4,660 research outputs found
eSciDoc – a Scholarly Information and Communication Platform for the Max Planck Society
eSciDoc is as a joint project of the Max Planck Society and FIZ Karlsruhe, funded by the Federal Ministry of Education and Research (BMBF), with the aim to realize a next-generation platform for com-munication and publication in research organizations. The result of the entire eSciDoc project is intended to ensure open and persistent access to the research results and materials of the Max Planck Society and to integrate these materials in an emerging e-Science network, to increase the accountability of research and to improve the visibility of the Max Planck Society. At the same time, the project aims to provide effective and comprehensive access to information for Max Planck re-searchers and their work groups. Additionally, eSciDoc will support scientific collaboration and interdisciplinary research in future e-Science scenarios and optimize the exploitation of information avail-able through an interconnected global scientific knowledge space
eSciDoc – a Scholarly Information and Communication Platform for the Max Planck Society
eSciDoc is as a joint project of the Max Planck Society and FIZ Karlsruhe, funded by the Federal Ministry of Education and Research (BMBF), with the aim to realize a next-generation platform for com-munication and publication in research organizations. The result of the entire eSciDoc project is intended to ensure open and persistent access to the research results and materials of the Max Planck Society and to integrate these materials in an emerging e-Science network, to increase the accountability of research and to improve the visibility of the Max Planck Society. At the same time, the project aims to provide effective and comprehensive access to information for Max Planck re-searchers and their work groups. Additionally, eSciDoc will support scientific collaboration and interdisciplinary research in future e-Science scenarios and optimize the exploitation of information avail-able through an interconnected global scientific knowledge space
Deficiencies in education and experience in the management of acute kidney injury among Malawian healthcare workers
Background Acute kidney injury (AKI) is a common but under-recognised disease process, which carries a high risk of mortality or chronic complications, such as chronic kidney disease and other organ dysfunction. Management of AKI, however, is suboptimal, both in developed settings and in Malawi. This is partly because of deficiencies in AKI education and training.Aim To establish current levels of AKI education in a range of healthcare workers in Malawi.Methods An AKI symposium was held in Blantyre in March 2015. Delegates were asked to complete a survey at the start of the symposium to assess their clinical experience and education in the management of AKI.Results From 100 delegates, 89 nurses, clinical officers, and physicians, originating from 11 different districts, responded to the survey. Twenty-two percent of healthcare workers (including 28% of district workers of the various cadres and 31% of nurses) had never received teaching on any aspect of renal disease, and 50% (including 63% of district workers and 61% of nurses) had never received teaching specifically on AKI. Forty-four percent did not feel confident managing AKI, and 98% wanted more support managing patients with renal disease. Thirty-four percent (including 55% of district workers) were unaware that haemodialysis was available at Queen Elizabeth Central Hospital (QECH) for the treatment of AKI and 53% (74% of district workers) were unaware that peritoneal dialysis was available for the treatment of AKI in children. Only 33% had ever referred a patient with AKI to QECH.Conclusions There are deficiencies in education about, and clinical experience in, the management of AKI among Malawian healthcare workers, in addition to limited awareness of the renal service available at QECH. Urgent action is required to address these issues in order to prevent morbidity and mortality from AKI in Malawi
Getting the most out of remote care: Co‐developing a Toolkit to improve the delivery of remote kidney care appointments for underserved groups
Background
Telephone and video appointments are still common post-pandemic, with an estimated 25%–50% of kidney appointments in the United Kingdom still conducted remotely. This is important as remote consultations may exacerbate pre-existing inequalities in those from underserved groups. Those from underserved groups are often not represented in health research and include those with learning disability, mental health needs, hearing/sight problems, young/older people, those from ethnic minority groups.
Objectives
The aim was to develop a Toolkit to improve the quality of remote kidney care appointments for people from different underserved groups.
Design
A parallel mixed methods approach with semi-structured interviews/focus groups and survey. We also conducted workshops to develop and validate the Toolkit.
Participants
Seventy-five renal staff members completed the survey and 21 patients participated in the interviews and focus groups. Patients (n = 11) and staff (n = 10) took part in the Toolkit development workshop, and patients (n = 13) took part in the Toolkit validation workshop.
Results
Four themes from interviews/focus groups suggested areas in which remote appointments could be improved. Themes were quality of appointment, patient empowerment, patient–practitioner relationship and unique needs for underserved groups. Staff reported difficulty building rapport, confidentiality issues, confidence about diagnosis/advice given, technical difficulties and shared decision making.
Conclusion
This study is the first to explore experiences of remote appointments among both staff and those from underserved groups living with kidney disease in the United Kingdom. While remote appointments can be beneficial, our findings indicate that remote consultations need optimisation to meet the needs of patients. The project findings informed the development of a Toolkit which will be widely promoted and accessible in the United Kingdom during 2024
Cambios fenológicos constantes en la creación de un hotspot de biodiversidad: la flora del cabo
The best documented survival responses of organisms to past climate change on short (glacial-interglacial) timescales are distributional shifts. Despite ample evidence on such timescales for local adaptations of populations at specific sites, the long-term impacts of such changes on evolutionary significant units in response to past climatic change have been little documented. Here we use phylogenies to reconstruct changes in distribution and flowering ecology of the Cape flora - South Africa's biodiversity hotspot - through a period of past (Neogene and Quaternary) changes in the seasonality of rainfall over a timescale of several million years. Results Forty-three distributional and phenological shifts consistent with past climatic change occur across the flora, and a comparable number of clades underwent adaptive changes in their flowering phenology (9 clades; half of the clades investigated) as underwent distributional shifts (12 clades; two thirds of the clades investigated). Of extant Cape angiosperm species, 14-41% have been contributed by lineages that show distributional shifts consistent with past climate change, yet a similar proportion (14-55%) arose from lineages that shifted flowering phenology. Conclusions Adaptive changes in ecology at the scale we uncover in the Cape and consistent with past climatic change have not been documented for other floras. Shifts in climate tolerance appear to have been more important in this flora than is currently appreciated, and lineages that underwent such shifts went on to contribute a high proportion of the flora's extant species diversity. That shifts in phenology, on an evolutionary timescale and on such a scale, have not yet been detected for other floras is likely a result of the method used; shifts in flowering phenology cannot be detected in the fossil record
Photoproduction at collider energies: from RHIC and HERA to the LHC
We present the mini-proceedings of the workshop on ``Photoproduction at
collider energies: from RHIC and HERA to the LHC'' held at the European Centre
for Theoretical Studies in Nuclear Physics and Related Areas (ECT*, Trento)
from January 15 to 19, 2007. The workshop gathered both theorists and
experimentalists to discuss the current status of investigations of high-energy
photon-induced processes at different colliders (HERA, RHIC, and Tevatron) as
well as preparations for extension of these studies at the LHC. The main
physics topics covered were: (i) small- QCD in photoproduction studies with
protons and in electromagnetic (aka. ultraperipheral) nucleus-nucleus
collisions, (ii) hard diffraction physics at hadron colliders, and (iii)
photon-photon collisions at very high energies: electroweak and beyond the
Standard Model processes. These mini-proceedings consist of an introduction and
short summaries of the talks presented at the meeting
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