1,720,953 research outputs found

    An Integrated Approach to Chronic Pain Management: Challenges and Opportunities in Latvia

    No full text
    Veselības vadībaVeselības aprūpeHealth ManagementHealth CareIntegrēta sāpju ārstēšana ir balstīta uz atziņu, ka sāpes ir komplekss jautājums, kas ir dažādu ietekmējošo faktoru dinamiska mijiedarbība, attiecīgi, tā prasa biopsihosociālu pieeju, ietverot individuāli pielāgotu ārstēšanu, speciālistu sadarbību starpnozaru vidē, pacienta izglītošanu un līdzestību, fokusējoties ne tikai uz sāpju mazināšanu, bet arī uz dzīves kvalitātes uzlabošanu kopumā. Maģistra darba “Integrēta pieeja hronisku sāpju ārstēšanā: izaicinājumi un iespējas Latvijā” mērķis ir izstrādāt integrētu hronisku sāpju aprūpes modeli Latvijas kontekstā, kas balstīts uz biopsihosociālās pieejas principiem. Lai sasniegtu šo mērķi ir izvirzīti uzdevumi izpētīt zinātnisko literatūru par hronisko sāpju aprūpes nosacījumiem, ietekmējošiem faktoriem un mūsdienu risinājumiem hronisku sāpju ārstēšanā, izveidot hronisku sāpju ārstēšanas biopsihosociālo modeli tā ieviešanas izpētei Latvijā, izpētīt esošo sāpju ārstēšanas praksi Latvijā, novērtēt to gatavību adaptēt biopsihosociālā modeļa pieeju darbā ar hronisko sāpju pacientiem, noteikt galvenās problēmas un iespējas integrētas sāpju ārstēšanas modeļa ieviešanai Latvijā un izstrādāt ieteikumus inovatīvas hronisku sāpju aprūpes ieviešanai Latvijā. Lai sasniegtu maģistra darbā izvirzīto mērķi un uzdevumus, izmantotas kvalitatīvās pētniecības metodes: literatūras izpēte, atlase un analīze, dokumentu analīze, indivīdu pieredzes un rīcības izpēte, ekspertu un pacientu intervijas, secinājumu un priekšlikumu izstrāde. Galvenie pētījuma jautājumi izvirzīti – kādi faktori ietekmē hronisko sāpju rašanos un kādas ir mūsdienu ārstēšanas stratēģijas, kādi Latvijā ir būtiskākie ierobežojumi, lai nodrošinātu integrētu pieeju ārstēšanā pacientiem ar hroniskām sāpēm un kādus šķēršļus saskata gan pacienti, gan veselības aprūpes sniedzēji, lai nodrošinātu sekmīgu hronisku sāpju ārstēšanas procesu un kādi faktori nosaka optimālu integrētās sāpju ārstēšanas modeļa ieviešanas iespējas Latvijā? Pētījumā secināts, ka klīniskajā kontekstā pastāv nepieciešamība pēc biopsihosociālas pieejas, kas tiek realizēta multidisciplinārā vidē, apvienojot medicīniskus, psiholoģiskus un sociālus aspektus, tādējādi nodrošinot efektīvāku pacientu stāvokļa uzlabošanu. Organizatoriski pētījums uzsver, ka izšķiroša nozīme ir resursu pieejamības uzlabošanai un atbilstošas infrastruktūras nodrošināšanai, tostarp finansējuma, speciālistu apmācības un tehnoloģiskajiem risinājumiem datu apmaiņai. Egijas Lapiņas maģistra studiju programmas ‘’Veselības vadība’’, noslēguma darbs izstrādāts Rīgas Stradiņa universitātē PhD Daigas Behmanes vadībā, laikā posmā no 2023.gada novembra līdz. 2024.gada maijam. Noslēguma darba apjoms ir 109 lpp., to veido 12 attēli un 5 tabulas. Literatūrā izmantojamo avotu daudzums – 92 avoti. Darba bibliogrāfiskais pieraksts: Lapiņa, Egija, Integrēta pieeja hronisku sāpju ārstēšanā: izaicinājumi un iespējas Latvijā. Maģistra darbs / zinātniskā vadītāja PhD Daiga Behmane. Rīga: RSU/RISEBA, 2024. 109 lpp. Integrated pain management is based on the understanding that pain is a complex issue, a dynamic interaction of different influencing factors, and therefore requires a biopsychosocial approach, including individual treatment, collaboration in an interdisciplinary setting, patient education and compassion, focusing not only on pain relief, but also on improving overall quality of life. The aim of the master thesis "Integrated approach to chronic pain management: challenges and opportunities in Latvia" is to develop an integrated model of chronic pain care in the Latvian context based on the principles of the biopsychosocial approach. The objectives are to study the scientific literature on chronic pain care conditions, influencing factors and contemporary solutions in chronic pain management, to develop a biopsychosocial model of chronic pain management to study its implementation in Latvia, to investigate the current pain management practices, to assess readiness to adapt the biopsychosocial model approach, to identify problems and opportunities for implementation of the integrated pain management model and to develop recommendations for implementation of innovative chronic pain management. In order to achieve the aim and objectives of the thesis, qualitative research methods were used: literature research, selection and analysis, document analysis, study of individual experiences and actions, expert and patient interviews, development of conclusions and proposals. The main questions are: what factors influence the occurrence of chronic pain and what are the current treatment strategies; what are the most important constraints in Latvia to ensure an integrated approach to the treatment of patients with chronic pain; what barriers do both patients and healthcare providers perceive to ensure a successful chronic pain management process; and what factors determine the optimal implementation of an integrated pain management model in Latvia? The study concludes that in the clinical context there is a need for a biopsychosocial approach implemented in a multidisciplinary setting, combining medical, psychological and social aspects, thus ensuring more effective improvement of patients' condition. Organisationally, the study highlights that improving access to resources and providing adequate infrastructure, including funding, training for professionals and technological solutions for data sharing, are crucial. The final thesis of Egija Lapiņa's Master's study programme "Health Management" was developed at Riga Stradins University under the supervision of Daiga Behmane, PhD, during the period from November 2023 to. May 2024. The final thesis is 109 pages, consists of 12 figures and 5 tables. The number of sources used in the literature is 92. Lapiņa, Egija, Integrated approach to chronic pain management: challenges and opportunities in Latvia. Master's thesis / scientific supervisor Daiga Behmane, PhD. Riga: RSU/RISEBA, 2024. 109 p

    Going Beyond Counting First Authors in Author Co-citation Analysis

    Full text link
    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

    Full text link
    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

    Full text link
    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

    Full text link
    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

    No full text
    Nao informado

    koamabayili/VECTRON-author-checklist: VECTRON author checklist

    No full text
    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used

    Author Under Sail The Imagination of Jack London, 1893-1902

    No full text
    In Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
    corecore