Books on the topic 'Persian carpet design'
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1
Riz̤ā, Khunyāgar, ed. Naqsh va nigār-i Islīmī, Khatāyī dar ṭarrāḥī-i farsh va hunar-i taz̲hīb: Design and ornaments of Arabesque and Khataei pattern in the carpet designing and illumination. Tihrān: Intishārāt-i Yasāvulī, 2005.
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Persian Carpet Tradition: Design Evolution from 1410 to Modern Times. Hali Publications, Limited, 2019.
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Dias, Amit, Dilip Motghare, Daisy Acosta, Jacob Roy, A. T. Jotheeswaran, and Ralph N. Martins. Trials of interventions for people with dementia. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199680467.003.0012.
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There is very little awareness in LAMIC of people with dementia and the treatment gap ranges from 70%–90%. This chapter highlights the tremendous scope for well-designed RCTs to test innovative interventions that would be affordable and effective for the people with dementia and their families in low-resource settings. The Dementia Home Care Project demonstrates the process of developing and evaluating an intervention, to test the effectiveness of a flexible, stepped-care, psychosocial intervention, designed using locally available resources to help families of people with dementia. Non-specialist health workers were trained to deliver an intervention at the residence of the person with dementia in Goa, India. The trial concluded that locally available resources could be utilized to decrease the burden and burnout associated with caring for a person with dementia and should be integrated with primary health care in LAMIC to bridge the treatment gap for dementia.
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Charles, Proctor. Part E Guarantees and Security, 38 Transactions Between Companies and their Directors. Oxford University Press, 2015. http://dx.doi.org/10.1093/law/9780199685585.003.0038.
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Banks must exercise care when asked to fund transactions between a company and one of its directors, or a person connected with such a director. The Companies Act 2006 contains provisions designed to enforce the principle of fair dealing as between a company and its directors. This chapter discusses rules on substantial property transactions and transactions involving directors.
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Bennett, Jana Marguerite. Choice: Never Married and Paul. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190462628.003.0002.
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Being never-married is culturally presented as a choice a person makes—especially a consumer-driven choice—in which one chooses to be married, or not. One result is that people (especially women) and sexual relationships become objects for consumption, driven by desire. Sexual desire becomes a consumer desire that can be gotten at will, like a product in a store. Consumer desire in turn shows up in the descriptions people have about wanting to get married. At the same time, remaining unmarried continues to be seen as a mistaken consumer “choice,” especially among Christians. The Apostle Paul, a never-married man, offers new possibilities for thinking about choices. His focus is not on whether to remain single or get married, but rather to choose to engage each relationship (whether romantic or not) with the care and love it deserves.
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Merckaert, Isabelle, Yves Libert, Aurore Liénard, and Darius Razavi. Communicating with relatives in cancer care. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198736134.003.0017.
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Relatives are omnipresent in cancer care and commonly accompany cancer patients to physician consultations, increasing the complexity of the resultant communication. Relatives can provide important collaborative history, support, and advocate for their loved one, as well as have their own needs addressed. Relatives may also desire to protect their loved ones, and challenges arise if they invite the clinician to collude in keeping secrets. Optimally including relatives in a consultation is a complex task. Specific skills—for instance, asking permission, using circular questions and offering summaries—can enrich triadic communication. When breaking bad news, strategies for three-person consultations that have been used in communication skills training deliver benefits to both patients and their relatives. The successful accomplishment of three-person consultations is one hallmark of the mature clinician. It requires skill and time, but can certainly promote optimal patient care.
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Randhawa, Gurvaneet S., and Edwin A. Lomotan. Harnessing Big Data-Based Technologies to Improve Cancer Care. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0034.
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Big data promises to harness the power of advanced computing to transform health and health care, including cancer research and care delivery. In health care, big data can be generated by administrative and clinical processes, by patients and families, and by machines. Ultimately, the goal of big data is to transform data into actionable knowledge with attention to four dimensions: person-level data collection; data access, exchange, and aggregation; population-level analytics; and provider, researcher, or patient-facing clinical decision support. A fabric of trust forms the basis for policies for governance, privacy and security, and confidentiality. This chapter offers several examples of the application of big data along the cancer care continuum, ranging from primary prevention through diagnosis, survivorship, and end-of-life care. Challenges to the effective collection and use of big data include its integration with health care delivery; interoperability; and the need for validated, well-designed informatics tools.
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Mocanu, Cristina. Anticiparea evolutiilor si adecvarea ofertei educationale la cererea pietei muncii. Editura Universitara, 2020. http://dx.doi.org/10.5682/9786062811945.
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Tema lucrarii de fata este profund interdisciplinara, prioritizata in discursul public cu precadere de decidentii de politica, si, promovata ca panaceu la mare parte din problemele sistemului de educatie sau ale insertiei tinerilor pe piata muncii. Este o tema care se bazeaza in principal pe date/abordari empirice, desi exista si cadre teoretice dezvoltate in ultimele decenii, cadre neintegrate insa intr-o abordare unitara. Exista cadre teoretice si metodologice dezvoltate atat in economie, dar si in sociologie, management, marketing etc. Necorelarea este intrinseca modului in care functioneaza economiile, insa nu exista studii care sa conchida asupra nivelului de dezechilibru care ar putea fi considerat firesc, benign, si care este acel nivel de dezechilibru de la care economia, indivizii (firme sau persoane) sau comunitatile sunt afectate de consecintele negative ale acestuia.
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Ben-Shahar, Omri, and Ariel Porat. Personalized Law. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780197522813.001.0001.
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We live in a world of one-size-fits-all law. People are different, but the laws that govern them are uniform. “Personalized Law”—rules that vary person by person—will change that. Here is a vision of a brave new world, where each person is bound by their own personally tailored law. “Reasonable person” standards would be replaced by a multitude of personalized commands, each individual with their own “reasonable you” rule. Skilled doctors would be held to higher standards of care; the most vulnerable consumers and employees would receive stronger protections; age restrictions for driving or for the consumption of alcohol would vary according to the recklessness risk that each person poses; and borrowers would be entitled to personalized loan disclosures tailored to their unique needs and delivered in a format fitting their mental capacity. The data and algorithms to administer personalized law are at our doorstep, and embryos of this regime are sprouting. Should we welcome this transformation of the law? Does personalized law harbor a utopic promise, or would it produce alienation, demoralization, and discrimination? This book is the first to explore personalized law, offering a vision of law and robotics that delegates to machines tasks traditionally performed by humans. It inquires how personalized law can be designed to deliver precision and justice and what pitfalls the regime would have to prudently avoid.
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Batson, C. Daniel. Empathy and Altruism. Edited by Kirk Warren Brown and Mark R. Leary. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780199328079.013.11.
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Do we humans ever, in any degree, care about others for their sakes and not simply for our own? Psychology has long assumed that everything humans do, no matter how nice and noble, is motivated by self-interest. Research over the past four decades suggests this assumption is wrong. The empathy-altruism hypothesis claims that empathic concern produces altruistic motivation. Results of the over 35 experiments designed to test this hypothesis against various egoistic alternatives have proved remarkably supportive, leading to the tentative conclusion that feeling empathic concern for a person in need does indeed evoke altruistic motivation to see that need relieved. This chapter attempts to clarify what role the self plays in empathy-induced altruism.
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Afonso, Catarina Inês, and Luisa D’ESPINEY. Reconstruction of Daily life: The Lived experience of the Family post-caregiver. Ludomedia, 2022. http://dx.doi.org/10.36367/ntqr.11.2022.e541.
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Contextualization/Justification: Thinking about the family post-caregiver is recognizing the complexity inherent to the trajectory of care. Although the experience of caring has been widely explored, little is known about the experience of the post-caregiver, the reconstruction of their daily life is essential to understand the resumption of life of the family’s post-caregiver. Goal: This investigation started from the question: What is the post-caregivers’ experience in the reconstruction of their daily life? It aims to understand the post-caregivers' experience in the reconstruction of their daily life. This study is based on a phenomenological methodology with an interpretive design embedded in the Interpretative Phenomenological Approach. The eleven participants had been previously accompanied by an Integrated Continuous Care Team. Organization: An in-depth, unstructured interview was conducted, enabling participants to share significant moments after the decease of the person they had taken care of and to share how they reconstruct their daily life. The phenomenon of reconstruction daily life of this participants' is revealed in the dynamic of the simultaneous relationship: with the past, recalling what was experienced, with the present, in the recognition of the self as well as in their continuous response as they return to the world and to life and, with the future, envisioning an imaginary of challenges and uncertainties. It is in everyday life that participants are reconnected with themselves, with others and with the world. Final Considerations: Through this study, nurses will be able to access the lived experience of these post-caregivers and to challenge themselves in the way they provide care, valuing the expertise to pay attention, improving their intervention in presence. The Integrated Continuous Care Teams in the Community Care Units could be challenged to strengthen support networks for family’s post-caregivers in cooperation with other partners and social resources.
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Soares, Célia, Carla Pereira, Carmen Caeiro, and Madalena Gomes da Silva. Health interventions for self-management: the role of qualitative approaches in mixed methods research. Ludomedia, 2022. http://dx.doi.org/10.36367/ntqr.11.2022.e548.
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The long-term success of health intervention programs for self-management is often compromised by the difficulties felt by participants to maintain adherence to prescribed behavioral changes. Mixed methods research can expand understanding and the insights of complex health research problems such as self-management in chronic conditions. The purpose of this paper is to share key contents of a symposium focusing on the application of mixed methods research in the context of person-centered education, held during the 6th World Conference on Qualitative Research. More specifically, it aims at: 1) exploring examples of implementing mixed methods research in health interventions for self-management of chronic conditions and other health risks; 2) promoting insights and knowledge on the ‘why and how of combinations’ in mixed methods studies; and 3) exploring the valuable role of qualitative strands in mixed methods in the wider context of health research. Three studies are explored as examples of application of mixed methods in self-management programs, considering the experiences of participants for changing self-care behaviors and challenges faced for maintaining such changes. Convergent and explanatory sequential designs have been used, combining questionnaires and semi-structured interviews for data collection. Data analysis included procedures such as thematic analysis and descriptive statistics (examples 1 and 3), and thematic analysis and descriptive/inferential statistics (example 2). Results show how mixed methods designs can contribute to develop self-management strategies, to be considered in planning future interventions, and to expand understanding about their impact as well. Likewise, these examples emphasize why mixed methods can bring added value both to process and results of health research. Thus, exploring the application of mixed methods into a wider context is of utmost importance since the complexity of health phenomena is growing and requires equally complex research designs to capture them.
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Giesser, Barbara S., ed. Primer on Multiple Sclerosis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199341016.001.0001.
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Primer on Multiple Sclerosis, second edition is designed to be a practical guide to the basic science and clinical manifestations of multiple sclerosis. It is intended primarily for neurologists and other health care professionals who treat persons with this disease. The book starts with a review of the history of multiple sclerosis and the basic genetics, immunology, electrophysiology, and pathophysiology that are central to the disease. It then reviews the common and uncommon clinical signs and symptoms of multiple sclerosis and the management of these conditions. The latest diagnostic strategies are presented. There is extensive coverage of approved and experimental disease-modifying therapies, including algorithms to assist clincians in choosing these therapies. Complementary and alternative therapies that are popular among persons with multiple sclerosis are examined. New additions to this edition include a chapter for nursing health care professionals, and updates on therapeutics. Unique to this book are the chapters on the legal, psychosocial, and vocational issues that often present challenges for person with multiple sclerosis, topics that typically are not covered in standard texts.
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Peace, Sheila. The Environments of Ageing. Policy Press, 2022. http://dx.doi.org/10.1332/policypress/9781447310556.001.0001.
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Providing the first critical assessment of environmental gerontology in the UK, this book addresses person-environment interaction enriching current understanding of the spatial nature of ageing through local, national and global situations and challenges. Detailed examination of multi-disciplinary theoretical development regarding the ageing milieu indicates the value of this text for gerontological research across the social sciences particularly those engaged in policy development and practice through services, planning and design. Consideration is given to how places and spaces contextualize personal experience in varied environments from urban and rural locations to mainstream housing, specialised housing, and care home living. Situating the author’s extensive research within ongoing interdisciplinary studies and policy development, consideration is given to how personal health and well-being influences environmental control, management and enablement; the meaning of home; the value of intergenerational and age-segregated living, and the impact of global challenges. Drawing on international comparison, and detailed research reviews, this book furthers research questions, offers a valuable resource for new inquiries and provides lessons for the future. It will be essential for those concerned with ways of living in later life where the impact of population ageing is fundamental to aspects of local to global change.
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Matjazh, Evgeniy, and Maya Kashuba, eds. Leo Klejn. [Guidebook]: Volume dedicated to the memory of Leo Samuilovich Кlejn. Institute for the History of Material Culture RAS, 2020. http://dx.doi.org/10.31600/978-5-907298-05-7.
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This volume is dedicated to the memory of the outstanding humanities scholar Leo S. (Lev Samuilovich) Klejn (1927–2019). A short biographical essay provides an overview of the main landmarks of Klejn’s life and the main stages of his scholarly and pedagogical career. The articles included in the volume reflect a wide range of Klejn’s scholarly interests and his contributions to the fields of theoretical archaeology, history of science, and to the study of a whole number of archaeological cultures from the Neolithic through the Middle Ages. A number of articles deal with Klejn as a field archaeologist, a philologist, a semiotician and an art historian. Particular attention is given to his pedagogical and public activity. A short memoir of Klejn’s adopted son Damir characterizes him as a person. The appendix contains a full list of Klejn’s publications and of main publications about him. The book is designed for a wide range of researchers in the humanities (archaeologists, historians, ethnographers) and experts in allied subjects, humanities degree students, and all readers interested in humanitarian knowledge in general.
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Wray, Alison. The Dynamics of Dementia Communication. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780190917807.001.0001.
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Despite a plethora of good advice, it can be hard to sustain effective communicative behaviours when someone is living with a dementia. This book asks why that is. Part 1 explores how various dementia-causing diseases affect the linguistic, pragmatic (reasoning), and memory systems; how social perceptions and practices exacerbate the underlying biological problems; how people living with a dementia describe their experiences; and how dementia care currently addresses the challenges of communication. Part 2 asks why people communicate and what shapes how they communicate. The Communicative Impact model of communication is introduced and theoretically justified. It is argued that all communication is driven by people’s desire to make beneficial changes to their experiential world by getting the hearer to do, say, think, or feel something. Part 3 applies the model from part 2 to the range of considerations explored in part 1, helping readers see how and why communication is undermined and reshaped by the various biological, social, and emotional factors underlying the dementia experience. The model is used to shed light on how people living with a dementia are perceived and, as a result, treated, with particular attention to the acceptability of (well-intentioned) deception. The final chapter asks what needs to change if communication and well-being are to be optimized for people living with a dementia. In pursuit of truly person- and relationship-centred care, proposals for advanced skills in communication with a person living with a dementia are presented and explained, helping anchor the ubiquitous dos and don’ts in a deeper understanding of why interaction is difficult.
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Krauter, Cheryl. Psychosocial Care of Cancer Survivors. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190636364.001.0001.
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Psychosocial Care of Cancer Survivors: A Clinician’s Guide and Workbook for Providing Wholehearted Care is a clinical resource written for healthcare practitioners with the goal of helping them enhance communication with both patients and colleagues. It addresses questions of how to bring a humanistic approach and quality attention to the growing needs of patients in the post-treatment phase of a cancer diagnosis. As a workbook, it is both a guide and an applicable resource for daily clinical practice. It provides a needed structure for clinicians to help them reconnect with the meaningful aspects of their work. Part I focuses on skillful means for providing humanistic, person-centered care. Part II offers clinicians pragmatic structures and methods they can start using with patients right away and provides a humanistic clinical framework that benefits them both personally and professionally: clinical skills vital to forming healing clinical relationships (e.g., the four C’s of communication: communication, curiosity, concern, conversation; communication tools to enhance effective collaboration, such as personal and professional boundaries, the essentials of a healing relationship, stages of the clinical interview, collegial collaboration; exercises designed for personal reflection and the implementation of the clinical skills and communication tools mentioned; and useful practices and solutions to increase the efficacy of and satisfaction with their work.
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Ferguson, Robert, and Karen Gillock. Memory and Attention Adaptation Training. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197521526.001.0001.
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Memory and Attention Adaptation Training (MAAT) is a cognitive-behavioral therapy (CBT) designed to help cancer survivors self-manage and mitigate the late and long-term effects of cancer and cancer therapy on memory function. Cancer-related cognitive impairment (CRCI) is a set of mild to moderate memory and attention impairments that can have an adverse influence on quality of life. CRCI symptoms tend to present during active treatment, but for some individuals cognitive changes can persist for years. While the exact prevalence of CRCI is unknown, review of the literature estimates that nearly half of all survivors may experience some form of CRCI. Causes of CRCI are multiple and are the subject of continued research. Chemotherapy, genetic vulnerability, neurovascular damage, inflammation, and hormonal/endocrine disruption have all been identified as candidate mechanisms of persistent cognitive change. Given the multiple causal mechanisms, finding a biomedical treatment for CRCI remains elusive. MAAT was developed as a CBT to help cancer survivors make adaptive behavioral and cognitive changes to improve performance in the valued activities that CRCI hinders. MAAT consists of eight visits and has been designed for administration through telehealth technology, improving access to the survivorship care that so many cancer survivors may lack after the time and expense of cancer treatment. Survivors can use this workbook to reinforce their in-session learning and continue to build adaptive coping.
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Bhopal, Raj S. Concepts of Epidemiology. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198739685.001.0001.
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Epidemiology is a population science that underpins health improvement and health care, and is concerned with the pattern, frequency, trends, and causes of disease. This book teaches its applications to population health research, policy-making, health service planning, health promotion, and clinical care. The book emphasizes concepts and principles. In 10 chapters, the book explains what epidemiology is; illustrates the basis of epidemiology in populations; provides a framework for analysing diseases by time, place, and person; introduces error, bias, and confounding; explains how we move from association to causation; considers the natural history, spectrum, and iceberg of disease in relation to medical screening; discusses the acquisition and analysis of data on incidence and prevalence of risk factors and diseases; shows the ways in which epidemiological data are presented, including relative and absolute risks; provides an integrated overview of study designs and the principles of data analysis; and considers the theoretical and ethical basis of epidemiology both in the past and the future. The emphasis is on interactive learning, with each chapter including learning objectives, theoretical and numerical exercises, questions and answers, and a summary. The text is illustrated, with detailed material in tables. The book is written in plain English, and the necessary technical and specialized terminology is explained and defined in a glossary. The book is for postgraduate courses in epidemiology, public health, and health policy. It is also suitable for clinicians, undergraduate students in medicine, nursing and other health disciplines, and researchers.
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Banerjee, Sube. Memory assessment services. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199644957.003.0024.
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Memory clinics were first developed in the 1970s and 1980s to help facilitate research. More recently they have evolved into Memory Services increasingly focussing on delivering early diagnosis and intervention for people with dementia and their carers. Compared with traditional community mental health services their focus is no early diagnosis in itself rather than the management of complex problems in dementia. The increasing awareness of dementia, and the extent of the health and social care challenge presented by dementia, has led to the development many more memory services and this development has been encouraged by different governments around the world. There is good evidence for the clinical and cost effectiveness of early diagnosis and intervention of dementia and memory services aim to achieve this. This chapter considers who memory services are for and what they should aim to achieve. It reviews the evidence base and discusses “what good looks like” for memory services and considers the need to understand the specific problem that such services are designed to address. A good memory service makes the diagnosis well, explains the diagnosis well and provides the immediate care, support and treatment that is needed by the person with dementia and their carers. Knowledge is power for people with dementia their carers.
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Ferguson, Robert, and Karen Gillock. Memory and Attention Adaptation Training. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197521571.001.0001.
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Memory and Attention Adaptation Training (MAAT) is a cognitive-behavioral therapy (CBT) designed to help cancer survivors self-manage and mitigate the late and long-term effects of cancer and cancer therapy on memory function. Cancer-related cognitive impairment (CRCI) is a set of mild to moderate memory and attention impairments that can have an adverse influence on quality of life. CRCI symptoms tend to present during active treatment, but for some individuals cognitive changes can persist for years. While the exact prevalence of CRCI is unknown, review of the literature estimates that nearly half of all survivors may experience some form of CRCI. Causes of CRCI are multiple and are the subject of continued research. Chemotherapy, genetic vulnerability, neurovascular damage, inflammation, and hormonal/endocrine disruption have all been identified as candidate mechanisms of persistent cognitive change. Given the multiple causal mechanisms, finding a biomedical treatment for CRCI remains elusive. MAAT was developed as a CBT to help cancer survivors make adaptive behavioral and cognitive changes to improve performance in the valued activities that CRCI hinders. MAAT consists of eight visits and has been designed for administration through telehealth technology, improving access to survivorship care that so many cancer survivors may lack after the time and expense of cancer treatment. Survivors are provided a workbook they can use to work with their clinician and to reinforce learning and adaptive coping. This clinician manual guides the clinician step by step on MAAT administration and provides background on the theoretical underpinnings of CRCI and MAAT.
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Clarke, Victoria, and Andrew Walsh, eds. Fundamentals of Mental Health Nursing. Oxford University Press, 2009. http://dx.doi.org/10.1093/oso/9780199547746.001.0001.
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In order to provide sound, person-centred care, mental health nursing students need a thorough understanding of theory alongside the ability to translate this knowledge into practice. It can be difficult to apply ideas from the classroom and books when learning how to work with mental health service users for the first time. That is why the theoretical aspects of this book are presented alongside realistic accounts of nursing practice. Fundamentals of Mental Health Nursing is a case-based and service user centred textbook for mental health nursing students. Designed to support students throughout their pre-registration studies, the text covers the essential knowledge required to provide high quality nursing care. Contributions from real service users and cases of fictional clients are explored in detail to provide excellent transferable skills for practice. Dedicated chapters explore fundamental nursing skills and mental health law before providing a case-based exploration of the areas and subjects that will be encountered by students in university and placement. Practice-based chapters introduce students to the needs of a diverse range of fictional clients and explain how the skills of communication, assessment, care planning and monitoring can be applied. Each chapter provides a sample care plan explaining why and how clinical decisions are made, so that students can develop their own skills and practice. The text opens with clear advice to help students succeed in their studies and concludes with a wealth of practical and thoughtful advice on becoming a professional and getting that first job. Online Resource Centre * Twenty one video clips of fictional service users demonstrate the application of theory and prepare students for real nursing practice * Quizzes, scenarios and a range of activities help students to apply their learning * Interactive glossary explains terminology and jargon * Sample CV's and self awareness exercises aid professional development
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Daley, Dennis C., and Antoine B. Douaihy. Managing Substance Use Disorder. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190926717.001.0001.
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This practitioner guide reviews screening, assessment, and treatment of substance use disorders (SUDs). It is designed to accompany Managing Your Substance Use Disorder: Client Workbook and A Family Guide to Coping with Substance Use Disorders. The latter guide was added because each person with a SUD affects the family and concerned significant others. The information and strategies that the authors present can be used with clients who have any type of SUD. The guide focuses on strategies to reduce or stop substance use and change behaviors that challenge recovery. The information presented is derived from research, clinical, and recovery literature and from the authors’ extensive experience developing and managing a large continuum of clinical services, providing direct care, conducting quality improvement initiatives, participating in clinical trials, and teaching all disciplines in a large medical center and the community. This guide discusses professional approaches and attitudes toward individuals with SUDs, assessment, diagnostic formulation, psychosocial and pharmacotherapeutic treatments, and mutual support programs. It provides an overview of the recovery and relapse processes and practical strategies to address issues associated with SUDs. This guide is for practitioners from any discipline who encounter individuals with SUDs in addiction, mental health, psychiatric, private practice, or other settings such as social services and the criminal justice system. Even medical practitioners who do not specialize in addiction treatment can benefit from the information in this guide because individuals with SUDs are found in all types of healthcare settings.