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PubMed1997

Nursing diagnosis and classification systems: a position paper.

There has been little professional debate in the UK literature about nursing diagnosis and this paper explores some of the reasons why nursing diagnosis has failed to gain momentum among nurses in the United Kingdom. The nursing diagnosis movement has now reached some European countries and in the light of the International Classification of Nursing Project (ICNP) and the Strategic Advisory Group for Nursing Information Systems (SAGNIS) project commissioned by the NHS Executive (NHSE), requires a close examination by British nurses. The unsuccessful attempt by the North American Nursing Diagnosis Association (NANDA) to have its taxonomy accepted for inclusion in the World Health Organization's 10th revision of the International Classification of Diseases, an innovation which would have made the NANDA taxonomy the definitive classification of nursing, should alert British nurses to the importance of nursing diagnosis. Although nurses effectively diagnose as part of the nursing process, adoption of the concept of nursing diagnosis as a driving force for practice evades many of them. This paper reflects upon some of the logistical and conceptual difficulties including issues of culture and terminology. It is suggested that nursing diagnosis has a great deal to offer British nurses in their efforts to improve the quality of care and to provide data in this area for both practice and research.

Classification↗

PubMed2002

In whose best interests? An examination of the ethics of the UK government's White Paper 'Reforming the Mental Health Act'.

Throughout history the legislative framework for the treatment of the mentally ill has reflected societies' attitudes, and the proposals in the United Kingdom (UK) government's White Paper 'Reforming the Mental Health Act' are no exception. This paper examines some of the fundamental ethical issues invoked by the proposals, particularly the concept of paternalism and use of risk assessment in determining 'best interests'. The issue of power in relation to the mentally ill is also examined, alongside the impact of the change on nurses' ethical decision making. As will be seen, the proposed Act will require high standards of professional practice to ensure the ethical application of care, particularly in the case of individuals diagnosed as suffering from 'dangerous and severe personality disorders'. Nurses need to ensure that the interventions used are of the highest quality and are indeed in the patient's 'best interests'. If they are not, then again nurses need to be very clear as to why the profession should be involved at all. Nurses should demonstrate vigilance and high professional standards to ensure they are maintaining rigorous safeguards to promote the public interest. Although relating specifically to UK legislation the underlying ethical dilemmas posed by this proposed legislation are relevant to all mental health nurses, as they challenge fundamental assumptions regarding the role of nurses in supporting mental health legislation that may have a social, rather than therapeutic, function.

Ethics, Clinical↗

PubMed2000

Methodological issues in papers on IFN therapy: time for reappraisal.

We conducted an analytical review of 194 full papers on interferon (IFN) therapy for chronic hepatitis C to evaluate current methodology (i.e. study design, criteria for evaluating the efficacy of therapy and predictors of response). Of the papers evaluated, 64 were randomized controlled trials (RCT), 40 were non-randomized controlled trials (NRCT) and 90 were observational studies (OS). The methodological analysis was focused mainly on clinical trials. The number of patients enrolled in RCT was higher compared with the number enrolled in NRCT. Uniform enrolment criteria were used in less than 50% of the trials. Only 20% of RCT and 2.5% of NRCT used criteria for defining sample size. The response rate was calculated on an intention-to-treat basis in 36 of the RCT and in 14 of the NRCT. The outcome of treatment and the criteria employed to define the response to treatment were found to be far from standardized. In 51.5% of the RCT and 42.5% of the NRCT, normalization of alanine aminotransferase (ALT) level at the end of follow-up was the only marker of response studied. Only 57.6% of the trials considered histological evidence as an important outcome. Among the clinical trials, 71.1% evaluated predictors of good response to IFN therapy. In 51% of the OS, ALT normalization by the end of follow-up was the only criterion for defining response. In conclusion, to ensure a high level of reliability in comparing or combining the results of different studies, some basic general requirements must be followed when planning trials on antiviral therapy.

Antiviral Agents↗

PubMed2002

Predicting communication skills with a paper-and-pencil test.

AIM: This study was conducted to investigate the value of a written knowledge test of communication skills for predicting scores on a performance test of communication skills. METHOD: A paper-and-pencil test of knowledge about communication skills and a performance test of communication skills, consisting of four stations with standardised patients, were administered to students of two classes of the medical schools of Maastricht and Leiden, the Netherlands. The results on these tests were compared. RESULTS: From the results of both instruments, the classes of the participating students could be recognised equally well: 60% correct qualifications of the classes by the knowledge test and 64% by the multiple station examination. Between the two tests an overall, disattenuated correlation of 0.60 was found (N=133, P < 0.01), suggesting moderate predictive value of the knowledge test for the performance test of communication skills. The correlation is stronger for students from Maastricht medical school than for their colleagues in Leiden. Correlation between the knowledge of communication skills test and other available test results of the participating Maastricht students is close to zero, suggesting that the test measures a distinct quality of students' competence. DISCUSSION: The paper-and-pencil test of knowledge of communication skills has predictive value for the performance of these skills, but this value seems to be less pronounced than similar findings for clinical procedural skills. The stronger relationship between 'knowing how' and 'showing' in the Maastricht student group might be indicative of an effect of the training format.

Clinical Competence↗

PubMed2002

The appropriate use of references in a scientific research paper.

References have an important and varied role in any scientific paper. Unfortunately, many authors do not appreciate this importance and errors within reference lists are frequently encountered. Most reference errors involve spelling, numerical and punctuation mistakes, although the use of too many, too few or even inappropriate references is often seen. The consequences of reference errors include difficulty in reference retrieval, limitation for the reader to read more widely, failure to credit the cited authors, and inaccuracies in citation indexes. This paper discusses the value of accurate reference lists and provides guidelines for their preparation.

Bibliographies as Topic↗

PubMed2000

How to write a paper for publication.

Engaging in the scientific publication process can be for both altruistic and egotistical reasons; publication advances the state of scientific knowledge while advancing your institution and your career. Writing for publication means setting aside a location and time dedicated entirely to the process of planning and writing. It is easiest to begin with the Methods section, then the Results, followed by the Discussion, which is the most challenging part of a paper. A realistic assessment of the value of the article will determine the level of journal into which it is likely to gain acceptance. If your article is rejected by a journal, be consoled by the fact that 50% of articles that are initially rejected are eventually published. Following the steps outlined here can reduce the daunting task of writing to one of manageable proportions and can help overcome the mental block and procrastination that all of us have experienced when we set out to write a scientific paper.

Journal Article↗

PubMed2004

Promoting professional oncology nursing practice through position papers.

The position papers discussed in this article emphasize issues that relate to the clinical practice of oncology nursing and focus on promoting nursing roles, decreasing barriers to nursing practice, and address issues pertinent to nursing education and research. Position papers are not only helpful for advocating policy change with government and regulatory bodies, but nurses can use them to directly improve their work environments.

Ambulatory Care↗

PubMed2001

Writing academic papers: a guide for prospective authors.

As a journal Editor, I examine many papers and work alongside authors to maximize the likelihood of publication. During the course of this activity, several issues concerning writing for publication have emerged. In this article, I will use these experiences to help novice writers to prepare their work for publication. I will also draw on my personal experience as an author of academic and popular papers and as a book author and editor. If you find the article useful, please do distribute it freely amongst colleagues.

Authorship↗

PubMed2000

Diseases of plants transmissible between plants and man (Phytonoses) exist--follow-up paper.

The purpose of this paper is to revise the original paper by qualifying a statement made therein and making two sections more inclusive. The qualification is the insertion of the word 'adult' before the word 'volunteers' in one sentence. The scope of the first section is increased by: (i) drawing attention to the possibility that besides other organisms (i.e. non-mycoplasma-like organisms (non-MLOs)) and viruses that could be inadvertently transmitted between members of the plant and animal kingdoms, other infectious entities including viroids and prions and/or prion-like elements should also be considered in this regard; and (ii) the need to consider the possible transmission of either antibiotic-resistant MLOs and/or MLOs harbouring entities that are either naturally infectious and pathogenic for man or may opportunistically infect man. The scope of the second section is increased by proposing additional possible mechanisms of transmission of MLOs between plants and man.

Animals↗

PubMed2005

[An enquiry into the WILDE-Intelligence-Test (WIT): comparability of application of the paper-pencil-version vs. the computer based application -- an analysis based on data of the Leipzig Vocational Retraining Center].

This report investigates the equivalence of the computerized version of the WILDE intelligence test (WIT) and its paper-and-pencil analog in a group of occupationally reorienting adults at the Leipzig Vocational Retraining Centre (Berufsförderungswerk Leipzig). In particular, the normative as well as the structural equivalence of the two test formats (paper-and-pencil vs. computer) were examined. The results indicate that both test formats are measuring the same construct, i. e., the two tests are structurally equivalent. Significant differences in mean for the total scores of most of the WIT subtests favour separate standardization of the computerized test format.

Adult↗

PubMed1980

[Image quality in film and xero mammography. Second paper. Reproduction of medium range contrast (author's transl)].

In our first paper we dealt with the reproduction of low contrast ranges during the radiological examination of the breast. In the present paper we are concerned with medium contrast ranges, using a semi-objective procedure. This again depended on visual evaluation of test films of grids with variable grid ratios. For mammography rotating molybdenum and tungsten tubes with various filters were available. The advantages of xere radiography in rendering detail were less marked in these medium contrast ranges. The disadvantage of scatter is again less marked, but the resolution of non screen film for small and medium-sized objects is considerably greater. However, xero-radiography, using a tungsten tube with 0.5 mm. Al. filtration represents a satisfactory compromise between image quality and radiation dose for the demonstration of small and medium contrast ranges.

Aluminum↗

PubMed1979

Transfer of proteins from gels to diazobenzyloxymethyl-paper and detection with antisera: a method for studying antibody specificity and antigen structure.

We describe a rapid and very sensitive method for detecting proteins as antigens after their separation in polyacrylamide/agarose composite gels, with or without sodium dodecyl sulfate. The polyacrylamide matrix is crosslinked with a reagent that can be cleaved with periodate or alkali to facilitate transfer of the protein bands to diazobenzyloxymethyl-paper, where they are coupled covalently. Specific proteins are detected by autoradiography after sequential incubation with unfractionated, unlabeled specific antiserum and 125I-labeled protein A from Staphylococcus aureus. Antibody and protein A can be removed with urea and 2-mercaptoethanol, and the same paper can be probed again with a different antiserum. An antiserum specific for the simian virus 40 virion proteins VP3 and VP2 has been prepared; it does not crossreact with VP1, as demonstrated by this method. An antiserum raised in rabbits against simian virus 40-transformed rabbit kidney cells is shown to be directed primarily against a periodate-sensitive moiety present in tumor (T) antigen from infected or transformed cells, whereas an antiserum raised in rabbits against large T antigen purified from lytically infected monkey kidney cells by electrophoresis in the presence of sodium dodecyl sulfate [Lane, D.P. & Robbins, A.K. (1978) Virology 87, 182-193] is directed primarily against determinants that are not sensitive to periodate.

Antibody Specificity↗

PubMed2004

Discussion of paper 'explanations of the fertility crisis in modern societies: a search for commonalities', Population Studies 57(3): 241-263, by John Caldwell and Thomas Schindlmayr.

The contributors to this discussion were invited to submit comments, each from a different standpoint, on the paper by John Caldwell and Thomas Schindlmayr that appeared in the preceding issue of the journal. The invitation was issued with the approval of these authors, and the journal is grateful to them for allowing their paper to be used to generate debate on the issues they had raised. The discussion is followed by the authors' response to it.

Contraception Behavior↗

PubMed2001

The role of computer-aided assessment in health professional education: a comparison of student performance in computer-based and paper-and-pen multiple-choice tests.

There is a lack of empirical research in the use of computers in assessment. A study was conducted to compare student performance in computerized and paper-and-pen multiple-choice tests and assess the extent and effect of 'computer anxiety'. The LXR.TEST 5.1 software was used for the computerized test. A validated rating scale was used to assess computer anxiety. Most students had little computer experience other than in word processing. Only about a third of the students had moderate to mild computer anxiety. Neither computer experience nor anxiety correlated significantly with performance in the computer test. Whereas students performed significantly better in the paper test than in the computer test, there was no statistical difference in ranking in the two assessments formats. This suggests that computer-based assessment could be used with confidence for the purposes of ranking students, but care should be taken in using it for grading.

Journal Article↗

PubMed2000

Numerical modeling of the temperature distribution within a bonded paper web when undergoing microwave heating in a waveguide

In this paper, a numerical technique is used to study the temperature distribution within the heated bonded paper web placed in a waveguide. The parameters of the problem were selected so as to best locate the test sample that would generate the desired absorbed power. The method of false transient was utilized to accelerate the numerical convergence and the equations were discretized with central difference in both time and space. The resulting system of equations was solved using an Alternating Direction Implicit scheme. Good agreement was achieved between the numerical solutions and the experimental validations.

Journal Article↗

PubMed1993

Response to the Distilled spirits Industry Council of Australia Inc. position paper 'Alcohol Availability'.

A critique is offered of the Distilled Spirits Industry Council position paper 'Alcohol Availability'. It is argued that this position paper presents a simple-minded analysis of the complex relationship between the availability of alcohol and its consumption which pays no attention to the importance of price in determining consumption. As a consequence, it misconstrues the lessons to be drawn from the Victorian experiment in liberalization and fails to consider its implications for the incidence of alcohol related problems.

Journal Article↗

PubMed2006

The relation between computerized and paper-and-pencil mental rotation tasks: a validation study.

The present study aimed at validating a computerized mental rotation task developed for use in functional Magnetic Resonance Imaging (fMRI) studies. Eighty-three females and 74 males completed the computerized task, two pencil-and-paper tests of mental rotation, and reported their high school grades in mathematics, English, and history. The computerized task involved the presentation of pairs of three-dimensional stimuli that differed in orientation by 0, 40, 80, 120, or 160 degrees. Results showed significant gender differences in favor of males in the three main tasks, although gender interacted with angle of rotation in the computerized task. Evidence for concurrent validity was obtained in the form of significant correlations between performance on tasks relevant to mental rotation (paper and pencil tests and mathematics grades), whereas discriminant validity was demonstrated by a lack of correlation with tasks deemed irrelevant to mental rotation (English and history grades). These findings support the use of our computerized mental rotation task as a valid measure of mental rotation abilities in fMRI studies.

Adolescent↗

PubMed2003

Biot's paper and Arago's plates. Photographic practice and the transparency of representation.

François Arago and Jean-Baptiste Biot, two of the physicists most involved in early photography, mobilized this new technology for their ongoing debates about the proper boundaries of the public in France. Each threw his weight behind one of the competing photographic processes, Arago supporting daguerrian silver plates and Biot favoring paper soaked in silver solution. For both men, disagreement at the level of materials and techniques was further bound up with disagreement about what kind of visual evidence the photograph was and who was capable of understanding it. Biot argued for a severely restricted community of photographic practitioners. His papers, he claimed, revealed an invisible world of chemical radiation accessible only to those who understood the chemistry involved. Arago's reliance on resemblance, on the other hand, permitted him to present daguerreotype plates as a form of representation available to all, even incorporating them into his campaign for universal male suffrage.

Journal Article↗