34 research outputs found
Comparison of Cone Beam Computed Tomography and Multi Slice Computed Tomography Image Quality of Human Dried Mandible using 10 Anatomical Landmarks
No full textPatienters erfarenheter av att leva med hjärtsvikt : En allmän litteraturöversikt
No full textBakgrund: Hjärtsvikt är ett påfrestande tillstånd som påverkar patienters fysiska, psykiska och sociala livskvalitet. Sjukdomen är även belastande för anhöriga, som ofta deltar i vården av sin närstående. För att vården ska kunna möta patienternas behov krävs en ökad förståelse för deras erfarenheter av att leva med sjukdomen. Syfte: Syftet är att skapa översikt om patienters erfarenheter av att leva med hjärtsvikt. Metod: Arbetet genomfördes som en allmän litteraturöversikt, baserad på 13 vetenskapliga artiklar med kvalitativ och mixed-methods ansats. Resultat: Resultatet visade att patienterna som lever med hjärtsvikt erfor omfattande fysiska, psykiska och sociala begränsningar. Egenvård framstod som en central strategi, där kunskap, motivation och stöd från vården var avgörande för att hantera sjukdomen. Patienterna beskrev varierande erfarenheter av vården. Brister i information och kommunikation kunde skapa osäkerhet och minska tryggheten. Socialt stöd upplevdes som betydelsefullt för att hantera vardagen och stärka känslan av sammanhang. Slutsats: Att leva med hjärtsvikt innebär omfattande utmaningar som påverkar hela patientens livssituation. Sjuksköterskan har en nyckelroll i att främja patientens delaktighet, egenvårdsförmåga och livskvalitet genom individanpassad information och ett holistiskt arbetssätt.Background: Heart failure is a distressing condition that affects the physical, psychological, and social quality of life of patients. The illness is also burdensome for family members who are often involved in caring for their loved one. To meet patients’ needs, healthcare professionals require a deeper understanding of their experiences of living with the disease. Aim: The aim of this study was to provide an overview of patients’ experiences of living with heart failure. Method: The study was conducted as a general literature review based on 13 scientific articles with qualitative and mixed-method approaches. Results: The results showed that patients living with heart failure experienced extensive physical, psychological, and social limitations. Self-care emerged as a central strategy, where knowledge, motivation, and support from healthcare professionals were crucial for managing the illness. Patients described varying experiences of care, where lack of information and communication could lead to uncertainty and reduced sense of security. Social support was perceived as important for coping with daily life and strengthening a sense of coherence. Conclusion: Living with heart failure entails significant challenges that affect all aspects of a patient’s life. Nurses play a crucial role in promoting patient participation, self-care ability, and quality of life through individualized information and a holistic approach
Patienters erfarenheter av att leva med hjärtsvikt : En allmän litteraturöversikt
No full textBakgrund: Hjärtsvikt är ett påfrestande tillstånd som påverkar patienters fysiska, psykiska och sociala livskvalitet. Sjukdomen är även belastande för anhöriga, som ofta deltar i vården av sin närstående. För att vården ska kunna möta patienternas behov krävs en ökad förståelse för deras erfarenheter av att leva med sjukdomen. Syfte: Syftet är att skapa översikt om patienters erfarenheter av att leva med hjärtsvikt. Metod: Arbetet genomfördes som en allmän litteraturöversikt, baserad på 13 vetenskapliga artiklar med kvalitativ och mixed-methods ansats. Resultat: Resultatet visade att patienterna som lever med hjärtsvikt erfor omfattande fysiska, psykiska och sociala begränsningar. Egenvård framstod som en central strategi, där kunskap, motivation och stöd från vården var avgörande för att hantera sjukdomen. Patienterna beskrev varierande erfarenheter av vården. Brister i information och kommunikation kunde skapa osäkerhet och minska tryggheten. Socialt stöd upplevdes som betydelsefullt för att hantera vardagen och stärka känslan av sammanhang. Slutsats: Att leva med hjärtsvikt innebär omfattande utmaningar som påverkar hela patientens livssituation. Sjuksköterskan har en nyckelroll i att främja patientens delaktighet, egenvårdsförmåga och livskvalitet genom individanpassad information och ett holistiskt arbetssätt.Background: Heart failure is a distressing condition that affects the physical, psychological, and social quality of life of patients. The illness is also burdensome for family members who are often involved in caring for their loved one. To meet patients’ needs, healthcare professionals require a deeper understanding of their experiences of living with the disease. Aim: The aim of this study was to provide an overview of patients’ experiences of living with heart failure. Method: The study was conducted as a general literature review based on 13 scientific articles with qualitative and mixed-method approaches. Results: The results showed that patients living with heart failure experienced extensive physical, psychological, and social limitations. Self-care emerged as a central strategy, where knowledge, motivation, and support from healthcare professionals were crucial for managing the illness. Patients described varying experiences of care, where lack of information and communication could lead to uncertainty and reduced sense of security. Social support was perceived as important for coping with daily life and strengthening a sense of coherence. Conclusion: Living with heart failure entails significant challenges that affect all aspects of a patient’s life. Nurses play a crucial role in promoting patient participation, self-care ability, and quality of life through individualized information and a holistic approach
Radiographic Characteristics of Soft Tissue Calcification on Digital Panoramic Images
No full textObjective: To assess the prevalence of soft tissue calcifications and their panoramic radiographic characteristics. Material and Methods: This descriptive retrospective study evaluated 2027 panoramic radiographs. The type and location of calcifications and the age and gender of patients were evaluated by two radiologists. Data were analyzed via SPSS and the Chi-square, Fisher’s exact and Kappa tests were used to compare the categorical demographic variables among the groups. The confidence interval was set to 95% and p<0.05 was considered statistically significant. Results: The prevalence of calcified stylohyoid ligament was 11.24%. This value was 3.99% for tonsillolith, 1.33% for calcified carotid plaque, 0.69% for antrolith, 0.39% for calcified lymph node, 0.29% for phleboliths, and 0.19% for sialoliths. The prevalence of these conditions had no significant association with gender or age (p=0.102). The prevalence of bilateral calcified stylohyoid ligament, tonsillolith, and a calcified carotid plaque was significantly higher (p<0.001). The most prevalent type of calcified stylohyoid ligament, according to O\u27Carroll’s classification, belonged to types 1, 4, 3 and 2 (p<0.001). The most commonly observed radiographic pattern was multiple, well-defined tonsilloliths (75.3%, p<0.001). Conclusion: The prevalence of soft tissue calcifications on panoramic radiographs was relatively low in this Iranian population. The most calcifications were respectively calcified stylohyoid ligament, tonsillolith, calcified carotid plaque, antrolith, calcified lymph node, phleboliths and sialoliths. Calcified stylohyoid ligament, tonsillolith and calcified carotid plaque were more bilaterally. Thereby panoramic imaging can help in primary assessment, epidemiologic and screening evaluation of these calcifications
Public participation in constitution building processes; what does it mean?
No full textAbstract Public participation in constitution building processes particularly in the aftermath of violent conflict and when states transit from authoritarian rule is being forcefully advanced by influential actors in the world community; this since there is a belief that participation will lead to better democratic levels subsequent the process. Indeed, our instincts tell us that public participation is something good, and that it ought to have a positive impact on the state of democracy. Yet, this hypothesis has not been empirically validated. However, in order to be able to study and analyse this proposition, what "participation" actually means must firstly be established. What does it mean to "participate" in the context of building a constitution? In this paper I discuss how participation can be understood and how the concept can be operationalized to suit a constitution building context. To date, twenty "participatory" constitution building processes have been carried out in post-conflict contexts, during transitions from authoritarian rule or during other periods of institutional crisis. In this paper I engage in the operationalization of the concept of participation inductively; a classification schedule of participation has been developed while analysing the twenty cases of participatory constitution building processes. The proposed classification schedule illustrates great differences between various participatory processes and demonstrates that such processes are not homogenous in character. By operationalizing the concept such as proposed in this paper, the cut-off points between these variations are made clearer; something that has been missing from present research. I tentatively conclude that who the main instigators (the so called "drivers") of constitutional reform are has an effect on all procedural choices during the course of the process which has strong implications as to the nature and extent of public participation. When external actors are the leading drivers of the process it seems as if public participation is kept at a minimum level, whereas the possibility for participation is better when civil society organizations or a combination of various national actors are pushing the constitutional agenda. Work in progress. Please do not quote without permission from the author.
Prevalence of Stylohyoid Ligament Calcification on Panoramic Radiographs in an Iranian Population
No full textIntroduction: The aim of this study was to investigate the prevalence of stylohyoid ligament complex elongation in a group of Iranian patients using digital panoramic radiographs. Methods: Panoramic radiographs of 1211 patients (684 females and 527 males) referred to the dental school of Hamadan university of medical science were selected from 2011 to 2013. The stylohyoid ligament complexes were investigated. Results: This abnormality was seen in both sexes. A calcified complex was found in 632 (52.2 %) of the patients. Both-sided (right and left) type 1 calcified complex (according to O’Carroll classification) was observed in 207 patients, while types 2–4 were found in 204, 112, and 109 patients, respectively. Conclusion: The results suggest that stylohyoid ligament calcification complex is frequent in Iranian population and present in both sexes with equal distribution. In addition, calcifications were seen more often at age of 20-40 years, and the extent of calcification did not show a tendency to increase with age
An analysis of the effectiveness of a commercial hospital artificial intelligence system in reducing readmissions in high-risk medicare patients
No full textReadmission within 30 days of hospital discharge and avoidable emergency room (ED) visits have shown to result in an overall increase in healthcare cost and increased risk to patients. Evolving payment models under the ACA focus on reducing unnecessary costs and decreasing short-term readmissions for Medicare patients with common comorbidities. Recent artificial intelligence (AI) models may have the potential to help care coordination team members accurately identify high-risk patients electronically and embed that application within their clinical workflow. This research aimed to evaluate the use of the artificial intelligence-based application in a standalone webform to reduce unplanned 30 days hospital readmissions and unnecessary ED utilization.A commercial vendor AI application was implemented in an enterprise health system in a large metropolitan area between October 2019 and February 2020 that assessed all Medicare admitted patients to 10 major hospitals and generated interventions intended to reduce unplanned 30 days readmissions at those hospitals. In addition, readmission rate change was evaluated for the same hospitals compared with a five months pre-implementation period of a similar population.
Over five months post-implementation, 30 days ED re-visits decreased from 7.7% to 6.5% (p <0.001), and readmission rate decreased from 15.7% to 13% (p <0.001) with 7% absolute risk reduction and 21% relative risk reduction among the high-risk subgroup of patients based on AI application risk stratification algorithm with the number needed to treat to avoid one readmission of 15 for that subgroup. This study may provide valuable insight into creating proper models of population health risk stratification electronic tools by combining risk identification and tailored interventions to that population and establishing best practices for future implementations of AI in population health.Ph.D.Includes bibliographical reference
Elektronik Danışma Hizmetleri
No full textThis paper is mainly related to digital reference services. Evaluation of these services, their difference from the traditional reference services, factors which cause their emergence, related technical and quantitative standards are presented. Additionaly, projects which are developed in this area, the importance of cooperation activities, application problems and how librarians approach to these issues are examined
Sâatî’nin Alevîlik/ Bektaşîlik Risâlesi
No full textin this study, Saati's Alevism/ Bektashim tractate has been analyzed, then transc- ripts (ed:1), and two- page the original pamphlets (ed: 2) are added to the end of the article. Thus, the tractate is provided to the researchers that will conduct research in the areas of the language, literature, sociology, philosophy and theology. Tractate is located in the National Library Manuscripts Collection, with the number Yz. A. 3195. The work was copied in AH 1275 (Christian era 1858) with the Ottoman Turkish being the language of the work. The author of pamphlets is named Saati, according to the data "Hdzd Kitabu Sdati-i Bektaşiyyi'l- Aleviyyi'l- Hüseyniyyi'l- Cdferi", located on the beginning of the first page, between the phrases "Hu" and "Bi-İsmi Şdh-ı Yez- ddn". Saati was born in Anatolia according to one of Ottoman Tezkire writers Hasan Çelebi, in Germiyan according to Beyani, in istanbul according to Latifi, while accor- ding to Aşık Çelebi, was born in Bolvadin. His original name is Mehmed. Saati, reac- hed degrees of mastery in the areas of Qur'an commentary and hadith sciences. Saati traveled to various regions and preached in mosques. He has a lot of poems in the fields of satire and parody (comic poem). He has written 1000 couplet about Firaki. This "Alevilik- Bektaşilik- Hüseynilik- Caferilik" treatise of Saati was copied in 1858 by al-Sayyid Ahmed Tevfik who is Sheikh Ali Baba's servant abd Musika-i Sultani's apprentice. The article subjected to the review, with the Ottoman Turkish original and with the new Turkish letters translation of the treatise that we added to the end, is the copy of original. This copy, is located in the collection of "Old Manuscripts" in the National Library, and the original pamphlets could not be reached. The work is in a dark brown leather cover, with the outer dimensions of 19.2 x 12.5 cm. (interior 16.5 x 10.0 cm). Treatise, which has 14 waterway watermark, with 27 pages according to the numbers written on pages. The pages are written with 16 lines in rıka form except the last page. An endorsement was added to the last page about the author of pamphlets copy. in the tractate which is described as "Alevilik-Bektashilik-Hüseynilik-Caferi- lik" by the author, Ali in the Alevism has been portrayed in a panoramic image of the history of islam.Bu çalışmada Saati'nin Alevilik/ Bektaşilik risalesi tahlil edilmiş, daha sonra risalenin çevirisi (Ek 1) ve iki sayfa aslı (Ek 2) makalenin sonuna ek olarak veril- miştir. Böylece risale dil, edebiyat, sosyoloji, felsefe ve ilahiyat alanlarında inceleme yapacak başka araştırmacılara sunulmuştur. Risale, Milli Kütüphane Yazmalar Ko- leksiyonu'nda Yz. A. 3195 numara ile yer almaktadır. Eserin dili Osmanlı Türkçesi olup, Hicri 1275 (Miladi 1858) yılında istinsah edilmiştir. Risalenin yazarı, birinci sayfasının baş kısmında yer alan "Hu" ile "Bi-İsmi Şdh-ı Yezddn" tabirleri arasındaki "Hdzd Kitabu Sdati-i Bektaşiyyi'l- Aleviyyi'l- Hüseyniyyi'l- Cdferi" ibaresine göre, Saati adlı bir müelliftir. Saati, Osmanlı Tezkire yazarlarından Hasan Çelebi'ye göre Anadolu'da, Beyani'ye göre Germiyan'da, Latifi'ye göre İstanbul'da, Aşık Çelebiye göre ise Bolvadin'de doğdu. Asıl adı Mehmed'dir. Saati, tefsir ve hadis sahalarında üstatlık derecesinde bir ilme sahip oldu. Diyar diyar gezip camilerde vaaz verdi. Hiciv ve hezel sahasında çok şiiri vardır. Firaki hakkında 1000 beyit yazmıştır. Saati'nin bu "Alevilik- Bektaşilik- Hüseynilik- Caferilik" Risalesi, Şeyh Ali Baba'nın bendesi, Musika-i Sultani'nin çerağı es-Seyyid Ahmed Tevfik tarafından 1858 yılında istinsah edilmiştir. İncelemeye tabi tuttuğumuz ve makalenin sonuna Osmanlı Türkçesi aslı ile birlikte yeni Türk harflerine çevirisini eklediğimiz risale, istinsah nüshadır. Söz ko- nusu nüsha, Milli Kütüphane'de "Eski Yazmalar" koleksiyonunda yer almakta olup, risalenin aslına ulaşılamamıştır. Eser, koyu kahverengi meşin bir cilt içerisinde, dış boyutları itibariyle 19,2 x 12,5 cm.(iç 16,5 x 10.0 cm) ölçülerindedir. Risale, suyolu filigranlı 14 yaprak olup, yazılı sayfalardaki numaralarına göre 27 sayfadır. Son say- fa dışındaki sayfalar 16 satır halinde rıka yazı ile yazılmıştır. Son sayfaya risalenin istinsah yazarı hakkında bir zeyl eklenmiştir. İstinsah müellifi tarafından "Alevilik- Bektaşilik- Hüseynilik- Caferilik" kitabı olarak tanımlanan risalede, İslam tarihinin panoramik bir görüntüsü içinde "Alevilikte Ali" tasvir edilmiştir
