A multi-center study on the attitudes of Malaysian emergency health care staff towards allowing family presence during resuscitation of adult patients

BACKGROUND The practice of allowing family members to witness on-going active resuscitation has been gaining ground in many developed countries since it was first introduced in the early 1990s. In many Asian countries, the acceptability of this practice has not been well studied. AIM We conducted a multi-center questionnaire study to determine the attitudes of health care professionals in Malaysia towards family presence to witness ongoing medical procedures during resuscitation. METHODS Using a bilingual questionnaire (in Malay and English language), we asked our respondents about their attitudes towards allowing family presence (FP) as well as their actual experience of requests from families to be allowed to witness resuscitations. Multiple logistic regression was used to analyze the association between the many variables and a positive attitude towards FP. RESULTS Out of 300 health care professionals who received forms, 270 responded (a 90% response rate). Generally only 15.8% of our respondents agreed to allow relatives to witness resuscitations, although more than twice the number (38.5%) agreed that relatives do have a right to be around during resuscitation. Health care providers are significantly more likely to allow FP if the procedures are perceived as likely to be successful (e.g., intravenous cannulation and blood taking as compared to chest tube insertion). Doctors were more than twice as likely as paramedics to agree to FP (p-value = 0.002). This is probably due to the Malaysian work culture in our health care systems in which paramedics usually adopt a 'follow-the-leader' attitude in their daily practice. CONCLUSION The concept of allowing FP is not well accepted among our Malaysian health care providers

The droplet size distribution of oils emulsified in sea water by concentrate dispersants

SIGLELD:7628.85(WSL-LR--364(OP)) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Investigation of the demulsification of water-in-oil emulsions formed when crude oil or fuel oil is spilt on the sea

SIGLELD:7628.85(WSL-LR--365(OP)) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Productive Partnerships: Nurturing collaborations to attain meaningful and best practice programming – examples from rural Georgia.

Georgia Department of Public Health Injury Prevention Program creates conversations and collaborations for a healthy Georgia. The latest work is through a CDC grant designed to bring public health into the fold of dementia work. This grant addresses systems change and leverages resources to fortify Georgia’s dementia infrastructure. This is accomplished through a dynamic network of partnerships guided by the state plan. The program prioritizes work at the grassroots level. Community programs contain rich and multifaceted networks that host broad ranges of ongoing, meaningful engagement activities designed to improve the supports and services for people living with dementia. Collaboration begins with localized partner perspective, then incorporates evidence-based, data driven program building. The work engages various partnership levels to expand understanding of organizational dementia capacity, reach, and funding potential. It avoids duplication of efforts and enhances synergy in cooperative activities centered on long-term plans for increasing annual wellness visits, dementia risk reduction, early diagnosis, prevention and management of comorbidities, and reducing avoidable hospitalizations. For example, the University of Georgia Cognitive Aging Research and Education (CARE) initiative formed community advisory boards in 11 rural Georgia communities to inform programming needs around dementia education, diagnosis, and support services. These advisory boards guide activities, like community forums, where community members and experts gather and learn from each other in community spaces and developing brain health education tailored to their unique needs. Thoughtful partnership development, support, and guidance also increases capacity and highlights paths to quality care for people living with dementia, their care partners, professionals, and communities. Employing systems approaches brokers cohesiveness. This includes unifying quarterly meetings, conversations, and supports for wellness opportunities. It is through these wellness opportunities that the program pursues early diagnosis, chronic disease management, assessment of burden and gaps, stigma reduction, and emphasizes rural health

Magnetoresistance in high oxidation state iron oxides

Magnetoresistance is observed in non-ferromagnetic oxides containing FeIV which have magnetic behaviour characteristic of small magnetic clusters

Antiferromagnetism, Ferromagnetism, and Phase Separation in the GMR System Sr2-xLa1+xMn2O7

Neutron and synchrotron X-ray powder diffraction techniques have been used to refine the crystal and magnetic structures of the n = 2 Ruddlesden-Popper (RP) system Sr2LaMn2O7. The sample is shown to be biphasic, although both phases are of the RP type and have similar structural parameters. The majority phase (81%) adopts a collinear antiferromagnetic structure below â?¼210 K whereas the minority phase is ferromagnetically ordered below â?¼125 K. The ordered magnetic moments lie in the xy plane in both phases. The behavior observed is discussed in terms of the interplay between structural and electronic factors. Comparison with data obtained previously by other workers leads to the conclusion that our results have some general significance in the study of n = 2 RP systems