Logan Deleuran (healthlyre4)

AIMS AND OBJECTIVES To examine the understanding of caring in the practice of community nursing from the perspectives of patients and nurses. BACKGROUND An increasing population of patients with chronic disease has produced a need for humanistic caring in communities. As a result, caring has become a core value of community nursing professionals. this website However, community nurses meet many difficulties in trying to practice person-centered care with their clients. Furthermore, most community nurses-especially in China-lack systematic education and training about caring because the practical meaning of caring in community practice is unknown. DESIGN The qualitative study described herein employed inductive content analysis. METHODS Eleven community patients with chronic disease and fifteen community nurses who were nominated as a caring nurse from different community clinics in Beijing, China participated in thirty-one interviews during January to August in 2018. Nine documents from the interviewed nurses were collect to community patients and how to develop caring competence for community nurses. This article is protected by copyright. All rights reserved.BACKGROUND Soluble interleukin-2 receptor (sIL-2r) level is used as a diagnostic tool in hemophagocytic lymphohistiocytosis (HLH). However, evidence supporting its use among adults is inadequate. OBJECTIVE AND METHODS We conducted a retrospective study to assess the performance characteristics of sIL-2r for the diagnosis of adult HLH. RESULTS One-hundred thirty-two adults with sIL-2r levels sent for evaluation of HLH over a ten year period were included. Sixty-five (49%) met criteria for HLH. Mean sIL-2r was significantly higher among patients with HLH relative to all patients without HLH (12942U/ml vs. 6308U/ml, p=0.00311). However, when comparing mean sIL-2r in the HLH group to those in the non-HLH group with primary diagnoses of hematologic malignancy (8911U/ml), sepsis (7127U/ml), and rheumatologic disease (4624U/ml), no significant differences were found (p=0.241, p=0.178, and p=0.0607 respectively). There was only weak correlation between sIL-2r and diagnosis of HLH (r=0.253). The standard cutoff sIL-2r > 2,400 U/ml yielded a sensitivity of 89.2% and specificity of 38.8%. The area-under-the-curve for the corresponding receiver-operator curve was 0.691, consistent with a poor discriminating ability for the diagnosis of HLH. CONCLUSIONS sIL-2r is a limited test for the diagnosis of adult secondary HLH and its role in this setting should be reevaluated. This article is protected by copyright. All rights reserved.Mental imagery is a foundational human faculty that depends on active image construction and sensorimotor experiences. However, children now spend a significant proportion of their day engaged with screen-media, which (a) provide them with ready-made mental images, and (b) constitute a sensory narrowing whereby input is typically focused on the visual and auditory modalities. Accordingly, we test the idea that screen-time influences the development of children's mental imagery with a focus on mental image generation and inspection from the visual and haptic domains. In a longitudinal cross-lagged panel design, children (n = 266) aged between three and nine years were tested at two points in time, 10 months apart. Measures of screen-time and mental imagery were employed, alongside a host of control variables including working memory, vocabulary, demographics, device ownership, and age of exposure to screen-media. Findings indicate a statistically significant path from screen-time at time 1 to mental imagery at time 2, above and beyond the influence of the control variables. These unique findings are discussed in terms of the influence of screen-time on mental imagery. This article is protected by copyright. All rights reserved.AIMS AND OBJECTIVES To explore the on-campus activities of the flipped classroom and their role in nursing students' experiences