49 research outputs found

    The use of ePortfolio in health profession education to demonstrate competency and enhance employability: A scoping review

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    The use of an ePortfolio to support the education of health and social care professionals is increasing in higher education. ePortfolios support the educational journey of students; however, it is unclear how they are used to demonstrate competency or enhance employability. The aims of this study were to explore the literature to identify the use of ePortfolios in health and social care higher education curricula to demonstrate competency or improve employability. Three electronic databases were searched to identify papers using scoping review methodology. Studies that were published between 2001 and 2019 were included. A total of 1530 articles were initially identified after duplicates were removed. Nine studies were included in the final qualitative synthesis following a robust review. Data were synthesised into themes that describe the role of ePortfolios in demonstrating competencies in higher education or improving employability they were (1) Self-Directed Learning, (2) Deeper Learning, (3) Expanding Literacies, (4) Successful Implementation. These studies highlight that ePortfolio is both a product and a process. ePortfolios support students to gather artefacts that demonstrate professional competency which can be applied in the job-seeking process. The ePortfolio development process applies social constructionist approaches to learning which support lifelong learning and enhance employability. The findings also highlight the importance of providing students with clear expectations of the role of an ePortfolio in their professional learning journey

    Ventilation rates and thermal comfort assessment in a naturally ventilated classroom

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    Ventilation systems are meant (i) to guarantee good indoor air quality (IAQ) by providing and distributing fresh air to the occupied/breathing zone and (ii) to dilute and remove pollutants emitted by indoor sources. On the other hand, inadequate ventilation rates can induce discomfort issues and excessive energy consumption. This study focuses on the performance assessment of natural ventilation strategies in university classrooms, which are characterized by a high occupancy level and the necessity to provide high levels of comfort to perform intellectual work. The high occupancy level creates challenging conditions both in terms of internal gains and CO2 concentration. This paper presents an experimental performance assessment of four natural ventilation strategies applied to a university classroom: single side ventilation, cross ventilation, stack ventilation with and without window supply. Each strategy is evaluated in terms of thermal comfort and air change rate measurements. Thermal comfort assessment were performed during occupancy period (physical parameter measurements and questionnaires) whereas air change rate measurements, based on tracer gas techniques, were performed during unoccupied periods

    Tunnetko ADHD-potilaan etuudet?

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    ADHD tai sen vaikutukset toimintakykyyn voivat tuoda oikeuden Kelan etuuksiin, kuten lääkekorvaukseen, alle 16-vuotiaan vammaistukeen tai vaativaan lääkinnälliseen kuntoutukseen.Lääkärinlausunnon tulee sisältää etuusoikeuden arvioinnin kannalta olennaiset tiedot

    Asiakasryhmittelyyn pohjautuva tuotteistus RUG-III/18-luokituksen avulla - Kotihoito Tampereella

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    Kotihoidon tuotteistus pohjautuu RUG-III/18-luokitukseen ja Tampereella aikaisemmin tehtyihin laitoshoidon ja tehostetun palveluasumisen tuotteistuksiin. RUG-III/18-luokitus mahdollistaa palvelujen vertailun hoitoketjussa. Tampereen kaupungin Ikäihmisten palvelut tilaajaryhmä tulee käyttämään kotihoidon tuotteistusta yhtenä suunnittelun, johtamisen ja päätöksenteon työkaluna. Tarkoitus on kotihoidon tuotteistuksen valmistuttua, tarkastella aiemmin valmistuneita laitoshoidon ja tehostetun palveluasumisen palvelutuotteita RUG-III/18 luokituksen pohjalle. Tässä raportissa esitetty tuotteistus on kehitetty Tampereen kaupungin Ikäihmisten palvelut tilaajaryhmän, oman tuotannon kotihoidon ja kahden ostopalveluyksikön sekä Terveyden ja hyvinvoinnin laitoksen (THL) yhteistyönä. Palvelutuotteille tehtiin sisältökuvaukset, laskettiin hoitopäivän hinta ja pohdittiin eri maksujärjestelmämallien sopivuutta kotihoitoon. Tampereen kaupungissa on tuotteistettu nyt volyymeiltaan suurimmat ikäihmisten palvelut ja se mahdollistaa tarkastelun ikäihmisten palvelujen hoitoketjussa. Raportissa kuvattua tuotteistusprosessia voidaan hyödyntää kunnissa, jotka käyttävät RAI-järjestelmää

    Geographical and temporal distribution of SARS-CoV-2 clades in the WHO European Region, January to June 2020

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    We show the distribution of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) genetic clades over time and between countries and outline potential genomic surveillance objectives. We applied three genomic nomenclature systems to all sequence data from the World Health Organization European Region available until 10 July 2020. We highlight the importance of real-time sequencing and data dissemination in a pandemic situation, compare the nomenclatures and lay a foundation for future European genomic surveillance of SARS-CoV-2

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Brain activation induced by chronic psychosocial stress in mice

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    Chronic psychosocial stress is a well-established risk factor for neuropsychiatric diseases. Abnormalities in brain activity have been demonstrated in patients with stress-related disorders. Global brain activation patterns during chronic stress exposure are less well understood but may have strong modifying effects on specific brain circuits and thereby influence development of stress-related pathologies. We determined neural activation induced by chronic social defeat stress, a mouse model of psychosocial stress. To assess chronic activation with an unbiased brain-wide focus we used manganese-enhanced magnetic resonance imaging (MEMRI) and immunohistochemical staining of Delta FOSB, a transcription factor induced by repeated neural activity. One week after 10-day social defeat we observed significantly more activation in several brain regions known to regulate depressive and anxiety-like behaviour, including the prefrontal cortex, bed nucleus of stria terminalis, ventral hippocampus and periaqueductal grey in stressed compared to control mice. We further established that the correlation of Delta FOSB positive cells between specific brain regions was altered following chronic social defeat. Chronic activation of these neural circuits may relate to persistent brain activity changes occurring during chronic psychosocial stress exposure, with potential relevance for the development of anxiety and depression in humans.Peer reviewe
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