Use Of Pocket Research Articles

Perceptions of Key Informant Health Professionals before implementing tighter glycaemic targets for women with gestational diabetes mellitus in New Zealand.

BackgroundTighter glycaemic targets may be of benefit for women with GDM and their infants. Barrier and enabler identification prior to implementation of tighter glycaemic targets for women with GDM may support a successful transition.MethodsA cross-sectional questionnaire survey was conducted among Key Informant Health Professionals in ten hospitals in New Zealand. The survey assessed what was currently working using less tight glycaemic targets; what barriers and enablers were considered likely when introducing tighter glycaemic targets and whether these perceptions differed by health professional groups.ResultsSixty Key Health Informant Health Professionals completed the survey. When using the lower glycaemic targets, participants considered that women with GDM found the targets easy to use and that collaborative collegial support was effective. No significant barriers were identified. Perceived enablers identified prior to implementation of tighter targets included receiving collegial support (40, 67%), attending education sessions (38, 63%), use of pocket prompt cards (31, 52%), availability of wall charts (25, 42%) and glycaemic target reminder stickers (24, 40%). For health professionals referring into the Diabetes in Pregnancy Service effective communication (50, 83%) was considered important. Perceived barriers were confusion over glycaemic targets use (27 (45%), not being informed of the glycaemic target change (31, 52%), non-involvement with multidisciplinary decisions (29, 48%) and increased difficulty of blood glucose control for women (48, 80%). Overall, barriers and enablers between Health Professional groups did not differ.DiscussionKey Informant Health Professionals reported effective communication as a key perceived enabler and that woman would find it more difficult to control their blood glucose concentrations. Education sessions, multidisciplinary engagement, wall charts and stickers were considered effective to overcome the perceived barriers. Further research is needed to assess if the barriers perceived were realised and if the perceived enablers supported the implementation of the tighter glycaemic targets effectively.

ANALYSIS OF INFLUENCE OF PROCESS PARAMETERS ON TEMPERATURE DISTRIBUTION IN PROFILES EXTRUDED FROM 6xxx-SERIES ALUMINUM ALLOYS

Changing market preferences regarding expectations in terms of the functionality, properties, and appearance of a finished product place excessive demands on manufacturers. The 6xxx-series alloys are the most commonly used in extrusion, and they have broad applications (e.g., the construction, electronics, automotive, and shipbuilding industries). The development of deformation technology at the design stage reaps unquestionable benefits when planning the production process. Under real conditions, the extrusion of hollow profiles requires the use of pocket dies, whose proper design is a complex process. This paper presents the results of preliminary numerical investigations of the extrusion process of structural panels from the 6005A aluminum alloy intended for the construction of transport car bodies. The influence of selected parameters of the extrusion process on the temperature distribution was analyzed in the material. The calculations were made using FEM for a three-dimensional deformation state, taking into account the thermal phenomena occurring during the applied deformation scheme in the extrusion process carried out in a flat die.

Hands Deep in History: Pockets in Men and Women's Dress in Western Europe, c. 1480–1630

Pockets are now standard and accepted aspects of clothing, but their presence in dress has not always been so assured. This article examines the use of pockets in western Europe from the late fifteenth to the early seventeenth centuries, demonstrating that pockets were adopted into clothing much earlier than has often been believed. It discusses the physical form of pockets in the dress of both genders and the types of garments into which they were inserted. It also explores the possible reasons for the uptake of pockets, the uses to which they were put and the sorts of objects which were kept in pockets, showing that pockets provided the wearer with an individual and personal space which they could use to transport a wide range of goods hands-free.

Pocket-Sized Echocardiography Devices: One Stop Shop Service?

The introduction of portable, pocket-sized echocardiography devices in various healthcare systems has raised new questions with regards to their realistic use in clinical practice. Several studies have already attempted to provide information regarding their safety and diagnostic potential, the training required to operate them, as well as their direct comparison with standard echocardiography machines. This manuscript is a review of the literature of the documents or position papers which employ the use of pocket or handheld devices. Following review of the literature, we suggest that these miniaturized devices can provide a valuable diagnostic tool that can complement and improve the diagnostic yield of clinical examination. When operated by appropriately trained professionals, they can provide a limited but very reliable echocardiographic assessment. Pocket-sized echocardiography is a part of physical examination and should not be considered a complete echocardiographic scan. Optimal training is required for the smooth operation of handheld echocardiography.

Injuries can be prevented in contact flag football!

This original prospective cohort study was conducted in an attempt to significantly reduce the incidence and the severity of injuries in an intervention cohort as compared to a two-season historical cohort, and to provide recommendations to the International Federation of Football (IFAF) pertaining to prevention measures to make the game safer. A total of 1,260 amateur male (mean age: 20.4±3.9years) and 244 female (mean age: 18.5±1.7years) players participated in the study. Four prevention measures were implemented: the no-pocket rule, self-fitting mouth guards, ankle braces (for those players with recurrent ankle sprains) and an injury treatment information brochure. All time-loss injuries sustained in game sessions were recorded by the off-the-field medical personnel and followed up by a more detailed phone injury surveillance questionnaire. There was a 54% reduction in the total number of injuries and a significant reduction in the incidence rate and incidence proportion between the intervention cohorts as compared to the historical cohort (p<0.001). There was no statistically significant reduction in the number of injuries in any of the body parts, except for in hand/wrist injuries related to the use of pockets (p<0.001), as well as the severity of mild-moderate injuries (p<0.05). This study provided evidence that hand/wrist injuries can be significantly reduced in flag football. Recommendations to the IFAF include strict enforcement of the no-pocket rule, the use of soft headgear, comfortable-fitting ankle braces and mouth guards and additionally, to change game rules concerning blocking. II.

Identifying Features of Pocket Parks that May Be Related to Health Promoting Use

Urban green spaces have been shown to promote health and well-being and recent research indicates that the two primary potentially health promoting uses of pocket parks are ‘rest and restitution’ and ‘socialising’. The aim of this study is to identify features in pocket parks that may support these uses. The relationship between the two types of use and the shape, size, noise level, greenness, as well as ‘elements’ (paved and unpaved trails, café, historical feature, table, other seating than benches, flowerbeds, view outside park, playground) in nine pocket parks in Copenhagen were analysed. The results show that ‘green features’ do not seem to be of crucial importance for ‘socialising’ whereas, as expected, features promoting gathering should be prioritised. For ‘rest and restitution’, the main results show that ‘green ground cover’ and ‘enclosed green niches’ are important, while ‘disturbing features’ (playground, view outside park) should be avoided. The results add knowledge about the features which support the health promoting use of pocket parks to the existing body of research.

INJURIES CAN BE PREVENTED IN CONTACT FLAG FOOTBALL!

BackgroundEpidemiological studies in American Flag Football have revealed a high incidence of injuries. No previous study has attempted to prevent injuries.ObjectiveTo significantly reduce the incidence and the severity of injuries...

Translation of ERC resuscitation guidelines into clinical practice by emergency physicians

PurposeAustrian out-of-hospital emergency physicians (OOHEP) undergo mandatory biannual emergency physician refresher courses to maintain their licence. The purpose of this study was to compare different reported emergency skills and knowledge, recommended by the European Resuscitation Council (ERC) guidelines, between OOHEP who work regularly at an out-of-hospital emergency service and those who do not currently work as OOHEP but are licenced.MethodsWe obtained data from 854 participants from 19 refresher courses. Demographics, questions about their practice and multiple-choice questions about ALS-knowledge were answered and analysed. We particularly explored the application of therapeutic hypothermia, intraosseous access, pocket guide use and knowledge about the participants’ defibrillator in use. A multivariate logistic regression analysed differences between both groups of OOHEP. Age, gender, years of clinical experience, ERC-ALS provider course attendance and the self-reported number of resuscitations were control variables.ResultsLicenced OOHEP who are currently employed in emergency service are significantly more likely to initiate intraosseous access (OR = 4.013, p < 0.01), they initiate mild-therapeutic hypothermia after successful resuscitation (OR = 2.550, p < 0.01) more often, and knowledge about the used defibrillator was higher (OR = 2.292, p < 0.01). No difference was found for the use of pocket guides.OOHEP who have attended an ERC-ALS provider course since 2005 have initiated more mild therapeutic hypothermia after successful resuscitation (OR = 1.670, p <0.05) as well as participants who resuscitated within the last year (OR = 2.324, p < 0.01), while older OOHEP initiated mild therapeutic hypothermia less often, measured per year of age (OR = 0.913, p <0.01).ConclusionLicenced and employed OOHEP implement ERC guidelines better into clinical practice, but more training on life-saving rescue techniques needs to be done to improve knowledge and to raise these rates of application.

Hierarchical Cores Applied to an Analysis of Use of Technologies Level among Higher Education Students in Mexico

Using the theory shown, Cores Optimal Criterion, three factors from which hierarchical aggregation of variables under study was built, as well as hierarchical cores showing the level of use of pocket computing technologies by students. The principal factors influencing the level of use of pocket computing technologies among higher education students are analyzed from a theoretical aggregation development based on hierarchical cores. The theoretical part includes the development of an algorithm used to obtain an interesting class or partition from a hierarchy. The experimental work carried out included design, preparation and application of a questionnaire to higher education students in Mexico. A pilot test was carried out to check timing and repetition of questions. Data was recorded, validated, and mathematically and statistically analyzed.

전차병복 착용실태에 관한 연구

The purpose of this study was to investigate problems of design, fitness, suitability for movement, and comfort in current Korean military tank driver's clothing through analysis of actual wearing condition by questionnaire and field evaluation and. to provide basic data for developing a improved design of Korean military tank driver's clothing. The survey was done for 477 military tank driver and the field evaluation was also done for evaluation. The overall satisfaction for design of military tank driver's clothing(3.25) was higher than that for the easiness in wearing and taking off(2.76). The military tank drivers evaluated that current coverall type of clothing is more suitable than two-piece type of clothing. The overall satisfaction for fitness of clothing was as a whole low(2.82~3.09), Especially, the satisfaction for fitness of from front and back rise length was the lowest one. In the satisfaction for clothing materials, the satisfaction for the breathability of material was the lowest, followed by clothing insulation and air permeability. The satisfaction for movement was low in bending waist and raising forward and aside. The part which surveyors think most dissatisfactory was also front and back rise length. The frequency in use of pocket was the highest in chest pocket, followed by waist and pants pockets. The satisfaction for opening easiness of hips opening part was very low(2.64).

Eine späte Taschenapotheke Hahnemanns im Heidelberger Schloss

The choice of remedies and also the lay use of pocket-, home- and travel pharmacies is a major issue in current homeopathic training. The composition of remedies of historic pharmacies has not been extensively studied. We describe and list the 24 remedies of a historic pharmacy attributed to Hahnemann himself in his last Paris years, which is conserved in the German Pharmacy Museum in Heidelberg castle since 2002. Its original provenience is not known, the last ownership was the private collection of Wilhelm Dorr (1902-1952), a pharmacist whose compassion was the collection of pharmaceutical antiques. Its composition does not considerably differ from current recommendations.

Extrusion of sections with varying thickness through pocket dies

The quality of extruded product depends on many technological factors and the proper die design. This study investigates the influence of pocket die geometry on the flow behaviour during extrusion of profiles with varying thickness and, in consequence on its geometrical stability and surface quality. Material microstructure and the mechanical properties on the extrudates cross-section were also explored. The extrusion force was measured for all the dies tested. Based on physical modelling and extrusion trials on AlMgSi (6060) alloy, it was found that pocket dies considerably change the way of the metal flow in comparison to conventional flat dies. Properly designed pocket die allowed obtaining more uniform metal flow through the die, resulting in improved geometrical stability of the profile extruded. The use of pocket dies is also associated with more advantageous state of stresses in the die orifice, which in consequence enhances both material deformability and surface quality of extrudates. The higher values of micro-hardness were obtained while using the pocket dies. Moreover, the pocket dies contribute to the small increase in extrusion force, compared to the flat dies, whereas a considerable decrease in the extrusion force can be expected while extruding hard deformable materials. The criterion for pocket design was proposed and evaluated.