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Background: Inpatient nursing documentation facilitates multi-disciplinary team care and tracking of patient progress. In both high- and low- and middle-income settings, it is largely paper-based and may be used as a template for electronic medical records. However, there is limited evidence on how they have been developed. Objective: To synthesise evidence on how paper-based nursing records have been developed and implemented in inpatient settings to support documentation of nursing care. Design: A scoping review guided by the Arksey and O'Malley framework and reported using PRISMA-ScR guidelines. Eligibility criteria: We included studies that described the process of designing paper-based inpatient records and excluded those focussing on electronic records. Included studies were published in English up to October 2019. Sources of evidence: PubMed, CINAHL, Web of Science and Cochrane supplemented by free-text searches on Google Scholar and snowballing the reference sections of included papers. Results: 12 studies met the eligibility criteria. We extracted data on study characteristics, the development process and outcomes related to documentation of inpatient care. Studies reviewed followed a process of problem identification, literature review, chart (re)design, piloting, implementation and evaluation but varied in their execution of each step. All studies except one reported a positive change in inpatient documentation or the adoption of charts amid various challenges. Conclusions: The approaches used seemed to work for each of the studies but could be strengthened by following a systematic process. Human-centred Design provides a clear process that prioritises the healthcare professional's needs and their context to deliver a usable product. Problems with the chart could be addressed during the design phase rather than during implementation, thereby promoting chart ownership and uptake since users are involved throughout the design. This will translate to better documentation of inpatient care thus facilitating better patient tracking, improved team communication and better patient outcomes. Relevance to clinical practice: Paper-based charts should be designed in a systematic and clear process that considers patient's and healthcare professional's needs contributing to improved uptake of charts and therefore better documentation.

International audience; Atopic dermatitis (AD) is a common inflammatory skin disease that affects both children and adults, including a large number of adults of reproductive age. Several guidelines for the treatment of AD exist, yet specific recommendations for the treatment of pregnant or lactating women and for adults planning to have a child are often lacking. This position paper from the European Task force on Atopic Dermatitis (ETFAD) is based on up-to-date scientific literature on treating pregnant and lactating women as wells as adults with AD planning to have a child. It is based on the expert opinions of members of the ETFAD and on existing safety data on the proposed treatments, many of which are derived from patients with other inflammatory diseases or from transplantation medicine. For treating future parents, as well as pregnant and lactating women with AD, the use of topical treatments including moisturizers, topical corticosteroids, tacrolimus, antiseptics such as chlorhexidine, octenidine, potassium permanganate and sodium hypochlorite (bleach) is deemed to be safe. Ultraviolet (UV) therapy may also be used. Systemic treatment should be prescribed only after careful consideration. According to the opinion of the ETFAD, treatment should be restricted to systemic corticosteroids and cyclosporine A, and, in selected cases, azathioprine.

Multi-touch technology is increasingly being used to support collaborative learning activities. However, to know how this technology can be used most effectively, we need to understand if collaborative interactions differ when groups are using multi-touch technology compared with other tools. In this paper, we compare the interactions of groups of 10 to 11-year-old students working collaboratively to solve three math problems in either a multi-touch or paper condition. The number of ideas raised, who proposed them and whether they were responded to, were coded to identify differences in idea development and interactions across conditions. Responses by students to ideas proposed by other students were coded. Results indicate that similar numbers of ideas were raised across conditions; student responses to ideas raised by other students were more likely to elaborate on the idea or combine it with other ideas in the multi-touch condition than in the paper condition. These results reinforce prior findings that show higher levels of collaborative engagement around ideas when using multi-touch than paper and extend our understanding of how this occurs.

High-impact review papers describe and synthesize the current state of the art, the open questions and controversies, and provide ideas for future investigations. They are written not only for a specific scientific discipline but also for the broader Earth and space science community. They not only summarize the literature, but they also create a framework from which to understand the progress, problems, and connections between different communities, observations, models, and approaches. Here we describe how to write a high-impact review paper, and why you should consider writing one for Reviews of Geophysics.

Skin tests are of paramount importance for the evaluation of drug hypersensitivity reactions. Drug skin tests are often not carried out because of lack of concise information on specific test concentrations. The diagnosis of drug allergy is often based on history alone, which is an unreliable indicator of true hypersensitivity.To promote and standardize reproducible skin testing with safe and nonirritant drug concentrations in the clinical practice, the European Network and European Academy of Allergy and Clinical Immunology (EAACI) Interest Group on Drug Allergy has performed a literature search on skin test drug concentration in MEDLINE and EMBASE, reviewed and evaluated the literature in five languages using the GRADE system for quality of evidence and strength of recommendation. Where the literature is poor, we have taken into consideration the collective experience of the group.We recommend drug concentration for skin testing aiming to achieve a specificity of at least 95%. It has been possible to recommend specific drug concentration for betalactam antibiotics, perioperative drugs, heparins, platinum salts and radiocontrast media. For many other drugs, there is insufficient evidence to recommend appropriate drug concentration. There is urgent need for multicentre studies designed to establish and validate drug skin test concentration using standard protocols. For most drugs, sensitivity of skin testing is higher in immediate hypersensitivity compared to nonimmediate hypersensitivity.

COVID-19 mitigating practices such as 'hand-washing', 'social distancing', or 'social isolating' are constructed as 'moral imperatives', required to avert harm to oneself and others. Adherence to COVID-19 mitigating practices is presently high among the general public, and stringent lockdown measures supported by legal and policy intervention have facilitated this. In the coming months, however, as rules are being relaxed and individuals become less strict, and thus, the ambiguity in policy increases, the maintenance of recommended social distancing norms will rely on more informal social interactional processes. We argue that the moralization of these practices, twinned with relaxations of policy, may likely cause interactional tension between those individuals who do vs. those who do not uphold social distancing in the coming months: that is, derogation of those who adhere strictly to COVID-19 mitigating practices and group polarization between 'distancers' and 'non-distancers'. In this paper, we explore how and why these processes might come to pass, their impact on an overall societal response to COVID-19, and the need to factor such processes into decisions regarding how to lift restrictions.

Inefficient packaging constitutes a global problem that costs hundreds of billions of dollars, not to mention the additional environmental impacts. An insufficient level of packaging increases the occurrence of product damage, while an excessive level increases the packages' weight and volume, thereby increasing distribution cost. This problem is well known, and for many years, engineers have tried to optimize packaging to protect products from transport hazards for minimum cost. Road vehicle shocks and vibrations, which is one of the primary causes of damage, need to be accurately simulated to achieve optimized product protection. Over the past 50 years, road vehicle vibration physical simulation has progressed significantly from simple mechanical machines to sophisticated computer-driven shaking tables. There now exists a broad variety of different methods used for transport simulation. Each of them addresses different particularities of the road vehicle vibration. Because of the nature of the road and vehicles, different sources and processes are present in the vibration affecting freight. Those processes can be simplified as the vibration generated by the general road surface unevenness, road surface aberrations (cracks, bumps, potholes, etc.) and the vehicle drivetrain system (wheels, drivetrain, engine, etc.). A review of the transport vibration simulation methods is required to identify and critically evaluate the recent developments. This review begins with an overview of the standardized methods followed by the more advanced developments that focus on the different random processes of vehicle vibration by simulating non-Gaussian, non-stationary, transient and harmonic signals. As no ideal method exists yet, the review presented in this paper is a guide for further research and development on the topic.

The history of slavery in Britain and the British empire has placed the legislative milestones of anti-slavery - the abolition of the slave trade in 1807 and the abolition of slavery in 1833 - at the centre of historical inquiry. This essay considers why the passing of anti-slavery laws, rather than the implementation of anti-slavery reforms, has been so pivotal in the historiography. It asks what the history of slavery in Britain and the British empire would look like if turned toward the continuities between slavery and freedom, rather than emphasizing the bright line of emancipation. It places British approaches to the history of slavery into a wider historiographical context, and considers how renewed emphasis on the physical experience and everyday routines of slavery and anti-slavery and a rigorous rethinking of the archives might shape the future of the field.