Teknologistøttet simulationsundervisning som translokation for teoretisk viden og praktisk handlen

I professionsuddannelser arbejdes der med refleksioner og arbejdsformer, der på forskellig vis sammenkæder teoretisk viden med viden om praktisk handlen. Alligevel problematiseres transferværdien af læringen fra professionsuddannelserne, idet det har vist sig, at der kan være lang vej fra viden om teori og handlen til faktisk handlen i en ofte meget kompleks konkret praksis.I denne artikel diskuterer vi med cases fra et forsknings- og innovationsprojekt i sygeplejerskeuddannelsen, hvordan teknologistøttet simulationsundervisning (i form af bl.a. inddragelse af programmerbare manikiner) kan fungere som sted for translokationer mellem den teoretiske viden, den professionsfaglige handlen og refleksioner herover.Abstract in EnglishIn order to link theoretical knowledge with action in practice, professional bachelor programs employ various methods of teaching and diverse approaches aimed at promoting students’ reflective thinking. Still, the transfer value from the learning outcome in the professional bachelor programs to professional practice is discussed. Thus, it has been shown that knowledge about theory and action is not automatically operational for supporting actual action in the professional practice that is often very complex.Using cases from a research- and innovation project in nursing education as a starting point, we in this paper discuss how technology enhanced simulations (including the use of programmable mannequins) can function as translocations between theoretical knowledge, professional action and reflections concerning both

Risk of heart failure among individuals tested for Borrelia burgdorferi sensu lato antibodies, and serum Borrelia burgdorferi sensu lato seropositive individuals; a nationwide population-based, registry-based matched cohort study

BACKGROUND: Lyme borreliosis is a tick-borne disease caused by the bacterium Borrelia burgdorferi (Bb) sensu lato complex. Previous studies have suggested an association between Lyme borreliosis and heart failure, which have been suggested to be a possible manifestation of Lyme carditis. We aimed to investigate the risk of heart failure among individuals tested for serum Bb antibodies, and serum Bb seropositive individuals.METHODS: We performed a matched nationwide cohort study (Denmark, 1993-2020) and included 52,200 Bb seropositive individuals, and two age- and sex-matched comparison cohorts: 1) 104,400 Bb seronegative comparison cohort members, and 2) 261,000 population controls. We investigated the risk associated with 1) being tested for serum Bb antibodies, and 2) being Bb seropositive. Outcomes were: 1) a composite of heart failure, cardiomyopathy, and/or myocarditis diagnosis, and 2) redemption of cardiovascular medicine used for treatment of heart failure. We calculated short-term odds ratios (aOR) (within 1 month) and long-term hazard rates (aHR) (after 1 month) adjusted for age, sex, diabetes, pre-existing heart failure, and kidney disease.RESULTS: Compared with the population controls, individuals tested for Bb antibodies, regardless of the test result, had increased short-term risk of heart failure, cardiomyopathy, and myocarditis (aOR 8.3, 95 %CI: 6.7-10.2), and both increased short- and long-term risk of redemption of cardiovascular medicine (aOR 4.3, 95 %CI: 3.8-4.8, aHR 1.13, 95 % CI: 1.11-1.15). The Bb seropositive individuals had no increased short- or long-term risk of any outcome compared with Bb seronegative comparison cohort members.CONCLUSIONS: In conclusion, Bb antibody tests seemed to be performed in the diagnostic work-up of heart failure, but Bb seropositivity was not associated with heart failure.</p

A Prospective Study of Organochlorines in Adipose Tissue and Risk of Non-Hodgkin Lymphoma

Background: Exposure to organochlorines has been examined as a potential risk factor for non-Hodgkin lymphoma (NHL), with inconsistent results that may be related to limited statistical power or to imprecise exposure measurements

Population-Based Study of Acute Respiratory Infections in Children, Greenland

Acute respiratory infections (ARI) are frequent in Inuit children, in terms of incidence and severity. A cohort of 294 children <2 years of age was formed in Sisimiut, a community on the west coast of Greenland, and followed from 1996 to 1998. Data on ARI were collected during weekly visits at home and child-care centers; visits to the community health center were also recorded. The cohort had respiratory symptoms on 41.6% and fever on 4.9% of surveyed days. The incidence of upper and lower respiratory tract infections was 1.6 episodes and 0.9 episodes per 100 days at risk, respectively. Up to 65% of the episodes of ARI caused activity restriction; 40% led to contact with the health center. Compared with studies from other parts of the world, the incidence of ARI appears to be high in Inuit children

Highly mixed impacts of near-future climate change on stock productivity proxies in the North East Atlantic

Impacts of climate change on ocean productivity sustaining world fisheries are predominantly negative but vary greatly among regions. We assessed how 39 fisheries resources—ranging from data-poor to data-rich stocks—in the North East Atlantic are most likely affected under the intermediate climate emission scenario RCP4.5 towards 2050. This region is one of the most productive waters in the world but subjected to pronounced climate change, especially in the northernmost part. In this climate impact assessment, we applied a hybrid solution combining expert opinions (scorings)—supported by an extensive literature review—with mechanistic approaches, considering stocks in three different large marine ecosystems, the North, Norwegian and Barents Seas. This approach enabled calculation of the directional effect as a function of climate exposure and sensitivity attributes (life-history schedules), focusing on local stocks (conspecifics) across latitudes rather than the species in general. The resulting synopsis (50–82°N) contributes substantially to global assessments of major fisheries (FAO, The State of World Fisheries and Aquaculture, 2020), complementing related studies off northeast United States (35–45°N) (Hare et al., PLoS One, 2016, 11, e0146756) and Portugal (37–42°N) (Bueno-Pardo et al., Scientific Reports, 2021, 11, 2958). Contrary to prevailing fisheries forecasts elsewhere, we found that most assessed stocks respond positively. However, the underlying, extensive environmental clines implied that North East Atlantic stocks will develop entirely different depending upon the encountered stressors: cold-temperate stocks at the southern and Arctic stocks at the northern fringes appeared severely negatively impacted, whereas warm-temperate stocks expanding from south were found to do well along with cold-temperate stocks currently inhabiting below-optimal temperatures in the northern subregion.publishedVersio

Long-term exposure to elemental constituents of particulate matter and cardiovascular mortality in 19 European cohorts: Results from the ESCAPE and TRANSPHORM projects

n/