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This chapter responds to the questions raised in Chapter 1. It reiterates the need for variationist sociolinguistic analysis of heritage languages to increase our understanding of linguistic structures, variation, and change in multilingual contexts. Each variable is considered through the lens of the profiles corresponding to different sources of change. This allows us to consider whether certain profiles are more common for certain types of variables and of language (types), and whether covariation is more prevalent among any subset of variables. We reiterate how these analyses, based on spontaneous speech in an ecologically valid environment, give a picture of heritage language speakers that contrasts with what we have learned from experimental/psycholinguistic studies, highlighting their stability and consistency with homeland varieties in most cases. Suggestions are made for how this approach can be extended to other under-documented, endangered, and smaller languages, along with discussion of benefits of the HLVC methodology to community members, educators and students, and the field of linguistics. The chapter concludes by reporting on students’ positive responses to engagement with the project.
This essay discusses W.G. Sebald’s use of biographical and autobiographical elements in his literary writing. A diachronic overview retraces Sebald’s evolving use of (auto-)biographical elements from After Nature, Vertigo and The Emigrants to The Rings of Saturn and finally Austerlitz. To do so, this essay outlines, firstly, which protagonists are based on real historical figures and which source-material Sebald used for their literary transposition. Secondly, this essay highlights the relationship between the biographies of persons of historical renown – such as writers like Franz Kafka, Vladimir Nabokov and Stendhal – and those biographies taken from Sebald’s private life. These Sebald modelled after the lives of friends and acquaintances. Their inclusion with changed names – such as Paul Bereyter, Max Ferber or Jacques Austerlitz, raise questions concerning the relationship between truth and fiction. A third, central concern is the discussion of Sebald’s literary techniques and the various ways he introduces and intersects (auto-)biographical texts, photos, and illustrations to create a biographical pastiche.
One way to study agreement-making and its actors, processes, sites, and how they shape global order is through texts produced along the way. In any given multilateral environmental negotiation, there are implementation reports, decisions, resolutions, statements, newsletters, and other technical reports that are often written in a language all of their own. They contain phrases that have a long history and may indicate more than they appear at face value. Choices of words, phrases, and qualifying language often tell part of the story of how governments and other delegates at conferences compromised and reached agreement. This chapter examines the importance of understanding documents at multilateral environmental negotiations in context and what they can and cannot tell you. First we explain why studying negotiations through the documentation is important. We then give a brief overview of the different types of documents you encounter at a COP or other negotiating session, then turn to the question of context, and show how social norms and institutional settings can influence the creation of texts, which in turn could influence research that relies on those texts. Finally, we utilize a case study to show how to consider context when using documents for research.
During an obstetrics call duty in your tertiary center, you are called urgently to assist in a Cesarean section of a 42-year-old with sudden intraoperative maternal collapse. Your surgical colleague followed her prenatal care.
Mental health services are encouraged to use language consistent with principles of recovery-oriented practice. This study presents a novel approach for identifying whether clinical documentation contains recovery-oriented rehabilitation language, and evaluates an intervention to improve the language used within a community-based rehabilitation team.
Aims
This is a pilot study of training to enhance recovery-oriented rehabilitation language written in care review summaries, as measured through a text-based analysis of language used in mental health clinical documentation.
Method
Eleven case managers participated in a programme that included instruction in recovery-oriented rehabilitation principles. Outcomes were measured with automated textual analysis of clinical documentation, using a custom-built dictionary of rehabilitation-consistent, person-centred and pejorative terms. Automated analyses were run on Konstanz Information Miner (KNIME), an open-source data analytics platform. Differences in the frequency of term categories in 50 pre-training and 77 post-training documents were analysed with inferential statistics.
Results
The average percentage of sentences with recovery-oriented rehabilitation terms increased from 37% before the intervention to 48% afterward, a relative increase of 28% (P < 0.001). There was no significant change in use of person-centred or pejorative terms, possibly because of a relatively high frequency of person-centred language (22% of sentences) and low use of pejorative language (2.3% of sentences) at baseline.
Conclusions
This computer-driven textual analysis method identified improvements in recovery-oriented rehabilitation language following training. Our study suggests that brief interventions can affect the language of clinical documentation, and that automated text-analysis may represent a promising approach for rapidly assessing recovery-oriented rehabilitation language in mental health services.
A fundamental area of responsibility for the perfusionist during cardiopulmonary bypass is to monitor, respond to and document heart lung machine parameters as well as physiological variables obtained from the anesthetic monitor and other physiological monitoring devices.This chapter summarizes the monitoring recommendations such as the 2019 EACTS/EACTA/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery or the combined recommendations of the Society of Clinical Perfusion Scientists of Great Britain and Ireland for Standards of Monitoring and Safety during CPB and the American Society of ExtraCorporeal Technology Standards and Guidelines for Perfusion Practice and shows how to apply them in daily practice.
The Portable Antiquities of the Netherlands (PAN) is an online system aimed at recording and documenting archaeological finds by the public. Since PAN launched in 2016, it has become an important data contributor to Dutch archaeology, amassing over 100,000 recorded finds. These data, mostly the result of metal detection, enable scholars to gain new insights and policy makers to make more informed decisions. This review describes the context in which PAN was established, along with its current structure and scope, before looking at its different components, including the underlying database and linked data reference collection. In a final section, the article briefly addresses some common issues inherent to public reporting programs and how PAN approaches these issues.
One of your biggest challenges as a leader is having difficult conversations with members of your group. These conversations may be necessary for a variety of reasons: (1) they might be underperforming or out of compliance with documentation or billing; (2) they might have conduct that is detrimental to the team; or (3) they seem to be struggling with the team concept and the overall goals of the group. Your success as a leader will be determined primarily by how well you conduct one-on-one meetings, working with “problematic” group members to help them be successful or to find a different path for them, sometime even “managing them out.” This chapter discusses how to have these difficult conversations, using case examples to illustrate different techniques. It goes into how to set up the meeting in advance, setting clear expectations and the right mindsets. It discusses how to plan in advance for how you’d like the meeting to go, as well as having a plan B and plan C for when things don’t go as intended. It discusses how to conduct the meeting, including who should be in the room when it happens. It also describes necessary documentation and follow-up from these meetings, as well as setting expectations and next steps. It concludes with the particularly difficult situation of removing someone from a leadership position.
We propose that the representativeness of a corpus directly depends on its suitability for a specific research goal (including the domain and the linguistic feature(s) of interest). Creating a new corpus involves establishing linguistic research question(s), addressing domain considerations, including describing the domain, operationalizing the domain, evaluating the operational domain (relative to the full domain), designing the corpus, and evaluating the corpus (relative to the operational domain), addressing distribution considerations, including defining a linguistic variable and evaluating the required sample size, collecting the corpus, and documenting and reporting corpus design and representativeness. The steps for evaluating an existing corpus are similar: establishing linguistic research question(s), identifying and acquire the corpus and its documentation, addressing domain considerations, including describing the domain and evaluating the operational domain relative to the full domain, and the corpus relative to the operational domain, addressing distribution considerations, including defining a linguistic variable and evaluating the required sample size, and documenting and reporting corpus design and representativeness. We conclude the book by arguing that corpus representativeness is important for both corpus designers/builders, and corpus researchers who need to evaluate whether a corpus is appropriate for their research goals.
1. Patients and their representatives (family or friends) have identified effective communication as a critical component of high-quality care whilst in the ICU.
2. Support for patients’ advocates is, in some instances, just as important as the care of the patients themselves.
3. Do not underestimate the importance of prior preparation before meeting a family.
4. Given the dynamic ICU environment and the multi-professional nature of the care, clear documentation is imperative.
5. A medical record is a legally binding document.
1. Insight into habitual barriers leads to an effective ward round.
2. The importance of location, which should be at the bedside, with the patient at the focus.
3. The importance of a structured approach, physical examination, checklists and goal setting.
4. The ward round should be multidisciplinary, promoting a culture of collaborative input, with all individual roles acknowledged and respected.
5. The ward round should be concluded by clarification of agreed goals for the day, defining individual responsibilities within the attending team and contemporaneous documentation.
Cui bono information and record keeping? In his most recent work devoted to the study of British and French imperialism in the Levant in early modern history, Cornel Zwierlein has argued that “empires are built on ignorance.” It is, of course, true that during the old regime Western knowledge of things “Oriental” was patently defective, marked as it was by blind spots and glaring gaps; and if observed in the broader context of European colonialism in Asia, the British and French cases are hardly exceptional. Sanjay Subrahmanyam's Europe's India has shown compellingly that the Portuguese, too, blindly forged ahead in their imperial expansion into South Asia, with a good dose of improvisation. By focusing on a mission to Khiva, Bukhara, and Balkh in 1732, I set out to show that the Russian venture in Asia too was premised upon ignorance, among other things. More specifically, I argue that diplomatic and commercial relations between Russia and Central Asia developed in parallel with the neglect of intelligence gathered and made available in imperial archives. Reflecting on the fact that the Russian enterprise in Asia was minimally dependent on information allows us to complicate the reductive equation of knowledge to power, which originates from the “archival turn.” Many today regard archives as reflective of projects of documentation, which granted epistemological virtue to the texts stored, ordered, and preserved therein. The archives generated truth claims, we are told, about hierarchies of knowledge produced by states and, by doing so, they effectively operated as a technological apparatus bolstering the state. However, not all the texts which we find in archives always retained their pristine epistemic force. To historicise the uses, misuses, and, more importantly, the practices of purposeful neglect of records invites us to revisit the quality of transregional connectivity across systems of signification in the early modern period.
Palliative care (PC) aims to improve patients' and families' quality of life through an approach that relieves physical, psychosocial, and spiritual suffering, although the latter continues to be under-assessed and under-treated. This study aimed to describe the prevalence of physical, psychosocial, and hope assessments documented by a PC team in the first PC consultation.
Method
The retrospective descriptive analysis of all first PC consultations registered in our anonymized database (December 2018–January 2020), searching for written documentation regarding (1) Edmonton Symptom Assessment Scale (ESAS) physical subscale (pain, tiredness, nausea, drowsiness, appetite, shortness of breath, constipation, insomnia, and well-being), (2) the single question “Are you depressed?” (SQD), (3) the question “Do you feel anxious?” (SQA), (4) feeling a burden, (5) hope-related concerns, (6) the dignity question (DQ), and (7) will to live (WtL).
Results
Of the 174 total of patients anonymously registered in our database, 141 PC home patients were considered for analysis; 63% were male, average age was 70 years, the majority had malignancies (82%), with a mean performance status of 52%. Evidence of written documentation was (1) ESAS pain (96%), tiredness (89%), nausea (89%), drowsiness (79%), appetite (89%), shortness of breath (82%), constipation (74%), insomnia (72%), and well-being (52%); (2) the SQD (39%); (3) the SQA (11%); (4) burden (26%); (5) hope (11%); (6) the DQ (33%); and (7) WtL (33%).
Significant differences were found between the frequencies of all documented items of the ESAS physical subscale (29%), and all documented psychosocial items (SQD + SQA + burden + DQ) (1%), hope (11%), and WtL (33%) (p = 0.0000; p = 0.0005; p = 0.0181, respectively).
Significance of results
There were differences between documentation of psychosocial, hope, and physical assessments after the first PC consultation, with the latter being much more frequent. Further research using multicenter data is now required to help identify barriers in assessing and documenting non-physical domains of end-of-life experience.
International theatre festivals are now a dominant phenomenon and have significantly influenced global theatre production since the 1980s. Against the backdrop of post-colonial criticism over the last three decades, the initial post-Second World War function of festivals to represent various national, mostly European cultures has gradually shifted towards festivals as co-producers of international work. Therefore, festivals appear as influential players in professional networks to establish and circulate aesthetic approaches in contemporary theatre practice. Due to the lack of sources on international festivals in archives and theatre collections, the chapter examines the possibilities and challenges of documenting these new modes of production and mobility in theatre archives. Focusing on to the complex professional network around the Philippines-based choreographer and performance artists Eisa Jocson and the role of Zürcher Theater Spektakel within this network, the chapter argues that digital media and data online for international co-production reveals the complex structures of professional networks and should be considered in research on international theatre festivals in a digital age.
The outstanding property of human language is its diversity, and yet acquisition data is only available for three percent of the world's 6000+ spoken languages. Due to the rapid pace of language loss, it may not be possible to document how children acquire half of the world's indigenous languages in as little as two decades. This loss permanently diminishes the scope of acquisition theory by removing its empirical base. In the face of pervasive language loss, the question of how best to document the language of the last children to acquire indigenous languages assumes critical importance. A collaborative effort by researchers is required to identify the most efficient procedures for documenting children's language, and share them worldwide. This paper makes the case for documenting diversity and outlines steps needed to accomplish this goal.
The aim of this study was to evaluate district nurses’ (DN) perceived nutritional care and actual level of knowledge about nutritional care before and after a continuing educational intervention.
Background:
Nutritional treatment is an important part of nursing care, and health professionals responsible for nutritional care for older adults must therefore have sufficient understanding of nutritional problems to provide appropriate support. Previous research has shown that nutritional problems frequently go unrecognized and that health care personnel often lacks knowledge about nutritional care and relevant methods of assessing nutritional status. However, little is known about DNs’ knowledge about nutritional care.
Methods:
An evaluative study with a study-specific questionnaire administered before and after a 2.5-day continuing educational course for DNs in primary health care in Stockholm County, Sweden. The course was given over a period of two to three months. The questionnaire measured DNs’ perceived nutritional care and actual level of knowledge about nutritional care.
Findings:
A total of 456 DNs completed the questionnaire both before and after the intervention. Participants’ mean age was 50 years. They had worked a mean of 26 years in health care and 10 years as DNs. Before the intervention, many DNs reported that they did not work with nutritional care in an optimal way. After the intervention, significant improvements were found in perceived nutritional care and actual level of knowledge about the topic. However, not all DNs achieved the learning objectives of the course, so work remains to be done to ensure that DNs have sufficient knowledge of nutritional care to provide appropriate support and correctly prescribe oral nutritional supplements.
Conclusions:
The study provides new information on DNs’ perceived nutritional care and actual level of knowledge. The result of the intervention helps lay the foundation for good nutritional care for older patients in primary care.
We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills.
This chapter illuminates the many deficiencies of contemporary educational reform movements. Most notable among these movements are “accountability,” privatization, vouchers, and charter schools. All of these impulses prove, under closer examination, to be inimical to the tenets of social constructivism, the vision of the Founders, and the project of democracy. Many of these “reforms” have even tacitly adopted the language and principles of behaviorism. The chapter concludes by proposing social constructivist pedagogy and early childhood intervention as the best way to educate a democratic citizenry.
Advanced 2-D and 3-D computer visualizations are increasingly being used for recording and documentation, analysis, dissemination, and public engagement purposes. Recent technological advances not only considerably improve data acquisition, processing, and analysis but also enable easy and efficient online presentation. This article evaluates the contributions of advanced 2-D and 3-D computer visualization and discusses the potential of 3-D modeling for recording basketry technology and documenting the state of preservation of baskets. It explores the available analysis, integration, and online dissemination tools, using as case studies recently excavated baskets from Cache Cave in southern California. Results indicate that the proposed methodology, which incorporates reflectance transformation imaging visualizations and photogrammetric 3-D models, which are further processed using 3-D modeling software and integrated analysis tools and then transformed to a Web-based format, is a useful addition to the basketry analysis toolkit.