Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to ...Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.展开更多
The study finds that, for Romania, the period 1920-1939 is one without major contradictions. In ＂neutrosophy＂ of renowed American professor F. Smarandache＇s terms, the interwar period was, in Romania, a ＂neutral＂...The study finds that, for Romania, the period 1920-1939 is one without major contradictions. In ＂neutrosophy＂ of renowed American professor F. Smarandache＇s terms, the interwar period was, in Romania, a ＂neutral＂ period. As mediating operators, professional journals reflected the atmosphere of relative tranquility and social peace. From the qualitative analysis of their media discourse, we can see three elements that： （1） the professional journals of Oltenia, as media tools for teachers, priests and folklore （folklorist）, or music enthusiasts （music lovers）, were loyal to their financial supporters; （2） although they served oblique and opposition interests, the communication professional operators have generally not emphasized, perpetuated or generated conflicts, disputes and misunderstandings; and （3） social attitudes promoted by professional magazines in Oltenia was a beneficial, objective one of better understanding and neutrality. The conclusion is that, despite the axiom that progress is generated by contradiction, it shows that professional journals in Oltenia, during 1920-1939, even in the absence of contradictions, namely under neutrality, there have been major advances.展开更多
The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in...The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 international indexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine, EMBASE, Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.096 and the Journal ranks third among international andrology journals.展开更多
The research is based on the skills of online publishing edit. First, it is focused on the influence on traditional publishing ed-it from the online publishing edit. Second, from the different aspects, the requirement...The research is based on the skills of online publishing edit. First, it is focused on the influence on traditional publishing ed-it from the online publishing edit. Second, from the different aspects, the requirements of the abilities of online publishing edit are men- tioned. Finally, constantly progressing skills of online publishing edit are discussed in the two models. The research is expected to be help-ful for relevant study of both professionals and scholars.展开更多
Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to pat...Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to patients is technically and mentally demanding.Only with proper communication skills and sufficient patient-contact practice can medical practitioners smoothly cope with this stressful mission.There are a number of common mistakes we fall into when delivering bad news,which might induce or exacerbate patients' anxiety.Sometimes we are prone to disclose medical information in a "straight-to-the-point" manner.This is often a futile attempt made on the physician's part to ease his or her own uncomfortableness when delivering bad news,but unfortunately it does no good to facilitate patients' acceptance of the actual condition.Instead of using medical jargons,physicians are obliged to use "layman's terms" that make better sense to their patients.Declaring a clinical diagnosis without corresponding explanation on the prognosis and the discussion of treatment can also bring much confusion and anxiety to patients.Another even worse situation might be that we finish the "lecture" in our own words without confirming the patient's comprehension and addressing their questions.Professionals have recommended a six-step protocol on delivering bad news to patients:"SPIKES":S-Setting up the interview;P-assessing the patient's Perception;I-obtaining the patient's Invitation;K-giving Knowledge and information to the patient;E-addressing the patient's Emotions with Empathic responses;S-Strategy and Summary.展开更多
With the emergence of the new digital platforms, a diversified number of approaches and providers cannot damage too much a rather crowded info sphere. What may come as a general challenge is the ＂performance＂ amateu...With the emergence of the new digital platforms, a diversified number of approaches and providers cannot damage too much a rather crowded info sphere. What may come as a general challenge is the ＂performance＂ amateurs who have the devices, the will but not the skills to become reliable communicators. Good training and an expanded concern for the accuracy of messages should distinguish between fact and fiction, and between information and opinion. The smart phone, the iPod, the lap top, or the tablet has expanded the means of communication. They have also diversified the types of messages circulated. The traditional main stream media outlets are facing a mounting competition from the social networks populated with the folk journalists, albeit, and non-professionals. Basic training of all those willing to come into the communication ring and regulations may concern not only the professionals but also the amateurs, and it may be ways to get over what seems to be a deadlock.展开更多
Teachers of CLD （culturally and linguistically diverse） public school students New York and Rome, Italy were interviewed about their work with this unique, growing subset of learners. The 12 teachers＇ stories highl...Teachers of CLD （culturally and linguistically diverse） public school students New York and Rome, Italy were interviewed about their work with this unique, growing subset of learners. The 12 teachers＇ stories highlight myriad issues facing educators across the globe. Each teacher had recently participated in a research-based and government-sponsored professional development program focused on second language acquisition and culturally responsive pedagogy. Themes emerged through the analysis of individual interviews and classroom observations. These findings highlight teachers＇ perceptions of effective professional development, along with identification of institutional barriers impeding the delivery of best practices to CLD students. Cross-cultural comparisons are made which suggest an inconsistency in educational services for CLD students, along with an urgent need for professional development courses for teachers and administrators. The educators＇ voices shed light on both the challenges and rewards associated with this important work.展开更多
Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of World Journal of Gastroenterology. The editors and authors of the articles submitted to the jour...Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of World Journal of Gastroenterology. The editors and authors of the articles submitted to the journal are grateful to the following reviewers for evaluating the articles (including those published in this issue and those rejected for this issue) during the last editing time period.展开更多
基金This work was supported by the Postgraduate Independent Project of Beijing University of Chinese Medicine(No.2017-JYB-XS-085).
文摘Objectives Even though guidelines are available to guide dysphagia identification and management practice,there is still a gap between evidence and practice,which requires improvement.The purpose of this study was to determine the effect of using tailored,multifaceted strategies to improve evidence-based post-stroke dysphagia identification and management practice in a community hospital.Methods Guided by the Knowledge to Action framework,the tailored,multifaceted strategies were developed and implemented for 5 months in a community hospital using a before-and-after study design.These strategies consisted of training intervention,policy intervention,and audit and feedback intervention.Nurses’level of knowledge and adherence,were collected in March 2019 and again in January 2020.Patients’quality of life and satisfaction were evaluated during the pre-intervention period(between February 2019 and April 2019)and the post-intervention period(between November 2019 and January 2020).Results A total of 55 patients with post-stroke dysphagia(28 in the pre-intervention period and 27 in the post-intervention period)and 17 registered nurses were recruited.Following implementation,there were statistically significant improvements in patients’outcomes(quality of life and satisfaction)and nurses’outcomes(level of knowledge and adherence).Conclusions This study assists in closing the research-practice gap by using tailored,multifaceted strategies to increase the use of evidence-based nursing care for dysphagia identification and management practices.
文摘The study finds that, for Romania, the period 1920-1939 is one without major contradictions. In ＂neutrosophy＂ of renowed American professor F. Smarandache＇s terms, the interwar period was, in Romania, a ＂neutral＂ period. As mediating operators, professional journals reflected the atmosphere of relative tranquility and social peace. From the qualitative analysis of their media discourse, we can see three elements that： （1） the professional journals of Oltenia, as media tools for teachers, priests and folklore （folklorist）, or music enthusiasts （music lovers）, were loyal to their financial supporters; （2） although they served oblique and opposition interests, the communication professional operators have generally not emphasized, perpetuated or generated conflicts, disputes and misunderstandings; and （3） social attitudes promoted by professional magazines in Oltenia was a beneficial, objective one of better understanding and neutrality. The conclusion is that, despite the axiom that progress is generated by contradiction, it shows that professional journals in Oltenia, during 1920-1939, even in the absence of contradictions, namely under neutrality, there have been major advances.
文摘The Asian Journal of Andrology is the official publication of the Asian Society of Andrology, and is sponsored by the Shanghai Institute of Materia Medica, Chinese Academy of Sciences. The Journal has been included in 11 international indexing systems, including BIOSIS, CAB Abstracts, CAB Health, Chemical Abstracts, Current Contents/Clinical Medicine, EMBASE, Index Medicus, MEDLINE, PASCAL, Research Alert, and SCI Expanded. The Impact Factor is 1.096 and the Journal ranks third among international andrology journals.
文摘The research is based on the skills of online publishing edit. First, it is focused on the influence on traditional publishing ed-it from the online publishing edit. Second, from the different aspects, the requirements of the abilities of online publishing edit are men- tioned. Finally, constantly progressing skills of online publishing edit are discussed in the two models. The research is expected to be help-ful for relevant study of both professionals and scholars.
文摘Delivering bad news regarding patient's health is an unavoidable task for physicians and medical students in their careers.This is especially difficult for beginners.Disclosing undesired medical information to patients is technically and mentally demanding.Only with proper communication skills and sufficient patient-contact practice can medical practitioners smoothly cope with this stressful mission.There are a number of common mistakes we fall into when delivering bad news,which might induce or exacerbate patients' anxiety.Sometimes we are prone to disclose medical information in a "straight-to-the-point" manner.This is often a futile attempt made on the physician's part to ease his or her own uncomfortableness when delivering bad news,but unfortunately it does no good to facilitate patients' acceptance of the actual condition.Instead of using medical jargons,physicians are obliged to use "layman's terms" that make better sense to their patients.Declaring a clinical diagnosis without corresponding explanation on the prognosis and the discussion of treatment can also bring much confusion and anxiety to patients.Another even worse situation might be that we finish the "lecture" in our own words without confirming the patient's comprehension and addressing their questions.Professionals have recommended a six-step protocol on delivering bad news to patients:"SPIKES":S-Setting up the interview;P-assessing the patient's Perception;I-obtaining the patient's Invitation;K-giving Knowledge and information to the patient;E-addressing the patient's Emotions with Empathic responses;S-Strategy and Summary.
文摘With the emergence of the new digital platforms, a diversified number of approaches and providers cannot damage too much a rather crowded info sphere. What may come as a general challenge is the ＂performance＂ amateurs who have the devices, the will but not the skills to become reliable communicators. Good training and an expanded concern for the accuracy of messages should distinguish between fact and fiction, and between information and opinion. The smart phone, the iPod, the lap top, or the tablet has expanded the means of communication. They have also diversified the types of messages circulated. The traditional main stream media outlets are facing a mounting competition from the social networks populated with the folk journalists, albeit, and non-professionals. Basic training of all those willing to come into the communication ring and regulations may concern not only the professionals but also the amateurs, and it may be ways to get over what seems to be a deadlock.
文摘Teachers of CLD （culturally and linguistically diverse） public school students New York and Rome, Italy were interviewed about their work with this unique, growing subset of learners. The 12 teachers＇ stories highlight myriad issues facing educators across the globe. Each teacher had recently participated in a research-based and government-sponsored professional development program focused on second language acquisition and culturally responsive pedagogy. Themes emerged through the analysis of individual interviews and classroom observations. These findings highlight teachers＇ perceptions of effective professional development, along with identification of institutional barriers impeding the delivery of best practices to CLD students. Cross-cultural comparisons are made which suggest an inconsistency in educational services for CLD students, along with an urgent need for professional development courses for teachers and administrators. The educators＇ voices shed light on both the challenges and rewards associated with this important work.
文摘Many reviewers have contributed their expertise and time to the peer review, a critical process to ensure the quality of World Journal of Gastroenterology. The editors and authors of the articles submitted to the journal are grateful to the following reviewers for evaluating the articles (including those published in this issue and those rejected for this issue) during the last editing time period.
