Self-applied portable polysomnography is considered a promising tool to assess sleep architecture in field studies. However, no findings have been published regarding the appearance of a first-night effect within a sport-specific setting. Its absence, however, would allow for a single night sleep monitoring and hence minimize the burden on athletes while still obtaining the most important variables. For this reason, the aim of the study was to assess whether the effect appears in home-based sleep monitoring of elite athletes.The study sample (...) included eight male and 12 female German elite athletes from five different sports. Participants slept with a portable polysomnography for two nights, which they self-applied at night before going to bed. Time in bed and wake-up time in the morning were freely chosen by each individual athlete without any restrictions regarding time or sleeping environment. Participants were asked to keep the same location and time frame during the two days of monitoring and stick to their usual sleeping schedules. Sleep stages were manually scored using 30-s epochs. Sleep parameters and stages were later compared with the help of linear mixed models to investigate the factor time.Significant differences between the two nights were found for percentage of Non-REM sleep [T = −2,10, p < 0.05, d = −0.47, 95%-CI ] with small effect size, Total Wake Time [T = 2.30, p = 0.03, d = 0.51, 95%-CI ], Sleep Efficiency [T = −2.48, p = 0.02, d = −0.55, 95%-CI ], and Wake percentage [T = 2.47, p = 0.02, d = 0.55, 95%-CI ] with moderate effect sizes, and N3 Sleep Onset Latency [T = 3.37, p < 0.01, d = 0.75, 95%-CI ] with large effect size. Confidence Intervals for all other indices range from negative to positive values and hence specify, that parameters were not systematically negatively affected in the first night.Findings suggest that some individuals are more affected by the first-night effect than others. Yet, in order to keep the measurement uncertainties to a minimum, a more conservative approach with at least two monitoring nights should be used whenever possible, if no other supporting information on the athletes says otherwise. (shrink)

Both daily demands as well as training and competition characteristics in sports can result in a psychobiological state of mental fatigue leading to feelings of tiredness, lack of energy, an increased perception of effort, and performance decrements. Moreover, optimal performance will only be achievable if the balance between recovery and stress states is re-established. Consequently, recovery strategies are needed aiming at mental aspects of recovery. The aim of the study was to examine acute effects of potential mental recovery strategies on (...) subjective-psychological and on cognitive performance outcomes after a mentally fatiguing task. A laboratory-based randomized cross-over study with twenty-four students was applied. Participants were run through a powernap intervention, a systematic breathing intervention, a systematic breathing plus mental imagery intervention, and a control condition with one trial a week over four consecutive weeks. Mental fatigue was induced by completion of the 60-min version of the AX-continuous performance test. The Short Recovery and Stress Scale and Visual Analog Scales were assessed to measure effects on perceptual outcomes. Cognitive performance was measured with a reaction time test of the Vienna Test System. During all three recovery interventions and CC portable polysomnography was applied. Results showed a significant increase from pre-AX-CPT to pre-MR on fatigue states and recovery-stress states indicating that the induction of mental fatigue was effective. Moreover, results underlined that analysis yielded no significant differences between recovery interventions and the control condition but they revealed significant time effects for VAS, SRSS items, and cognitive performance. However, it could be derived that the application of a rest break with 20 min of mental recovery strategies appears to enhance recovery on a mainly mental and emotional level and to reduce perceived mental fatigue. (shrink)

The book in front of you is the first international academic volume on the legal, philosophical and economic aspects of the rise of 3D printing. In recent years 3D printing has become a hot topic. Some claim that it will revolutionize production and mass consumption, enabling consumers to print anything from clothing, automobile parts and guns to various foods, medication and spare parts for their home appliances. This may significantly reduce our environmental footprint, but also offers potential for innovation and (...) creativity. At the same time 3D printing raises social, ethical, regulatory and legal questions. If individuals can print anything they want, how does this affect existing systems of intellectual property rights? What are the societal consequences of the various types of products one can print with a 3D printer, for example weapons? Should all aspects of 3D printing be regulated, and if so, how and to what ends? How will businesses (have to) change their way of working and their revenue model in light of the shift to printing-on-demand? How will the role of product designers change in a world where everyone has the potential to design their own products? These and other questions are addressed in high quality and in-depth contributions by academics and experts, bringing together a wide variety of academic discussions on 3D printing from different disciplines as well as presenting new views, broadening the discussion beyond the merely technical dimension of 3D printing. Bibi van den Berg is Associate Professor at eLaw, the Center for Law and Digital Technologies at Leiden University, The Netherlands. Simone van der Hof is Full Professor at eLaw in Leiden and Eleni Kosta is Associate Professor at TILT, the Tilburg Institute for Law, Technology and Society at Tilburg University, The Netherlands. (shrink)

Die vertiefte Auseinandersetzung mit raumbezogenen Forschungsthemen, die seit etwa 20 Jahren unter dem Stichwort ”Spatial Turn“ in den Kulturwissenschaften stattfindet, bleibt bezüglich ihrer begrifflichen und philosophischen Grundlagen defizitär. Obwohl von der Philosophie für die Herausbildung dieser Forschungsrichtung wichtige Impulse ausgegangen sind, hat sie selbst bislang keine führende Rolle übernommen. Ziel des Bandes ist es daher, durch eine deutlichere Profilierung grundlegender Unterscheidungen und Begriffe zur aktuellen Raumforschung beizutragen. Der ”Ort“ wird dabei - auch gegenüber dem Raum - als philosophischer Gegenstand gefasst (...) und erscheint als grundlegendes Prinzip der Kulturwissenschaften - und nicht (nur) als deren Thema. (shrink)

Das 19. Jahrhundert ist zu Recht das lange Jahrhundert genannt worden. Wie es mit einem Epochenumbruch, dem der Revolution, beginnt, so endet es: mit dem Ersten Weltkrieg und dem Eintritt der beiden späteren Weltmächte, den USA und Sowjetrussland, in die Weltgeschichte. Dazwischen bestimmen andere Revolutionen und Restaurationen, Kriege und Friedenszeiten das politische Geschehen. Die Geistes- und Philosophiegeschichte des 19. Jahrhunderts kennt weder eine dominierende Strömung noch eine kontinuierliche Entwicklung. Karl Löwith spricht vom revolutionären Bruch im Denken des 19. Jahrhunderts, der (...) vor allem von Marx und Kierkegaard markiert werde. Beider Opposition zu Hegel und zum Idealismus wird begleitet vom gleichzeitigen Aufschwung des Positivismus, dann vom Neukantianismus, Materialismus, Darwinismus, Pragmatismus und vielerlei weiteren Ismen, für die das Zeitalter kennzeichnend ist und für die es den neutralen Oberbegriff Weltanschauung bereithält. Mehr als vorangegangene Epochen wird das 19. Jahrhundert von Begriffen geprägt, die die öffentlichen Debatten bestimmen, von solchen der Wissenschaften wie denen der Politik. Viele Termini werden über den engeren fachlichen Rahmen hinaus populär: Wer spricht nicht um 1900 in vielfältiger Bedeutung von >EnergieEntwicklungMechanisierungUnbewusstem. (shrink)

Simmels Verhältnis zur Metaphysik spiegelt in vielerlei Hinsicht die Situation der Philosophie an der Wende vom 19. zum 20. Jahrhundert wider. Zunächst steht er der metaphysischen Spekulation unter dem Einfluss des Positivismus kritisch-distanziert gegenüber und ordnet ihr im Verhältnis zu den Einzelwissenschaften nur eine untergeordnete Rolle zu. Später wandelt sich das Bild, wobei nun Erkenntnistheorie und Metaphysik als zwei rechtmäßige Aufgabenbereiche der Philosophie gelten. In der Philosophie des Geldes entwickelt Simmel selbst eine „relativistische“ Metaphysik, die er in seinen späteren kulturphilosophischen (...) Schriften auch methodisch reflektiert und in seinem lebensphilosophischen Spätwerk produktiv weiterführt. (shrink)

Rund um den Begriff »Ort« hat in der englischsprachigen Philosophie hermeneutischer und phänomenologischer Prägung ein Prozess der Theoriebildung eingesetzt, der in Deutschland bislang nur wenig rezipiert wurde. Der Band ändert dies - er vereint sowohl grundlegende philosophische Beiträge zum Ortsdenken einschlägiger Autor_innen als auch Beiträge, in denen die Ortsproblematik an konkreten Beispielen in Einzelanalysen verdeutlicht wird. Zum Thema wird dabei u.a. die Bedeutung des Ortes in der Literatur, in populären Medien wie Film und Computerspielen, in Kult und Mythos sowie in (...) der Verquickung von Ökonomie und Alltagserfahrung. (shrink)

Die Beiträge des Bandes untersuchen die Genese der Rechtsphilosophie Kants und zeigen auf, dass deren grundlegende Thesen lange vor der „Metaphysik der Sitten“ existierten. Das erfordert die Analyse der kantischen Vorlesungen zum Naturrecht in den handschriftlichen Quellen, die die Interpretation der veröffentlichten Werke entscheidend ergänzen können: Kant hielt in Königsberg von 1767 bis 1788 Vorlesungen zum Naturrecht, von denen nur eine einzige handschriftliche Abschrift aus dem Sommersemester 1784 erhalten ist – „Naturrecht Feyerabend“. Mit der philosophischen Analyse der Vorlesungsnachschrift, die bislang (...) von Forschern unter rechts-, moral- und kulturphilosophischen Aspekten nur in Ansätzen untersucht wurde, soll durch die Bestimmung des Verhältnisses von Recht und Moral eine grundlegende theoretische Vorarbeit für einen internationalen Dialog über die normativen Grundlagen des modernen Rechtsstaates geleistet werden. Nach der Wiederentdeckung der normativen Ethik Kants sowie seines politischen Denkens in der internationalen Kantforschung und den „Humanities“ vervollständigt die Neubewertung der Rechtslehre die Renaissance der praktischen Philosophie Kants – sicherlich eines der wichtigsten Phänomene der moralischen und der Rechts-Kultur unserer Zeit. (shrink)

Im subjektphilosophischen Denken J.-J. Rousseaus treten sie einander als streng separierte Größen gegenüber. Für ein Denken jenseits von Seins- und Subjektphilosophie präsentiert sich die musikalische Situation als Spielwerk.

I. Pragmatismus und Neukantianismus Marc Rölli: Die Durchquerung des Absoluten. Zur Hegel-Rezeption John Deweys Wolfgang Bonsiepen: Hegel und der Neukantianismus Matthias Wunsch: Phänomenologie des Symbolischen? Die Hegelrezeption Ernst Cassirers II. Phänomenologie - Ontologie - Lebensphilosophie Annette Sell: Das Geheimnis des Anfangs. Die Aufnahme des Hegelschen Anfangsbegriffs in der Philosophie Martin Heideggers Hans-Ulrich Lessing: Hegel und Helmuth Plessner: Die verpaßte Rezeption Walter Jaeschke: Der Geist und sein Sein. Nicolai Hartmann auf Hegelschen Wegen Holger Glinka: Aus Phänomenologie mach Dialektik. Jean-Paul Sartres Anverwandlung (...) Hegels III. Marxistische Tradition und kritische Theorie Andreas Arndt: Lenin liest Hegel Daniel Althof: Das "Geklapper der Triplizität" - Adornos Hegelrezeption Christoph J. Bauer: Mit Hegel gegen den 'Positivismus' - mit Hegel zum 'Wesen des Menschen'. Herbert Marcuses Interpretation der Hegelschen Urteilslehre IV. Postmoderne und Gegenwart Karin de Boer: Differenz: zwischen Hegel und Derrida Robert B. Pippin: Brandoms Hegel. (shrink)

Band 13 der psycho-logik widmet sich aus fächerübergreifendem Blickwinkel dem Thema Identität, das in den Sozial- und Geisteswissenschaften zu einem Schlagwort des 20. und 21. Jahrhunderts geworden ist. Gerade die moderne und liberale Gesellschaftsordnung, die uns ungeahnt viel Freiheit ermöglicht hat, charakterisiert ein Patchwork aus Identifikationsangeboten, das zugleich die kollektive und personale Identitätsfindung problematisch macht. Aktuell hat die narrative Theorie die erinnerte und erzählte Lebensgeschichte zum Gründungsort des Selbst erhoben. Sie spielt auch in den Beiträgen dieses Bandes eine prominente Rolle. (...) Es zeigt sich, dass die Identitätskonstruktion ein Prozess ist, in dem sich Identität als etwas Fragiles und Plurales offenbart. Identität ist ein tragisches Spiel zwischen Einheit und Mannigfaltigkeit: Identität(en). Forscher*innen aus Deutschland, Irland und den USA mit ihren Beiträgen aus Literaturwissenschaft, Theologie, Philosophie und Psychologie diskutieren u. a. das Band zwischen Identität und Erinnerung bei Marcel Proust, transsexuelle Identitätskonstruktionen in US-amerikanischen Biopics, den Film als Identitätsbildungsmedium des Publikums, Identitätspolitik(en) am Beispiel des Zugangs zu US-amerikanischen Hochschulen, die Identitätsfindung in Lebensgeschichten und den psychotherapeutischen Umgang mit gebrochenen Identitäten. Fotoarbeiten des Künstlers Hermann Recknagel runden den Band ab. Mit Beiträgen von Michaela I. Abdelhamid, Carsten Albers, Paul Clogher, Katherine Duval, Winfried Eckel, Fiona Ennis, Annette Hilt, Christopher A. Nixon, Paul Nnodim, Hermann Recknagel, Patricia Rehm-Grätzel, Martin Reker, Annika Schlitte und Hartwig Wiedebach. (shrink)

INHALT: a. Besprechungen von J. P. Romangs Uber Willensfreiheit und Determinismus, 1835 - b. Anmerkungen zur [geplanten] 2. Auflage [des Lehrbuchs] der Religionswissenschaft - c. Materialien - d. Zur Athanasia - e. Zur Lebensbeschreibung - f. Herbarts System - g. Ein Vorschlag zur Vermeidung vieler Missverstandnisse in der Philosophie - h. Selbstanzeige der Wissenschaftslehre, 1837 - i. Skizze einer Anzeige der Logik fur die Freimuthigen Blatter - j. Uiber Hrn. Dr. und Prof. J. S. v. Drey Apologetik, 1838 - k. (...) Besprechung von J. A. Brunings Das Daseyn Gottes, 1838 - l. Einwurfe, die gegen Bolzano's Lehren bisher zum Vorschein gekommen, 1838 - m. Auseinandersetzung mit Notizen in Allgemeiner Religions- und Kirchenfreund und Kirchencorrespondent, 1839-1840 - n. Besprechung von M. Drobischs Neue Darstellung der Logik - o. Selbstanzeige von Prufung der Philosophie des seligen Georg Hermes, 1840 - p. Zur Biographie Stoppani's, 1848. (shrink)

Wenn bei einem neuplatonischen Philosophen, der sein Leben als Bischof beendet hat, von „Bekehrung“ die Rede ist, denkt man wohl an die Hinwendung zum Christentum. Dies ist in vorliegender Habilitationsschrift ebensowenig gemeint wie die vorhergehende „conversion“ (Bregman) des Synesios zur Philosophie durch Hypatia. Vielmehr geht es um eine „Neubestimmung dessen, was er für einen angemessenen Lebenswandel hielt“ im Jahre 405: nämlich die „dezidierte Abkehr von dem ehrgeizigen Projekt, als Themistius redivivus zu reüssieren“ (713). Schmitt entdeckt „einen bislang in der Forschung (...) immer geleugneten tiefgreifenden Bruch in der Biographie des Kyrenäers“ (59). (shrink)

Immer öfter werden der Natur eigene Rechte zugesprochen. Rund um den Globus helfen sie gefährdeten Ökosystemen, sich gegen schädliche Wirtschaftsinteressen zu verteidigen. Seit ihrer Einführung in die ecuadorianische Verfassung im Jahre 2008 wurden Rechte der Natur unter anderem in Bolivien, Kanada, Kolumbien, Neuseeland und den USA eingeführt. Zuletzt in Spanien zum Schutz einer Salzwasserlagune. Dieses Buch zeigt, wie die Idee der Rechte der Natur entstand, wie sie immer mehr an Fahrt aufnahm und wie sie uns künftig helfen kann, die Natur (...) und gefährdete Ökosysteme zu schützen. Dabei begibt es sich auf die Reise durch verschiedene Länder und Kontinente und stellt konkrete Anwendungsfälle und Initiativen vor. (shrink)

Introduction -- Part one : Challenges to the subject -- Subjects in subjection : bodies, desires, and the psychic life of norms -- Moral subjects and agents of morality -- Part two : Responsibility -- Responsibility as response : Levinas and responsibility for others -- Ambivalent desires of responsibility : Laplanche and psychoanalytic translations -- Part three : Critique -- The aporia of critique and the future of moral philosophy -- Critique and political ethics : justice as a question.

The influence of conscience on nurses in terms of guilt has frequently been described but its impact on care has received less attention. The aim of this study was to describe nurses' conceptions of the influence of conscience on the provision of inpatient care. The study employed a phenomenographic approach and analysis method. Fifteen nurses from three hospitals in western Sweden were interviewed. The results showed that these nurses considered conscience to be an important factor in the exercise of their (...) profession, as revealed by the descriptive categories: conscience as a driving force; conscience as a restricting factor; and conscience as a source of sensitivity. They perceived that conscience played a role in nursing actions involving patients and next of kin, and was an asset that guided them in their efforts to provide high quality care. (shrink)

Even a morally good practical agent does not act solely from the recog- nition of the abstract demands of moral duty. Often, she acts to satisfy desires for particular ends that are not intrinsically moral. But if freedom, as Kant claims, consists in acting from universal principles one adopts from respect for the moral law, how can agents freely act to satisfy desires for particular ends? The standard answer to this question, the so-called Incorporation Thesis, is, I argue, unsatisfactory both (...) as an interpretation of Kant and on philosophical grounds. I propose instead that, for Kant, the capacity to act freely for the sake of a particular, non-intrinsically moral end is not exhausted by the ability to step back, reflect and decide whether a desire is or can provide a reason to act. Rather, Kant shows, the place for the pursuit of particular ends is determined by practically rational agents’ spontaneous constitution of their moral character, whereby they subordi- nate the pursuit of material, particular ends to the pursuit of formal, moral ones or vice versa. (shrink)

Another view has entered the metaethical debate—relaxed realism [Dworkin 1996; Parfit 2011; Scanlon 2014]. Relaxed realists claim that there are irreducible moral properties, but seek to avoid the...

In Harry Potter, Hagrid is written as the “animal lover” who appreciates all creatures. Analyzing Hagrid’s interactions with animals is a unique approach to theorizing animal ethics at Hogwarts. This article problematizes Hagrid’s characterization within the “animal lover” trope. Many of Hagrid’s actions are imperialist toward animals as collectible, exploitable, and only valuable insofar as they provide something for humans, which contradicts the definition of moral status. The potential for “animal lovers” to relate to Hagrid suggests a need to more (...) closely examine this trope in other works of fiction to avoid perpetuating unethical standards of animal care. (shrink)

Over recent decades, public participation in technology assessment has spread internationally as an attempt to overcome or prevent societal conflicts over controversial technologies. One outcome of this new surge in public consultation initiatives has been the increased use of participatory consensus conferences in a number of countries. Existing evaluations of consensus conferences tend to focus on the modes of organization, as well as the outcomes, both procedural and substantial, of the conferences they examine. Such evaluations seem to rest on the (...) assumption that this type of procedure has universally agreed goals and meanings, and that therefore consensus conferences can readily be interpreted and applied across national boundaries. This article challenges this approach to consensus conferences. The core of the article is a study of national differences in ideas about what constitutes legitimate goals for participatory arrangements. The study looks at three consensus conferences on GMOs, which took place in France, Norway, and Denmark. Drawing on this study, the article discusses the ways in which interpretations of the concept of participation; the value attributed to lay knowledge vs. technical expertise; as well as ideas about the role of the layperson, are all questions that prompt entirely different answers from country to country. Further, the article analyses these national differences within a theoretical framework of notions of democratic legitimacy. (shrink)

A gendered reading of the liberal peacebuilding and transitional justice project in Bosnia–Herzegovina raises critical questions concerning the quality of the peace one hopes to achieve in transitional societies. By focusing on three-gendered justice gaps—the accountability, acknowledgement, and reparations gaps—this article examines structural constraints for women to engage in shaping and implementing transitional justice, and unmasks transitional justice as a site for the long-term construction of the gendered post-conflict order. Thus, the gendered dynamics of peacebuilding and transitional justice have produced (...) a post-conflict order characterized by gendered peace and justice gaps. Yet, we conclude that women are doing justice within the Bosnian–Herzegovina transitional justice project, and that their presence and participation is complex, multilayered, and constrained yet critical. (shrink)

A gendered reading of the liberal peacebuilding and transitional justice project in Bosnia–Herzegovina raises critical questions concerning the quality of the peace one hopes to achieve in transitional societies. By focusing on three-gendered justice gaps—the accountability, acknowledgement, and reparations gaps—this article examines structural constraints for women to engage in shaping and implementing transitional justice, and unmasks transitional justice as a site for the long-term construction of the gendered post-conflict order. Thus, the gendered dynamics of peacebuilding and transitional justice have produced (...) a post-conflict order characterized by gendered peace and justice gaps. Yet, we conclude that women are doing justice within the Bosnian–Herzegovina transitional justice project, and that their presence and participation is complex, multilayered, and constrained yet critical. (shrink)

Growing evidence suggests that natural environments – whether in outdoor or indoor settings – foster psychological health and physiological relaxation, indicated by increased wellbeing, reduced stress levels, and increased parasympathetic activity. Greater insight into differential psychological aspects modulating psychophysiological responses to nature-based relaxation videos could help understand modes of action and develop personalized relaxation interventions. We investigated heart rate variability as an indicator of autonomic regulation, specifically parasympathetic activity, in response to a 10-min video intervention in two consecutive studies as (...) well as heart rate. We hypothesized that a nature-based relaxation video elicits HRV increase and HR decrease, with response magnitude being affected by aspects of early life adversity and trait mindfulness. In Study 1, N = 60 participants watched a relaxation video intervention depicting different natural scenery. We analyzed changes in HR and respiratory sinus arrhythmia as a standard HRV measure, both based on 3-min segments from the experimental session, in multiple growth curve models. We found a decrease in HR and increase of RSA during the video intervention. Higher paternal care and lower trait mindfulness observing skills were associated with higher RSA values before but not during video exposure. In Study 2, N = 90 participants were assigned to three video conditions: natural scenery from Study 1, meditation video, or short clip from “The Lord of the Rings.” Again, HR decreased, and RSA increased during video segments, yet without expected group differences across different video types. We found higher parental care and lower parental overprotection to predict higher RSA at different times during the experiment. Interestingly, lower paternal overprotection predicted overall higher RSA. These results suggest a generic relaxation effect of video interventions on autonomic regulation that we discuss in light of different theories mapping restorative effects of natural environments. Further, psychological characteristics like aspects of early life adversity and trait mindfulness could contribute to individual differences in autonomic regulation. This study contributes to a better understanding of autonomic and psychological responses to relaxation videos. (shrink)

1. T. Isaak Iselins Leben und Bildungsgang bis 1764.--2. T. Iselins Stellung in der Geistesgeschichte des XVII. Jahrhunderts.

Throughout the animal kingdom, p53 genes function to restrain mobile elements and recent observations indicate that transposons become derepressed in human cancers. Together, these emerging lines of evidence suggest that cancers driven by p53 mutations could represent “transpospoathies,” i.e. disease states linked to eruptions of mobile elements. The transposopathy hypothesis predicts that p53 acts through conserved mechanisms to contain transposon movement, and in this way, prevents tumor formation. How transposon eruptions provoke neoplasias is not well understood but, from a broader (...) perspective, this hypothesis also provides an attractive framework to explore unrestrained mobile elements as inciters of late‐onset idiopathic disease.Also see the video abstract here. (shrink)

A proof of the consistency of Heyting arithmetic formulated in natural deduction is given. The proof is a reduction procedure for derivations of falsity and a vector assignment, such that each reduction reduces the vector. By an interpretation of the expressions of the vectors as ordinals each derivation of falsity is assigned an ordinal less than ε 0, thus proving termination of the procedure.

This article analyses problem situations in the context of anaesthesia care. It considers what it means for nurse anaesthetists to be in problematic situations in the anaesthesia care of older patients. Benner’s interpretive phenomenological approach proved useful for this purpose. Paradigm cases are used to aid the analysis of individual nurses’ experiences. Thirty narrated problematic anaesthesia care situations derived from seven interviews were studied. These show that experienced nurse anaesthetists perceive anaesthesia care as problematic and highly demanding when involving older (...) patients. To be in problematic anaesthesia care situations means becoming morally distressed, which arises from the experience or from being prevented from acting according to one’s legal and moral duty of care. An important issue that emerged from this study was the need for an ethical forum to discuss and articulate moral issues, so that moral stress of the kind experienced by these nurse anaesthetists can be dealt with and hopefully reduced. (shrink)