73 research outputs found

    Online Graduate Student Identity and Professional Skills Development

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    Graduate students are assumed to develop skills in oral and written communication and collegial relationships that are complementary to formal graduate programs. However, it appears only a small number of universities provide such professional development opportunities alongside academic programs, and even fewer do so online. There appears to be an assumption in higher education that students develop professional skills by virtue of learning through required academic tasks and having proximity to other students and faculty. Skeptics of online study raise questions about whether graduate students studying online can participate fully in such graduate communities and access these informal professional skill-building opportunities. It is possible that such activities may have to be designed and delivered for online graduate students. This paper presents preliminary qualitative findings from a project that developed, offered, and evaluated such online opportunities. Findings suggest that while online graduate students can and do develop professional skills while navigating their studies, building relationships, and participating in online learning communities, they are keen to develop such professional skills in a more deliberate way.  On prĂ©sume que les Ă©tudiants des cycles supĂ©rieurs acquièrent des habiletĂ©s en communication orale et Ă©crite et vivent des relations de collaboration qui soient complĂ©mentaires aux programmes formels des Ă©tudes supĂ©rieures. Cependant, il semblerait que seul un petit nombre d’universitĂ©s offre de telles opportunitĂ©s de perfectionnement professionnel dans leurs programmes acadĂ©miques, et que ce nombre est mĂŞme infĂ©rieur en ce qui a trait aux formations en ligne. On suppose que les Ă©tudiants des Ă©tudes supĂ©rieures acquièrent des habiletĂ©s professionnelles en raison des travaux acadĂ©miques de leur formation et des relations Ă©tablies avec leurs professeurs et d’autres Ă©tudiants. Les sceptiques au sujet de la formation en ligne Ă©mettent des doutes quant Ă  la possibilitĂ©, pour les Ă©tudiants diplĂ´mĂ©s qui Ă©tudient en ligne, de participer pleinement Ă  ces communautĂ©s universitaires et d’avoir accès Ă  ces occasions informelles d’acquĂ©rir des compĂ©tences professionnelles. Il se peut que ces activitĂ©s doivent ĂŞtre conçues puis offertes aux Ă©tudiants de cycles supĂ©rieurs en ligne. L’étude qui suit prĂ©sente les rĂ©sultats prĂ©liminaires qualitatifs d’un projet qui a Ă©laborĂ©, offert et Ă©valuĂ© de telles opportunitĂ©s en ligne. Les rĂ©sultats suggèrent que si les Ă©tudiants de cycles supĂ©rieurs en ligne sont en mesure d’acquĂ©rir des habiletĂ©s professionnelles tout en poursuivant leurs Ă©tudes, Ă©chafaudant des relations et participant Ă  des communautĂ©s d’apprentissage en ligne, ils sont aussi enthousiastes de dĂ©velopper plus dĂ©libĂ©rĂ©ment de telles habiletĂ©s professionnelles

    Integrated knowledge translation strategies that enhance the lives of persons with dementia and their family caregivers

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    Purpose: To understand the lived experience of persons with dementia and their family caregivers who receive home care in northern Alberta, Canada, and to reveal how integrated knowledge translation (iKT) strategies influence the uptake of best available dementia care evidence over time. Sample: Three persons living with dementia and thirteen family caregivers were interviewed at the beginning of the study, nine months after implementation of the knowledge broker (KB), and six months after termination of the KB role (total interviews = 41). Method: The PARiHS framework guided our longitudinal case study that included two rural home care centres. A qualitative interpretive descriptive approach was used. A KB was hired for 12 months to facilitate the development of different iKT strategies with staff. Site A developed two strategies: 1) a planning meeting to discuss local needs and suggestions for improving access to dementia care information and community supports; and 2) the development of an information package. Site B focused on working through modules of the U-First program that entailed dementia education and training for the home care providers (HCPs). They then used the U-First wheels with clients during their home visits. Findings: Persons living with dementia spoke of both positive and negative aspects of their dementia journey and how they attempted to manage their lives. Family caregivers struggled to find the best approaches and supports to use to enable their family member with dementia to remain at home for as long as possible. iKT strategies such as a KB, the information resource package developed by the HCPs, use of the U-First modules and wheels, and a support group were examples of effective iKT. Conclusion: iKT strategies and projects increased access to dementia care information and supports. These assisted caregivers to better care for their family member for longer periods at home. Keywords: Persons living with dementia, family caregivers, integrated knowledge translation strategies, rural, and home car

    Psoriasis - a review of recent progress, characteristics, diagnostic management

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    Introduction: Psoriasis is a common, chronic, systemic inflammatory disease with an immunological basis. It occurs in about 2% of people in Europe and North America. It is associated with an increased probability of obesity, diabetes, dyslipidemia, cardiovascular disease and inflammatory bowel disease. Objective: The purpose of this review is to analyze the latest information on the characteristics, diagnosis and treatment of patients with psoriasis. Materials and methods: The present study was based on available data collected in the PubMed database and published between 2001 and 2022. The study was conducted by reviewing keywords such as: "psoriasis," "diagnosis," "treatment," "genetics," "immunology," "angiogenesis," "keratinocytes," and "incidence." State of the knowledge: In the last decade, biologic drugs targeting tumor necrosis factor alpha, interleukin 23, interleukin 17 and interleukin 12 have been developed and approved for the treatment of psoriasis. These drugs have revolutionized the treatment and management of psoriasis. Summary: Over the past decade, there have been tremendous advances in knowledge about the pathogenesis of psoriasis. Discoveries on this background, have given rise to new biological therapies. Currently in clinical trials are substances such as, Janus kinase inhibitors and tyrosine kinase 2 inhibitors, which represent hope for the most affected patients. Unfortunately, our knowledge of the causes of psoriasis is still incomplete. This poses a challenge for further research and thus the creation of more therapeutic substances

    Wilms Tumor - Pathogenesis, diagnosis, treatment and prognosis

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    Introduction: Wilms tumor is the most common occuring malignant tumor of kidney among children. Mostly appears in infants and young children. The main symptom is enlargement od the abdomen. It is often diagnosed incidentally during USG examination. Aim of the study: Summary of current knowledge on the pathogenesis, diagnosis, treatment and prognosis of Wilms Tumor. Methods and matherials: A review of  the literaturÄ™ available in the PubMed data base, using the following keywords: :„Wilms Tumor”,„Wilms tumor genetics” State of knowledge: Wilms tumor appears more often among people with certain genetic syndromes. There are two to treat WT depending on the world region (SIOP, COG). According to SIOP, the diagnosis is made based on imaging. This is followed by neoadiuvant chemotherapy, and then it is surgically removed. According to COG, the first stage of treatment is surgical removal of the tumor, then chemotherapy. During chemotherapy, vincristine, actinomycin, doxodubicin are used in both schemes. Although both strategies differ in their pretreatment approach, they lead to similar overall survival rates. Conclusions:Despite already advanced treatment techniques for the tumor, and extensive knowledge about it, its pathogenesis still remains somewhat unknown. Increased understanding of the aberrant molecular pathways active in Wilms tumorigenesis has identified many potential targeted therapeutic approaches that could be applied in a clinical settin

    Knee ligament injuries in alpine skiing - the mechanism of injury and the possibilities of using modern knowledge and technology to prevent injuries in skiing

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    Introduction: Over the years, advances in alpine ski equipment such as helmets, bindings, skis and boots have resulted in risk reduction, remodelling of injury patterns and mechanisms. Skiers’ injuries are currently about 1 to 5 per 1000 days spent in the snow per athlete. The most common area of the injury is the knee, especially ACL and MCL.  Purpose of the work: The purpose of the work is analysis of literature on mechanism of  knee ligaments injury and potential prevention intervention in alpine skiing.  Methods and materials: The present study was based on available data collected in the PubMed and Google Scholar database. The study was conducted by reviewing keywords such as: “alpine skiing”, “ski bindings”, “alpine skiing injuries”, “ACL”. Results: Taking into consideration less advanced skiers, we can distinguish three types of injury mechanism: valgus-external rotation sequence, boot-induced anterior drawer mechanism and phantom-foot mechanism. Three mechanisms have been described for professional skiers: slip-catch, landing back-weighted and dynamic snowplow. Female skiers have a higher risk of ACl injury than male skiers. Conclusion: Most of the described injury mechanisms are linked with no releasing of bindings. The future injury prevention should concentrate on injury mechanisms using electronic sensors placed at skiers equipment. New micro-electronic technologies can help create mechatronic ski bindings

    Impact of physical activity in pregnant women on maternal health

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    Introduction: Pregnancy is an important period in a woman's life. One of the most essential things people can do to improve their health both physical and mental is taking regular physical exercise. Healthy people, people with chronic illnesses or disabilities as well as pregnant women benefit from regular physical activity. All pregnant women should be physically active, except in certain situations when there are medical contraindications. Objective of the study: The purpose of this study is to summarize the benefits of regular physical activity during pregnancy. Materials and methods: A review of the literature available on the PubMed database was carried out, the key words used were: ,,pregnancy,,, ,,physical activity,,, ,,gestational diabetes,,, ,,hypertension,,, ,,pre-eclampsia,,. Results: Physical activity increases the chance of a normal pregnancy and a successful outcome. In the absence of obstetric or medical contraindications, physical activity during pregnancy is desirable and advisable. Exercise results in fewer complications for both the pregnant woman and the newborn. Conclusions: The best results from physical activity in pregnancy are obtained when the pregnant woman exercises regularly, for example, 3 times a week for 30-60 minutes. It is advisable that for it to be regular aerobic training of moderate intensity of at least 150 minutes per week

    Chronic Prostatitis / Chronic Pelvic Pain Syndrome – problematic common disease. Current knowledge on etiology, diagnosis and treatments

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    Introduction: Nonbacterial prostatitis (CNP) also known as chronic pelvic pain syndrome (CPPS) is a condition with an incompletely understood etiology. Chronic prostatitis is diagnosed when symptoms of prostatitis persist for more than 3 months and it is difficult to treat. The causes are not fully understood. Among the many possible causes are stress, psycho-emotional disorders, hormonal disorders and autoimmune disorders. The main symptom is pain usually felt in the perineum, at the base of the penis, in the anal area, sometimes over the pubic symphysis. This pain can radiate to the penis and scrotum.   Aim of the study: Summary of current knowledge on the treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome.   Material and methods: Review of PubMed articles using the following keywords: “nonbacterial chronic prostatitis”, “abacterial chronic prostatitis” and “chronic pelvic pain syndrome”.   Results: Complete cure in non-bacterial chronic prostatitis is rare. Due to the lack of knowledge of the cause of chronic prostatitis, there is no effective treatment for this disease. Although the pathogen is rarely found in the patients studied, many patients show improvement after antibiotic therapy. In addition, anti-inflammatory drugs, alpha blockers and neuromodulators are used. Physical therapy also has proven benefits in relieving symptoms.   Conclusion: CNP is a frustrating disease for many doctors and patients. Although it is not yet completely understood, we have made significant progress in the evaluation and treatment of this disease over the past several decades. Physicians need to move away from outdated algorithms that often result in endless courses of antibiotics and embrace multimodal therapy, which provides better results than other treatment strategies

    Premature Ovarian Insufficiency - diagnostic and therapeutic challenges

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    Introduction and purpose: Premature Ovarian Insufficiency (POI) is a rare but serious disease diagnosed in about 1% of women before the age of 40. It is characterized by hypoestrogenism and an increase in the level of the follicle-stimulating hormone, which is associated with menstrual disorders, pregnancy failures and a reduced quality of life. The main causes of POI include a genetic background and autoimmune abnormalities, as well as increasingly jatrogenic factors. Care for patients is focused on hormone replacement therapy and infertility treatment. The aim of this review is to discuss current treatment methods, the impact of early diagnosis and the prevention of premature ovarian insufficiency, which affects the ability to have one's own offspring. The article also describes new methods of infertility treatment that are under investigation. Materials and methods: This literature review is based on articles published in the PubMed database from 2015 to 2022 using the following phrases: premature ovarian insufficiency, premature ovarian insufficiency stem cells State of knowledge: The only way to treat infertility in women with POI is egg donation. Currently, research is being conducted to achieve early diagnosis, introduce new treatment methods and reduce the number of iatrogenic forms of POI. Conclusion: The main problem for women diagnosed with POI is the difficulty or often impossibility of having their own children. Egg donation does not allow for the transfer of the patient's genetic material, and is also not available as a treatment option in some countries. For this reason, new methods for early diagnosis, treatment, and prevention of POI are being developed

    Pathological conditions associated with hyperhomocysteinemia

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    The effect of excessive homocysteine concentration in human blood, on the cells and tissues of the body is very complex. The effect associated with the induction of oxidative stress and disruption of the biochemical balance of the intracellular space has a negative impact on the physiology of cells and the regularity of their functioning by changing their metabolism. This may result in the formation and development of atherosclerotic lesions, disorders in the coagulation system leading to thrombosis and, consequently, embolism, pathological changes in the central nervous system, which may translate into the formation of mental disorders, neurodegenerative diseases, depression and dementia. In addition, hyperhomocysteinemia affects the possible pathologies and complications of pregnancy associated with them, as well as the implications for fetal development if its aforementioned condition. The work presented here outlines the mechanisms that determine the formation of the aforementioned disease entities as a result of too much homocysteine and the clinical significance of these relationships. With the development of science and the increasing number of publications related to the impact of hyperhomocysteinemia on diverse disease entities, there are voices suggesting the inclusion of studies on homocysteine concentrations in body fluids in screening as risk factors for the development of these diseases or using them for their control and treatment

    Ulcerative colitis – recent and potential methods of treatment - review

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    Introduction and purpose: Ulcerative colitis (UC, colitis ulcerosa) belongs to a group of inflammatory bowel diseases of unexplained etiology. It is a diffuse nonspecific inflammation of the mucosa of the rectum or rectum and colon, leading to ulceration in more severe cases. Despite a decline in the incidence of ulcerative colitis in developed countries, the prevalence continues to rise due to increasingly predominant benign course of the disease with a low mortality rate. The purpose of this review is to summarize latest directions and discoveries in research of ulcerative colitis. Materials and methods: This review is based on articles published in Pubmed between 2017 and 2022 by searching keywords ulcerative colitis treatment, ulcerative colitis guidelines.State of knowledge: Currently, many independent scientific societies represent a consensus position on the standard management of patients with UC, while recent therapeutic options are constantly emerging due to intensive research. These options require the involvement of multiple medical centers to determine their position in future guidelines.Conclusion: Although ulcerative colitis is a disease that is diagnosed and detected relatively easily, due to its chronic nature, relatively high prevalence in the population and lack of causal treatment options, it is an important direction for further research
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