in the proposed models, but the objective is to accurately model pressure and saturation gradients in the matrix blocks (Saidi 1975; Gilman and Kazemi 1983; Gilman 1986; Pruess and Narasimhan 1985; Wu and Pruess 1988; Chen et al. 1987; Douglas et al. 1989; Beckner et al. 1991; Aldejain 1999).

Patients both male and female with diagnosis of Acute Coronary Syndrome (ACS) present with chest pain as presenting complaint. Lichtman JH et al. in his study with ACS showed that 93% of women presented with chest pain or discomfort.1 As compared to men women experience more associated symptoms as primary complaint. The associated symptoms are fatigue, dyspnea, backache, flue like symptoms, indigestion, palpitations and most common is anxiety & feeling scarry.2 Keeping these scenarios in mind one should inquire this associated presentation along with chest pain or discomfort in evaluating ACS in women. In continuation with symptoms there is quite a debate on pathophysiology of Acute Myocardial infraction in men and women regarding coronary pathologic features.3 Type 1 plaque rupture most common in both genders with plaque erosion most common in women in non-obstructive coronary artery disease.4 Spontaneous coronary artery dissection (SCAD) having high mortality exists in the absence of risk factor of ACS.5 It was found in women up to 35% of patients with mean age of 42 to 53 years with a MACE (Major acute coronary event) of 47.4% and 10 years mortality rate of 7.7%2 SCAD seen in peripartum cases, oral contraception use, lack of exercise, connective tissue disorders and vasculidites. It is important for the physician to have in mind these disorders to avoid complications of coronary interventions. In a scientific statement from AHA, Mehte LS et al. showed a lower prevalence of atheroscrotic CAD in women.3 These are certain scoring system,6 that under present women because of vague symptoms and presentation. These scoring systems lead to decrease hospital admission and less noninvasive cardiac testing. For risk satisfaction of chest pain female gender should not be taken as sole criteria for presence or absence of coronary events in presence of other multiple factors. The last but not the least is the psychosocial stress more in women than in men. It has been found that young women who present with early onset myocardial infarction have more psychosocial risk factors in comparison to men of similar age,3 probably having high rates of poverty and trauma exposure during childhood because of various reasons.7 Different studies are endorsing relationship between depression and ischemic heart disease as prognostic factor after ACS.7 In our population where there is lack of education, poverty, awareness of disease especially in women the physician should ponder on different factors mentioned above i.e. presentation perceptions, prevalence, pathophysiology and psychosocial stress for evaluation and management of chest pain. References Lichtman JH, Leifheit-Limson EC, Watanabe E, Allen NB, Garavalia B, Garavalia LS, et al. Symptom recognition and healthcare experiences of young women with acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2015;8:S31-8. Vargas K, Messman A, Levy PD. Nuances in Evaluation of Chest Pain in women. JACC Case Rep. 2021;3(17):1793-7. Mehta LS, Beckie TM, DeVon HA, Grines CL, Krumholz HM, Johnson MN, et al. Acute myocardial infarction in women: a scientific statement from the American Heart Association. Circulation. 2016;133:916-47. Mukherjee D. Myocardial infarction with nonobstructive coronary arteries: a call for individualized treatment. J Am Heart 2019;8(14):e013361. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, et al. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018;137:e523-e557. Preciado SM, Sharp AL, Sun BC, Baecker A, Wu YL, Lee MS, et al. Evaluating sex disparities in the emergency department management of patients with suspected acute coronary syndrome. Ann Emerg 2021;77(4):416-24. Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Doering LV, Frasure-Smith N, et al. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014;129:1350-69.

We’ll have trouble now!The Archaeological Society of Jutland was founded on Sunday, 11 March 1951. As with most projects with which P.V Glob was involved, this did not pass off without drama. Museum people and amateur archaeologists in large numbers appeared at the Museum of Natural History in Aarhus, which had placed rooms at our disposal. The notable dentist Holger Friis, the uncrowned king of Hjørring, was present, as was Dr Balslev from Aidt, Mr and Mrs Overgaard from Holstebro Museum, and the temperamental leader of Aalborg Historical Museum, Peter Riismøller, with a number of his disciples. The staff of the newly-founded Prehistoric Museum functioned as the hosts, except that one of them was missing: the instigator of the whole enterprise, Mr Glob. As the time for the meeting approached, a cold sweat broke out on the foreheads of the people present. Finally, just one minute before the meeting was to start, he arrived and mounted the platform. Everything then went as expected. An executive committee was elected after some discussion, laws were passed, and then suddenly Glob vanished again, only to materialise later in the museum, where he confided to us that his family, which included four children, had been enlarged by a daughter.That’s how the society was founded, and there is not much to add about this. However, a few words concerning the background of the society and its place in a larger context may be appropriate. A small piece of museum history is about to be unfolded.The story begins at the National Museum in the years immediately after World War II, at a time when the German occupation and its incidents were still terribly fresh in everyone’s memory. Therkel Mathiassen was managing what was then called the First Department, which covered the prehistoric periods.Although not sparkling with humour, he was a reliable and benevolent person. Number two in the order of precedence was Hans Christian Broholm, a more colourful personality – awesome as he walked down the corridors, with his massive proportions and a voice that sounded like thunder when nothing seemed to be going his way, as quite often seemed to be the case. Glob, a relatively new museum keeper, was also quite loud at times – his hot-blooded artist’s nature manifested itself in peculiar ways, but his straight forward appearance made him popular with both the older and the younger generations. His somewhat younger colleague C.J. Becker was a scholar to his fingertips, and he sometimes acted as a welcome counterbalance to Glob. At the bottom of the hierarchy was the student group, to which I belonged. The older students handled various tasks, including periodic excavations. This was paid work, and although the salary was by no means princely, it did keep us alive. Student grants were non-existent at the time. Four of us made up a team: Olfert Voss, Mogens Ørsnes, Georg Kunwald and myself. Like young people in general, we were highly discontented with the way our profession was being run by its ”ruling” members, and we were full of ideas for improvement, some of which have later been – or are being – introduced.At the top of our wish list was a central register, of which Voss was the strongest advocate. During the well over one hundred years that archaeology had existed as a professional discipline, the number of artefacts had grown to enormous amounts. The picture was even worse if the collections of the provincial museums were taken into consideration. We imagined how it all could be registered in a card index and categorised according to groups to facilitate access to references in any particular situation. Electronic data processing was still unheard of in those days, but since the introduction of computers, such a comprehensive record has become more feasible.We were also sceptical of the excavation techniques used at the time – they were basically adequate, but they badly needed tightening up. As I mentioned before, we were often working in the field, and not just doing minor jobs but also more important tasks, so we had every opportunity to try out our ideas. Kunwald was the driving force in this respect, working with details, using sections – then a novelty – and proceeding as he did with a thoroughness that even his fellow students found a bit exaggerated at times, although we agreed with his principles. Therkel Mathiassen moaned that we youngsters were too expensive, but he put up with our excesses and so must have found us somewhat valuable. Very valuable indeed to everyon e was Ejnar Dyggve’s excavation of the Jelling mounds in the early 1940s. From a Danish point of view, it was way ahead of its time.Therkel Mathiassen justly complained about the economic situation of the National Museum. Following the German occupation, the country was impoverished and very little money was available for archaeological research: the total sum available for the year 1949 was 20,000 DKK, which corresponded to the annual income of a wealthy man, and was of course absolutely inadequate. Of course our small debating society wanted this sum to be increased, and for once we didn’t leave it at the theoretical level.Voss was lucky enough to know a member of the Folketing (parliament), and a party leader at that. He was brought into the picture, and between us we came up with a plan. An article was written – ”Preserve your heritage” (a quotation from Johannes V. Jensen’s Denmark Song) – which was sent to the newspaper Information. It was published, and with a little help on our part the rest of the media, including radio, picked up the story.We informed our superiors only at the last minute, when everything was arranged. They were taken by surprise but played their parts well, as expected, and everything went according to plan. The result was a considerable increase in excavation funds the following year.It should be added that our reform plans included the conduct of exhibitions. We found the traditional way of presenting the artefacts lined up in rows and series dull and outdated. However, we were not able to experiment within this field.Our visions expressed the natural collision with the established ways that comes with every new generation – almost as a law of nature, but most strongly when the time is ripe. And this was just after the war, when communication with foreign colleagues, having been discontinued for some years, was slowly picking up again. The Archaeological Society of Jutland was also a part of all this, so let us turn to what Hans Christian Andersen somewhat provocatively calls the ”main country”.Until 1949, only the University of Copenhagen provided a degree in prehistoric archaeology. However, in this year, the University of Aarhus founded a chair of archaeology, mainly at the instigation of the Lord Mayor, Svend Unmack Larsen, who was very in terested in archaeology. Glob applied for the position and obtained it, which encompassed responsibility for the old Aarhus Museum or, as it was to be renamed, the Prehistoric Museum (now Moesgaard Museum).These were landmark events to Glob – and to me, as it turned out. We had been working together for a number of years on the excavation of Galgebakken (”Callows Hill”) near Slots Bjergby, Glob as the excavation leader, and I as his assistant. He now offered me the job of museum curator at his new institution. This was somewhat surprising as I had not yet finished my education. The idea was that I was to finish my studies in remote Jutland – a plan that had to be given up rather quickly, though, for reasons which I will describe in the following. At the same time, Gunner Lange-Kornbak – also hand-picked from the National Museum – took up his office as a conservation officer.The three of us made up the permanent museum staff, quickly supplemented by Geoffrey Bibby, who turned out to be an invaluable colleague. He was English and had been stationed in the Faeroe Islands during the war, where he learned to speak Danish. After 1945 he worked for some years for an oil company in the Gulf of Persia, but after marrying Vibeke, he settled in her home town of Aarhus. As his academic background had involved prehistoric cultures he wanted to collaborate with the museum, which Glob readily permitted.This small initial flock governed by Glob was not permitted to indulge inidleness. Glob was a dynamic character, full of good and not so good ideas, but also possessing a good grasp of what was actually practicable. The boring but necessary daily work on the home front was not very interesting to him, so he willingly handed it over to others. He hardly noticed the lack of administrative machinery, a prerequisite for any scholarly museum. It was not easy to follow him on his flights of fancy and still build up the necessary support base. However, the fact that he in no way spared himself had an appeasing effect.Provincial museums at that time were of a mixed nature. A few had trained management, and the rest were run by interested locals. This was often excellently done, as in Esbjerg, where the master joiner Niels Thomsen and a staff of volunteers carried out excavations that were as good as professional investigations, and published them in well-written articles. Regrettably, there were also examples of the opposite. A museum curator in Jutland informed me that his predecessor had been an eager excavator but very rarely left any written documentation of his actions. The excavated items were left without labels in the museum store, often wrapped in newspapers. However, these gave a clue as to the time of unearthing, and with a bit of luck a look in the newspaper archive would then reveal where the excavation had taken place. Although somewhat exceptional, this is not the only such case.The Museum of Aarhus definitely belonged among the better ones in this respect. Founded in 1861, it was at first located at the then town hall, together with the local art collection. The rooms here soon became too cramped, and both collections were moved to a new building in the ”Mølleparken” park. There were skilful people here working as managers and assistants, such as Vilhelm Boye, who had received his archaeological training at the National Museum, and later the partners A. Reeh, a barrister, and G.V. Smith, a captain, who shared the honour of a number of skilfully performed excavations. Glob’s predecessor as curator was the librarian Ejler Haugsted, also a competent man of fine achievements. We did not, thus, take over a museum on its last legs. On the other hand, it did not meet the requirements of a modern scholarly museum. We were given the task of turning it into such a museum, as implied by the name change.The goal was to create a museum similar to the National Museum, but without the faults and shortcomings that that museum had developed over a period of time. In this respect our nightly conversations during our years in Copenhagen turned out to be useful, as our talk had focused on these imperfections and how to eradicate them.We now had the opportunity to put our theories into practice. We may not have succeeded in doing so, but two areas were essentially improved:The numerous independent numbering systems, which were familiar to us from the National Museum, were permeating archaeological excavation s not only in the field but also during later work at the museum. As far as possible this was boiled down to a single system, and a new type of report was born. (In this context, a ”report” is the paper following a field investigation, comprising drawings, photos etc. and describing the progress of the work and the observations made.) The instructions then followed by the National Museum staff regarding the conduct of excavations and report writing went back to a 19th-century protocol by the employee G.V. Blom. Although clear and rational – and a vast improvement at the time – this had become outdated. For instance, the excavation of a burial mound now involved not only the middle of the mound, containing the central grave and its surrounding artefacts, but the complete structure. A large number of details that no one had previously paid attention to thus had to be included in the report. It had become a comprehensive and time-consuming work to sum up the desultory notebook records in a clear and understandable description.The instructions resulting from the new approach determined a special records system that made it possible to transcribe the notebook almost directly into a report following the excavation. The transcription thus contained all the relevant information concerning the in vestigation, and included both relics and soil layers, the excavation method and practical matters, although in a random order. The report proper could then bereduced to a short account containing references to the numbers in the transcribed notebook, which gave more detailed information.As can be imagined, the work of reform was not a continuous process. On the contrary, it had to be done in our spare hours, which were few and far between with an employer like Glob. The assignments crowded in, and the large Jutland map that we had purchased was as studded with pins as a hedge hog’s spines. Each pin represented an inuninent survey, and many of these grew into small or large excavations. Glob himself had his lecture duties to perform, and although he by no means exaggerated his concern for the students, he rarely made it further than to the surveys. Bibby and I had to deal with the hard fieldwork. And the society, once it was established, did not make our lives any easier. Kuml demanded articles written at lightning speed. A perusal of my then diary has given me a vivid recollection of this hectic period, in which I had to make use of the evening and night hours, when the museum was quiet and I had a chance to collect my thoughts. Sometimes our faithful supporter, the Lord Mayor, popped in after an evening meeting. He was extremely interested in our problems, which were then solved according to our abilities over a cup of instant coffee.A large archaeological association already existed in Denmark. How ever, Glob found it necessary to establish another one which would be less oppressed by tradition. Det kongelige nordiske Oldsskriftselskab had been funded in 1825 and was still influenced by different peculiarities from back then. Membership was not open to everyone, as applications were subject to recommendation from two existing members and approval by a vote at one of the monthly lecture meetings. Most candidates were of course accepted, but unpopular persons were sometimes rejected. In addition, only men were admitted – women were banned – but after the war a proposal was brought forward to change this absurdity. It was rejected at first, so there was a considerable excitement at the January meeting in 1951, when the proposal was once again placed on the agenda. The poor lecturer (myself) did his best, although he was aware of the fact that just this once it was the present and not the past which was the focus of attention. The result of the voting was not very courteous as there were still many opponents, but the ladies were allowed in, even if they didn’t get the warmest welcome.In Glob’s society there were no such restrictions – everyone was welcome regardless of sex or age. If there was a model for the society, it was the younger and more progressive Norwegian Archaeological Society rather than the Danish one. The main purpose of both societies was to produce an annual publication, and from the start Glob’s Kuml had a closer resemblance to the Norwegian Viking than to the Danish Aarbøger for nordisk Oldkyndighed og Historie. The name of the publication caused careful consideration. For a long time I kept a slip of paper with different proposals, one of which was Kuml, which won after having been approved by the linguist Peter Skautrup.The name alone, however, was not enough, so now the task became to find so mething to fill Kuml with. To this end the finds came in handy, and as for those, Glob must have allied him self with the higher powers, since fortune smiled at him to a considerable extent. Just after entering upon his duties in Aarhus, an archaeological sensation landed at his feet. This happened in May 1950 when I was still living in the capital. A few of us had planned a trip to Aarhus, partly to look at the relics of th e past, and partly to visit our friend, the professor. He greeted us warmly and told us the exciting news that ten iron swords had been found during drainage work in the valley of lllerup Aadal north of the nearby town of Skanderborg. We took the news calmly as Glob rarely understated his affairs, but our scepticism was misplaced. When we visited the meadow the following day and carefully examined the dug-up soil, another sword appeared, as well as several spear and lance heads, and other iron artefacts. What the drainage trench diggers had found was nothing less than a place of sacrifice for war booty, like the four large finds from the 1800s. When I took up my post in Aarhus in September of that year I was granted responsibility for the lllerup excavation, which I worked on during the autumn and the following six summers. Some of my best memories are associated with this job – an interesting and happy time, with cheerful comradeship with a mixed bunch of helpers, who were mainly archaeology students. When we finished in 1956, it was not because the site had been fully investigated, but because the new owner of the bog plot had an aversion to archaeologists and their activities. Nineteen years later, in 1975, the work was resumed, this time under the leadership of Jørgen Ilkjær, and a large amount of weaponry was uncovered. The report from the find is presently being published.At short intervals, the year 1952 brought two finds of great importance: in Februar y the huge vessel from Braa near Horsens, and in April the Grauballe Man. The large Celtic bronze bowl with the bulls’ heads was found disassembled, buried in a hill and covered by a couple of large stones. Thanks to the finder, the farmer Søren Paaske, work was stopped early enough to leave areas untouched for the subsequent examination.The saga of the Grauballe Man, or the part of it that we know, began as a rumour on the 26th of April: a skeleton had been found in a bog near Silkeborg. On the following day, which happened to be a Sunday, Glob went off to have a look at the find. I had other business, but I arrived at the museum in the evening with an acquaintance. In my diary I wrote: ”When we came in we had a slight shock. On the floor was a peat block with a corpse – a proper, well-preserved bog body. Glob brought it. ”We’ll be in trouble now.” And so we were, and Glob was in high spirits. The find created a sensation, which was also thanks to the quick presentation that we mounted. I had purchased a tape recorder, which cost me a packet – not a small handy one like the ones you get nowadays, but a large monstrosity with a steel tape (it was, after all, early days for this device) – and assisted by several experts, we taped a number of short lectures for the benefit of the visitors. People flocked in; the queue meandered from the exhibition room, through the museum halls, and a long way down the street. It took a long wait to get there, but the visitors seemed to enjoy the experience. The bog man lay in his hastily – procured exhibition case, which people circled around while the talking machine repeatedly expressed its words of wisdom – unfortunately with quite a few interruptions as the tape broke and had to be assembled by hand. Luckily, the tape recorders now often used for exhibitions are more dependable than mine.When the waves had died down and the exhibition ended, the experts examined the bog man. He was x-rayed at several points, cut open, given a tooth inspection, even had his fingerprints taken. During the autopsy there was a small mishap, which we kept to ourselves. However, after almost fifty years I must be able to reveal it: Among the organs removed for investigation was the liver, which was supposedly suitable for a C-14 dating – which at the time was a new dating method, introduced to Denmark after the war. The liver was sent to the laboratory in Copenhagen, and from here we received a telephone call a few days later. What had been sent in for examination was not the liver, but the stomach. The unfortunate (and in all other respects highly competent) Aarhus doctor who had performed the dissection was cal1ed in again. During another visit to the bogman’s inner parts he brought out what he believed to be the real liver. None of us were capable of deciding th is question. It was sent to Copenhagen at great speed, and a while later the dating arrived: Roman Iron Age. This result was later revised as the dating method was improved. The Grauballe Man is now thought to have lived before the birth of Christ.The preservation of the Grauballe Man was to be conservation officer Kornbak’s masterpiece. There were no earlier cases available for reference, so he invented a new method, which was very successful. In the first volumes of Kuml, society members read about the exiting history of the bog body and of the glimpses of prehistoric sacrificial customs that this find gave. They also read about the Bahrain expeditions, which Glob initiated and which became the apple of his eye. Bibby played a central role in this, as it was he who – at an evening gathering at Glob’s and Harriet’s home in Risskov – described his stay on the Persian Gulf island and the numerous burial mounds there. Glob made a quick decision (one of his special abilities was to see possibilities that noone else did, and to carry them out successfully to everyone’s surprise) and in December 1952 he and Bibby left for the Gulf, unaware of the fact that they were thereby beginning a series of expeditions which would continue for decades. Again it was Glob’s special genius that was the decisive factor. He very quickly got on friendly terms with the rulers of the small sheikhdoms and interested them in their past. As everyone knows, oil is flowing plentifully in those parts. The rulers were thus financially powerful and some of this wealth was quickly diverted to the expeditions, which probably would not have survived for so long without this assistance. To those of us who took part in them from time to time, the Gulf expeditions were an unforgettable experience, not just because of the interesting work, but even more because of the contact with the local population, which gave us an insight into local manners and customs that helped to explain parts of our own country’s past which might otherwise be difficult to understand. For Glob and the rest of us did not just get close to the elite: in spite of language problems, our Arab workers became our good friends. Things livened up when we occasionally turned up in their palm huts.Still, co-operating with Glob was not always an easy task – the sparks sometimes flew. His talent of initiating things is of course undisputed, as are the lasting results. He was, however, most attractive when he was in luck. Attention normally focused on this magnificent person whose anecdotes were not taken too seriously, but if something went wrong or failed to work out, he could be grossly unreasonable and a little too willing to abdicate responsibility, even when it was in fact his. This might lead to violent arguments, but peace was always restored. In 1954, another museum curator was attached to the museum: Poul Kjærum, who was immediately given the important task of investigating the dolmen settlement near Tustrup on Northern Djursland. This gave important results, such as the discovery of a cult house, which was a new and hitherto unknown Stone Age feature.A task which had long been on our mind s was finally carried out in 1955: constructing a new display of the museum collections. The old exhibitio n type consisted of numerous artefacts lined up in cases, accompaied ony by a brief note of the place where it was found and the type – which was the standard then. This type of exhibition did not give much idea of life in prehistoric times.We wanted to allow the finds to speak for themselves via the way that they were arranged, and with the aid of models, photos and drawings. We couldn’t do without texts, but these could be short, as people would understand more by just looking at the exhibits. Glob was in the Gulf at the time, so Kjærum and I performed the task with little money but with competent practical help from conservator Kornbak. We shared the work, but in fairness I must add that my part, which included the new lllerup find, was more suitable for an untraditional display. In order to illustrate the confusion of the sacrificial site, the numerous bent swords and other weapons were scattered a.long the back wall of the exhibition hall, above a bog land scape painted by Emil Gregersen. A peat column with inlaid slides illustrated the gradual change from prehistoric lake to bog, while a free-standing exhibition case held a horse’s skeleton with a broken skull, accompanied by sacrificial offerings. A model of the Nydam boat with all its oars sticking out hung from the ceiling, as did the fine copy of the Gundestrup vessel, as the Braa vessel had not yet been preserved. The rich pictorial decoration of the vessel’s inner plates was exhibited in its own case underneath. This was an exhibition form that differed considerably from all other Danish exhibitions of the time, and it quickly set a fashion. We awaited Glob’s homecoming with anticipation – if it wasn’t his exhibition it was still made in his spirit. We hoped that he would be surprised – and he was.The museum was thus taking shape. Its few employees included Jytte Ræbild, who held a key position as a secretary, and a growing number of archaeology students who took part in the work in various ways during these first years. Later, the number of employees grew to include the aforementioned excavation pioneer Georg Kunwald, and Hellmuth Andersen and Hans Jørgen Madsen, whose research into the past of Aarhus, and later into Danevirke is known to many, and also the ethnographer Klaus Ferdinand. And now Moesgaard appeared on the horizon. It was of course Glob’s idea to move everything to a manor near Aarhus – he had been fantasising about this from his first Aarhus days, and no one had raised any objections. Now there was a chance of fulfilling the dream, although the actual realisation was still a difficult task.During all this, the Jutland Archaeological Society thrived and attracted more members than expected. Local branches were founded in several towns, summer trips were arranged and a ”Worsaae Medal” was occasionally donated to persons who had deserved it from an archaeological perspective. Kuml came out regularly with contributions from museum people and the like-minded. The publication had a form that appealed to an inner circle of people interested in archaeology. This was the intention, and this is how it should be. But in my opinion this was not quite enough. We also needed a publication that would cater to a wider public and that followed the same basic ideas as the new exhibition.I imagined a booklet, which – without over-popularsing – would address not only the professional and amateur archaeologist but also anyone else interested in the past. The result was Skalk, which (being a branch of the society) published its fir t issue in the spring of 1957. It was a somewhat daring venture, as the financial base was weak and I had no knowledge of how to run a magazine. However, both finances and experience grew with the number of subscribers – and faster than expected, too. Skalk must have met an unsatisfied need, and this we exploited to the best of our ability with various cheap advertisements. The original idea was to deal only with prehistoric and medieval archaeology, but the historians also wanted to contribute, and not just the digging kind. They were given permission, and so the topic of the magazine ended up being Denmark’s past from the time of its first inhabitant s until the times remembered by the oldest of us – with the odd sideways leap to other subjects. It would be impossible to claim that Skalk was at the top of Glob’s wish list, but he liked it and supported the idea in every way. The keeper of national antiquities, Johannes Brøndsted, did the same, and no doubt his unreserved approval of the magazine contributed to its quick growth. Not all authors found it easy to give up technical language and express themselves in everyday Danish, but the new style was quickly accepted. Ofcourse the obligations of the magazine work were also sometimes annoying. One example from the diary: ”S. had promised to write an article, but it was overdue. We agreed to a final deadline and when that was overdue I phoned again and was told that the author had gone to Switzerland. My hair turned grey overnight.” These things happened, but in this particular case there was a happy ending. Another academic promised me three pages about an excavation, but delivered ten. As it happened, I only shortened his production by a third.The 1960s brought great changes. After careful consideration, Glob left us to become the keeper of national antiquities. One important reason for his hesitation was of course Moesgaard, which he missed out on – the transfer was almost settled. This was a great loss to the Aarhus museum and perhaps to Glob, too, as life granted him much greater opportunities for development.” I am not the type to regret things,” he later stated, and hopefully this was true. And I had to choose between the museum and Skalk – the work with the magazine had become too timeconsuming for the two jobs to be combined. Skalk won, and I can truthfully say that I have never looked back. The magazine grew quickly, and happy years followed. My resignation from the museum also meant that Skalk was disengaged from the Jutland Archaeological Society, but a close connection remained with both the museum and the society.What has been described here all happened when the museum world was at the parting of the ways. It was a time of innovation, and it is my opinion that we at the Prehistoric Museum contributed to that change in various ways.The new Museum Act of 1958 gave impetus to the study of the past. The number of archaeology students in creased tremendously, and new techniques brought new possibilities that the discussion club of the 1940s had not even dreamt of, but which have helped to make some of the visions from back then come true. Public in terest in archaeology and history is still avid, although to my regret, the ahistorical 1960s and 1970s did put a damper on it.Glob is greatly missed; not many of his kind are born nowadays. He had, so to say, great virtues and great fault s, but could we have done without either? It is due to him that we have the Jutland Archaeological Society, which has no w existed for half a century. Congr tulat ion s to the Society, from your offspring Skalk.Harald AndersenSkalk MagazineTranslated by Annette Lerche Trolle

Contemporary healthcare delivery models have a patient-centered approach, a focus on integrating the various types of services patients need, an emphasis on interdisciplinary treatment teams, and a commitment to adopting innovative technologies. Increasing utilization of telehealth technologies has helped foster these contemporary service delivery models by improving access to healthcare services, leveraging the expertise of specialty providers to the point-of-service, and enhancing opportunities for healthcare professional and consumer education. As such, telehealth delivery models have become mainstream and viable solution for healthcare providers, physicians, and employers. According to an August 2016 report from the U.S. Department of Health and Human Services, an estimated 61% of healthcare institutions use some form of telehealth technology, and between 40% and 50% of all hospitals in the United States employ some form of telehealth technology. 1Following suit, the provision of telebehavioral or “telemental” health services continue to trend upward, as behavioral health providers become more interested in utilizing telehealth platforms to connect with their patients. Mental illness affects millions of individuals in the U.S., from all walks of life and across all age groups, contributing significantly to the burdens of disease.2 While mental illness can be recurrent and serious, often it is treatable, provided affected individuals have access to necessary resources. Patients surveyed regarding their use of telemental health services express consistent and affirmative beliefs that telemental health services provide positive benefits. Surveys report little or no difference in levels of patient satisfaction compared to face-to-face interactions between patients and their behavioral health providers.3,4 As states continue to support and expand the exciting benefits telehealth technologies and services offer, our legislators, healthcare systems, and regulatory bodies are being tasked with working together to navigate the numerous legal and regulatory issues that come with it. Epstein Becker Green (“EBG”) recently released an Appendix to its “50-State Survey of Telemental/Telebehavioral Health (2016),” with new and updated analysis on the laws, regulations, and regulatory policies affecting the practice of telemental/telebehavioral health in all 50 states and the District of Columbia.5 The 2017 Appendix reflects the incredibly active legislative efforts in most states with respect to the provision of telehealth services. In fact, only two states, Connecticut and Massachusetts, have not made changes to their legal and regulatory framework since the 2016 Survey. This suggests a lot of policy activity among states to regulate and provide meaningful guidance to telehealth providers.

We consider a local projection stabilisation based on biorthogonal systems and adaptive refinement for convection-diffusion-reaction differential equations. The local projection stabilisation and adaptive finite element method are both based on a biorthogonal system. We investigate the numerical efficiency of the approach when compared to the standard finite element method. Numerical examples are presented to demonstrate the performance of the approach. References R. Becker and M. Braack. A finite element pressure gradient stabilization for the Stokes equations based on local projections. In:Calcolo 38.4 (2001), pp. 173–199. doi: 10.1007/s10092-001-8180-4 M. Braack and E. Burman. Local projection stabilization for the Oseen problem and its interpretation as a variational multiscale method. SIAM J. Numer. Anal. 43.6 (2006), pp. 2544–2566. doi: 10.1137/050631227 D. Braess. Finite Elements: Theory, Fast Solvers, and Applications in Solid Mechanics. Cambridge University Press, 2001. url: https://www.cambridge.org/au/academic/subjects/mathematics/numerical-analysis/finite-elements-theory-fast-solvers-and-applications-solid-mechanics-3rd-edition?format=PB S. C. Brenner and L. R. Scott. The Mathematical Theory of Finite Element Methods. Springer–Verlag, 1994. doi: 10.1007/978-0-387-75934-0 C. Carstensen, M. Feischl, M. Page, and D. Praetorius. Axioms of adaptivity. Comput. Math. Appl. 67.6 (2014), pp. 1195–1253. doi: 10.1016/j.camwa.2013.12.003 L. Chen, P. Sun, and J. Xu. Multilevel homotopic adaptive finite element methods for convection dominated problems. Domain Decomposition Methods in Science and Engineering. Ed. by T. J. Barth, M. Griebel, D. E. Keyes, R. M. Nieminen, D. Roose, T. Schlick, R. Kornhuber, R. Hoppe, J. Périaux, O. Pironneau, O. Widlund, and J. Xu. Springer, 2005, pp. 459–468. doi: 10.1007/3-540-26825-1_47 S. A. Funken and A. Schmidt. Adaptive mesh refinement in 2D—An efficient implementation in Matlab. Comput. Meth. Appl. Math. 20.3 (2020), pp. 459–479. doi: 10.1515/cmam-2018-0220 p. C131). D. Gilbarg and N. S. Trudinger. Elliptic partial differential equations of second order, Springer-Verlag, 2001. doi: 10.1007/978-3-642-61798-0 V. John, P. Knobloch, and J. Novo. Finite elements for scalar convection-dominated equations and incompressible flow problems: A never ending story? Comput. Visual. Sci. 19.5 (2018), pp. 47–63. doi: 10.1007/s00791-018-0290-5 C. Johnson. Numerical Solution of Partial Differential Equations by the Finite Element Method. Dover Books on Mathematics. Dover Publications, 2012. url: https://store.doverpublications.com/048646900x.html B. P. Lamichhane. Higher order mortar finite elements with dual Lagrange multiplier spaces and applications. PhD thesis. University of Stuttgart, 2006. doi: 10.18419/opus-4770 B. P. Lamichhane and J. A. Shaw-Carmody. A local projection stabilisation for convection-diffusion-reaction equations using biorthogonal systems. J. Comput. Appl. Math. 393, 113542 (2020). doi: 10.1016/j.cam.2021.113542 G. Matthies, P. Skrzypacz, and L. Tobiska. Stabilization of local projection type applied to convection-diffusion problems with mixed boundary conditions. Elec. Trans. Numer. Anal. 32 (2008), pp. 90–105. url: https://etna.math.kent.edu/volumes/2001-2010/vol32/abstract.php?vol=32&pages=90-105 H.-G. Roos, M. Stynes, and L. Tobiska. Robust Numerical Methods for Singularly Perturbed Differential Equations: Convection-Diffusion and Flow Problems. Springer, 2008. doi: 10.1007/978-3-540-34467-4 P. Sun, L. Chen, and J. Xu. Numerical Studies of Adaptive Finite Element Methods for Two Dimensional Convection-Dominated Problems. J. Sci. Comput. 43 (2010), pp. 24–43. doi: 10.1007/s10915-009-9337-6

In this essay we challenge whether current conceptions of optimism, hope, and resilience are complete enough to account for the complexity and nuance of developing and maintaining these in practice. For example, a quick perusal of popular outlets (e.g., Forbes, Harvard Business Review) reveals advice to managers urging them to “be optimistic,” or “be happy” so that these types of emotions or feelings can spread to the workplace. One even finds simple advice and steps to follow on how to foster these types of things in the workplace (McKee; Tjan). We argue that this common perspective focuses narrowly on individuals and does not account for the complexity of resilience. Consequently, it denies the role of context, culture, and interactions as ways people develop shared meaning and reality. To fill this gap in our understanding, we take a social constructionist perspective to understand resilience. In other words, we foreground communication as the primary building block to sharing meaning and creating our worlds. In so doing, we veer away from the traditional focus on the individual and instead emphasise the social and cultural elements that shape how meaning is shared by peoples in various contexts (Fairhurst, Considering Context). Drawing on a communication, discourse-centered perspective we explore hope and optimism as concepts commonly associated with resilience in a work context. At work, leaders play a vital role in communicating ways that foster resilience in the face of organisational issues and events (e.g., environmental crises, downsizing). Following this lead, discursive leadership offers a framework that positions leadership as co-created and as the management of meaning through framing (Fairhurst, Power of Framing). Thus, we propose that a discursive leadership orientation can contribute to the communicative construction of resilience that moves away from individual perspectives to an emphasis on the social. From a discursive perspective, leadership is defined as a process of meaning management; attribution given by followers or observers; process-focused rather than leader-focused; and as shifting and distributed among several organizational members (Fairhurst Power of Framing). By switching from the individual focus and concentrating on social and cultural systems, discursive leadership is able to study concepts related to subjectivity, cultures, and identities as it relates to meaning. Our aim is to offer leaders an alternative perspective on resilience at the individual and group level by explaining how a discursive orientation to leadership can contribute to the communicative construction of resilience. We argue that a social constructionist approach provides a perspective that can unravel the multiple layers that make up hope, optimism, and resilience. We begin with a peek into the social scientific perspective that is so commonplace in media and popular portrayals of these constructs. Then, we explain the social constructionist perspective that grounds our framework, drawing on discursive leadership. Next, we present an alternative model of resilience, one that takes resilience as communicatively constructed and socially created. We believe this more robust perspective can help individuals, groups, and cultures be more resilient in the face of challenges. Social Scientific Perspectives Hope, optimism, and resilience have widely been spoken in the same breath; thus, in what follows we review how each is treated in common portrayals. In addition, we discuss each to point to further implications of our model proposed in this essay. Traditionally taken as cognitive states, each construct is based in an individual or an entity (Youssef and Luthans) and thus minimises the social and cultural. Hope Snyder, Irving, and Anderson define the construct of hope as “a positive motivational state that is based on an interactively derived sense of successful (1) agency (goal-directed energy) and (2) pathways (planning to meet goals)” (287). This cognitive set therefore is composed of the belief in the ability to create strategies toward a goal and the belief that those plans can be realised. Exploring hope can provide insight into how individuals deal with stress and more importantly how they use past experiences to produce effective routes toward goals (Brown Kirschman et al.). Mills-Scofield writing in Harvard Business Review mirrors this two-part hope structure and describes how to integrate hope into business strategy. Above all she emphasises that hope is based in fact, not fiction; the need to learn and apply from failures; and the need to focus on what is working instead of what is broken. These three points contribute to hope by reinforcing the strategies (pathways) and ability (agency) to accomplish a particular goal. This model of hope is widely held across social scientific and popular portrayals. This position, however, does not allow for exploring how forces of social interaction shape either how these pathways are created or how agency is developed in the first place. By contrast, a communication-centered approach like the one we propose foregrounds interaction and the various social forces necessary for hope to be fostered in the workplace. Optimism Optimism centers on how an individual processes the causality of an event (e.g., an organisational crisis). From this perspective, an employee facing significant conflict with his immediate supervisor, for example, may explain this threat as an opportunity to learn the importance of supervisor-subordinate relationships. This definition therefore explores how the individual interprets his/her world (Brown Kirschman et al.). According to Seligman et al. the ways in which one interprets events has its origins in several places: (1) genetics; (2) the environment in the form of modeling optimistic behaviours; (3) environment in forms of criticism; and (4) life experiences that teach personal mastery or helplessness (cited in Brown Kirschman et al.). Environmental sources function as a dialectical tension. On one hand the environment provides productive modeling for optimism behaviours, and on the other the environment, through criticism, produces the opposite. Both extremes illustrate the significance of cultural and societal factors as they contribute to optimism. Additionally, life experiences play a role in either mastery or helplessness. Again, interaction and social influences play a significant part in the development of optimism. Much like hope, due to the attention given to social and interactive forces, the concept of optimism requires a framework rooted in the social and cultural rather than the individual and cognitive. A significant drawback related to optimism (Brown Kirschman et al.) is the danger of unrelenting optimism and the possibility this has on producing unrealistic scenarios. Individuals, rather, should strive to acknowledge the facts (good or bad) of certain circumstances in order to learn how to properly manage automatic negative thoughts (Brown Kirschman et al.). Tony Schwartz writing in Harvard Business Review argues that “realistic optimism” is more than putting on a happy face but instead is more about telling what is the most hopeful and empowering of a given situation (1). Thus, a more interaction-based approach much like the model that we are proposing could help overcome some of optimism’s shortcomings. If the power of optimism is in the telling, then we need a model where the telling is front and center. Later, we propose such a model and method for helping leaders’ foster optimism in the workplace and in their communities. Resilience Resilience research offers several definitions and approaches in attempt to examine the phenomenon. Masten defines resilience as a “class of phenomena characterized by good outcomes in spite of serious threats to adaptation or development” (228). Luthar, Cicchetti, and Becker argue that resilience is “a dynamic process encompassing positive adaptation within the context of significant adversity” (543). Interestingly, resilience and developmental researchers alike have positioned resilience as an individual consistently meeting the expectations of a given society or culture within a particular historical context. Broadly speaking, two central conditions apply toward resilience: (1) the presence of significant threat or adversity; and (2) the achievement of positive adaptation (Luthar, Cicchetti, and Becker. Masten goes on to argue that resilience is however ordinary and naturally occurring. That is, the adaptive systems required during significant threat are already present in individuals and is not solely retained by a select few. Masten et al., argues that resilience does not come “from rare and special qualities, but from the operations of ordinary human systems in the biology and psychology of children, from the relationships in the family and community, and from schools, religions, cultures, and other aspects of societies” (129). Based on this, the emphasis of resilience should be within adaptive processes, such that are found in supportive relationships, emotion regulation, and environment engagement (Masten et al.), rather than on individuals. Of these varied interpretations of resilience, two research designs drive the academic literature— outcome- and process-based perspectives (Kolar). Those following an outcome-focused approach tend to concentrate on functionality and functional behaviour as key indicators of resilience (Kolar). Following this model, cognitive states such as composure, assurance, and confidence are examples of resilience. By contrast, a process-focused approach concentrates on the interplay of protective and risk factors as they influence the adaptive capacity of an individual (Kolar). This approach acknowledges that resilience is contextual and interactive, and is “a shared responsibility between individuals, their families, and the formal social system rather than as an individual burden (Kolar 425). This process-based approach toward resilience allows for greater inclusion of factors across individual, group, and societal levels (Kolar). The rigidity of outcome-based models and related constructs does not allow for such flexibility and therefore prevents exploring full accounts of resilience. A process-based approach allows for the inclusion of context throughout measures of resilience and acknowledges that interplay of risk and protective factors across the individual, social, and community level (Kolar). Bearing this in mind, what is needed are more complex models of resilience that account for a multiplicity of factors. An Alternate Framework: Social Construction of Reality Language is the tool storytellers use to generate interest and convey ideas. From a social constructionist standpoint, language is the primary mechanism in the construction of reality. Berger and Luckmann present language as a system that allows us to categorise subjective ideas, which over time accumulates into our “social stock of knowledge” (41). As our language creates the symbols that we use to make sense of the world around us, we add to our social knowledge thereby creating a shared vision of our own social reality. Because we accumulate varying levels and amounts of social knowledge, what we know of the world constantly changes. For example, in organisations, our discourse and on-going interactions with each other serve to shape what we consider to be real in our day-to-day lives. In this view, subjective experiences of individuals are central to our understanding of various events (e.g., organizational change, crises, conflict) and the ways in which we cope with such occurrences (e.g., through hope, optimism, resilience). Alternative Models of Resilience We take Buzzanell’s framework as inspiration for an alternative model of resilience. Her communication-centric model is based in messages, d/Discourse, and narrative where communication is an emergent process involving the interplay of messages and interaction (Buzzanell). Furthermore, the communicative construction of resilience involves “a collaborative exchange that invites participation of family, workplace, community, and interorganizational network members” (Buzzanell 9). This alternative perspective of resilience explores human communication resilience processes as the focal point rather than examining the person or entity. This is essentially a design change, where the focus shifts from the individual or singular toward the communication processes that enable resilience. Essentially, according to Poole, “in process, we can see resilience as dynamic, integrated, unfolding over time and through events, evolving into patterns, and dependent on contingencies” (qtd. in Buzzanell 2). Buzzanell describes five processes included in the communicative construction of resilience: (1) crafting normalcy; (2) affirming identity anchors; (3) maintaining and using communication networks; (4) legitimising negative feelings while foregrounding productive action; and (5) putting alternative logics to work. Here, we highlight two that most directly relate to the alternative model we propose. First, legitimising negative feelings while foregrounding productive action may sound like repression, but in fact it emphasises that negative feelings (nonproductive emotions) are real and that focusing on positive action enables success while facing significant threat. Furthermore, as a communicative construction, this process includes reframing of a situation both linguistically and metaphorically. This communicative process address a major drawback related to the optimism construct presented by Brown Kirschman and colleagues regarding the potential danger of unrelenting optimism. Similarly, putting alternative logics to work, in its practical application, creates resilient systems through (re)framing. Through (re)framing, individuals, groups, and communities can create their own logics that enable them to reintegrate when facing adverse experiences. That is, (re)framing provides an opportunity to endure unfavorable situations while creating communicatively creating conditions that enable adaptation. This idea can also be seen in popular press such as in the Harvard Business Review blog “Craft a Narrative to Instill Optimism” (Baldoni). According to Baldoni, leaders have a choice in creating the narrative of our world. Thus, leaders serve as the primary meaning managers in the workplace. Leadership and the Management of Meaning Kelly begins our discussion toward an ongoing discursive turn in leadership research. Much like hope, optimism, and resilience, Kelly proposes that leadership has been wrongly categorised and therefore has been inadequately observed. That is, due to focusing on trait-based leadership models espoused by leadership psychology the area of leadership has been left with significant deficits surrounding the very core of leadership. The lessons learned about the reductionist treatment of leadership can be applied to our understanding of resilience. Thus, we draw on discursive leadership because it provides an example for how leaders can foster resilience in various settings. The discursive turn stems from the incongruity seen in these traditional trait or style-based leadership approaches. From a social constructionist perspective, researchers are able to explore the forms in which leadership contributes to the meaning construction process, much in the same way that a communication perspective, outlined above, emphasises resilience as a process. This ontological shift in leadership research not only re-categorises leadership but also changes the ways in which leadership is studied. Kelly’s emphasis on a socially constructed view of leadership combined with alternative methodological approaches contributes to our aim to explore how a discursive leadership orientation can contribute to communicative construction of resilience. Discursive Leadership Discursive leadership views leadership as more of an art rather than a science, one that is contested and inventive (Fairhurst, Discursive Leadership). Where leadership psychology emphasises the individual and cognitive, discursive leadership highlights the cultural and the communicative (Fairhurst, Discursive Leadership). Leadership psychology is analogous to common, social scientific understandings of resilience that typically confines resilience into something easily attainable by individuals. The traditional leadership psychology literature attempts to determine causality among the cognitive, emotional, and behavioural elements of leader actors, whereas, discursive leadership takes discourse as the object of study to view how we think, see, and attribute leadership. Discursive leadership offers an optimal resource to view the communicative practices involved in the management of meaning and communicative construction of reality, including resilient systems and processes. Thus, we draw everything together now, and introduce practical interventions organisations can implement to foster hope, optimism, and resilience. An Alternate Model in Practice Attention to human capabilities and adaptive systems that promote healthy development and functioning have the potential to inform policy and programs that foster competence and human capital and aim to improve the health of communities and nations while also preventing problems (Masten 235). Masten’s words point to the tremendous potential of resilience. Thus, we wish to conclude with the implications of our perspective for individuals, groups, and communities. In what follows we briefly explain framing, and end with two interventions leaders can use to help foster resilience in the workplace. A common and practical example of language creating reality is framing. Fairhurst, in her book The Power of Framing explores framing as a leader’s ability to construct the reality of a subject or situation. A frame is simply defined as a mental picture where framing is the process of communicating this picture to others. Although words or language cannot alter any physical conditions, they may, however, influence our perceptions of them. Fairhurst goes on to “frame” leadership as co-created and not necessarily found in specific concrete acts. That is, leadership emerges when leader actors are deemed to have performed or demonstrated leadership by themselves and/or others. Leadership in this case is determined by attribution. For Fairhurst, leaders are able to shape and co-create meaning and reality by influencing the here and now. From this perspective interventions should be designed around the idea of creating alternative logics (Buzzanell) by emphasizing the elements of framing. For the sake of brevity, we wish to emphasise two fundamental areas surrounding process-oriented and communicative constructed resilience. It is our hope that leaders may use these takeaways and build upon them as they reflect how to position resilience at the individual and organisational level. First, interventions should focus on identifying the supportive adaptive systems at the individual, group, and societal level (e.g., family, work teams, community coalitions). This could be done through a series of dialogue sessions with an aim of challenging participants to not only identify systems but to also reflect upon how these systems contribute toward resilience. These could be duplicated in work settings and community settings (e.g., community forums and the like). Second, to emphasise framing, interventions should involve meaningful dialogue to help identify the particular conditions within a significant threat that will (a) lead to productive action and (b) enable individuals, groups, and communities to endure. Overall, an increased emphasis should be placed on helping participants understand how they are able to metaphorically and linguistically (Buzzanell) create the conditions surrounding adverse events. Our aim in this essay was to present an alternate model of various human processes that help people cope and bounce back from troubling times or events. Toward this end, we argued that media and popular portrayals of constructs such as hope, optimism, and resilience lack the complexity to account for how these can be put into practice. To fill this gap, we hope our communication-based model of resilience, with its emphasis on interaction will provide leaders and community members a method for engaging people in the process of coping and communicating resilience. Honoring the processual nature of these ideas is one step toward bettering individuals, groups, and communities. References Baldoni, John. “Craft a Narrative to Instill Optimism.” Harvard Business Review 17 Dec. 2009: 1. Berger, Peter L., and Thomas Luckmann. The Social Construction of Reality. New York: Anchor Books, 1966. Brown Kirschman, Keri J., Rebecca J. Johnson., Jade A. Bender., and Michael C. Roberts. “Positive Psychology for Children and Adolescents: Development, Prevention, and Promotion.” Oxford Handbook of Positive Psychology. Eds. Shane J. Lopez and Charles R. Snyder. New York: Oxford. 2009. 133-148. Buzzanell, Patrice M. “Resilience: Talking, Resisting, and Imagining New Normalcies into Being.” Journal of Communication 60 (2010): 1-14. Fairhurst, Gail T. The Power of Framing. San Francisco: Jossey-Bass, 2011. ———. “Considering Context in Discursive Leadership Research.” Human Relations 62.11 (2009): 1607-1633. ———. Discursive Leadership: In Conversation with Leadership Psychology. Los Angeles: SAGE Publications, 2007. Kelly, Simon. “Leadership: A Categorical Mistake?” Human Relations 61.6 (2008): 763 – 82. Kolar, Katarina. “Resilience: Revisiting the Concept and Its Utility for Social Research.” International Journal of Mental Health Addiction 9 (2011): 421033. Luthar, Suniya S., Dante Cicchetti., and Bronwyn Becker. “The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work.” Child Development 71.3 (2000): 543-562. Masten, Ann S. “Ordinary Magic: Resilience Processes in Development.” American Psychologist 56.3 (2001): 227-238. Masten, Ann S., J.J. Cutuli, Janette E. Herbers, Marie-Gabriel J. Reed. “Resilience in Development.” Oxford Handbook of Positive Psychology. Eds. Shane J. Lopez and Charles R. Snyder. New York: Oxford UP, 2009. 117-132. McKee, Annie. “Doing the Hard Work of Hope.” HBR Blog Network Oct. 2008: 1-2. Mills-Scofield, Deborah. “Hope Is a Strategy (Well, Sort Of).” Harvard Business Review 9 Oct. 2012: 1-2. Poole, Marshall S. “On the Study of Process in Communication Research.” Montreal, Quebec, Canada. May 2008. Fellows address at the International Communication Association annual meeting. Postman, Neil. Conscientious Objections: Stirring Up Trouble about Language, Technology, and Education. New York: Vintage Books, 1988. Schwartz, Tony. “Fueling Positive Emotions in a World Gone Mad.” Harvard Business Review 2 Nov. 2010: 1-2 Seligman, Martin E., et al. The Optimist Child. Boston, MA: Houghton Mifflin, 1995. Snyder, Charles R., et al. “Hope and Health: Measuring the Will and the Ways.” Handbook of Social and Clinical Psychology: The Health Perspective. Eds. Charles R. Snyder and Donelson R. Forsyth. Elmsford: Pergamon, 1991. 285-305. Tjan, Anthony K. “Lead with Optimism.” HBR Blog Network May 2010: 1-2. Youssef, Carolyn M., and Luthans, Fred. “Positive Organizational Behavior in the Workplace: The Impact of Hope, Optimism, and Resilience.” Journal of Management 33.5 (2007): 774-800.

“As the old technologies become automatic and invisible, we find ourselves more concerned with fighting or embracing what’s new”—Dennis Baron, From Pencils to Pixels: The Stage of Literacy Technologies What constitutes a computer, as we have come to expect it? Are they necessarily monolithic “beige boxes”, connected to computer monitors, sitting on computer desks, located in computer rooms or computer labs? In order for a device to be considered a true computer, does it need to have a keyboard and mouse? If this were 1991 or earlier, our collective perception of what computers are and are not would largely be framed by this “beige box” model: computers are stationary, slab-like, and heavy, and their natural habitats must be in rooms specifically designated for that purpose. In 1992, when Apple introduced the first PowerBook, our perception began to change. Certainly there had been other portable computers prior to that, such as the Osborne 1, but these were more luggable than portable, weighing just slightly less than a typical sewing machine. The PowerBook and subsequent waves of laptops, personal digital assistants (PDAs), and so-called smart phones from numerous other companies have steadily forced us to rethink and redefine what a computer is and is not, how we interact with them, and the manner in which these tools might be used in the classroom. However, this reconceptualization of computers is far from over, and is in fact steadily evolving as new devices are introduced, adopted, and subsequently adapted for uses beyond of their original purpose. Pat Crowe’s Book Reader project, for example, has morphed Nintendo’s GameBoy and GameBoy Advance into a viable electronic book platform, complete with images, sound, and multi-language support. (Crowe, 2003) His goal was to take this existing technology previously framed only within the context of proprietary adolescent entertainment, and repurpose it for open, flexible uses typically associated with learning and literacy. Similar efforts are underway to repurpose Microsoft’s Xbox, perhaps the ultimate symbol of “closed” technology given Microsoft’s propensity for proprietary code, in order to make it a viable platform for Open Source Software (OSS). However, these efforts are not forgone conclusions, and are in fact typical of the ongoing battle over who controls the technology we own in our homes, and how open source solutions are often at odds with a largely proprietary world. In late 2001, Microsoft launched the Xbox with a multimillion dollar publicity drive featuring events, commercials, live models, and statements claiming this new console gaming platform would “change video games the way MTV changed music”. (Chan, 2001) The Xbox launched with the following technical specifications: 733mhz Pentium III 64mb RAM, 8 or 10gb internal hard disk drive CD/DVD ROM drive (speed unknown) Nvidia graphics processor, with HDTV support 4 USB 1.1 ports (adapter required), AC3 audio 10/100 ethernet port, Optional 56k modem (TechTV, 2001) While current computers dwarf these specifications in virtually all areas now, for 2001 these were roughly on par with many desktop systems. The retail price at the time was $299, but steadily dropped to nearly half that with additional price cuts anticipated. Based on these features, the preponderance of “off the shelf” parts and components used, and the relatively reasonable price, numerous programmers quickly became interested in seeing it if was possible to run Linux and additional OSS on the Xbox. In each case, the goal has been similar: exceed the original purpose of the Xbox, to determine if and how well it might be used for basic computing tasks. If these attempts prove to be successful, the Xbox could allow institutions to dramatically increase the student-to-computer ratio in select environments, or allow individuals who could not otherwise afford a computer to instead buy and Xbox, download and install Linux, and use this new device to write, create, and innovate . This drive to literally and metaphorically “open” the Xbox comes from many directions. Such efforts include Andrew Huang’s self-published “Hacking the Xbox” book in which, under the auspices of reverse engineering, Huang analyzes the architecture of the Xbox, detailing step-by-step instructions for flashing the ROM, upgrading the hard drive and/or RAM, and generally prepping the device for use as an information appliance. Additional initiatives include Lindows CEO Michael Robertson’s $200,000 prize to encourage Linux development on the Xbox, and the Xbox Linux Project at SourceForge. What is Linux? Linux is an alternative operating system initially developed in 1991 by Linus Benedict Torvalds. Linux was based off a derivative of the MINIX operating system, which in turn was a derivative of UNIX. (Hasan 2003) Linux is currently available for Intel-based systems that would normally run versions of Windows, PowerPC-based systems that would normally run Apple’s Mac OS, and a host of other handheld, cell phone, or so-called “embedded” systems. Linux distributions are based almost exclusively on open source software, graphic user interfaces, and middleware components. While there are commercial Linux distributions available, these mainly just package the freely available operating system with bundled technical support, manuals, some exclusive or proprietary commercial applications, and related services. Anyone can still download and install numerous Linux distributions at no cost, provided they do not need technical support beyond the community / enthusiast level. Typical Linux distributions come with open source web browsers, word processors and related productivity applications (such as those found in OpenOffice.org), and related tools for accessing email, organizing schedules and contacts, etc. Certain Linux distributions are more or less designed for network administrators, system engineers, and similar “power users” somewhat distanced from that of our students. However, several distributions including Lycoris, Mandrake, LindowsOS, and other are specifically tailored as regular, desktop operating systems, with regular, everyday computer users in mind. As Linux has no draconian “product activation key” method of authentication, or digital rights management-laden features associated with installation and implementation on typical desktop and laptop systems, Linux is becoming an ideal choice both individually and institutionally. It still faces an uphill battle in terms of achieving widespread acceptance as a desktop operating system. As Finnie points out in Desktop Linux Edges Into The Mainstream: “to attract users, you need ease of installation, ease of device configuration, and intuitive, full-featured desktop user controls. It’s all coming, but slowly. With each new version, desktop Linux comes closer to entering the mainstream. It’s anyone’s guess as to when critical mass will be reached, but you can feel the inevitability: There’s pent-up demand for something different.” (Finnie 2003) Linux is already spreading rapidly in numerous capacities, in numerous countries. Linux has “taken hold wherever computer users desire freedom, and wherever there is demand for inexpensive software.” Reports from technology research company IDG indicate that roughly a third of computers in Central and South America run Linux. Several countries, including Mexico, Brazil, and Argentina, have all but mandated that state-owned institutions adopt open source software whenever possible to “give their people the tools and education to compete with the rest of the world.” (Hills 2001) The Goal Less than a year after Microsoft introduced the The Xbox, the Xbox Linux project formed. The Xbox Linux Project has a goal of developing and distributing Linux for the Xbox gaming console, “so that it can be used for many tasks that Microsoft don’t want you to be able to do. ...as a desktop computer, for email and browsing the web from your TV, as a (web) server” (Xbox Linux Project 2002). Since the Linux operating system is open source, meaning it can freely be tinkered with and distributed, those who opt to download and install Linux on their Xbox can do so with relatively little overhead in terms of cost or time. Additionally, Linux itself looks very “windows-like”, making for fairly low learning curve. To help increase overall awareness of this project and assist in diffusing it, the Xbox Linux Project offers step-by-step installation instructions, with the end result being a system capable of using common peripherals such as a keyboard and mouse, scanner, printer, a “webcam and a DVD burner, connected to a VGA monitor; 100% compatible with a standard Linux PC, all PC (USB) hardware and PC software that works with Linux.” (Xbox Linux Project 2002) Such a system could have tremendous potential for technology literacy. Pairing an Xbox with Linux and OpenOffice.org, for example, would provide our students essentially the same capability any of them would expect from a regular desktop computer. They could send and receive email, communicate using instant messaging IRC, or newsgroup clients, and browse Internet sites just as they normally would. In fact, the overall browsing experience for Linux users is substantially better than that for most Windows users. Internet Explorer, the default browser on all systems running Windows-base operating systems, lacks basic features standard in virtually all competing browsers. Native blocking of “pop-up” advertisements is still not yet possible in Internet Explorer without the aid of a third-party utility. Tabbed browsing, which involves the ability to easily open and sort through multiple Web pages in the same window, often with a single mouse click, is also missing from Internet Explorer. The same can be said for a robust download manager, “find as you type”, and a variety of additional features. Mozilla, Netscape, Firefox, Konqueror, and essentially all other OSS browsers for Linux have these features. Of course, most of these browsers are also available for Windows, but Internet Explorer is still considered the standard browser for the platform. If the Xbox Linux Project becomes widely diffused, our students could edit and save Microsoft Word files in OpenOffice.org’s Writer program, and do the same with PowerPoint and Excel files in similar OpenOffice.org components. They could access instructor comments originally created in Microsoft Word documents, and in turn could add their own comments and send the documents back to their instructors. They could even perform many functions not yet capable in Microsoft Office, including saving files in PDF or Flash format without needing Adobe’s Acrobat product or Macromedia’s Flash Studio MX. Additionally, by way of this project, the Xbox can also serve as “a Linux server for HTTP/FTP/SMB/NFS, serving data such as MP3/MPEG4/DivX, or a router, or both; without a monitor or keyboard or mouse connected.” (Xbox Linux Project 2003) In a very real sense, our students could use these inexpensive systems previously framed only within the context of entertainment, for educational purposes typically associated with computer-mediated learning. Problems: Control and Access The existing rhetoric of technological control surrounding current and emerging technologies appears to be stifling many of these efforts before they can even be brought to the public. This rhetoric of control is largely typified by overly-restrictive digital rights management (DRM) schemes antithetical to education, and the Digital Millennium Copyright Act (DMCA). Combined,both are currently being used as technical and legal clubs against these efforts. Microsoft, for example, has taken a dim view of any efforts to adapt the Xbox to Linux. Microsoft CEO Steve Ballmer, who has repeatedly referred to Linux as a cancer and has equated OSS as being un-American, stated, “Given the way the economic model works - and that is a subsidy followed, essentially, by fees for every piece of software sold - our license framework has to do that.” (Becker 2003) Since the Xbox is based on a subsidy model, meaning that Microsoft actually sells the hardware at a loss and instead generates revenue off software sales, Ballmer launched a series of concerted legal attacks against the Xbox Linux Project and similar efforts. In 2002, Nintendo, Sony, and Microsoft simultaneously sued Lik Sang, Inc., a Hong Kong-based company that produces programmable cartridges and “mod chips” for the PlayStation II, Xbox, and Game Cube. Nintendo states that its company alone loses over $650 million each year due to piracy of their console gaming titles, which typically originate in China, Paraguay, and Mexico. (GameIndustry.biz) Currently, many attempts to “mod” the Xbox required the use of such chips. As Lik Sang is one of the only suppliers, initial efforts to adapt the Xbox to Linux slowed considerably. Despite that fact that such chips can still be ordered and shipped here by less conventional means, it does not change that fact that the chips themselves would be illegal in the U.S. due to the anticircumvention clause in the DMCA itself, which is designed specifically to protect any DRM-wrapped content, regardless of context. The Xbox Linux Project then attempted to get Microsoft to officially sanction their efforts. They were not only rebuffed, but Microsoft then opted to hire programmers specifically to create technological countermeasures for the Xbox, to defeat additional attempts at installing OSS on it. Undeterred, the Xbox Linux Project eventually arrived at a method of installing and booting Linux without the use of mod chips, and have taken a more defiant tone now with Microsoft regarding their circumvention efforts. (Lettice 2002) They state that “Microsoft does not want you to use the Xbox as a Linux computer, therefore it has some anti-Linux-protection built in, but it can be circumvented easily, so that an Xbox can be used as what it is: an IBM PC.” (Xbox Linux Project 2003) Problems: Learning Curves and Usability In spite of the difficulties imposed by the combined technological and legal attacks on this project, it has succeeded at infiltrating this closed system with OSS. It has done so beyond the mere prototype level, too, as evidenced by the Xbox Linux Project now having both complete, step-by-step instructions available for users to modify their own Xbox systems, and an alternate plan catering to those who have the interest in modifying their systems, but not the time or technical inclinations. Specifically, this option involves users mailing their Xbox systems to community volunteers within the Xbox Linux Project, and basically having these volunteers perform the necessary software preparation or actually do the full Linux installation for them, free of charge (presumably not including shipping). This particular aspect of the project, dubbed “Users Help Users”, appears to be fairly new. Yet, it already lists over sixty volunteers capable and willing to perform this service, since “Many users don’t have the possibility, expertise or hardware” to perform these modifications. Amazingly enough, in some cases these volunteers are barely out of junior high school. One such volunteer stipulates that those seeking his assistance keep in mind that he is “just 14” and that when performing these modifications he “...will not always be finished by the next day”. (Steil 2003) In addition to this interesting if somewhat unusual level of community-driven support, there are currently several Linux-based options available for the Xbox. The two that are perhaps the most developed are GentooX, which is based of the popular Gentoo Linux distribution, and Ed’s Debian, based off the Debian GNU / Linux distribution. Both Gentoo and Debian are “seasoned” distributions that have been available for some time now, though Daniel Robbins, Chief Architect of Gentoo, refers to the product as actually being a “metadistribution” of Linux, due to its high degree of adaptability and configurability. (Gentoo 2004) Specifically, the Robbins asserts that Gentoo is capable of being “customized for just about any application or need. ...an ideal secure server, development workstation, professional desktop, gaming system, embedded solution or something else—whatever you need it to be.” (Robbins 2004) He further states that the whole point of Gentoo is to provide a better, more usable Linux experience than that found in many other distributions. Robbins states that: “The goal of Gentoo is to design tools and systems that allow a user to do their work pleasantly and efficiently as possible, as they see fit. Our tools should be a joy to use, and should help the user to appreciate the richness of the Linux and free software community, and the flexibility of free software. ...Put another way, the Gentoo philosophy is to create better tools. When a tool is doing its job perfectly, you might not even be very aware of its presence, because it does not interfere and make its presence known, nor does it force you to interact with it when you don’t want it to. The tool serves the user rather than the user serving the tool.” (Robbins 2004) There is also a so-called “live CD” Linux distribution suitable for the Xbox, called dyne:bolic, and an in-progress release of Slackware Linux, as well. According to the Xbox Linux Project, the only difference between the standard releases of these distributions and their Xbox counterparts is that “...the install process – and naturally the bootloader, the kernel and the kernel modules – are all customized for the Xbox.” (Xbox Linux Project, 2003) Of course, even if Gentoo is as user-friendly as Robbins purports, even if the Linux kernel itself has become significantly more robust and efficient, and even if Microsoft again drops the retail price of the Xbox, is this really a feasible solution in the classroom? Does the Xbox Linux Project have an army of 14 year olds willing to modify dozens, perhaps hundreds of these systems for use in secondary schools and higher education? Of course not. If such an institutional rollout were to be undertaken, it would require significant support from not only faculty, but Department Chairs, Deans, IT staff, and quite possible Chief Information Officers. Disk images would need to be customized for each institution to reflect their respective needs, ranging from setting specific home pages on web browsers, to bookmarks, to custom back-up and / or disk re-imaging scripts, to network authentication. This would be no small task. Yet, the steps mentioned above are essentially no different than what would be required of any IT staff when creating a new disk image for a computer lab, be it one for a Windows-based system or a Mac OS X-based one. The primary difference would be Linux itself—nothing more, nothing less. The institutional difficulties in undertaking such an effort would likely be encountered prior to even purchasing a single Xbox, in that they would involve the same difficulties associated with any new hardware or software initiative: staffing, budget, and support. If the institutional in question is either unwilling or unable to address these three factors, it would not matter if the Xbox itself was as free as Linux. An Open Future, or a Closed one? It is unclear how far the Xbox Linux Project will be allowed to go in their efforts to invade an essentially a proprietary system with OSS. Unlike Sony, which has made deliberate steps to commercialize similar efforts for their PlayStation 2 console, Microsoft appears resolute in fighting OSS on the Xbox by any means necessary. They will continue to crack down on any companies selling so-called mod chips, and will continue to employ technological protections to keep the Xbox “closed”. Despite clear evidence to the contrary, in all likelihood Microsoft continue to equate any OSS efforts directed at the Xbox with piracy-related motivations. Additionally, Microsoft’s successor to the Xbox would likely include additional anticircumvention technologies incorporated into it that could set the Xbox Linux Project back by months, years, or could stop it cold. Of course, it is difficult to say with any degree of certainty how this “Xbox 2” (perhaps a more appropriate name might be “Nextbox”) will impact this project. Regardless of how this device evolves, there can be little doubt of the value of Linux, OpenOffice.org, and other OSS to teaching and learning with technology. This value exists not only in terms of price, but in increased freedom from policies and technologies of control. New Linux distributions from Gentoo, Mandrake, Lycoris, Lindows, and other companies are just now starting to focus their efforts on Linux as user-friendly, easy to use desktop operating systems, rather than just server or “techno-geek” environments suitable for advanced programmers and computer operators. While metaphorically opening the Xbox may not be for everyone, and may not be a suitable computing solution for all, I believe we as educators must promote and encourage such efforts whenever possible. I suggest this because I believe we need to exercise our professional influence and ultimately shape the future of technology literacy, either individually as faculty and collectively as departments, colleges, or institutions. Moran and Fitzsimmons-Hunter argue this very point in Writing Teachers, Schools, Access, and Change. One of their fundamental provisions they use to define “access” asserts that there must be a willingness for teachers and students to “fight for the technologies that they need to pursue their goals for their own teaching and learning.” (Taylor / Ward 160) Regardless of whether or not this debate is grounded in the “beige boxes” of the past, or the Xboxes of the present, much is at stake. Private corporations should not be in a position to control the manner in which we use legally-purchased technologies, regardless of whether or not these technologies are then repurposed for literacy uses. I believe the exigency associated with this control, and the ongoing evolution of what is and is not a computer, dictates that we assert ourselves more actively into this discussion. We must take steps to provide our students with the best possible computer-mediated learning experience, however seemingly unorthodox the technological means might be, so that they may think critically, communicate effectively, and participate actively in society and in their future careers. About the Author Paul Cesarini is an Assistant Professor in the Department of Visual Communication & Technology Education, Bowling Green State University, Ohio Email: pcesari@bgnet.bgsu.edu Works Cited http://xbox-linux.sourceforge.net/docs/debian.php>.Baron, Denis. “From Pencils to Pixels: The Stages of Literacy Technologies.” Passions Pedagogies and 21st Century Technologies. Hawisher, Gail E., and Cynthia L. Selfe, Eds. Utah: Utah State University Press, 1999. 15 – 33. Becker, David. “Ballmer: Mod Chips Threaten Xbox”. News.com. 21 Oct 2002. http://news.com.com/2100-1040-962797.php>. http://news.com.com/2100-1040-978957.html?tag=nl>. http://archive.infoworld.com/articles/hn/xml/02/08/13/020813hnchina.xml>. http://www.neoseeker.com/news/story/1062/>. http://www.bookreader.co.uk>.Finni, Scott. “Desktop Linux Edges Into The Mainstream”. TechWeb. 8 Apr 2003. http://www.techweb.com/tech/software/20030408_software. http://www.theregister.co.uk/content/archive/29439.html http://gentoox.shallax.com/. http://ragib.hypermart.net/linux/. http://www.itworld.com/Comp/2362/LWD010424latinlinux/pfindex.html. http://www.xbox-linux.sourceforge.net. http://www.theregister.co.uk/content/archive/27487.html. http://www.theregister.co.uk/content/archive/26078.html. http://www.us.playstation.com/peripherals.aspx?id=SCPH-97047. http://www.techtv.com/extendedplay/reviews/story/0,24330,3356862,00.html. http://www.wired.com/news/business/0,1367,61984,00.html. http://www.gentoo.org/main/en/about.xml http://www.gentoo.org/main/en/philosophy.xml http://techupdate.zdnet.com/techupdate/stories/main/0,14179,2869075,00.html. http://xbox-linux.sourceforge.net/docs/usershelpusers.html http://www.cnn.com/2002/TECH/fun.games/12/16/gamers.liksang/. Citation reference for this article MLA Style Cesarini, Paul. "“Opening” the Xbox" M/C: A Journal of Media and Culture <http://www.media-culture.org.au/0406/08_Cesarini.php>. APA Style Cesarini, P. (2004, Jul1). “Opening” the Xbox. M/C: A Journal of Media and Culture, 7, <http://www.media-culture.org.au/0406/08_Cesarini.php>

A theoretical study on stereo and electronic properties of a series of six 1,2,4-triazole-derived carbenes bearing different N4-substituents, namely isopropyl (1), benzyl (2), phenyl (3), mesityl (4), 2,6-diisopropylphenyl (5) and 1-naphthyl (6), has been carried out. Structures of the six carbenes were first optimized using Gaussian® 16 at B3LYP level. Their molecular geometries and electronic structures of the frontier orbitals were examined. The results suggest the similarity in nature of their HOMOs, which all posses s symmetry with respect to the heterocycle and essentially be the lone electron pair on the Ccarbene. Steric properties of the NHCs was also quantified using percent volume burried (%Vbur) approach. The NHC 1 with isopropyl N4-substituent was the least bulky one with %Vbur of 27.7 and the most sterically demanding carbene is 6, which has large 2,6-diisopropylphenyl substituent (%Vbur = 38.4). Interestingly, the NHCs with phenyl and 1-naphthyl N4-substituents display flexible steric hindrance due to possible rotation of the phenyl or 1-naphthyl around the N-C single bond. Beside stereoelectronic properties of the NHC, topographic steric map of their complexes with metal were also investigated. Keywords: N-heterocyclic carbene, triazolin-5-ylidene, stereoelectronic properties, percent volume burried. References [1] D. Bourissou, O. Guerret, F.P. Gabbaï, G. Bertrand, Stable Carbene, Chem. Rev. 100 (2000) 39−92. https://doi.org/10.1021/cr940472u.[2] N. Marion, S.P. Nolan, Well-Defined N-Heterocyclic Carbenes-Palladium(II) Precatalysts for Cross-Coupling Reactions, Acc. Chem. Res. 41 (2008) 1440−1449. https://doi.org/10.1021/ar800020y. [3] F.E. Hahn, M.C. Jahnke, Heterocyclic carbenes: synthesis and coordination chemistry, Angew. Chem., Int. Ed. 47 (2008) 3122−3172. http://doi. org/10.1002/anie.200703883. [4] M.N. Hopkinson, C. Richter, M. Schedler, F. Glorius, An overview of N-heterocyclic carbenes, Nature 510 (2014) 485−496. https://doi.org/nature13384.[5] W.A. Herrmann, N‐Heterocyclic Carbenes: A New Concept in Organometallic Catalysis, Angew. Chem., Int. Ed. 41 (2002) 1290−1309, https://doi.org/10.1002/1521-3773%2820020415%2941%3A8%3C1290%3A%3AAID-ANIE12 90%3E3.0.CO%3B2-Y.[6] S. Díez-Gonzalez, N. Marion, S.P. Nolan, N-Heterocyclic Carbenes in Late Transition Metal Catalysis, Chem. Rev. 109 (2009) 3612−3676. https://doi.org/10.1021/cr900074m.[7] L. Cavallo, A. Correa, C. Costabile, H.J. Jacobsen, Steric and electronic effects in the bonding of N-heterocyclic ligands to transition metals, Organomet. Chem. 690 (2005) 5407 -5413. https://doi.org/10.1016/j.jorganchem.2005. 07.012. [8] H. Clavier, S.P. Nolan, Percent buried volume for phosphine and N-heterocyclic carbeneligands: steric properties in organometallic chemistry, Chem. Commun. 46 (2010) 841−861. https://doi. org/10.1039/B922984A.[9] C. Buron, L. Stelzig, O. Guerret, H. Gornitzka, V. Romanenko, G. Bertrand, Synthesis and structure of 1,2,4-triazol-2-ium-5-ylidene complexes of Hg(II), Pd(II), Ni(II), Ni(0), Rh(I) and Ir(I), J. Organomet. Chem. 664 (2002) 70-76. https: //doi.org/10.1016/S0022-328X(02)01924-1.[10] S. Guo, H.V. Huynh, Dinuclear Triazole-Derived Janus-Type N-Heterocyclic Carbene Complexes of Palladium: Syntheses, Isomerizations, and Catalytic Studies toward Direct C5-Arylation of Imidazoles, Organometallics, 33 (2014) 2004−2011. https:// doi.org/10.1021/om500139b.[11] A. Zanardi, J.A. Mata, E. Peris, Palladium Complexes with Triazolyldiylidene. Structural Features and Catalytic Applications, Organometallics 28 (2009) 4335−4339. https://doi.org/10.1021/om8010504. [12] C. Dash, M.M. Shaikh, R.J. Butcher, P. Ghosh, A comparison between nickel and palladium precatalysts of 1,2,4-triazole based N-heterocyclic carbenes in hydroamination of activated olefins, Dalton Trans. 39 (2010) 2515-2524. http://doi.org/10.1039/B917892A. [13] H. Clavier, A. Correa, L. Cavallo, E.C. Escudero-Adan, J. Benet-Buchholz, A.M.J. Slawin, S.P. Nolan, [Pd(NHC) (allyl)Cl] Complexes: Synthesis and Determination of the NHC Percent Buried Volume (%Vbur) Steric Parameter, Eur. J. Inorg. Chem. 2009 (2009) 1767−1773. https:// doi.org/10.1002/ejic.200801235.[14] D. Yuan, H.V. Huynh, Hetero-dicarbene Complexes of Palladium(II): Syntheses and Catalytic Activities, Organometallics, 33 (2014) 6033−6043. https://doi.org/10.1021/om500659v.[15] V.H. Nguyen, I.B. Ibrahim, H.V. Huynh, Postmodification Approach to Charge-Tagged 1,2,4-Triazole-Derived NHC Palladium(II) Complexes and Their Applications Organometallics, 36 (2017) 2345–2353. https:// doi.org/10.1021/acs.organomet.7b00329.[16] V.H. Nguyen, B.M.E. Ali, H.V. Huynh, Stereoelectronic Flexibility of Ammonium-Functionalized Triazole-Derived Carbenes: Palladation and Catalytic Activities in Water Organometallics, 37 (2018) 2358–2367. https://doi.org/10.1021/acs.organomet.8b00347.[17] A.D. 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Who Are Carers? A carer is any individual who provides unpaid care and support to a family member or friend who has a disability, mental illness, drug and/or alcohol dependency, chronic condition, terminal illness or who is frail. Carers come from all walks of life, cultural backgrounds and age groups. For many, caring is a 24 hour-a-day job with emotional, physical and financial impacts, with implications for their participation in employment, education and community activities. Carers exist in all communities, including amongst Aboriginal communities, those of culturally and linguistically diverse backgrounds, amongst Gay, Lesbian, Bisexual, Transgender, Intersex communities, and throughout metropolitan, regional and rural areas (Carers NSW). These broad characteristics mean that caring occurs across a wide variety of situations and care responsibilities can impact an even wider group of people. The ubiquitous nature of informal care warrants its consideration as a major social issue, as well as the potential impacts that these roles can have on carers in both short and long term contexts. Caring for a loved one is often an unseen component of people’s domestic lives. As will be outlined below, the potentially burdensome nature of care can have negative influences on carers’ wellbeing. As such, factors that can enhance the resilience of carers in the face of such adversity have been widely investigated. This being said, individual differences exist in carers’ responses to their caring responsibilities. The caring experience can therefore be argued to exist on a continuum, from the adversity in relation to stressful challenges through to prosperity in light of their caring responsibilities. By considering the experience of care as existing along this continuum, the place of resilience within people’s domestic spaces can be viewed as a mechanism towards identifying and developing supportive practices. Negative Impacts of Care A significant body of research has identified potential negative impacts of caring. Many of the most commonly cited outcomes relate to negative effects on mental health and/or psychological functioning, including stress, anxiety and depression (e.g. Baker et al.; Barlow, Cullen-Powell and Cheshire; Cheshire, Barlow and Powell; Dunn et al.; Gallagher et al.; Hastings et al.; Lach et al.; Singer; Sörensen et al.; Vitaliano, Zhang and Scanlan; Whittingham et al.; Yamada et al.). These feelings can be exacerbated when caring responsibilities become relentlessly time consuming, as demonstrated by this comment from a carer of a person with dementia: “I can’t get away from it” (O'Dwyer, Moyle and van Wyk 758). Similarly, emotional responses such as sorrow, grief, anger, frustration, and guilt can result from caring for a loved one (Heiman; Whittingham et al.). Negative emotional responses are not necessarily a direct result of caring responsibilities as such, but an understanding of the challenges faced by the person requiring their care. The following quote from the carer of a child with autism exemplifies the experience of sorrow: “It was actually the worst day of our lives, that was the day we came to terms with the fact that we had this problem” (Midence and O’Neill 280). Alongside these psychological and emotional outcomes, physical health may also be negatively impacted due to certain demands of the caring role (Lach et al.; Sörensen et al.; Vitaliano, Zhang and Scanlan). Outcomes such as these are likely to vary across individual caring circumstances, dictated by variables such as the specific tasks required of the carer, and individual personality characteristics of both the carer and the person for whom they care. Nevertheless, an awareness of these potential outcomes is particularly important when considering the place of resilience in the domestic space of individuals caring for a loved one. This conceptualisation of caring as being a burdensome task reflects many publicly held perceptions. If caring is widely viewed as compromising carers’ wellbeing, then there is likely to be an increased likelihood of carers viewing themselves as victims. This is particularly true amongst children and adolescents with caring responsibilities, since young people are most susceptible to having their personal identities shaped by others’ perceptions (Andreouli, Skovdal and Campbell). Resilience in Caring Adversity Despite the widely acknowledged potential for caring to have negative consequences for carers, it must be noted that the occurrence of these outcomes are not inevitable. In fact, much of the research that has identified increased stress amongst carers also finds that the majority cope well with the demands of their role (Barnett et al.). These carers have been considered by many researchers to demonstrate resilience (e.g. Barnett et al.; O'Dwyer, Moyle and van Wyk). The ability to respond positively despite exposure to risk or adversity is a key feature of most definitions of resilience (Luthar, Cicchetti and Becker; Masten and Obradović; Zauszniewski, Bekhet and Suresky). Resilience in this context can thus be defined as a psychological process that facilitates healthy functioning in response to intense life stressors (Johnson et al.). Since caring experiences are likely to continue for an extended period of time, resilience is likely to be necessary on an ongoing basis, rather than in response to a single traumatic event. A resilient carer is therefore one who is able to effectively and adaptively cope with extenuating pressures of caring for a loved one. This involves the presence of personal, social, familial, or institutional protective factors that enable carers to resist stress (Kaplan et al.). For example, support from health professionals, family, or community has been found to effectively support carers in coping with their role (Bekhet, Johnson and Zauszniewski; Gardiner and Iarocci; Heiman; Whittingham et al.). The benefit of support networks in assisting carers to cope in their role is widely reported in the associated research, reinforced by many examples such as the following from a carer of a person with dementia: “It’s a social thing, like, I’ve got friends on there… I find that is my escape” (O'Dwyer, Moyle and van Wyk 758). At an individual level, those who demonstrate resilient in the face of adversity demonstrate optimistic or hopeful outlooks (Ekas, Lickenbrock and Whitman; Lloyd and Hastings; Whittingham et al.), while simultaneously holding realistic expectations of the future (Rasmussen et al.; Wrosch, Miller, et al.; Wrosch, Scheier, et al.). Such attitudes are particularly significant amongst people caring for family members or friends with disabilities or illnesses. The following attitude held by a carer of a child with cerebral palsy exemplifies this optimistic outlook: “I look at the glass half full and say that “well, it’s only his walking, everything else is fine”. “So, get over [it] and deal with it” (Whittingham et al. 1451). Those who cognitively process information, rather than reacting in a highly emotion way have also been found to cope better (Bekhet, Johnson and Zauszniewski; Heiman; Monin et al.; Pennebaker, Mayne and Francis), as have those with a greater sense of self-efficacy or an internal locus of control (Bekhet, Johnson and Zauszniewski; Kuhn and Carter). However effective these coping strategies prove to be, this is unlikely to provide the full picture of caring experiences, or the place of resilience within that space. Associating resilience with adversity presumes a consensus on what constitutes adversity. Taking the typical approach to investigating resilience amongst carers risks making undue assumptions of the nature of individual carers’ experiences – namely, that caring equates to adversity. The following paragraphs will outline how this is not necessarily the case. And furthermore, that the concept of resilience still has a place in considering informal caring, regardless of whether adversity is considered to be present. Benefits of Care While a great deal of evidence suggests that caring for a loved one can be a stressful experience, research has also demonstrated the existence of positive impacts of care. In many instances, carers not only cope, but also thrive in their caring roles (Turnbull et al.). Elements such as positive relationships within caring relationships can both challenge and strengthen individuals – factors that only exist due to the specific nature of the individual caring role (Bayat; Heiman). Such positive elements of the caring experience have been reflected in the literature, illustrated by quotes such as: “In some sense, this makes our family closer” (Bayat 709). Rather than viewing carers from a perspective of victimisation (which is particularly prominent in relation to children and young people with caring responsibilities), recognising the prevalence of positive wellbeing within this population provides a more nuanced understanding of the lived experiences of all carers (Aldridge). Reported benefits of caring tend to revolve around personal relationships, particularly in reference to parents caring for their children with special needs. Reflective of the parental relationship, carers of children with disabilities or chronic illnesses generally report feelings of love, joy, optimism, strength, enjoyment, and satisfaction with their role (Barnett et al.; Heiman). The views of such carers do not reflect an attitude of coping with adversity, but rather a perspective that considers their children to be positive contributors to carers’ quality of life and the wellbeing of the wider family (King et al.). This point of view suggests an additional dimension to resilience; in particular, that resilience in the relative absence of risk factors, can cause carers to flourish within their caring role and relationships. In addition to benefits in relationships, carers may also prosper through their own personal growth and development in the course of their caring (Knight). This includes factors such as the development of life skills, maturity, purpose, social skills, a sense of responsibility, and recognition – particularly amongst young people in caring roles (Earley, Cushway and Cassidy; Early, Cushway and Cassidy; Jurkovic, Thirkield and Morrell; Skovdal and Andreouli; Stein, Rotheram-Borus and Lester; Tompkins). Recognition of the potential personal benefits of caring for a loved one is not intended to suggest that the view of carers coping with adversity is universally applicable. While it is likely that individual caring situations will have an impact on the extent to which a carer faces adversity (e.g. intensity of caring responsibilities, severity of loved one’s impairment, etc.), it is important to recognise the benefits that carers can experience alongside any challenges they may face. Circumstances that appear adversarial may not be thought of as such by those within that context. Defining resilience as an ability to cope with adversity therefore will not apply to such contexts. Rather, the concept of resilience needs to incorporate those who not only cope, but also prosper. Carers who do not perceive their role as burdensome, but identify positive outcomes, can therefore be said to demonstrate resilience though contextually different from those coping with adversity. This is not to suggest that resilience is the sole contributing factor in terms of prospering in the caring role. We must also consider individual circumstances and nuances differ between carers, those they care for, interpersonal relationships, and wider caring situations. Continuum of Care Awareness of the range of impacts that caring can have on carers leads to a recognition of the broad spectrum of experience that this role entails. Not only do caring experiences exhibit large variations in terms of practical issues (such as functional capacities, or type and severity of illness, disability, or condition), they include carers’ diverse personal responses to caring responsibilities. These responses can reflect either positive or negative dimensions, or a combination of both (Faso, Neal-Beevers and Carlson). In this way, caring experiences can be conceptualised as existing along a continuum. At one end of the spectrum, experiences align with the traditional view of caring as a struggle with and over adversity. More specifically, carers experience burdens as a result of their additional caring responsibilities, with negative outcomes likely to occur. At the other end of the spectrum, however, carers prosper in the role, experiencing significant personal benefits that would not have been possible without the caring role. This continuum makes a case for an expanded approach to stress and coping models of resilience to include positive concepts and a benefit-orientated perspective (Cassidy and Giles). In contrast to research that has argued for a progression from stress and coping models to strengths-based approaches (e.g. Glidden, Billings and Jobe; Knight), the continuum of care acknowledges the benefits of each of these theoretical positions, and thus may prove more comprehensive in attempting to understand the everyday lived experiences of carers. The framework provided by a representation of a continuum allows for the individual differences in caring situations and carers’ personal responses to be acknowledged, as well as accounting for any changes in these circumstances. Further, the experience and benefits of resilience in different contextual spheres can be identified. The flexibility afforded by such an approach is particularly important in light of individual differences in the ways carers respond to their situations, their changing caring contexts, and their subsequent individual needs (Monin et al.; Walsh; Whittingham et al.). As the caring experience can be dynamic and fluctuate in both directions along the continuum, resilience may be seen as the mechanism by which such movement occurs. In line with stress and coping models, resilience can assist carers to cope with adversarial circumstances at that end of the continuum. Similarly, it may be argued that those who prosper in their caring role exhibit characteristics of resilience. In other words, it is resilience that enables carers to cope with adversity at one end of the continuum and also to prosper at the other. Furthermore, by supporting the development of resilient characteristics, carers may be assisted in shifting their experiences along the continuum, from adversity to prosperity. This view extends upon traditional approaches reported in the stress and coping literature by contending that caring experiences may progress beyond positions of coping with adversity, to a position where caring is not understood in terms of adversity at all, but rather in terms of benefits. The individual circumstances of any carer must be taken into consideration with this framework of resilience and the continuum of care. It is unrealistic to assume that all caring situations will allow for the possibility of reaching the end point of this continuum. Carers with particularly high demands in terms of time, resources, effort, or energy may not reach a stage where they no longer consider their caring role to involve any personal burden. However, the combination of a coping and strengths-based approach suggests that there is always the possibility of moving away from perceptions of adversity and further towards an attitude of prosperity. Implications for Supportive Practice From the perspective of this continuum of care, the protective factors and coping strategies identified in previous literature provide a valuable starting point for the facilitation of resilience amongst carers. Enhancing factors such as these can assist carers to move from situations of adversity towards experiences of prosperity (Benzies and Mychasiuk). Research has suggested that carers who are less analytical in their thinking and less optimistic about their personal situations may find particular benefit from support systems that assist them in redirecting their attention towards positive aspects of their daily lives, such as the benefits of caring outlined earlier (Monin et al.). The principle of focusing on positive experiences and reframing negative thoughts is thought to benefit carers across all levels of functioning and adaptive experience (Monin et al.). While those entrenched in more burdensome mindsets are likely to experience the greatest benefit from supportive interventions, there is still merit in providing similar supports to carers who do not appear to experience the similar experiences of burden, or demonstrate greater resilience or adaptation to their situation. The dynamic view of caring situations and resilience suggested by a continuum of care incorporates benefits of stress and coping models as well as strengths-based approaches. This has implications for supportive practice in that the focus is not on determining whether or not a carer is resilient, but identifying the ways in which they already are resilient (Simon, Murphy and Smith). For carers who experience their role through a lens of adversity, resilience may need to be purposefully fostered in order to better enable them to cope and develop through the ongoing stresses of their role. For carers at the other end of the spectrum, resilience is likely to take on a substantially different meaning. Under these circumstances, caring for a loved one is not considered a burdensome task; rather, the positive impact of the role is pre-eminent. This point of view suggests that carers are resilient, not only in terms of an ability to thrive despite adversity, but in prospering to the extent that adversity is not considered to exist. The attitudes and approaches of services, support networks, and governments towards carers should remain flexible enough to acknowledge the wide variety of caring circumstances that exist. The continuum of care provides a framework through which certain aspects of caring and variations in resilience can be interpreted, as well as the type of support required by individual carers. Furthermore, it must be noted that caring circumstances can change – either gradually or suddenly – with the extent to which carers experience adversity, coping or prosperity also changing. Any attempts to provide support to carers or acknowledge their resilience should demonstrate an awareness of the potential for such fluctuation. 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