Attitudes towards morphine use among Swiss nurses and physicians

Background: There is little information regarding risk perception and attitudes on morphine use in Switzerland. Objectives: We aimed at assessing such attitudes in a sample of health professionals in the French-speaking part of Switzerland. Study design: Cross-sectional study. Setting: five non-university hospitals of the French-speaking canton of Valais, Switzerland. Methods: 431 nurses and 40 physicians (age range: 20-63). Risk perception and attitudes towards morphine use were assessed using a validated questionnaire. Results: Over half of participants showed a negative attitude regarding most adverse events related to morphine, while less than one third showed a similar attitude regarding other statements. On bivariate analyses, participants working in geriatrics showed a more negative attitude towards use of morphine than participants working in medicine and surgery. Non-Swiss participants also showed a more negative attitude than Swiss regarding use of morphine. Conversely, no differences were found between genders, profession (nurses or physicians), years of experience (<=14 and >14) and religion (catholic vs. others/no religion). These findings were further confirmed by multivariate adjustment. Limitations: possible selection bias due to responders only. Results limited to French speaking participants. Conclusion: Attitudes regarding morphine uses are mainly driven by its potential adverse effects and vary according to specialty and nationality. Educational measures directed at health professionals working in geriatrics or coming from abroad might reduce the high morphinophobia levels observed in these groups.

Slip-Form Paving as Developed and Pioneered in Iowa,1961.

Summarizes Iowa's 14 years of experience in pioneering and developing slip-form paving methods

Monitoring inflammatory bowel disease activity: clinical activity is judged to be more relevant than endoscopic severity or biomarkers.

BACKGROUND: There is increasing evidence for the clinical relevance of mucosal healing (MH) as therapeutic treatment goal in inflammatory bowel disease (IBD). We aimed to investigate by which method gastroenterologists monitor IBD activity in daily practice. METHODS: A questionnaire was sent to all board-certified gastroenterologists in Switzerland to specifically address their strategy to monitor IBD between May 2009 and April 2010. RESULTS: The response rate was 57% (153/270). Fifty-two percent of gastroenterologists worked in private practice and 48% worked in hospitals. Seventy-eight percent judged clinical activity to be the most relevant criterion for monitoring IBD activity, 15% chose endoscopic severity, and 7% chose biomarkers. Seventy percent of gastroenterologists based their therapeutic decisions on clinical activity, 24% on endoscopic severity, and 6% on biomarkers. The following biomarkers were used for IBD activity monitoring: CRP, 94%; differential blood count, 78%; fecal calprotectin (FC), 74%; iron status, 63%; blood sedimentation rate, 3%; protein electrophoresis, 0.7%; fecal neutrophils, 0.7%; and vitamin B12, 0.7%. Gastroenterologists in hospitals and those with ≤ 10 years of professional experience used FC more frequently compared with colleagues in private practice (P=0.035) and those with > 10 years of experience (P<0.001). CONCLUSIONS: Clinical activity is judged to be more relevant for monitoring IBD activity and guiding therapeutic decisions than endoscopic severity and biomarkers. As such, the accumulating scientific evidence on the clinical impact of mucosal healing does not yet seem to influence the management of IBD in daily gastroenterologic practice.

Alteritzar la singularitat: veus per a una pedagogia de l'experiència

Parte de la investigación en torno a la realidad educativa que se ha desarrollado durante los últimos años se caracteriza por intentar encontrar formas de interpretación orientadas a significar los procesos formativos centrados en las vivencias singulares de los agentes que participan de la educación así como en la posibilidad que éstas ofrecen de devenir experiencia, eso es,vivencia concienciada. A raíz de las mismas podemos observar como la biografía apunta a ser una de las más emblemáticas formalizaciones del proceso de narración de vivencias. Pero, aún cuando la misma se perfila como una de las narraciones que más promueven la interpretación e intercambio de vivencias, posibilitando la reflexión e, incluso, formación mediada, la biografía todavía presenta como forma teorética algunos escollos. Los cuales, pueden ser utilizados como preguntas base para formular una voz de las pedagogías de la experiencia. Justamente, interrogarse y repensar su factibilidad es el tema que se ensaya en el presente artículo.

Stand Out In A Crowd! Merchandising Your Job Talents,

You want a job. And you believe that somewhere, some employer has precisely the job you want - one that fully utilizes your knowledge and abilities and provides challenge and opportunities for advancement. To find that job, you need to perform a well-planned job search. You have a product to sell - your knowledge, skills and experience . . . YOURSELF! What you need to know is how to market yourself most effectively. Whether you are just out of school and ready to start your career or looking for a new position after 20 years of experience, some of the techniques presented in this booklet may help you. NOTE: ENGLISH

Pariskuntapuhe ja kokemusten rajat

Summary: Couples' talk and the boundaries of experience

Notes sobre subjectivitat i experiència

The aim of this paper is to underline the fact that, in most contemporary philosophical debates (and somehow, issues in feminist theory are not an exception), a well-known term is playing an important role: experience. We need a cartography of the uses of experience, if we want to know what we are talking about and also if we intend to analyze and to rethink the last 25 years of ¿women studies¿, ¿gender studies¿ or ¿subaltern studies¿.

Modified Sheet Pile Abutments for Low-Volume Road Bridges: Tech Transfer Summary, January 2012

Iowa has about 22,936 bridges on low-volume roads (LVRs). Based on the National Bridge Inventory data, 22 percent of the LVR bridges in Iowa are structurally deficient, while 5 percent of them are functionally obsolete. The substructure components (abutment and foundation elements) are known to be contributing factors for some of these poor ratings. Steel sheet piling was identified as a possible long-term option for LVR bridge substructures; but, due to lack of experience, Iowa needed investigation with regard to vertical and lateral load resistance, construction methods, design methodology, and load test performance. This project was initiated in January 2007 to investigate use of sheet pile abutments. *************Tech Transfer Summary. For full report see: http://publications.iowa.gov/id/eprint/14832*************

A guide for easy- and difficult-to-treat hypertension.

Although the blood pressure (BP) of many patients can be controlled using standard combinations, treatment of hypertension frequently represents a clinical challenge to the primary care physician. This article will review best practices for managing patients with easy- and difficult-to-treat hypertension, including preferred antihypertensive combinations, optimizing adherence and persistence, recognizing white-coat hypertension, and intensifying therapy for treatment-resistant patients. Each physician must decide based on his or her own level of experience at what point a patient becomes too challenging and would benefit from referral to a hypertension specialist for more intensive management and to complete the exclusion of secondary forms of arterial hypertension. With intensive pharmacotherapy, many patients with difficult-to-treat hypertension can achieve BP control. If it fails, interventional strategies (e.g., renal denervation) are a valid option to get BP controlled.

Roadway Lighting on Secondary Roads in Iowa, HR-251, 1984

There are approximately 800 installations of destination lighting at secondary road intersections in Iowa. Approximately 90% of these have only a single luminaire. The other installations have two luminaires. No warrants currently exist for justifying the use of this type of lighting. Previous research has examined the safety benefits from full lighting of rural intersections that generally serve substantially higher traffic volumes than secondary road intersections in Iowa. However, the safety benefit of destination lighting at intersections carrying relatively low volumes has not been the subject of previous research. The research reported here, sponsored by the Iowa Department of Transportation, was undertaken to identify locations where destination lighting could be expected to improve highway safety. If destination lighting were shown to reduce accident frequency, warrants for its use on secondary roads could be developed. An inventory of secondary road lighting installations in Iowa was assembled. From this inventory, two samples were constituted that would permit two separate comparisons of the accident experience with and without destination lighting. Before and after comparisons were made for the same locations if accident records were available for at least one full year both preceding and following the installation of destination lighting. Accident records for this purpose were available from a statewide computerized record system covering the period from 1977 through 1982. The accident experience at locations having destination lighting installed before 1978 was compared with a sample of comparable locations not having destination lighting. The sample of secondary road intersections used for the before and after comparison included 91 locations. The sample of continuously lighted locations included 102 intersections. Accident experience at these locations was compared with the experience at 102 intersections that were not lighted. The intersections included in these samples averaged only 0.31 accidents per year. The accident rate at secondary road intersections that had destination lighting did not differ significantly from the accident rate at intersections that were not lighted. This conclusion was derived from both comparisons, the before and after experience and the comparison of experience at intersections that were continuously lighted with that at unlighted locations. Furthermore, no significant differences were noted between lighted and unlighted locations in the proportion of accidents that occurred at night. The distribution of accidents by type also did not differ between unlighted intersections and those having destination lighting. It was not possible to formulate warrants for destination lighting since analyses directed toward identifying specific characteristics of an intersection that could be correlated with highway safety did not yield any useful relationships. However, it was noted that the average damages for night accidents that occurred at lighted intersections were lower than for accidents at unlighted intersections. Even in the absence of a more definitive demonstration of beneficial effects, destination lighting is perceived by officials in most of the counties having such installations as yielding desirable effects and is recognized as helpful to motorists in performing the guidance function in driving. Given this benefit and a relatively low cost (an average of $74 per year for one luminaire), and given that the subjective criteria that have been used in the past to justify the installation of destination lighting have led to a high degree of public acceptance and satisfaction, it is recommended that the same subjective criteria continue to be used in lieu of definitive warrants.

Notes sobre subjectivitat i experiència

The aim of this paper is to underline the fact that, in most contemporary philosophical debates (and somehow, issues in feminist theory are not an exception), a well-known term is playing an important role: experience. We need a cartography of the uses of experience, if we want to know what we are talking about and also if we intend to analyze and to rethink the last 25 years of ¿women studies¿, ¿gender studies¿ or ¿subaltern studies¿.

Historias de vida en educación: sujeto, diálogo, experiencia

[spa] En este libro presentamos los trabajos que compartieron en las II Jornadas de Historias de Vida en Educación: Sujeto, Diálogo y Experiencia, (Málaga 9 y 10 de junio, 2011). La diversidad caracteriza el conjunto de los textos, y a veces la contraposición de posiciones ideológicas y conceptuales, lo cual sirve para enriquecer el debate y la reflexión.Los textos se distribuyen en cuatro capítulos: El primero, sobre el sujeto, o relaciones entre sujetos en la investigación. El segundo entorno a cómo las narrativas y las historias de vida pueden convertirse en herramientas para el cambio. El tercero se centra en la entrevista como el espacio de encuentro y de diálogo que tiene lugar en el proceso de investigación. El cuarto y más complejo reúne los textos que hablan de la experiencia como uno de los focos necesarios en los estudios con historias de vida.

L’Educació en valors a les classe d'educació física als instituts

l’educació física esdevé un excel·lent camp d’actuació per educar en valors a l’alumnat, sent aquesta una necessitat social existent segons els experts. El propòsit d’aquesta investigació és saber com i de quina manera s’educa en valors a les classes d’educació física, si és que es fa, i des d’un punt de vista del professorat. A través d’una recerca teòrica en l’àmbit, complementada amb 4 entrevistes a professorat d’educació física en actiu i amb més de 20 anys d’experiència, s’analitza qualitativament l’estat actual de l’educació en valors als instituts. L’anàlisi del marc teòric ressalta la importància que per desenvolupar aquests valors personals i socials, cal seguir un procés adequat, planificat i conscient per part del professorat. La part aplicada de l’estudi suggereix que en general es tenen en compte valors com el respecte i la cooperació durant el transcurs de les classes d’educació física, però que no es desenvolupen de forma eficient per manca de recursos i per infravalorar la seva importància. La investigació conclou que l’educació en valors als instituts, ha de ser una tasca transversal i coordinada amb d’altres agents fora d’aquest àmbit escolar, com són els entrenadors/es de clubs esportius, els pares i les mares i d’altres institucions implicades en el procés educatiu de l’alumnat. A partir d’aquesta anàlisi es vol promoure l’educació física com a eina per desenvolupar els valors en l’alumnat.

Estratègies i metodologies per a la inclusió de l'alumnat nouvingut a les aules de parvulari

El propòsit d’aquesta recerca és analitzar i descriure les estratègies metodològiques que es porten als centres educatius de Catalunya per promoure la inclusió de l’alumnat nouvingut a les aules d’educació infantil. Durant els últims anys hi ha hagut un augment considerable de matriculacions dins i fora de termini d’alumnat procedent d’altres països. En conseqüència, les escoles han hagut d’assumir, amb més força que mai, el repte de la diversitat lingüística, cultural i social. Per analitzar aquesta qüestió en la present recerca, s’ha partit de la realitat de dues escoles catalanes amb alumnat de característiques molt diverses. Una escola amb un percentatge baix de nouvinguts, i l’altra, amb un percentatge molt elevat. Aquesta anàlisi de les experiències a les dues escoles catalanes s’ha centrat en l’observació i analitzar les estratègies metodològiques que s’emprenen a l’escola. Tot i que el present treball té com a centre l’educació infantil, donat que estic cursant aquest grau de mestre/a, la incorporació de l’alumnat nouvingut no pot deslligar-se dels plantejaments globals de centre. Per tant, la recerca no s’ha cenyit exclusivament a l’educació infantil sinó que també ha tingut en compte el conjunt d’accions també de l’educació primària i, molt especialment, una de les estratègies centrals en l’acollida d’infants nouvinguts com són les aules d’acollida. Aquestes vetllen per la inclusió de l’alumnat a l’aula ordinària, la cohesió social de tot l’alumnat i la igualtat d’oportunitats en el camí cap a l’educació intercultural basada en el respecte i coneixement de les diverses cultures presents a l’aula.

Rakenne, konteksti ja merkitys

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