PubMed · 15552737
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Paul Martin. 2004. Leading by example.. https://pubmed.ncbi.nlm.nih.gov/15552737/
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Professions are increasingly studied from an international perspective, and understanding context is key to cross-national comparison of professions. This paper builds on studies of health service work in different countries and introduces actor-centred governance as a framework for comparing professions. The framework conceptualises context as institutions and, as such, offers a more systematic analysis of context and the interplay between context and actors. The framework is applied to a comparative study of community nursing in Britain and Germany, which includes a local case study of the governance of internal boundaries. Actor-centred governance helps to map out different actors and the interplay among them, to identify different types of institutions, and to trace how institutions relate to actors and vice versa. As such, actor-centred governance allows for a more systematic analysis of similarities and differences, and facilitates comparisons across different countries.
Peripheral neuropathy is one of the most common forms of diabetes-related neuropathy, and most commonly affects the feet. Loss of sensation leaves the feet at risk of damage--from environmental hazards, incorrectly fitting footwear or un-felt pressure damage--which can lead to the need for amputations. This article discusses how to reduce the risk of peripheral neuropathy through glycaemic control, and the steps that need to be taken to reduce the risk of injury on the neuropathic foot.