1,721,324 research outputs found

    Examen Clinic Objectiu Estructurat: una aproximacio per a la valoracio de la competencia de l'estudiant en el Curs de Llicenciatura de Infermeria. Objective Structured Clinical Examination (OSCE)

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    El Curs de Llicenciatura en Infermeria de Modena des de fa temps, adopta per valorar la competencia clinica, una tipologia d'examen molt particular, titulada amb l'acronim "OSCE". Els estudiants realitzen 6 sessions de laboratori didactic, una per cada un dels sis semestres, amb un total de 13 credits formatius universitaris en el trienni (390 hores). Al termini de les 6 sessions de laboratori, l'estudiant unicament pot accedir a l'aprenentatge clinic previa superacio d'un examen "abilitante" que esbrina la possessio de la competencia clinica respecte als objectius formatius programats. El motiu principal que ens ha induit a l'obliogatoetat de l'examen de preaprenentatge es la seguretat de les persones a qui s'assisteix

    Les estratègies d'implementacio de les linies guies

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    En els ultims anys, la investigacio en infermeria ha produit tal quantitat de nous coneixements que resulta dificil per la professional de la salut seguir el seu rapid avenc i, en consequencia, prendre decisions cliniques basades en proves cientifiques. per superar aquestes dificultats s'han elaborat instruments de difusio de coneixements i d'ajuda per a les decisions a la practica clinica, tals com les revisions sistematiques, metanalisis, linies guia. Segons l'institute of Medicine de EE.UU (1992) les linies guies son "recomanacions de comportament clinic, elaborades mitjancant un proces de revisio sistematica de la literatura i de les iponions dels experts, amb l'objectiu d'assistir al personal sanitari i als pacients, per decidir la modalitat d'assistencia mes adequada en determinades situacions cliniques". La transferibilitat a la pratica clinica de les linies guies cientifiques representa un problema apliament documentat en el qual, s'ha desenvolupat un camp especific d'estudi i d'investigacio sobre els enfocaments mes eficacos i eficients per obtenir el canvi a la practica clinica que ha permes identificar tres aspectes princvipals: atributs, factors d'obstacle, eficacia de les estrategies de difusio i implementacio

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    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

    Sovereign Restructuring Vs. Fiscal Adjustment In A Monetary Union: Macroeconomic Effects From Model-Based Simulations

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    We assess the macroeconomic effects of a sovereign restructuring in a small economy belonging to a monetary union by simulating a dynamic general equilibrium model. In line with the empirical evidence, we make the following three key assumptions. First, sovereign debt is held by domestic agents and by agents in the rest of the monetary union. Second, after the restructuring the sovereign borrowing rate increases and its increase is fully transmitted to the borrowing rate paid by the domestic agents. Third, the government cannot discriminate between domestic and foreign agents when restructuring. We show that the macroeconomic effects of the restructuring depend on: (a) the share of sovereign bonds held by residents in the country as compared to that held by foreign residents, (b) the increase in the spread paid by domestic agents and (c) its net foreign asset position at the moment of the restructuring. Our results also suggest that the sovereign restructuring implies persistent reductions of output, consumption and investment, that can be large, in particular if the share of public debt held domestically is large, the private foreign debt is high and the spread paid by the government and the households does increase

    Variations on the Author

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    “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
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