CAN NOT Research Articles

“IF I AM OLD, YOU CAN NOT TELL ME THAT I HAVE JUST BREAST CANCER PATIENT”: A PHENOMENOLOGICAL STUDY

“IF I AM OLD, YOU CAN NOT TELL ME THAT I HAVE JUST BREAST CANCER PATIENT”: A PHENOMENOLOGICAL STUDY Abstract Objective: This study aimed to investigate the post-surgery experiences of elderly breast cancer survivors. Methods: Semi-structured interviews were conducted with 12 elderly breast cancer patients (> 65) after surgery. To evoke the themes illuminating these women's experiences, we employed phenomenological analysis. Results: Three main themes emerged as a result of the research: "This is not ideal at this age but there is nothing I can do," "I am no longer self-sufficient," and "We are different, I am old." For elderly women, the phrase "removing the breast" is difficult to hear. Most elderly people could not even look at or touch the area. They asserted, however, that being healthy is more crucial than caring about one's physical appearance given one's age. They were unable to care for themselves, carry out independent daily tasks, or clean the house. It had a significant impact on the elderly to be dependent on others for these tasks. Those who were assisted felt grateful; those who were not supported felt helpless. The elderly were burdened more because of their age and various health issues. On the other hand, elderly patients who underwent cancer surgery experienced a fear of passing away. The elderly wanted information or assistance with their issues, but they were unsure of where to turn. Conclusion: Elderly breast cancer patients experience different issues due to the particular challenges of old age. Based on this knowledge, members of the healthcare team should follow a different roadmap than the particular strategy for performing breast cancer surgery on elderly patients. Cancer diagnosis, breast loss, the physical burden of comorbidity, the psychological burden of dependency, and the inability to care for oneself should all be considered when providing care and treatment for elderly individuals. Keywords: Breast cancer surgery; elderly patients; experience; geriatric oncology; phenomenology.

Is It Possible to Design a 1-Bit Reconfigurable Transmitarray Element With a Single Switch?

With the rapid development of reconfigurable transmitarray antennas (RTAs), a lot of antenna prototypes have been proposed in literatures. It is noticed that all 1-bit RTA elements utilize at least two switches to realize 1-bit transmission phase difference. Hence, a question arises: Is it possible to design a 1-bit reconfigurable transmitarray element with a single switch? In this letter, three-port network theory is employed to prove that a single-switch RTA element CANNOT realize both high transmission efficiency and 1-bit phase tuning ability simultaneously. Furthermore, we also prove that it is impossible to realize a 1-bit reconfigurable reflectarray antenna (RRA) element with polarization conversion that uses only one switch. However, based on two-port network equivalence, a 1-bit RRA element without polarization conversion is possible by using a single switch.

“THE CITY TO WHICH I CANNOT RETURN”: THE SPACE OF TEMPORARY OCCUPIED DONETSK AND LUHANSK REGIONS IN THE MEMORIES OF CHILDREN FROM IDP FAMILIES

The purpose of this study was to determine the image of the Donbas cities carried by children who have become forced migrants. The article is based on interviews with individuals under the age of 18 in 2014 who were forced to flee their homes due to the conflict in Donbass. These interviews were conducted primarily in 2020 and 2021. The interviewees cannot return to their cities for various reasons; for some, attempting to cross the border between the so-called LPR and DPR could land them in prison due to the status or public standing of their families. It is important to note that frequently the child did not have the chance to say goodbye to the parental home because the departure was planned for several days or weeks in advance. The article analyzes, from the perspective of the psychology of overcoming a traumatic experience, how the inability to return and the absence of a farewell ceremony affect the current state of a person. It is important for a person to revisit places associated with his childhood and his family’s history at various stages of his life. Such locations include ancestral graves, parental homes, and others associated with significant life events. This situation is complicated by the fact that many respondents’ ancestors, such as grandfathers and grandmothers, chose to remain in territory not under Ukrainian government control. The inability to "say goodbye" traumatizes the psychological state of a person who has been deprived of his roots. What will happen if the images of immigrants and locals collide, how can a potential conflict be avoided, and what role can it play in the reintegration process? The article is relevant to the reconstruction of the cities of Donbass, which were previously in uncontrolled territory, because it raises the issue of image conflict and seeks a solution to this issue.

Autobiography As Fiction: A Study of Thomas Wolfe’s Look Homeward, Angel and Of Time and the River

Thoma s Wolfe, a n America n novelist of the 1920s a nd 30s, is one of the most misunderstood a nd underestimated writers of his genera tion, His relucta nce to follow the tra ditiona l pa th of the novel or to compete a ga inst any standard but his own has not been taken seriously, Most of Wolfe’s critics have shown an exaggerated concern a bout his life which is revea led in his works. There ha ve been a ttempts to see him in the role of a n a utobiogra pher, a nd often critics ha ve tried to pursue his experiences in the hope of finding their sources. Some critics have recognized him a s a n a rtist, but they do not a cknowledge the significa nce of his experiences. His experiencesa re significa nt,a nd so is his a rt. A brillia nt picture of life emerges in his novels a s we rela te one to the other. His novels a rouse strong rea ctions -both positive a nd nega tive, but they rema in true to life. His ea rlier works Look, Homewa rd Angel, a nd Of Time a nd the River a re more a utobiogra phica l tha n the others. At this sta ge, Wolfe wa s still trying to ha rness his intense emotions while tra nsforming them into a rt. Hence the ma turity we see in the la ter novels is missing in the ea rlier ones. And yet we ca nnot but be surprised by the fla shes of brillia nce in his works tha t not only dema nd a pprecia tion from critics a nd the public but a lso inspireschola rs like me to delve deeper into his works for a better understa nding of his life a nd a rt.

Voluntary Firearm Divestment and Suicide Risk: Real-World Importance in the Absence of Causal Identification.

Voluntary Firearm Divestment and Suicide Risk: Real-World Importance in the Absence of Causal Identification.

Facial milia-like eruption in a patient with alopecia

Facial milia-like eruption in a patient with alopecia

Shaming and Blaming

Shaming and Blaming Brian Manternach (bio) THE INDEPENDENT TEACHER INTRODUCTION Years ago, I attended a lecture given by a prominent voice pedagogue. During his presentation, he asked those of us in attendance to stand up and point to the lowest area in our bodies that we believe the diaphragm reaches during inhalation. I stood and pointed to my lower belly. Then he encouraged us to look around the room and check our answers. I noticed some people with answers similar to mine, others who were pointing to a higher area in their bodies, and a few who decided not to venture a guess. After some time passed, the presenter shook his head and chuckled. He asked us to sit down and proceeded to explain, in a tone that I heard as rife with condescension, the "physical impossibility" that the diaphragm could descend to the lower abdomen. It felt to me like those of us who were wrong were being scolded. I quickly wished I had been one of the people who had decided not to stake a claim on the issue. Nevertheless, the tone for the presentation was set and I kept my guesses to myself for the remainder of the talk. That day, I learned something new about the respiratory system that I have never forgotten. I also learned how it feels when you offer what you believe to be an educated assumption and are ridiculed for doing so. SHAMING I have thought about my experience in that presentation many times in the 15 years since it happened. Primarily, I wondered why I reacted so strongly and had such a visceral objection to that method of teaching. Am I just too sensitive? Does my reaction say more about my own insecurities than it does about the way this particular pedagogue delivers information? I understand the importance of acting on the best knowledge we have at any given time. I also understand that, since no one can know everything, we have to be OK with being wrong once in a while. This presentation certainly highlighted at least one anatomic fact that I did not know. Why was I not just grateful to have the new information? I started to gain some perspective on this experience as I began to explore the work of author and "shame researcher" Brené Brown. Brown, PhD, LMSW, is a research professor at the University of Houston Graduate College of Social Work, but is likely best known for her frequently viewed TED talks and for authoring multiple books that have reached number one on the New York Times bestseller list. Her popular work clearly has struck a chord in mainstream culture. [End Page 103] Brown defines shame as "the intensely painful feeling or experience of believing we are flawed and therefore unworthy of acceptance and belonging."1 When we experience shame, she says, we are steeped in the fear of being ridiculed or diminished. We are afraid that we have exposed or revealed a part of us that jeopardizes our connection to others.2 Looking back at that presentation, I wonder if the pedagogue intended to shame those in attendance. I wonder why he did not simply say, "It's a common misconception that the diaphragm descends into the lower abdomen when we inhale," which would have presented the information without publicly calling out those of us who did not yet know that. Is there justification for the tactic he chose? Brown addresses this question, describing that much of her own formal education emphasized the notion that "You CANNOT shame or belittle people into changing their behaviors."3 Through her research, however, she has come to amend that belief. Now she proposes that shame and humiliation can indeed be used to change behavior. But the problem she discovered is that those behavioral changes do not last. In addition, shame inflicts pain that has the potential to scar both the person using shame and the person being shamed.4 Brown acknowledges that some researchers believe that two types of shame exist: "healthy shame," which can serve as a motivator, and the more negative "toxic shame." Brown, however, disagrees with this concept, noting that her own research...

I JUST CANNOT MOVE FOR I AM THICK AND RESCTRICTED: A CASE OF HYPEREOSINOPHILIC SYNDROME ASSOCIATED MR

I JUST CANNOT MOVE FOR I AM THICK AND RESCTRICTED: A CASE OF HYPEREOSINOPHILIC SYNDROME ASSOCIATED MR

Gas rate decline analysis for boundary-dominated flow with fractal reservoir properties under constant / variable bottom-hole pressure conditions

Current gas rate decline analysis methods in boundary-dominated flow (BDF) are mainly based on Arps' empirical decline models, or the liquid-based analytical models associating with pseudo-variables. Recently, Stumpf and Ayala (2016), and Wang and Ayala (2020) demonstrated that the decline exponents (b) used in Arps’ hyperbolic model can be rigorously estimated in advance for both constant and variable conditions regardless of reservoir properties and before collecting any production data. In this paper, we further investigate the gas rate flow behavior for heterogeneous reservoir, which is characterized by fractal properties. The decline exponents (b) are thus re-derived based on the gas flow rate equation in BDF, and it is shown that the expression of decline exponents can be written in the same format with homogeneous reservoir by defining new productivity indexes. This allows for the application of the step-by-step explicit original-gas-in-place (OGIP) determination methods proposed by Stumpf and Ayala (2016), and Wang and Ayala (2020) in fractal radial flow. However, due to the heavily pressure depletion before BDF for linear flow, the average value of decline exponent (donated as bi) is not available any more. Therefore, our explicit OGIP determination method CANNOT be directly applied, which would lead to the underestimation of the true value if it is blindly used. Finally, several simulated cases are discussed to validate the capabilities of the methodology. The finding of this study can help for better understanding of the gas rate decline behavior in heterogeneous reservoirs.

Quinone perception in plants via leucine-rich-repeat receptor-like kinases.

Quinones are produced and sensed in all kingdoms of life1-4. Plants are primary producers of quinone1,2, but the role of quinone as a signalling agent in plants remains largely unknown. One well-documented role of quinone is in the induction of haustoria (specialized feeding structures) in plants that parasitize roots, which occurs in the presence of the host-derived quinone compound 2,6-dimethoxy-1,4-benzoquinone (DMBQ)5. However, how parasitic plants sense DMBQ remains unclear, as is whether nonparasitic plants are capable of sensing quinones. Here we use Arabidopsis thaliana and DMBQ as a model plant and quinone to show that DMBQ signalling occurs in Arabidopsis via elevation of cytosolic Ca2+ concentration. We performed a forward genetic screen in Arabidopsis that isolated DMBQ-unresponsive mutants, which we named cannot respond to DMBQ1 (card1). The CANNOT RESPOND TO DMBQ1 (CARD1; At5g49760, also known as HPCA1) gene encodes a leucine-rich-repeat receptor-like kinase that is highly conserved in land plants. In Arabidopsis, DMBQ triggers defence-related gene expression, and card1 mutants show impaired immunity against bacterial pathogens. In Phtheirospermum japonicum (a plant that parasitizes roots), DMBQ initiates Ca2+ signalling in the root and is important for the development of the haustorium. Furthermore, CARD1 homologues from this parasitic plant complement DMBQ-induced elevation of cytosolic Ca2+ concentration in the card1 mutant. Our results demonstrate that plants-unlike animals and bacteria-use leucine-rich-repeat receptor-like kinases for quinone signalling. This work provides insights into the role of quinone signalling and CARD1 functions in plants that help us to better understand the signalling pathways used during the formation of the haustorium in parasitic plants and in plant immunity in nonparasitic plants.

Indistinguishability and unextractablility of password-based authentication in blockchain

Password is commonly used to protect Bitcoin wallet, the most known application of blockchain. In this paper, we investigate a subtle issue when forgetting password: The account owner uses guessed passwords during the authentication with a service provider. This is different from password guessing by cyber attackers, because passwords guessed by the account owner are (most likely) his/her passwords (or their minor variations) registered with other service providers. Thus, the confidentiality of incorrect passwords in unsuccessful authentication needs protection. To capture this security requirement, we define two security goals: Indistinguishability of Incorrect Passwords (IND-PW) and Unextractablility of Incorrect Passwords (UNE-PW). Our analysis shows that: (1) IND-PW is NOT achievable if password is the only authentication credential of the client, and (2) Two common authentication methods in online services, Basic and Digest Access Authentication (in conjunction with SSL), CANNOT provide UNE-PW.

Science as a virulent myth archive

Latour (1988) argued that the discovery of the microbe changed the way the social was made: a human could now control the microbe instead of being blindly attacked by it;animals, people and fields became living media of the microbe and treated as such;and the hygienist movement took over health state powers What subjectivities, nonhumans, social and political powers are being produced by this new virus? The World Health Organization produced a list of myths about the virus ‘5G mobile networks DO NOT spread COVID‐19’;‘coronavirus CANNOT be transmitted through mosquito bites’ But this list of denials confirms the power of mythological links Mythologies are ways of dealing with events by producing new readings of something unexpected (Levi‐Strauss 1955) These myths present an assemblage of Science and Technology Studies concerns

DISTINCT SOLUTIONS TO GENERATED JACOBIAN EQUATIONS CANNOT INTERSECT

We prove that if two$C^{1,1}(\unicode[STIX]{x1D6FA})$solutions of the second boundary value problem for the generated Jacobian equation intersect in$\unicode[STIX]{x1D6FA}$then they are the same solution. In addition, we extend this result to$C^{2}(\overline{\unicode[STIX]{x1D6FA}})$solutions intersecting on the boundary, via an additional convexity condition on the target domain.

“HERE I STAND - I CAN NOT OTHERWISE...”

“HERE I STAND - I CAN NOT OTHERWISE...”

Considerations About The Marginalized Narratives of Juliana Huxtable and DeForrest Brown Jr.

This paper contends in favor of an emergence and foreshadowing of a new dialectic model, detached from preexisting narrative constructions, at the core of contemporary artistic practices. In order to confirm it as such, this paper will analyze the production of two artists: Juliana Huxtable and DeForrest Brown Jr. The methodology applied will be linked to the analysis of four specific works: the poem and performance “THERE ARE CERTAIN FACTS THAT CAN NOT BE DISPUTED” from Juliana Huxtable and the multidisciplinary proposal Outwardly Coiling Context Collapse and the audio-textual articulation of Absent Personae from DeForrest Brown. Jr.. In the case of the artists here presented, we will be able to conclude that this foreshadowing is correlated with the systematic marginalization of the ethnic and racial legacy, coupled with the re-invention of a new socio-cultural space, embedded with meaning.

“THINGS I CANNOT CHANGE”

Moral distress is an important topic, particularly given the impact of unacknowledged moral distress on professional practice, including social work. Interviews with Ontario Works (OW) case managers working in regional offices in southern Ontario form the backdrop of an analysis of moral distress in the context of a highly rule-bound environment combined with unmet needs. This study focuses particularly on the role of structural constraints, such as policy restrictions as contributors to moral distress. The concept of moral distress is complicated by noting that distress is not always in response to a desire to act in the best interest of the client. An argument is developed that situating moral distress in a discussion of professional and feminist ethics encourages a deeper analysis of the implications of moral distress for professionals working in restrictive policy environments.

A STUDY OF VEIN RECOGNITION SYSTEM

The vein recognition is the most accurate and secure technology in the field of biometrics. We have seen that many criminal cases like risk of forgery or theft. All biometric traits have their own advantages and disadvantages. Like in long term, a person’s fingerprint may be damaged due to environment, aging or ethnicity; face recognition has medium accuracy; iris recognition is costly affair. To overcome all the problems, the solution is vein recognition. The most important point about vein recognition system is that it works on living persons only as the infrared radiation is absorbed by hemoglobin present in blood of living persons. The skin integrity does not affect the accuracy or readability of finger vein recognition. There are lots of benefits to include vein recognition in biometric traits in which some are, users are not required to get in physical contact with the device. This technology can also be used for medical purposes like children that are below the age of 12 have very smooth vein which sometime ca nnot be detected by doctors to inject injection which can be detected by NIR cameras. In this paper we have presented the various techniques of palm vein recognition that are applied in today’s scenario, Need and Scope of vein recognition system, its implementation challenges, its application, Merit and Demerit and finally conclusion.

The Rarest of Senses

The Rarest of Senses Monique Truong (bio) Click for larger view View full resolution [End Page 120] WE CANNOT UNDERSTAND the power and the meaning of food until we understand hunger. Hunger at its most basic is the lack of food, and therefore a body’s need and craving for food. If we are very lucky in this world, we feel hunger as a minor physical discomfort that can be readily sated: a sandwich to go, a bag of chips from a vending machine, a cup of soup in the microwave. Hunger, of course, can also mean a craving for something that food represents or promises but somehow has failed to deliver to us. The ritual of sitting down to a meal, is this not the theater of community and family? Eating a dish prepared by someone who cares for you and your well-being, is this not the tangible representation of love and caring? Then, there’s the intake of flavors, vivid and deep, nurtured by the sunlight above and the earth beneath our feet, is this not the epitome of a sense of place and the pleasure of belonging? It’s this latter form of hunger—the hunger of the spirit more so than the body, though they are often intertwined—that my novels and essays fixate on. As a writer, I’m interested in food and eating as performance, ritual, replacement, reward, punishment, pleasure, resistance, and as means of creativity and communication. Basically, everything but the food itself. If I write about a tree-ripened plum, its purple skin split by the sun, I don’t do so in order to make the reader desire the plum itself, but for what that plum represents within the narrative and the text. In life, I desire the plum too. In literature, the plum is a bit more complicated than that. [End Page 121] My novels are often described as being rich in food. But they are also rich in hunger. In 2003, after my first novel The Book of Salt was published, I was asked by the pen/Faulkner Foundation in Washington, D.C., to write a response to Eudora Welty’s collection of autobiographical essays entitled One Writer’s Beginnings. As Welty had done so eloquently, I was tasked with tracing my memories back to a moment when writing, which for me means writing larded with hunger, became a necessity. I found myself back in San Diego County, California, at Marine Corps Base Camp Pendleton, which in April of 1975 was a relocation camp for Vietnamese refugees, and what I found there was a ridiculously symbolic “first” meal in the United States of America—hamburger and fries—and a note, penned by my mother, that helped us procure this sustenance that otherwise would have been out of reach. Written in English, the note contained words that I couldn’t yet read but would continue to feed me. It was a memory so submerged that I had to telephone my mother to make sure that I had not made it all up. Click for larger view View full resolution Rooted in a moment of forced migration that altered and shaped my perspective on food and my imaginative relationship to it as well, that meal and note explained why my belly and my brain have had such a decidedly codependent relationship; why food and words are my conjoined obsession. All those thousands of refugees, standing in long lines, hour after hour for their own first meals, were in shock, in grief, and unmoored, but the one thing that they probably were not was physically hungry, especially considering the food at Camp Pendleton. Yet, food there was the obsession, the sole focus and task of the long days of otherwise not knowing what would come next. Instead of seeking the larger, overwhelming, unimaginable answers, we refugees focused on which truck had the fresher fruits, which one had chicken, which one was trying to serve us something called “egg foo young,” a dish that we certainly did not recognize and that everyone called mửa, or throw-up. [End Page 122] When we left Camp Pendleton, my family came to Boiling Springs...

Pregnancy Loss, Bereavement, and Conscientious Objection in Perioperative Services

CASE STUDY: “I CANNOT GET anyone to assist with this surgery.” Anita Catlin, DNSc, FNP, CNL, FAAN, Research and Ethics, Kaiser Permanente, Santa Rosa, CA

英語で『できること』と『できないこと』 ―テキストマイニングを用いた高校３年生のアンケート分析に焦点を当てて―

英語で『できること』と『できないこと』 ―テキストマイニングを用いた高校３年生のアンケート分析に焦点を当てて―