A Brief Pastoral Topography for Migrating People.

Like God, humans are always on the move. Migrating people reflect the imago Dei of God the Earthroamer. Unlike God, humans do not always move with freedom as geopolitical forces, from societal disintegration to war and climate change, force migration. The experiences within migration reflect elements of a "personal knowledge" (Michael Polanyi). This essay recognizes that much of the migrating experience may escape verbalization, which not only impacts migrating people but also the scholars and researchers studying migration. Drawing on narratives in the Judeo-Christian tradition, the essay identifies seven pastoral-theological polarities to describe the migrating experience: Anticipation and disappointment; trouble and restoration; curse and blessing; at home and being a stranger; becoming and continuity of being; articulation and silence; and alone and in communitas. These themes are illuminated by pastoral-theological, cultural, psychological, and psychodynamic theories.

Radiology as Personal Knowledge.

OBJECTIVE. The purpose of this article is to discuss the importance of radiology learners building a personal knowledge of radiology through observation, trial and error, and meaningful interaction with educators rather than through memorization of rules and algorithms. CONCLUSION. To become a radiologist is to join a community, one shaped by countless predecessors and educators, including many whose distinctive contributions remain unknown. More-experienced radiologists have a crucial role in challenging learners and showing what knowledge, skill, experience, and judgment look like in practice, as opposed to on a page or in a diagram. Radiology educators must ensure that mere data transmission never supplants the "why" of becoming a radiologist.

(Neg)Entropic Scenarios Affecting the Wicked Design Spaces of Knowledge Management Systems.

The envisioned embracing of thriving knowledge societies is increasingly compromised by threatening perceptions of information overload, attention poverty, opportunity divides, and career fears. This paper traces the roots of these symptoms back to causes of information entropy and structural holes, invisible private and undiscoverable public knowledge which characterize the sad state of our current knowledge management and creation practices. As part of an ongoing design science research and prototyping project, the article's (neg)entropic perspectives complement a succession of prior multi-disciplinary publications. Looking forward, it proposes a novel decentralized generative knowledge management approach that prioritizes the capacity development of autonomous individual knowledge workers not at the expense of traditional organizational knowledge management systems but as a viable means to foster their fruitful co-evolution. The article, thus, informs relevant stakeholders about the current unsustainable status quo inhibiting knowledge workers; it presents viable remedial options (as a prerequisite for creating the respective future generative Knowledge Management (KM) reality) to afford a sustainable solution with the generative potential to evolve into a prospective general-purpose technology.

Thinking together: What makes Communities of Practice work?

In this article, we develop the founding elements of the concept of Communities of Practice by elaborating on the learning processes happening at the heart of such communities. In particular, we provide a consistent perspective on the notions of knowledge, knowing and knowledge sharing that is compatible with the essence of this concept - that learning entails an investment of identity and a social formation of a person. We do so by drawing richly from the work of Michael Polanyi and his conception of personal knowledge, and thereby we clarify the scope of Communities of Practice and offer a number of new insights into how to make such social structures perform well in professional settings. The conceptual discussion is substantiated by findings of a qualitative empirical study in the UK National Health Service. As a result, the process of 'thinking together' is conceptualized as a key part of meaningful Communities of Practice where people mutually guide each other through their understandings of the same problems in their area of mutual interest, and this way indirectly share tacit knowledge. The collaborative learning process of 'thinking together', we argue, is what essentially brings Communities of Practice to life and not the other way round.

Corrigendum: CONNECTED: leveraging digital twins and personal knowledge graphs in healthcare digitalization.

[This corrects the article DOI: 10.3389/fdgth.2023.1322428.].

CONNECTED: leveraging digital twins and personal knowledge graphs in healthcare digitalization.

Healthcare has always been a strategic domain in which innovative technologies can be applied to increase the effectiveness of services and patient care quality. Recent advancements have been made in the adoption of Digital Twins (DTs) and Personal Knowledge Graphs (PKGs) in this field. Despite this, their introduction has been hindered by the complex nature of the context itself which leads to many challenges both technical and organizational. In this article, we reviewed the literature about these technologies and their integrations, identifying the most critical requirements for clinical platforms. These latter have been used to design CONNECTED (COmpreheNsive and staNdardized hEalth-Care plaTforms to collEct and harmonize clinical Data), a conceptual framework aimed at defining guidelines to overcome the crucial issues related to the development of healthcare applications. It is structured in a multi-layer shape, in which heterogeneous data sources are first integrated, then standardized, and finally used to realize general-purpose DTs of patients backed by PKGs and accessible through dedicated APIs. These DTs will be the foundation on which smart applications can be built.

Understanding of Inheritance and Genetic Variation Assessed through the Use of an Engaging Real-Life Survey.

AIMS: This study was undertaken to examine how a layperson is likely to interpret genetic information delivered in a clinical setting. METHODS: A novel survey was designed to engage the reader in a simulated discussion of heritability as it might relate to human disease. The survey took approximately 5 min to administer. 307 individuals of different backgrounds completed the survey in the outpatient waiting room on their cell phone. RESULTS: Overall, basic knowledge of inheritance and the concepts of heredity scored very well in the study cohort. Both knowledge and interpretation questions were answered correctly more often than not. There was generally no association between the scores on survey and gender or age. CONCLUSIONS: People recognize the basic concepts of heritability but struggle with real-life interpretations and more nuanced concepts of heredity.

The mediating effects of undergraduate nursing students self-determination motivation on personal knowledge management and high-order thinking abilities / 中国实用护理杂志

Objective@#To understand the relationships between personal knowledge management,self-determination motivation and high-order thinking abilities.@*Methods@#A total of 469 undergraduate nursing students in China Medical University were recruited and assessed with general information questionnaire,high-order thinking abilities scale,self-determination motivation scale and personal knowledge management Questionnaire.@*Results@#The score of high-order thinking abilities for undergraduate nursing students was (4.42±0.51) points,the score of self-determination motivation was (3.84±0.55) points, the score of personal knowledge management was (3.84±0.55) points. High-order thinking abilities were significantly positively related to self-determination motivation and personal knowledge management, respectively (r value was 0.437, 0.499, P<0.01 respectively).Grade and whether they were student cadres had no significant predictive effect on higher-level thinking ability of nursing undergraduates (β value was 0.000, 0.064, P > 0.05 respectively).Self-determination motivation positively predicted high-order thinking abilities (β value was 0.270, P<0.01), whereas personal knowledge management positively predicted high-order thinking abilities (β value was 0.381, P<0.01). Structural equation results showed that the direct effect value of higher-order thinking abilities of personal knowledge management was 0.41, and the indirect effect value of self-determining motivation on higher-order thinking abilities was 0.16,self-determination motivation played an intermediary role in the sense of undergraduate nursing students high-order thinking abilities and personal knowledge management.@*Conclusions@#Personal knowledge management and self-determination motivation are significant predicting factors of high-order thinking abilities.

The relationship between personal knowledge and decision self-efficacy in choosing trial of labor after cesarean.

INTRODUCTION: The number of women in the United States giving birth via cesarean remains high as the number of vaginal births after cesarean (VBAC) declines. The purpose of this study was to explore how personal knowledge and decision self-efficacy of women who had a prior cesarean birth affected their decision about mode of birth in a subsequent pregnancy. METHODS: A sample of 45 pregnant women with a history of a prior cesarean birth between 10 and 22 weeks' gestation were surveyed to assess their knowledge of the risks and benefits of trial of labor after cesarean (TOLAC) and elective repeat cesarean delivery (ERCD), and their degree of decision self-efficacy related to their choice of mode of birth for the present pregnancy. RESULTS: Decision self-efficacy was not a significant predictor of choice for mode of birth (P = 0.58). Knowledge scores of women who chose ERCD ranged from 0 to 10 (mean [SD], 4.64 [2.94]). Of women who chose TOLAC, knowledge scores ranged from 0 to 13 (mean [SD], 5.90 [3.64]) out of a total possible score of 14. Knowledge was found to be a significant factor in the decision-making process for mode of birth (P = 0.03). Among women who were deemed to have high knowledge, 55% chose TOLAC, whereas 24% of women with high knowledge chose ERCD. The likelihood of a woman with high knowledge scores choosing a TOLAC was 3.9 (95% confidence interval [CI], 1.09-13.81) times the odds of a woman with low knowledge scores choosing ERCD. DISCUSSION: In this study, more knowledge about the risks and benefits of TOLAC and ERCD was found to be positively associated with the decision for TOLAC. This finding is important for health care providers when counseling women who have had a prior cesarean about their choices regarding mode of birth during a subsequent pregnancy. Supplying women with complete and accurate information about the risks and benefits of both choices may help increase the number of women who opt for TOLAC.