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Significant Issues (significant + issues)
Selected AbstractsThe LSIE Report and IMLS: Supporting Learning in the Informal Environments of Museums and LibrariesCURATOR THE MUSEUM JOURNAL, Issue 2 2010Marsha L. Semmel Learning Science in Informal Environments: People, Places, and Pursuits (LSIE) is a milestone in a continuing quest to understand and articulate the impact of informal learning experiences. Its recommendations identify significant issues for future research and practice, with implications beyond science learning. This article places the report in the context of previous and future IMLS work, including increased agency focus on,and resources for,research, evaluation, collaborative projects, and professional development. [source] Australian implantable cardiac defibrillator recipients: Quality-of-life issuesINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 2 2002Dianne Pelletier RN BSci(Nurs), DipEd, FRCNA, MasterSci(Soc) Implantable cardioverter defibrillators (ICDs) have become a well-established therapy for people experiencing potentially lethal dysrhythmias. Australian recipients' quality of life and adjustment to the device over time, device-related complications, shock and associated sensations, and potential sequelae have not been widely explored. This paper reports a longitudinal prospective study of Australian ICD recipients (n = 74) to determine their responses to the device, health-related quality of life over time and shock experiences. A questionnaire designed for the study and the Medical Outcomes Trust Quality of Life Instrument, the SF36, were completed by recipients prior to and at 3 and 12 months post insertion. Results show that quality of life decreased for general health and social function between 3 and 12 months. Nearly half (49%) of the recipients received shocks within 12 months and the majority (92%) of these experienced sequelae that could make driving hazardous. Half of the population (49%) were driving at 3 months and 69% by 12 months, including 67% of those who had been shocked. Twenty-seven percent were hospitalized with device-related complications. Driving, the shock experience and rehospitalization, the shock experience and driving behaviour are significant issues for those with the implanted device. While it is a limitation of the study that partners and carers were not included, these findings will also be of interest to them. [source] Gay men's holiday destination choice: a case of risk and avoidanceINTERNATIONAL JOURNAL OF TOURISM RESEARCH, Issue 4 2002Howard Hughes Abstract Gay men are subject to discrimination and social disapproval in many parts of the world. This paper examines the possible impact of this on choice of holiday destination, drawing on the concepts of risk and destination avoidance. A number of interviews were held with gay men and it was concluded that risk of adverse reactions and of the need to modify behaviour were significant issues in destination avoidance and choice. It is possible, as a consequence, to classify holiday-taking by gay men into a typology including gay-centric and gay-related. In addition, it is appropriate to modify existing models of risk-avoidance through the addition of the risks that are more applicable to gay men than to other tourists. Copyright © 2002 John Wiley & Sons, Ltd. [source] Perfect Masters of Their Art: Re-imagining ExpertiseJOURNAL OF ARCHITECTURAL EDUCATION, Issue 3 2000Peter Schneider This essay examines the testimony presented in a court action that took place in Utrecht, Holland in 1542. It uses the trial as a case study that illustrates and elaborates the significant issues that emerge when the basis of any professional expertise is challenged and tested. It suggests that the case presents us with a model for understanding one way in which the professions make use of specialized definitions of their expertise to circumscribe and defend the privileged domains of their beliefs and practices. It also provides us with a documented example of the way in which the new, platonic view of the architect framed by both Vitruvius and Alberti was rapidly received, adopted, and diffused in postmedieval Europe. [source] Geropsychiatric consultation in a general hospital in TaiwanPSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 3 2005YEONG-YUH JUANG md Abstract, The aim of this study was to characterize clinically significant issues in a psychiatric consultation service for geriatric inpatients in a general hospital in Taiwan. This was a case-control study. During a 5-month period, 100 geriatric (age ,65 years) inpatients consecutively referred for consultation-liaison psychiatric service from non-psychiatric departments formed the study group. Another 100 medical inpatients, also referred for consultation-liaison to the psychiatric service, but aged 17,50, formed the control (non-geriatric) group. The diagnosis, demography, reason for referral, symptomatology, and other clinical characteristics were determined by consensus between two psychiatrists. Psychiatric diagnosis was made according to criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders. The geropsychiatric consultation rate was 0.9%. Geriatric patients constituted 20.1% of all psychiatric referrals. Common reasons for referral of geriatric inpatients were confusion (32%), depression (17%), disturbing behaviors (14%), and psychosis (14%). The most common psychiatric disorder among geriatric patients was an organic mental disorder (79%), followed by a depressive disorder (13%). More geriatric patients suffered from cancers and cerebrovascular diseases than non-geriatric patients. The geriatric group was more likely to have multiple physical illnesses. Organic mental disorder and depressive disorders are the most common psychiatric diagnoses in the geropsychiatric consultation service of the authors. In the authors' experience, both psychotropic medication treatment and psychosocial intervention are important in geropsychiatric consultation. [source] | ||||||||||