Reference Figures Research Articles

The care pathway experienced by cutaneous melanoma survivors: A qualitative longitudinal study

BackgroundThe optimal management of cutaneous melanoma is based on implementing a multidisciplinary tumour board. No studies report cutaneous melanoma patients’ perspective along the whole care pathway, taking us through their care experience longitudinally. AimsTo explore the patients' perspective on the cutaneous melanoma care journey in a skin cancers’ tertiary referral centre. MethodsA longitudinal qualitative study was designed, using semi-structured interviews. Cutaneous melanoma patients were interviewed three times (T0, after diagnosis; T1, after the first postoperative visit; and T2, at the follow-up). Data were analysed using the inductive framework method. ResultsFifteen patients agreed to participate, and 8 completed all three interviews. We generated three themes describing how patients experienced the care pathway: (i) the evolving need for support during the care pathway, (ii) the development of emotions and expectations for the journey's end, (iii) the changing perceptions of hospital services, the care pathway itself, and the Skin Cancer Unit. We have emphasised the shifts in the experience of receiving assistance from the diagnosis to the follow-up stage. The more the care process progressed, the stronger the need for a relationship with healthcare professionals. The emotional impact of becoming a cancer survivor exacerbated the experience and reflected on patients' perceptions of the care pathway. ConclusionsAdopting a relational approach to reassuring melanoma patients is essential. Our participants expressed needing a medical reference figure as a favourable element. When this is unfeasible, inter-professional training is desirable to help professionals cooperate in a multidisciplinary group and make this collaboration visible to patients.

Costs of Health Registries: An Exploration for Health Services Research.

Health registries are an established methodology in health services research. Regarded as cheap bidder for observation studies in earlier times, many registries now benefit from an appropriate funding. However, reference figures for costs of registries in health services research are missing. Based on literature data as well as figures from a German funding initiative, the relationship between costs per newly recruited case and the annual sample size was analyzed. One can assume that a standard multicenter registry in health services research with 1,000 new patients each year will be appropriately financed with 1.1 to 2.2 million Euro in a period of five years. So smaller the sample size, so higher the costs for a newly recruited patient. The cost model of health registries should be further elaborated taking into account specifics of individual registries and differences in the level of case money.

A case of confusion: context matters when using reference images on exams

Instructors utilize reference figures from textbooks, journals, and other sources on quizzes and exams to illustrate concepts that would otherwise be diffcult to convey using written text. Examples within biomedical teaching include anatomical images and graphs that students are expected to analyze or interpret. However, the use of a figure may cause confusion and lead students to select an incorrect answer. As such, instructors must evaluate the use of figures to ensure that they enhance students’ ability to correctly answer the question rather than hinder it. This report shows an example where the inclusion of a reference figure led to the majority of students incorrectly answering a question.Over 6 semesters in a master’s level graduate neuroscience course between 2019 and 2021, the same question was used with and without a reference figure in a variety of contexts to determine the factors that contributed to students overwhelmingly selecting an incorrect answer. In the question, students were asked to identify neuroarchitectural adaptations in the somatosensory cortex following amputation. To determine the correct answer, students needed to integrate knowledge of the discriminative touch sensory pathways with knowledge of cortical plasticity.In semesters where the figure was presented without specific teaching interventions, 57% of students selected an incorrect answer that utilized the proximity of cortical sites but was not supported by the signaling pathways. In these semesters, only 39% of students correctly answered. In semesters where the figure was not used, 94% of students correctly answered the question while only 6% of students selected the most common incorrect answer when the figure was present.Teaching interventions were introduced during two semesters in an attempt to “teach the question.” Students were asked to read primary literature on the topic, additional examples and cases were introduced, and in one semester, a similar practice question using was given to the students. Students were then presented with the question containing the image. 56% of students selected the most common incorrect answer while only 42% of students correctly answered the question.While no formal survey of the students was conducted, anecdotal evidence from student offce hours, directed inquiries, and casual conversations indicate that students generally felt that use of the figure, when present, was critical to answering the question and many reported that using the figure led them to prioritize their knowledge of cortical plastic adaptations over that of the signaling pathways.These results demonstrate the importance of carefully utilizing reference images on questions for quizzes and exams. The visual cues of the image can be powerful stimuli for students when analyzing the information and can sometimes lead to incorrect answers on the assessment. This work was supported by internal funding from the Georgetown University Graduate School of Biomedical Sciences and Georgetown University Medical Center’s Center for Innovation and Leadership in Education (CENTILE). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Slightly Out of Focus. Analysis of Ambiguity in Robert Capa’s Photography

The concept of Slightly Out of Focus, attributed to the photographer Robert Capa, is a line of research that invites us to delve into icons, such as the photographs “The Falling Soldier” and “Crawling through the Water”. Regarding the version presented by proponents of Robert Capa’s work and the results of recent investigations, there are some discrepancies regarding the classification of The Mexican Suitcase II and his photographic style. The conflicts concerning cameras lost negatives, and the effect of blurriness in both icons are coincidences that may form a pattern in the discourse about Robert Capa. This research also analyzes two theses on the biases of press photography and documentary photography. The first thesis considers that in press photography, staging is fraudulent information, but not in documentary photography. The second thesis posits that staging is an unacceptable fraud in both photographic biases. The methodology applied in both theses compares two icons of Robert Capa, considered typical of press photography, with two other icons by photographer Arthur Rothstein, namely, “Cattle Skull” and “Dust Storm”. Rothstein is a reference figure in documentary photography and the 1936 Resettlement Administration program, later known as Farm Security Administration. The press’s reaction to the staging of the photograph Cattle Skull left no doubt about the incompatibility of staging in the context of documentary photography.

How the Family and Community Nurse Can Foster the Reduction of Improper Emergency Room Admissions and Promote Chronic Patient Care: Single-Center Observational Study - Asst GOM Niguarda

Background The incidence of improper access, with the consequent overcrowding of emergency room facilities, indirectly represents an indicator of evaluation of the local area's ability to take care of patients. In fact, overcrowding in the emergency room is often mainly attributable to patients requiring non-urgent or deferrable services, who access the emergency room due to the lack of hospital-territory integration, and for whom differential care could be envisaged in the setting of local care, as in the case of elderly patients suffering from chronic pathologies. The Family and Community Nurse (FaCN) is the professional figure of reference who ensures nursing care at different levels of complexity in collaboration with all the professionals present in the community in which he works, pursuing the interdisciplinary, health and social integration of services and professionals and placing the person at the center. Purpose From January 1st, 2023, a reporting process has been launched by the emergency room nursing staff for the chronic patient discharged to home and taken into care by the family and community nurse service. A retrospective single-center observational study was carried out on patients discharged from the Emergency Room of the ASST Grande Ospedale Metropolitano Niguarda. The data presented relates to the period 01.01.2023 - 30.09.2023. The purpose of the study is twofold: 1. Describe ways to ensure continuity of care between hospital and territory/primary care, identifying their level of complexity with the TRIAGE scale. 2. Identify the resources activated and interventions performed by the Territorial Team of Family and Community Nurses. Method Included in the study were chronic, home-discharged patients with chronic conditions who were domiciled or residing in the territory of afferent to ASST GOM Niguarda, referred by the nursing staff of the same emergency department and taken over by Family and Community Nurses (FaCNs). Exclusion Criteria affected chronic patients domiciled or residing in the territory of afferent to ASST Niguarda who refused to be taken in charge or admitted to hospital wards, intermediate care facilities, Health Care Residences for the Elderly. The triage scale is a first-level multidimensional assessment tool that aims at identifying complex social-health needs for the local area. It consists of eight items: morbidity, nutrition, alvus and diuresis, mobility, personal hygiene, mental status and behavior with whom he/she lives, and direct care. Four levels of severity are identified: absent or mild, moderate, severe, and very severe, with a score ranging from 0 to 2. The sum of the scores applied to the different domains constitutes the total score, which allows the complexity of patients to be stratified into three levels. The triage form is filled out by the Emergency Room nurse in the event of discharge of the patient and if the patient has a score between 3 and 10; the activation of the FaCN is envisaged through an email report made by the Caring Nurse to the Territorial FaCN service (pre-discharge phase). The FaCN takes charge of the patient and guarantees a series of interventions and care services in relation to the level of complexity of the needs expressed by the patient (post-discharge phase). Outcomes Patients discharged with chronic pathologies reported in the period indicated were 250, with an average age of 81.75 years (standard deviation 9.67). Most reports are included in the intermediate risk class between scores of 3 and 7, and the most represented age class is that of patients over 80 years old. In patients reported to the FaCN service, professionals reached the patient or his caregiver out for an initial approach, within 24 hours of discharge from the emergency room. The outcome of the reports made shows that in 48.8% of cases the FaCNs took steps to establish a connection between the FaCNs' service and the most competent territorial references closest to the patient and took care of them towards more appropriate services (home palliative care, mental health, etc.), while in 51.6% of cases the FaCN took charge of the patient directly, providing the appropriate care (medications, venous sampling, recording of vital parameters, health education interventions, therapeutic and engagement adherence, also through teleassistance). At the moment no other deaths have been recorded and in no case has the patient visited the Emergency Room again. Conclusion The activation of the FaCN for chronic patients discharged from the Emergency Room has made it possible to facilitate patient care, overcome the fragmentation of services, and guarantee continuity of care, both in cases in which the patient has been directly taken care of and assisted by the FaCNs, and in cases in which the patient has been directed/orientated towards other local services. Over time, it will be possible to reduce the volume of hospital care activities for fragile patients and inappropriate access to the Emergency Room, by strengthening the continuity of care, precisely guaranteed by the strategic value of the Family and Community Nurse.

Estimating antibiotics consumption in a tertiary care hospital in Islamabad using a WHO’s defined daily dose methodology

BackgroundAntibiotics have helped to reduce the incidence of common infectious diseases in all modern healthcare systems, but improper use of antibiotics including their overuse and misuse can change the bacteria so much that antibiotics don’t work against them. In case of developing imposable selective pressure with regard to the proportion of hospitalized patients who receive antibiotics, the quantity of antibiotics that are prescribed to them, and the proportion of patients who receive antibiotic treatment is one of the major contributors to the rising global health issue of antimicrobial resistance. Concerning the levels of antibiotic consumption in Pakistani hospitals, there is negligible research data available.AimThis study aimed to evaluate five-year inpatient antibiotic use in a tertiary care hospital in Islamabad using the World Health Organization (WHO) Recommended Anatomical Therapeutic Chemical (ATC) Classification / Defined Daily Dose (DDD) methodology.MethodIt was a descriptive study involving a retrospective record review of pharmacy records of antibiotics dispensed (amount in grams) to patients across different specialties of the hospital from January 2017 to December 2021 (i.e., 60 consecutive months). The antibiotic consumption was calculated by using the DDD/100-Bed Days (BDs) formula, and then relative percent change was estimated using Microsoft Excel 2021 edition.ResultA total of 148,483 (77%) patients who received antibiotics were included in the study out of 193,436 patients admitted in the hospital. Antibiotic consumption trends showed considerable fluctuations over a five-year period. It kept on declining irregularly from 2017 to 2019, inclined vigorously in 2020, and then suddenly dropped to the lowest DDD/100 BDs value (96.02) in the last year of the study. The overall percentage of encounters in which antibiotics were prescribed at tertiary care hospital was 77% which is very high compared to the WHO standard reference value (< 30%). WATCH group antibiotics were prescribed (76%) and consumed more within inpatient settings than Access (12%) and Reserve (12%) antibiotics.ConclusionThe hospital antibiotic consumption data is well maintained across different inpatient specialties but it is largely non-aligned with WHO AWaRe (Access-Watch-Reserve) antibiotics use and optimization during 2017–2021. Compared to the WHO standard reference figure, the overall percentage of antibiotics encountered was higher by about 47%. Antibiotic consumption trends vary with a slight increase in hospital occupancy rate, with positive relative changes being lower in number but higher in proportion than negative changes. Although the hospital antibiotics policy is in place but seems not to be followed with a high degree of adherence.

Intention of mix-mode consumer shopping service adoption: a case in the retailing context

PurposeThis study aims to investigate the intention of adopting a technological service innovation that is a mix-mode consumer shopping service in the retailing context.Design/methodology/approachA modified extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model is tested by using data on a real example named “Mkolay” which is a new mix-mode consumer shopping service. Data are collected from 217 participants and analyzed by using Partial Least Squares Structural Equation Modeling (PLS-SEM).FindingsResearch findings show that the customers' intention to use the new mix-mode consumer shopping service is particularly influenced by performance expectations, effort expectations, social influence and personal innovativeness.Practical implicationsIn designing a mix-mode consumer shopping service, keeping the design as simple and easy to use as possible seems to increase the intention of adoption. Additionally, collaborating with reference figures or influencers could be instrumental to spread the new service to a wider audience hence increase the likelihood of adoption. Practitioners should also use new technologies in different ways to attract and surprise customers, especially taking into account the technological profile of potential users.Originality/valueThis study contributes to the literature of technological service innovation adoption by revealing the factors affecting the intention of adoption of mix-mode consumer shopping service in the retailing context with a modified UTAUT2 model.

Loneliness, affective disorders, suicidal ideation, and the use of psychoactive substances in a sample of adolescents during the COVID-19 pandemic: A cross-sectional study.

The global coronavirus (COVID-19) pandemic has been challenging for adolescents. Indeed, with the closure of schools and social centers and reduction of extracurricular activities, increased social isolation has compounded difficulties in and with school performance, loneliness, and social networking. Increased risk of mental health problems, substance abuse, affective disorders, suicidal ideation, and suicide has been reported in adolescents. This cross-sectional study assesses the association between loneliness, depression, anxiety, suicidal ideation, the use of social networks, and school achievement in a sample of Italian adolescents during the COVID-19 pandemic. This study also explores emotional dysregulation through the association between affective disorders (depression and anxiety), substance use, and social networks. The sample comprises adolescents in the first and second grades of high school during the pandemic; participants received an email explaining the purpose of the e-research. Data were collected using the Strengths and Difficulties Questionnaire, the Achenbach System of Empirically Based Assessment, and the Loneliness Scale. A total of 505 adolescents completed the web survey. Data revealed that students experienced difficulties with loneliness, problems with school achievement, and extracurricular activities. The mean scores for depression and anxiety were close to the borderline range. A total of 14.3% of adolescents intentionally harmed themselves or attempted suicide. This study raises concerns about the impacts of the pandemic on adolescents that require the attention of adult reference figures who deal with adolescents, such as parents, teachers, and healthcare professionals. Results indicate the necessity of providing early interventions aimed at the prevention of psychopathologies and the promotion of adolescent mental health due to the pandemic.

Parental gambling frequency and adolescent gambling: A cross-sectional path model involving adolescents and parents.

Nowadays, most of the research studies in the field of adolescent gambling are focused on individual factors related to problem gambling. The aim of this study was to test an integrated model to explain adolescent problem gambling involving both individual (i.e., correct gambling knowledge, superstitious thinking, and gambling-related cognitive distortions) and environmental factors (i.e., parental gambling frequency). In detail, the aim was to better understand the role of parental gambling behavior on adolescents' gambling frequency and problem gambling severity, to draw indications for prevention. Participants were 680 parents (36% men; Mage = 48.32, SD = 6.14 years) of 680 high school students (51% boys; Mage = 15.51, SD = .55 years) attending the second year of different high schools in Tuscany (Italy). Data collection occurred within the school prevention program PRIZE (Prevention of gambling risk among adolescents). A path model showed was conducted to detect direct and indirect effects from individual and environmental factors to gambling problem severity. Analyses showed that correct gambling knowledge and superstitious thinking were directly related-respectively in a negative and a positive direction-both to gambling-related cognitive distortions and adolescents' gambling frequency. Parental gambling frequency was directly associated with adolescents' gambling frequency. Correct gambling knowledge and superstitious thinking were indirectly related to adolescents' gambling problem severity through the mediational role of gambling-related cognitive distortions and gambling frequency. Parental gambling frequency was indirectly linked to gambling problem severity by passing through adolescents' gambling frequency. The current cross-sectional results confirm that parental gambling behavior has an important role for adolescents' gambling behavior and severity. Thus, results highlight the need for innovative prevention programs which involve adolescents' adult reference figures and integrate the individual risk and protective factors with the environmental ones.

Comparison of Seed Images with Geometric Models, an Approach to the Morphology of Silene (Caryophyllaceae)

Seed morphological description is traditionally based on adjectives, which originated from the comparison with other shapes, including geometric figures. Nevertheless, descriptions based on this feature are not quantitative and measurements giving the percentage of similarity of seeds with reference figures are not available in the literature. Lateral views of Silene seeds resemble the cardioid and cardioid-derived figures. Dorsal views, nonetheless, resemble ellipses and derivatives, allowing seed shape quantification by comparison with defined geometric figures. In this work, we apply already-described models as well as new models to the morphological analysis of 51 Silene species. Our data revealed the existence of a link between lateral and dorsal models. Lateral models closed in the hilum region (models LM2 and LM4) were associated with those convex models of the dorsal seed views (DM1-DM4, DM10). Lateral models more open around the hilum region adjusted to seeds characterized as dorso canaliculata type better, i.e., to those geometric models with partial concavities in their dorsal views. The relationship between lateral and dorsal models, as well as between the models to their utility in taxonomy, is discussed.

Paracondylar process and epitransverse process on cone beam computed tomography: a pictorial review based on a serie of 9 patients

Objective: Paracondylar (PCP) and epitransverse processes (ETP) represent rare types of articulations that can occur between the occipital bone and the transverse process of atlas vertebra.&#x0D; Material and methods: Five systematic search strings were conducted on PubMed database on 14.01.2022. The search was conducted by one observer to identify studies on PCP, and on ETP in living patients. Open and close access articles were selected as this topic is infrequently described in the main medical literature.&#x0D; Results: We provided with a pictorial review of 1) Paracondylar tubercle, 2) Unilateral PCP with cylindrical shape, 3) Unilateral PCP with pyramidal shape, 4) Unilateral PCP with lateral joint with transverse process, 5) Unilateral PCP with superior joint and partial fusion with transverse process, 6) Unilateral ETP with neo-condyle and joint with occipital condyle, 7) Unilateral ETP with joint with occipital bone, 8) Unilateral ETP with a bony bridge with lateral mass (ponticulus lateralis), and 9) Bilateral variation: paracondylar mass and ETP.&#x0D; Conclusions: Six figures were found in the selected literature and belong only to articles published in closed access. We provided with additional 41 open access freely available figures. We were first to present CBCT reference figures of: 1) Unilateral paracondylar tubercle, 2) Fusion of PCP with the transverse process of C1, 3) Joint between ETP and the lateral side of occipital condyle, and 4) Presence of bony bridge (ponticulus lateralis) between ETP and the lateral mass of C1. We were also first to describe a bilateral mixt variation with paracondylar mass on one side and ETP on the other side of C1. An open and accessible knowledge support (such as Nemesis journal) is needed to easily find clinical reference CBCT figures of craniocervicofacial bone variations.&#x0D;

The Art of Smearing: How Is Feminist Decolonizing Artivism Received by Italian Newspapers? The Case of Montanelli’s Statue

On March 8, 2019, during a demonstration organised on occasion of the International Women's Day in Milan, members of the feminist collective Non Una Di Meno (not one woman less) Milano threw washable pink paint on the statue that commemorates the Italian journalist Indro Montanelli (1909–2001). The aim of exposing at a visual level the acclaimed writer’s controversial past was crucial to the group’s symbolic action. In fact, despite being a reference figure for many Italian intellectuals, Montanelli participated in the Abyssinian war in 1935 and, as a member of the fascist army, he engaged in a relationship with a 12-year-old local girl who acted as his wife and sexual object. The collective’s action, which can be labelled as a feminist decolonizing performance, has already been read as a form of artivism that manipulated the Italian’s artistic heritage with the objective of criticising the existing narrative on Italy’s colonial past. In this sense, an analysis of the resonance that journalistic coverage assigned to the event proves crucial for understanding the impact that such an action has had on Italian public opinion and the progress towards the country's mental decolonization. This article presents the findings of a qualitative analysis conducted on a corpus of 10 online newspaper articles published in the aftermath of the artivist performance on Montanelli’s statue. The study employs Foucauldian critical discourse analysis in order to identify the rhetorical strategies used by journalists to criticise or legitimate the feminist collective’s action. Among these strategies, particular attention is paid to those discursive techniques adopted to portray the act as a form of vandalism or, on the contrary, as a form of art. The aim is to show how the discourse on art versus non-art/vandalism is used to confirm (or overcome) the discursive limits imposed by the still dominant narratives on the nation’s colonial history as well as on the disposability of “othered” women’s bodies.

Possessive Constructions in Central Kurdish: A Cognitive Grammar Account

This paper seeks to study possessive constructions in CK henceforth from the cognitive grammar perspective. One of the tenets of construal theory is that the speakers of a language deploy alternate constructions to express different conceptual contents. To do so, the humans use construal mechanism to portray and interpret a certain scene from their perspectives. To achieve the objective of the present paper, we apply reference point model, Construal and Figure and ground theories to CK possessive constructions. Possessive constructions are relational structures established by human mental ability to invoke one entity as the reference point and relate it to another entity which is described as the profile determinant. In applying construal theory to CK possessive construction, we argue that different interpretations can be assumed from ezafe (-i) and possessive clitics in conveying possession. With the application of these three theories, a new perspective has been put forward to possessive constructions in CK.

Possessive Constructions in Central Kurdish: A Cognitive Grammar Account

This paper seeks to study possessive constructions in CK henceforth from the cognitive grammar perspective. One of the tenets of construal theory is that the speakers of a language deploy alternate constructions to express different conceptual contents. To do so, the humans use construal mechanism to portray and interpret a certain scene from their perspectives. To achieve the objective of the present paper, we apply reference point model, Construal and Figure and ground theories to CK possessive constructions. Possessive constructions are relational structures established by human mental ability to invoke one entity as the reference point and relate it to another entity which is described as the profile determinant. In applying construal theory to CK possessive construction, we argue that different interpretations can be assumed from ezafe (-i) and possessive clitics in conveying possession. With the application of these three theories, a new perspective has been put forward to possessive constructions in CK.

Obstructive Sleep Apnea and Adherence to Continuous Positive Airway Pressure (CPAP) Treatment: Let's Talk about Partners!

Background: Continuous positive airway pressure (CPAP) is the gold standard treatment for obstructive sleep apnea (OSA). The benefits of this therapy were studied and analyzed over time; patient adherence is often poor, as many factors negatively influence it. A topic that needs clarification is whether adherence to CPAP treatment in a patient with OSA is influenced by the behavior of a partner or spouse. Methods: A scoping review was conducted to evaluate the role of partner involvement in the CPAP treatment management in a patient with OSA. The research project was performed between August and September 2021 by consulting the main biomedical databases: CINHAL, Embase, PsycINFO, and PubMed. Results: Among 21 articles considered valid for our aim, 15 are qualitative studies, 5 are quantitative and 1 presents a mixed method. We identified several thematic areas and “key” elements, which are prevalent in the studies evaluated. Conclusions: The presence of a partner promotes adherence to CPAP therapy in patients with OSA, resulting in ameliorating their overall quality of life. To increase CPAP adherence, a trained nurse could represent a reference figure to technically and emotionally support couples during the adaptation period and in the long term.

Can the emergency response be coordinated?

In the COVID-19 pandemic, coordination was certainly late, also due to the scarcity of information disseminated at the very beginning of the pandemic, when countries were inevitably taken by surprise. The lack of information, mainly attributable to the country from which everything seems to have started, has produced a huge delay and numerous uncertainties in the feedback of the WHO and international organizations. The inevitably relevant issue, from a legal point of view, concerns the legitimacy, formal or in any case shared, of the authority in charge of coordinating reactions and policies. The paper analyses the current legislation, soft and hard law, and the undertaken policies concerning emergency responses. International and EU legislation analysis. The G20 understood that sustainable, flexible and agile funding systems for health emergencies are essential elements of pandemic prevention, preparedness and response. In EU there are many regulations about coordination and response to emergencies in practice in the EU and the Regulation (EU) 2021/522 (EU4Health programme), broadly extends the Union's competence in the field of health and has the objective of strengthening the Union's capacity for prevention, preparedness and rapid response in the event of serious cross-border threats to health. It is essential to formalize, within international agreements, the institutionalization of relationships, procedures, and the possible recognition of the reference figure. If in the European Union, at least partially, the protocols are there (even if the COVID-19 emergency has blown them up in principle), certainly in relations with non-EU countries the story is complicated, requiring specific agreements. This is the goal of the path started by the Rome Declaration of 21 May 2021 within the G20 - Global Health Summit.

Analysis of Gross Anatomy Educational References Used by Anatomy Graduate Students

INTRODUCTION &amp; OBJECTIVEAnatomy educational references are seldom vetted for anatomy graduate programs and what is required or recommended may not be what learners actually used or preferred. This study sought to investigate the educational references, including gross anatomy textbooks, atlases, and dissectors that were required, recommended, actually used, and preferred by anatomy graduate students.MATERIALS &amp; METHODSA survey was developed, piloted, and then distributed to several anatomy society listservs and forums March–April 2020. The survey was also sent directly to anatomy graduate program directors for distribution to their respective cohorts. The survey consisted of 21 questions and 6 demographic questions. Participants selected the gross anatomy textbooks, atlases, and dissectors that were required, recommended, and actually used during their graduate anatomy program. Participants also selected their most preferred resources and described what they valued most from those resources. Descriptive statistics were calculated and open‐ended responses were coded and categorized.RESULTSNinety‐eight responses were included for analysis (66.3% faculty, 31.6% current graduate students, 2% postdoctoral fellows). The most required, actually used, and preferred textbook was Moore’s Clinically Oriented Anatomy (Lippincott Williams &amp; Wilkins, Wolters Kluwer) (32%, 28.9%, and 88.7%, respectively). The most commonly recommended textbooks were both Moore’s Clinically Oriented Anatomy and Netter’s Clinical Anatomy (Saunders) (both 18%). The most required, actually used, and preferred atlas was Netter’s Atlas of Human Anatomy (Saunders) (32.9%, 37.5%, and 41.5%, respectively), whereas the most frequently recommended atlas was Grant's Atlas of Anatomy (Lippincott Williams &amp; Wilkins) (27.7%). The most required, actually used, recommended, and preferred dissector was Grant's Dissector (Lippincott Williams &amp; Wilkins) (64.2%, 57.9%, 62.5%, and 69.8%, respectively). Respondents most valued textbook content with integrated clinical applications (46%), appropriately detailed images (8%), and ease of navigating or searching content (3%). For preferred atlases, respondents valued figures that are comprehendible (32%), detailed (18%), anatomically accurate with correct labels (11%), cadaveric photographs (12%), a variety of vantage points of the same region (6%), and an aesthetically‐pleasing design (3%). The most valued aspects of dissectors included clear (20%) stepwise instructions (18%) with reference figures depicting how to complete the dissection (8%).CONCLUSIONWhile a plethora of anatomical reference materials exist, only a select few are required, actually used, and preferred among surveyed anatomy graduate programs. Anatomy graduate students have specific preferences for textbooks, atlases, and dissectors that center around clinical applications, detail, and clarity in text, figures, or instructions.SIGNIFICANCE/IMPLICATIONModernization of anatomy reference materials is underway and these results may support the development of specific resources based on what was actually used and preferred by anatomy graduate students during their education.

Multidisciplinary team perceptions of the Case/Care Managers' role implementation: a qualitative study.

Background and aim of the work.The roles of Case Managers, Care Managers and fledgling Case / Care Managers integrate clinical systems to achieve optimal patient outcomes through the coordinated use of the most appropriate clinical resources. Although the Case and Care Managers roles have been researched, there is still little evidence of the development of the Case / Care Manager in the Italian NHS. The aim of this research is to investigate the perception of healthcare professionals of the implementation of the Case/ Care Manager figure and how it operates in healthcare settings.Research design and methods.The study adopted a qualitative descriptive methodology with a phenomenological approach, using in-depth interviews. Participants (N = 21) were health professionals of multidisciplinary teams from several healthcare contexts in northern and central Italy, in which was activated a Case, Care, or Case / Care Manager role. The study was conducted in December 2020/ January 2021.Results.The themes showed a general vision of the Case Manager, even a critical one, as a figure in transformation precisely from Case Management to Case / Care management. The themes underline how the Case / Care Manager represent a facilitator of clinical-therapeutic paths while acting as a reference figure, supporting the patient, his/her family and the multidisciplinary team.Conclusions.The results of the study confirm the Case / Care Manager as the health professional who deals with care pathways through an integrated, interdisciplinary and personalized approach, placing the person at the centre and thus overcoming a disease-centered approach.

Диагностические маркеры двигательной активности человека в электронной образовательной среде

The article aims to study the dynamics of psychological and psychophysiological indicators of students’ cognitive activity in a digital learning environment. As a research platform, we used the well-known task of speed–accuracy tradeoff, adapted for work in the LMS Moodle using a set of plug-ins that implement both the stimulus situation itself and the ability to monitor the characteristics of the user’s motor activity displayed in the track of the cursor control device (mouse tracking). As part of the study, LMS users performed a cognitive test, included in the digital learning environment and demonstrating the manifestation of Fits’s law in two versions: with instructions for the accuracy and speed of searching for the center of a reference figure that appears on a computer screen. The results were obtained in the form of tracks of the movement of a computer mouse, the main characteristics of the motor activity of the subjects – the time to complete both parts of the test, the distance traveled, the accuracy of hitting targets, and speed and acceleration – were analyzed and evaluated. All participants’ indicators significantly differed depending on the stages of the experiment. These studies were presented in the form of a set of formal statistical generalizations and visualization, reflecting the characteristic features of the subjects’ actions, the distance traveled, speed and acceleration on all segments of the path. As a result of data analysis, 6 groups of users were identified, differing in the degree of severity of indicators in terms of the characteristics of speed, accuracy and amplitude of movement. Of particular interest were such traces of a person’s actions, which, on the one hand, were an expression of his skills or experiences, and, on the other hand, were available not only for subjective, but also for objective analysis. As an example, we can point to the handwriting of a person who became one of the promising objects of study by psychologists of the early twentieth century. The concept of “handwriting” was easily transferred to other ways of transmitting information, for example, to the work of an operator with a key when transmitting messages using the “Morse code” method. Thus, the use of a computer mouse monitoring system in a digital learning environment provides an opportunity to quickly and adaptively provide interaction with the user, taking into account their psychophysiological characteristics and emotional state. The proposed diagnostic system allows us not only to determine the quantitative characteristics of the path traveled and the click map of a computer mouse, but also to classify the user into one or another group, taking into account their psychological characteristics.

Особенности ролевой самооценки российских и китайских студентов

This paper meets the need for cross-cultural research into the role aspects of university student behaviour against the background of increasing academic migration. Students that adhere to different cultural patterns may have a different understanding of various situations arising in the teaching process and a different perception of their social role in such situations. The article analyses the level-related and structural differences in the aspects of role self-assessment depending on the socio-cultural context. The authors use the method of S. Schwartz (PVQ-40) and the authors’ questionnaire aimed at identifying the aspects of role self-assessment. The study involved 300 respondents, including 185 Chinese and 115 Russian students. We formulated a hypothesis that students from cultures which differ in terms of the “collectivism-individualism” criterium show level-related and structural differences in the aspects of role self-esteem. The analysis of value profiles allows us to establish that Chinese students are more committed to the values of collectivism compared to Russians. The aspects of role self-assessment in the two groups do not have level-related differences—however, students from China demonstrate higher self-assessments of role typicality, and it is also more important for them to meet the expectations of status reference figures—i. e., parents, teachers, and representatives of the university administration. Based on the analysis of structural differences, it is shown that perceived role typicality is an important factor of positive role self-esteem for the Chinese sample, which probably determines a greater social normativity, including in academic behaviour. Further studies of students’ role self-esteem can be aimed at correlating its structure with the motivation for academic achievements and the peculiarities of the cultural identity of students from different countries.