Из истории гидроархеологических исследований на озере Иссык-Куль

Статья посвящена истории археологических исследований на озере Иссык-Куль. На основе архивных данных реконструируются первые попытки изучения дна озера русскими путешественниками и учеными в середине ХIХ века; описывается проект Г.А.Колпаковского по доставке на озеро водолазного оборудования (1871); оцениваются результаты работ экспедиций Д.Ф.Винника и современное состояние дел по изучению подводных памятников озера.Стаття присвячена історії археологічних досліджень на озері Іссик-куль. На основі архівних даних реконструюються перші спроби вивчення дна озера російськими мандрівниками і ученими в середині ХIХ століття; описується проект Г.А.Колпаковського з доставки на озеро водолазного обладнання (1871); оцінюються результати робіт експедицій Д.Ф.Вінника і сучасний стан справ по вивченню підводних пам'ятників озера.The article is devoted to the history of archaeological researches at lake Issik Kul. On the basis of the archived documents the first attempts to investigate the lake bottom by Russian travelers and scientists in the middle of ХIХ age are reconstructed; the G.A.Kolpakovskiy’s project concerning the delivery of diving equipment (1871) to the lake is described; the work results of D.F.Vinnik’s expeditions and modern researches of archaeological artefacts of the lake are assessed

Walking the walk: a phenomenological study of long distance walking

Evidence suggests that regular walking can elicit significant psychological benefits although little evidence exists concerning long distance walking. The purpose of this study was to provide detailed accounts of the experiences of long distance walkers. Phenomenological interviews were conducted with six long distance walkers. Data were transcribed verbatim before researchers independently analyzed the transcripts. Participants reported a cumulative effect with positive feelings increasing throughout the duration of the walk. Long distance walking elicited positive emotions, reduced the effects of life-stress, and promoted an increased sense of well-being and personal growth. Results are aligned to theories and concepts from positive psychology

Development of guideline-based indicators for patient-centredness in fertility care: what patients add

Item does not contain fulltextSTUDY QUESTION: What value can patients add to the development of guideline-based quality indicators for patient-centredness in fertility care? SUMMARY ANSWER: Infertile patients mainly select different indicators and value different dimensions of patient-centredness (e.g. information and communication and access to care) than professionals (e.g. coordination and integration of care) during an indicator development process. WHAT IS KNOWN ALREADY: Patient-centredness is an important dimension for the quality of fertility care. However, this dimension is not adequately evaluated by professionals, due to a lack of quality indicators. Furthermore, it is suggested that patients select different indicators for patient-centredness than professionals, although exact differences are unknown. STUDY DESIGN, SIZE AND DURATION: The RAND-modified Delphi method (a two-step systematic consensus method) was used to develop two sets of quality indicators for patient-centredness. Similarities and differences in the indicators as well as in aspects of patient-centredness between patients' and professionals' sets of indicators were analysed descriptively. PARTICIPANTS, SETTING, METHODS: The development of quality indicators for patient-centredness was based on the national multidisciplinary Network Guideline on infertility. Two panels participated: one patients' panel (n = 19) and one multidisciplinary professionals' panel (n = 15). MAIN RESULTS AND THE ROLE OF CHANCE: From 119 formulated potential indicators of patient-centredness, the patients' panel selected a representative set of 16, while the professionals' panel selected 18. Five indicators were included in both sets. These regarded the need to perform IUI at least 6 days a week; report on treatment outcomes and complications; report on results of semen analyses in a standardized way; counsel infertile couples about the positive effects on their chance of pregnancy of the elimination of a harmful lifestyle and provide information on the negative consequences for achieving a pregnancy in case of a high BMI. Both patients and professionals put highest value on potential indicators of information and communication in fertility care. Patients also emphasized accessibility of care, whereas professionals emphasized coordination and integration as important quality measures for patient-centredness in fertility care. LIMITATIONS, REASONS FOR CAUTION: First, the total number of developed indicators in the final set is relatively large (n = 29), which could be a first potential limitation in its use for accreditation and quality monitoring. Secondly, although panel members were asked to take reliability into account during the selection procedure, the indicators still need an evaluation of the measurability and the intra- and inter-observer reliability. WIDER IMPLICATIONS OF THE FINDINGS: The final guideline-based indicator set consisting of 29 indicators represents a balanced set that is based on the expertise of all stakeholders, including patients. A next step should be the application of this set in a future practice test to assess the feasibility in daily practice. In our opinion, most quality indicators for patient-centredness could be used for monitoring and improving the quality of fertility care internationally, occasionally by a more broad interpretation (e.g. by replacing the general practitioners with other healthcare professionals engaged in the care process). STUDY FUNDING/COMPETING INTEREST(S): This study was supported by a research grant (number 150020015) from the Dutch Organisation for Health Research and Development (ZonMw) in a research programme on broadening and acceleration in multidisciplinary guideline development. The authors have no conflicts of interest to declare

Effects of age and breed on the phospholipid composition of canine surfactant

peer reviewe

Feasibility of a wiki as a participatory tool for patients in clinical guideline development

Contains fulltext : 107901.pdf (publisher's version ) (Open Access)BACKGROUND: Patient participation is essential in developing high-quality guidelines but faces practical challenges. Evidence on timing, methods, evaluations, and outcomes of methodologies for patient participation in guideline development is lacking. OBJECTIVE: To assess the feasibility of a wiki as a participatory tool for patients in the development of a guideline on infertility determined by (1) use of the wiki (number of page views and visitors), (2) benefits of the wiki (ie, number, content, and eligibility of the recommendations to be integrated into the guideline), and (3) patients' facilitators of and barriers to adoption, and the potential challenges to be overcome in improving this wiki. METHODS: To obtain initial content for the wiki, we conducted in-depth interviews (n = 12) with infertile patients. Transcripts from the interviews were translated into 90 draft recommendations. These were presented on a wiki. Over 7 months, infertile patients were invited through advertisements or mailings to formulate new or modify existing recommendations. After modifying the recommendations, we asked patients to select their top 5 or top 3 recommendations for each of 5 sections on fertility care. Finally, the guideline development group assessed the eligibility of the final set of recommendations within the scope of the guideline. We used a multimethod evaluation strategy to assess the feasibility of the wiki as a participatory tool for patients in guideline development. RESULTS: The wiki attracted 298 unique visitors, yielding 289 recommendations. We assessed the 21 recommendations ranked as the top 5 or top 3 for their eligibility for being integrated into the clinical practice guideline. The evaluation identified some challenges needed to be met to improve the wiki tool, concerning its ease of use, website content and layout, and characteristics of the wiki tool. CONCLUSIONS: The wiki is a promising and feasible participatory tool for patients in guideline development. A modified version of this tool including new modalities (eg, automatically limiting the number and length of recommendations, using a fixed format for recommendations, including a motivation page, and adding a continuous prioritization system) should be developed and evaluated in a patient-centered design

Toward a multifaceted platform for humanitarian demining: Paper presented at 13th IARP Workshop on Humanitarian Demining and Risky Interventions, HUDEM 2015, Beograd, Croatia, 27-28 April 2015

The D-BOX project aims to increase deminers' confidence in technology developing a web-enabled platform which allows them to better utilize existing technologies and foster the development of the use of new ones. The idea behind D-BOX is to create an Information Management System which incorporates the process of Land Release, whereby the use of technologies is part of the process. The system will be flexible to adapt to local needs but at the same time it will be compliant with the IMAS. In a complex domain like demining, single technologies are rarely effective. The new platform will foster functional tool chains to realize complex tasks, information merging and synergies amongst heterogeneous tools to increase the effectiveness of the tool combinations. In the paper we establish the requirements for the new platform and give examples of Functional Tool Chain(s) and of Synergies among tools being developed by D-BOX partners