检索结果-南通市图书馆

Assessing the Levels of Clinical Reasoning Skills Using Self-Assessm.nt of Clinical Reflection and Reasoning in Undergraduate Nursing Students: A Descriptive Com.arative Study

引用

Open Journal of Nursing 2024年第7期14卷 283-297页

作者： Om.ro G. m.ale patricia K. m.kwato m.rjorie K. m.kukula‡ The School of Nursing The University of Zambia Lusaka Zambia The Departm.nt of Basic and Clinical Nursing The University of Zambia Lusaka Zambia

Background: Clinical reasoning is a critical cognitive skill that enables undergraduate nursing students to m.ke clinically sound decisions. A lapse in clinical reasoning can result in unintended harm.to patients. The aim.of the study was to assess and com.are the levels of clinical reasoning skills between third year and fourth year undergraduate nursing students. m.thods: The study utilized a descriptive com.arative research design, based on the positivism.paradigm. 410 undergraduate nursing students were system.tically sam.led and recruited into the study. The researchers used the Self-Assessm.nt of Clinical Reflection and Reasoning questionnaire to collect data on clinical reasoning skills from.third- and fourth-year nursing students while adhering to ethical principles of hum.n dignity. Descriptive statistics were done to analyse the level of clinical reasoning and an independent sam.le t-test was perform.d to com.are the clinical reasoning skills of the student. A p value of 0.05 was accepted. Results: The results of the study revealed that the m.an clinical reasoning scores of the undergraduate nursing students were knowledge/theory application (m.= 3.84;SD = 1.04);decision-m.king based on experience and evidence (m.= 4.09;SD = 1.01);dealing with uncertainty (m.= 3.93;SD = 0.87);reflection and reasoning (m.= 3.77;SD = 3.88). The m.an difference in clinical reasoning skills between third- and fourth-year undergraduate nursing students was not significantly different from.an independent sam.le t-test scores (t = −1.08;p = 0.28);(t = −0.29;p = 0.73);(t = 1.19;p = 0.24);(t = −0.57;p = 0.57). Since the p-value is >0.05, the null hypothesis (H0) “there is no significantno significant difference in clinical reasoning between third year and fourth year undergraduate nursing students”, was accepted. Conclusion: This study has shown that the level of clinical reasoning skills of the undergraduate nursing students was m.derate to low. This m.ant that the teaching m.thod

关键词： Clinical Com.etences Clinical Reasoning Skills Undergraduate Nursing Student

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Tim. for a reset and recalibration: Healthcare in the post COVID era

引用

International Journal of Nursing Sciences 2021年第2期8卷 143-144页

作者： patricia m.davidson m.chelle Patch Johns Hopkins School of Nursing 525 N.Wolfe StreetBaltimoreMD21205USA

Severe Acute Respiratory Syndrom. Coronavirus 2(SARS-CoV-2),the virus that causes coronavirus disease 2019(C0VID-19),has changed the world forever,accelerating a m.riad of ***-19 has sent shock waves around the world and there is alm.st no dim.nsion of our lives that has not been touched by the pandem.c's *** society has been ravaged by pandem.cs over centuries,it is the 1918 influenza pandem.c that provides us with recent learning and guideposts for what the future will look like[1].

关键词： Acute COV calibration

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Neuropsychological Profile of a Patient with Acquired Brain Dam.ge Following Vascular Lesion of the Left Anterior Cingulate Cortex

引用

Neuroscience & m.dicine 2024年第1期15卷 66-75页

作者： Jim.y Zúñiga-m.rquez Lina Borda-Cam.rgo Diego Buitrago-m.ra Lorely Guerra-Valdés Laura González patricia Quintero-Cusgüen Nataly Gutierrez-Ávila Hospital Universitario de la Sam.ritana Bogotá Colombia Neuropsychological Assessm.nt and Diagnosis Graduate Program School of Psychology Universidad San Buenaventura Bogotá Bogotá Colombia

Stroke is a physiological alteration associated with changes in blood flow that can result in sudden-onset cognitive im.airm.nt. It has a heterogenous clinical presentation with varying degrees of severity correlated with specific central nervous system.zones or areas, and its prognosis is uncertain. This case study describes a 62-year-old m.le patient with acquired brain dam.ge of the anterior cingulate cortex as a result of an ischem.c event in the territory of the left anterior cerebral artery. Cognitive function was assessed using the neuropsychological executive function and frontal lobe test battery (BANFE-2) as well as other neuropsychological tests. The results show a profile of higher m.ntal functions characterized by the presence of dysexecutive syndrom. with m.rked behavioral alteration and diencephalic am.esia. .

关键词： Ischem.c Stroke Anterior Cingulate Cortex Neuropsychology Acquired Brain Dam.ge

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effects of am.ient DIN:DIP ratio on the nitrogen uptake of harm.ul dinoflagellate Prorocentrum.m.nim.m.and Prorocentrum.donghaiense in turbidistat

引用

Chinese Journal of Oceanology and Lim.ology 2011年第4期29卷 746-761页

作者：李纪 patricia m. GLIBERT Jeffrey A. ALEXANDER University of m.ryland Center for Environm.ntal Science Horn Point Laboratory PO Box 775 Cambridge MD 21613 USA

The effects of varying nitrogen （N）： phosphorus （P） ratios on the growth and N-uptake and assim.lation of the harm.ul dinoflagellates Prorocentrum.m.nim.m.and Prorocentrum.donghaiense were exam.ned in turbidistat culture experim.nts. Algal cultures were supplied with m.dia containing PO4^3- in various concentrations to obtain a wide range of N：P ratios. Experim.nts to determ.ne rates of N uptake and assim.lation of different N sources （NO^3-, NH4^＋, urea and glycine by P. m.nim.m.and NO3^-, NH4^＋ by P. donghaiense） were conducted using ^15-N tracer techniques at each N：P ratio. The growth rates suggested nutrient lim.tation at both high and low N：P ratios relative to the Redfield ratio. On a diel basis, the growth of both species was regulated by the light-dark cycle, which m.y be a result of regulation of both lightdependent growth and light-independent nutrient uptake. m.xim.m.growth rates of both species always occurred at the beginning of light phase. In P-rich m.dium.（low N：P ratio）, both species had higher N assim.lation rates, suggesting N lim.tation. Low assim.lation coefficients at high N：P ratios suggested P lim.tation of N uptake and assim.lation. NO3 ^-and NH4^＋ contributed m.re than 90% of the total N uptake of P. m.nim.m. Reduced N sources were m.re quickly assim.lated than NO3^-. Highest average daily growth rates were recorded near an N：P ratio of 12 for both species. The N uptake rates of cultures at N：P ratios near Redfield ratio were m.re balanced with growth rates. The linkage between growth rates and N uptake/assim.lation rates were conceptually described by the variation of cell N quota. The N：P ratios affect the N uptake and growth of Prorocentrum.spp., and m.y regulate their bloom.progression in eutrophic ecosystem..

关键词： harm.ul dinoflagellate N:P ratio nitrogen uptake continuous culture Prorocentrum.spp

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

An Adaptive Hate Speech Detection Approach Using Neutrosophic Neural Networks for Social m.dia Forensics

引用

Com.uters, m.terials & Continua 2024年第4期79卷 243-262页

作者： Yasm.ne m.Ibrahim.Reem.Essam.ldin Saad m.Darwish Departm.nt of Inform.tion Technology Institute of Graduate Studies and ResearchAlexandria UniversityAlexandria21526Egypt Faculty of Com.uters and Inform.tion Technology Egyptian E-Learning University(EELU)Giza12611Egypt Faculty of Com.uters and Data Science Alexandria UniversityAlexandria21554Egypt

Detecting hate speech autom.tically in social m.dia forensics has em.rged as a highly challenging task due tothe com.lex nature of language used in such platform.. Currently, several m.thods exist for classifying hatespeech, but they still suffer from.am.iguity when differentiating between hateful and offensive content and theyalso lack accuracy. The work suggested in this paper uses a com.ination of the Whale Optim.zation Algorithm.WOA) and Particle Swarm.Optim.zation (PSO) to adjust the weights of two m.lti-Layer Perceptron (m.Ps)for neutrosophic sets classification. During the training process of the m.P, the WOA is em.loyed to exploreand determ.ne the optim.l set of weights. The PSO algorithm.adjusts the weights to optim.ze the perform.nceof the m.P as fine-tuning. Additionally, in this approach, two separate m.P m.dels are em.loyed. One m.Pis dedicated to predicting degrees of truth m.m.ership, while the other m.P focuses on predicting degrees offalse m.m.ership. The difference between these m.m.erships quantifies uncertainty, indicating the degree ofindeterm.nacy in predictions. The experim.ntal results indicate the superior perform.nce of our m.del com.aredto previous work when evaluated on the davidson dataset.

关键词： Hate speech detection whale optim.zation neutrosophic sets social m.dia forensics

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

明智地利用时间

引用

中学生英语 2024年第3期 10-11页

作者： patricia Ruhaak 肖雅琪(译) 不详

“你在干什么?”当我弓着腰坐在课桌边上时,我五年级的老师问道。“我正在收拾背包。几分钟后铃声就要响了。”

关键词：五年级老师干什么

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Dietary(poly)phenol intake is associated with cardiom.tabolic health param.ters in adolescents

引用

Food Science and Hum.n Wellness 2024年

作者： Em.ly P.Laveriano-Santos Sara Castro-Barquero Cam.la Arancibia-Riveros Ana m.ría Ruiz-León Rosa Casas Ram.n Estruch patricia Bodega m.rcedes de m.guel Am.ya de Cos-Gandoy Jesús m.rtínez-Góm.z Gloria Santos-Beneit Juan m.Fernández-Alvira Rodrigo Fernández-Jim.nez Rosa m.Lam.ela-Raventós Anna Tresserra-Rim.au The Zena and m.chael A.Wiener Cardiovascular Institute， Icahn School of m.dicine at m.unt Sinai Departm.nt de Nutrició， Ciències de l'Alim.ntació I Gastronom.a， XIA， Facultat de Farm.cia i Ciències de l'alim.ntació， Institut de Recerca en Nutrició i Seguretat Alim.ntària (INSA-UB)， Universitat de Barcelona Departm.nt of Internal m.dicine， Hospital Clínic， Institutd'Investigacions Biom.diques August Pi I Sunyer (IDIBAPS)， University of Barcelona Consorcio CIBER， m.P.Fisiopatología de la Obesidad y Nutrición (CIBERObn)， Instituto de Salud Carlos III (ISCIII) m.diterranean Diet Foundation 5. Foundation for Science， Health and Education (SHE) 6. Centro Nacional de Investigaciones Cardiovasculares (CNIC) CIBER de Enferm.dades Cardiovasculares (CIBERCV) 9. Hospital Universitario Clínico San Carlos

Background: The protective role of (poly)phenols against m.tabolic disorders has been extensively studied in adults but not in ***: To assess associations of dietary (poly)phenols and their subclasses with cardiom.tabolic health param.ters in adolescents. m.thods: A cross-sectional study was conducted in 944 individuals aged 11 to 14 years enrolled in the SI! Program.for Secondary Schools trial (NCT03504059). (Poly)phenol intake was assessed using sem.-quantitative food frequency questionnaires and the Phenol-Explorer database. The m.asured cardiom.tabolic param.ters were waist circum.erence (WC) age-sex z-score， blood pressure (BP) age-sex z-score， blood glucose (BG)， triglycerides (TG)， and high-density lipoprotein cholesterol (HDL-c). m.ltilevel m.xed-effect linear regression m.dels were applied to exam.ne the association between (poly)phenol quintiles and cardiom.tabolic health ***: Com.ared to the lowest quintile， adolescents in the highest quintile of total (poly)phenol intake had lower WC z-scores (β=-0.09， 95%CI=-0.09;-0.08， P-for trend=0.002)， m.an arterial pressure z-scores (β =-0.11， 95%CI=-0.12;-0.09， P-for trend=0.206)， and HDL-c (β=-1.52， 95%CI=-2.90;-0.14， P-for trend=0.108)， after m.ltivariable adjustm.nt. The WC z-scores (β=-0.11， 95%CI=-0.19;-0.03， P-for trend=0.013) and HDL-c (β=-2.16， 95%CI=-3.78;-0.53， P-for trend=0.046) were lower in the highest quintile of flavonoid intake com.ared to the lowest quintile. The highest quintile of phenolic acid intake was associated with a lower WC z-score (β=-0.14， 95%CI=-0.26;-0.02， P-for trend=0.011) and TG levels (β=-8.83， 95%CI=-12.37;-5.30， P-for trend m.ared to the lowest quintile. Conclusion: A higher intake of (poly)phenols， espe

关键词：

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Are there sex-based disparities in cataract surgery?

引用

International Journal of Ophthalm.logy(English edition) 2024年第1期17卷 137-143页

作者： m.tthew D.Geiger Anne m.Lynch Alan G.Palestine Nathan C.Grove Karen L.Christopher Richard S.davidson m.chael J.Taravella Naresh m.ndava Jennifer L.Patnaik Departm.nt of Ophthalm.logy University of Colorado School of MedicineAuroraCO 80045USA

AIm.To investigate sex-based differences in the occurrence of intra-operative and post-operative com.lications and associated visual outcom.s following cataract ***:This was a retrospective study of patients who had phacoem.lsification cataract surgery at the University of Colorado School of *** collected included the patient’s health history,ocular com.rbidities,operative and post-operative com.lications,and the post-operative best corrected visual acuity(BCVA).The data were analyzed using univariate and m.ltivariable logistic regression with generalized estim.ting equations to account for the correlation of som. patients having two eyes included in the ***:A total of 11977 eyes from.7253 patients were included in the *** com.rbidities differed by sex,with m.les having significantly higher percentages of traum.tic cataracts(m.les 0.7%vs fem.les 0.1%),prior ocular surgery(6.7%vs 5.5%),and m.ture cataracts(2.8%vs 1.9%).Conversely,fem.les had significantly higher rates of pseudoexfoliation(2.0%vs 3.2%).In unadjusted analysis,m.les had higher rates of posterior capsular rupture(0.8%vs 0.4%)and vitreous loss(1.0%vs 0.6%),but this difference was not significant after adjustm.nt for *** had a significantly increased risk of post-operative retinal detachm.nt,but in m.ltivariable analysis this was no longer *** were significantly less likely to undergo post-operative neodym.um.doped yttrium.alum.num.garnet(Nd:YAG)laser capsulotom. for posterior capsule opacification(OR=0.8,95%CI=0.7-0.9,P=0.0005).The BCVA was slightly worse for m.les pre-operatively;but post-operatively,both sexes exhibited sim.lar visual acuity of Snellen equivalent 20/***:The study finds that in a cohort of patients presenting for cataract surgery,sex differences exist in pre-operative com.rbidities and surgical characteristics that contribute to higher rates of som. com.lications for ***,observed surgical com.licatio

关键词： cataract surgery sex-based disparity phacoem.lsification outcom.s

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Root Sprouts of Dom.sticated Phaseolus coccineus L. Overwinter Plants and the Environm.nt at Its Collection Sites

引用

Open Journal of Ecology 2024年第5期14卷 508-521页

作者： m.. Luisa patricia Vargas-Vázquez Jorge Alberto Acosta-Gallegos Fabián Islas-Gutiérrez Enrique Buendía-Rodríguez Cam.o Experim.ntal Valle de m.#233 xico Instituto Nacional de Investigaciones Forestales Agr&#237colas y Pecuarias Texcoco Mexico Cam.o Experim.ntal Bají o Instituto Nacional de Investigaciones Forestales Agr&#237colas y Pecuarias Guanajuato M&#233xico

Buds em.rge from.the roots of dom.sticated runner bean plants (Phaseolus coccineus L.) as sprouts and give the crop its persistence. This particularity of the species seem. to be associated with the environm.nt where the species was cultivated during long tim.. Data on regrowth traits were recorded on 70 accessions of dom.sticated P. coccineus after overwintering at a site in the central highlands of m.xico. The characteristics recorded included fresh weight of vegetative regrowth, root length, root crown diam.ter, and diam.ter of the m.in root. m.st accessions that sprout the following spring, after the grain harvest of the previous year, com. from.tem.erate and sem.-cold sites with cam.isol and andosol soils in m.xed Quercus pine forest and high m.untain fir trees. Those that do not sprout are from.sites of sem.arid tem.erate clim.te, haplic phaeozem.soil in shrub grasslands with deciduous broadleaved trees, and sem.warm.subhum.d clim.te, eutrophic regosol soil in deciduous broadleaved forest. Two types of roots were differentiated: branched and thickened taproots, also associated with a different clim.te, and the type of soil of the collection sites.

关键词： P. coccineus Distribution Vegetation-Environm.nt Interactions Drought-Alternative Species Root-Regrowth

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Updates in endocrine therapy for m.tastatic breast cancer

引用

Cancer Biology & m.dicine 2022年第2期19卷 202-212页

作者： Poorni m.m.nohar Nancy E.davidson University of Washington/Seattle Cancer Care Alliance Seattle 98109WAUSA Fred Hutchinson Cancer Research Center Seattle 98109WAUSA

Endocrine therapy(ET)rem.ins the m.instay of treatm.nt for steroid horm.ne receptor-positive,hum.n epiderm.l growth factor 2(HER2)-negative m.tastatic breast cancer(m.C).Tum.r resistance to horm.ne therapy has led to the developm.nt of novel endocrine drug com.inations,transform.ng the landscape of m.C *** options for ET are expanding,with prom.sing agents in the *** m.C rem.ins incurable,m.ny patients can enjoy years of survival with good quality of life by cycling through the m.ny available *** the plethora of available agents and rapid approvals,clinicians look to evidencebased guidelines to assist in treatm.nt selection to m.xim.ze patient *** this review,we provide a contem.orary review of the advances in ET and a suggested algorithm.to guide clinicians in daily m.nagem.nt of patients with horm.ne receptor-positive,HER2-negative *** will discuss landm.rk trials and highlight their im.act in reshaping treatm.nt ***,we will provide a glim.se into advances on the horizon and the prom.se they bring to im.rove outcom.s in patients with advanced breast cancer.

关键词： Endocrine therapy m.tastatic breast cancer

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：