134 research outputs found
Nurturing the language as ethic : from the perspective of Emmanuel Levinas
text紀要論文 / Departmental Bulletin Paperdepartmental bulletin pape
The gastronomic and agricultural education in practice led by a student to be a school nutritionist : a case of "Shokuiku farm in Ohara"
食の問題が多様化する中、消費者自身がフードシステムにひたすら依存することなく、自ら食をコントロールし、食の主権回復が求められるようになってきた。こうした中、学校現場においても食育が盛んとなり、食の消費と生産をつなぐ食農教育も増えてきた一方で、学校現場で働く栄養士(以下、学校栄養士) 自身は食の生産現場を体験し、食と農を一体的に理解する機会がほとんどないに等しい。学校栄養士を目指す筆者は、前述のような問題意識を持ち、まず自身が農業を学ぶと同時に、親子対象の食農体験事業を企画・運営し、栄養士教育における食農教育実践の必要性を実証する研究を行っている。本稿は、研究の一環として行った食農体験事業の活動報告である。月1回計4回のプログラムの中で、参加した親子には様々な効果が見られた。また、実践では体験を重視し知識的な部分をほとんど取り入れなかったが、体験に加えて栄養学的知識を取り入れることが食と農を結びつける理解をより促進する可能性も示唆され、栄養士が実施する意義を改めて見出すことができた。学校栄養士にとって、保護者を含めた家族全員が集う場で食育を行う機会はほとんどない。親子の集う本プログラムのような実践は、子どもの食生活の中心である家庭での理解を深める意味において学び多き機会であると言える。この知見を活かし、今後は他栄養士養成課程学生も巻き込み、有効性実証に取り組むという展望を示した。It has been called for that the consumer itself controls food and recovers the sovereignty of food without the consumer itself being dependent on a food system intently, while the problem of food is diversified. In such a situation, the food education in a school and connecting consumption and production of food (what is called the gastronomic and agricultural education) have increased. However, there is equal to be nothing the opportunity that Dietitian (henceforth, school dietitian) who works in a school experience the production site of food and understand food and agriculture consistently. The writer who aims at a school dietitian has the above awareness of the issues and self-studies agriculture first. Also the gastronomic and agricultural education experience enterprise for parents and children has been planned and managed. Also it has started to research the necessity for the education practice in dietitian education. This paper is the activity report of that education experience enterprise performed as part of research. Various effects were seen in 4 programs (1 time per month) by the parents and children who participated. Moreover, although experience was most important and a knowledge portion was hardly taken in in practice, it is suggested that nutritional knowledge in addition to experience connects agriculture to food. The meaning which a dietitian carries out that can be found out anew. There is almost no opportunity to perform food education at the place where all families including parents gather for a school dietitian. It can be said that practice like this program in which parents and children gather deepens an understanding at the home which is the center of a child's eating habits. Taking advantage of this knowledge and experience, the other dietitian training course students are also involved in from now on, and validity actual proof is aimed at.活動状況報告(Research and Activity Report)application/pdfdepartmental bulletin pape
ホログラフィ干渉法を用いた人脛骨の荷重による変形測定
application/pdfArticle大阪府立工業高等専門学校研究紀要, 1986, 20, p.9-14departmental bulletin pape
Thermal HFBと1次の相転移(原子核の高スピン状態の理論的研究, 研究会報告)
rights: 素粒子論グループ 素粒子研究編集部
rights: 本文データは学協会の許諾に基づきCiNiiから複製したものである
relation: IsVersionOf: http://ci.nii.ac.jp/naid/110006469365/textapplication/pdfjournal articl
Role of Point of Care Ultrasound in Prehospital care: an interview study
Background:Point of Care Ultrasound (PoCUS) is a currently available and rapidly developing technology albeit still not widely used in the UK. Prehospital PoCUS could help to prioritise initial treatment, procedures and appropriate patient conveyance. A recent literature review suggests that the image quality, portability and cost of ultrasound devices are improving with widening indications for prehospital PoCUS but evidence of prehospital use and impact is needed. We aimed to explore the views of practitioners (who use ultrasound in practice) on the potential role of PoCUS, the challenges and facilitators associated with its use in prehospital care.Methods:We conducted a qualitative interview study using purposive sampling through social media and a snowballing technique to recruit eligible participants. Individual interviews were conducted online via Microsoft Teams. The interviews were recorded, transcribed and analysed using a Thematic Framework approach assisted by NVivo 12 software until data saturation.Results:In total, 16 practitioners - aged between 36 and 62 years, with a range of professional backgrounds including paramedics and prehospital emergency physicians - participated in interviews. Participants identified several facilitators to support a widespread implementation of PoCUS in prehospital care: resource requirements for purchase and deployment of devices, sufficient time and a skilled workforce; special attention to training, education and support needs; proper organisational governance, guidelines and quality assurance; enabling ease of use in aiding decision making and taking unintended consequences or incidental findings into consideration. In addition, more robust evidence to support perceptions of improved patient outcomes and experience is needed; workforce considerations should include supportive staff, champions and leadership. Conclusions:Prehospital PoCUS could be useful for care processes and pathways. However, the facilitators identified should be considered for a widespread implementation of prehospital PoCUS.</p
Association between attendance for antenatal care and behavioural decisions
<p><b>Copyright information:</b></p><p>Taken from "Antenatal care and perinatal outcomes in Kwale district, Kenya"</p><p>http://www.biomedcentral.com/1471-2393/8/2</p><p>BMC Pregnancy and Childbirth 2008;8():2-2.</p><p>Published online 10 Jan 2008</p><p>PMCID:PMC2254374.</p><p></p
Exploring the views of Point of Care Ultrasound practitioners for widespread implementation in community settings in the UK
Exploring the views of Point of Care Ultrasound practitioners for widespread implementation in community settings in the UK The problem:Point of Care Ultrasound (POCUS) is a currently available and rapidly developing technology but still not widely used in the UK. Community POCUS in prehospital and primary care settings could help to prioritise initial treatment, procedures and appropriate patient referral or conveyance to an appropriate secondary care setting. Recent reviews suggest that image quality, portability and cost of ultrasound devices are improving, that POCUS is increasingly being used by general practitioners and emergency practitioners across the world, and that generalists can safely use ultrasound in a range of clinical settings to aid diagnosis. As further evidence of community POCUS use and impact is needed in the UK, we aimed to explore the views of practitioners who use ultrasound in practice on the role of POCUS and perceived barriers and facilitators for implementation in UK community settings.The approach:We conducted a qualitative interview study with practitioners who use point of care ultrasound in practice. Participants were from community and secondary care settings, and interviews were conducted online via Microsoft Teams. A purposive sampling approach was used to recruit eligible participants through an inclusion criterion. Following ethics approval, participants were recruited by using a flyer advertising the study on social media (Twitter) and websites of relevant research groups. This was enhanced by a snowballing technique, with participants already identified serving as key informants to recruit further eligible and willing participants to the study. Data were collected using individual semi-structured interviews lasting 40 – 60 minutes. Interviews were recorded, transcribed verbatim and analysed using a Framework approach assisted by NVivo 12 software.Findings:In total, 16 practitioners, aged between 40 and 62, with a range of professional backgrounds including paramedics, prehospital emergency physicians, general practitioners and allied health professionals (radiologist, sonographer, physiotherapist), participated in interviews. Participants identified structural factors as perceived barriers to the deployment of community POCUS. These factors included resource requirements for purchase and deployment of actual devices, sufficient time for training and inclusion in the workflow, and a suitably skilled workforce; special attention to training, education and support needs; as well as ensuring proper governance, guidelines and quality assurance for the use of POCUS in such settings. To enable implementation of POCUS in community care settings, participants also identified process factors requiring consideration. These included more robust evidence to reinforce perceptions of improved patient outcomes and experience, enhanced ease of use in assisting decision making, and also consideration of potential unintended consequences or incidental findings. Workforce considerations included need for supportive staff, champions and leadership. Implications:POCUS could be a useful tool for improving community assessment and health outcomes, but structural and process factors identified in this study need to be addressed for community POCUS to become a reality.</p
Exploring the views of Point of Care Ultrasound practitioners for widespread implementation in community settings in the UK
Exploring the views of Point of Care Ultrasound practitioners for widespread implementation in community settings in the UK The problem:Point of Care Ultrasound (POCUS) is a currently available and rapidly developing technology but still not widely used in the UK. Community POCUS in prehospital and primary care settings could help to prioritise initial treatment, procedures and appropriate patient referral or conveyance to an appropriate secondary care setting. Recent reviews suggest that image quality, portability and cost of ultrasound devices are improving, that POCUS is increasingly being used by general practitioners and emergency practitioners across the world, and that generalists can safely use ultrasound in a range of clinical settings to aid diagnosis. As further evidence of community POCUS use and impact is needed in the UK, we aimed to explore the views of practitioners who use ultrasound in practice on the role of POCUS and perceived barriers and facilitators for implementation in UK community settings.The approach:We conducted a qualitative interview study with practitioners who use point of care ultrasound in practice. Participants were from community and secondary care settings, and interviews were conducted online via Microsoft Teams. A purposive sampling approach was used to recruit eligible participants through an inclusion criterion. Following ethics approval, participants were recruited by using a flyer advertising the study on social media (Twitter) and websites of relevant research groups. This was enhanced by a snowballing technique, with participants already identified serving as key informants to recruit further eligible and willing participants to the study. Data were collected using individual semi-structured interviews lasting 40 – 60 minutes. Interviews were recorded, transcribed verbatim and analysed using a Framework approach assisted by NVivo 12 software.Findings:In total, 16 practitioners, aged between 40 and 62, with a range of professional backgrounds including paramedics, prehospital emergency physicians, general practitioners and allied health professionals (radiologist, sonographer, physiotherapist), participated in interviews. Participants identified structural factors as perceived barriers to the deployment of community POCUS. These factors included resource requirements for purchase and deployment of actual devices, sufficient time for training and inclusion in the workflow, and a suitably skilled workforce; special attention to training, education and support needs; as well as ensuring proper governance, guidelines and quality assurance for the use of POCUS in such settings. To enable implementation of POCUS in community care settings, participants also identified process factors requiring consideration. These included more robust evidence to reinforce perceptions of improved patient outcomes and experience, enhanced ease of use in assisting decision making, and also consideration of potential unintended consequences or incidental findings. Workforce considerations included need for supportive staff, champions and leadership. Implications:POCUS could be a useful tool for improving community assessment and health outcomes, but structural and process factors identified in this study need to be addressed for community POCUS to become a reality.</p
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