3 resultados para Scientific societies
em Dalarna University College Electronic Archive
Resumo:
The current paper presents a study conducted at CERN, Switzerland, to investigate visitors' and tour guides' use and appreciation of existing panels at visit itinerary points. The results were used to develop a set of recommendations for constructing optimal panels to assist the guides' explanation.
Resumo:
Emergency department (ED) triage is used to identify patients' level of urgency and treat them based on their triage level. The global advancement of triage scales in the past two decades has generated considerable research on the validity and reliability of these scales. This systematic review aims to investigate the scientific evidence for published ED triage scales. The following questions are addressed: 1. Does assessment of individual vital signs or chief complaints affect mortality during the hospital stay or within 30 days after arrival at the ED? 2. What is the level of agreement between clinicians' triage decisions compared to each other or to a gold standard for each scale (reliability)? 3. How valid is each triage scale in predicting hospitalization and hospital mortality? A systematic search of the international literature published from 1966 through March 31, 2009 explored the British Nursing Index, Business Source Premier, CINAHL, Cochrane Library, EMBASE, and PubMed. Inclusion was limited to controlled studies of adult patients (≥15 years) visiting EDs for somatic reasons. Outcome variables were death in ED or hospital and need for hospitalization (validity). Methodological quality and clinical relevance of each study were rated as high, medium, or low. The results from the studies that met the inclusion criteria and quality standards were synthesized applying the internationally developed GRADE system. Each conclusion was then assessed as having strong, moderately strong, limited, or insufficient scientific evidence. If studies were not available, this was also noted. We found ED triage scales to be supported, at best, by limited and often insufficient evidence. The ability of the individual vital signs included in the different scales to predict outcome is seldom, if at all, studied in the ED setting. The scientific evidence to assess interrater agreement (reliability) was limited for one triage scale and insufficient or lacking for all other scales. Two of the scales yielded limited scientific evidence, and one scale yielded insufficient evidence, on which to assess the risk of early death or hospitalization in patients assigned to the two lowest triage levels on a 5-level scale (validity).
Resumo:
There is an awareness of the importance of gender equality in most western societies, both at the political level and in everyday life. In academia, for instance, gender is nowadays a scientific field which indicates that there is a lot of knowledge about the subject. What we do not have much knowledge about is whether gender knowledge leads to changes in gender relations in practice. The aim of this study is to explore how gender scholars relate to using – practicing – gender knowledge. Key issues in this study are how gender scholars construct gender, how they practice gender theoretical knowledge, and their reflections of gender boundaries. Theoretically, this study is mainly based on Sara Ahmed’s perspective on gender. The main finding of the study is that despite gender knowledge gender scholars tend to reproduce traditional gender orders. By identifying concepts such as reflected and unreflected masculinity/femininity, different ideals of masculinity/femininity are made visible. There seems to be an ideal among gender scholars to practice their gender knowledge. This ideal is practiced among “gender scholar women” by doing reflected masculinity and reflected femininity. Among “gender scholar men”, however, the ideal to practice gender knowledge by doing unreflected masculinity and reflected femininity seems to be a taboo at the same time. For men, it seems important to mark a distance to a certain type of femininity and to maintain the heterosexual – straight – line. For women, it seems desirable both to distance themselves from a certain type of masculinity and femininity and thereby follow alternative – queer – lines.