1,188 research outputs found
Modifiable factors influencing parental decision making and organ donation: A scoping review
A global shortage of organs from children and adults available for transplantation is compounded by the failure of next of the kin to consent for organs to be donated after death. There are both non-modifiable and modifiable factors which influence decision-making. Modifiable factors can though be influenced and are therefore of interest when examining familiesâ decision making surrounding the donation of organs from their deceased child. A scoping review was undertaken to determine how modifiable factors influence parental decision-making in cadaver organ donation. Following thematic analysis two themes were identified, these were âinteraction with healthcare professionalsâ and âpre-disposition to organ donationâ. Satisfaction with experiences of hospital care, the information provided and the way it was communicated as well as interactions pertaining to emotional support were all found to be modifiable factors that influenced decision-making. Likewise, a predisposition to organ donation and knowing the wishes of the deceased, are highly associated with the consent decision. Nurses working in critical care environments need to be able to support parents during this difficult time. This paper therefore aims to raise awareness of modifiable factors that influence decision-making, highlighting their relevance for childrenâs nursing practic
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Afin d'identifier les principaux aliments d'origine animale consommĂ©s par les populations vivant dans la concession 039/11 de la SociĂ©tĂ© de DĂ©veloppement Forestier (SODEFOR), RĂ©publique DĂ©mocratique du Congo et de spĂ©cifier les dĂ©terminants de la consommation, 120 mĂ©nages rĂ©partis dans 3 villages (Taketa, Ikala 1 et Mombele) et la base-vie de Nteno ont Ă©tĂ© enquĂȘtĂ©s pendant 30 jours. Les rĂ©sultats montrent que la viande de brousse reprĂ©sente 72,00% du nombre de repas, suivi du poisson (24,00%) et enfin des produits d'Ă©levage (3,10%). Au total, 30 espĂšces animales dont 4 lĂ©galement interdites de chasse ont Ă©tĂ© identifiĂ©es, pour une biomasse totale de 1235 kg. Les mammifĂšres constituent 97,00% des animaux consommĂ©s avec une dominance des artiodactyles (71,60%), des primates (15,40%) et des rongeurs (9,10%). Les cĂ©phalophes, les cercopithĂšques et l'athĂ©rure sont les plus reprĂ©sentĂ©s. Les actes de consommation sont guidĂ©s par la disponibilitĂ© du produit, le goĂ»t et les habitudes alimentaires. La majoritĂ© des mĂ©nages s'approvisionne auprĂšs d'intermĂ©diaires essentiellement sous forme de morceaux d'animaux. Cette Ă©tude suggĂšre un suivi Ă long terme de la chasse assorti d'une Ă©valuation de l'abondance des espĂšces animales afin de guider la SODEFOR dans la prise des dĂ©cisions
Innovative learning at The University of Edinburgh
The activities available to civil engineering students during the University of Edinburgh's innovative learning week in 2012 were examined. The academic staff proposed a wide range of possible activities and student participation was optional. Popular activities were those with a âhands-onâ element: making or doing something. The practical activities offered included designing and building trebuchets, relaying railway permanent way on a heritage railway, practical workshops on engineering in international development and learning to juggle. These activities suggested that heuristic learning by trial and error was likely to enhance the visualisation skills that contribute to good engineering design. Further, the linking of achievement to purposeful practice rather than innate talent could inform teaching methods in the future. They also showed that in some cases safety culture messages were still not fully assimilated by students
Voices across generations. Volume two : a collaboration between Black Elk Elementary Third Grade, UNO Educational Leadership Graduate Program.
Dear Reader,
From whom do you seek wisdom? Who do you share your insights with? In activities with multiple generations, new perspectives of information and insight can be shared through conversation and activity. This is exactly what we learned this spring in our 2019 collaborative activity with senior residents, graduate students, and 3rd graders.
In the following pages, you will read advice acrostic and âI Amâ poems from the senior residents at Royale Oaks Assisted Living near 50th and Ames Street. You will read âI amâ poems from the Black Elk Elementary 3rd grade students, near 180th and Harrison Street. Lastly, the graduate students in University of Nebraska at Omaha Educational Leadership Department connected with the seniors and served as scribes for the seniorsâ letters back and forth with the Black Elk students. Sprinkled throughout the text, you will see their reflection and insight. Age does not define wisdom as you will read
Applying the trigger review method after a brief educational intervention: potential for teaching and improving safety in GP specialty training?
<p>Background:
The Trigger Review Method (TRM) is a structured approach to screening clinical records for undetected patient safety incidents (PSIs) and identifying learning and improvement opportunities. In Scotland, TRM participation can inform GP appraisal and has been included as a core component of the national primary care patient safety programme that was launched in March 2013. However, the clinical workforce needs up-skilled and the potential of TRM in GP training has yet to be tested. Current TRM training utilizes a workplace face-to-face session by a GP expert, which is not feasible. A less costly, more sustainable educational intervention is necessary to build capability at scale. We aimed to determine the feasibility and impact of TRM and a related training intervention in GP training.</p>
Methods
We recruited 25 west of Scotland GP trainees to attend a 2-hour TRM workshop. Trainees then applied TRM to 25 clinical records and returned findings within 4-weeks. A follow-up feedback workshop was held.
<p>Results:
21/25 trainees (84%) completed the task. 520 records yielded 80 undetected PSIs (15.4%). 36/80 were judged potentially preventable (45%) with 35/80 classified as causing moderate to severe harm (44%). Trainees described a range of potential learning and improvement plans. Training was positively received and appeared to be successful given these findings. TRM was valued as a safety improvement tool by most participants.</p>
<p>Conclusion:
This small study provides further evidence of TRM utility and how to teach it pragmatically. TRM is of potential value in GP patient safety curriculum delivery and preparing trainees for future safety improvement expectations.</p>
The guitar music of Heitor Villa-Lobos : challenging common assumptions regarding idiomatic fingerings, shapes and gestures as used in selected preludes and etudesc
The lecture explores the idiomatic "guitaristic" gestures used by Villa-Lobos in selected Etudes and Preludes focusing on the relationships between both the "idiomatic" fingerings/shapes employed by Villa-Lobos and their the harmonic and formal design of each composition. The emphasis is emphasis on Etude number 12, though there is further discussion of how early twentieth century compositional trends were incorporated in the Etudes, Preludes and Choros of Villa-Lobos. Audio/visual recording of a lecture-presentation given for the Big Guitar Weekend event at the Royal Scottish Academy of Music and Drama 10 November 2009
Efficacy of Simple Short-Term in Vitro Assays for Predicting the Potential of Metal Oxide Nanoparticles to Cause Pulmonary Inflammation
Background: There has been concern regarding risks from inhalation exposure to nanoparticles (NPs). The large number of particles requiring testing means that alternative approaches to animal testing are needed. Objectives: We set out to determine whether short-term in vitro assays that assess intrinsic oxidative stress potential and membrane-damaging potency of a panel of metal oxide NPs can be used to predict their inflammogenic potency. Methods: For a panel of metal oxide NPs, we investigated intrinsic free radical generation, oxidative activity in an extracellular environment, cytotoxicity to lung epithelial cells, hemolysis, and inflammation potency in rat lungs. All exposures were carried out at equal surface area doses. Results: Only nickel oxide (NiO) and alumina 2 caused significant lung inflammation when instilled into rat lungs at equal surface area, suggesting that these two had extra surface reactivity. We observed significant free radical generation with 4 of 13 metal oxides, only one of which was inflammogenic. Only 3 of 13 were significantly hemolytic, two of which were inflammogenic. Conclusions: Potency in generating free radicals in vitro did not predict inflammation, whereas alumina 2 had no free radical activity but was inflammogenic. The hemolysis assay was correct in predicting the proinflammatory potential of 12 of 13 of the particles examined. Using a battery of simple in vitro tests, it is possible to predict the inflammogenicity of metal oxide NPs, although some false-positive results are likely. More research using a larger panel is needed to confirm the efficacy and generality of this approach for metal oxide NPs
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