The Experts below are selected from a list of 288 Experts worldwide ranked by ideXlab platform
Bertil Philipson - One of the best experts on this subject based on the ideXlab platform.
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liminality a Major Category of the experience of cancer illness
Social Science & Medicine, 1998Co-Authors: Miles Little, Christopher F C Jordens, Kim Paul, Kathleen Montgomery, Bertil PhilipsonAbstract:Narrative analysis is well established as a means of examining the subjective experience of those who suffer chronic illness and cancer. In a study of perceptions of the outcomes of treatment of cancer of the colon, we have been struck by the consistency with which patients record three particular observations of their subjective experience: (1) the immediate impact of the cancer diagnosis and a persisting identification as a cancer patient, regardless of the time since treatment and of the presence or absence of persistent or recurrent disease; (2) a state of variable alienation from social familiars, expressed as an inability to communicate the nature of the experience of the illness, its diagnosis and treatment; and (3) a persistent sense of boundedness, an awareness of limits to space, empowerment and available time. These subjectivities were experienced in varying degree by all patients in our study. Individual responses to these experiences were complex and variable. The experiences are best understood under the rubric of a Category we call "liminality". We believe that all cancer patients enter and experience liminality as a process which begins with the first manifestations of their malignancy. An initial acute phase of liminality is marked by disorientation, a sense of loss and of loss of control, and a sense of uncertainty. An adaptive, enduring phase of suspended liminality supervenes, in which each patient constructs and reconstructs meaning for their experience by means of narrative. This phase persists, probably for the rest of the cancer patient's life. The experience of liminality is firmly grounded in the changing and experiencing body that houses both the disease and the self. Insights into the nature of the experience can be gained from the Existentialist philosophers and from the history of attitudes to death. Understanding liminality helps us to understand what it is that patients with cancer (and other serious illnesses) seek from the system to which they turn for help. Its explication should therefore be important for those who provide health care, those who educate health care workers and those concerned to study and use outcomes as administrative and policy making instruments.
Miles Little - One of the best experts on this subject based on the ideXlab platform.
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liminality a Major Category of the experience of cancer illness
Social Science & Medicine, 1998Co-Authors: Miles Little, Christopher F C Jordens, Kim Paul, Kathleen Montgomery, Bertil PhilipsonAbstract:Narrative analysis is well established as a means of examining the subjective experience of those who suffer chronic illness and cancer. In a study of perceptions of the outcomes of treatment of cancer of the colon, we have been struck by the consistency with which patients record three particular observations of their subjective experience: (1) the immediate impact of the cancer diagnosis and a persisting identification as a cancer patient, regardless of the time since treatment and of the presence or absence of persistent or recurrent disease; (2) a state of variable alienation from social familiars, expressed as an inability to communicate the nature of the experience of the illness, its diagnosis and treatment; and (3) a persistent sense of boundedness, an awareness of limits to space, empowerment and available time. These subjectivities were experienced in varying degree by all patients in our study. Individual responses to these experiences were complex and variable. The experiences are best understood under the rubric of a Category we call "liminality". We believe that all cancer patients enter and experience liminality as a process which begins with the first manifestations of their malignancy. An initial acute phase of liminality is marked by disorientation, a sense of loss and of loss of control, and a sense of uncertainty. An adaptive, enduring phase of suspended liminality supervenes, in which each patient constructs and reconstructs meaning for their experience by means of narrative. This phase persists, probably for the rest of the cancer patient's life. The experience of liminality is firmly grounded in the changing and experiencing body that houses both the disease and the self. Insights into the nature of the experience can be gained from the Existentialist philosophers and from the history of attitudes to death. Understanding liminality helps us to understand what it is that patients with cancer (and other serious illnesses) seek from the system to which they turn for help. Its explication should therefore be important for those who provide health care, those who educate health care workers and those concerned to study and use outcomes as administrative and policy making instruments.
William M Gray - One of the best experts on this subject based on the ideXlab platform.
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FORECAST OF ATLANTIC SEASONAL HURRICANE ACTIVITY AND LANDFALL STRIKE PROBABILITY FOR 2010
2020Co-Authors: Philip J. Klotzbach, William M GrayAbstract:Information obtained through July 2010 indicates that the 2010 Atlantic hurricane season will be much more active than the average 1950-2000 season. We estimate that 2010 will have about 10 hurricanes (average is 5.9), 18 named storms (average is 9.6), 90 named storm days (average is 49.1), 40 hurricane days (average is 24.5), 5 Major (Category 3-4-5) hurricanes (average is 2.3) and 13 Major hurricane days (average is 5.0). The probability of U.S. Major hurricane landfall and Caribbean Major hurricane activity is estimated to be well above its long-period average. We expect Atlantic basin Net Tropical Cyclone (NTC) activity in 2010 to be approximately 195 percent of the longterm average season. We have maintained our seasonal forecast from early June. This forecast is based on an extended-range early August statistical prediction scheme that utilizes over 100 years of past data. Analog predictors are also utilized. The influence of El Nino conditions is implicit in these predictor fields, and therefore we do not utilize a specific ENSO forecast as a predictor. We have witnessed the development of La Nina conditions over the past couple of months, and we believe that a moderate La Nina will be present over the next several months. The trend towards La Nina conditions should lead to reduced levels of vertical wind shear compared with what was witnessed in 2009. Another reason for our continued active seasonal forecast is due to the persistence of anomalously warm sea surface temperatures in both the tropical and North Atlantic. Current SST anomalies in the tropical Atlantic remain at near-record warm levels. These very warm waters are associated with dynamic and thermodynamic factors that are very conducive for an active Atlantic hurricane season. Another factor in the maintenance of our very active season forecast is the anomalously low sea level pressures that have occurred across the tropical Atlantic in June and July. Anomalously low pressure typically results in weaker trade winds that are commonly associated with more active hurricane seasons. Another important factor is that we are in the midst of a multi-decadal era of more Major hurricane activity. Major hurricanes cause 80-85 percent of normalized hurricane damage. We are also now issuing a hurricane forecast for activity in the Caribbean Basin. This forecast is based on a statistical prediction scheme that utilizes 60 years of past data. This model is predicting a very active season for the Caribbean.
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EXTENDED RANGE FORECAST OF ATLANTIC SEASONAL HURRICANE ACTIVITY AND LANDFALL STRIKE PROBABILITY FOR 2010
2020Co-Authors: Philip J. Klotzbach, William M GrayAbstract:Information obtained through May 2010 indicates that the 2010 Atlantic hurricane season will be much more active than the average 1950-2000 season. We estimate that 2010 will have about 10 hurricanes (average is 5.9), 18 named storms (average is 9.6), 90 named storm days (average is 49.1), 40 hurricane days (average is 24.5), 5 Major (Category 3-4-5) hurricanes (average is 2.3) and 13 Major hurricane days (average is 5.0). The probability of U.S. Major hurricane landfall and Caribbean Major hurricane activity is estimated to be well above its long-period average. We expect Atlantic basin Net Tropical Cyclone (NTC) activity in 2010 to be approximately 195 percent of the longterm average. We have increased our seasonal forecast from early April. This forecast is based on an extended-range early June statistical prediction scheme that utilizes 58 years of past data. Analog predictors are also utilized. The influence of El Nino conditions is implicit in these predictor fields, and therefore we do not utilize a specific ENSO forecast as a predictor. We expect that the current trend from El Nino to neutral conditions will persist and that weak La Nina conditions will develop by the most active portion of this year’s hurricane season (August-October). The expected trend towards weak La Nina conditions should lead to reduced levels of vertical wind shear compared with what was witnessed in 2009. Another reason for our forecast increase is due to the persistence of anomalously warm sea surface temperatures in both the tropical and North Atlantic. Current SST anomalies are running at near-record warm levels. These very warm waters are associated with dynamic and thermodynamic factors that are very conducive for an active Atlantic hurricane season. Another factor in our forecast increase is the weakerthan-normal Azores High that prevailed during April-May. Weaker high pressure typically results in weaker trade winds that are commonly associated with more active hurricane seasons. Another important factor is that we are in the midst of a multi-decadal era of more Major hurricane activity. Major hurricanes cause 80-85 percent of normalized hurricane damage. We are also debuting a hurricane forecast for activity in the Caribbean Basin. This forecast is based on a statistical prediction scheme that utilizes 60 years of past data. This model is predicting a very active season for the Caribbean.
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FORECAST OF ATLANTIC SEASONAL HURRICANE ACTIVITY AND LANDFALL STRIKE PROBABILITY FOR 2009
2020Co-Authors: Philip J. Klotzbach, William M GrayAbstract:Information obtained through July 2009 indicates that the 2009 Atlantic hurricane season will be less active than the average 1950-2000 season due largely to the development of an El Nino. We estimate that 2009 will have about 4 hurricanes (average is 5.9), 10 named storms (average is 9.6), 45 named storm days (average is 49.1), 18 hurricane days (average is 24.5), 2 Major (Category 3-4-5) hurricanes (average is 2.3) and 4 Major hurricane days (average is 5.0). The probability of U.S. Major hurricane landfall and Caribbean Major hurricane activity is estimated to be below the long-period average. We expect Atlantic basin Net Tropical Cyclone (NTC) activity in 2009 to be approximately 85 percent of the long-term average. We have decreased our seasonal forecast slightly from early June. This forecast is based on an extended-range early August statistical prediction scheme that utilizes 106 years of past data. Analog predictors are also utilized. We have witnessed the development of an El Nino event over the past couple of months. These conditions are expected to intensify to a moderate El Nino over the next few months. El Nino events tend to be associated with increased levels of vertical wind shear and decreased levels of Atlantic hurricane activity. Tropical Atlantic sea surface temperatures anomalies have warmed somewhat since our early June prediction and surface pressures have fallen somewhat. But, the negative influences of El Nino-induced strong Caribbean Basin and Main Development Region vertical wind shear typically dominate over surface pressure and sea surface temperature in the tropical Atlantic. Although we have been in an active multi-decadal Atlantic Basin hurricane era since 1995, it is not unusual to have a few below-average years within an active multidecadal period. Likewise, it is not unusual to have a few above-average years within an inactive multi-decadal period. We expect the active Atlantic hurricane era that we have been in since 1995 to continue for the next 10-15 years.
Kim Paul - One of the best experts on this subject based on the ideXlab platform.
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liminality a Major Category of the experience of cancer illness
Social Science & Medicine, 1998Co-Authors: Miles Little, Christopher F C Jordens, Kim Paul, Kathleen Montgomery, Bertil PhilipsonAbstract:Narrative analysis is well established as a means of examining the subjective experience of those who suffer chronic illness and cancer. In a study of perceptions of the outcomes of treatment of cancer of the colon, we have been struck by the consistency with which patients record three particular observations of their subjective experience: (1) the immediate impact of the cancer diagnosis and a persisting identification as a cancer patient, regardless of the time since treatment and of the presence or absence of persistent or recurrent disease; (2) a state of variable alienation from social familiars, expressed as an inability to communicate the nature of the experience of the illness, its diagnosis and treatment; and (3) a persistent sense of boundedness, an awareness of limits to space, empowerment and available time. These subjectivities were experienced in varying degree by all patients in our study. Individual responses to these experiences were complex and variable. The experiences are best understood under the rubric of a Category we call "liminality". We believe that all cancer patients enter and experience liminality as a process which begins with the first manifestations of their malignancy. An initial acute phase of liminality is marked by disorientation, a sense of loss and of loss of control, and a sense of uncertainty. An adaptive, enduring phase of suspended liminality supervenes, in which each patient constructs and reconstructs meaning for their experience by means of narrative. This phase persists, probably for the rest of the cancer patient's life. The experience of liminality is firmly grounded in the changing and experiencing body that houses both the disease and the self. Insights into the nature of the experience can be gained from the Existentialist philosophers and from the history of attitudes to death. Understanding liminality helps us to understand what it is that patients with cancer (and other serious illnesses) seek from the system to which they turn for help. Its explication should therefore be important for those who provide health care, those who educate health care workers and those concerned to study and use outcomes as administrative and policy making instruments.
Christopher F C Jordens - One of the best experts on this subject based on the ideXlab platform.
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liminality a Major Category of the experience of cancer illness
Social Science & Medicine, 1998Co-Authors: Miles Little, Christopher F C Jordens, Kim Paul, Kathleen Montgomery, Bertil PhilipsonAbstract:Narrative analysis is well established as a means of examining the subjective experience of those who suffer chronic illness and cancer. In a study of perceptions of the outcomes of treatment of cancer of the colon, we have been struck by the consistency with which patients record three particular observations of their subjective experience: (1) the immediate impact of the cancer diagnosis and a persisting identification as a cancer patient, regardless of the time since treatment and of the presence or absence of persistent or recurrent disease; (2) a state of variable alienation from social familiars, expressed as an inability to communicate the nature of the experience of the illness, its diagnosis and treatment; and (3) a persistent sense of boundedness, an awareness of limits to space, empowerment and available time. These subjectivities were experienced in varying degree by all patients in our study. Individual responses to these experiences were complex and variable. The experiences are best understood under the rubric of a Category we call "liminality". We believe that all cancer patients enter and experience liminality as a process which begins with the first manifestations of their malignancy. An initial acute phase of liminality is marked by disorientation, a sense of loss and of loss of control, and a sense of uncertainty. An adaptive, enduring phase of suspended liminality supervenes, in which each patient constructs and reconstructs meaning for their experience by means of narrative. This phase persists, probably for the rest of the cancer patient's life. The experience of liminality is firmly grounded in the changing and experiencing body that houses both the disease and the self. Insights into the nature of the experience can be gained from the Existentialist philosophers and from the history of attitudes to death. Understanding liminality helps us to understand what it is that patients with cancer (and other serious illnesses) seek from the system to which they turn for help. Its explication should therefore be important for those who provide health care, those who educate health care workers and those concerned to study and use outcomes as administrative and policy making instruments.
