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Search Results: 1 - 10 of 200503 matches for " P. Skott "
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Caring about symptoms in person-centred care  [PDF]
Eva Brink, Carola Skott
Open Journal of Nursing (OJN) , 2013, DOI: 10.4236/ojn.2013.38077

In the present article, we emphasize the symptom experience perspective in person-centred care and discuss barriers to implementation of this approach. There are obstacles to overcome: the diversity of understandings of symptoms in clinical settings, the current biomedical discourse and the incompleteness of symptom research. Since the 19th century, the biomedical perspective has been powerful in conceptualizing symptoms in terms of pathology and diagnosis. Many diagnoses conjure up preconceived notions about the persons receiving them. This perspective may influence person-centred care negatively. Yet symptoms often mean something beyond the diagnosis. Recognizing this discrepancy, it is crucial that we consider a perspective that starts from each person’s symptom experience, thus complementing the biomedical perspective. Using the notion caring about symptoms, we advocate a person-centred approach that includes a symptom experience perspective. This requires health-care professionals to be skilled in listening to patient narratives and acquire knowledge about how symptom experiences can be individually expressed and interpreted. Listening to symptom experiences may give insights into the personal meaning of illness as well as information about bodily and social restrictions caused by symptom distress. In this way, caring about symptoms will improve the prerequisites for establishing person-centred care planning.

The TRB for HADES and FAIR experiments at GSI
W. Krzemien,I. Frohlich,M. Kajetanowicz,K. Korcyl,J. Michel,M. Palka,P. Salabura,C. Schrader,P. Skott,H. Strobele,J. Stroth,A. Tarantola,M. Traxler,R. Trebacz
Physics , 2008,
Abstract: The TRB hardware module is a multi-purpose Trigger and Readout Board with on-board DAQ functionality developed for the upgrade of the HADES experiment. It contains a single computer chip (Etrax) running Linux as a well as a 100 Mbit/s Ethernet interface. It has been orginally designed to work as a 128-channel Time to Digital Converter based on the HPTDC chip from CERN. The new version contains a 2 Gbit/s optical link and an interface connector (15 Gbit/s) in order to realize an add-on card concept which makes the hardware very flexible. Moreover, an FPGA chip (Xilinx, Virtex 4 LX 40) and a TigerSharc DSP provide new computing resources which can be used to run on-line analysis algorithms. The TRB is proposed as a prototype for new modules for the planned detector systems PANDA and CBM at the future FAIR facility at GSI-Darmstadt.
Effects of Neighborhood Density on Adult Word Repetition
Skott E. Freedman,Jessica A. Barlow
International Journal of English Linguistics , 2013, DOI: 10.5539/ijel.v3n2p1
Abstract: Presumable lexical competition has been found to result in higher perceptual accuracy for words with few versus many neighbors. Previous studies have typically only analyzed the lexical-semantic level, however. In order to also explore the possibility of phonological effects, a word repetition task was administered to 46 typical adults in which 80 stimuli differed only in neighborhood density. In contrast to previous studies, verbal responses were elicited in order to analyze productions holistically and segmentally at the phonological level. An additional error analysis examined differences in neighborhood density between target words and substitutions. Findings revealed that words with more neighbors facilitated recognition, and were more accurately repeated than those with fewer neighbors. When a target word was misperceived, its substitution tended to be higher in neighborhood density, unrelated to word frequency. In order to interpret these results, an account of lexical competition is re-visited with consideration of characteristics of the lexicon discovered using graph theory (Vitevitch, 2008).
Professional Domiciliary Oral Care for Elderly in Nursing Homes—A Randomized Controlled Pilot Trial  [PDF]
Petteri Sj?gren, Caroline Croonquist Girestam, Pia Skott, Nasita Marsson, Renata Nova, Mikael Zimmerman, Inger W?rdh
Health (Health) , 2016, DOI: 10.4236/health.2016.811116
Abstract: Domiciliary dental care (DDC) makes regular dental visits possible for people with different functional limitations who otherwise would not be able to access a dental clinic. DDC also facilitates cooperation with nursing staff. To our knowledge, the effect of DDC on oral health among elderly people in nursing homes has not been studied. As part of a project to establish recommendations for DDC, the aim of this randomized, controlled, single-blind, pilot trial with three parallel arms was to study the effect of professionally conducted oral care intervention, in domiciliary setting, on gingival bleeding on probing, dental plaque and oral mucosa. For three months, the participants were given either A) monthly professional DDC with oral care intervention, B) monthly individual oral care instructions, or C) oral care as usual. A total of 102 (n = 107) individuals completed the study. After three months, gingival bleeding on probing was significantly reduced among more participants in groups A and B compared with group C (p < 0.0004). Dental plaque scores changed significantly over three months for group B compared with group C (p < 0.04). Mucosal-plaque scores were significantly reduced in group A compared with both group B and C (p < 0.0001). All other intergroup differences were statistically non-significant. Compared with care as usual, professional DDC has the most favourable effect on gingival bleeding, whereas individual oral care instructions result in the highest reduction of dental plaque. Both professional oral care interventions and individual oral-hygiene instructions should be included in a domiciliary oralcare programme.
Endometriose - wie fühlt sich meine Patientin?
Bitzer J,Alder J,Greiner-Mai E,Skott F
Journal für Fertilit?t und Reproduktion , 1999,
Abstract: Die Endometriose ist die zweith ufigste benigne Erkrankung in der Gyn kologie. Das Fehlen eindeutiger Verlaufsparameter und individuell stark divergierende Symptome machen die Diagnose schwierig. So wird sie meist lange Zeit nicht erkannt. Da bisher keine urs chliche Therapie m glich ist, bleibt nur die Behandlung der Symptome. Rezidive und Chronizit t sind h ufig. Vielen Patientinnen bereitet die Erkrankung sowohl grosse physische als auch psychische Probleme. Die Beziehung zwischen Arzt und Patientin ist aus diesen Gründen vielen Belastungen ausgesetzt. Diese Problematik war für uns Anlass, eine Untersuchung durchzuführen, die sich speziell mit den Schwierigkeiten für Arzt und Patientin beim Umgang mit der Endometriose besch ftigt. Es wurde ein Untersuchungsinstrument aus 2 Frageb gen für rzte und für Patientinnen entwickelt. An der Untersuchung beteiligten sich 162 Gyn kologen und 34 Patientinnen unter Behandlung mit einem GnRH-Agonisten (Decapeptyl). Die Ergebnisse der rzte- und der Patientinnenbefragung zeigen, dass die kommunikativen Anforderungen im Umgang mit Endometriosepatientinnen gewachsen sind. Insgesamt ergibt sich ein positives Gesamtbild der Lebensqualit t unter der Behandlung, was durch den hohen Prozentsatz der mit der Behandlung zufriedenen Patientinnen best tigt wird. Von besonderer Bedeutung ist das Resultat, dass dem Medikament und der rztlichen Betreuung zu etwa gleichen Teilen eine heilende, bessernde Kraft zugeschrieben wird. Die Patientinnen wünschen sich eine enge, pers nliche Beziehung zu ihrem Arzt, die ihnen bei der Bew ltigung der Erkrankung hilft. Dies führt den hohen Stellenwert der Pers nlichkeit des Arztes und der Wichtigkeit einer guten Arzt-Patientin-Beziehung deutlich vor Augen. Die Unterstützung durch Dritte (Psychologen, Selbsthilfegruppen, Patientenseminare, Beratungsstellen) wird eher zurückhaltend beurteilt.
Impact of medical students' descriptive evaluations on long-term course development
Mats Wahlqvist, Annika Skott, Cecilia Bj?rkelund, G?sta Dahlgren, Kirsti Lonka, Bengt Mattsson
BMC Medical Education , 2006, DOI: 10.1186/1472-6920-6-24
Abstract: Qualitative content analysis was used. The context was consultation skills courses in the middle of the G?teborg undergraduate curriculum during five years. An analysis of 158 students' descriptive evaluations was brought together with an analysis of key features of course development; learning objectives, course records, protocols from teachers' evaluations and field notes. Credibility of data was tested by two colleagues and by presenting themes at seminars and conferences. Authors' experiences of evaluating the course over many years were also used.A corresponding pattern was found in students' descriptive evaluations and key features of course development, indicating the impact of students' open-ended feed-back. Support to facilitators and a curriculum reform also contributed.Students' descriptive feedback was both initiating and validating longitudinal course implementation. During five years, students' descriptive evaluations and teachers' course records were crucial sources in a learner-centred knowledge-building process of course development.Students' descriptive evaluations and course records can be seen as important instruments in developing both courses and students' learning. Continuity and endurance in the evaluation process must be emphasized for achieving relevant and useful results.How can students' views be used for developing courses in the transition to clinical education? This question is discussed in recent reports of students' opinions and learning experiences in the transitional phase [1,2].Since the days of Flexner, a conventional 20th century version of the medical curriculum contain a preclinical phase of biomedical sciences followed by a later clinical phase [3]. To students, the transition from the first phase to the second forms a critical stage in which the term 'shock of practice' has been introduced to characterize students' learning problems [4]. Even though many curricula have undergone changes in order to integrate preclinical and
Hybrid Fuzzy Controller Based Frequency Regulation in Restructured Power System  [PDF]
P. Anitha, P. Subburaj
Circuits and Systems (CS) , 2016, DOI: 10.4236/cs.2016.76065
Abstract: This paper discusses the implementation of Load Frequency Control (LFC) in restructured power system using Hybrid Fuzzy controller. The formulation of LFC in open energy market is much more challenging; hence it needs an intelligent controller to adapt the changes imposed by the dynamics of restructured bilateral contracts. Fuzzy Logic Control deals well with uncertainty and indistinctness while Particle Swarm Optimization (PSO) is a well-known optimization tool. Abovementioned techniques are combined and called as Hybrid Fuzzy to improve the dynamic performance of the system. Frequency control of restructured system has been achieved by automatic Membership Function (MF) tuned fuzzy logic controller. The parameters defining membership function has been tuned and updated from time to time using Particle Swarm Optimization (PSO). The robustness of the proposed hybrid fuzzy controller has been compared with conventional fuzzy logic controller using performance measures like overshoot and settling time following a step load perturbation. The motivation for using membership function tuning using PSO is to show the behavior of the controller for a wide range of system parameters and load changes. Error based analysis with parametric uncertainties and load changes is tested on a two-area restructured power system.
Integral Performance Criteria Based Analysis of Load Frequency Control in Bilateral Based Market  [PDF]
P. Anitha, P. Subburaj
Circuits and Systems (CS) , 2016, DOI: 10.4236/cs.2016.76086
Abstract: Performance index based analysis is made to examine and highlight the effective application of Particle Swarm Optimization (PSO) to optimize the Proportional Integral gains for Load Frequency Control (LFC) in a restructured power system that operates under Bilateral based policy scheme. Various Integral Performance Criteria measures are taken as fitness function in PSO and are compared using overshoot, settling time and frequency and tie-line power deviation following a step load perturbation (SLP). The motivation for using different fitness technique in PSO is to show the behavior of the controller for a wide range of system parameters and load changes. Error based analysis with parametric uncertainties and load changes are tested on a two-area restructured power system. The results of the proposed PSO based controller show the better performance compared to the classical Ziegler-Nichols (Z-N) tuned PI andFuzzy Rule based PI controller.
Projection of the Semi-Axes of the Ellipse of Intersection  [PDF]
P. P. Klein
Applied Mathematics (AM) , 2017, DOI: 10.4236/am.2017.89097
It is well known that the line of intersection of an ellipsoid and a plane is an ellipse (see for instance [1]). In this note the semi-axes of the ellipse of intersection will be projected from 3d space onto a 2d plane. It is shown that the projected semi-axes agree with results of a method used by Bektas [2] and also with results obtained by Schrantz [3].
黄金科学技术 , 1991,
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