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医院一线护士长核心能力要素的质性研究

International Journal of Nursing Sciences 2023年第4期10卷 492-502页

作者： Joko Gunawan Yupin Aungsuroch mary l.fisher Colleen Marzilli Nazliansyah Ety Hastuti Faculty of Nursing Chulalongkorn UniversityBangkokThailand Indiana University School of Nursing IndianapolisINUSA College of Nursing University of FloridaGainesvilleFLUSA University of Maine School of NursingOronoMEUSA Department of Nursing Politeknik Kesehatan Kementrian Kesehatan Pangkal PinangBangka BelitungIndonesia dr.H.Marsidi Judono General Hospital BelitungIndonesia

目的在新常态背景下要应对不断出现的新挑战,临床一线护士长需要提高技能,以有效履行职责、发挥多重作用,亟需完善新形势下其核心能力指南或标准。本研究旨在探讨后疫情时代背景下印度尼西亚医院一线护理管理者的核心能力要素。方法2022... 详细信息

目的在新常态背景下要应对不断出现的新挑战,临床一线护士长需要提高技能,以有效履行职责、发挥多重作用,亟需完善新形势下其核心能力指南或标准。本研究旨在探讨后疫情时代背景下印度尼西亚医院一线护理管理者的核心能力要素。方法2022年1—8月,在印度尼西亚的1所公立医院选择7名有新型冠状病毒疫情期间护理管理经验的一线护士长进行面对面访谈。对访谈内容进行录音,逐字逐句转录,并通过重新聆听进行验证。采用主题分析法对访谈资料进行分析。结果医院一线护理管理者的核心能力要素包括4个方面:管理核心能力,临床核心能力,科技核心能力,以及社会情感技能/个人特质(包括勇敢、迅捷、耐心、乐观、坚持和责任心)。结论研究结果表明,一线护士长的管理和临床核心能力必须保持一致,科技核心能力是两者的中间组成部分。个人特质对于一线护士长至关重要,因为这是他们的其他3个核心能力和成功的基础。

关键词：临床能力核心能力护士长印度尼西亚社会技能

护理工作环境指数量表印尼版跨文化调适及心理测量学分析

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International Journal of Nursing Sciences 2023年第4期10卷 511-517,I0003,I0004页

作者： I Gede Juanamasta Yupin Aungsuroch mary l.fisher Siluh Nyoman Alit Nuryani Ni Nyoman Ayuningsih Faculty of Nursing Chulalongkorn University BangkokThailand Nursing Program STIKES Wira Medika BaliIndonesia Indiana University School of Nursing IndianapolisUSA College of Nursing University of FloridaGainesvilleUSA Nursing Committee Prof IGNG Ngoerah General HospitalBaliIndonesia Quality Assurance Committee Prof IGNG Ngoerah General HospitalBaliIndonesia

目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻... 详细信息

目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻译、对比译文,及采用二分量表进行初步测试5个步骤将英语版本问卷翻译为印尼语。30名住院部护士参与了量表可读性和可理解性检查。于2022年8—10月在印度尼西亚的17所医院选取350名护理人员参与调查。采用结构效度和收敛效度来评估量表的效度。采用Cronbach's α系数、项目总相关系数和组合信度指数来评估量表的信度。结果验证性因子分析显示,PES-NWI具有良好的拟合度,量表因子结构稳定。各维度的相关系数为0.70~0.88,条目的载荷值都高于0.6。量表维度的收敛效度为0.61~0.74。Cronbach's α系数为0.97,修正后的项目总相关系数0.62~0.85,各个维度的组合信度指数均高于0.89。结论印尼版PES-NWI具有良好的同质性和结构效度,护理管理人员可以使用它来衡量工作环境。

关键词：印度尼西亚护士心理测量学工作环境

Opening the“Black Box”:How Out-of-Class Use of Duolingo Impacts Chinese Junior High School Students'Intrinsic Motivation for English

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ECNU Review of Education 2024年第2期7卷 283-307页

作者：曾成 linda fisher 184 Hills Road Cambridge CB28PQUK

Purpose:Mobile-assisted language learning(MAll)apps such as Duolingo have great potential for promoting learners'motivation to learn a second language(l2).However,little research has investigated how this motivational impact takes ***,despite the flexibility of mobile learning,most existing studies are conducted in classroom settings,with less attention paid to out-of-school technology ***/Approach/Methods:To address these gaps,we present a model based on self-determination theory and propose the idea of“motivational transfer”to explain the psychological mechanism underpinning the impact of *** examine the model,we conducted a case study with 20 Year 8 Chinese junior school students who used Duolingo to learn English as a foreign language(EFl)after school for 6 ***:Questionnaire and group interview data support our hypothesized mechanism:learners'activity-specific intrinsic motivation(IM)for using Duolingo and their underlying psychological need for autonomy and competence can be transferred to a more general level,thereby enhancing learners'global ***:The proposed theoretical model expands our understanding of how digital technology stimulates learners'l2 motivation;it can help l2 educators design better technological affordances to promote learners'motivation both in and outside the classroom.

关键词： Digital game-based learning l2 motivation MAll self-determination theory

Gender and managerial competence: a comparison of male and female first-line nurse managers in Indonesia

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Microenvironmental influences on T cell immunity in cancer and inflammation

Frontiers of nursing 2021年第1期

作者： Joko Gunawan Yupin Aungsuroch mary l.fisher Anna M.McDaniel

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Cellular & Molecular Immunology 2022年第3期19卷 316-326页

作者： Darren R.Heintzman Emilie l.fisher Jeffrey C.Rathmell Department of Pathology Microbiologyand ImmunologyVanderbilt University Medical CenterNashvilleTN37205USA Vanderbilt Center for Immunobiology Vanderbilt University Medical CenterNashvilleTN37205USA

T cell metabolism is dynamic and highly *** the intrinsic metabolic programs of T cell subsets are integral to their distinct differentiation and functional patterns,the ability of cells to acquire nutrients and cope with hostile microenvironments can limit these pathways.T cells must function in a wide variety of tissue settings,and how T cells interpret these signals to maintain an appropriate metabolic program for their demands or if metabolic mechanisms of immune suppression restrain immunity is an area of growing *** in inflamed and cancer tissues,a wide range of changes in physical conditions and nutrient availability are now acknowledged to shape *** include fever and increased temperatures,depletion of critical micro and macro-nutrients,and accumulation of inhibitory waste *** we review several of these factors and how the tissue microenvironment both shapes and constrains immunity.

关键词： immunometabolism T cell microenvironment cancer inflammation

CRISPR-mediated genome editing and human diseases

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Genes & Diseases 2016年第4期3卷 244-251页

作者： liquan Cai Alfred l.fisher Haochu Huang Zijian Xie Marshal l Institute for Interdisciplinary Research(MIIR) Marshall UniversityWeisberg Engineering ComplexMarshall University1628 Third AvenueHuntingtonWV 25703USA University of Texas Health Science Center at San Antonio Department of MedicineDivision of GeriatricsGerontologyand Palliative MedicineSan AntonioTX 78229USA GRECC South Texas VA Healthcare SystemSan AntonioTX 78229USA Committee on Immunology Section of RheumatologyDepartment of MedicineKnapp Center for Lupus and Immunology ResearchUniversity of ChicagoChicagoIL 60637USA

CRISPR(Clustered Regularly Interspaced Short Palindromic Repeats)technology has emerged as a powerful technology for genome editing and is now widely used in basic biomedical research to explore gene *** recently,this technology has been increasingly applied to the study or treatment of human diseases,including Barth syndrome effects on the heart,Duchenne muscular dystrophy,hemophilia,b-Thalassemia,and cystic ***/Cas9(CRISPR-associated protein 9)genome editing has been used to correct diseasecausing DNA mutations ranging from a single base pair to large deletions in model systems ranging from cells in vitro to animals in *** addition to genetic diseases,CRISPR/Cas9 gene editing has also been applied in immunology-focused applications such as the targeting of C-C chemokine receptor type 5,the programmed death 1 gene,or the creation of chimeric antigen receptors in T cells for purposes such as the treatment of the acquired immune deficiency syndrome(AIDS)or promoting anti-tumor ***,this technology has been applied to the genetic manipulation of domesticated animals with the goal of producing biologic medical materials,including molecules,cells or organs,on a large ***,CRISPR/Cas9 has been teamed with induced pluripotent stem(iPS)cells to perform multiple tissue engineering tasks including the creation of disease models or the preparation of donor-specific tissues for *** review will explore the ways in which the use of CRISPR/Cas9 is opening new doors to the treatment of human diseases.

关键词： CRISPR DNA double-stranded break Genome editing Human diseases iPS cells

Beyond the Pediatric end-stage liver disease system: Solutions for infants with biliary atresia requiring liver transplant

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World Journal of Gastroenterology 2014年第32期20卷 11062-11068页

作者： mary Elizabeth M Tessier Sanjiv Harpavat Ross W Shepherd Girish S Hiremath mary l Brandt Amy fisher John A Goss Department of Pediatrics Baylor College of Medicine and Texas Children’s Hospital Department of Pediatrics Baylor College of Medicine and Texas Children’s Hospital Houston Department of Surgery Baylor College of Medicine and Texas Children’s HospitalHouston

Biliary atresia(BA), a chronic progressive cholestatic disease of infants, is the leading cause for liver transplant in children, especially in patients under two years of age. BA can be successfully treated with the Kasai portoenterostomy; however most patients still require a liver transplant, with up to one half of BA children needing a transplant by age two. In the current pediatric end-stage liver disease system, children with BA face the risk of not receiving a liver in a safe and timely manner. In this review, we discuss a number of possible solutions to help these children. We focus on two general approaches:(1) preventing/delaying need for transplantation, by optimizing the success of the Kasai operation; and(2) expediting transplantation when needed, by performing techniques other than the standard deceased-donor, whole, ABO-matched organ transplant.

关键词： Biliary atresia liver transplantation Pediatric liver disease Pediatric end-stage liver disease Kasai operation Newborn screening Surgical outcomes living-related donor transplantation Split liver transplantation ABO-incompatible liver transplantation

Dermatofibrosarcoma protuberans: from translocation to targeted therapy

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Cancer Biology & Medicine 2015年第4期12卷 375-384页

作者： Jonathan Noujaim Khin Thway Cyril.fisher Robin l.Jones Sarcoma Unit Royal Marsden NHS Foundation Trust

Dermatofibrosarcoma protuberans(DFSP), the most common dermal sarcoma, is a low-grade, slow growing fibroblastic malignant neoplasm that most frequently affects middle aged adults and is characterized by a high local recurrence rate and a low propensity for metastasis. Wide surgical resection or Mohs micrographic surgery(MMS) are the preferred approaches for localized disease, while radiation therapy is warranted for inoperable disease or for cases with positive margins where re-excision is not possible. DFSP is generally regarded as refractory to conventional chemotherapy. Treatment options for systemic disease were limited until the discovery of a unique translocation, t(17;22)(q22;q13)(COl1A1;PDGFB) found in a majority of cases. In recent years, imatinib, a PDGFβR, ABl and KIT inhibitor, has revolutionized systemic therapy in DFSP. In this review, we summarize the epidemiological, clinical, histological and genetic characteristics of DFSP and update the readers on its current management.

关键词： Dermatofibrosarcoma protuberans(DFSP) imatinib Mohs micrographic surgery(MMS) translocation targeted therapy

Exploring the associations between skeletal muscle echogenicity and physical function in aging adults:A systematic review with meta-analyses

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Journal of Sport and Health Science 2024年第6期13卷 820-840页

作者： Dustin J.Oranchuk Stephan G.Bodkin Katie l.Boncella Michael O.Harris-love Muscle Morphology Mechanicsand Performance LaboratoryDepartment of Physical Medicine and RehabilitationUniversity of Colorado Anschutz Medical CampusAuroraCO 80045USA Department of Physical Therapy

Background:Assessment and quantification of skeletal muscle within the aging population is vital for diagnosis,treatment,and injury/disease *** clinical availability of assessing muscle quality through diagnostic ultrasound presents an opportunity to be utilized as a screening tool for function-limiting ***,relationships between muscle echogenicity and clinical functional assessments require authoritative ***,we aimed to(a) synthesize the literature to assess the relationships between skeletal muscle echogenicity and physical function in older adults(≥60 years),(b) perform pooled analyses of relationships between skeletal muscle echogenicity and physical function,and(c) perform sub-analyses to determine between-muscle ***:CINAHl,Embase,MEDlINE,PubMed,and Web of Science databases were systematically searched to identify articles relating skeletal muscle echogenicity to physical function in older ***-of-bias assessments were conducted along with funnel plot ***-analyses with and without sub-analyses for individual muscles were performed utilizing fisher's Z transformation for the most common measures of physical ***'s Z was back-transformed to Pearson's r for ***:Fifty-one articles(n=5095,female=~2759,male=~2301,72.5± 5.8 years,mean±SD(1 study did not provide sex descriptors))were extracted for review,with previously unpublished data obtained from the authors of 13 *** rectus femoris(n=34) and isometric knee extension strength(n=22) were the most accessed muscle and physical qualities,*** relationship between quadriceps echogenicity and knee extensor strength was moderate(n=2924,r=-0.36(95% confidence interval:-0.38 to-0.32),p ll other meta-analyses(grip strength,walking speed,sit-to-stand,timed up-and-go) resulting in slightly weaker correlations(r:-0.34 to-0.23,all p lyses determined minimal differences in predicti

关键词： Correlations Echo intensity Elderly Intramuscular fat Strength