35 research outputs found

    Stepping across the line: Information sharing, truth-telling and the role of the personal carer in the Australian Nursing Home

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    The author draws on an Australian study using multiple qualitative methods to investigate truth telling in aged care. Thematic analysis of data from five nursing homes involving 23 personal care assistants revealed participants’ role understanding as influencing their perceptions about truth telling in practice. Five themes emerged: role as the happy comfort carer, division of labor, division of disclosure, role tension and frustration, and managing the division of disclosure. Role emphasis on comfort and happiness and a dominant perception that telling the truth can cause harm mean that disclosure will be withheld, edited, or partial. Participants’ role understanding divides labor and disclosure responsibility between the personal carer and registered nurse. Personal carers’ strategies for managing the division of disclosure include game playing, obfuscation, lying (denial), and the use of nonverbals. These perceptions about personal carer role, information sharing, and truth telling are paramount for understanding and improving nursing home eldercare

    A structured overview of simultaneous component based data integration

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    <p>Abstract</p> <p>Background</p> <p>Data integration is currently one of the main challenges in the biomedical sciences. Often different pieces of information are gathered on the same set of entities (e.g., tissues, culture samples, biomolecules) with the different pieces stemming, for example, from different measurement techniques. This implies that more and more data appear that consist of two or more data arrays that have a shared mode. An integrative analysis of such coupled data should be based on a simultaneous analysis of all data arrays. In this respect, the family of simultaneous component methods (e.g., SUM-PCA, unrestricted PCovR, MFA, STATIS, and SCA-P) is a natural choice. Yet, different simultaneous component methods may lead to quite different results.</p> <p>Results</p> <p>We offer a structured overview of simultaneous component methods that frames them in a principal components setting such that both the common core of the methods and the specific elements with regard to which they differ are highlighted. An overview of principles is given that may guide the data analyst in choosing an appropriate simultaneous component method. Several theoretical and practical issues are illustrated with an empirical example on metabolomics data for <it>Escherichia coli </it>as obtained with different analytical chemical measurement methods.</p> <p>Conclusion</p> <p>Of the aspects in which the simultaneous component methods differ, pre-processing and weighting are consequential. Especially, the type of weighting of the different matrices is essential for simultaneous component analysis. These types are shown to be linked to different specifications of the idea of a fair integration of the different coupled arrays.</p

    Using fMRI Brain Activation to Identify Cognitive States Associated with Perception of Tools and Dwellings

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    Previous studies have succeeded in identifying the cognitive state corresponding to the perception of a set of depicted categories, such as tools, by analyzing the accompanying pattern of brain activity, measured with fMRI. The current research focused on identifying the cognitive state associated with a 4s viewing of an individual line drawing (1 of 10 familiar objects, 5 tools and 5 dwellings, such as a hammer or a castle). Here we demonstrate the ability to reliably (1) identify which of the 10 drawings a participant was viewing, based on that participant's characteristic whole-brain neural activation patterns, excluding visual areas; (2) identify the category of the object with even higher accuracy, based on that participant's activation; and (3) identify, for the first time, both individual objects and the category of the object the participant was viewing, based only on other participants' activation patterns. The voxels important for category identification were located similarly across participants, and distributed throughout the cortex, focused in ventral temporal perceptual areas but also including more frontal association areas (and somewhat left-lateralized). These findings indicate the presence of stable, distributed, communal, and identifiable neural states corresponding to object concepts

    Rapport VII. a-3. L’autoamorçage des pompes centrifuges destinées au génie chimique

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    The special requirements for self-priming pumps for use in chemical engineering are reviewed, with a description and comparison of the various types in existence. A study of the liquid ana liquid/gas flows occuring with self-priming centrifugal pumps is described and it is shown how the study of each operating phase enables each component to be optimised. It is seen that a given machine can meet all the requirements laid down.L’étude rappelle les conditions particulières auxquelles les pompes autoamorçantes doivent répondre pour satisfaire aux exigences de génie chimique. En introduction, nous examinons et comparons les différents types de pompes autoamorçantes. Nous avons ensuite mené l’étude des différents écoulements liquides et liquides-gaz qui apparaissent lors du fonctionnement d’une pompe centrifuge autoamorçante. Cette étude des diverses phases de fonctionnement permet d’optimiser chaque organe. Nous voyons en conclusion qu’une même machine peut satisfaire aux exigences imposées.Fortier M., Lavit M. Rapport VII. a-3. L’autoamorçage des pompes centrifuges destinées au génie chimique. In: Le rôle de la mécanique des fluides dans les progrès récents des techniques. 1967

    A pseudoencephalitis presentation of a pediatric non-intentional intoxication

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