Search results for "facilities"

Kansainväliset vertailevat oppimistulosarvioinnit perus- ja korkea-asteella

2020

International comparative assessments of learning outcomes in basic and tertiary education International assessments of learning outcomes have rapidly increased over the last two decades, especially as a consequence of PISA studies. There are now international comparative studies of learning outcomes ranging from basic to tertiary and adult education. The purpose of the present article is to describe the history and background of international comparative assessments with particular respect to two OECD assessments: PISA and AHELO. We argue that educational policy, pedagogical and scientific interests exert influence on international comparative assessments. These different interests promote…

Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study

2020

Background: With advances in medicine and technology, intensive care units (ICUs) have the capacity to treat patients who would have previously not been expected to survive and would therefore not have been managed in ICUs. When an individual is not expected to survive, doctors and nurses face the modern ethical dilemma of death associated with withdrawal of life-supporting strategies. The aim of this study was to identify difficulties perceived by ICU nurses providing end-of-life care (EOLC) in Poland. Methods: The qualitative study was designed to investigate the difficulties, and the related barriers, to EOLC provided in ICUs in Poland. We conducted individual telephone interviews with I…

Sport burnout inventory - dual career form for student-athletes : assessing validity and reliability in a finnish sample of adolescent athletes

2020

The pressure of pursuing an athletic career simultaneously with education may set adolescent student-athletes at risk for sport and school burnout. Although the 2 life domains of student-athletes are strongly intertwined, so far, there has not been an instrument for investigating sport burnout parallel to school burnout. The aim of the present study was to introduce a sport burnout measure for adolescents in a dual career context and investigate its validity and reliability by using confirmatory factor analysis. Methods The participants were 391 student-athletes (51% females) who filled in a questionnaire of sport burnout and background variables in the beginning of upper secondary school. …

Understanding risky behaviours in nuclear facilities: The impact of role stressors

2018

Abstract Risky behaviours have received little attention in the safety literature in recent years, compared to safety behaviours such as safety compliance or safety participation. However, it is important to focus on risky behaviours and their predictors in order to prevent accidents. The aim of this study is to explore the impact of role stressors (role ambiguity and role overload) on risky behaviours, and the mediating role of dissatisfaction (both job and safety dissatisfaction). The sample consists of 566 employees from two nuclear power plants in Spain. Structural equation modelling is used to determine the effects of role ambiguity and role overload on risky behaviours. Role stressors…

COVID-19 lockdown influence in the psychiatric emergencies: Drastic reduction and increase in severe mental disorders.

2021

Speckle tracking analysis in intensive care unit: A toy or a tool?

2018

The use of conventional echocardiography in the intensive care unit (ICU) is today established to assess left and right ventricular systolic function, for preload determination and procedural guidance. Next step in ICU echocardiography could be the use of novel ultrasound techniques such as strain echocardiography to assist in the management of patients with acute coronary syndrome, heart failure, or pulmonary embolism. This review has gathered the available evidence supporting the incremental value of strain in the diagnostic workup of cardiac diseases treated in ICU.

Diagnostic Performance of an Artificial Intelligence System in Breast Ultrasound.

2021

Objectives We study the performance of an artificial intelligence (AI) program designed to assist radiologists in the diagnosis of breast cancer, relative to measures obtained from conventional readings by radiologists. Methods A total of 10 radiologists read a curated, anonymized group of 299 breast ultrasound images that contained at least one suspicious lesion and for which a final diagnosis was independently determined. Separately, the AI program was initialized by a lead radiologist and the computed results compared against those of the radiologists. Results The AI program's diagnoses of breast lesions had concordance with the 10 radiologists' readings across a number of BI-RADS descri…

Cost-effectiveness of screening for colorectal cancer in France using a guaiac test versus an immunochemical test

2010

Objectives: The aim of this study was to compare the cost and the effectiveness of two biennial fecal occult blood screening tests for colorectal cancer: a guaiac nonrehydrated test (G-FOBT) and an immunochemical test (I-FOBT) with the absence of screening.Methods: A Markov model was developed to compare these strategies in a general population of subjects aged 50 to 74 over a 20-year period.Results: Compared with the absence of screening, G-FOBT and I-FOBT were associated with a decrease in colorectal cancer mortality of 17.4 percent and 25.2 percent, respectively. With regard to cost-effectiveness, expressed as cost per life-year gained, I-FOBT was the most effective and most costly alter…

Experience of medical students mentoring in an acute geriatric unit: Use of evidence-based medicine

2019

International audience; n a retrospective study, we studied the learning experience of second and third year undergraduate medical students in the acute geriatric unit of a University Hospital.Students who did not receive Evidence based medicine (EBM) classes had lower grades than those who did in the final theoretical and practical evaluations (p < .01).Our experience suggested that the implementation of EBM in the curriculum through small, structured semiology courses tailored to the specificities of the elderly improved Evidence based practices for undergraduate medical students. EBM should improve instruction and mentoring during undergraduate students' clinical rotation.

Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2020

2020

The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: Epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; Cardiovascular (CV) risk tables and recommendations for the calculation of CV risk; Main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; Indications for antiplatelet therapy, a…