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Background: Health Authorities recommend influenza vaccination of healthcare personnel (HCP) to decrease the transmission of influenza to vulnerable patients. Recent studies have almost exclusively used quantitative questionnaires in order to identify determinants of vaccination behaviour. Interviews enable HCP to express freely why they think they are (not) willing to get vaccinated against influenza.
Methods: By means of semi-structured one-on-one interviews with 123 Belgian, Dutch and German HCP, reasons for and against vaccination, experiences with influenza vaccination, intention to get vaccinated and possible barriers, as well as willingness to advice influenza vaccination to patients were investigated. Data were processed with QSR NVivo 8.0 and analysed using a combination of a deductive and a general inductive approach.
Results: Across countries, self-protection, patient protection, and protection of family members were reported as most important reasons to get vaccinated against influenza. Reasons to not get vaccinated against influenza were fear of side effects caused by the vaccine, a low risk-perception, the disbelief in the effectiveness of influenza vaccination, organizational barriers, misconceptions, and undefined negative emotions.
Conclusions: The social cognitive variables underlying the decision of HCP to get vaccinated against influenza (or not) seem to be similar in Belgium, Germany, and the Netherlands, even though some differences surfaced. A quantitative investigation of those social cognitive variables is needed in order to determine the importance of the social cognitive variables in explaining the intention to get vaccinated and the importance of the similarities and differences between countries that have been found in this study.
"I Am a Hottentot" : africanist mimicry and green xenophilia in Hans Paasche and Karen Blixen
(2014)
Claims that industrialized western countries must reform their environmental practices have often been made with reference to less-developed non-western societies living in greater "harmony" or "balance" with the natural world. Examples of what I call green xenophilia (from the Greek "xenos", meaning strange, unknown or foreign, and "philia", meaning love or attraction), are myriad, wide-ranging and culturally dispersed. They range from the appearance of the iconic "crying Indian" in anti-pollution TV and newspaper spots in the months leading up to the first Earth Day on April 22 1970 to numerous environmentalist individuals' and groups' use of the fabricated "Chief Seattle's Speech" as an authoritative touchstone of ecological consciousness, and from the British Schumacher College's endorsement of India as a source of simplicity, holism, humility, vegetarianism etc. to leading deep ecologists' advocacy of East Asian religions (especially Buddhism, Jainism and Taoism) as "biocentric" alternatives to "anthropocentric" Christianity (Rolston 1987; Dunaway 2008; Krupat 2011; Corrywright 2010). Invocations of non-western cultures, identities and worldviews have proved potent heuristic devices, enabling greens both to critique the status quo and to gesture (however schematically) towards the possibility of alternatives. Pervasive media-borne ideas and images like "the Green Tibet" (Huber 1997) and "the ecological Indian" (Krech 1999) have given environmentalist ideas about the good life physical incarnation, making them seem less remote and abstract. Yet the prevalence of xenophile dis course has also made environmentalism vulnerable to recurrent accusations of romantic primitivism, orientalism and exoticism, as western greens have sometimes (though not always) appeared to buttress traditional socio-cultural norms in the very act of challenging them (Guha 1989; Lohmann 1993; Bartholomeusz 1998). What is gained and what is risked when western greens speak about, with, for or as "the other"? In this essay I engage with two early-twentieth-century North European writers, the German Hans Paasche (1881-1921) and the Dane Karen Blixen (1885-1962), whose works bring this question to the forefront. Critical of European industrialization, and awkwardly positioned vis-a-vis their upper-class social milieus, Paasche and Blixen wrote as self-made "Africans", testing the limits between colonialism, anti-colonialism and emergent forms of environmentalism and green" lifestyle reform. More precisely, Paasche in "Die Forschungsreise des Afrikaners Lukanga Kukara ins Innerste Deutschland" ("The African Lukanga Mukara's Research Joumey into the Innermost of Germany" (1912-1913) and Blixen in "Out of Africa" (1937) deploy the ambiguous form of mimicry that Susan Gubar labels "racechange", impersonating or appropriating culturally other voices and perspectives on animals, food, physical embodiment and human-natural relations (Gubar 1997). Paasche and Blixen, I argue, used their considerable intercultural insight to construct images of Africa that they hoped would stand in redemptive contrast to the humanly and environmentally ruinous beliefs and practices of European modernity. I am interested in the acts of ethnic and textual self-alienation that these writers perform because they highlight the discursive, ethical and political ambiguities of green xenophilia - ambiguities that can be explored from different positions within the developing field of ecocritical studies.
"Great technology, football and ..." : Malaysian language learners' stereotypes about Germany
(2014)
This study focuses on stereotypes about Germany, its culture and people, held by learners of German in a big public university in Malaysia. It examines not only the stereotypical representations of the target language country but also assesses its favourability and salience, which has not been done previously. The findings revealed that the students' stereotypes about Germany were varied and diverse. Also, they were overwhelmingly positive. The top three salient categories of images about Germany were related to technology, famous personalities – for the most part football players and scientists – and cars. The findings also indicated that very few references had been made to German culture and to its great cultural figures. The results of the present study suggest that students could benefit from a wider and deeper exposure to German culture in the language classroom.
Vasointestinal peptide metabolism plays a key physiological role in multimodular levels of vasodilatory, smooth muscle cell proliferative, parenchymal, and inflammatory lung reactions. In animal studies, vasointestinal peptide relaxes isolated pulmonary arterial segments from several mammalian species in vitro and neutralizes the pulmonary vasoconstrictor effect of endothelin. In some animal models, it reduces pulmonary vascular resistance in vivo and in monocrotaline-induced pulmonary hypertension. A 58-year-old woman presented with dyspnea and mild edema of the lower extremities. A bronchoscopy was performed without any suspicious findings suggesting a central tumor or other infiltrative disease. Endobronchial ultrasound revealed enlarged pulmonary arteries containing thrombi, a few enlarged lymph nodes, and enlarged mediastinal tissue anatomy with suspicion for mediastinal infiltration of a malignant process. We estimated that less than 10% of the peripheral vascular bed of the lung was involved in direct consolidated fibrosis as demonstrated in the left upper lobe apex. Further, direct involvement of fibrosis around the main stems of the pulmonary arteries was assumed to be low from positron emission tomography and magnetic resonance imaging scans. Assuming a positive influence of low-dose radiation, it was not expected that this could have reduced pulmonary vascular resistance by over two thirds of the initial result. However; it was noted that this patient had idiopathic pulmonary arterial hypertension mixed with "acute" (mediastinal) fibrosis which could have contributed to the unexpected success of reduction of pulmonary vascular resistance. To the best of our knowledge, this is the first report of successful treatment of idiopathic pulmonary arterial hypertension, probably as a result of low-dose radiation to the pulmonary arterial main stems. The patient continues to have no specific complaints concerning her idiopathic pulmonary arterial hypertension.
Franz Kafka's (1883-1924) "Die Brücke" is one of the less well-known texts by one of the most prolific authors of literary modernity. However, this short prose text embodies prevalent questions of literary modernity and philosophy as it reflects the crisis of language in regard of identity, communication, and literary production. Placed in the context of fin-de-siècle's discourse of language crisis, this article provides a dialogue between Kafka's "Die Brücke" and Hannah Arendt's (1906-1975) philosophy of thinking and speaking in "The Life of the Mind". Contrary to Arendt's understanding of the metaphor as "a carrying over" between the mental activities of the solitude thinker and a reconciliation with the pluralistic world shared with others, this article argues for a deconstructionist reading of "Die Brücke" as a tool to reevaluate Arendt"s notion of a shared human experience ensured through language and illustrates the advantages of poetic texts within philosophical discourses.
This paper uses laboratory experiments to provide a systematic analysis of how di↵erent presentation formats a↵ect individuals’ investment decisions. The results indicate that the type of presentation as well as personal characteristics influence both, the consistency of decisions and the riskiness of investment choices. However, while personal characteristics have a larger impact on consistency, the chosen risk level is determined more by framing e↵ects. On the level of personal characteristics, participants’ decisions show that better financial literacy and a better understanding of the presentation format enhance consistency and thus decision quality. Moreover, female participants on average make less consistent decisions and tend to prefer less risky alternatives. On the level of framing dimensions, subjects choose riskier investments when possible outcomes are shown in absolute values rather than rates of return and when the loss potential is less obvious. In particular, reducing the emphasis on downside risk and upside potential simultaneously leads to a substantial increase in risk taking.
The paper is aimed at contributing to an empirically grounded understanding of the psychosocial dynamics that underlie the relation between heteronormative images of masculinity, internalized heterosexism and health behavior of gay men in the global North. It is based on a qualitative interview study that focuses on the consequences of the internalization of dominant images of masculinity for the identity constructions of gay men and their HIV-related sexual risk behavior in Germany. In the paper it will be argued that 1) the tension between the authoritative image of masculinity that is determined by heteronormative discourses one the one hand and the gendered self-image that is shaped and threatened by connotations of a non-masculine homosexuality on the other constitutes a decisive issue of gay identity constructions, 2) a higher sexual risk behavior can be understood as a possible consequence of the internalization of masculine images and its impact on the self-esteem, if the self-image does not match the male ideal, and 3) this may include a paradoxical desire for the imagined masculinity that is experienced as violent with regard to one’s own psychodynamics. Finally, perspectives on gay masculinities that may transgress dominant heteronormative modes of subjectification are discussed.
“WAR IS PEACE, FREEDOM IS SLAVERY, AND IGNORANCE IS STRENGTH”. The slogan from George Orwell’s “1984” dystopia appears to capture the state of Russia’s 2014 official discourse quite accurately. This has not gone unnoticed by public and academic spectators in and outside Russia: while Bild magazine is counting Putin’s lies in his recent ARD interview, a Zeit article declares Russia itself to be a post-modern “lie”...