Developing Wound Moisture Sensors: Opportunities and Challenges for Laser-Induced Graphene-Based Materials

Recent advances in polymer composites have led to new, multifunctional wound dressings that can greatly improve healing processes, but assessing the moisture status of the underlying wound site still requires frequent visual inspection. Moisture is a key mediator in tissue regeneration and it has long been recognised that there is an opportunity for smart systems to provide quantitative information such that dressing selection can be optimised and nursing time prioritised. Composite technologies have a rich history in the development of moisture/humidity sensors but the challenges presented within the clinical context have been considerable. This review aims to train a spotlight on existing barriers and highlight how laser-induced graphene could lead to emerging material design strategies that could allow clinically acceptable systems to emerge

Education, globalization and the nation state

Review of the book Education, globalization and the nation state by Prof. Ronald C. Sultanapeer-reviewe

A 10-Year Retrospective Case Study of the Relation between Four Summative Assessment Measures in a Graduate Speech-Language Pathology Program

Assessment is essential to ensure that quality levels of teaching and learning are maintained in graduate programs in Communication Sciences and Disorders (CSD). In this article, we present a ten-year retrospective case study of one CSD master’s program approach to address speech-language pathology program-level summative assessment. We evaluated the strength of the relation between three departmental summative measures (i.e., Grand Rounds [Capstone Course] final grade percentages, Written Comprehensive examinations, Oral Comprehensive examinations) and the national Praxis Examination in Speech-Language Pathology (5331). The strongest correlations were between the Grand Rounds final grade percentages, Written Comprehensive examinations, and the Praxis. The weakest correlations were between the Oral Comprehensive examinations and the other examination types. The study findings demonstrate the concurrent validity of Grand Rounds final grade percentages, Written Comprehensive examinations, and the Praxis. Capstone courses should be considered for their benefit in Praxis preparation, whereas oral comprehensive examinations may better serve as formative rather than summative assessment

Education and support needs during recovery in acute respiratory distress syndrome survivors

Abstract Introduction There is a limited understanding of the long-term needs of survivors of the acute respiratory distress syndrome (ARDS) as they recover from their episode of critical illness. The Timing it Right (TIR) framework, which emphasizes ARDS survivors' journey from the ICU through to community re-integration, may provide a valuable construct to explore the support needs of ARDS survivors during their recovery. Methods Twenty-five ARDS survivors participated in qualitative interviews examining their needs for educational, emotional and tangible support for each phase of the TIR framework. Transcripts were analyzed using framework methodology. Results ARDS survivors' support needs varied across the illness trajectory. During the ICU stay, survivors were generally too ill to require information. The transfer to the general ward was characterized by anxiety surrounding decreased surveillance and concern for future health and treatment. Information needs focused on the events surrounding the acute illness, while physical and emotional needs revolved around physical therapy and psychological support for depression and anxiety. As patients were preparing for hospital discharge, they expressed a desire for specific information about the recovery and rehabilitation process following an episode of ARDS (e.g., outpatient physiotherapy, long-term sequela of the illness). Once in the community, survivors wanted guidance on home care, secondary prevention, and ARDS support groups. Conclusions Our findings support the need for future educational and support interventions to meet the changing needs of ARDS survivors during their recovery

Development and implementation of the Ontario Stroke System: the use of evidence

<b>Introduction</b><br> The Ontario Stroke System was developed to enhance the quality and continuity of stroke care provided across the care continuum. <br><b>Research Objective</b> <br> To identify the role evidence played in the development and implementation of the Ontario Stroke System. <br><b><title>Methods</b> This study employed a qualitative case study design. In-depth interviews were conducted with six members of the Ontario Stroke System provincial steering committee. Nine focus groups were conducted with: Regional Program Managers, Regional Education Coordinators, and seven acute care teams. To supplement these findings interviews were conducted with eight individuals knowledgeable about national and international models of integrated service delivery.<br> <b>Results</b><br> Our analyses identified six themes. The first four themes highlight the use of evidence to support the process of system development and implementation including: 1) informing system development; 2) mobilizing governmental support; 3) getting the system up and running; and 4) integrating services across the continuum of care. The final two themes describe the foundation required to support this process: 1) human capacity and 2) mechanisms to share evidence. <br> <b>Conclusion</b><br> This study provides guidance to support the development and implementation of evidence-based models of integrated service delivery

Do Overweight and Obese Individuals Select a “Moderate Intensity” Workload When Asked to Do So?

The purpose of this study was (1) to determine if overweight/obese individuals (age 26–50 y) would self-select moderate exercise intensity when asked to do so and (2) to determine how this self-selected workload compared to exercising at a workload (60% peak aerobic capacity) that is known to provide cardioprotective health benefits. Oxygen consumption (VO2) and energy expenditure were measured in 33 men/women (BMI ≥ 27 kg/m2) who completed two 30 min walking bouts: (1) self-selected walking pace on an indoor track and (2) prescribed exercise pace (60% VO2 peak) on a treadmill. The data revealed that (1) the prescribed intensity was 6% higher than the self-selected pace and elicited a higher energy expenditure (P < 0.05) than the self-selected pace (+83 kJ); (2) overweight subjects walked at a slightly lower percentage of VO2 peak than the obese subjects (P < 0.05); (3) men walked at a lower percentage of VO2 peak than the women (P < 0.05). In conclusion when asked to walk at a moderate intensity, overweight/obese individuals tended to select a lower workload in the “moderate intensity” range which could be maintained for 30 min; however, a higher intensity which would be more cardioprotective could not be maintained for 30 min by most individuals

Nutrient load can lead to enhanced CH4 fluxes through changes in vegetation, peat surface elevation and water table depth in ombrotrophic bog

EGU2016-12050201

Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: a systematic review

Objectives Much is known about the demands of caregiving for a person with dementia (PWD) and its effects on family caregivers, however sex and gender aspects have received less attention. We synthesized the evidence on sex and gender distinctions in: (1) the caregiving burden and (2) the impact of caregiving on the physical and mental health of family caregivers of PWD. Design Systematic review. Data sources Medline, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature between January 2007 and October 2019 were searched Eligibility criteria for selecting studies Studies included in the review met the following criteria: (1) Examine experiences and/or impacts of caregiving among family caregivers of individuals with any form of dementia; (2) Report sex and/or gender distribution of study population and/or report results stratified by sex and/or gender, and (3) Include both male and female family caregivers. Data extraction and synthesis Two independent reviewers extracted the data and assessed risk of bias using the Critical Appraisal Skills Programme checklist and National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. Data were synthesized using a narrative synthesis approach. Results A total of 22 studies were included. Caregiving burden was measured using various methods. A majority of studies reported higher burden among females. Most studies that did not report a sex and gender difference accounted for confounders. Findings on sex and gender differences on physical and mental health conditions were inconsistent with most studies failing to account for confounding variables in their analyses. Conclusions The current evidence on sex and gender differences in caregiving burden, mental and physical health is limited. Findings suggest the presence of sex and gender differences in caregiving burden. Given the variety of mental and physical health constructs that were examined, further research is required to substantiate the evidence