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1.
Arch Gerontol Geriatr ; 104: 104825, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36183524
2.
Mayo Clin Proc ; 97(11): 2170-2173, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36333023

Assuntos
Livros , Médicos , Humanos
4.
Eur Neurol ; 85(6): 492-493, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36350259

RESUMO

na.


Assuntos
Transtornos de Enxaqueca , Humanos , Livros
5.
Science ; 378(6622): 840, 2022 11 25.
Artigo em Inglês | MEDLINE | ID: mdl-36423288

RESUMO

A writer probes humanity's often fraught and paradoxical relationships with other creatures.


Assuntos
Livros
6.
BMJ ; 379: o2803, 2022 11 18.
Artigo em Inglês | MEDLINE | ID: mdl-36400452

Assuntos
Livros , Leitura , Humanos
7.
PLoS One ; 17(11): e0276805, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36441725

RESUMO

BACKGROUND: Early booking or registration into Antenatal Care (ANC) can be defined as initiation of ANC before 12 weeks of gestation and is important for the best health outcome of the mother and the baby. Delayed initiation of ANC has been linked to increased rate of maternal and fetal mortality. There is international consensus that ANC should begin within first trimester yet pregnant women delay initiation of ANC. Health Care Workers (HCWs) understanding of reasons for this can improve patient provider relationship. OBJECTIVES: This study aims to explore the perception of the HCWs in Fiji towards early antenatal booking. METHODS: A qualitative study was employed using four Focus-Group Discussions (FGDs)with the HCWs who provide health care service for pregnant women in Ba Mission Hospital (BMH) in 2020. Each group comprised of medical officers, mid-wives and registered nurse who were chosen purposively. A semi-structured open ended questionnaire was used to guide the discussion. Data was transcribed and analyzed manually using thematic content analysis using the following process: familiarization, coding, identifying themes, reviewing and refining, integration and interpretation. RESULTS: There was a total of 18 HCWs for the FGDs. The mean age of the participants was 37.4±11.8years. The three themes identified were: knowledge of HCWs on early booking, their perceived barriers and perceived enabling factors to early antenatal booking. The FGDs identified that the HCWs had adequate knowledge on early initiation of ANC and that there were a range of barriers to early initiation of ANC. The HCWs also suggested factors that could enable women to book early. CONCLUSION: Based on the study it can be concluded that the HCWs have a positive perception of early antenatal booking, however, there are various factors that contribute to delayed antenatal booking. The barriers to early ANC are both an opportunity and a challenge to strengthen and review the maternal services offered. The enabling factors should be reinforced from an individual level to the health system and the general context. The implications of the barriers and enabling factors identified in this study is to implement evidence-based policies to improve early antenatal booking in Ba, Fiji.


Assuntos
Livros , Pessoal de Saúde , Gravidez , Lactente , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Fiji , Mães , Percepção
8.
Ambix ; 69(4): 341-373, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36317883

RESUMO

Robert Fludd was a thinker full of contradictions. He is famous for his theosophical system and for his experimental chymical constructions as well as for his Galenic medical practices. Furthermore, Fludd had his works published in luxurious folio formats by the publisher Johann Theodor de Bry, and the spectacular etchings and many of the engravings in his books were executed by Matthäus Merian the Elder. Fludd's elaborate explanations of these images reveal him to be a natural philosopher who expressed his thoughts graphically. To what extent, however, were the ideas for the images, and the images in Fludd's books themselves, his own? A discussion of preserved textual and image sources suggests that Fludd can indeed be understood as a chymical thinker and practitioner who contributed to the visual and artisanal episteme of his time. This article demonstrates this interpretation by using both well-known sources and the recently rediscovered, lavishly illustrated, master copy, Universitätsbibliothek Johann Christian Senckenberg Frankfurt am Main, MS lat. qu. 15, which served as a template for the section De technica microcosmi historia of Fludd's main work Utriusque cosmi historia.


Assuntos
Livros , Gravuras e Gravação , Cristianismo
9.
BMC Health Serv Res ; 22(1): 1439, 2022 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-36443782

RESUMO

INTRODUCTION: An important dimension of care and case managers is to support geriatric patients in obtaining social services in medical, nursing, therapeutic and social fields. To this, they advise and represent their patients. METHODS: The documentation of patient contacts with case managers of a network of physicians was evaluated. In particular, activities involving legal advice were analysed in detail, compared with the current legal situation in Germany and evaluated. In addition, qualitative expert interviews were conducted. The content and the legal requirements of legal services law were determined by applying legal interpretation methods (esp. wording, telos, systematics). The results of the evaluation of the documentation were compared with legal requirements. RESULTS: Care and case management touches activities in some fields of action without having a legal basis in legal services law. This leads to the fact that these services may not be provided and to - uninsured and uninsurable - liability risks. DISCUSSION: With the introduction of care and case management into standard care, both social law and the Legal Services Act must be adapted to enable the legally compliant use of care and case managers. Otherwise, certain services that are useful for the care of patients may not be provided.


Assuntos
Gerentes de Casos , Administração Financeira , Humanos , Idoso , Livros , Administração de Caso , Documentação
13.
BMC Med Educ ; 22(1): 713, 2022 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-36217143

RESUMO

BACKGROUND: Continuing education (CE) is essential for health professionals to improve competence in clinical practice, yet many medical technologists still experience barriers to learning in complex clinical settings. To better manage CE and address medical technologists' learning needs, we developed a learner-centred electronic book (e-book) to promote self-directed learning for medical technologists. METHODS: A cross-sectional study was conducted to explore the acceptability and learning impacts of the e-book as CE material for medical technologists in two medical centres in Taiwan. We designed the learner-centred context in the e-book based on medical technologists' practice requirements and learning needs. Moreover, we adopted The New World Kirkpatrick Model with four levels (reactions, learning, behaviours and results) to evaluate the e-book's learning impacts on medical technologists. A total of 280 medical technologists were invited to complete a questionnaire and a post-test, providing learning patterns as well as their satisfaction with the e-book and their learning outcomes after using it. RESULTS: Most readers had positive learning experiences and better learning outcomes, including knowledge acquisition and behavioural change, after reading the e-book. The e-book became a new CE activity and reached medical technologists in various types of laboratories. CONCLUSIONS: The low-cost and learner-centred e-book effectively overcame CE learning barriers for medical technologists. The interactivity and flexibility of e-learning particularly helped learners to engage in clinical scenarios in laboratory medicine. This study could pave the way for medical educators to build a high-quality e-learning model in CE.


Assuntos
Educação Continuada , Pessoal de Laboratório Médico , Livros , Estudos Transversais , Eletrônica , Humanos
14.
Science ; 378(6616): 145, 2022 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-36227973

RESUMO

Reverence for old trees sparked early forest conservation efforts, even as ancient woodlands were cut with impunity.


Assuntos
Fazendeiros , Árvores , Livros , Conservação dos Recursos Naturais , Florestas , História Antiga , Humanos
16.
Nanoscale ; 14(41): 15432-15441, 2022 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-36219167

RESUMO

DNA nanotechnology provides a promising approach for the development of biomedical point-of-care diagnostic nanoscale devices that are easy to use and cost-effective, highly sensitive and thus constitute an alternative to expensive, complex diagnostic devices. Moreover, DNA nanotechnology-based devices are particularly advantageous for applications in oncology, owing to being ideally suited for the detection of cancer-associated nucleic acids, including circulating tumor-derived DNA fragments (ctDNAs), circulating microRNAs (miRNAs) and other RNA species. Here, we present a dynamic DNA origami book biosensor that is precisely decorated with arrays of fluorophores acting as donors and acceptors and also fluorescence quenchers that produce a strong optical readout upon exposure to external stimuli for the single or dual detection of target oligonucleotides and miRNAs. This biosensor allowed the detection of target molecules either through the decrease of Förster resonance energy transfer (FRET) or an increase in the fluorescence intensity profile owing to a rotation of the constituent top layer of the structure. Single-DNA origami experiments showed that detection of two targets can be achieved simultaneously within 10 min with a limit of detection in the range of 1-10 pM. Overall, our DNA origami book biosensor design showed sensitive and specific detection of synthetic target oligonucleotides and natural miRNAs extracted from cancer cells. Based on these results, we foresee that our DNA origami biosensor may be developed into a cost-effective point-of-care diagnostic strategy for the specific and sensitive detection of a variety of DNAs and RNAs, such as ctDNAs, miRNAs, mRNAs, and viral DNA/RNAs in human samples.


Assuntos
Técnicas Biossensoriais , MicroRNAs , Neoplasias , Ácidos Nucleicos , Humanos , DNA/química , Técnicas Biossensoriais/métodos , Oligonucleotídeos , Neoplasias/diagnóstico , Livros
17.
Zhonghua Yi Shi Za Zhi ; 52(5): 276-281, 2022 Sep 28.
Artigo em Chinês | MEDLINE | ID: mdl-36268663

RESUMO

Zhang Wenzhong, a famous Chinese medical doctor in the early Tang Dynasty, was granted a particular position as Shang Yao Feng Yu, for the Empress Wu Ze Tian dealing with medication. He was good at dealing with stroke in particular. He also had unique viewpoints towards medical prescriptions and skills. He wrote medical books and developed his own medical theories. All these were recorded in both the Book of Tang and the New Book of Tang. However, most of his works had been lost due to time and the frequent wars in the middle and late Tang Dynasty. Six medical prescriptions signed by Zhang Wenzhong were discovered in documents unearthed from the Dun Huang Sutra Cave. They were believed to be important archives of Zhang Wenzhong's writing and medical thoughts. In addition, some pieces of work found in the documents unearthed from Tu Yu Gou were suspected of being written by Zhang Wenzhong. This can be compared with his works cited in the handed-down documents, such as The Collection of Secret Prescriptions (Wai Tai Mi Yao Fang). This paper takes a textual research approach to examine the medical works of Zhang Wenzhong, comparing the handed-down documents with the unearthed documents to examine his medical achievements.


Assuntos
Livros , Médicos , Masculino , Humanos , Prescrições , Redação , China , Medicina Tradicional Chinesa
18.
Zhonghua Yi Shi Za Zhi ; 52(5): 292-302, 2022 Sep 28.
Artigo em Chinês | MEDLINE | ID: mdl-36268665

RESUMO

The government of the Northern Song Dynasty collated and annotated Su Wen four times from 1026-1118. It examined a large number of errors in the collated edition by Wang Bing, and corrected the edition. However, for reasons of time and conditions, there still existed some mistakes, even serious ones, such as the selection of the original texts and the determination of the titles and many other details as well. Among these mistakes, the one which seriously prevented learning medical classics for following generations was that the quoted texts from early medical books were modified based on the Su Wen collated by Wang Bing and Jia Yi Jing on Acupuncture and Moxibustion. This led to the distortion of some early important medical books. This paper examines the re-collation of Su Wen by the officials of the Song Dynasty in a specific historical background and environment, focuses on the errors that have not been perceived today, and pays attention to the investigation and analysis of the causes of those errors, so as to provide a reference for collation of ancient medical classics today.


Assuntos
Acupuntura , Moxibustão , Livros , China
19.
Zhonghua Yi Shi Za Zhi ; 52(5): 309-312, 2022 Sep 28.
Artigo em Chinês | MEDLINE | ID: mdl-36268667

RESUMO

Ben Cao Quan is an ancient classic book on materia medica compiled by Goku Yoshida, a Japanese scholar in the Edo period (1603-1867). A total of 568 materia medica in 53 categories in Ben Cao Quan came from Ben Cao Gang Mu compiled by Li Shizhen in the Ming Dynasty. These materia medica were introduced with some of his own interpretations of Goku Yoshida. The main characteristics of Ben Cao Quan reflected as follows. It attached importance to the comparison of translation from Chinese into Japanese and selected those materia medica commonly used in Japan, in particular, from 'spicific explanation' (Ji Jie) and 'smell' (Qi Wei) in Ben Cao Gang Mu.It focused on application and integrated local practice, and interpreted the personal insights of Goku Yoshida.Goku Yoshida's personal understanding and perception of these material medica were shown in terms of their origin and quality, analysis of their properties and collection, interpretation of their identification and selection, their local names, their Japanese names, and review of the changes when these materia medica were introduced into Japan.The purpose of Ban Cao Quan was to attempt to help Japanese identify materia medica and distinguish quality and interpret materia medica with Japanese characteristics. The book is valuable literature for the research of the impact of Ben Cao Gang Mu on the development of materia medica in Japan.


Assuntos
Materia Medica , Japão , Livros , Traduções , China
20.
J Environ Public Health ; 2022: 1762767, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36200082

RESUMO

The illustrations in picture books are lovely and emotional; pictures and text work together to express a theme and weave into one another to create a seamless and comprehensive visual image in picture books. Reading helps children improve for life and is an unending source of wealth in one's life. Picture book reading has a positive effect on children's psychological well-being since it allows them to develop different intelligences and their spiritual worlds in addition to reading stories and learning facts. This thesis investigates, against the backdrop of artificial intelligence (AI) and deep learning, the impact of reading activities on children's psychological health. Deep learning and AI are the tools used where students can engage in a more in-depth conversation with the article and comprehend the author's mindset and background after completing the basic reading. This can help students' analytical, thinking, writing, and other application skills, as well as give them the opportunity to learn from and build upon their first reading accumulation. Research has shown that this method produces impressive results, and it is suited for widespread use because its reasonable strength has improved by 17.24% when compared to the conventional method.


Assuntos
Aprendizado Profundo , Leitura , Inteligência Artificial , Livros , Criança , Humanos , Saúde Mental
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