1,720,953 research outputs found

    Management of methicillin resistant strains of bacteria Staphylococcus aureus in homes for elderly

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    Uvod: Staphylococcus aureus je bakterija, ki jo najdemo na in v človeškem telesu, načeloma ni patogena, v določenih situacijah pa je sposobna povzročanja bolezni. Uspešno se prilagaja na različne spremembe v okolju. Kolonizira kožo, kožne žleze in sluznice, kar lahko povzroča okužbe pri ljudeh in živalih v obliki izpuščajev, vnetij kosti in možganskih ovojnic ter v napredovanju okužbe, septikemijo. Obvladovanje MRSA v domovih za starejše občane je velik izziv, čeprav smo priča napredku na področju higiene, pravil o preprečevanju in obvladovanju MRSA in morebitnega zdravljenja. Namen diplomskega dela je analizirati prakse obvladovanja MRSA v različnih domovih za starejše v Sloveniji. Ugotoviti stopnjo poznavanja problematike med zdravstvenimi delavci in različne pristope pri spopadanju z preprečevanjem in obvladovanjem okužb z MRSA. Metode dela: Pri naši raziskavi smo vključili kvantitativni in kvalitativni pristop z anketiranjem 106 zdravstvenih delavcev iz šestih različnih domov. Anketa vsebuje 24 vprašanj, ki ocenjujejo ozaveščenost, znanje, prakse in izzive pri obvladovanju MRSA. Rezultati: Rezultati so pokazali, da je ozaveščenost zdravstvenega osebja o MRSA povprečna (65 %), pri čemer so najbolj ozaveščene diplomirane medicinske sestre. Večina zdravstvenih delavcev meni, da potrebujejo več izobraževanj na temo MRSA. V domovih za starejše običajno izvajajo izolacijo okuženih stanovalcev v enoposteljnih sobah in dajejo velik poudarek higieni rok kot pomembnemu preventivnemu ukrepu. Glavni izzivi vključujejo izolacijo okuženih, dosledno spoštovanje higienskih standardov in sodelovanje s svojci. Razprava in zaključek: Rezultati raziskave niso pokazali jasne povezave med višjo ozaveščenostjo in manjšim številom okužb, kar kaže na potrebo po večplastnem pristopu. Z anketami smo dobili več zanimivih rezultatov, vključno s tem, da je zdravstvene delavce pogosto še vedno strah MRSA. Z raziskavo smo dobili vpogled, s kakšnimi izzivi se soočajo posamezni domovi za starejše. Spodbudno je, da so zaposleni izrazili željo po bolj pogostih in ciljnih izobraževanjih o MRSA. Priporočila za domove za starejše vključujejo povečanje števila izobraževalnih programov, izboljšanje higienskih protokolov in boljše sodelovanje s svojci. Dom za starejše 1 se je izkazal kot primer dobre prakse, saj dosega, kljub velikemu številu stanovalcev, najboljše rezultate pri obvladovanju MRSA zaradi visoke ozaveščenosti in učinkovitega pristopa pri reševanju težav.Introduction: Staphylococcus aureus is a bacterium found on and in the human body. While it is generally non-pathogenic, under certain circumstances, it can cause diseases. It successfully adapts to various environmental changes. It colonizes the skin, skin glands, and mucous membranes, potentially causing infections in humans and animals, such as rashes, bone inflammations, meningitis, and, in the progression of infection, septicemia. Managing MRSA in nursing homes poses a significant challenge, despite advancements in hygiene, rules for the prevention and control of MRSA, and possible treatments. The purpose: of this diploma work is to analyze MRSA control practices in various nursing homes in Slovenia, to determine the level of awareness among healthcare workers, and to examine different approaches to preventing and managing MRSA infections. Methods: In our study, we employed both quantitative and qualitative approaches, surveying 106 healthcare workers from six different nursing homes. The survey consists of 24 questions that assess awareness, knowledge, practices, and challenges in MRSA control. Results: The results showed that the awareness of healthcare staff regarding MRSA is average (65 %), with registered nurses being the most informed. The majority of healthcare workers believe that more training on MRSA is needed. Nursing homes typically isolate infected residents in single rooms and place a strong emphasis on hand hygiene as a key preventive measure. The main challenges include isolating infected residents, consistently adhering to hygiene standards, and collaborating with family members. Discussion and Conclusion: The results did not show a clear link between higher awareness and a lower number of infections, indicating the need for a multi-layered approach. The surveys provided several interesting insights, including that healthcare workers often still fear MRSA. The study gave us an understanding of the challenges faced by individual nursing homes. It is encouraging that employees expressed a desire for more frequent and targeted training on MRSA. Recommendations for nursing homes include increasing the number of educational programs, improving hygiene protocols, and enhancing cooperation with family members. Nursing home 1 stood out as an example of good practice, as it achieves the best results in controlling MRSA, despite having a large number of residents, due to high awareness and an effective problem-solving approach

    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

    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

    Appropriate Similarity Measures for Author Cocitation Analysis

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    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

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    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

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    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

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    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
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