Academic literature on the topic 'Extended scope of practice'

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Journal articles on the topic "Extended scope of practice"

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Harris, Jill. "Implementation of extended scope of practice." Journal of Medical Radiation Sciences 60, no. 4 (December 2013): 159. http://dx.doi.org/10.1002/jmrs.34.

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Tampin, B. "Physiotherapy Extended Scope Practice – erweiterter Aufgabenbereich für Physiotherapeuten." physioscience 5, no. 01 (February 19, 2009): 1–2. http://dx.doi.org/10.1055/s-0028-1109153.

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Ryan, Dominique, Fiona Pelly, and Elizabeth Purcell. "Exploring extended scope of practice in dietetics: A systems approach." Nutrition & Dietetics 74, no. 4 (May 11, 2016): 334–40. http://dx.doi.org/10.1111/1747-0080.12283.

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Henderson, I., S. A. Mathers, J. McConnell, and D. Minnoch. "Advanced and extended scope practice of radiographers: The Scottish perspective." Radiography 22, no. 2 (May 2016): 185–93. http://dx.doi.org/10.1016/j.radi.2015.12.002.

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Kersten, Paula, Kath McPherson, Val Lattimer, Steve George, Alice Breton, and Bridget Ellis. "Physiotherapy extended scope of practice – who is doing what and why?" Physiotherapy 93, no. 4 (December 2007): 235–42. http://dx.doi.org/10.1016/j.physio.2007.02.007.

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Ellis, Bridget, and Paula Kersten. "An Exploration of the Developing Role of Hand Therapists as Extended Scope Practitioners." British Journal of Hand Therapy 6, no. 4 (December 2001): 126–30. http://dx.doi.org/10.1177/175899830100600403.

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Extended scope practitioners (ESPs) are specialist occupational therapists and physiotherapists working beyond their recognised scope of practice. The aims of this study were to identify the number, training and scope of practice of hand therapists working as ESPs. Thirty-five ESPs were identified and sent a questionnaire examining aspects of their practice. Thirty-two ESPs (91%) replied. The findings show that the ESPs worked in four models of practice: own clinic environment, rheumatology, preoperative and post-operative clinics. Their activities included making diagnoses, injections, joint aspirations and wound care. ESPs referred patients for surgery, investigative procedures and therapy. Training was largely experiential and there were unmet training needs. It can be concluded from this study that ESPs are undertaking aspects of care that traditionally have been undertaken by doctors and nurses. The development of ESPs has training implications.
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Matthews, Kylie L., Michelle A. Palmer, and Sandra M. Capra. "Dietitians’ opinions regarding refeeding syndrome, clinical guidelines and extended scope of practice." Nutrition & Dietetics 75, no. 4 (April 30, 2018): 397–405. http://dx.doi.org/10.1111/1747-0080.12429.

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Milner, R., M. A. Harris, S. Morrissey, L. Field, and B. Snaith. "Letter re: Advanced and extended scope of practice of radiographers: The Scottish perspective." Radiography 22, no. 3 (August 2016): 263. http://dx.doi.org/10.1016/j.radi.2016.02.005.

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Ruston, Sally A. "Extended scope practitioners and clinical specialists: A place in rural health?" Australian Journal of Rural Health 16, no. 3 (June 2008): 120–23. http://dx.doi.org/10.1111/j.1440-1584.2008.00962.x.

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Henderson, I., and S. A. Mathers. "Response to letter re: Advanced and extended scope of practice of radiographers: The Scottish perspective." Radiography 22, no. 3 (August 2016): 264. http://dx.doi.org/10.1016/j.radi.2016.04.005.

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Dissertations / Theses on the topic "Extended scope of practice"

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Kristina, Knezevic Harris. "An investigation of the extended application of the Oxford Knee Score in research and clinical practice." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:74642889-0433-4ba1-9deb-19be9a9274fd.

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The Oxford Knee Score (OKS) is a popular single summary questionnaire developed to measure the effect of knee replacement surgery from the patients' perspective. There has been a recent interest in the use of the OKS in populations of patients and in roles it has not been originally developed for. To date, no evidence has been provided about the measurement properties of the OKS when it is used outside the context or purpose for which it was originally designed. The general aim of this thesis is to investigate the measurement properties of the OKS when used in extended roles: a) within the population for which the OKS was originally intended and developed for (knee replacement) and, b) when applied on a different population, viz. patients undergoing non-operative treatment for knee osteoarthritis (OA). Four existing large-scale databases of patients undergoing knee replacement surgery and a database obtained from a prospective study on patients undergoing non-surgical management for knee OA were analyzed. The results demonstrate that: 1) it is possible to extract separate information on pain and functional disability from the OKS in a meaningful way (in the form of subscales). 2) For the first time, anchor-based Minimal Important Change (MIC) of 9 points and Minimal Important Difference (MID) of 5 points were established for joint replacement surgery. 3) The OKS demonstrated satisfactory evidence reliability, validity, responsiveness, and interpretability, when used in patients who are undergoing non-operative management for their knee OA. 4) Further evidence of validity was demonstrated by fitting the OKS to the Rasch model. 5) Lastly, it was demonstrated that thresholds can be applied on the OKS to distinguish between patients who consider their knee problem to be severe enough to warrant joint replacement surgery versus patients who do not. This supports the potential use of the OKS in decision making aids for secondary care referral. Overall the thesis provides critical evidence, not previously existing, to support the continued use, and extended use, of the OKS in orthopaedic medicine.
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Benson-Martin, Janine. "The scope of ECT practice in South Africa." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2793.

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Electroconvulsive therapy (ECT) involves the administration of an electrical current to the brain in order to produce a tonic-clonic seizure which is deemed therapeutic. It is an effective and safe procedure for the treatment of severe mental illnesses such as major depression, mania and schizophrenia. Currently little is known about the characteristics of ECT practice in South Africa. This study aims to determine current electroconvulsive therapy (ECT) practice and to compare it with reported ECT practice internationally. This is a retrospective, descriptive study, to determine the characteristics of ECT practice in South Africa; data was collected using a self-report questionnaire. The study population consisted of doctors and nurses who practiced ECT in any 12 month period between 2011 and 2012. Both private and state facilities were included in the study. Initially contact was made with hospital mental health facilities to ascertain whether an ECT machine was present on site. Once formal approval was obtained from the appropriate designated bodies, questionnaires were sent to clinical staff involved in ECT at active sites. The 36-item questionnaire covered relevant questions on: utilization rates, equipment, staffing, practice and monitoring parameters, and indications for use. Forty two institutions had an ECT machine on site, of which thirteen institutions reported non-use. Questionnaires were sent to the 29 active ECT sites. Facilities responding to the questionnaire amounted to 83% (n=24), but of these, 21 units responded to the ECT utilization questions. ECT is performed as a modified procedure in six provinces by psychiatrists, registrars, medical officers and general practitioners. In-and outpatient ECT is offered in 79% (n=19) of hospitals. The number of persons treated with ECT/10 000 population per year (ppy) is 0.22 while the number of ECT procedures/10 000 ppy is 1.19. More patients in the private sector receive ECT as a treatment modality than in the public sector (U = 22, p = 0.045). ECT is performed in a minor theatre/operating room in 79% of units, while the rest is performed in a treatment room. All but one unit had a separate recovery room. Informed consent or assent was used in all institutions. Pre-ECT work-up most commonly involved a physical examination (95.5%, n = 21) and basic blood work investigations (87%, n=20). Bilateral, unilateral and bifrontal electrode placements are used, while various dosage- determination and monitoring methods are employed. The vast majority of patients (89.22%, n=869) receiving ECT are between the ages of 18 and 59. The most common indication for ECT is depression (84.77%, n=796). The utilization rate in South Africa is similar to that of countries like Bulgaria, Poland and India, but less than that of some high-income countries. Even though ECT practices in South Africa generally follow international guidelines, standardisation of practice is still recommended.
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Langridge, Neil. "The clinical reasoning processes of extended scope physiotherapists assessing low back pain." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/354124/.

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The role of the extended scope physiotherapist has developed relatively recently within health-care. The extended role has utilised the skills of allied health professionals including physiotherapists, and given them autonomy to use knowledge and clinical acumen to request investigations such as Magnetic Resonance Imaging (MRI) as part of the diagnostic process. These requests and processes are delivered outside their traditional scope of practice. Further knowledge on how these practitioners clinically reason is therefore needed as there is little within the literature regarding reasoning in this specific group of clinicians. This research aids in the development of future roles, the governance of services, whilst supporting the training of clinical reasoning for new recruits to this work. This qualitative study has explored the processes by which extended scope physiotherapists clinically reason decisions regarding patients reporting low back pain. The study has used a multiple case study design informed by grounded theory methodology with focus groups and semi-structured interviews as a method to investigate these processes. The themes identified included prior thinking, patient interaction, formal testing, time, safety and accountability, external/internal and gut feeling. Subtle differences in clinical reasoning were seen in the focus group study between ESP and non-ESP clinicians. The processes of clinical reasoning are presented that suggests how these clinicians reason whilst highlighting how they differ to non-extended scope physiotherapists.
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McTaggart, Elizabeth Sarah. "Nurses' experiences of full scope LPN practice in acute care." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/32055.

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The practice of licensed practical nurses (LPNs) in acute care in British Columbia (BC) is undergoing a shift to incorporate the enhanced range of entry-level competencies introduced by the College of LPNs of British Columbia in 2000. The full range of new LPN competencies, which now constitute full scope, became a requirement for practical nurse licensure in BC in 2007 and are challenging LPNs and Registered Nurses (RNs) alike to reexamine and redefine the LPN role and LPN/RN relations in acute care. Research exploring the experiences of RNs and LPNs, in their own words, with full scope LPN practice in acute care staff mixes has not previously been conducted in BC. This qualitative descriptive study explored the perceptions of 5 RNs and 4 LPNs working in RN/LPN skill mixes, in various Lower Mainland acute care settings where the LPNs work to full scope. Conventional qualitative content analysis was used to analyze the data from one in-depth interview and 8 short-answer surveys. Analysis of one in-depth interview with an LPN yielded 3 categories: professionalism, receptivity, and appropriateness. Analysis of the 8 survey responses from RNs and LPNs yielded 3 categories as well, namely: defining the role, determining the impact and determining the fit of the role. Findings in this study indicate that overall, both RNs and LPNs report that clear communication, LPN role clarity, experience working together over time, and a supportive work environment contribute to positive experiences of the RN/LPN skill mix. Feelings of burden, inconsistent teamwork, lack of respect, concerns about patient acuity levels, and varied perceptions of the ability of LPNs and RNs to assume responsibility for patient care present areas of challenge in the workplace.
Applied Science, Faculty of
Nursing, School of
Graduate
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Usatine, Richard, Jim Holt, Miranda Lu, and Alexandra Verdieck. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6446.

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In this hands-on preconference workshop, we will introduce dermoscopy, a proven adjunctive tool that increases sensitivity and specificity of melanoma detection and improves diagnostic accuracy for basal and squamous cell carcinomas. Participants will learn how to use a dermatoscope in clinical practice and learn the two-step algorithm to diagnose unknown skin lesions and determine the need for biopsy. Biopsy techniques will be taught with a handson evidence-based approach that can be applied at one’s home institution. Participants will leave with fundamental competence in the use of dermoscopy for early skin cancer detection, improved understanding of biopsy techniques, tools to train others, free apps, Dermoscopedia, online resources, and online and in-person courses.
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Usatine, Richard, Jim Holt, Alex Verdieck-Devlaeminck, and Miranda Lu. "Dermoscopy: Expanding ‘Scope’ of Practice and Preventing Skin Cancer Deaths." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6449.

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Community health outreach workers (CHOWs) have been demonstrated to increase CRC screening patient education for vulnerable, medically underserved patients as well as increase CRC screening rates in rural populations.1,2 This project examined the effectiveness of CHOWs in increasing CRC screening rates among low-income, underserved ethnic minorities in Portland, Maine. Eligible patients were ages 50-75; due for CRC screening; enrolled in Medicaid or had no health insurance; and spoke Arabic, English, French, Kinyarwanda, Somali, Spanish or Vietnamese. Seven CHOWs were trained in CRC screening outreach and assigned to patients from their own ethnic communities where they employed culturally sensitive interventions to reduce barriers to CRC screening. CHOWs attempted contact with patients by phone four times prior to sending a language-specific letter to patients recommending CRC screening. CHOWs offered fecal immunochemical testing (FIT) or colonoscopy and provided tailored education and frequent reminders for colonoscopies, explanations about procedures for bowel preps, transportation to colonoscopies, reminders and instructions for FIT completion as well as assistance with health insurance and financial barriers. Upon completion of this session, participants should be able to: Define the role of a community health outreach worker (CHOW) in CRC screening. State three common sociocultural barriers patients experience for CRC screening. Identify the efficacy of CHOWs in increasing CRC screening rates.
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Hoppe, Elizabeth Susan. "Optometry's expanding scope of practice legislation, interprofessional relations, and risk." Ann Arbor, Mich. : University of Michigan, 1999. http://books.google.com/books?id=uxQvAAAAMAAJ.

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Nehring, Wendy M., American Nurses Association, and Nursing Division of the American Association on Mental Retardation. "Intellectual and Developmental Disabilities Nursing: Scope and Standards of Practice." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu_books/105.

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"Last published in 2004, this new second edition contains up-to-date information for practitioners committed to providing a continuum of services to individuals with intellectual and developmental disabilities (ID/D) across the lifespan." --nursebooks.org
https://dc.etsu.edu/etsu_books/1111/thumbnail.jpg
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Lucero, Samantha. "Defining the Scope of Practice for Nurse Practitioners in MIAM." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4074.

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Minimally invasive aesthetic medicine (MIAM) is a relatively new field, which lacks a clearly defined scope of practice. The purpose of this project was to clarify the scope of practice for nurse practitioners in MIAM in California. Without a clearly defined scope of practice, nurse practitioners are unable to practice to the full extent of their license which causes them to be underutilized and face liability issues. This project sought to answer the question: What is the scope of practice of the nurse practitioner in MIAM in the state of California? The model of professional nursing practice regulation was the model used to guide this project. Sources of evidence included case law that has emerged since 1983; reviewing documents from 3 state boards of nursing; and a survey of nurse practitioners who practice in the field of MIAM. The evidence was analyzed noting themes while determining what the legal backbone is for nurse practitioner's scope of practice in California. This project found that nurse practitioners in this field keep up to date in their knowledge, educate their patients, utilize methods to maintain competency, feel support in their environment, assess and refer to others when appropriate, and teach both staff and patients evidence-based practices. It also found that standardized procedures are the legal backbone to understanding the scope of practice in California. A scope of practice was developed based on the findings of this project which was then reviewed by an expert. It is recommended that nurse practitioners utilize their resources to obtain and maintain knowledge as well as learn what the standardized procedures are in their facility. The implications for clarifying the scope of practice will serve this population to fully utilize their capabilities and practice safely, as well as help to develop this relatively new field.
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Finnell, Deborah S., Elizabeth L. Thomas, Wendy M. Nehring, Kris A. McLoughlin, and Carol J. Bickford. "Best Practices for Developing Specialty Nursing Scope and Standards of Practice." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6707.

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Nursing specialization involves focusing on nursing practice in an identified specific area within the entire field of professional nursing. A defined specialty scope of practice statement and standards of professional practice, with accompanying competencies, are unique to each nursing specialty. These documents help assure continued understanding and recognition of nursing’s diverse professional contributions. The purpose of this article is to demystify the process for specialty nurses who are creating or revising their specialty nursing scope and standards of practice. We provide best practices for the developmental process based on our recently published scope and standards of specialty nursing practice. The conclusion provides strategies to disseminate scope and standards documents to appropriate stakeholders.
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Books on the topic "Extended scope of practice"

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United Kingdom Central Council for Nursing, Midwifery and Health Visiting. Scope in practice. London: UKCC, 1997.

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Association, American Nurses. The scope of nursing practice. Kansas City, Mo: ANA, 1987.

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Nursing: Scope and Standards of Practice. 2nd ed. Silver Spring, Md: American Nurses Association, 2010.

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Association, American Nurses. Nursing: Scope and standards of practice. Washington, DC: Nursesbooks.org, 2007.

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Nursing: Scope and standards of practice. Washington, D.C: Nursesbooks.org, 2004.

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Association, American Nurses. Corrections nursing: Scope and standards of practice. Silver Spring, Md: American Nurses Association, 2007.

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Altranais, Bord. Scope of nursing and midwifery practice framework. Dublin: An Bord Altranais, 2000.

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American Association of Diabetes Educators. Scope and standards of diabetes nursing practice. 2nd ed. Washington, D.C: Nursesbooks.org, 2003.

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Nurses, Society of Pediatric, and American Nurses Association, eds. Pediatric nursing: Scope and standards of practice. Silver Spring, Md: American Nurses Association, 2008.

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Association, American Radiological Nurses. Radiology nursing: Scope and standards of practice. Silver Spring, Md: American Nurses Association, 2007.

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Book chapters on the topic "Extended scope of practice"

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Fulford, Bill. "Surprised by Values: An Introduction to Values-Based Practice and the Use of Personal Narratives in This Book." In International Perspectives in Values-Based Mental Health Practice, 1–14. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47852-0_1.

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AbstractThis chapter provides an introduction to the book. Section 2 explains some of the features of values that have shaped values-based practice. Section 3 outlines the key framework elements of values-based practice and describes how this book extends its scope from individual to cultural values. Section 4 , explains the organisation of the book around the framework elements of values-based practice. Section 5 justifies the prominent role given to personal narratives in the book: just as randomised controlled trials are among the best ways to learn about evidence, so, we argue, are personal narratives among the best ways to learn about values. A linking theme of the chapter is the many surprises presented by values in the context of contemporary person-centred clinical care.
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Richardson, Gary L., and Brad M. Jackson. "Scope Management." In Project Management Theory and Practice, 113–29. Third edition. | Boca Raton, FL : CRC Press, [2019]: Auerbach Publications, 2018. http://dx.doi.org/10.1201/9780429464140-14.

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de Wolf, Esther, and Guy Shennan. "The extended iSelf." In Solution Focused Practice Around the World, 71–79. Abingdon, Oxon ; New York, NY : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9780429026454-9.

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Mullins-Owens, Heather. "Scope of Integrative Health Practice." In SpringerBriefs in Public Health, 37–48. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-29857-3_5.

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Laud, Peeter, and Jan Willemson. "Composable Oblivious Extended Permutations." In Foundations and Practice of Security, 294–310. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17040-4_19.

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Rowe, Fiona, and Veronica Henshall. "Orthoptists and their Scope in Health Promotion." In Health Promoting Practice, 270–82. London: Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-20995-4_21.

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Szaraniec, Monika. "Insurance Outsourcing: A Legal Analysis." In AIDA Europe Research Series on Insurance Law and Regulation, 71–93. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-85817-9_4.

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AbstractOutsourcing plays an important role in the operation of insurance and reinsurance companies. This article aims to define the legal conditions of insurance outsourcing and their evaluation by the author. The example of limiting the scope of outsourcing in the activities of insurance and reinsurance companies in the Polish law shows its specificity compared to other outsourcing in business. This specificity lies primarily in the need to control insurance outsourcing by the EU and national supervisory authorities. There is a tendency in the law to extend the regulations related to insurance outsourcing to the further performance of a process, service or activity by insurance companies, particularly in the field of cooperation of traditional distributors with Insurtech. The lack of legal regulations forces EIOPA to look for appropriate and effective legal solutions in the field of supervision over insurance outsourcing. This process is mainly based on self-regulation of the market through ‘soft law’—this practice sets new tasks for the EU and national regulators.
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Sadovsky, Richard. "Urban Family Practice: Breadth and Scope." In Urban Family Medicine, 6–10. New York, NY: Springer New York, 1987. http://dx.doi.org/10.1007/978-1-4612-4624-4_2.

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Zimmerman, Janice, and Mukhtar Al-Saadi. "Critical Care Services: Scope of Practice." In Critical Care Administration, 1–20. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-33808-4_1.

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Glasper, E. A., and Susan Lowson. "Ambulatory Care — The Scope of Practice." In Innovations in Paediatric Ambulatory Care, 1–13. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14367-2_1.

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Conference papers on the topic "Extended scope of practice"

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Chin, Jessica, Ibrahim Zeid, and Sagar Kamarthi. "Evidence-Based Best Practices: Wound Healing Tracking and Assessment." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-62844.

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Standard medical practice is known to have a history of varying definition of “standard”. As with any industry with multiple entities, each entity defines their standards and expectations according to what they believe is their customers’ (i.e. patients) needs and preferences. Recently, our research on developing a predictive wound care assessment methodology and system has extended our study into analyzing evidence-based best practices in wound care clinics. Our research on wound healing predictive model systems, revealed key differences in operational practice between the clinics that were visited in different institutional settings. The scope of this study evaluates our observed wound care practice and wound care treatment to determine if there is a common set of effective practice that can be developed to better standardize care. The purpose of this paper is to compare and contrast the operational practice and procedures at various community and teaching hospitals to determine if there is an ideal combination of tools and standard techniques that would be most beneficial to patient wound care. This paper will focus on methods of patient wound care. We will then present a model of “Evidence-Based Best Practices of Wound Care Assessment” that is based on the observation and interactions with various hospitals.
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Howard, John A., Ruggero Trevisan, Albert McSpadden, and Simon Glover. "History, Evolution, and Future of Casing Design Theory and Practice." In SPE Annual Technical Conference and Exhibition. SPE, 2021. http://dx.doi.org/10.2118/206183-ms.

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Abstract Casing design and the associated load assumptions have evolved considerably over the last 30 years. The objective of this paper is to trace the history, evolution and future of casing design by means of the type of load cases and the assumptions made for them as it evolved from the early 1960's to the modern load case requirements for wells drilled in the 2020's. The vast majority of tubular failures in oil & gas wells are not attributable to computational errors in calculating design loads, but rather are due to a shortfall in considering the appropriate load scenarios. One common shortfall includes making incorrect or oversimplified assumptions for the initial and final temperature and pressure conditions. There is no industry standard for casing or tubing design loads, but there is an industry accepted standard process for the calculation of the stress on tubulars once the load cases are determined. Each operating company may use a different set of load assumptions depending on the well type and risk assessment. This work also keeps in view the major computational tools used during each step change of the casing design evolution: slide rule/nomographs, HP 41C calculators, PC DOS and Windows programs, and the latest Cloud-Native paradigm with REST API's within a microservices architecture. A REST API (also known as RESTful API) is an Application Programming Interface (API) that conforms to the constraints of Representational State Transfer (REST) architectural style commonly used in current Cloud computing technology. The scope will also include ongoing research and development to address shortcomings of previous load case assumptions and calculations for extended reach and HPHT wells, closely spaced wells, and geothermal wells. Modern wells and modern casing design load cases are in a constant state of evolution and casing failures will occur unless engineers and their tools also evolve.
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Brown, Warren. "Selecting the Optimum Bolt Assembly Stress: Influence of Flange Type on Flange Load Limit." In ASME 2008 Pressure Vessels and Piping Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/pvp2008-61708.

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In previous papers, practical limits on the maximum applied load for standard ASME B16.5 and B16.47 carbon steel, weld neck pipe flanges were examined. A new code equation for the tangential (hoop) stress at the small end of the hub for a weld neck flange was developed to facilitate calculation of the limits using elastic analysis. The results were verified against elastic-plastic Finite Element Analysis (FEA). In this paper, the work is extended to include other flange configurations, including loose ring flanges, slip-on flanges and flat plate flanges. This paper is a continuation of the papers presented during PVP 2006 and PVP 2007 (Brown [1, 2]) and it extends the scope of the proposed methodology for determining flange stress limits in determining the maximum allowable bolt load for any given flange size and configuration.
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Brown, Warren. "Selecting the Optimum Bolt Assembly Stress: Influence of Flange Material on Flange Load Limit." In ASME 2008 Pressure Vessels and Piping Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/pvp2008-61709.

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In previous papers, practical limits on the maximum applied load for standard ASME B16.5 and B16.47 carbon steel, weld neck and slip-on pipe flanges were examined. A new code equation for the tangential (hoop) stress at the small end of the hub for a weld neck flange and new flange factors for a slip-on flanges were developed to facilitate calculation of the limits using elastic analysis. The results were verified against elastic-plastic Finite Element Analysis (FEA). In this paper, the work is extended to include other flange materials and verification is once again performed against elastic-plastic FEA. This paper is a continuation of the papers presented during PVP 2006, PVP 2007 and PVP 2008 (Brown [1–3]) and it extends the scope of the proposed methodology for determining flange stress limits in to any given flange material, size and configuration.
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Šokinjov, Stefan. "ODGOVORNOST TREĆIH LICA ZA KRŠENjE KARTELNE ZABRANE U PRAVU KONKURENCIJE EVROPSKE UNIJE." In XV Majsko savetovanje: Sloboda pružanja usluga i pravna sigurnost. University of Kragujevac, Faculty of Law, 2019. http://dx.doi.org/10.46793/xvmajsko.791s.

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Since decision in Italian cast glass case of 17th December 1980 European Commission considers independent service providers liable for facilitation of cartel implementation. Such legal stance of European Commission was confirmed by the judgment of Court of European Union brought in Heat stabilizers case (C-194/14 P so called Treuhand II). This way the scope of cartel prohibition is noticeable extended. Striving to penalize and to prevent creation of new forms of collusion with assistance of undertakings which are not active on the markets concerned by the restriction of competition the Court extensively interpreted elements of cartel prohibition conception especially the notions of undertaking, agreement between undertakings and distortion of competition by object and concluded that nothing in the Article 81(1) EC (now Art. 101(1) of TFEU) limits the scope of cartel prohibition to “(i) the undertakings operating on the market affected by the restrictions of competition or indeed the markets upstream or downstream of that market or neighbouring markets or (ii) undertakings which restrict their freedom of action on a particular market under an agreement or as a result of a concerted practice” (rec. 34). Providing that an agreement between undertakings is the expression of the concurrence of wills of at least two parties, the form in which the concurrence is expressed not being by itself decisive (rec. 28), it follows that scope of cartel prohibition embraces “all agreements and concerted practices which, in either horizontal or vertical relationships, distort competition on the common market, irrespective of the market on which parties operate, and that only the commercial conduct of one of the parties need be affected by the terms of arrangements in question” (rec. 35). Whereas the liability of independent third person is not explicitly prescribed, such judiciary interpretation can be challenged from several reasons. First, it is generally accepted that (Community) legislation, in particular where there is а possibility of imposition of penalties must be clear and precise. With regard to opponent opinions given by Advocate General Wahl and scholars as well, independent service providers’ responsibility for facilitation of cartel implementation is obviously not laid down clearly and precisely. The second objection concerns the accessorial nature of a service agreement to a cartel agreement. Liability of independent service providers should not be dependent on market behavior of cartel participants. It must be regulated as an autonomous infringement. And third, activity of cartel facilitators cannot cause circumvention of the Anti-trust law. Complication of cartel detectability yes but circumvention of Anti-trust law no because the prohibition of the basic anti-trust conduct remains untouched.
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Jardim-Gonc¸alves, Ricardo, Se´rgio Onofre, Carlos Agostinho, and Adolfo Steiger-Garc¸a˜o. "Conformance Testing for XML-Based STEP Conceptual Models." In ASME 2006 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2006. http://dx.doi.org/10.1115/detc2006-99580.

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ISO10303 STEP has been acknowledged by most of the industrial companies as the most important family of standards for the integration and exchange of product data under the manufacturing domain. The incremental use of XML as an effective format for STEP data exchange has increased the number of implementations of Application Protocols in global networked business environments, where organizations are willing to establish collaborative business practices integrating product data and business information. STEP defines a conformance testing methodology that, although developed for the validation of product data, can be extended to application in these hybrid industrial business environments. This paper proposes an innovative XML-based framework to implement it. The results have been validated under a real industrial scenario in the scope of an international research project.
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Moroz, Leonid, and Alexander Tarasov. "Coupled CFD and Thermal Steady State Analysis of Steam Turbine Secondary Flow Path." In International Joint Power Generation Conference collocated with TurboExpo 2003. ASMEDC, 2003. http://dx.doi.org/10.1115/ijpgc2003-40058.

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The main purpose of this work is to conduct coupled CFD analysis of the steam flow in the secondary part of turbine and study thermal rotor/stator steady state. We consider a 11 stage high-pressure cylinder of a power steam turbine with extended terminal labyrinths. Domain of interest is only the secondary flow path of the cylinder, therefore the shroud and blades are beyond the scope of this work. All blades are virtually removed and on the imaginary cylindrical surface the effective boundary conditions are assigned. This takes into account heat fluxes that came to disks/diaphragms from blades in reality. Practical engineering method of obtaining axi-symmetric solution has been developed and results are presented and discussed. Thermal state analysis shows a significant influence of secondary steam bleeding on temperature distribution of rotor and stator.
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Lethole, Lieketseng, June Palmer, and Edwin de Klerk. "EXPLORING THE IMPLEMENTATION OF TEACHER LEADERSHIP IN LESOTHO HIGH SCHOOLS." In International Conference on Education and New Developments. inScience Press, 2021. http://dx.doi.org/10.36315/2021end133.

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Whilst teacher leadership is an evolving concept with a potential that has yet to be realized, the fostering of teachers’ leadership growth remains a sustainability element in education worldwide. Teacher leadership for sustainability indicates a fresh and extended consideration of leadership emphasising sustainability principles and providing leadership that transforms the school environment while engaging in collaborative efforts to do so. Located in the interpretive paradigm, this qualitative study sought to elicit the views of Heads of department (HoDs) and District Education Managers (DEMs) in Lesotho high schools to explore the views they consider most relevant in developing teacher leadership skills to ensure leadership succession as sustainable practice. The findings reveal that to achieve sustainable teacher leadership, there is a need to withdraw from a top-down hierarchical model of leadership towards more flexible, transformative, and empowering approaches to leadership. Furthermore, in order to maintain sustainable teacher leadership, HoDs and DEMs must be innovative in providing reflective plans for professional development that can sustain teachers throughout their careers and foster learning environments that are healthy for teachers, learners, and the school. The study recommends that school leaders should mobilise the leadership expertise of teachers in their schools in order to create more chances for transformation and capacity building. Sustainable teacher leadership can help bring about great improvements in a school, including extending the scope of leadership beyond what the HoDs and DEMs cannot achieve alone, and building their relationship capacity to become collaborative change agents.
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Brandt, Galina. "Interpenetration Phenomenon of Public & Private Aspects in Contemporary Theatrical Practices." In The Public/Private in Modern Civilization, the 22nd Russian Scientific-Practical Conference (with international participation) (Yekaterinburg, April 16-17, 2020). Liberal Arts University – University for Humanities, Yekaterinburg, 2020. http://dx.doi.org/10.35853/ufh-public/private-2020-12.

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The article hypothesises that the opposition of ‘publicity/privacy’ concepts (alongside with other fundamental dichotomies, e.g. spiritual/material, social/individual, political/personal) in the media era, and first of all in the era of the Internet together with related communicative resources, is no longer productive. The study was performed via discursive analysis since it concerns methods of making use of the original concepts of ‘publicity’ and ‘privacy’. The author also addresses media survey methods since it is a contemporary media context that guides changes in the balance between the concerned phenomena. The deconstruction method is also important since the theatre institution itself, on the example of which the phenomenon of the interpenetration of the public and the private is examined, is deconstructed and shadowed by absolutely new theatrical practices. The culturological approach is the paradigmal prism through which the declared topic is researched, since the study goal is to demonstrate how ‘current’ (Z. Bauman) changes of the modern cultural landscape change habitual ideas on some or other dichotomies, particularly the dichotomy of ‘publicity/private’. The aforementioned research tools were used in the study to address theatrical practices explicitly demonstrating the removal of the dichotomy of public and private. A closer look was taken at the play ‘Questioning’ staged by the contemporary Petersburg theatre Pop-up, and where invasion of publicity into the area of privacy and intimity, and exposition of aspects taken out from ultimate existential depths constitutes the very essence of the play. The article concludes that such theatrical practices can take place when the cultural horizon is extended to enable the attribution of a new semantic scope, in particular ‘forced publicness’ (E. Shulman).
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Lima, Cláudia. "Design Practices within Contemporary Societies." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001369.

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This paper addresses pedagogical practices developed in the context of the Communication Design BA at Lusófona University in Porto, Portugal, aimed at highlighting the importance of social design innovation as a fundamental field of application for the area of design hence promoting a socially aware design practice towards human needs and global sustainability. These practices are based on collaborations made with local social institutions, such as Portuguese Red Cross, Alzheimer Portugal Association, and Eu Sou Eu - Association for the Social Inclusion of Children and Young People, and are anchored on three axes: (i) the need to integrate students in the professional activity, through the development of specific projects for real contexts; (ii) the inexistence of curricular units structured in the scope of Social Design in the curricular programs of Design BAs in Portugal; (iii) the difficulty of social institutions to harness the potential of Design tools and methodologies to respond to the needs of both the institution and the community it serves, due to the lack of human and financial resources. Since 2018, several projects have been developed with students including fundraising campaigns, cognitive stimulation materials for individuals with dementia, signage for day care centres and visual identities. These projects provided students with a professional context, requiring direct contact with the client, in-depth knowledge of the institution and awareness of the community it serves to achieve suitable solutions. For their development, Design Thinking methods were used as the basis of a work process divided into three essential phases: (i) problem definition which included meetings with the client, visits to the institution, interviews with its collaborators, research on issues related to the institution and the community it serves; (ii) project ideation where ideas were discussed and tested, the financial and material feasibility was assessed, as well as the suitability of the project under development regarding the defined problem; (iii) project implementation which included the production and dissemination of the project and possible future developments, envisaging the materialization of a professional relationship between student and institution beyond the academic context. These projects highlighted the importance of the designer's role as a social agent: students were confronted with real social problems found in the community (situations of poverty, domestic violence, special educational needs, dementia), and the needs of the institutions themselves. At the end of each project, the knowledge acquired was not limited to the domain of academic design exercises, but extended to social learning, humanitarian values and ways of acting through design projects aimed at citizenship. It is argued that in times of change, marked by the growing identification of social needs, the Designer can assume an essential role as a social agent. Hence the need to integrate social issues in Design curricular programs, envisaging an approach to Design that is more oriented towards human needs and in line with the global sustainability and social equality. In this paper, design methodologies adopted for these projects are described with a view to the replication of this pedagogical model in other contexts.
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Reports on the topic "Extended scope of practice"

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Torres, Marissa, Michael-Angelo Lam, and Matt Malej. Practical guidance for numerical modeling in FUNWAVE-TVD. Engineer Research and Development Center (U.S.), October 2022. http://dx.doi.org/10.21079/11681/45641.

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This technical note describes the physical and numerical considerations for developing an idealized numerical wave-structure interaction modeling study using the fully nonlinear, phase-resolving Boussinesq-type wave model, FUNWAVE-TVD (Shi et al. 2012). The focus of the study is on the range of validity of input wave characteristics and the appropriate numerical domain properties when inserting partially submerged, impermeable (i.e., fully reflective) coastal structures in the domain. These structures include typical designs for breakwaters, groins, jetties, dikes, and levees. In addition to presenting general numerical modeling best practices for FUNWAVE-TVD, the influence of nonlinear wave-wave interactions on regular wave propagation in the numerical domain is discussed. The scope of coastal structures considered in this document is restricted to a single partially submerged, impermeable breakwater, but the setup and the results can be extended to other similar structures without a loss of generality. The intended audience for these materials is novice to intermediate users of the FUNWAVE-TVD wave model, specifically those seeking to implement coastal structures in a numerical domain or to investigate basic wave-structure interaction responses in a surrogate model prior to considering a full-fledged 3-D Navier-Stokes Computational Fluid Dynamics (CFD) model. From this document, users will gain a fundamental understanding of practical modeling guidelines that will flatten the learning curve of the model and enhance the final product of a wave modeling study. Providing coastal planners and engineers with ease of model access and usability guidance will facilitate rapid screening of design alternatives for efficient and effective decision-making under environmental uncertainty.
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McMichael, Benjamin, and Sara Markowitz. Toward a Uniform Classification of Nurse Practitioner Scope of Practice Laws. Cambridge, MA: National Bureau of Economic Research, December 2020. http://dx.doi.org/10.3386/w28192.

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Markowitz, Sara, and E. Kathleen Adams. The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses. Cambridge, MA: National Bureau of Economic Research, March 2020. http://dx.doi.org/10.3386/w26896.

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Markowitz, Sara, E. Kathleen Adams, Mary Jane Lewitt, PhD, and Anne Dunlop. Competitive Effects of Scope of Practice Restrictions: Public Health or Public Harm? Cambridge, MA: National Bureau of Economic Research, October 2016. http://dx.doi.org/10.3386/w22780.

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Green, Alastair. LDBC Extended Graph Schema (LEX)Work Charter. Linked Data Benchmark Council, November 2022. http://dx.doi.org/10.54285/ldbc.vsbc2149.

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Lehotay, Steven J., and Aviv Amirav. Ultra-Fast Methods and Instrumentation for the Analysis of Hazardous Chemicals in the Food Supply. United States Department of Agriculture, December 2012. http://dx.doi.org/10.32747/2012.7699852.bard.

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Original proposal objectives: Our main original goal was to develop ultra-fast methods and instrumentation for the analysis of hazardous chemicals in the food supply. We proposed to extend the QuEChERS approach to veterinary drugs and other contaminants, and conduct fast and ultra-fast analyses using novel 5MB-MS instrumentation, ideally with real samples. Background to the topic: The international trade of agricultural food products is a $1.2 trill ion annual market and growing. Food safety is essential to human health, and chemical residue limits are legislated nationally and internationally. Analytical testing for residues is needed to conduct risk assessments and regulatory enforcement actions to ensure food safety and environmental health, among other important needs. Current monitoring methods are better than ever, but they are still too time-consuming, laborious, and expensive to meet the broad food testing needs of consumers, government, and industry. As a result, costs are high and only a tiny fraction of the food is tested for a limited number of contaminants. We need affordable, ultra-fast methods that attain high quality results for a wide range of chemicals. Major conclusions, solutions and achievements: This is the third BARD grant shared between Prof. Amirav and Dr. Lehotay since 2000, and continual analytical improvements have been made in terms of speed, sample throughput, chemical scope, ease-of-use, and quality of results with respect to qualitative (screening and identification) and quantitative factors. The QuEChERS sample preparation approach, which was developed in conjunction with the BARD grant in 2002, has grown to currently become the most common pesticide residue method in the world. BARD funding has been instrumental to help Dr. Lehotay make refinements and expand QuEChERS concepts to additional applications, which has led to the commercialization of QuEChERS products by more than 20 companies worldwide. During the past 3 years, QuEChERS has been applied to multiclass, multiresidue analysis of veterinary drug residues in food animals, and it has been validated and implemented by USDA-FSIS. QuEChERS was also modified and validated for faster, easier, and better analysis of traditional and emerging environmental contaminants in food. Meanwhile, Prof. Amirav has commercialized the GC-MS with 5MB technology and other independent inventions, including the ChromatoProbe with Agilent, Bruker, and FUR Systems. A new method was developed for obtaining truly universal pesticide analysis, based on the use of GC-MS with 5MB. This method and instrument enables faster analysis with lower LaDs for extended range of pesticides and hazardous compounds. A new approach and device of Open Probe Fast GC-MS with 5MB was also developed that enable real time screening of limited number of target pesticides. Implications, both scientific and agricultural: We succeeded in achieving significant improvements in the analysis of hazardous chemicals in the food supply, from easy sample preparation approaches, through sample analysis by advanced new types of GC-MS and LCMS techniques, all the way to improved data analysis by lowering LaD and providing greater confidence in chemical identification. As a result, the combination of the QuEChERS approach, new and superior instrumentation, and the novel monitoring methods that were developed will enable vastly reduced time and cost of analysis, increased analytical scope. and a higher monitoring rate. This provides better enforcement, an added impetus for farmers to use good agricultural practices, improved food safety and security, increased trade. and greater consumer confidence in the food supply.
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Lehotay, Steven J., and Aviv Amirav. Fast, practical, and effective approach for the analysis of hazardous chemicals in the food supply. United States Department of Agriculture, April 2007. http://dx.doi.org/10.32747/2007.7695587.bard.

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Background to the topic: For food safety and security reasons, hundreds of pesticides, veterinary drugs, and environmental pollutants should be monitored in the food supply, but current methods are too time-consuming, laborious, and expensive. As a result, only a tiny fraction of the food is tested for a limited number of contaminants. Original proposal objectives: Our main original goal was to develop fast, practical, and effective new approaches for the analysis of hazardous chemicals in the food supply. We proposed to extend the QuEChERS approach to more pesticides, veterinary drugs and pollutants, further develop GC-MS and LC-MS with SMB and combine QuEChERS with GC-SMB-MS and LC-SMB-EI-MS to provide the “ultimate” approach for the analysis of hazardous chemicals in food. Major conclusions, solutions and achievements: The original QuEChERS method was validated for more than 200 pesticide residues in a variety of food crops. For the few basic pesticides for which the method gave lower recoveries, an extensive solvent suitability study was conducted, and a buffering modification was made to improve results for difficult analytes. Furthermore, evaluation of the QuEChERS approach for fatty matrices, including olives and its oil, was performed. The QuEChERS concept was also extended to acrylamide analysis in foods. Other advanced techniques to improve speed, ease, and effectiveness of chemical residue analysis were also successfully developed and/or evaluated, which include: a simple and inexpensive solvent-in-silicone-tube extraction approach for highly sensitive detection of nonpolar pesticides in GC; ruggedness testing of low-pressure GC-MS for 3-fold faster separations; optimization and extensive evaluation of analyte protectants in GC-MS; and use of prototypical commercial automated direct sample introduction devices for GC-MS. GC-MS with SMB was further developed and combined with the Varian 1200 GCMS/ MS system, resulting in a new type of GC-MS with advanced capabilities. Careful attention was given to the subject of GC-MS sensitivity and its LOD for difficult to analyze samples such as thermally labile pesticides or those with weak or no molecular ions, and record low LOD were demonstrated and discussed. The new approach of electron ionization LC-MS with SMB was developed, its key components of sample vaporization nozzle and flythrough ion source were improved and was evaluated with a range of samples, including carbamate pesticides. A new method and software based on IAA were developed and tested on a range of pesticides in agricultural matrices. This IAA method and software in combination with GC-MS and SMB provide extremely high confidence in sample identification. A new type of comprehensive GCxGC (based on flow modulation) was uniquely combined with GC-MS with SMB, and we demonstrated improved pesticide separation and identification in complex agricultural matrices using this novel approach. An improved device for aroma sample collection and introduction (SnifProbe) was further developed and favorably compared with SPME for coffee aroma sampling. Implications, both scientific and agricultural: We succeeded in achieving significant improvements in the analysis of hazardous chemicals in the food supply, from easy sample preparation approaches, through sample analysis by advanced new types of GC-MS and LCMS techniques, all the way to improved data analysis by lowering LOD and providing greater confidence in chemical identification. As a result, the combination of the QuEChERS approach, new and superior instrumentation, and the novel monitoring methods that were developed will enable vastly reduced time and cost of analysis, increased analytical scope, and a higher monitoring rate. This provides better enforcement, an added impetus for farmers to use good agricultural practices, improved food safety and security, increased trade, and greater consumer confidence in the food supply.
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Bayley, Stephen, Darge Wole, Louise Yorke, Paul Ramchandani, and Pauline Rose. Researching Socio-Emotional Learning, Mental Health and Wellbeing: Methodological Issues in Low-Income Contexts. Research on Improving Systems of Education (RISE), April 2021. http://dx.doi.org/10.35489/bsg-rise-wp_2021/068.

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This paper explores methodological issues relating to research on children’s socio-emotional learning (SEL), mental health and wellbeing in low- and lower-middle-income countries. In particular, it examines the key considerations and challenges that researchers may face and provides practical guidance for generating reliable and valid data on SEL, mental health and wellbeing in diverse settings and different cultural contexts. In so doing, the paper draws on the experience of recent research undertaken in Ethiopia to illustrate some of the issues and how they were addressed. The present study extends earlier 2018-2019 RISE Ethiopia research, expanding its scope to consider further aspects of SEL, mental health and wellbeing in the particular context of COVID-19. In particular, the research highlights that the pandemic has brought to the fore the importance of assessing learning, and learning loss, beyond academic learning alone.
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Roy, Dianne E., and Roslyne C. McKechnie. Non-regulated Home Support Worker role in medication support and administration: A scoping review of the literature prepared for the Home & Community Health Association. Unitec ePress, September 2017. http://dx.doi.org/10.34074/rsrp.metro22017.

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The aim of this literature review is to identify and critique literature relating to current policy, guidelines and practice of non-regulated caregivers in relation to medication while they are working with clients in their own homes. The scope of this review comprises medication administration and medication support, which includes medication prompting and assisting the client to take their medication. Out of scope in this review is medication management. The review draws on relevant Aotearoa New Zealand statutes, standards and practice guidelines related to medication support and administration, District Health Board (DHB) policies, and education and training recommended and/ or available to Home Support Workers (HSWs). Relevant published research and international guidelines are also included.
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Capdevila, Lluis, Josep-Maria Losilla, Carla Alfonso, Tony Estrella, and Jaume F. Lalanza. Physical Activity and Planetary Health: a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2022. http://dx.doi.org/10.37766/inplasy2022.6.0028.

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Review question / Objective: The aim of this scoping review is to scope the body of literature, clarify concepts, investigate research conduct and to identify knowledge gaps about the physical activity (PA) behavior in a context of planetary health. The proposed study will review the existing literature considering PA beyond the scope of mere health behaviour, focusing on its potential impacts on planetary health and sustainable development. We will differentiate the PA behavior of the PA facilities or context like green-space or blue-space. Specific objectives are to provide knowledge about: 1. Which PA behaviors are sustainable for the planet and which are not. 2. What are the characteristics of sustainable PA behaviors. 3. What are the positive and negative impacts of PA behaviors on planetary health. Condition being studied: In this case, it is studied how the active lifestyle and the practice of physical activities, exercise or sports of people affect planetary health.
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