Management of newly diagnosed chronic myeloid leukaemia during a twin pregnancy using leucapheresis: Case report and review of the literature

A case of chronic myeloid leukaemia diagnosed as an incidental finding in a 32-year-old woman, pregnant with twins at 11 weeks gestation, is presented. Management of the patient was with leucapheresis and supportive care until spontaneous delivery of two morphologically normal infants (one male, one female) at 37 weeks gestation. Special considerations while employing leucapheresis in pregnant patients are discussed.

A practical taxonomy of methods and literature for managing uncertain spatial data in geographic information systems

Perfect information is seldom available to man or machines due to uncertainties inherent in real world problems. Uncertainties in geographic information systems (GIS) stem from either vague/ambiguous or imprecise/inaccurate/incomplete information and it is necessary for GIS to develop tools and techniques to manage these uncertainties. There is a widespread agreement in the GIS community that although GIS has the potential to support a wide range of spatial data analysis problems, this potential is often hindered by the lack of consistency and uniformity. Uncertainties come in many shapes and forms, and processing uncertain spatial data requires a practical taxonomy to aid decision makers in choosing the most suitable data modeling and analysis method. In this paper, we: (1) review important developments in handling uncertainties when working with spatial data and GIS applications; (2) propose a taxonomy of models for dealing with uncertainties in GIS; and (3) identify current challenges and future research directions in spatial data analysis and GIS for managing uncertainties.

Search filters: mapping the literature using a novel form of content analysis.

Background: Search filters are combinations of words and phrases designed to retrieve an optimal set of records on a particular topic (subject filters) or study design (methodological filters). Information specialists are increasingly turning to reusable filters to focus their searches. However, the extent of the academic literature on search filters is unknown. We provide a broad overview to the academic literature on search filters.
Objectives: To map the academic literature on search filters from 2004 to 2015 using a novel form of content analysis.
Methods: We conducted a comprehensive search for literature between 2004 and 2015 across eight databases using a subjectively derived search strategy. We identified key words from titles, grouped them into categories, and examined their frequency and co-occurrences.
Results: The majority of records were housed in Embase (n = 178) and MEDLINE (n = 154). Over the last decade, both databases appeared to exhibit a bimodal distribution with the number of publications on search filters rising until 2006, before dipping in 2007, and steadily increasing until 2012. Few articles appeared in social science databases over the same time frame (e.g. Social Services Abstracts, n = 3).
Unsurprisingly, the term ‘search’ appeared in most titles, and quite often, was used as a noun adjunct for the word 'filter' and ‘strategy’. Across the papers, the purpose of searches as a means of 'identifying' information and gathering ‘evidence’ from 'databases' emerged quite strongly. Other terms relating to the methodological assessment of search filters, such as precision and validation, also appeared albeit less frequently.
Conclusions: Our findings show surprising commonality across the papers with regard to the literature on search filters. Much of the literature seems to be focused on developing search filters to identify and retrieve information, as opposed to testing or validating such filters. Furthermore, the literature is mostly housed in health-related databases, namely MEDLINE, CINAHL, and Embase, implying that it is medically driven. Relatively few papers focus on the use of search filters in the social sciences.

Reviewing the literature

Implementing evidence into practice requires nurses to identify, critically appraise and synthesise research. This may require a comprehensive literature review: this article aims to outline the approaches and stages required and provides a working example of a published review

Psychological interventions for children and young people affected by armed conflict or political violence: a systematic literature review.

Youths exposed to armed conflict have a higher prevalence of mental health and psychosocial difficulties. Diverse interventions exist that aim to ameliorate the effect of armed conflict on the psychological and psychosocial wellbeing of conflict affected youths. However, the evidence base for the effectiveness of these interventions is limited. Using standard review methodology, this review aims to address the effectiveness of psychological interventions employed among this population. The search was performed across four databases and grey literature. Article quality was assessed using the Downs and Black Quality Checklist (1998). Where possible, studies were subjected to meta-analyses. The remaining studies were included in a narrative synthesis. Eight studies concerned non clinical populations, while nine concerned clinical populations. Review findings conclude that Group Trauma Focused-Cognitive Behavioural Therapy is effective for reducing symptoms of posttraumatic stress disorder, anxiety, depression and improving prosocial behaviour among clinical cohorts. The evidence does not suggest that interventions aimed at non clinical groups within this population are effective. Despite high quality studies, further robust trials are required to strengthen the evidence base, as a lack of replication has resulted in a limited evidence base to inform practice.

Exploring resilience in nursing and midwifery students: a literature review

AIM: The aim of this study was to explore the concepts of 'resilience' and 'hardiness' in nursing and midwifery students in educational settings and to identify educational interventions to promote resilience.

BACKGROUND: Resilience in healthcare professionals has gained increasing attention globally, yet to date resilience and resilience education in nursing and midwifery students remain largely under-researched.

DESIGN: An integrative literature review was planned, however, only quantitative evidence was identified therefore, a review of quantitative studies was undertaken using a systematic approach.

DATA SOURCES: A comprehensive search was undertaken using Medline, CINAHL, Embase, PsycINFO and Maternity and Infant Care databases January 1980-February 2015.

REVIEW METHODS: Data were extracted using a specifically designed form and quality assessed using an appropriate checklist. A narrative summary of findings and statistical outcomes was undertaken.

RESULTS: Eight quantitative studies were included. Research relating to resilience and resilience education in nursing and midwifery students is sparse. There is a weak evidence that resilience and hardiness is associated with slightly improved academic performance and decreased burnout. However, studies were heterogeneous in design and limited by poor methodological quality. No study specifically considered student midwives.

CONCLUSION: A greater understanding of the theoretical underpinnings of resilience in nursing and midwifery students is essential for the development of educational resources. It is imperative that future research considers both nursing and midwifery training cohorts and should be of strong methodological quality.

STUDENT’ S ENGAGEMENT IN SCHOOL: A LITERATURE REVIEW

Students’ Engagement in School has been the focus of debate concerning academic success and school dropout, and pointed out as a mean to address the problems affecting our schools and their students, not only for having value in itself, but also for being an important mediator between several academic variables. This paper reviews the research and literature on this concept and its relations with personal and contextual variables, as well as with academic performance, with the aim of summarizing the main relationships found. Literature presents a significant number of studies which sustain that personal variables, such as self-efficacy and self-concept, as well as contextual - peers, school, family- are related with school engagement. The adoption of mastery goals, for instance, has a positive impact on school, as they are related with the use of cognitive and self-regulatory strategies by students. Positive relationships with peers, teachers support and the quality of family relations are associated with higher levels of engagement and academic performance, while negative experiences, such as bullying, are related with educational difficulties. Following this, we reflect about the relevance of studying engagement in school, in the context of widespread financial crisis, and emphasize the need to rethink educational institutions considering the paradigmatic changes that currently occur.

Novos saberes básicos dos alunos, novas competências dos professores : um estudo no âmbito da supervisão da formação de professores do 1º ciclo do ensino básico na Universidade de Aveiro

As mudanças sociais que, na actualidade, pressionam e desafiam a Escola, nomeadamente quanto aos papéis, funções e desempenho dos professores, implicam a necessidade de repensar a sua formação para que possam responder mais adequadamente aos desafios emergentes. Estes têm particularmente a ver com os novos saberes que essas condições exigem a todos os cidadãos e que são entendidos, do ponto de vista epistemológico, como saberes para agir responsavelmente. Assim, o principal objectivo deste estudo consiste em aprofundar o conhecimento acerca das ambiências e culturas de formação inicial de professores do 1. º Ciclo do Ensino Básico na Universidade de Aveiro, nomeadamente dos processos de supervisão ao nível da disciplina de Prática Pedagógica, tendo em consideração que as características de monodocência dos profissionais deste ciclo de ensino pressupõem um perfil de competência específico. A investigação, de natureza qualitativa, desenvolveu-se de acordo com as abordagens próprias da complexidade e da sistémica, das quais relevamos os princípios da totalidade em que os fenómenos são percebidos como sistemas globais e dinâmicos e da recursividade ao admitirmos a possibilidade de uma relação dialéctica entre os diversos subsistemas considerados. Do ponto de vista metodológico, no sentido de construir uma visão integrada do objecto em estudo, foi utilizado um conjunto de procedimentos específicos (mixed-methods), nomeadamente análise documental, inquirição por questionário e por entrevista semi-estruturada. O questionário foi aplicado à totalidade de licenciados em Ensino do 1.º Ciclo do Ensino Básico pela Universidade de Aveiro, compreendendo o período de 1998 até 2005. A entrevista foi realizada junto de supervisores (cooperantes e institucionais) que vêm acompanhando os núcleos de Prática Pedagógica, no decurso e ao longo do 4.º ano da referida Licenciatura. Quanto aos resultados do estudo, estes podem ser lidos em função de três eixos. Relativamente ao primeiro, que genericamente se refere à evolução dos saberes básicos dos alunos, os contributos parecem sugerir a necessidade de alicerçar os processos de ensino/aprendizagem não apenas nas literacias ler, escrever e contar, como também no desenvolvimento de saberes básicos de natureza geral e transversal, percebidos como competências, tais como aprender a pensar, aprender a aprender, aprender a comunicar e a resolver problemas, numa perspectiva de aprender a ser. O segundo eixo de leitura tem a ver com as competências requeridas aos professores para o desenvolvimento desses saberes estruturantes. De acordo com os dados recolhidos na fase extensiva do estudo, estes parecem coerentes com a revisão de literatura realizada, bem como com os normativos legais que, em Portugal, enquadram o perfil de desempenho dos professores do 1.º Ciclo. Porém, sugerem a necessidade de interligar as dimensões saber, saber-fazer e saber ser, com ênfase nesta última. À semelhança dos resultados referidos no ponto anterior, também o referencial de competências proposto para os professores integra as dimensões saber, saber fazer e saber ser, no qual são valorizadas as competências de reflexão crítica, de aprender a aprender e, de igual forma, o conhecimento profissional nas suas múltiplas dimensões. O terceiro eixo relaciona-se com a qualidade das ambiências e culturas de formação e supervisão. De forma geral, os dados apontam que ambientes que possibilitem uma dimensão de prática curricular alargada em contextos diversificados, que valorizem os princípios da pessoalidade e respeito pelo Outro e que estimulem a reflexão crítica, a auto-implicação dos formandos, o desenvolvimento de competências pessoais e de desenvolvimento profissional (destacando-se as competências para aprender a aprender, a comunicar, a investigar e reflectir), parecem adequar se melhor ao desenvolvimento pessoal e profissional destes professores, no contexto das sociedades contemporâneas. Assim, é possível verificar que os eixos considerados remetem para um conjunto recursivo de saberes e competências que, em diferentes níveis, implicam um compromisso com a acção, numa visão de mundo comprometida com as ideias de bem comum, ou seja, de cidadania universal.

The reception of British literature under dictatorships in Hungary and Portugal

Esta tese tem como objectivo comparar aspectos da recepção da literatura britânica durante o Estado Novo em Portugal, e na Hungria durante a era comunista. Na primeira parte da dissertação fica contextualizada e analisada a alteração da posição da literatura britânica nos dois países, enquanto na segunda parte se comparam facetas da recepção da mesma, contrastando as traduções literárias publicadas em Portugal e na Hungria entre 1949 e 1974, altura em que ambos os países foram dirigidos simultaneamente por regimes autocratas. Este estudo faz-se, em parte, através da comparação de manuais escolares e seletas, a fim de examinar os diferentes métodos usados pelos dois regimes ditatoriais politicamente opostos na tentativa de moldarem os seus leitores. É dada especial atenção à literatura proibida e aos motivos para as atitudes restritivas diferenciadas em relação a certos escritores na era de Salazar e na Hungria durante o período de Bloco de Leste. A tese conclui que a abordagem divergente em relação às obras literárias britânicas, bem como à literatura em geral, é principalmente enraizada na ideologia de governação diametralmente oposta dos dois regimes ditatoriais. A crença idealista no poder educativo da literatura em estabelecer o socialismo na Hungria está em nítido contraste com a política de cultura obscurantista do Estado Novo. Mesmo quando o apoio à literatura britânica não era uma das principais prioridades da esfera cultural húngara, parece evidente que a literatura canónica britânica teve uma recepção mais favorável na Hungria comunista do que no Estado Novo.