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Reflective practice

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https://www.readbyqxmd.com/read/29684831/dis-integrating-cultural-difference-in-practice-and-communication-a-qualitative-study-of-host-and-migrant-registered-nurse-perspectives-from-new-zealand
#1
Margaret Brunton, Catherine Cook
BACKGROUND: Several earlier studies have provided evidence of the difficulties nurses have had adapting to foreign workplaces, however few have considered wider perspectives of the workplace communication environment. OBJECTIVE: The aim of this study was to examine the viewpoints and experience of both New Zealand qualified nurses and internationally qualified nurses in managing communication within teams and the clinical practice context in an increasingly diverse healthcare workplace in New Zealand...
April 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684128/understanding-australian-policies-on-public-health-using-social-and-political-science-theories-reflections-from-an-academy-of-the-social-sciences-in-australia-workshop
#2
Fran Baum, Adam Graycar, Toni Delany-Crowe, Evelyne de Leeuw, Carol Bacchi, Jennie Popay, Lionel Orchard, Hal Colebatch, Sharon Friel, Colin MacDougall, Elizabeth Harris, Angela Lawless, Dennis McDermott, Matthew Fisher, Patrick Harris, Clare Phillips, Jane Fitzgerald
There is strong, and growing, evidence documenting health inequities across the world. However, most governments do not prioritize policies to encourage action on the social determinants of health and health equity. Furthermore, despite evidence concerning the benefits of joined-up, intersectoral policy to promote health and health equity, it is rare for such policy approaches to be applied systematically. To examine the usefulness of political and social science theory in understanding the reasons for this disjuncture between evidence and practice, researchers and public servants gathered in Adelaide for an Academy of the Social Sciences in Australia (ASSA) Workshop...
April 19, 2018: Health Promotion International
https://www.readbyqxmd.com/read/29682955/ultra-broadband-directional-scattering-by-colloidally-lithographed-high-index-mie-resonant-oligomers-and-their-energy-harvesting-applications
#3
Yinan Zhang, Yi Xu, Shiren Chen, Hua Lu, Kai Chen, Yaoyu Cao, Andrey E Miroshnichenko, Min Gu, Xiangping Li
Emerging high-index all-dielectric nanostructures, capable of manipulating light at the subwavelength scale, empower designing and implementing novel antireflection and light trapping layers in many photonic and optoelectronic devices. However, their performance and practicality are compromised by relatively narrow bandwidths and highly sophisticated fabrications. In this paper, we demonstrate an ultra-broadband (300-1200 nm) directional light scattering strategy using high-index surface silicon oligomer resonators fabricated by a facile, scalable and low-cost colloidal lithography technique...
April 23, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29682837/massive-transfusion-changing-practice-in-a-single-norwegian-centre-2002-2015
#4
H Doughty, T O Apelseth, J Sivertsen, K Annaniasen, T Hervig
OBJECTIVES: To describe the change in massive transfusion (MT) practice in a single Norwegian centre throughout the period 2002-2015. BACKGROUND: MT support for traumatic haemorrhage has changed since the mid-2000s. However, life-threatening haemorrhage may occur in other clinical specialties. In 2007, Haukeland University Hospital (HUS) introduced a universal MT programme including education, Acute Transfusion Packages (ATPs) and thromboelastography. METHODS/MATERIALS: A retrospective review was performed of all MT episodes defined as ≥10 red cell concentrates (RCC) in 24 h...
April 23, 2018: Transfusion Medicine
https://www.readbyqxmd.com/read/29682705/-reflection-on-the-present-study-of-anastomotic-leakage-after-colorectal-surgery
#5
Zhouqiao Wu, Jinyao Shi, Ziyu Li, Jiafu Ji
Anastomotic leakage is one of the most serious complications of colorectal surgery. Despite progress in available surgical techniques, the morbidity associated with anastomotic leakage remains high. In this review, we summarize the current clinical status of this complication, the problems it causes, and relevant research achievements. To date, a lack of consensus regarding the diagnosis of anastomotic leakage has resulted in varying rates of diagnosis across countries and regions worldwide. Accurately predicting the occurrence of anastomotic leakage using the established risk factors and preoperative scoring systems remains difficult...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29681653/photonic-resins-designing-optical-appearance-via-block-copolymer-self-assembly
#6
Dong-Po Song, Gianni Jacucci, Feyza Dundar, Aditi Naik, Hua-Feng Fei, Silvia Vignolini, James J Watkins
Despite a huge variety of methodologies having been proposed to produce photonic structures by self-assembly, the lack of an effective fabrication approach has hindered their practical uses. These approaches are typically limited by the poor control in both optical and mechanical properties. Here we report photonic thermosetting polymeric resins obtained through brush block copolymer (BBCP) self-assembly. We demonstrate that the control of the interplay between order and disorder in the obtained photonic structure offers a powerful tool box for designing the optical appearance of the polymer resins in terms of reflected wavelength and scattering properties...
March 27, 2018: Macromolecules
https://www.readbyqxmd.com/read/29681438/usefulness-of-reflection-scanning-in-determining-whole-body-composition-in-broadly-built-individuals-using-dual-energy-x-ray-absorptiometry
#7
Andreia V Moço, Catarina N Matias, Diana A Santos, Paulo M Rocha, Cláudia S Minderico, Edilson S Cyrino, Luís B Sardinha, Analiza M Silva
Whole-body composition analysis by dual-energy X-ray absorptiometry (DXA) requires subjects to fit within the width limits of the DXA bed. To overcome this limitation, the aim of this study was to validate a partial scanning technique at which the upper left limb is deliberately left unscanned and measurements are "reflected" from the right-side upper limb. A Hologic Explorer-W densitometer was used in a sample of 189 participants, including athletes and nonathletes, ranging from underweight to obese (body mass index: 17...
March 27, 2018: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/29680911/left-atrial-deformation-as-a-potent-predictor-for-paroxysmal-atrial-fibrillation-in-patients-with-end-stage-renal-disease
#8
Christodoulos E Papadopoulos, Efstathios Pagourelias, Constantinos Bakogiannis, Konstantinos Triantafyllou, Konstantinos Baltoumas, Efstratios Kassimatis, Dimitrios Zioutas, Dimitrios Siskos, Stergios Tzikas, Nikolaos Fragakis, Aikaterini Papagianni, Vassilios Vassilikos
It is widely known that various factors contribute to left atrial (LA) mechanical dysfunction in patients with end stage renal disease (ESRD). However, the connection between atrial dysfunction and arrhythmic events such as paroxysmal atrial fibrillation (PAF), in this group of patients, remains unclear. The purpose of our study was to evaluate prospectively the association between LA deformation indices and PAF in ESRD patients. 79 patients (41 men, mean age 57 ± 17) with ESRD and preserved left ventricular systolic function comprised the study population...
April 21, 2018: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/29679731/changes-in-pediatric-dxa-measures-of-musculoskeletal-outcomes-and-correlation-with-quantitative-ct-following-treatment-of-acute-lymphoblastic-leukemia
#9
Sogol Mostoufi-Moab, Andrea Kelly, Jonathan A Mitchell, Joshua Baker, Babette S Zemel, Jill Brodsky, Jin Long, Mary B Leonard
We previously reported significant gains in pQCT measures of tibia trabecular bone mineral density (BMD) and cortical structure following completion of therapy in children and adolescents with acute lymphoblastic leukemia (ALL). The objective of this study was to examine changes in DXA measures used in clinical practice and expressed as Z-scores using robust national reference data. Children and adolescents, ages 5 to 18 years were enrolled within 2 (median 0.8) years of completing ALL therapy. DXA total-body less-head bone mineral content (TBLH-BMC), and spine, total hip, femoral neck, and 1/3rd radius areal BMD (aBMD) were assessed in 45 participants at enrollment and 12-months later...
April 18, 2018: Bone
https://www.readbyqxmd.com/read/29679402/person-centred-leadership-a-relational-approach-to-leadership-derived-through-action-research
#10
Shaun Cardiff, Brendan McCormack, Tanya McCance
AIMS & OBJECTIVES: How does person-centred leadership manifest in clinical nursing. BACKGROUND: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing. DESIGN: A three year participatory action research study where participant leaders planned, researched and learned from their practice development...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29679317/sensitivity-analysis-for-not-at-random-missing-data-in-trial-based-cost-effectiveness-analysis-a-tutorial
#11
Baptiste Leurent, Manuel Gomes, Rita Faria, Stephen Morris, Richard Grieve, James R Carpenter
Cost-effectiveness analyses (CEA) of randomised controlled trials are a key source of information for health care decision makers. Missing data are, however, a common issue that can seriously undermine their validity. A major concern is that the chance of data being missing may be directly linked to the unobserved value itself [missing not at random (MNAR)]. For example, patients with poorer health may be less likely to complete quality-of-life questionnaires. However, the extent to which this occurs cannot be ascertained from the data at hand...
April 20, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29678606/ketogenic-diet-high-intensity-interval-training-hiit-and-memory-training-in-the-treatment-of-mild-cognitive-impairment-a-case-study
#12
Kaitlyn Dahlgren, Kelly J Gibas
Alzheimer's disease (AD) deaths have increased by 89% since 2000. This alarming trajectory of neurological disease highlights the failure of current best practice. Deteriorating brain fuel supply is the nemesis of intact neurological health. Cerebral hypo-metabolism associated with AD occurs years before onset. Both the ketogenic diet and calorie restriction (fasting) lead to a compensatory rise in ketones to improve energy deficits in the brain derived from cerebral insulin resistance. Two forms of ketone bodies, β-hydroxybutyrate and acetoacetate, fuel the brain during starvation, fasting and strenuous exercise...
April 11, 2018: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29678189/accepting-telemedicine-in-a-circulatory-medicine-ward-in-major-hospitals-in-south-korea-patients-and-health-professionals-perception-of-real-time-electrocardiogram-monitoring
#13
Seo-Joon Lee, Tae-Young Jung, Tae-Ro Lee, Jae-Hoon Han
BACKGROUND: South Korean government is currently in progress of expanding the coverage of telemedicine projects as part of an attempt to vitalize service industry, but is facing fierce opposition from KMA. Practice of telemedicine requires sufficient discussions among related parties. Although the participation of medical specialists is important, agreement from the public is essential. METHODS: Three main tertiary care centers in Seoul were selected for data collection...
April 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29678088/translating-ehealth-visions-from-strategy-to-practice-a-benefit-management-approach
#14
Sidsel Villumsen, Christian Nøhr, Arild Faxvaag
The municipalities and the Regional Health Authorities in Central Norway have been assigned a mandate to implement a shared electronic health record, Helseplattformen, reflecting the visions set out in the national eHealth white paper 'One Citizen - One Record'. This study identifies and describe anticipated benefit streams of clinical decision support in 'One Citizen - One Record' and the user requirement specification documents of Helseplattformen. This study found that the benefit stream of clinical decision support translates from the health policy visions stated in 'One Citizen - One Record' into Helseplattformen...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677952/an-empirical-approach-to-enhancing-terminology-binding-an-hl7-fhir-snomed-ct-example
#15
Kirstine Rosenbeck Gøeg, Mark Hummeluhr
Information exchange at the level of semantic interoperability requires that information models and clinical terminologies work well together. In HL7 FHIR resources, terminology binding to standard terminologies such as SNOMED CT are suggested, and even though most are suggestions rather than rules, they still must reflect the clinical domain accurately. In this study, we suggest a method for empirically evaluating whether a terminology binding represents the value sets used in practice. We evaluated the terminology binding associated with the MedicationRequest...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677951/modelling-feedback-in-virtual-patients-an-iterative-approach
#16
Natalia Stathakarou, Andrzej A Kononowicz, Lars Henningsohn, Cormac McGrath
Virtual Patients (VPs) offer learners the opportunity to practice clinical reasoning skills and have recently been integrated in Massive Open Online Courses (MOOCs). Feedback is a central part of a branched VP, allowing the learner to reflect on the consequences of their decisions and actions. However, there is insufficient guidance on how to design feedback models within VPs and especially in the context of their application in MOOCs. In this paper, we share our experiences from building a feedback model for a bladder cancer VP in a Urology MOOC, following an iterative process in three steps...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677949/staff-training-on-the-use-of-health-information-systems-what-do-we-know
#17
Ann Bygholm
Staff training is acknowledged as an important activity when implementing health information systems (HISs). This paper reviews the literature on staff training in connection with HIS implementation. The aim is to identify critical issues to reflect on when planning or evaluating this type of training. Searches were conducted in three research databases, resulting in 423 hits. Sixty-four papers were retrieved for more detailed examination, and 12 papers were selected for analysis. The analysis focused on the content, organization and pedagogical approach...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677579/factors-underlying-perceptions-of-community-care-and-other-healthcare-areas-in-first-year-baccalaureate-nursing-students-a-focus-group-study
#18
Margriet van Iersel, Corine H M Latour, Marjon van Rijn, Rien de Vos, Paul A Kirschner, Wilma J M Scholte Op Reimer
BACKGROUND: Despite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign. OBJECTIVE: Determination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students...
April 13, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29677357/optical-coherence-tomography-minimum-intensity-as-an-objective-measure-for-the-detection-of-hydroxychloroquine-toxicity
#19
Ali M Allahdina, Paul F Stetson, Susan Vitale, Wai T Wong, Emily Y Chew, Fredrick L Ferris Iii, Paul A Sieving, Catherine Cukras
Purpose: As optical coherence tomography (OCT) minimum intensity (MI) analysis provides a quantitative assessment of changes in the outer nuclear layer (ONL), we evaluated the ability of OCT-MI analysis to detect hydroxychloroquine toxicity. Methods: Fifty-seven predominantly female participants (91.2% female; mean age, 55.7 ± 10.4 years; mean time on hydroxychloroquine, 15.0 ± 7.5 years) were enrolled in a case-control study and categorized into affected (i.e...
April 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29677163/microstructure-images-restoration-of-metallic-materials-based-upon-ksvd-and-smoothing-penalty-sparse-representation-approach
#20
Qing Li, Steven Y Liang
Microstructure images of metallic materials play a significant role in industrial applications. To address image degradation problem of metallic materials, a novel image restoration technique based on K-means singular value decomposition (KSVD) and smoothing penalty sparse representation (SPSR) algorithm is proposed in this work, the microstructure images of aluminum alloy 7075 (AA7075) material are used as examples. To begin with, to reflect the detail structure characteristics of the damaged image, the KSVD dictionary is introduced to substitute the traditional sparse transform basis (TSTB) for sparse representation...
April 20, 2018: Materials
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