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Author's Experience (author + experience)
Selected AbstractsKeratoacanthoma: A Clinico-Pathologic EnigmaDERMATOLOGIC SURGERY, Issue 2004Robert A. Schwartz MD Background. Keratoacanthoma (KA) is an extraordinary entity. Once considered a benign neoplasm that resembled a highly malignant one (pseudomalignancy), it is now viewed in an opposite light as a cancer that resembles a benign neoplasm (pseudobenignity). Objective. The goal was to delineate the malignant potential of this neoplasm based on the author's experience and a review of recent data and research and to emphasize the KA as a possible part of an autosomal dominant familial cancer syndrome, the Muir,Torre syndrome. Methods. This is a review of the literature. Results. In this work, the KA is reviewed with recent advances emphasized. Conclusion. KA is an abortive malignancy that rarely progresses into an invasive SCC. The KA may serve as a marker for the important autosomal dominant familial cancer syndrome, the Muir,Torre syndrome, as a result of a defective DNA mismatch repair gene. [source] Powered Liposuction: An Evaluation of Currently Available InstrumentationDERMATOLOGIC SURGERY, Issue 5 2002Timothy Corcoran Flynn MD background. Over the past several years, powered liposuction instruments have become available to the dermatologic surgeon. These instruments all move the cannula forward and backward 2,12 mm with rapidity. This motion simulates the standard human movement of the cannula and facilitates movement through the tissue. Powered liposuction may help to prevent surgeon fatigue and has recently been shown to aid in the efficacy of fat removal. objective. To compare and contrast currently available powered liposuction instruments, to obtain objective engineering data on the instruments, and to compare the instruments when used on actual liposuction cases. methods. Five currently available powered liposuction systems were evaluated by the author. Each instrument was used with a 3 mm dual side port cannula on patients undergoing tumescent liposuction. An independent engineering firm, who collected objective measurements such as weight, stroke force, temperature, and vibration measurements on the instruments, evaluated the units. Noise measurements were obtained. results. Each of the five systems showed advantages and disadvantages. Important issues were the size and weight of the units, as well as whether they were driven electrically or pneumatically. Stroke force is variable (range 9.5,30 pounds). The noise of the units ranged between 60 and 87 dB. Vibration measurements varied from instrument to instrument. Units produced a variable amount of heat ranging from 77°F to 102°F. Most instruments are autoclavable, and one system is disposable. Build quality and reliability varied with the instrument. conclusion. Instruments for powered liposuction have emerged in the last 2 years, with each instrument having distinct advantages and disadvantages. This article reviews five currently available powered liposuction instruments and presents objective measurements as well as the author's experience using the instruments. [source] Building Community and Posting Projects: Creating "Student Pages" in Web-Based and Web-Enhanced CoursesFOREIGN LANGUAGE ANNALS, Issue 6 2001Laura G. McGee PhD She shows how web-based student pages used for community-building activities and the presentation of culture projects contribute to meeting the five C's , Communication, Cultures, Connections, Comparisons, and Communities , as they are outlined in the 1996 ACTFL Standards for Foreign Language Learning. Based on the author's experience with web-based student pages in an online German course, this article offers models that can be applied in both web-based and web-enhanced foreign language courses. [source] Changing Research Perspectives on the Management of Higher Education: Can Research Permeate the Activities of Manager-Academics?HIGHER EDUCATION QUARTERLY, Issue 3 2006Rosemary Deem The paper considers whether, and if so how, research evidence can permeate the world of higher education (HE) management in publicly funded institutions. The paper explores the author's experience of two recent research projects (1998,2000 and 2004) on aspects of managing UK HE institutions and issues arising from the preparation of the HE element of a third study of leadership and public service change agendas in education and health during 2004. Despite the topicality in education and other public services of debates about evidence-based practice, there is little indication that this debate has permeated HE management qua management. The paper utilises Bourdieu's work on academics and social and cultural capital to explore why manager-academics may resist taking the findings of research seriously in relation to their own work. It is suggested that, where there is reluctance to learn from research, this may reflect the changing nature of HE, the status of HE research as an academic field and form of academic capital and the relative paucity until recently of training in management for most UK manager-academics. [source] Computer solutions of Maxwell's equations in homogeneous mediaINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN FLUIDS, Issue 8 2003O. Pironneau Abstract This document is the material support for a talk given for JSIAM on the current methods for the computation of radar cross sections. The talk covers more than just computations of RCS and extends to any problem which involves the numerical solution of Maxwell's equations in homogeneous media. The talk is based on a review of the most recent papers in leading journals and on the author's experience. Copyright © 2003 John Wiley & Sons, Ltd. [source] An innovative approach to the theory and practice of organizational analysis: my journey with Elliott JaquesINTERNATIONAL JOURNAL OF APPLIED PSYCHOANALYTIC STUDIES, Issue 4 2005Aldo Schlemenson Abstract This article highlights the author's experience working with Elliott Jaques and his theory for over 35 years in Argentina. It examines the development of Jaques' theoretical approach to organizational theory over two decades, transforming from a psychological to a social theoretical framework. Emphasis is put in the notions of the organizational structure, the hierarchical managerial system, stratification, and the managerial accountability in a manner that allows for a systematic analysis. The "time-span of discretion" instrument is the means for evaluating jobs and for having access to extant organization. This approach allows a process of change combining effectiveness with a humanistic democratization of the workplace and ethics. This article provides examples of projects implemented in the public administration area, verifying the consistency of the theory and its practical applications, in particular concerning individual capabilities, the talent pool, and their evaluation. It contains a Foreword by Dr Carlos Silvani, International Monetary Fund, Washington, D.C. Copyright © 2005 John Wiley & Sons, Ltd. [source] Group Psychotherapy with Children on an Inpatient Unit: The MEGA Group ModelJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 1 2006Jay Reeve PhD TOPIC:,Psychotherapy group intervention with children based on the use of community meeting. PURPOSE:,To describe a model group intervention that is based on developmental level and applicable across a broad spectrum of behavioral and psychiatric disorders. The purpose of this paper is to discuss the development of this model on one inpatient unit, the benefits of the model and implication for future research, including a simple model of the stages of group development. SOURCES:,A review of the literature and the author's experience in the development of a model group intervention. CONCLUSION:,The model is a flexible and broadly applicable one, which may be utilized by a variety of staff, including relatively inexperienced line workers. [source] Accessing Self-development through Narrative Approaches in Child and Adolescent PsychotherapyJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 2 2005Janiece E. DeSocio PhD, PMHNP TOPIC:,Narrative psychotherapy with children and adolescents. PURPOSE:,To demonstrate the integration of developmental theory with narrative approaches to psychotherapy as a means of accessing self-development during childhood and adolescence. SOURCES:,Published literature and the author's experience in using narrative therapy with an 8-year-old and his foster mother. CONCLUSIONS:,When informed by developmental theory, narrative approaches can be used effectively with children and adolescents to assist them in constructing positive life stories that can influence their identity formation. [source] Attention Deficit Hyperactivity Disorder: Current Concepts and Underlying MechanismsJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2000Brenda J. Wagner PhD TOPIC. Neuropsychological concentration of attention deficit hyperactivity disorder (ADHD). PURPOSE. Survey of current understanding of underlying neural systems and pathways involved in ADHD and the relationship to specific behavioral patterns. SOURCES. Literature review, author's experience in neuropsychological assessment and clinical treatment. CONCLUSIONS. Clinicians will be able to specify treat men t interventions designed to compensate for specific behavioral patterns and functional deficits. [source] Medical rhinoplasty with hyaluronic acid and botulinum toxin A: a very simple and quite effective techniqueJOURNAL OF COSMETIC DERMATOLOGY, Issue 3 2008Alessio Redaelli MD Summary Objective, The management of nasal deformities, and in particular those with "plunging" tip, has always been a typical area of interest in surgery. In the author's experience many of these problems can be successfully approached with a new medical technique, which consists of using only hyaluronic acid for the correction of nasal angles and botulinum toxin for patients with hyperactivity of the depressor septi nasi muscle. The present study aims to illustrate this new technique and evaluates safety and results. Materials and methods, Ninety-five patients were treated between January 2006 and July 2007. The average age of the patients was 42.7 years. In 45% of the cases, botulinum toxin was employed. In all of the cases, the treatment was conducted with hyaluronic acid (24 mg/mL), the same substance used for face rejuvenation. The amount varied from 0.6 to 1.4 mL. Results Results were evaluated using a definitive graduated score calculated by patient's and doctor's satisfaction score (range, 1,10) and by photographs' score at time 0, after 30 days, and after 180 days. It ranged from 8 to 10 (average of 9.1). No significant side effects were reported. Conclusion, The medical rhinoplasty for a "plunging" nose is a simple and very effective technique with immediate results. It can be used in those cases where patients are reluctant to undergo surgery, or as primary indication in the correction of minor nose defects. Results are satisfactory and no side effects have been reported so far. Results will last for a long time. [source] Teaching Spirituality to Nurse Practitioner Students: The Importance of the Interconnection of Mind, Body, and SpiritJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 3 2001Margie Maddox EdD SpirituaLism is dormant, not dead, Let us hope. How to revive it, to rekindle it into life, is the great question , Florence Nightingale PURPOSE To describe the author's experience in locating and implementing a spiritual assessment tool in teaching a first semester clinical nurse prac-titioner (NP) course. DATA SOURCES Selected articles and responses of NP students to the use of the tool. CONCLUSIONS A spiritual assessment is an important component of a comprehensive health assessment. The use of a formal structured protocol provides a framework for beginning students to become comfortable with sprirituality and spiritual assessments and to begin to recognize spiritual distress in clients. IMPLICATIONS FOR PRACTICE The protocol used in the course is very extensive and might not be practical in a busy practice setting. An alternative, 4-point assessment is provided. [source] The design of single particle laser mass spectrometers,MASS SPECTROMETRY REVIEWS, Issue 2 2007Daniel M. MurphyArticle first published online: 16 OCT 200 Abstract This review explores some of the design choices made with single particle mass spectrometers. Different instruments have used various configurations of inlets, particle sizing techniques, ionization lasers, mass spectrometers, and other components. Systematic bias against non-spherical particles probably exceeds a factor of 2 for all instruments. An ionization laser tradeoff is the relatively poor beam quality and reliability of an excimer laser versus the longer wavelengths and slower response time of an Nd-YAG laser. Single particle instruments can make special demands on the speed and dynamic range of the mass spectrometers. This review explains some of the choices made for instruments that were developed for different types of measurements in the atmosphere. Some practical design notes are also given from the author's experience with each section of the instrument. Published 2006 Wiley Periodicals, Inc., Mass Spec Rev 26:150,165, 2007 [source] Clinical Practice: An Emphasis Strategy for Promotion and TenureNURSING FORUM, Issue 4 2003Linda S. Paskiewicz RN TOPIC Emphasizing clinical practice in promotion and tenure materials. PURPOSE To share a successful strategy centered on clinical practice with members of the tenure track, advanced practice nurse faculty. SOURCES Published literature, author's experience. CONCLUSIONS Creativity and planning can assist tenure track faculty members in emphasizing their clinical practice for promotion and tenure. Recognition and rewards for clinical practice beyond the school of nursing continue to be challenges in the larger university. [source] Academics and practitioners: nurses as intellectualsNURSING INQUIRY, Issue 2 2002Colin A. Holmes Academics and practitioners: nurses as intellectuals In the author's experience, nurse educators working in universities generally accept that they are ,academics', but dismiss suggestions that they are ,intellectuals' because they see it as a pretentious description referring to a small number of academics and aesthetes who inhabit a conceptual world beyond the imaginative capacity of most other people. This paper suggests that the concept of the ,intellectual', if not the word itself, be admitted into nursing discourse through the adoption of a non-élitist Gramscian understanding, similar to the more recently formulated conception of the reflective practitioner. According to the Italian Marxist scholar Antonio Gramsci, intellectuals are those people who develop ways in which to construct the conditions of their own existence, a possibility he believed was open to all. It is suggested that, from a Gramscian perspective, all nurses are intellectuals to varying degrees, and nurse educators should not only be nurturing their own intellectualism but also the potential for intellectualism as it exists within each individual. The ways in which this project are related to Habermasian critical theory are also briefly outlined. [source] Improving the effectiveness of process safety management in small companiesPROCESS SAFETY PROGRESS, Issue 4 2008Joseph F. Louvar Abstract Major accidents are continuing to injure people, and damage facilities and the environment. About 50% of these accidents are in plants that are covered by process safety management (PSM) and 50% are in smaller plants that are not covered. However, the damage is the same. Clearly the OSHA PSM regulation and recommendations by CSB, CCPS, PSP, etc. are not being used as specified. The objective of this paper is to express an enthusiastic support for these major excellent recommendations and to make a few additional recommendations that should enhance those previously listed. This article describes (a) specifically designed methods to improve the implementation of PSM and the above-mentioned recommendations and (b) additional plant practices for preventing accidents. The methods and practices presented in this article are especially important for smaller plants; most of the larger companies already have good systems to prevent accidents. However, since many of the large accidents are in PSM-covered plants, some of these larger plants may also benefit from these additional recommendations. One recommendation is that small companies, although not covered by PSM, should practice the intent of the regulation. At a minimum, companies should develop a document that is at least similar to the PSM documentation. However, this article emphasizes that this documentation is not enough because the management of the requirements is extremely difficult. Companies need to have a system that includes the PSM documents, communication, delegation, and follow-up to insure that the requirements are practiced as intended. Based on the author's experience, the use of additional plant practices such as an effective management system, internal audits, walk-the-line, and checklists will enhance the utilization of PSM. These practices are easy to use and will prevent accidents. More of these methods and practices are needed and should be shared between companies. © 2008 American Institute of Chemical Engineers Process Saf Prog, 2008 [source] Superfund site remediation by landfilling,overview of landfill design, operation, closure, and postclosure issuesREMEDIATION, Issue 3 2004G. Fred Lee This article discusses the appropriateness of using landfills as part of remediating hazardous chemical and Superfund sites, with particular emphasis on providing for true long-term public health and environmental protection from the wastes and contaminated soils that are placed in the landfills. On-site landfilling or capping of existing wastes is typically the least expensive approach for gaining some remediation of existing hazardous chemical/Superfund sites. The issues of the deficiencies in US EPA and state landfilling approaches discussed herein are also applicable to the landfilling of municipal and industrial solid "nonhazardous" wastes. These deficiencies were presented in part as "Problems with Landfills for Superfund Site Remediation" at the US EPA National Superfund Technical Assistance Grant Workshop held in Albuquerque, New Mexico, in February 2003. They are based on the author's experience in investigating the properties of landfill liners and the characteristics of today's landfills, relative to their ability to prevent groundwater pollution and to cause other environmental impacts. Discussed are issues related to both solid and hazardous waste landfills and approaches for improving the ability of landfills to contain wastes and monitor for leachate escape from the landfill for as long as the wastes in the landfill will be a threat. © 2004 Wiley Periodicals, Inc. [source] La Vida Matizada: Time Sense, Everyday Rhythms, and Globalized Ideas of WorkANTHROPOLOGY & HUMANISM, Issue 2 2009David Syring SUMMARY This article explores three instances of the frictions and negotiations that are sparked by specific transnational encounters with global capitalist temporality. Capitalist ideas about the proper ways to organize time and labor have long dominated global practices. Such ideas simultaneously force acceptance of a limited model of the proper relationships between work and everyday life. This article provides ethnographic descriptions of the work rhythms of three men in interconnected contexts,those of an indigenous Saraguro (Ecuador) man, the experience of a migrant Saraguro man who works in industrial agriculture in the United States, and the author's experience as an academic. [source] The interface between the child welfare and criminal justice systems in EnglandCHILD ABUSE REVIEW, Issue 5 2004Jenny Gray Abstract The development of government guidance can seem a mysterious process to those outside government. This paper, which draws on the author's experience, is intended to give some insight into how guidance in two areas,child witnesses and children involved in prostitution,was developed within the existing legal framework. Since that time, the Sexual Offences Act 2003 has come into force in England and Wales and the Children Bill is currently before Parliament. The paper begins by setting out the key legislation, regulations and guidance that underpinned the child welfare and criminal justice systems as they related to child protection at the time the guidance was being developed. It then describes how the different guidance documents relate to each other and the implications for practice. The development of speci,c guidance is drawn upon to illustrate some of the tensions that had to be resolved during the drafting and the processes by which they were ,nalized for approval by the Government. A key area requiring careful consideration was the differences between the family and criminal justice systems. In the former, the welfare of the child is paramount when making decisions and in the latter, the court has a duty to ensure the defendant has a fair trial. Copyright © 2004 John Wiley & Sons, Ltd. [source] Writing the reflexive self: an autoethnography of alcoholism and the impact of psychotherapy cultureJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 7 2010A. GRANT ba (hons) ma phd cert res meth pgctlhe, enb 650 cert Accessible summary ,,Experimental ethnography allows for the use of fiction in writing. Fiction both enables the preservation of anonymity in accounts based on real people and events and breaks down the barrier between art and science in ethnographic work. The use of fiction, which should not be regarded as synonymous with falsehood, arguably facilitates telling tales in a dramatic and enjoyable way. It is also a useful way of ,writing the self', so that the researcher and the researched become one and the same. Writing the self means using fiction and other literary tools to both construct and clarify the person being written about. In the case of autoethnography, this person is both the researcher and the researched. ,,The short story, which forms the heart of this paper, is based on the author's battle with alcoholism over two decades. It utilizes literary devices, including poetry, time changes, and moves from describing the main protagonist in the story in first to third person. The story describes the author's experiences of feeling increasingly stigmatized and treated as ,other' by members of the humanistic counselling and therapy fraternity. ,,The paper draws to an end with a theoretical discussion of the development of selfhood in society, including the ways in which alcoholic selves can become stigmatized and ,othered'. The author invites readers to contribute towards ending ,us,them' divisions. Abstract Experimental ethnography enables the use of fictionalized accounts that celebrate partial truths and challenge realist and positivist ethnographic authority. Literary devices drawn from fiction arguably allow social researchers to better portray real events. Fiction, which should not be regarded as synonymous with falsehood, enables the telling of tales in dramatic and enjoyable ways. In this account , an autoethnography of alcoholism and the impact of therapy culture , the author's intention is not to make claims for a final word or closure on the topics raised, and juxtaposed with appropriate social theory. It is rather hoped that the text will trigger further meaning creation on the part of the reader and, in terms of praxis, contribute towards creating a kinder and more humane mental health nursing and therapy practice and in the ,off duty' world. [source] Non-Linear Model Predictive Control: A Personal Retrospective,THE CANADIAN JOURNAL OF CHEMICAL ENGINEERING, Issue 4 2007B. Wayne Bequette Abstract An overview of non-linear model predictive control (NMPC) is presented, with an extreme bias towards the author's experiences and published results. Challenges include multiple solutions (from non-convex optimization problems), and divergence of the model and plant outputs when the constant additive output disturbance (the approach of dynamic matrix control, DMC) is used. Experiences with the use of fundamental models, multiple linear models (MMPC), and neural networks are reviewed. Ongoing work in unmeasured disturbance estimation, prediction and rejection is also discussed. On présente un aperçu général du contrôle prédictif par modèles non linéaires (NMPC), en mettant l'accent en particulier sur les expériences des auteurs et les résultats publiés. Les défis incluent des solutions multiples (à partir des problèmes d'optimisation non convexes), ainsi que la divergence entre les sorties de modèle et d'installation lorsque la perturbation de sortie additive constante (la méthode du contrôle de matrice dynamique, DMC) est utilisée. Les expériences avec les modèles fondamentaux, les modèles linéaires multiples (MMPC) et les réseaux neuronaux sont examinées. Le travail actuellement mené sur l'estimation, la prédiction et le rejet des perturbations non mesurées est également examiné. [source] Teaching the Politics of Obesity: Insights into Neoliberal Embodiment and Contemporary BiopoliticsANTIPODE, Issue 5 2009Julie Guthman Abstract:, This article reflects on the author's experiences teaching an undergraduate lecture course on the politics of obesity. The course involved a critical examination of the construction and representation of the so-called epidemic of obesity and the major causal explanations for the rise in obesity. Students were unusually discomfited by the course and invoked pedagogical concerns and instructor embodiments in expressing their reactions. Student responses demonstrate how obesity talk reflects and reinforces neoliberal rationalities of self-governance, particularly those that couple bodily control and deservingness and see fatness as weakening the health of the body politic. The course also animated many students to scrutinize more deeply their own diet and exercise practices. I argue that the intensity of reaction stems from the productive power of the discourse of obesity and considerable investment students had in their bodies as neoliberal subjects. Besides classroom observations, the data in this paper are taken from student journals. [source] An independent person in action under the Children Act 1989 complaints procedureCHILDREN & SOCIETY, Issue 4 2001Gillian Bridge Under Section 26 (4) of the Children Act 1989, local authorities are obliged to appoint independent people to participate in investigations at stage two of the complaints procedure. The nature of their role and tasks were ill defined by the Department of Health Guidance (1991), and hitherto there has been little research in this area. Using the author's experiences, this discussion paper examines some of the dilemmas of undertaking this role, and raises questions about how independent people are meeting legal requirements. From the material discussed here, it appears that the system of including independent people in complaints' investigations is not meeting the intended objectives of ensuring that complaints by young people themselves benefit from impartial scrutiny. Instead, independent people are mainly engaged with investigating officers in unravelling complex situations, many with long histories of serious breakdowns in communication between parents, carers and local authority children's services. In the light of these findings, the Department of Health's recent consultation paper, Listening to People is welcome, although rather disappointing in restricting its attention largely to procedural issues. In this paper the author promotes greater attention to the growing expertise of independent people currently investigating complaints. Additionally it is recommended that a more accessible means for young people to complain should be devised. Copyright © 2001 John Wiley & Sons, Ltd. [source] Contribution of neuroinflammation in burning mouth syndrome: indications from benzodiazepine useDERMATOLOGIC THERAPY, Issue 2008Fabrizio Guarneri ABSTRACT: Characterized by burning and painful oral sensations in absence of clinically significant mucosal abnormalities, the burning mouth syndrome is, despite numerous researches made, basically idiopathic and, consequently, difficult to treat effectively. Therapy with tricyclic antidepressants and benzodiazepines has been proposed, although the exact pathomechanism is not clear. The objective of this study is to define the possible reasons for the efficacy of benzodiazepines in the treatment of the burning mouth syndrome. Starting from the report of eight cases successfully treated with prazepam, the present authors examined the clinical features and the evidence from literature that support the possibility of a role of neuroinflammation in the pathogenesis of the burning mouth syndrome. Available data suggest that the nervous system could be crucial in the pathogenesis of the syndrome (altered perception of pain, disturbance of neural transmission, increased excitability, negative involvement of trigeminal-vascular system), and the present authors' experience lets them suppose a role for neuroinflammation. This hypothesis could also explain the positive response to benzodiazepines in some patients. The important role of neuroinflammation in dermatologic and oral diseases has been only recently investigated and acknowledged. Further studies on the connection between neuroinflammation and burning mouth syndrome could open interesting perspectives in the understanding and management of this difficult clinical condition. [source] Current Applications of Microarrays in Head and Neck Cancer ResearchTHE LARYNGOSCOPE, Issue 2 2004FRCS Eng, Giles C. Warner MSc Abstract Objectives/Hypothesis: The objective was to introduce microarray technology and its applications in cancer research to the head and neck clinician. Study Design: Literature review combined with methodology and examples from the authors' experiences with microarray analysis of tumors of the head and neck. Methods: Search of literature and the authors' experience was made for technical details, alternative methods of data analysis, available bioinformatics tools, and applications of microarrays in cancer research. Results: Microarrays allow the simultaneous analysis of the expression of thousands of genes. The use of a well-developed microarray study design leads to informative results. There are various bioinformatics resources widely available to aid in the analysis of microarray data. However, there is not yet a gold standard for analysis because this methodology is still evolving. Conclusion: Microarray studies may allow researchers to identify genetic changes relevant to diagnosis and prognosis in patients with head and neck cancer. Although still relatively new, this powerful methodology has immense potential to aid in understanding of the genetic changes that are important in head and neck cancer. [source] Increased Mental Health Needs and New Roles in School CommunitiesJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2003Janis Hootman PhD TOPIC Mental health issues and partnership roles in school communities. PURPOSE To heighten the awareness of healthcare providers about the multiple mental health conditions students bring into school communities and the impact of these conditions on students' ability to learn; to encourage partnering between healthcare providers and educators to support students in achieving academic and developmental success. SOURCES Literature review and authors' experiences with assessment of and intervention with school-age children presenting with impaired mental health. CONCLUSIONS Health and education systems must increase their partnerships on behalf of children for a healthy future. [source] Legislative Issues Impacting On The Practice Of The South African Nurse PractitionerJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 1 2002Nelouise Geyer Purpose To present an overview of the impact of the nurse practitioner (NP) on the South African health care arena and describe the legislative framework for NP practice. Data Sources Statutes and laws of the government of South Africa; published professional guidelines; authors' experiences. Conclusions The key challenges for NPs in South Africa lie in lobbying for enabling legislation, obtaining access to education and training opportunities, and managing risks within the rapidly changing environment. Implications for Practice Some aspects of the NP's accountability and responsibilities have as yet not been adequately addressed in the current legislative framework and will certainly increase the risk for malpractice. South African NPs will have to establish partnerships with important role players, not only in South Africa, but also internationally, to ensure that an enabling environment for quality health services is created. [source] Current Applications of Microarrays in Head and Neck Cancer ResearchTHE LARYNGOSCOPE, Issue 2 2004FRCS Eng, Giles C. Warner MSc Abstract Objectives/Hypothesis: The objective was to introduce microarray technology and its applications in cancer research to the head and neck clinician. Study Design: Literature review combined with methodology and examples from the authors' experiences with microarray analysis of tumors of the head and neck. Methods: Search of literature and the authors' experience was made for technical details, alternative methods of data analysis, available bioinformatics tools, and applications of microarrays in cancer research. Results: Microarrays allow the simultaneous analysis of the expression of thousands of genes. The use of a well-developed microarray study design leads to informative results. There are various bioinformatics resources widely available to aid in the analysis of microarray data. However, there is not yet a gold standard for analysis because this methodology is still evolving. Conclusion: Microarray studies may allow researchers to identify genetic changes relevant to diagnosis and prognosis in patients with head and neck cancer. Although still relatively new, this powerful methodology has immense potential to aid in understanding of the genetic changes that are important in head and neck cancer. [source] Bridging the Gap: How Can Information Access and Exchange Between Conservation Biologists and Field Practitioners be Improved for Better Conservation Outcomes?BIOTROPICA, Issue 5 2009Terry Sunderland ABSTRACT It is widely accepted that there is a considerable gap between the science of conservation biology and the design and execution of biodiversity conservation projects in the field and science is failing to inform the practice of conservation. There are many reasons why this implementation gap exists. A high proportion of papers published in scientific journals by conservation biologists are seldom read outside of the academic world and there are few incentives for academics to convert their science into practice. In turn, field practitioners rarely document their field experiences and experiments in a manner that can meaningfully inform conservation scientists. Issues related to access to scientific literature, scientific relevance in multidisciplinary environments, donor expectations and a lack of critical analysis at all levels of conservation theory and practice are factors that exacerbate the divide. The contexts in which conservation biologists and field practitioners operate are also often highly dissimilar, and each has differing professional responsibilities and expectations that compromise the ability to learn from each other's expertise. Building on recent debate in the literature, and using case studies to illustrate the issues that characterize the divide, this paper draws on the authors' experiences of project management as well as academic research. We identify five key issues related to information exchange: access to scientific literature, levels of scientific literacy, lack of interdisciplinarity, questions of relevance and lack of sharing of conservation-related experiences and suggest new ways of working that could assist in bridging the gap between conservation scientists and field practitioners. [source] | |||||||||||||||||||||||||||||||