The concept of integration in mixed methods research:a step-by-step guide using an example study in physiotherapy

Background Integration is a unique attribute of Mixed Methods Research (MMR). However, some MMR studies, published in the field of physiotherapy and other allied health professions, have illustrated a lack of understanding of the concept of integration. Aims The purpose of this paper is to provide guidance for integrating elements of mixed methods research in order to effectively support evidence-based practice in health. Methods The concept of integration of findings is explained with reference to the authors recent PhD study, which used a mixed methods exploratory sequential design. This article describes how the author used a narrative joint display to integrate findings from both the qualitative and survey phases of the study. Then, a step-by-step approach is introduced to guide the interpretation and integration of the findings. Results This four-step approach demonstrates integration of the two different datasets: Creating a joint display, linking activity, establishing relationships, and interpreting and reporting. Tables and Figures are used to support detailed description and illustration of the integration process. Discussion A joint display provides a visual representation of how the qualitative and quantitative findings in a MMR study can be integrated. In this way, interpretation of the data drawn from this process extend beyond the individual findings of each study component to facilitate a greater understanding of complex health care issues

How do Employees with Chronic Musculoskeletal Disorders Experience the Management of Their Condition in the Workplace? A Metasynthesis

This metasynthesis contributes to an understanding of the experiences, perceptions, and attitudes of employees on managing chronic musculoskeletal disorders (CMSDs) at work. Many studies in this field are concerned with prevention or return-to-work (RTW) programmes. However, the purpose of this review was to synthesise evidence that only focuses on the employees management of their CMSDs at work. The SPIDER framework was used to structure the question "How do employees with CMSDs experience the management of their condition in the workplace"? The literature search focused on articles published between 2011 and 2021, and the search was conducted using the following databases: MEDLINE, SCOPUS, CINAHL, AMED, PsycINFO. The review identified nine articles that explored employees experiences of managing CMSDs at work. Thematic synthesis was used to create analytic themes which provided a more in-depth discussion of these experiences. The identified themes were: employees actively seek ways to manage their conditions, influence of work environment on employees with CMSDs and optimising the relationship between employees and managers. This metasynthesis suggests that the ability to negotiate workplace support and manage CMSDs at work is influenced by the cultural and social environment of the organisation. Effective communication, care and trust between the employee is needed. The review also illustrated the need for healthcare professionals to provide support to employees at work

Landing the blame : the influence of EU Member States on quota setting

Fisheries in European Union (EU) waters have been managed under the Common Fisheries Policy since 1983. The main regulatory tool in EU fisheries management is the use of Total Allowable Catches (TACs). In principle, TACs are set according to biological scientific advice provided by the International Council for the Exploration of the Sea (ICES) which recommends catch limits with the objective of maximising catches in a sustainable manner. The objective of this paper is to compare TACs set by the EU and its Member States between 2001 and 2015 with those recommended by ICES in their annual scientific advice in order to (a) investigate the level of compliance with scientific advice by the European Council and, (b) consider whether particular Member States have received more TACs above advice than others. For the time-series analysed, the European Council set TACs above scientific advice by an average of 20% per year, with around 7 out of every 10 TACs exceeding advice. Of all Member States, Denmark and the United Kingdom received the highest TACs in volume above scientific advice. Relative to the size of their TAC however, Spain and Portugal exceeded advice by the greatest percentage. Greater transparency is required to determine what takes place during the closed door negotiations and to improve the fishery sustainability credentials of the EU and its Member States

A General Synthesis of Tris-Indole Derivatives as Potential Iron Chelators

The development of a novel route for the synthesis of a new class of compounds is described. The first tripodal, tris-indole amines are prepared by straightforward routes

#SocialMediaEd: Perspectives on Teaching about and with Social Media in Higher Education

Within the field of education and informational technology, technologies like social media — near ubiquitous in the lives of today’s high school and college students — raise interesting questions about learning, teaching, literacy, design and democracy for researchers and educators. In this panel we considered multiple perspectives on teaching with and about social media from researchers at five different institutions. Three panelists: Greenhow, Gleason and Krutka all teach variations of a Social Media in Education course within graduate programs at their respective universities and each presented an overview of their course goals and curriculum. Description of these courses was enriched by commentary from the panel chair and moderator, also social media in education researchers. The session was organized for maximum audience participation to advance conversations about an essential social media in higher education curriculum across institutions and how to implement and evaluate it

Puffer: Pop-Up Flat Folding Explorer Robot

A repeatably reconfigurable robot, comprising at least two printed circuit board (PCB) rigid sections, at least one PCB flexible section coupled to the at least two PCB rigid sections, at least one wheel, hybrid wheel propeller, wheel and propeller, or hybrid wheel screw propeller rotatably coupled to at least one of the at least two PCB rigid sections and at least one actuator coupled to the at least two PCB rigid sections, wherein the at least one actuator folds and unfolds the repeatably reconfigurable robot

Background Parenchymal Enhancement of the Contralateral Normal Breast: Association with Tumor Response in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy

AbstractPURPOSE: This study investigated the association between background parenchymal enhancement (BPE) and pathologic response to neoadjuvant chemotherapy (NAC). METHODS: A total of 46 patients diagnosed with invasive breast cancer were analyzed. Each patient had three magnetic resonance imaging (MRI) studies, one pre-treatment and two follow-up (F/U) MRI studies. BPE was measured as the averaged enhancement of the whole fibroglandular tissues. The pre-treatment BPE and the changes in the F/U MRI were compared between patients achieving pathologic complete response (pCR) versus those not. Subgroup analyses based on age, estrogen receptor (ER), and human epidermal growth factor receptor 2 (HER2) status of their cancers were also performed. RESULTS: The pre-treatment BPE was higher in the pCR group than that in the non-pCR group. Compared to baseline, BPE at F/U-1 was significantly decreased in the pCR group but not in the non-pCR group. In subgroup analysis based on age, these results were seen only in the younger group (<55 years old), not in the older group (≥55 years old). Older patients had a significantly lower pre-treatment BPE than younger patients. In analysis based on molecular biomarkers, a significantly decreased BPE at F/U-1 was only found in the ER-negative pCR group but not in the non-pCR, nor in the ER-positive groups. CONCLUSIONS: A higher pre-treatment BPE showing a significant decrease early after starting NAC was related to pCR in pre/peri-menopausal patients