Academic literature on the topic 'Riddles England Themes, motives'

Введение. Образ андрогина, начиная с «Пира» Платона, служит осмыслению темы любви, проблемы поиска антропологической цельности. Широкую палитру вариантов осмысления андрогинности дает модернистская литература рубежа ХIX–ХХ вв., в традиции которой вписывается творчество современного писателя Лены Элтанг. Цель – проанализировать воплощение мотива андрогина в романе Л. Элтанг «Каменные клены». Материал и методы. Работа М. Элиаде «Мефистофель и Андрогин, или Тайна целостности», исследования образа андрогина в литературе Серебряного века и философии И. А. Едошиной, Е. С. Турутиной, Н. А. Копыловой, труды Б. М. Гаспарова и И. В. Силантьева о мотивном анализе. Результаты и обсуждение. В «Каменных кленах» андрогинные мотивы проявлены в коллизиях взаимоотношений центральных персонажей Саши Сонли и Луэллина Элдерберри, сводных сестер Саши и Эдны, представлены в нескольких вариантах, включая «интерсексуальные переодевания» (М. Элиаде), жертвоприношение. Обретение любви, обеспечивающее антропологическую и онтологическую полноту бытия, сопряжено с преодолением трудностей (мотивы прохождения испытаний, разгадывания загадок, выбор суженого). Соединение двух людей в гармоничное целое передано через метафорические образы женщины и мужчины: «автор – читатель», «хозяйка гостиницы – постоялец». Л. Элтанг принципиально дистанцируется от телесной семантики мотива андрогина, актуализируя его символический смысл: соединение со второй половиной трактуется как встреча автора со своим читателем, готовым стать соавтором. Заключение. Роман Лены Элтанг «Каменные клены» вписывается в традиционную, начиная с Античности, интерпретацию образа андрогина, выражающего идею «реинтеграции противоположностей» (М. Элиаде), преодоления одиночества, обретения антропологической и онтологической полноты и целостности личности. Андрогинные мотивы раскрывают в романе темы любви и творчества. Обретение Другого и соединение с ним, подобное по сути андрогинности, дает центральным персонажам романа смысл существования. Introduction. Lena Eltang’s novel “Stone Maples” fits into the traditional, since antiquity, interpretation of the androgynous image associated with the idea of “reintegration of opposites” (M. Eliade), the problem of finding the Other to gain the anthropological and ontological completeness and integrity of the individual. The aim is to analyze the semantics of the androgynous motif in L. Eltang’s novel “Stone Maples”. The theoretical and methodological basis of the research is the work of M. Eliade “Mephistopheles and Androgynes”, the research of I. A. Edoshina, E. S. Turutina, N. A. Kopylova, devoted to the image of androgynes in the literature of the Silver Age and philosophy. Results and discussion. In “Stone Maples”, androgynous motifs are manifested in the conflicts between the central characters of Sasha Sonley and Llewellyn Elderberry, the half-sisters of Sasha and Edna. Androgynous motifs are presented in several versions: homosexual attraction, “intersex disguises”, sacrifice, as well as through specific metaphors of connecting two people into a harmonious whole “author-reader”, “hotel hostess-guest”. Finding love, which provides the anthropological and ontological completeness of being, is fraught with difficulties (motives for passing tests, solving riddles, choosing a betrothed). L. Eltang fundamentally distances hirself from the bodily semantics of the androgynous motif, actualizing its symbolic meaning: unity with the second half is interpreted as a meeting of the author with his reader, who is ready to become a co-author. Conclusion. Androgynous motifs reveal the themes of love and creativity in the novel. Only the acquisition of the Other gives the fullness and meaning of existence.

Introduction Medication errors are an important cause of morbidity and mortality. The pharmacist-led IT-based intervention to reduce clinically important medication errors (PINCER) has demonstrated improvements in primary care medication safety, and whilst now the subject of national roll-out its optimal and sustainable use across health contexts has not been fully explored. As part of a qualitative evaluation we aimed to identify factors influencing successful adoption, embedding and sustainable use of PINCER across primary care settings in England, UK. Methods Semi-structured face-to-face or telephone interviews, including follow-up interviews and an online survey were conducted with professionals knowledgeable of PINCER. Interview recruitment targeted four early adopter regions; the survey was distributed nationally. Initial data analysis was inductive, followed by analysis using a coding framework. A deductive matrix approach was taken to map the framework to the Normalisation Process Theory (NPT). Themes were then identified. Results Fifty participants were interviewed, 18 participated in a follow-up interview. Eighty-one general practices and three Clinical Commissioning Groups completed the survey. Four themes were identified and interpreted within the relevant NPT construct: Awareness & Perceptions (Coherence), Receptivity to PINCER (Cognitive Participation), Engagement [Collective Action] and Reflections & Adaptations (Reflexive Monitoring). Variability was identified in how PINCER awareness was raised and how staff worked to operationalise the intervention. Facilitators for use included stakeholder investment, favourable evidence, inclusion in policy, incentives, fit with individual and organisational goals and positive experiences. Barriers included lack of understanding, capacity concerns, operational difficulties and the impact of COVID-19. System changes such as adding alerts on clinical systems were indicative of embedding and continued use. Conclusions The NPT helped understand motives behind engagement and the barriers and facilitators towards sustainable use. Optimising troubleshooting support and encouraging establishments to adopt an inclusive approach to intervention adoption and utilisation could help accelerate uptake and help establish ongoing sustainable use.

Abstract Background High prevalence of falls among older persons makes falls prevention a public health priority. Yet community-based falls prevention face complexity in implementation and any commissioning strategy should be subject to economic evaluation to ensure cost-effective use of healthcare resources. The study aims to capture the views of older people on implementing the National Institute for Health and Care Excellence (NICE) guideline on community-based falls prevention and explore how the qualitative data can be used to inform commissioning strategies and conceptual modelling of falls prevention economic evaluation in the local area of Sheffield. Methods Focus group and interview participants (n = 27) were recruited from Sheffield, England, and comprised falls prevention service users and eligible non-users of varying falls risks. Topics concerned key components of the NICE-recommended falls prevention pathway, including falls risk screening, multifactorial risk assessment and treatment uptake and adherence. Views on other topics concerning falls prevention were also invited. Framework analysis was applied for data analysis, involving data familiarisation, identifying themes, indexing, charting and mapping and interpretation. The qualitative data were mapped to three frameworks: (1) facilitators and barriers to implementing the NICE-recommended pathway and contextual factors; (2) intervention-related causal mechanisms for formulating commissioning strategies spanning context, priority setting, need, supply and demand; and (3) methodological and evaluative challenges for public health economic modelling. Results Two cross-component factors were identified: health motives of older persons; and professional competence. Participants highlighted the need for intersectoral approaches and prioritising the vulnerable groups. The local commissioning strategy should consider the socioeconomic, linguistic, geographical, legal and cultural contexts, priority setting challenges, supply-side mechanisms spanning provider, organisation, funding and policy (including intersectoral) and health and non-health demand motives. Methodological and evaluative challenges identified included: incorporating non-health outcomes and societal intervention costs; considering dynamic complexity; considering social determinants of health; and conducting equity analyses. Conclusions Holistic qualitative research can inform how commissioned falls prevention pathways can be feasible and effective. Qualitative data can inform commissioning strategies and conceptual modelling for economic evaluations of falls prevention and other geriatric interventions. This would improve the structural validity of quantitative models used to inform geriatric public health policies.

Includes bibliographical references (leaves 119-131)
Text in English with summaries in English and Afrikaans
There are certain influences from the eighteenth and nineteenth century English and German romantic Zeitgeist that can be discerned in Hans Christian Andersen’s fairy tales. The role of the imagination stands out as a particularly dominant notion of the romantic period as opposed to the emphasis on reason during the Enlightenment. It is this romantic influence that Andersen’s tales especially exemplify. For him the imagination is transcendent – one can overcome the mystery and hardship of an earthly existence by recasting situations imaginatively and one can even be elevated to a higher, spiritual realm by its power. The transcendent power of the imagination is best understood by viewing it through the lens of negative capability, a concept put forward by romantic poet, John Keats. The concept implies an “imaginative openness” to what is, which allows one to tolerate life’s uncertainties and the inexplicable suffering that forms part of one’s earthly existence by using the imagination to open up new potential within trying circumstances. In selected fairy tales, Andersen’s child protagonists transcend their circumstances by the power of their imagination. In other tales, nature is instrumental in this imaginative transcendence. The natural world conveys spiritual truths and has a moralising influence on the characters, bringing them closer to the Ultimate Creator. This follows the philosophy of German Naturphilosophie, as well as that of English romantics like Coleridge and Wordsworth, for whom nature functions as a portal to the spiritual world. The concept of the “sublime” underpins this philosophy. If nature is viewed through an imaginative, instead of an empirical lens, it becomes the means by which the temporal world can be transcended. It is a message of hope and as such is in keeping with Andersen’s self professed calling as visionary who uses his art to uplift mankind. In this he is the ultimate romantic hero or outsider who, while standing on the periphery of society, observes its shortcomings and feels called upon to show the way to a better world.
Sekere invloede van agtiende- en negentiende eeuse Engelse en Duitse romantisisme kan in Hans Christian Andersen se feëverhale bespeur word. Veral die rol van die verbeelding staan uit as ‘n dominante invloed van romantisisme, in teenstelling met die laat sewentien- en vroeë agtiende eeuse fokus op rasionaliteit. Dit is hierdie romantiese invloed wat Andersen se verhale veral versinnebeeld. Vir hom is die verbeelding transendentaal – ‘n mens kan die misterie en swaarkry van jou aardse bestaan oorkom deur situasies deur die oog van die verbeelding te bejeën en kan selfs deur die mag van die verbeelding opgehef word na ‘n hoër, meer spirituele vlak. Die transendentale mag van die verbeelding kan beter begryp word wanneer dit deur die lens van “negative capability” gesien word. Hierdie konsep is deur die romantiese digter, John Keats, voorgestel. Die konsep impliseer ‘n verbeeldingryke openheid in die aangesig van aardse onsekerheid en swaarkry, wat die mens uiteindelik in staat stel om nuwe potensiaal in moeilike omstandighede raak te sien. In uitgekose feëverhale, oorkom Andersen se kinderprotagoniste hul moeilike omstandighede deur die mag van die verbeelding. In ander verhale is die natuur deurslaggewend in dié transendentale verbeeldingsreis. Nie net dra die natuur geestelike waarhede oor nie, maar dit het ook ‘n moraliserende invloed op die karakters, wat hulle nader aan ‘n Opperwese bring. Dit herinner aan die Duitse Naturphilosophie, asook die sienswyse van Engelse romantikusse soos Coleridge en Wordsworth, vir wie die natuur ‘n deurgangsroete na die geestelike wêreld is. Die idee van die “sublime” is onderliggend aan hierdie filosofie. As die natuur deur middel van die verbeeldingslens, in plaas van deur ‘n empiriese lens bejeën word, kan dit ‘n manier word om die aardse te oorkom. Dit is dus ‘n boodskap van hoop wat in lyn is met Andersen se selfopgelegde taak as profeet wat sy kuns gebruik om die mensdom op te hef. In hierdie opsig is hy die absolute romantiese held of buitestaander, wat, ofskoon hy aan die buitewyke van die samelewing staan, tóg tekortkominge raaksien en geroepe voel om die weg na ‘n beter wêreld te wys.
English Studies
M.A. (English)