The effects of family-witnessed resuscitation on health professionals

2020 ◽  
Vol 29 (15) ◽  
pp. 892-896
Author(s):  
Cathy Grimes

Aim: To gain an understanding of the effects of family-witnessed resuscitation (FWR) on health professionals. Background: FWR has been the subject of an ongoing debate for almost 30 years. Historically, emergency departments (EDs) have excluded family members of a critically ill or injured patient from the treatment area during resuscitation. Methodology: A systematic literature search of six nursing-focused databases was undertaken using pertinent keywords. Only studies published in English, focused on ED staff and undertaken after 2007 (published up to 2017) were included. Findings: FWR is not commonly practised by health professionals. The four themes identified were: fear of adverse litigation; the importance of the role of the facilitator; lack of FWR policies in the workplace; and staff lack of knowledge and education regarding FWR, resulting in fear and stress. Conclusion: By implementing policies in the workplace, and having a facilitator to provide support and guidance to families, stress and anxiety can be greatly reduced. The implementation of educational programmes can increase staff awareness and knowledge surrounding the benefits of FWR

2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.


Cancers ◽  
2021 ◽  
Vol 13 (15) ◽  
pp. 3872
Author(s):  
Małgorzata Styczewska ◽  
Małgorzata A. Krawczyk ◽  
Ines B. Brecht ◽  
Konrad Haug ◽  
Ewa Iżycka-Świeszewska ◽  
...  

Melanotic Neuroectodermal Tumor of Infancy (MNTI) is a very rare pediatric neoplasm of neural crest origin. In most cases, it develops in infants as a localized tumor of the maxilla, and surgery is usually curative. In less than 10% of patients with inoperable, metastatic or persistently recurring MNTI, chemotherapy (CHT) may be considered; however, its role is still unclear. The aim of our study was to assess the efficacy of CHT in children with large, inoperable, metastatic and/or recurrent MNTI. Four such infants, treated with CHT in Polish and German centers of pediatric oncology, were presented. Additionally, a systematic literature search of the PubMed/MEDLINE, Scopus and Web of Science databases was performed, yielding 38 similar cases within the last 42 years. Neoadjuvant CHT, based mainly on the protocols for neuroblastoma, was often effective, allowing for complete delayed surgery in most cases. However, the role of adjuvant CHT in preventing recurrences after incomplete resection of MNTI remains unclear. Disseminated inoperable MNTI was almost universally associated with poor response to CHT and unfavorable outcome. Further investigations to elaborate standards of management in patients with inoperable, metastatic or persistently recurring MNTIs are necessary to improve outcomes.


Author(s):  
Ivona Kučerová

AbstractPerson features play a role in narrow-syntax processes. However, a person feature is often characterized as [±participant], a characterization that suggests pragmatic or semantic features. Relatedly, person has been the subject of an ongoing debate in the literature: one family of approaches argues that 3rd person is an elsewhere case, while another argues that it is a valued interpretable feature. This article provides a programatic argument that this disagreement has a principled basis. I argue that the representation of the features we identify as person changes between narrow syntax and the syntax-semantics interface. The tests and empirical descriptions are incongruent because they target different modules of the grammar and in turn different grammatical objects. The article thus contributes to our understanding of the division of labour among the modules, with a special focus on the autonomous status of narrow syntax.


Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 26 ◽  
Author(s):  
Maria Moudatsou ◽  
Areti Stavropoulou ◽  
Anastas Philalithis ◽  
Sofia Koukouli

The current article is an integrative and analytical literature review on the concept and meaning of empathy in health and social care professionals. Empathy, i.e., the ability to understand the personal experience of the patient without bonding with them, constitutes an important communication skill for a health professional, one that includes three dimensions: the emotional, cognitive, and behavioral. It has been proven that health professionals with high levels of empathy operate more efficiently as to the fulfillment of their role in eliciting therapeutic change. The empathetic professional comprehends the needs of the health care users, as the latter feel safe to express the thoughts and problems that concern them. Although the importance of empathy is undeniable, a significantly high percentage of health professionals seem to find it difficult to adopt a model of empathetic communication in their everyday practice. Some of the factors that negatively influence the development of empathy are the high number of patients that professionals have to manage, the lack of adequate time, the focus on therapy within the existing academic culture, but also the lack of education in empathy. Developing empathetic skills should not only be the underlying objective in the teaching process of health and social care undergraduate students, but also the subject of the lifelong and continuous education of professionals.


2012 ◽  
Vol 302 (11) ◽  
pp. L1141-L1146 ◽  
Author(s):  
James F. Collawn ◽  
Ahmed Lazrak ◽  
Zsuzsa Bebok ◽  
Sadis Matalon

Cystic fibrosis (CF) is caused by the loss of the cystic fibrosis transmembrane conductance regulator (CFTR) function and results in a respiratory phenotype that is characterized by dehydrated mucus and bacterial infections that affect CF patients throughout their lives. Much of the morbidity and mortality in CF results from a failure to clear bacteria from the lungs. What causes the defect in the bacterial clearance in the CF lung has been the subject of an ongoing debate. Here we discuss the arguments for and against the role of the epithelial sodium channel, ENaC, in the development of CF lung disease.


Antichthon ◽  
2011 ◽  
Vol 45 ◽  
pp. 58-76 ◽  
Author(s):  
Diana Burton

AbstractThis paper discusses a series of archaic poems in which one poet responds directly to the work of another, identifying the other by name or by direct allusion (for example, Simonides frag. 542 PMG, Solon frag. 20 West, Sappho frag. 137 Voigt). Such responses often disagree with their models, and this disagreement is frequently constructed in terms of a correction, not only to the subject matter, but also to the way in which the original is composed. These responses, therefore, not only reflect the pattern of improvisation and ‘capping’ common to much Greek poetry, but form an ongoing debate on the nature and role of the poet and his poetry. The construction of such responses also serves to underline both the importance of improvisation and the permanency of the fame conveyed by the completed poem.


Author(s):  
Shukrullah Ahmadi ◽  
Stefanie Schütte ◽  
Niamh Herlihy ◽  
Mathieu Hemono ◽  
Antoine Flahault ◽  
...  

The negative implications of climate change for human health are now well-established. Yet these have not been fully considered into climate change communication strategies. Research suggests that reorienting climate change communication with a health frame could be a useful communication strategy. We conducted a long-term and broad overview of existing scientific literature in order to summarize the state of research activity in this area, by extent and by nature. The methodology is based on a scoping review of scientific articles published on climate change communication and health between 1990 and mid-2016 indexed in the PubMed, ScienceDirect, and Web of Science databases. The screened citations were reviewed for inclusion and data were extracted and coded in order to conduct quantitative (e.g. frequencies) and qualitative (i.e. content analysis) analyses.Out of 2,866 identified published papers, only 24 articles were eligible for analyses. The main themes identified were effective communication of climate change (n=10, 41.7%), the role of health professionals (n=10, 41.7%) and the perception of climate change (n=4, 16.7%). We identified a large proportion of secondary research articles (n= 15, 62.5%) including reviews (n=5, 20.8%) and opinion articles (n=10, 41.7%). A significant share - 37.57% (n=9) - of the identified articles were classified as original research articles, suggesting that the number of publications in this area - particularly original research - has not grown rapidly.This scoping review identified several themes including effective communication of climate change, the role of health professionals, and the perception of climate change in the selected articles on the subject. The research literature on the communication of climate change and health is relatively recent and emerging: the first articles on the subject were published from 2008 onward only.


2018 ◽  
Vol 38 (1) ◽  
Author(s):  
Josh Brown

The main tendency characterizing the development of language in Lombardy in the fourteenth and fifteenth centuries is the formation of a koiné. The extent to which Milan influenced the Lombard koiné is the subject of ongoing debate. On the one hand, scholars suggest that Milan provided a centralizing force for the “Milanization” of other Lombard vernaculars, similar to what occurred for Piedmont and the Veneto. On the other hand, studies have pointed out that Milan was not a centralizing force for the Lombard koiné and that it remains to be verified whether the prestige of Milanese influenced non-Milanese vernaculars. This paper looks at the extent to which Milan influenced the koiné in fifteenth-century Lombardy. I consider eight linguistic items, previously described as unique to the vernacular of Pavia, to verify their presence or absence in a corpus of religious writings from the fifteenth-century nun Elisabetta of Pavia and whether Milanese items can be identified. I consider aspects of phonology and morphology in Elisabetta’s letters and conclude that her language is best characterized as a pre-koiné. The article concludes by arguing for less emphasis on the role of Milan in histories of the vernacular in Lombardy. This finding has implications for the history of non-literary writing in northern Italy and the importance attributed to capital cities in processes of koineization.


Author(s):  
Maria Do Amparo Alves de Moura ◽  
Elenice Mitsuko Miyazato Watanabe ◽  
Alessandra Teresa Ramos dos Santos ◽  
Sandra Regina Cypriano ◽  
Luiz Faustino dos Santos Maia

A atuação do enfermeiro na assistência humanizada na área de urgência e emergência pressupõe-se que o principal papel do enfermeiro na sala de emergência é o de uma assistência segura e livre de risco. Este estudo teve como objetivo interpretar a atuação do profissional enfermeiro no atendimento humanizado, classificação de risco e sistematização da assistência de enfermagem em urgência e emergência. A metodologia utilizada foi pesquisa bibliográfica nas bases de dados LILACS, SciELO. Para tanto foram utilizados artigos publicados nos últimos cinco anos sobre a temática do estudo para obtenção dos resultados contemplando os objetivos, visando a importância do atendimento de enfermagem nas unidades de urgência e emergência.Descritores: Enfermeiro, Humanização, Urgência e Emergência. The role of nurses in humane care and emergencyAbstract: Nursing actions in the humanized care delivery in the area of urgency and emergency is assumed that the main role of nurses in the emergency room is in a safe and risk-free assistance. This study aimed to interpret the actions of the professional nurse in the humanized service, risk classification and systematization of nursing care in emergency and urgent. The methodology used was literature search in LILACS, SciELO databases. For both articles last published five years on the subject of study to obtaining the results contemplating objectives were utilized, targeting the importance of the nursing care in the unit urgency and emergency.Descriptors: Nurse, Humanization, Urgent and Emergency. El papel do enfermero en la atención humanitaria y de emergenciaResumen: Acciones de enfermería en la asistencia humana en el área de atención de emergencia se supone que la principal función de la enfermera en la sala de emergencias es una asistencia segura y sin riesgos. Este estudio tuvo como objetivo interpretar el papel del profesional de enfermería en el cuidado humano, la clasificación de riesgo y la sistematización de la atención de enfermería en las salas de emergencia. La metodología utilizada fue la literatura en las bases de datos LILACS, SciELO. Tanto para los artículos publicados en los últimos cinco años sobre el tema de estudio para obtener los resultados teniendo en cuenta los objetivos se utilizaron, apuntando a la importancia de las unidades de cuidados de enfermería y de emergencia.Descriptores: Enfermería, Humanización, Urgencias y Emergencias.


2019 ◽  
Vol 47 (2) ◽  
pp. 268-286 ◽  
Author(s):  
Claire L Narraway ◽  
Oliver SP Davis ◽  
Sally Lowell ◽  
Katrina A Lythgoe ◽  
J Scott Turner ◽  
...  

Nature has inspired generations of urban designers and planners in pursuit of harmonious and functional built environments. Research regarding self-organisation has encouraged urbanists to consider the role of bottom-up approaches in generating urban order. However, the extent to which self-organisation-inspired approaches draw directly from nature is not always clear. Here, we examined the biological basis of urban research, focusing on self-organisation. We conducted a systematic literature search of self-organisation in urban design and biology, mapped the relationship between key biological terms across the two fields and assessed the quality and validity of biological comparisons in the urban design literature. Finding deep inconsistencies in the mapping of central terms between the two fields, a preponderance for cross-level analogies and comparisons that spanned molecules to ecosystems, we developed a biotic framework to visualise the analogical space and elucidate areas where new inspiration may be sought.


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