2,682 research outputs found
Junior doctors' experiences with interprofessional collaboration:Wandering the landscape
Context: The transition from medical student to junior doctor is challenging. Junior doctors need to become part of the physician community of practice (CoP), while dealing with new responsibilities, tasks and expectations. At the same time, they need to learn how to navigate the frontiers and intersections with the other communities of practice that form the Landscape of Practice (LoP). This study aims to understand how junior doctors experience interprofessional collaboration (IPC) and what elements shape these experiences considering their transition to clinical practice.Methods: In this multicentre qualitative study, 13 junior doctors individually drew two rich pictures of IPC experiences, one positive and one negative. A rich picture is a visual representation, a drawing of a particular situation intended to capture the complex and non-verbal elements of an experience. We used semi-structured interviews to deepen the understanding of junior doctors' depicted IPC experiences. We analysed both visual materials and interview transcripts iteratively, for which we adopted an inductive constructivist thematic analysis.Results: While transitioning into a doctor, junior doctors become foremost members of the physician CoP and shape their professional identity based on perceived values in their physician community. Interprofessional learning occurs implicitly, without input from the interprofessional team. As a result, junior doctors struggle to bridge the gap between themselves and the interprofessional team, preventing IPC learning from developing into an integrative process. This professional isolation leaves junior doctors wandering the landscape of practice without understanding roles, attitudes and expectations of others.Conclusions: Learning IPC needs to become a collective endeavour and an explicit learning goal, based on multisource feedback to take advantage of the expertise already present in the LoP. Furthermore, junior doctors need a safe environment to embrace and reflect on the emotions aroused by interprofessional interactions, under the guidance of experienced facilitators.</p
MABS validation through repeated execution and data mining analysis
Agent Based Modelling is the most interesting and advanced approach for simulating a complex system: in a social context, the single parts and the whole are often very hard to describe in detail. Besides, there are agent based formalisms which allow to study the emergency of social behaviour with the creation and study of models, known as artificial societies. Thanks to the ever increasing computational power, it's been possible to use such models to create software, based on intelligent agents, which aggregate behaviour is complex and difficult to predict, and can be used in open and distributed systems. Data mining is born in the last decades in order to help users in finding useful knowledge from the otherwise overwhelming amount of data available nowadays from the web and the data collected every day by companies. Data Mining techniques can therefore be the keystone to reveal non-trivial knowledge expressed by the initial assumption used to build the micro-level of the model and the structure of the society of agents that emerged from the simulation
A Book in a Thousand. Translating Dutch (Post-)Colonial Literature in the Late Fifties: Maria Dermoût’s "The Ten Thousand Things" in the U.S. and Italy
This paper examines the successful translation and reception of Maria Dermoût’s De tienduizend dingen (1955), most particularly in the U.S. and Italy: a quite unique case of a Dutch book which has found its way to world literature. In the late Fifties, this beautifully crafted literary work about the faded world of the Dutch Molucca’s prior to WWII, could reckon on sympathy, empathy and interest in different countries. In the U.S., the ongoing decolonization process found a certain support, while Italy did its best to fully erase all traces of its colonial past and only few people with colonial roots tried to keep them alive. The ambivalent, liminar status of this fascinating book, written from a distant elsewhere by a displaced Eurasian author, can explain its appeal to translators Hans Koning and Quirino Maffi – both displaced, too – and international audiences
Stages for the More Sustainable Farm
Currently, agricultural farm units are faced with a double and most times contradictory challenge, in order to be successful: on the one hand the invested capital has to be profitable and the economic performance has to be maximised. On the other hand, given the socio-environmental situation, it is necessary to preserve and to protect the environment and natural resources. Given the potential conflict of the two aims, since the satisfaction of one implies the underperformance of the other (and vice versa), the question then is: which is the solution to choose? We intend, in this work, to formulate a farm plan with the purpose of reconciling the criteria of environmental sustainability with that of economic competitiveness. For this achievement we proceed to the comparative study of sustainability of different groups of farms identified in the study area (first evaluation cycle) through MESMIS (“Marco para la Evaluación de Sistemas de Manejo de Recursos Naturales Mediante Indicadores de Sustentabilidad” - Framework for Evaluation of Natural-Resource Systems Handling through Sustainability Indicators) methodology, that allowed to select the more sustainable group of farms. Based on the found potentialities and weakness on these production systems, we stepped to the planning of a production unit of bovine meat, which obeys simultaneously to economic and environmental objectives, using Multicriteria Decision. We finished the work with the sustainability evaluation between groups of farms identified previously and the planned farms (second evaluation cycle), based, again, in the MESMIS methodology, to confirm (or not) the greatest sustainability of the last ones. Analyses of the results allow us to confirm the greatest relative sustainability of the planned farm, for the diverse traced scenarios.Decision taking, planning, sustainability, Environmental Economics and Policy, Farm Management,
A distributed amplifier system for bilayer lipid membrane (BLM) arrays with noise and individual offset cancellation
Lipid bilayer membrane (BLM) arrays are required for high throughput analysis, for example drug screening or advanced DNA sequencing. Complex microfluidic devices are being developed but these are restricted in terms of array size and structure or have integrated electronic sensing with limited noise performance. We present a compact and scalable multichannel electrophysiology platform based on a hybrid approach that combines integrated state-of-the-art microelectronics with low-cost disposable fluidics providing a platform for high-quality parallel single ion channel recording. Specifically, we have developed a new integrated circuit amplifier based on a novel noise cancellation scheme that eliminates flicker noise derived from devices under test and amplifiers. The system is demonstrated through the simultaneous recording of ion channel activity from eight bilayer membranes. The platform is scalable and could be extended to much larger array sizes, limited only by electronic data decimation and communication capabilities
Donkeys and Hares. The Enemy Warrior in the Early European Chronicles of the Conques
The Author scrutinizes the image of the enemy warrior in the early European chronicles of the Spanish conquest, within a historical-comparative approach. In the 16th century sources the image of the Indios fighting Europeans offers a very specific vision of this enemy. It was an image that had its roots in stereotypes of the past. But it had been reshaped into a new and original version. Solidarity between the devil and the Indios did not produce fearsome warriors. It was an image that did not have to hinder the expansion of European traffic
Conclusioni
The paper represents the conclusions of an important conference, centered on Italy in the period 888-962 AD (corresponding to the formation of the Italic kingdom), edited by the author together with Chris Wickham. Both urban and rural data, on a national basis, are taken into account. The work is based primarily on the results of excavations and is complemented by an extensive thematic bibliographic note at the end of the text. It faces mainly themes such as the forms of power and the settlement networks in large sample areas, where archaeology shows a strengthening of trends already in place in the two previous centuries. The proposed models are to be read as stages of the transformation process towards an urban-led economy, where towns are not anymore just commercial terminals but start to play a leading role in their relationship with the countryside. This process happens in the context of an always strongly ruralized society, where landed property still represents the basis for the creation of wealth and economies. The many examples, from northern to southern Italy, converge in showing economic choices that imply a heavy transformations of settlements and productive centers, adapting them to the new entrepreneurial needs
Materials and techniques of Art Nouveau architecture in Italy and Portugal: a first insight for an European route to consistent restoration
The results of the investigations on building materials and techniques of Casa Major Pessoa, a typical Art
Nouveau construction in Aveiro (Portugal), and two coeval Art Nouveau buildings in Bologna (Italy) are presented
as a methodological contribution to the restoration of this kind of buildings. This is the first step to
ascertain the existence of a common thread between local materials, technologies and architecture in European
countries at the same period. A holistic approach was adopted: materials were investigated along with
architectural, structural and technological features, in order to achieve a first insight into the Art Nouveau
architecture in Europe in particular for its consistent restoration without loss of historical memory
Monitoraggio dello stato di conservazione di Anfibi e Rettili della fauna italiana particolarmente a rischio
The conservation status of the threatened species of amphibians and reptiles of the Italian fauna was outlined on the basis of the results of a recent research project financed by the Ministry of Environment under the supervision of the author
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