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Aim Background Methods Results Conclusion Implications for nursing This study aimed to determine the relationship between attitudes towards professional autonomy and nurse–nurse collaboration among nurses.Professional autonomy is crucial for nurses in today's complex and ever‐changing healthcare environment. Therefore, attitudes towards professional autonomy may result in effective collaboration among nurses, one of the nursing roles and responsibilities.This descriptive, cross‐sectional study was conducted with 685 nurses in four private hospitals affiliated with a university. Descriptive tests, correlation analysis and hierarchical regression analysis were used. An ethics committee approved this study, and the STROBE Statement guidelines for cross‐sectional studies were followed.Significant predictors for nurse–nurse collaboration were identified as job‐related independence, autonomous clinical judgement and working unit from control variables.This study's results provided valuable insights for nurse managers to enhance nurses’ attitudes towards professional autonomy and foster collaborative work environments.Nurse managers can increase nurses’ participation in decision‐making processes and allow them to recognize their autonomy and that of their colleagues. [ABSTRACT FROM AUTHOR]

Outpatient letters are an essential communication tool in healthcare. Yet doctors receive little training on letter writing and what details recipients consider important. We surveyed 106 hospital doctors and 63 general practitioners (GPs), identifying differences in each group's preferences; GPs preferred more structured, detailed letters. Opportunities for feedback, formal templates and advanced software systems can improve communication in outpatient clinics. [ABSTRACT FROM AUTHOR]

This paper proposes a novel framework for systematic reviews, the conceptual systematic review (CSR), incorporating elements of content analysis that often implicitly precede synthesising research but are rarely made explicit. We argue that a CSR has the possibility to conceptually map a tangled term, to prepare systematic reviews, to advance interdisciplinary communication, and to offer guidance in tangled fields of scientific discourse. The proposed methodological framework involves a six-stage procedure aimed at systematically unravelling tangled terms through the deductive–inductive coding of a systematically retrieved literature corpus, thereby going beyond the quantitative synthesis of research findings. We call the elements of such a framework heuristics, classifications, and systematics; they provide insight into the quality of term disentanglement and can be viewed hierarchically: heuristics do not (necessarily) satisfy any quality criteria, classifications adhere to analytical quality criteria, and systematics also meet empirical quality criteria. The six quality criteria through which the quality of a CSR can be made explicit are introduced to allow for professional scrutiny and critique. It is argued that making conceptual elements of systematic reviews explicit is especially relevant in the field of educational research. Finally, we discuss the relation of the CSR to similar methods and address weaknesses in the proposed framework. [ABSTRACT FROM AUTHOR]

Anatomy, the study of human structure, is foundational to medicine. Its language has a long history, with contributions from authors hailing from diverse cultures and countries, adhering to various scientific traditions, speaking different languages, and practicing medicine across a wide gamut of specialties. The resultant disparity in terms provides challenges both for students in learning and for interdisciplinary communication. We report here on a user-friendly look-up web site, "AnatomicalTerms.info" that links a Terminologica Anatomica term to alternative terms in usage: synonyms, polysemes, eponyms, homonyms, and terms in other languages. Accompanying open-source definitions are generated with the help of "Definition Machine" software, that supports creating the most concise and accessible definitions for anatomical terms, eschewing superfluous description, thus reducing cognitive load of learners of anatomy looking up terms. AnatomicalTerms.info is a readily accessible online source for both the authoritative and alternatively used terms that can accurately cross-reference and/or disambiguate anatomical structures across disciplinary and cultural divides. As such, it can serve as a useful educational and clinical resource that is also flexibly open to additions and expansion as anatomical and clinical needs dictate. [ABSTRACT FROM AUTHOR]

This article challenges common misconceptions about theoretical physicists and aims to provide an accurate understanding of their daily lives and work. It addresses the stereotype of the "lone genius" physicist, which can discourage students, especially those from underrepresented groups, from pursuing physics as a career. Through interviews with 11 theoretical physics faculty members, the article reveals misconceptions about theory and emphasizes that progress in theoretical physics is slow and difficult, and brilliance is not a requirement. It also highlights the importance of collaboration, effective communication, and a diverse range of skills and talents in the field. The article encourages students to consider theory as a research area and educators to incorporate authentic research practices into their teaching. [Extracted from the article]

Aims and Objectives Methods Results Study Limitations Conclusion Initiation of palliative care early in the disease trajectory is beneficial for patients with a life‐limiting disease. However, palliative care is still introduced rather late or not at all. Therefore, this study aims to explore barriers and facilitators to early initiation of palliative care as perceived by nurses working on pneumology and nephrology.A descriptive interview‐based study was conducted from a critical realist perspective until data sufficiency was reached. Fifteen nurses presented and discussed a patient for whom palliative care was initiated too late. Template analysis was conducted to develop themes and subthemes.Five key themes were extracted: (1) communication, (2) fear, (3) personal beliefs about life and death, (4) ambiguity in terminology and (5) workload and time pressure. Barriers related to poor interdisciplinary communication were therapeutic obstinance, hierarchy, unawareness of the patient's wishes and fear of saying something inappropriate. Other barriers were patients' religious beliefs which often hindered the use of sedatives or morphine and led to discomfort and time restraints. A palliative support team in hospital and advance care planning (ACP) were enablers for early palliative care.This study started from a negative experience, leading to identification of a lot of barriers and only a few facilitators. The limited sample size and the restriction to two wards within one single hospital limit the diversity of perspectives and the generalisability of the findings.More attention is needed for ACP and interdisciplinary communication. Palliative care, including ACP, and interdisciplinary communication should be included in the basic curricula of all healthcare professional courses. Further research is needed to explore barriers and facilitators to early initiation of palliative care in other healthcare settings and patient populations. This is crucial in order to develop and implement sustainable interventions for specific groups of patients. [ABSTRACT FROM AUTHOR]

Purpose: Multidisciplinary care (MDC) meetings improve the quality of cancer care by providing a space for interdisciplinary communication. The Pediatric Oncology Facility Integrated Local Evaluation (PrOFILE) tool assesses MDC meetings as part of the Service Integration module. We aimed to evaluate the characteristics of MDC meetings at institutions that completed PrOFILE. Methods: From 2019 to 2021, 112 institutions from 23 countries collected data by utilizing the abbreviated version of PrOFILE. Within a secondary data analysis, we descriptively analyzed the characteristics of MDC meetings stratified by income level. Results: Participating institutions were located in low‐income countries (LICs) (n = 6), lower‐middle‐income countries (LMICs) (n = 34), upper‐middle‐income countries (UMICs) (n = 55), and high‐income countries (HICs) (n = 17). Of the 112 participating facilities, 79% reported having MDC meetings. The existence of an MDC varied with income, with 50% of LICs and 100% of HICs hosting MDCs. The frequency of MDC meetings also differed, with 100% of MDCs in LICs occurring weekly, while 53% of MDCs in HICs occurred monthly. Specialties regularly represented at MDC meetings across all participating institutions were hematology/oncology (93%), pathology (52%), radiology (60%), general surgery (57%), and radiation oncology (51%). All MDC meetings in LICs reported representation from these specialties. Availability of test results and discussion of new cases did not vary with income. Residual disparities were identified for the following characteristics: discussion of new and interesting cases, inclusion of patient preferences, and ability to meet urgently. Conclusions: The existence and components of a functional MDC meeting may vary between countries' income levels. Variation in certain components, such as access to tests, may be due to differences in resource distribution, but other factors such as inclusion of patient preferences and ability to meet urgently can be optimized in all settings to foster high‐quality teamwork and communication. [ABSTRACT FROM AUTHOR]

This paper assesses the contributions of Paulo Freire to communication theories, drawing upon a search for communication theory literature on the database Communication and Mass Media Open and the conglomerate source Encyclopedia of Communication Theory. Four encyclopedia entries are reviewed alongside 22 articles. Often identified as an education theorist, Freire and his contributions to the interdisciplinary field of communication can be seen in relation to international development; sign-language interpretation; communication ethics; public communication; culture; mass media; among others. Several studies are conducted in non-Western countries, with a notable focus on multicultural communication toward peace-building and cultural harmony. Additionally, severe social justice issues which involve violation of basic human rights are documented in two indigenous studies. Eight new theory-making papers are identified, in which Freirean theory is mobilized to support communication theory-building. The intersectional and multicultural nature of Freirean theory emerges as leading to diverse applications in social justice, and the review outlines six key Freirean concepts which recur in existing communication theories and studies: dialogue; praxis; banking model; problem-posing; critical consciousness; and emancipation. How each of these concepts are mobilized to guide theorizing in the field of communication are summarized, toward supporting future work in communication as social justice practice. [ABSTRACT FROM AUTHOR]

The article discusses the growing concern over the effects of heat on human health and the need to quantify and describe the thermal environment. It emphasizes the complexity of understanding the impact of thermal stimuli on humans and the necessity of considering multiple variables. The article highlights the importance of using appropriate thermal indices to evaluate the effects of the thermal environment on humans and identifies five indices that are suitable for biometeorological evaluation. It also emphasizes the need for interdisciplinary communication and the importance of considering cultural and social factors in thermal assessments. The article concludes by emphasizing the importance of using the appropriate thermal index for specific locations and climates and the need for effective communication methods when working with non-experts. [Extracted from the article]

The article discusses the field of vascular medicine and the importance of collaboration for success in this specialty. Vascular medicine intersects with various disciplines, and practitioners aim to provide comprehensive, patient-centered care. Early career professionals face challenges such as limited training programs and competition for positions, but they can strategically navigate this terrain by researching available programs and seeking mentorship. Mid-career professionals must balance collaboration and expertise to avoid dissatisfaction, while senior career professionals play a crucial role as mentors and advocates for the field. By prioritizing collaboration, ongoing professional development, and strategic networking, vascular medicine specialists can make a lasting impact on patient care, research, and education. [Extracted from the article]

Aim: Oncology care provision by multidisciplinary teams (MDTs) is widely acknowledged as best practice. Formal team meetings, led by chairpersons, coordinate decisions on diagnosis, staging, treatment planning, and review. This study addresses a gap in meeting Chairs' perspectives on factors affecting functionality across the meeting cycle, from pre‐meeting patient list triage to post‐meeting dissemination of recommendations. Methods: Semi‐structured interviews were conducted in person with Chairs within two urban geographical regions in New South Wales, Australia as part of a larger project. Though the population of oncology MDT Chairs in Australia is small, the richness and depth of data from nine Chairs were considered to be valuable knowledge in support of extant literature on meeting functionality. An integrated deductive‐inductive approach was applied to data analysis. Results: Perceived facilitators, barriers, and ideals relating to pre‐meeting, in‐meeting, and post‐meeting functionality were identified across five pre‐determined analytic categories: the team; meeting infrastructure; meeting organization and logistics; patient‐centered clinical decision‐making, and; team governance. Key barriers included inadequate information technology, limited support staff, and lack of dedicated time for Chair duties. Corresponding facilitators included robust Information Technology infrastructure and support, provision of clinically knowledgeable MDT meeting coordinators, and formal employment recognition of Chairs' responsibilities and skill sets. Conclusion: Chairs across various tumor streams develop workarounds to overcome barriers and ensure quality meeting outcomes. With more robust support they could enhance value by sharing evidence, conducting audits, and engaging in research. The findings highlight the need for healthcare systems to support tumor stream clinical networks by allocating greater resources to prioritize multidisciplinary meetings and cancer care decision‐making. [ABSTRACT FROM AUTHOR]

Copyright of Manuelle Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Communication failures among clinicians in the ICU (intensive care unit) often lead to worse patient outcomes. CritCom is a bilingual (English and Spanish) tool to evaluate the quality of interdisciplinary communication around patient deterioration for pediatric oncology patients. The use of reports, such as the CritCom report, as dissemination methods lead to quicker knowledge translation and implementation of research findings into policy. Nurses and physicians at participating centers who care for patients at risk of deterioration completed the CritCom survey and center-specific reports were generated to communicate CritCom results. Focus groups were conducted with clinicians receiving CritCom reports in both English and Spanish to evaluate report clarity and usability. Participants found the reports to be useful and described the writing and design as clear and specific. Participants provided feedback to improve report design and requested actionable steps to improve communication at their center. Feedback illustrated that the report was easy to interpret and a useful way to disseminate information. Participants noted the utility of the report, illustrating that the use of reports can be a useful method to disseminate research findings back to participants in a way that is applicable to the local context. Communicating research findings through reports can minimize the significant time lag in knowledge translation and provide participants with actionable steps to implement in their setting. [ABSTRACT FROM AUTHOR]

Clinical errors in intensive care units (ICUs) are consistently attributed to communication errors. Despite its importance for patient safety and quality in critical care settings, few studies consider interprofessional communication as more than the basic exchange of information. We conducted a scoping review of interprofessional communication in ICUs to (1) characterize how communication is defined and measured and (2) identify contributions the field of health communication can make to team communication in ICUs. Through a series of queries in PubMed and Communication and Mass Media Complete databases, we identified and compared persistent gaps in how communication is framed and theorized in 28 publications from health services and 6 from social science outlets. We identified research priorities and suggested strategies for discussing communication more holistically in future health services research. 34 articles published from 1999 to 2021 were included. Six explicitly defined communication. Six were published in social science journals, but none were authored by a communication studies scholar. Half of the articles addressed communication as a transaction focused on information transfer, and the other half addressed communication as a process. Methodological implications are identified with the intent to encourage future interdisciplinary collaboration for studying communication in ICUs. We discuss the importance of (1) using language to describe communication that facilitates interdisciplinary engagement, (2) prioritizing communication as a process and using qualitative methods to provide insight, and (3) engaging health communication theories and experts to assist in developing more fruitful research questions and designs. [ABSTRACT FROM AUTHOR]

In this article, we present a bibliometric analysis of studies examining the consequences of boundary-crossing information communication technology (ICT) use, e.g., the use of ICT to conduct tasks across the work and family domains. We explore main contributors, disciplines, and topics of focus, as well as knowledge gaps, and lines of communication within this interdisciplinary field. Our aim is to explore knowledge production and knowledge exchange across disciplines and research employing different methods. Our findings reveal two clusters of publications: an interdisciplinary cluster, and a cluster dominated by organizational psychology, organizational science, and human resource management. Furthermore, our findings show that despite overlapping topics, qualitative and quantitative studies primary rely on two different bodies of literature. We argue that more communication across research employing different methods and a greater variety of disciplines is needed to advance the research on boundary-crossing ICT use. [ABSTRACT FROM AUTHOR]

Aim: This study investigates the collaborative efforts between speech language therapists and dentists to address the challenges faced by patients with concurrent dental and speech issues. It underscores the importance of understanding the complex interactions within the craniofacial system and its implications for both oral health and communication abilities. Methods: A questionnaire-based research was conducted involving speech language therapists and dentists, using Google Forms as the medium of data collection. This study was disseminated through professional networks, where practitioners provided information on their demographics, practices of collaboration, and the perceived advantages of such interdisciplinary work. All ethical standards were adhered to, ensuring the confidentiality and informed consent of the participants. Results: The findings indicate that dentists, often see first patient visits beyond recommended ages primarily for existing conditions, deviating from preventive norms. About half communicate monthly with speech language therapists, revealing gaps in early care and collaboration. Speech language therapists focus on language disorders and orofacial myofunctional disorders (SMOF), with 37% collaborating frequently with dentists. This interaction highlights the potential for enhanced patient outcomes through interdisciplinary cooperation. Despite these challenges, both groups acknowledged the benefits of their collaborative efforts. Conclusions: The partnership between speech language therapists and dentists represents a vital area of healthcare, aimed at tackling the complex issues of oral health and communication through a multidisciplinary approach. Although obstacles in collaboration were identified, the positive outcomes observed from such partnerships emphasize the importance of developing a unified framework to improve integrated healthcare delivery in the future.

Abstract Background Vascular surgery patients admitted to the hospital are often multimorbid. In case of questions regarding chronic medical problems different specialties are consulted, which leads to a high number of treating physicians and possibly contradicting recommendations. The General Practitioner´s (GP) view could minimize this problem. However, it is unknown for which medical problems a GP would be consulted and if regular GP-involvement during rounds would be considered helpful by the specialists. The aim of this study was to establish and describe a General Practice rounding service (GP-RS), to evaluate if the GP-RS is doable in a tertiary care hospital and beneficial to the specialists and to explore GP-consult indications. Methods The GP-RS was established as a pilot project. Between June-December 2020, a board-certified GP from the Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf (UKE) joined the vascular surgery team (UKE) once-weekly on rounds. The project was evaluated using a multi-methods approach: semi-structured qualitative interviews were conducted with vascular surgery physicians that had either participated in the GP-RS (G1), had not participated (G2), other specialists usually conducting consults on the vascular surgery floor (G3) and with the involved GP (G4). Interviews were analyzed using Kuckartz’ qualitative content analysis. In addition, two sets of quantitative data were descriptively analyzed focusing on the reasons for a GP-consult: one set from the GP-RS and one from an established, conventional “as needed” GP-consult service. Results 15 interviews were conducted. Physicians perceived the GP-RS as beneficial, especially for surgical patients (G1-3). Optimizing medication, avoiding unnecessary consults and a learning effect for physicians in training (G1-4) were named as other benefits. Critical voices saw an increased workload through the GP-RS (G1, G3) and some consult requests as too specific for a GP (G1-3). Based on data from 367 vascular surgery patients and 80 conventional GP-consults, the most common reasons for a GP-consult were cardiovascular diseases including hypertension and diabetes. Conclusions A GP-RS is doable in a tertiary care hospital. Studies of GP co-management model with closer follow ups would be needed to objectively improve patient care and reduce the overall number of consults. Trial registration Not applicable.

People with chronic cough (a cough lasting more than 8 weeks) are often referred to different specialists and undergo numerous diagnostic tests, but clear guidance is lacking. This work summarizes a consensus (an agreement) among medical specialists who are involved in managing people with chronic cough : primary care physicians (family doctors), pulmonologists (doctors who specialize in lung conditions), allergists (medical professionals specializing in allergies) and ear, nose and throat (ENT) specialists. They discussed how to perform a basic assessment of people with chronic cough in primary care (day-to-day healthcare given by a general practitioner or family doctor) and how to refer them to different specialists based on clinical findings or test results. [ABSTRACT FROM AUTHOR]

This systematic literature review presents an interdisciplinary overview of theories tested in experiments on the effects of communicating uncertainty. Using a machine learning-aided pipeline, we selected and manually coded 413 experimental studies. We discuss core assumptions and predictions of the main theories of uncertainty communication. Most normative theorizing (e.g., Bayesianism, Expected Utility Theory) is rooted in Probability Theory, which is only suitable for addressing shallow and medium uncertainty. This explains the underrepresentation of experimental research into deep uncertainty communication. To foster a more comprehensive understanding of uncertainty communication effects, we identify research questions and theories deserving greater attention. [ABSTRACT FROM AUTHOR]

This review article assesses the effectiveness and limitations of strategies to reduce falls among hospitalized older adults with frailty and dementia. It explores the efficacy of existing fall prevention strategies for a cohort that is acutely susceptible to falls and fall-related consequences. A systematic literature search was conducted across MEDLINE, Embase, CINAHL, and PsycINFO, employing Medical Subject Headings (MeSH) to identify studies on fall prevention strategies in hospitalized older adults with both dementia and frailty published from 2013 to 2023. The initial 643 records were distilled to eight articles, with Structured Interdisciplinary Bedside Rounds (SIBR) emerging as a notable intervention. SIBR demonstrated a reduction in falls by fostering improved interdisciplinary communication and care planning. However, a decline in family engagement during consecutive sessions suggests a need for strategies to sustain familial involvement. The findings advocate for patient-centered interventions that address the cognitive and functional challenges faced by this cohort of older adults. This review advocates for comprehensive and inclusive research in hospital environments to improve fall prevention strategies for frail older adults with dementia. [ABSTRACT FROM AUTHOR]

The significance of this study lies in fostering skills among school students that enables them to process information from several academic subjects, utilize science and technology at the same time, create new innovative projects, think critically and creatively, achieve meta-subject and personal outcomes, apply their abilities and knowledge to solve real-life problems, and make decisions based on current information utilizing available digital technologies. The main goal of this research is to propose a methodological system for the formation of meta-subject skills in primary school students in the context of STEM education. This framework encompasses several essential stages: a conceptual foundation for the formation of meta-subject skills of primary school students; methods of teaching through STEM; and interdisciplinary, meta-subject tasks and integrated projects aimed at fostering meta-subject skills. Moreover, the study describes an elective course program called "Secret of the World." This course is intended for second grade learners and serves as a practical implementation of the proposed methodology. This course focuses on the promotion of integrated learning based on common topics, application of scientific and technical knowledge, enhancement of critical thinking and problem solving, stimulation of curiosity in science and technical subjects, and utilization of creative and innovative approaches to projects. [ABSTRACT FROM AUTHOR]

Background: Customized 3D-printed pelvic implants with a porous structure have revolutionized periacetabular pelvic defect reconstruction after tumor resection, offering improved osteointegration, long-term stability, and anatomical fit. However, the lack of an established classification system hampers implementation and progress. Methods: We formulated a novel classification system based on pelvic defect morphology and 3D-printed hemipelvis endoprostheses. It integrates surgical approach, osteotomy guide plate and prosthesis design, postoperative rehabilitation plans, and perioperative processes. Results: Retrospectively analyzing 60 patients (31 males, 29 females), we classified them into Type A (15 patients: Aa = 6, Ab = 9), Type B (27 patients: Ba = 15, Bb = 12), Type C (17 patients). All underwent customized osteotomy guide plate-assisted tumor resection and 3D-printed hemipelvic endoprosthesis reconstruction. Follow-up duration was median 36.5 ± 15.0 months (range, 6 to 74 months). The mean operating time was 430.0 ± 106.7 min, intraoperative blood loss 2018.3 ± 1305.6 ml, transfusion volume 2510.0 ± 1778.1 ml. Complications occurred in 13 patients (21.7%), including poor wound healing (10.0%), deep prosthesis infection (6.7%), hip dislocation (3.3%), screw fracture (1.7%), and interface loosening (1.7%). VAS score improved from 5.5 ± 1.4 to 1.7 ± 1.3, MSTS-93 score from 14.8 ± 2.5 to 23.0 ± 5.6. Implant osseointegration success rate was 98.5% (128/130), with one Type Ba patient experiencing distal prosthesis loosening. Conclusion: The West China classification may supplement the Enneking and Dunham classification, enhancing interdisciplinary communication and surgical outcomes. However, further validation and wider adoption are required to confirm clinical effectiveness. [ABSTRACT FROM AUTHOR]

Interdisciplinary communication and collaboration are crucial in the care of people with multiple long-term conditions (MLTCs) yet are often experienced as insufficient. Through the lens of complexity science, this study aims to explain how healthcare professionals (HCPs) adapt to emerging situations in the care of patients with MLTC by examining interdisciplinary communication and collaboration in the outpatient hospital setting. We used the constant comparative method to analyze transcribed data from seven focus groups with twenty-one HCPs to generate a constructivist grounded theory of 'interdisciplinary communication and collaboration in the outpatient setting of the hospital for patients with multiple long-term conditions'. Our theory elucidates the various pathways of communication and collaboration. Why, when, and how team members choose to collaborate influences if and to what degree tailored care is achieved. There is great variability and unpredictability to this process due to internalized rules, such as beliefs on the appropriateness to deviate from guidelines, and the presence of an interprofessional identity. We identified organizational structures that influence the dynamics of the care team such as the availability of time and financial compensation for collaboration. As we strive for tailored care for patients with MLTC, our theory provides promising avenues for future endeavors. [ABSTRACT FROM AUTHOR]

What is the context informing the project? Effective communication within a medical team is crucial not only because it results in higher job satisfaction and better joint decision-making among team members, but also because, ultimately, it makes for high-quality, patient-centered care. Since the transition to the clinical phase of study poses a challenge for many medical students, the University of Lübeck introduced "Ich im Team" (me as team member), a German-language communication workshop for third-year medical students, in the 2020/21 winter semester. Why was the project started? The workshop forms a basis for future collaboration and is meant to strengthen the interpersonal skills needed for working in teams, communicating with patients, and supporting a no-blame culture. How is the project carried out? This workshop, which incorporates elements of improvisational theater and coaching, was offered for the first time in 2020/21. Due to the positive evaluations, it has been a required component of the curriculum since the 2021/22 winter semester. How is the project evaluated? The students have accepted the workshop very well, which is reflected in the excellent evaluations of it. Furthermore, a research study carried out during the first two times the workshop was conducted showed, among other things, directly positive effects on the ability to work in interprofessional teams and handle mistakes. Final overall assessment and outlook: The workshop offers students a solid point of entry into the clinical setting and an awareness of their own role on a given team. Covering the content in more depth and the possible inclusion of other study programs are being discussed. [ABSTRACT FROM AUTHOR]

The article provides a consensus document on multimodal intraoperative neurophysiological monitoring in neurosurgical procedures, focusing on basic fundamentals. Topics include guidelines for intraoperative neurophysiological monitoring and the management of patients with aneurysmal subarachnoid hemorrhage, along with the application of evoked potentials in neuroanesthesia.

Copyright of Medizinische Klinik: Intensivmedizin & Notfallmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Manuelle Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Manuelle Medizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Vascular surgery patients admitted to the hospital are often multimorbid. In case of questions regarding chronic medical problems different specialties are consulted, which leads to a high number of treating physicians and possibly contradicting recommendations. The General Practitioner´s (GP) view could minimize this problem. However, it is unknown for which medical problems a GP would be consulted and if regular GP-involvement during rounds would be considered helpful by the specialists. The aim of this study was to establish and describe a General Practice rounding service (GP-RS), to evaluate if the GP-RS is doable in a tertiary care hospital and beneficial to the specialists and to explore GP-consult indications. Methods: The GP-RS was established as a pilot project. Between June-December 2020, a board-certified GP from the Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf (UKE) joined the vascular surgery team (UKE) once-weekly on rounds. The project was evaluated using a multi-methods approach: semi-structured qualitative interviews were conducted with vascular surgery physicians that had either participated in the GP-RS (G1), had not participated (G2), other specialists usually conducting consults on the vascular surgery floor (G3) and with the involved GP (G4). Interviews were analyzed using Kuckartz' qualitative content analysis. In addition, two sets of quantitative data were descriptively analyzed focusing on the reasons for a GP-consult: one set from the GP-RS and one from an established, conventional "as needed" GP-consult service. Results: 15 interviews were conducted. Physicians perceived the GP-RS as beneficial, especially for surgical patients (G1-3). Optimizing medication, avoiding unnecessary consults and a learning effect for physicians in training (G1-4) were named as other benefits. Critical voices saw an increased workload through the GP-RS (G1, G3) and some consult requests as too specific for a GP (G1-3). Based on data from 367 vascular surgery patients and 80 conventional GP-consults, the most common reasons for a GP-consult were cardiovascular diseases including hypertension and diabetes. Conclusions: A GP-RS is doable in a tertiary care hospital. Studies of GP co-management model with closer follow ups would be needed to objectively improve patient care and reduce the overall number of consults. Trial registration: Not applicable. [ABSTRACT FROM AUTHOR]

The article explores the principle of reciprocity, which is the act of individuals helping others with the expectation of receiving help in return. The author discusses how reciprocity is observed in various species, including bacteria, insects, birds, and humans. The article also examines the cognitive abilities required for reciprocity and compares its presence in different animal species, including primates. The author acknowledges that there are still many unanswered questions about reciprocity and calls for further research in this area. The article emphasizes the interdisciplinary nature of studying reciprocity and highlights the importance of collaboration between different academic fields. [Extracted from the article]

Soundscapes have been studied by researchers from various disciplines, each with different perspectives, approaches, and terminologies. Consequently, the research field determines the actual concept of a specific soundscape with the associated components and also affects the definition itself. This complicates interdisciplinary communication and comparison of results, especially when research areas are involved which are not directly focused on soundscapes. For this reason, we present a formalization that aims to be independent of the concepts from the various disciplines, with the goal of being able to capture the heterogeneous data structure in one layered model. Our model consists of time-dependent sound sources and geodata that influence the acoustic composition of a soundscape represented by our sensor function. Using a case study, we present the application of our formalization by classifying land use types. For this we analyze soundscapes in the form of recordings from different devices at 23 different locations using three-dimensional convolutional neural networks and frequency correlation matrices. In our results, we present that soundscapes can be grouped into classes, but the given land use categories do not have to correspond to them. [ABSTRACT FROM AUTHOR]

This article explores how doctoral writers in interdisciplinary life sciences programs navigate genre-ing activities across multiple disciplines. In interdisciplinary environments, approaches to doing and teaching writing may benefit from a reimagining, particularly as findings suggest that writing at interdisciplinary boundaries is unsuited to apprenticeship models of pedagogy. I argue that meta-genre is a productive way of engaging with the destabilization of existing knowledge in technical communication in interdisciplinary spaces and of fostering interdisciplinary writing knowledge. [ABSTRACT FROM AUTHOR]

Background: The clinical learning environment (CLE) is a key focus of the Accreditation Council of Graduate Medical Education. It impacts knowledge acquisition and professional development. A previous single‐center study evaluated the psychological safety and perceived organizational support of the CLE across different specialties. Building on this work, we explored and evaluated psychological safety and perceived organizational support across multiple heterogeneous emergency medicine (EM) residencies to identify trends and factors affecting perceptions of the CLE. Methods: Using the Psychological Safety Scale (PSS) and Survey of Perceived Organizational Support (SPOS), residents from seven U.S. EM residencies were surveyed using REDCap software from September through November 2021, with 300 potential respondents. As an adjunct to these surveys, three open‐ended questions were included regarding features of their learning environments. Results: A total of 137 out of 300 residents completed the survey. The overall response rate was 45.7%. There was a variable response rate across programs (26.0%–96.7%). Pooled results demonstrate an overall positive perception of CLEs, based on positive mean responses (i.e., "Members of my department are able to bring up problems and tough issue" had a mean of 4.2 on a 5‐point Likert scale). Open responses identified teaching, collegiality, and support from program leadership as supportive features of the CLE. Confrontational interdisciplinary communication, a sense of being devalued, and off‐service rotations were identified as threats or areas for improvement to the CLE. Conclusions: PSS and SPOS scores were generally positive in this multi‐institution study, consistent with the prior single‐institution study indicating that EM is often considered psychologically safe and supportive. EM training programs can consider using the PSS/SPOS to audit their own programs to identify areas for improvement and foster supportive features already in place. [ABSTRACT FROM AUTHOR]

Dialogism and dialectical knowledge making have long subtended theories of written discourse and therefore the design of rhetoric and writing curricula. As universities move toward interdisciplinary and applied disciplinary epistemologies, theories of written discourse based in the dialogical and dialectical tradition require new scrutiny. This article synthesizes scholarship from the rhetoric of science, written communication theory, and transdisciplinary theory to develop a new poly-logical and poly-lectical approach to written communication for interdisciplinary discourse. The article concludes with examples of hermeneutic and heuristic invention strategies for rhetoric and composition pedagogy that can encourage poly-logical and poly-lectical inquiry on contemporary interdisciplinary issues. [ABSTRACT FROM AUTHOR]

Background: The progression of patients through a hospital from admission to discharge can be slowed by delays in patient discharge, increasing pressure on health care staff. We designed and piloted the Discharge Today tool, with the goal of improving the efficiency of patient discharge; however, adoption remained low. Purpose: To close this implementation gap, we deployed and evaluated a 4-part implementation strategy bundle. Methods: We measured the success of implementation by evaluating validated implementation outcomes using both quantitative and qualitative methods, grounded in Normalization Process Theory. Results: The implementation strategies used were effective for increasing use of the Discharge Today tool by hospital medicine physicians and advanced practice providers during both the active and passive implementation periods. Conclusions: While the implementation strategies used were effective, qualitative findings indicate that limitations in the functionality of the tool, alongside inconsistent use of the tool across clinical staff, continued to inhibit adoption. [ABSTRACT FROM AUTHOR]

Digital twins (DT) are synchronized clones that mirror their physical counterparts at all times, enabling real-time monitoring, analysis, decision-making, and planning for optimized operations. Digital twins can transcend traditional two-dimensional interfaces by incorporating VR/AR/MR (XR) technology, providing immersive, intuitive, and interactive representations of systems, assets, and processes. Furthermore, real-time data from sensors, simulations, and other sources can be integrated into the XR-enabled digital twins, leading to better and more intuitive understanding and to more efficiently monitor, analyze, and maintain complex systems such as nuclear assets. Immersive, interactive, multi-player XR capabilities embedded in DTs will allow spatially accurate and more realistic representation, leading to improved risk assessment, optimized and predictive maintenance scheduling, enhanced situational awareness, and more effective communication among interdisciplinary teams. By combining the strengths of XR and digital twins, nuclear facilities can achieve heightened safety, operational efficiency, and decision-making accuracy. Marrying XR technology with digital twins is also likely to extend the utilization of digital twins to optimize those aspects of the design and operation of nuclear assets that involve human beings-specifically in human factors engineering. Training can also be significantly enhanced if DTs are linked with XR technology. These systems may also be used to assess human performance through human factors engineering for the safety analysis of nuclear assets. A specific example is assessing human performance in semi-autonomous nuclear assets or operating multiple nuclear assets. After briefly reviewing digital twins of nuclear systems from the perspective of XR technology, this paper summarises our work in the nuclear energy space on VR/AR/MR and how these can be integrated into the newly evolving DTs of nuclear assets. The paper also describes the potential use of such systems in optimizing the design and operations of nuclear systems. As XR technology advances, its symbiotic relationship with digital twins can significantly reshape the landscape of nuclear operations and asset management. [ABSTRACT FROM AUTHOR]

Colloidal crystals are materials self‐assembled from the colloidal nanoparticles. Due to the ordered microstructure, they exhibit significant optical properties and have shown huge potential in the field of biosensing. Besides, the unique macroscopic shapes can also play a critical role in the sensing process. Here, we present a comprehensive discussion on the colloidal crystal‐based biosensors with different topological shapes, including the development strategies of currently reported colloidal crystal particles, films, and fibers, and their recent progress in biosensing. In addition, the faced challenges and the possible solutions are also concluded and discussed. We expect this review can enrich the knowledge and encourage the communication of interdisciplinary researchers, thus promoting the further development and practical applications of colloidal crystal‐based biosensors. [ABSTRACT FROM AUTHOR]

Although the organ frequently occupies a prominent place in an acoustic space, the player of the instrument is often barely visible. In this special concert and listening situation, questions are raised regarding certain (missed) expressive-visual opportunities. In this article, we explore how an analysis of the organist's score-driven movements and performative experiences can lead to the development of a basic choreographic framework. Olivier Messiaen's organ piece Subtilité des Corps Glorieux (1939) is our case study. The ultimate goal is to use that framework as a practical tool for interdisciplinary creation and communication. [ABSTRACT FROM AUTHOR]

There is mounting evidence that the pre-medical emergency team (pre-MET) of rapid response systems is underutilised in clinical practice due to suboptimal structures and processes and resource constraints. In this perspective article, we argue for examining the pre-MET through a 'Behaviour Change Wheel' lens to improve the pre-MET and maximise the associated patient safety benefits. Using pre-MET communication practices as an example, we illustrate the value of the COM-B model, where clinicians' 'capability', 'opportunity', and 'motivation' drive 'behaviour'. Optimising clinicians' behaviours and establishing failsafe rapid response systems is a complex undertaking; however, examining clinicians' behaviours through the COM-B model enables reframing barriers and facilitators to develop multifaceted and coordinated solutions that are behaviourally and theoretically based. The COM-B model is recommended to clinical governance leaders and health services researchers to explore the underlying causes of behaviour and successfully enact change in the design, implementation, and use of the pre-MET to improve patient safety. What is known about the topic? The pre-medical emergency team (pre-MET) was implemented to enhance hospital patient safety; however, there is evidence that it is underused by health professionals. What does this paper add? We argue that health professionals' behaviours within the pre-MET be understood differently by using the 'Behaviour Change Wheel', where behaviour is driven by capability, opportunity, and motivation. What are the implications for practitioners? To improve patient safety and assist in formulating theory-based solutions, hospital leaders and health services researchers are called upon to examine the pre-MET using behaviour change theory. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The objective of this clinical practice guideline is to provide updated and new evidence-based recommendations for the comprehensive care of persons with diabetes mellitus to clinicians, diabetes-care teams, other health care professionals and stakeholders, and individuals with diabetes and their caregivers. METHODS: The American Association of Clinical Endocrinology selected a task force of medical experts and staff who updated and assessed clinical questions and recommendations from the prior 2015 version of this guideline and conducted literature searches for relevant scientific papers published from January 1, 2015, through May 15, 2022. Selected studies from results of literature searches composed the evidence base to update 2015 recommendations as well as to develop new recommendations based on review of clinical evidence, current practice, expertise, and consensus, according to established American Association of Clinical Endocrinology protocol for guideline development. RESULTS: This guideline includes 170 updated and new evidence-based clinical practice recommendations for the comprehensive care of persons with diabetes. Recommendations are divided into four sections: (1) screening, diagnosis, glycemic targets, and glycemic monitoring; (2) comorbidities and complications, including obesity and management with lifestyle, nutrition, and bariatric surgery, hypertension, dyslipidemia, retinopathy, neuropathy, diabetic kidney disease, and cardiovascular disease; (3) management of prediabetes, type 2 diabetes with antihyperglycemic pharmacotherapy and glycemic targets, type 1 diabetes with insulin therapy, hypoglycemia, hospitalized persons, and women with diabetes in pregnancy; (4) education and new topics regarding diabetes and infertility, nutritional supplements, secondary diabetes, social determinants of health, and virtual care, as well as updated recommendations on cancer risk, nonpharmacologic components of pediatric care plans, depression, education and team approach, occupational risk, role of sleep medicine, and vaccinations in persons with diabetes. CONCLUSIONS: This updated clinical practice guideline provides evidence-based recommendations to assist with person-centered, team-based clinical decision-making to improve the care of persons with diabetes mellitus.

We conducted a randomized controlled trial to study the effects of interprofessional communication team training on clinical competence in the Korean Advanced Life Support provider course using a team communication framework. Our study involved 73 residents and 42 nurses from a tertiary hospital in Seoul. The participants were randomly assigned to the intervention or control group, forming 10 teams per group. The intervention group underwent interprofessional communication team training with a cardiac arrest simulation and standardized communication tools. The control group completed the Korean Advanced Life Support provider course. All participants completed a communication clarity self-reporting questionnaire. Clinical competence was assessed using a clinical competency scale comprising technical and nontechnical tools. Blinding was not possible due to the educational intervention. Data were analyzed using a Mann-Whitney U test and a multivariate Kruskal-Wallis H test. While no significant differences were observed in communication clarity between the two groups, there were significant differences in clinical competence. Therefore, the study confirmed that the intervention can enhance the clinical competence of patient care teams in cardiopulmonary resuscitation. [ABSTRACT FROM AUTHOR]

A patient was dissatisfied with her previous extensive dental treatment and wanted a comfortable bite with less gingival display for a more attractive smile. This article describes a systematic approach that was used in diagnosis, planning, and treatment sequencing to effectively manage the esthetic, functional, and biomechanical concerns involved in the case while minimizing risks. Digital planning enhanced interdisciplinary communication making the outcome more efficient and predictable. [ABSTRACT FROM AUTHOR]

This study evaluated the effectiveness of a multi‐disciplinary diabetic limb salvage programme in improving clinical outcomes and optimising healthcare utilisation in 406 patients aged ≥80 years with diabetic foot ulcers (DFUs), compared to 2392 younger patients enrolled from June 2020 to June 2021 and against 1716 historical controls using one‐to‐one propensity score matching. Results showed that elderly programme patients had lower odds of amputation‐free survival (odds ratio: 0.64, 95% CI: 0.47, 0.88) and shorter cumulative length of stay (LOS) compared to younger programme patients (incidence rate ratio: 0.45, 95% CI: 0.29, 0.69). Compared to the matched controls, participating in the programme was associated with 5% higher probability of minor lower extremity amputation, reduced inpatient admissions and emergency visits, shorter LOS but increased specialist and primary care visits (all p‐values <0.05). The findings suggest that the programme yielded favourable impacts on the clinical outcomes of patients aged≥80 years with DFUs. Further research is needed to develop specific interventions tailoring to the needs of the elderly population and to determine their effectiveness on patient outcomes while accounting for potential confounding factors. [ABSTRACT FROM AUTHOR]

Background During the pandemic, countries utilized various forms of statistical estimations of coronavirus disease-2019 (COVID-19) impact. Differences between databases make direct comparisons and interpretations of data in different countries a challenge. We evaluated country-specific approaches to COVID-19 data and recommended changes that would improve future international collaborations. Methods We compared the COVID-19 reports presented on official UK (National Health System), Israeli (Department of Health), Latvian (Center for Disease Prevention and Control) and USA (Centers for Disease Control and Prevention) health authorities' websites. Results Our analysis demonstrated critical differences in the ways COVID-19 statistics were made available to the general and scientific communities. Specifically, the differences in approaches were found in the presentation of the number of infected cases and tests, and percentage of positive cases, the number of severe cases, the number of vaccinated, and the number and percent of deaths. Conclusion Findability, Accessibility, Interoperability and Reusability principles could guide the development of essential global standards that provide a basis for communication within and outside of the scientific community. [ABSTRACT FROM AUTHOR]