902 research outputs found

    The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial

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    Background: patients in hospitals and nursing homes are at risk for the development of often preventable adverse events. Guidelines for the prevention of many types of adverse events are available, however compliance with these guidelines appears to be lacking. As a result many patients do not receive appropriate care. We developed a patient safety program that allows organisations to implement multiple guidelines simultaneously and therefore facilitates guideline use to improve patient safety. This program was developed for three frequently occurring nursing care related adverse events: pressure ulcers, urinary tract infections and falls. For the implementation of this program we developed educational activities for nurses as a main implementation strategy.Objectives: the aim of this study is to describe the effect of interactive and tailored education on the knowledge levels of nurses.Design: a cluster randomised trial was conducted between September 2006 and July 2008.Settings: ten hospital wards and ten nursing home wards participated in this study. Prior to baseline, randomisation of the wards to an intervention or control group was stratified for centre and type of ward.Participants: all nurses from participating wards.Methods: a knowledge test measured nurses’ knowledge on the prevention of pressure ulcers, urinary tract infections and falls, during baseline en follow-up. The results were analysed for hospitals and nursing homes separately.Results: after correction for baseline, the mean difference between the intervention and the control group on hospital nurses’ knowledge on the prevention of the three adverse events was 0.19 points on a zero to ten scale (95% CI: ?0.03 to 0.42), in favour of the intervention group. There was a statistically significant effect on knowledge of pressure ulcers, with an improved mean mark of 0.45 points (95% CI: 0.10–0.81). For the other two topics there was no statistically significant effect. Nursing home nurses’ knowledge did neither improve (0 points, CI: ?0.35 to 0.35) overall, nor for the separate subjects.Conclusion: the educational intervention improved hospital nurses’ knowledge on the prevention of pressure ulcers only. More research on long term improvement of knowledge is neede

    Ab-initio calculation of the vibrational modes of SiH4, H2SiO, Si10H16, and Si10H14O

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    We have studied the normal modes of hydrogenated and oxidized silicon nanocrystals, namely SiH4 (silane), H2SiO (silanone), Si10H16, and Si10H14O. The small clusters (SiH4 and H2SiO) have been used for convergence tests and their bond-lengths and frequencies have been compared with experimental and theoretical reference data. For the large clusters (Si 10H16 and Si10H14O) we have investigated the vibrational density of states, where we have identified the oxygen-related spectral features. The vibrational modes have also been analyzed with respect to the displacement patterns. The calculations have been carried out within the density-functional and density-functional perturbation theory using the local-density approximation

    ‘Ik leg het nog één keer uit!’: Louis van Gaal voor veiligheidskundigen

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    In de SER-handreiking Arbeidsveiligheid. Aanpak voor betere veiligheidsprestaties wordt haarfijn uitgelegd hoe je maximaal kunt presteren in veilig werken. Tijdens het schrijven van de handreiking hebben Jos Bus en Frank Guldenmund zich vaak afgevraagd hoe een topcoach tegen de handreiking en de sportmetaforen aankijkt. Wat zou bijvoorbeeld Louis van Gaal ervan vinden? Ze beelden zich in dat een gesprek met Dé Bondscoach zo zou kunnen gaan…Safety and Security Scienc

    Ab initio absorption spectra of 3-tert-butylcyclohexene

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    We present an ab initio investigation of the optical properties of 3-tert-butylcyclohexene in both its conformers. The optical spectra, here the photoabsorption cross section, have been obtained within density-functional theory at the independent-particle level, and within time-dependent density-functional theory. The optical spectra of the two conformers show small but visible differences, hence suggesting that optical absorption experiments can discriminate among the two molecular geometries. To cite this article: K. Gadl-Nagy et al., C R. Physique 10 (2009). (C) 2008 Academie des sciences. Published by Elsevier Masson SAS. All rights reserved

    Ab initio calculations of the optical properties of the Si(113) 3×2 adatom-dimer-interstitial surface

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    We investigated the stable silicon (113) surface with a 3×2 adatom-dimer-interstitial reconstruction by ab initio methods. The ground-state properties have been obtained using density-functional theory. We present the dispersion of the electronic band structure, where the surface bands have been distinguished from the projected bulk bands by calculating their localization in the slab. The optical spectra, here the reflectance anisotropy spectra (RAS), have been obtained within the independent-particle random-phase approximation. We identified surface features in the spectra, tracing them back to the responsible electronic states, and studied their localization in the slab. Theoretical results for the band structure and the RAS are compared with available experimental data

    Regional Prediction of Hydrological Extremes at Ungauged Sites (Sessione HS47 nell'ambito della 2006 EGU General Assembly)

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    A large group of researchers and hydrologists from all around the world is dedicating a great deal of attention to the problem of predictions in ungauged basins. Evidence of the liveliness of this research sector can be found in the initiative titled: Decade on Prediction in Ungauged Basins (PUB), a wide research project promoted by the International Association of Hydrological Sciences (IAHS) [e.g., Sivapalan et al., Hydrol. Sci. J., 48(6), 2003]. A fundamental branch of this broad topic is represented by the estimation of design events at ungauged sites. There is a general consensus among researchers that Regional Frequency Analysis (RFA) of hydrological extremes (i.e., flood flows, droughts and rainstorms) represents one of the most viable approaches for pursuing this task. Among the most interesting issues concerning RFA of hydrological extremes, the scientific literature points out several priority problems, three of which are specifically addressed by the present session: i) development of objective and process-based classification criteria (or pooling techniques) to form hydrologically homogeneous pooling groups of sites (i.e., catchments for regional frequency analysis of floods and low-flows; raingauges for regional frequency analysis of rainstorms); ii) identification of effective procedures for testing the homogeneity of pooling groups; iii) assessment of the impact of intersite correlation on the information content of regional samples and uncertainty associated with regional estimates. Contributions addressing one or more of these points are welcome. Session format: Poster session introduced by a compact oral session including a few solicited contributions addressing the session's keynotes (30 min. each), a series of short oral presentations of posters (5 min. each), and an open discussion

    ENTREQ_statement – Supplemental material for Self-Management Support Needs From the Perspectives of Persons With Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research

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    Supplemental material, ENTREQ_statement for Self-Management Support Needs From the Perspectives of Persons With Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research by Titus A. A. Beentjes, Betsie G. I. van Gaal, Theo van Achterberg and Peter J. J. Goossens in Journal of the American Psychiatric Nurses Association</p

    Dataset on prognostic factors in patients with metastatic castration-resistant prostate cancer undergoing radioligand therapy with [177Lu]Lu-PSMA-617

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    This upload provides Open Data associated with the publication "Prognostic value of the De Ritis ratio for overall survival in patients with metastatic castration-resistant prostate cancer undergoing [177Lu]Lu-PSMA-617 radioligand therapy" by Gaal S et al. (2023). The upload contains the anonymized dataset of 91 patients analyzed in this publication with all variables that are required to reproduce the results. However, to fully comply with requirements for data anonymization, the patients' age was categorized into groups spanning 5 years each. A dataset with the age variable in exact years can be obtained from the corresponding author ([email protected]) upon reasonable request. Besides the dataset, this upload provides a dictionary to explain all variables and their categories
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