823 research outputs found

    A prospective cohort study measuring cost-benefit analysis of the Otago Exercise Programme in Community Dwelling Adults with Rheumatoid Arthritis

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    Det er en sammenheng mellom bachelorstudentenes karakterpoeng fra videregående skole og resultater til eksamen i anatomi, fysiologi, biokjemi (AFB). Enkelte studenter med lavere opptakskarakterer enn landsgjennomsnittet oppnådde bedre eksamensresultat enn det nasjonale gjennomsnittsresultatet i AFB for 2016. Hensikten med studien var å undersøke hvordan bachelorstudenter i sykepleie med lave opptakspoeng og gode eksamensresultater i AFB lærte og tilegnet seg emnet. Studien har et kvalitativ forskningsdesign og det ble gjennomført semistrukturerte intervju av 12 bachelorstudenter i sykepleie, som ble analysert ved hjelp av innholdsanalyse. Funnene er beskrevet ut fra tre hovedkategorier: A) Relevansen til sykepleieryrket styrker læring, B) tilhørighet har betydning for læring, og C) læring skjer i samarbeid med andre. Vi fant at studentene lærte AFB mer inngående i samhandling med andre studenter. Samlinger på campus er viktig for studenters læring, til tross for at det er stort fokus på fleksible utdanninger og digitale pedagogiske metoder. Selvstendig arbeid kombinert med læring i et sosialt studentfellesskap, oppgis som motivasjonsfaktorer til målrettet arbeid med studiene. Studentene erfarer mestringsforventning, i et miljø som preges av anerkjennelse og samtidig gir opplevelse av tilhørighet. Studentene vektlegger studienes relevans sett i lys av det profesjonsyrket som de utdanner seg til, som en betydningsfull motivasjonsfaktor for læring.publishedVersio

    Magic as a Useful Category of Historical Analysis

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    Legendre transform in the thermodynamics of flowing polymer solutions

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    We propose a Legendre transform linking two different choices of nonequilibrium variables (viscous pressure tensor and configuration tensor) in the thermodynamics of flowing polymer solutions. This may avoid some current confusions in the analysis of thermodynamic effects in polymer solutions under flow

    Rehabilitation after critical illness: could a ward-based generic rehabilitation assistant promote recovery?

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    Lisa Salisbury - ORCID: 0000-0002-1400-3224 https://orcid.org/0000-0002-1400-3224Item is not available in this repository.Aim: The aim of this paper is to explore issues surrounding the implementation of a generic rehabilitation assistant (GRA) to provide ward-based rehabilitation after critical illness. Background: Following critical illness a range of both physical and psychological problems can occur that include muscle wasting and weakness, fatigue, reduced appetite, post-traumatic stress, anxiety and depression. Limited research exists evaluating the provision of rehabilitation to this patient group. This paper explores one possible service delivery model providing ward-based rehabilitation after critical illness. The model explored is a GRA working in conjunction with ward-based staff. Results: We describe how a GRA worked effectively with ward-based teams to provide additional rehabilitation in the period after discharge from intensive care. Benefits included greater continuity of care that was flexible to the individual needs of patients. Some aspects of the role were challenging for the GRA and highlighted the need for good communication skills. A need for comprehensive training of the GRA was demonstrated. Conclusions: Our experience demonstrates that it is feasible to deliver ward-based rehabilitation after critical illness using the GRA service delivery model. Relevance to clinical practice: This model of service delivery offers the potential to improve outcomes for patients after a critical illness. Further research evaluating this model of care is required before implementation into clinical practice.https://doi.org/10.1111/j.1478-5153.2010.00382.x15pubpub

    Reaction rates for the oxidation of highly sulphurised petroleum cokes : the influence of thermogravimetric conditions and some coke properties

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    International audienceThe reaction with air of a large number (22) of high-sulphur petroleum cokes was studied by temperature-ramped thermogravimetric analysis. The kinetic parameters for each coke were established, based on BET surface areas. The oxidation rates (kg C m 22 s 21 atm 21) were found to vary with sample mass. This was a result of limitations on oxygen transfer, despite the small masses and low heating rates used. Limitations were present both externally (from the crucible mouth to the bed surface) and internally (from the sample surface to the bed interior). A method to take these effects into account was adopted, based on an analysis of the relevant diffusion rates. Application of this method reconciled the rate data for four different sample masses, except at high temperatures. The formation of a partially fused ash crust is believed to be the reason for this latter effect. The activation energies of the cokes varied between 195 and 280 kJ mol 21 , and the absolute rates varied by a factor of 10. They were between 1000 and 10,000 times higher than the average reactivity of carbon as reported in the literature. The elevated apparent rates are believed to have two causes, one in the combustion process and the other in the interpretation of the results. The first cause is the strong catalytic effect of the inorganic components, although the ash contents ranged only from 0.3 to 1.5%. The most active metal is vanadium, which is present in significant concentrations. The effectiveness of V 2 O 5 as a gasifying catalyst is believed to be due to its low melting point. Increasing sulphur content in the cokes produces no perceptible change in the combustion rates. The second cause for poor combustion correlation is the inadequacy of BET surface area for expressing combustion rates

    The high temperature reaction of carbon with nitric oxide

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    International audienceFour pyrolyzed carbonaceous materials were reacted with 950 ppm of nitric oxide (in N 2) in an entrained flow furnace at temperatures between 800 and 1,000°C. Their apparent reactivities, corrected for mass transfer, when calculated on a BET area basis displayed a wide spread of values. However, when recalculated for the surface area estimated for pores greater than 20 nm in size, as measured by mercury porosimetry, far better agreement was obtained. The results are consistent with other data in the literature, for which equivalent surface areas were available

    A Feasibility study of the escape-pain programme for patients with knee osteoarthritis in the Malaysian context: Preparation of a protocol

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    Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA), with the knee being one of the most commonly affected areas. This can lead to functional limitations, impaired activities of daily living and reduced quality-of-life. Thus, a systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies, known as Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) provides the best evidence for patients with knee OA. Objective: Through Thus, this study aims to evaluate the feasibility of a randomised controlled trial to explore the implementation of the ESCAPE-pain programme among patients with knee OA in the Malaysian healthcare context guided by the UK Medical Research Council Framework (2000). Methods: This is a pragmatic, feasibility randomised controlled trial (RCT) recruiting patients (n=72) with knee osteoarthritis from two hospitals in Malaysia. Participants were randomised to receive ESCAPE-pain intervention plus usual care (n=36) (intervention group) or usual care only (n=36) (control group). The ESCAPE-pain programme was delivered twice weekly for six weeks by a certified trainer. Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs and self-efficacy and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: This is the first study to evaluate the implementation in the Malaysian healthcare context. Conclusion: The findings are hoped to facilitate the practicality of the design of a definitive randomised controlled trial, to support people living with knee osteoarthritis in Malaysia

    Human-Centred Design of Digital Health Dashboards for Management of Health in the Care of Older Adults: A Scoping Review

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    Digital health dashboards can enhance health management for older adults by addressing usability and engagement challenges. This review examines 18 studies focusing on human-centered design methods, emphasizing stakeholder collaboration to ensure relevance and practicality
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