The most important and contested element of nursing identity may be the patient-centredness of nursing, though this concept is not well-treated in the nursing identity literature. More conceptually-based mapping of nursing identity constructs are needed to help nurses shape their identity. The field of computational text analytics offers new opportunities to scrutinise how growing disciplines such as health services research construct nursing identity. This paper maps the conceptual content of scholarly health services research in PubMed as it relates to the patient-centeredness of nursing. Computational text analytics software was used to analyse all health services abstracts in the database PubMed since 1986. Abstracts were treated as indicative of the content of health services research. The database PubMed was searched for all research papers using the term "service" or "services" in the abstract or keywords for the period 01/01/1986 to 30/06/2013. A total of 234,926 abstracts were obtained. Leximancer software was used in 1) mapping of 4,144,458 instances of 107 concepts; 2) analysis of 106 paired concept co-occurrences for the nursing concept; and 3) sentiment analysis of the nursing concept versus patient, family and community concepts, and clinical concepts. Nursing is constructed within quality assurance or service implementation or workforce development concepts. It is relatively disconnected from patient, family or community care concepts. For those who agree that patient-centredness should be a part of nursing identity in practice, this study suggests that there is a need for development of health services research into both the nature of the caring construct in nursing identity and its expression in practice. More fundamentally, the study raises questions about whether health services research cultures even value the politically popular idea of nurses as patient-centred caregivers and whether they should.
To examine the perceptions of disease aetiology and the effect of own behaviour on health among poly-pharmacy patients with non-Western backgrounds in Denmark. The study was based on 26 extended medication reviews with patients of non-Western backgrounds aged 50+ who use at least four prescription drugs regularly. The reviews were conducted by 12 pharmacists with the same mother-tongue background as the participants. The reviews included patient interviews on which the data in this article are based. In total, four open-ended questions from the patient interviews were analysed by the means of Giorgi's phenomenological method. The analysis shows that stress was most commonly perceived as the cause of the participants' diseases for reasons that included (1) having left their country of origin and family, (2) worry over the political situation in their country of origin and (3) the problems involved in living as an immigrant in Denmark. Most of the participants perceived their own efforts as having little impact on their own health status, although some participants considered them as having considerable influence. To a great extent, the explanations of the participants about possible disease aetiology are focused on stress, immigration and psychological well-being. Although many participants perceived that their own efforts did not have much impact on their health status, our study revealed a large diversity in the responses of non-Western immigrants, particularly regarding the importance of their own efforts on their health status. 2013 The Authors. IJPP 2013 Royal Pharmaceutical Society.
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ABSTRACT Pacific Northwest National Laboratory (PNNL) has developed an ultra-low-background proportional counter (ULBPC) made of high purity copper. These detectors are part of an ultra-low-background counting system (ULBCS) in the newly constructed shallow underground laboratory at PNNL (at a depth of 30 meters water-equivalent). To control backgrounds, the current preamplifier electronics are located outside the ULBCS shielding. Thus the signal from the detector travels through 1 meter of cable and is potentially susceptible to high voltage microdischarge and other sources of electronic noise. Based on initial successful tests, commercial cables and connectors were used for this critical signal path. Subsequentmore testing across different batches of commercial cables and connectors, however, showed unwanted (but still low) rates of microdischarge noise. To control this noise source, two approaches were pursued: first, to carefully validate cables, connectors, and other commercial components in this critical signal path, making modifications where necessary; second, to develop a custom low-noise, low-background preamplifier that can be integrated with the ULBPC and thus remove most commercial components from the critical signal path. This integrated preamplifier approach is based on the Amptek A250 low-noise charge-integrating preamplifier module. The initial microdischarge signals observed are presented and characterized according to the suspected source. Each of the approaches for mitigation is described, and the results from both are compared with each other and with the original performance seen with commercial cables and connectors. less
Detection of contemporary features of tularemia focimanifestations, determination of territories of high epidemic risk in various landscape zones and creation of a map of foci territories of Moscow Region for isolation of tularemia infectious agent cultures and registered human morbidity for justified planning of prophylaxis measures. Report materials of epizootologic examinations of natural foci for 1965-2013, 156 maps of epidemiologic examination of cases of human infection with tularemia, results of studies of casting of predatory birds and dung of predatory mammals were used. Registered morbidity and isolation of tularemia infectious agent cultures from 1965 to date were applied to an electronic map of Moscow Region by sign method using modern. GIS-technologies (MapInfo 10.5 program). Electronic maps Ingit at 1:200,000 scale, as well as Google Earth program were used to search for base points. Analysis of morbidity has revealed structure change in human tularemia morbidity--an increase of the fraction of urban population and a decrease of the fraction of patients among rural inhabitants, unimmunized against this infection are mostly ill. The presence of DNA of tularemia causative agent in biological objects in the complex with serologic and bacteriological studies was shown to allow to detect flaccid epizootics even at low numbers of rodents. Cartographic reflection of registered morbidity and isolation of tularemia infectious agent cultures allowed to show territories with various degrees of epizootic activity and epidemic manifestation. Positive results of serologic and molecular-genetic studies of environmental objects gives evident on epizootic activity and constant risk of aggravation of epidemic situation for this infection.
Monitoring of snow cover pollution as an indicator of ambient air pollution in 20 districts in the Moscow region during 2009-2013 was performed. The identification with a quantitative assessment of a wide array of organic compounds and the control of the main physical and chemical and inorganic indices of snow water pollution were carried out. More than 60 organic substances for most of which there are no the hygienic standards were established. The assessment of pollution levels of basic inorganic indices was given by means of the comparing them with the average values in the snow cover in the European territory of Russia and natural content in areas not been exposed to human impact.
Croplands could have equal or even greater net ecosystem production than several natural ecosystems (Hollinger et al., 2004), so agriculture plays a substantial role in mitigation strategies for the reduction of carbon dioxide emissions. In Central Russia, where agricultural soils carbon loses are 9 time higher than natural (forest's) soils ones (Stolbovoi, 2002), the reduction of carbon dioxide emissions in agroecosystems must be the central focus of the scientific efforts. Although the balance of the CO2 mostly attributed to management practices, limited information exists regarding the crop rotation overall as potential of C sequestration. In this study, we present data on carbon balance of the typical grain crop rotation in Moscow region followed for 4 years by measuring CO2 fluxes by paired eddy covariance stations (EC). The study was conducted at the Precision Farming Experimental Fields of the Russian Timiryazev State Agricultural University, Moscow, Russia. The experimental site has a temperate and continental climate and situated in south taiga zone with Arable Sod-Podzoluvisols (Albeluvisols Umbric). Two fields of the four-course rotation were studied in 2013-2016. Crop rotation included winter wheat (Triticum sativum L.), barley (Hordeum vulgare L.), potato crop (Solanum tuberosum L.) and cereal-legume mixture (Vicia sativa L. and Avena sativa L.). Crops sowing occurred during the period from mid-April to mid-May depending on weather conditions. Winter wheat was sown in the very beginning of September and the next year it occurred from under the snow in the phase of tillering. White mustard (Sinapis alba) was sown for green manure after harvesting winter wheat in mid of July. Barley was harvested in mid of August, potato crop was harvested in September. Cereal-legume mixture on herbage was collected depending on the weather from early July to mid-August. Carbon uptake (NEE negative values) was registered only for the fields with winter wheat and white
In this study we present the application of the regional climate model COSMO-CLM to simulate urban heat island (UHI) phenomenon for Moscow megacity, which is the biggest agglomeration in Europe (with modern population of more than 17 million people). Significant differences of Moscow from the cities of Western Europe are related with much more continental climate with higher diurnal and annual temperature variations, and with specific building features such as its high density and almost total predominance of high-rise and low-rise blocks of flats on the private low-rise houses. Because of these building and climate features, the UHI of Moscow megacity is stronger than UHIs of many other cities of the similar size, with a mean intensity is about 2 C and maximum intensity reaching up to 13 C (Lokoschenko, 2014). Such a pronounced UHI together with the existence of an extensive observation network (more than 50 weather and air quality monitoring stations and few microwave temperature profilers) within the city and its surrounding make Moscow an especially interesting place for urban climate researches and good testbed for urban canopy models. In our numerical experiments, regional climate model firstly was adapted for investigated region with aim to improve quality of its simulations of rural areas. Then, to take into account urban canopy effects on thermal regime of the urbanized areas, we used two different versions of COSMO-CLM model. First is coupled with TEB (Town Energy Balance) single layer urban canopy model (Trusilova, 2013), and second is extended with bulk urban canopy scheme TERRA_URB using the Semi-empircal URban-canopY dependency parametriation SURY (Wouters et. al, 2016). Numerical experiments with these two versions of the model were run with spatial resolution about 1 km for several summer and winter months. To provide specific parameters, required for urban parameterizations, such as urban fraction, building height and street canyon aspect ratio 2ff7e9595c
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