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Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state
No full textel paciente en estado crítico. Metodología. Estudio descriptivo realizado durante el segundo semestre del 2013, en el cual participaron 112 enfermeras que laboraran en unidades de cuidado intensivo de Bogotá (Colombia). Para la recolección de la información las investigadoras diseñaron una encuesta. Resultados. El 91.6% de los profesionales de enfermería considera importante la comunicación con el paciente y su familia; el 75.9% intenta proporcionar, durante la intervenciones de cuidado, cuidado físico y comunicarse por turno de 2 a 4 veces con el paciente y de 1 a 2 veces con la familia; el 50% refiere sentir temor para comunicarse; tan solo el 53.7% integra las emociones en el cuidado físico del paciente. Con respecto a los elementos de comunicación desarrollados en su formación posgraduada, el 42.8% recibió herramientas sobre comunicación terapéutica en su pregrado y solo un 33.0% en el posgrado. Cabe señalar que el 80.36% de las unidades de cuidado intensivo, en donde laboran los profesionales de enfermería, privilegia las intervenciones orientadas a satisfacer necesidades fisiológicas. Conclusión. El proceso comunicativo entre la enfermera y el paciente en estado crítico está limitado por las políticas restrictivas institucionales y por la escasa formación académica de las enfermeras. Hay necesidad de iniciar un proceso de cambio en relación con los modelos de práctica profesional profundamente arraigados en el cuidado físico del paciente crítico con el fin de establecer modelos que, durante el cuidado físico, estén centrados en la comunicación y relación paciente-familia-profesional. Palabras clave: comunicación; enfermeras clínicas; atención al paciente; cuidado intensivo. Aspectos que facilitam ou interferem o processo comunicativo entre o profissional de enfermagem e o paciente em estado crítico Objetivo. Descrever os aspectos que facilitam ou interferem no processo comunicativo entre o profissional de enfermagem e o paciente em estado crítico. Metodologia. Estudo descritivo realizado durante o segundo semestre do 2013, no qual participaram 112 enfermeiras que trabalharam em unidades de cuidado intensivo de Bogotá (Colômbia). Para a recolha da informação as pesquisadoras desenharam uma enquete. Resultados. 91.6% dos profissionais de enfermagem considera importante a comunicação com o paciente e sua família; 75.9% tenta proporcionar, durante a intervenções de cuidado, cuidado físico e comunicar-se por turno de 2 a 4 vezes com o paciente e de 1 a 2 vezes com a família; 50% refere sentir temor para comunicar-se; tão só 53.7% integra as emoções no cuidado físico do paciente. Com respeito aos elementos de comunicação desenvolvidos em sua formação pós-graduada, 42.8% recebeu ferramentas sobre comunicação terapêutica em sua graduação e só um 33.0% na pós-graduação. Cabe assinalar que 80.36% das unidades de cuidado intensivo, em onde trabalham os profissionais de enfermagem, privilegia as intervenções orientadas a satisfazer necessidades fisiológicas. Conclusão. O processo comunicativo entre a enfermeira e o paciente em estado crítico está limitado pelas políticas restritivas institucionais e pela escassa formação acadêmica das enfermeiras. Há necessidade de iniciar um processo de mudança em relação com os modelos de prática profissional profundamente arraigados no cuidado físico do paciente crítico com o fim de estabelecer modelos que, durante o cuidado físico, estejam centrados na comunicação e relação paciente-família-profissional. Palavras chave: comunicação; enfermeiras clínicas; assistência ao paciente; terapia intensiva. Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical stat
Use of Scrambled Responses on Two Occasions Successive Sampling under Non-Response
No full textAbstract In this paper, we deal with a problem of non-response on two successive occasions when the study character becomes sensitive in nature on second occasion. Estimators are formulated by considering two cases of non-response, (i) when non-response on both occasions, (ii) when non-response on current occasion only. Expressions for mean squared errors (MSEs) are derived under large sample approximation and the optimum replacement strategies are also discussed. A numerical study is carried out in support of the proposed technique
RESEARCH AND REVIEWS: JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES Study of the Synergistic Effect of Antibiotics and Plant Extracts Against Clinical Staphylococcus aureus Strains
No full textABSTRACT The synergistic anti-bacterial action of two plants (Eucalyptus and Thuja) extracts on plasma coagulation by staphylococcus aureus and the effect of conventional chemotherapy combined with plant extracts below the MIC. Coagulation was inhibited in plasma containing (10, 20, 50,70 and 100mg\L)for both extracts. The MICs of ampicillin and ciprotab for S.aureus markedly reduced from (0.25, 0.5 and 1mg\L) of the four resistant strains to 0.06mg\L in Muller Hinton agar (MHA) plates with 20mg\L Eucalyptus extract and 50mg\L Thuja extract. The results suggest that T. catappa and E. camaldulensis extracts can be used in treating diseases caused by the test organisms
Alphanumeric Data: Minimising Privacy Concerns in Smart Environments
No full textAbstract Users &apos
Laser-vibrometric measurement of oscillating piezoelectric actuators and of Lamb waves in CFRP plates for structural health monitoring
No full textAbstract. The use of Lamb waves is attractive for structural health monitoring of plate and shell structures since their propagation in thin-walled structures is disturbed at damage locations especially at high frequencies. Lamb waves can easily be generated by thin piezoelectric plates which are attached to the surface of the structure. For the observation of the oscillating actuator as well as the propagating Lamb waves laser vibrometry is a powerful tool. Examples of vibrations of free and bonded piezoelectric actuators are given with special regard to the influences of contacts and other parameters, affecting the effectiveness of the wave generation. The determination of important features of Lamb wave propagation in carbon fibre reinforced plastics includes the measurement of dispersion curves and the estimation of attenuation and anisotropy. The interactions of Lamb waves with defects represented by reflections, transmissions and mode conversions are visualised and are easily to interpret
The Relation of Organizational Structure and its Dimensions with Staff's Quality of Work Life
No full textAbstrac
PREDICTION OF EXPECTED GLOBAL CLIMATE CHANGE BY FORECASTING OF GALACTIC COSMIC RAY INTENSITY TIME VARIATION IN NEAR FUTURE BASED ON SOLAR MAGNETIC FIELD DATA
No full textABSTRACT A method of prediction of expected part of global climate change caused by cosmic ray (CR) by forecasting of galactic cosmic ray intensity time variation in near future based on solar activity data prediction and determined parameters of convection-diffusion and drift mechanisms is presented. This gave possibility to made prediction of expected part of global climate change, caused by long-term cosmic ray intensity variation. In this paper we use the model of cosmic ray modulation in the heliosphere, which considers a relation between long-term cosmic ray variations with parameters of the solar magnetic field. The later now can be predicted with good accuracy. By using this prediction, the expected cosmic ray variations in the near Earth space also can be estimated with a good accuracy. It is shown that there are two possibilities: 1) to predict cosmic ray intensity for 1-6 months by using a delay of long-term cosmic ray variations relatively to effects of the solar activity and 2) to predict cosmic ray intensity for the next solar cycle. For the second case the prediction of the global solar magnetic field characteristics is crucial. For both cases reliable long-term cosmic ray and solar activity data as well as solar magnetic field are necessary. For solar magnetic field we used results of two magnetographs (from Stanford and Kitt Peak Observatories). The obtained by described method prediction on long-term cosmic ray intensity variation we used for estimation of expected part of global climate change caused by cosmic rays. SOLAR-HELIOSPHERIC PARAMETERS FOR MULTI-PARAMETRIC MODEL OF COSMIC RAY MODULATION Long-term variations of galactic cosmic rays were compared with the behavior of various solar-activity indices and heliospheric parameters many times. A close relation of this parameter to the behavior of cosmic rays in the past decades was substantiated theoretically by (see e.g. Jokipii an
JOV00441 1..21
No full textTo make vision possible, the visual nervous system must represent the most informative features in the light pattern captured by the eye. Here we use Gaussian scale-space theory to derive a multiscale model for edge analysis and we test it in perceptual experiments. At all scales there are two stages of spatial filtering. An odd-symmetric, Gaussian first derivative filter provides the input to a Gaussian second derivative filter. Crucially, the output at each stage is half-wave rectified before feeding forward to the next. This creates nonlinear channels selectively responsive to one edge polarity while suppressing spurious or "phantom" edges. The two stages have properties analogous to simple and complex cells in the visual cortex. Edges are found as peaks in a scale-space response map that is the output of the second stage. The position and scale of the peak response identify the location and blur of the edge. The model predicts remarkably accurately our results on human perception of edge location and blur for a wide range of luminance profiles, including the surprising finding that blurred edges look sharper when their length is made shorter. The model enhances our understanding of early vision by integrating computational, physiological, and psychophysical approaches
Linear surface roughness growth and flow smoothening in a three-dimensional biofilm model
No full textThe sessile microbial communities known as biofilms exhibit varying architectures as environmental factors are varied, which for immersed biofilms includes the shear rate of the surrounding flow. Here we modify an established agent-based biofilm model to include affine flow and employ it to analyze the growth of surface roughness of single-species, three-dimensional biofilms. We find linear growth laws for surface geometry in both horizontal and vertical directions and measure the thickness of the active surface layer, which is shown to anticorrelate with roughness. Flow is shown to monotonically reduce surface roughness without affecting the thickness of the active layer. We argue that the rapid roughening is due to nonlocal surface interactions mediated by the nutrient field, which are curtailed when advection competes with diffusion. We further argue the need for simplified models to elucidate the underlying mechanisms coupling flow to growth
Housing Price and Fundamentals in A Transition Economy: The Case of Beijing Market *
No full textAbstract This paper develops a dynamic rational expectations general equilibrium framework that links house value to fundamental economic variables such as income growth, demographics, migration and land supply. Our framework is general and can handle non-stationary dynamics as well as structural changes in fundamentals. Applying the framework to Beijing, we find that the rational equilibrium housing price is substantially lower than the data under reasonable parameterizations of the model, unless the income level is seriously understated. We can rationalize the current housing price in Beijing in an extension of our model with endogenous migration of rich households from outside Beijing. Our model is able to capture the long-run historical trends of house price and rent in San Francisco. JEL Classification: E20, E30, R10, R13, R21, R3