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Reflective writing

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https://www.readbyqxmd.com/read/28205360/advanced-serious-illness-multimorbidity-and-multibeneficence-the-role-of-communication
#1
Jeffrey Cohn
Sturmberg et al write about multimorbidity as "several diagnosable diseases within the same individual." They posit that this syndrome is the result of multiple interconnected disturbances reflecting scale-free, fractal signs of pathology ranging from biochemical/hormonal alterations at one end of a spectrum to community and societal ills at the other. In this commentary, I will be focusing on 3 perspectives: 1) a preterminal phase of multimorbidity that is indicative of that loss of reparative or even homeokinetic properties, known by some as "advanced serious illness"; 2) the manifestations of advanced serious illness multimorbidity that, using the same networks that connect into the patient, are signs of this syndrome at the levels of the immediate family/friend social network, the broader community, and society at large; and 3) the potential for these same networks that transmit pathological forces to convey the positive effects of therapeutic interventions in a scale-free manner, with a focus on how conversation can lead to what I'm calling "multibeneficence...
February 16, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28198641/the-human-subject-vulnerable-populations-and-medical-history-the-problem-of-presentism-and-the-discourse-of-bioethics
#2
J T H Connor
This discussion considers recent historical works of eugenics and sterilization in Canada, but it is not an historiographic review essay or critique per se of this literature. Rather, by focussing on the topic of historic diagnostic categories such as "feeble-minded," "idiot," and "moron," methodological issues such as historical presentism and its possible interactions with the discourse of modern bioethics are examined. The conclusions derived are meant only to be cautionary, and are neither prescriptive nor proscriptive...
February 15, 2017: Canadian Bulletin of Medical History, Bulletin Canadien D'histoire de la Médecine
https://www.readbyqxmd.com/read/28198308/how-to-carry-out-growth-assessment-in-infants-and-children-under-two-years-old
#3
David Hopkins, Alison Kyle, Siba Prosad Paul
Rationale and key points Measuring and monitoring growth in infants and young children under two years old is an important part of their clinical assessment in hospital and the community. This article outlines the procedure for measuring growth in infants and children under two years old, and discusses the main factors to consider when undertaking this assessment. » The procedures and some of the data used to monitor the growth of infants and children under two years old differs from those used in older children...
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28195209/grayscale-image-recording-on-ge2sb2te5-thin-films-through-laser-induced-structural-evolution
#4
Tao Wei, Jingsong Wei, Kui Zhang, Hongxia Zhao, Long Zhang
Chalcogenide Ge2Sb2Te5 thin films have been widely exploited as binary bit recording materials in optical and non-volatile electronic information storage, where the crystalline and amorphous states are marked as the information bits "0" and "1", respectively. In this work, we demonstrate the use of Ge2Sb2Te5 thin films as multi-level grayscale image recording materials. High-resolution grayscale images are recorded on Ge2Sb2Te5 thin films through taking advantage of laser-induced structural evolution characteristic...
February 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28184980/-examination-procedure-and-description-of-skin-lesions
#5
Falk Ochsendorf, Laura Meister
The dermatologic examination follows a clear structure. After a short history is taken, the whole skin is inspected. The description, which is ideally provided in writing, forces one to look at the skin more closely. The description should include an accurate description of the location, the distribution, the form, and the type of lesion. The article contains tables with internationally approved definitions to describe skin changes. The analysis of these findings allows one to deduce pathophysiologic mechanisms occurring in the skin and to deduce hypotheses, i...
February 9, 2017: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/28165277/introduction-to-three-decades-of-family-psychology-perspectives-toward-the-future
#6
Barbara H Fiese
This article introduces the 30th anniversary of the Journal of Family Psychology (JFP). In addition it marks the 125th anniversary of publications by the American Psychological Association. In recognition of this milestone the editorial team has invited the past editors of the journal to write brief reflections on the field and commenting on their vision for the future of the field. (PsycINFO Database Record
February 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/28163343/old-er-care-home-residents-and-sexual-intimate-citizenship
#7
Paul Simpson, Maria Horne, Laura J E Brown, Christine Brown Wilson, Tommy Dickinson, Kate Torkington
Sexuality and intimacy in care homes for older people are overshadowed by concern with prolonging physical and/or psychological autonomy. When sexuality and intimacy have been addressed in scholarship, this can reflect a sexological focus concerned with how to continue sexual activity with reduced capacity. We review the (Anglophone) academic and practitioner literatures bearing on sexuality and intimacy in relation to older care home residents (though much of this applies to older people generally). We highlight how ageism (or ageist erotophobia), which defines older people as post-sexual, restricts opportunities for the expression of sexuality and intimacy...
February 2017: Ageing and Society
https://www.readbyqxmd.com/read/28156647/implementing-innovative-learner-centered-methods-to-teach-oncology-fellows-how-to-face-difficult-conversations
#8
Matthew Reilley, Jennifer Leigh McQuade, Walter F Baile, Daniel E Epner
: 27 Background: Oncologists engage in emotionally charged conversations with patients and families about prognosis, goals of care, and end of life transitions. Many oncologists lack key skills for guiding patients through such conversations. Key skills include posing open ended questions to elicit the patient's perspective, using silence effectively, and responding to emotion with empathy. We previously described a communication skills curriculum for first year medical oncology fellows consisting of a series of one hour monthly seminars (Epner and Baile, Academic Medicine, 2014)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150257/-narrative-pedagogy-in-nursing-education-the-essence-of-clinical-nursing-process-recording
#9
Yu-Mei Y Chao, Hsien-Hsien Chiang
BACKGROUND: Clinical nursing process recording (CNPR) has been shown to be an effective tool for facilitating student-centered teaching and learning in nursing education. Yet, the essence and process of this tool have yet to be sufficiently explored and clarified. PURPOSE: To explore the essence of CNPR in the contexts of clinical teaching and learning. METHODS: Reflective analysis was used as the phenomenological approach to analyze the qualitative data, which were transcribed from the oral responses of the six participants who were attending the Clinical Nursing Education Forum...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28146523/fabrication-of-an-anti-reflective-microstructure-on-sapphire-by-femtosecond-laser-direct-writing
#10
Qian-Kun Li, Jia-Ji Cao, Yan-Hao Yu, Lei Wang, Yun-Lu Sun, Qi-Dai Chen, Hong-Bo Sun
Herein, we report a facile approach for the maskless production of subwavelength-structured antireflective surfaces on sapphire with high and broadband transmittance in the mid-IR: femtosecond laser direct writing assist with wet etching. With this method, inverted pyramid and cone arrays with a pitch of about 2 μm and a total height of near 900 nm on the sapphire were produced. The resulting subwavelength structures greatly suppress specular reflection at normal incidence. The transmission measurements between 3 and 5 μm are in agreement with the simulations performed using VirtualLab, and the transmittance reached a maximum value of 92...
February 1, 2017: Optics Letters
https://www.readbyqxmd.com/read/28134015/transforming-narratives-into-educational-tools-the-collaborative-development-of-a-transformative-learning-tool-based-on-nicaraguan-adolescents-creative-writing-about-intimate-partner-violence
#11
Robyn Singleton, María de la Paz Picado Araúz, Kathleen Trocin, Kate Winskell
The use of narrative has become increasingly popular in the public health, community development, and education fields. Via emotionally engaging plotlines with authentic, captivating characters, stories provide an opportunity for participants to be carried away imaginatively into the characters' world while connecting the story with their own lived experiences. Stories have been highlighted as valuable tools in transformative learning. However, little published literature exists demonstrating applications of stories in group-based transformative learning curricula...
January 1, 2017: Global Health Promotion
https://www.readbyqxmd.com/read/28125256/organizational-climate-and-culture-reflections-on-the-history-of-the-constructs-in-jap
#12
Benjamin Schneider, Vicente González-Romá, Cheri Ostroff, Michael A West
We review the literature on organizational climate and culture paying specific attention to articles published in the Journal of Applied Psychology (JAP) since its first volume in 1917. The article traces the history of the 2 constructs though JAP has been far more important for climate than culture research. We distinguish 4 main periods: the pre-1971 era, with pioneering work on exploring conceptualization and operationalizations of the climate construct; the 1971-1985 era, with foundational work on aggregation issues, outcome-focused climates (on safety and service) and early writings on culture; the 1986-1999 era, characterized by solidification of a focused climate approach to understanding organizational processes (justice, discrimination) and outcomes (safety, service) and the beginnings of survey approaches to culture; and the 2000-2014 era, characterized by multilevel work on climate, climate strength, demonstrated validity for a climate approach to outcomes and processes, and the relationship between leadership and climate and culture...
January 26, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28110621/attention-without-intention-explicit-processing-and-implicit-goal-setting-in-family-medicine-residents-written-reflections
#13
Allen F Shaughnessy, Lucas Allen, Ashley Duggan
BACKGROUND: Reflection, a process of self-analysis to promote learning through better understanding of one's experiences, is often used to assess learners' metacognitive ability. However, writing reflective exercises, not submitted for assessment, may allow learners to explore their experiences and indicate learning and professional growth without explicitly connecting to intentional sense-making. AIM: To identify core components of learning about medicine or medical education from family medicine residents' written reflections...
January 23, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28097921/how-to-care-for-a-patient-s-eyes-in-critical-care-settings
#14
Janet Marsden, Richard Davies
Rationale and key points Eye care is an important aspect of the nursing management of patients who are critically ill. All patients in acute care settings with absent or compromised eye defence mechanisms are at risk of eye complications and ocular surface disease. This article aims to assist nurses to care for the eyes of patients in critical care settings to enable early detection and routine management of ophthalmic issues, thereby avoiding visual compromise on patient discharge from critical care settings...
December 14, 2016: Nursing Standard
https://www.readbyqxmd.com/read/28094638/how-to-remove-an-indwelling-urinary-catheter-in-female-patients
#15
Alison Bardsley
Rationale and key points This article aims to assist nurses to undertake the removal of an indwelling urinary catheter in female patients in a safe, timely, effective and patient-centred manner, while maintaining the patient's privacy and dignity. It is important for the nurse to be competent in undertaking this procedure, and to be aware of local and national policies on catheter removal. » Indwelling urinary catheters should be changed only when clinically necessary, or according to the manufacturer's guidelines...
January 4, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28091635/focused-electron-beam-based-direct-write-fabrication-of-graphene-and-amorphous-carbon-from-oxo-functionalized-graphene-on-silicon-dioxide
#16
Severin Schindler, Florian Vollnhals, Christian E Halbig, Hubertus Marbach, Hans-Peter Steinrück, Christian Papp, Siegfried Eigler
Controlled patterning of graphene is an important task towards device fabrication and thus is the focus of current research activities. Graphene oxide (GO) is a solution-processible precursor of graphene. It can be patterned by thermal processing. However, thermal processing of GO leads to decomposition and CO2 formation. Alternatively, focused electron beam induced processing (FEBIP) techniques can be used to pattern graphene with high spatial resolution. Based on this approach, we explore FEBIP of GO deposited on SiO2...
January 16, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28088506/linguistic-indicators-of-pain-catastrophizing-in-patients-with-chronic-musculoskeletal-pain
#17
Doerte U Junghaenel, Stefan Schneider, Joan E Broderick
: The present study examined markers of pain catastrophizing in the word use of patients with chronic pain. Patients (n = 71) completed the Pain Catastrophizing Scale and wrote about their life with pain. Quantitative word count analysis examined whether the essays contained linguistic indicators of catastrophizing. Bivariate correlations showed that catastrophizing was associated with greater use of first person singular pronouns, such as "I" (r = .27, p≤ .05) and pronouns referencing other people (r = 28, p≤ ...
January 11, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/28077910/the-first-mediterranean-seminar-on-science-writing-editing-and-publishing-sarajevo-december-2-3-2016
#18
REVIEW
Izet Masic, Doncho Donev, Osman Sinanovic, Miro Jakovljevic, Enver Zerem, Dejan B Milosevic, Srecko Gajovic, Armen Yuri Gasparyan, Sekib Sokolovic, Nermin Salkic, Selma Uzunovic, Silva Dobric, Floreta Kurti, Edin Begic, Admir Kurtcehajic
The First Mediterranean Seminar on Science Writing, Editing & Publishing (SWEP 2016) was held in Sarajevo, Bosnia & Herzegovina from 2nd to 3rd December 2016. It was organized by Academy of Medical Sciences of Bosnia and Herzegovina, running concurrent sessions as part of its Annual Meeting titled " "Days of AMNuBiH - Theory and Practice in Science Communication and Scientometrics". Hotel Bosnia in the city centre was the chosen venue. On the first day, nineteen presentations on various issues of science writing and publication ethics were delivered by speakers from Croatia, Serbia, Macedonia, Albania, Bosnia & Herzegovina and the UK (Asim Kurjak, Milivoj Boranić, Doncho Donev, Osman Sinanović, Miro Jakovljević, Enver Zerem, Dejan Milošević, Silva Dobrić, Srećko Gajović, Izet Mašić, Armen Yuri Gasparyan, Šekib Sokolović, Nermin Salkić, Selma Uzunović, Admir Kurtčehajić, Edin Begić and Floreta Kurti)...
December 2016: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/28076263/-a-paradox-persists-when-the-paradigm-is-wrong-pisacano-scholars-reflections-from-the-inaugural-starfield-summit
#19
Noemi Doohan, Anastasia J Coutinho, Jennifer Lochner, Diana Wohler, Jennifer DeVoe
The inaugural Starfield Summit was hosted in April 2016 by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care with additional partners and sponsors, including the Pisacano Leadership Foundation (PLF). The Summit addressed critical topics in primary care and health care delivery, including payment, measurement, and team-based care. Invited participants included an interdisciplinary group of pediatricians, family physicians, internists, behaviorists, trainees, researchers, and advocates...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28067615/intracranial-atherosclerosis-from-anatomy-to-pathophysiology
#20
Yuehua Pu, Linfang Lan, Xinyi Leng, Lawrence Ks Wong, Liping Liu
Background Intracranial atherosclerotic stenosis is an important etiology subtype of ischemic stroke. Stenosis severity was thought to be the main reference index for clinical treatment and research. However, stenosis could not reflect the ischemia risk completely, instead the hemodynamic state across the lesion, the extent of collateral circulation, and perfusion impairment downstream the stenosis are more important. Aims We write this review aimed to summarize novel angiographic methods applied in the evaluation of functional severity of ICAS, and commented on their limitations and prospects in future research...
January 1, 2017: International Journal of Stroke: Official Journal of the International Stroke Society
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