Physiotherapy in Critical Care in Australia     

Susan Berney  Kimberley Haines  Linda Denehy 《Cardiopulmonary Physical Therapy Journal》2012,23(1):19-25

A physiotherapist is part of the multidisciplinary team in most intensive care units in Australia. Physiotherapists are primary contact practitioners and use a comprehensive multisystem assessment that includes the respiratory, cardiovascular, neurological, and musculoskeletal systems to formulate individualized treatment plans. The traditional focus of treatment has been the respiratory management of both intubated and spontaneously breathing patients. However, the emerging evidence of the longstanding physical impairment suffered by survivors of intensive care has resulted in physiotherapists re-evaluating treatment priorities to include exercise rehabilitation as a part of standard clinical practice. The goals of respiratory physiotherapy management are to promote secretion clearance, maintain or recruit lung volume, optimize oxygenation, and prevent respiratory complications in both the intubated and spontaneously breathing patient. In the intubated patient, physiotherapists commonly employ manual and ventilator hyperinflation and positioning as treatment techniques whilst in the spontaneously breathing patients there is an emphasis on mobilization. Physiotherapists predominantly use functional activities for the rehabilitation of the critically ill patient in intensive care. While variability exists between states and centers, Australian physiotherapists actively treat critically ill patients targeting interventions based upon research evidence and individualized assessment. A trend toward more emphasis on exercise rehabilitation over respiratory management is evident.Key Words: physiotherapy, intensive care  相似文献   

When learning from animations is more successful than learning from static pictures: learning the specifics of change     

Ploetzner  Rolf  Berney  Sandra  Bétrancourt  Mireille 《Instructional Science》2021,49(4):497-514

The results of three meta-analyses show that the effectiveness of learning from animations, when compared to learning from static pictures, is rather limited. A recent re-analysis of one of these meta-analyses, however, supports that learning from animations is considerably more effective than learning from static pictures if the specifics of the displayed changes need to be learned. In order to further validate this finding as well as to clarify the educational strengths and weaknesses of animations and static pictures, an experimental study with three groups was conducted. Overall, 88 university students participated in the study. One group of learners (n?=?30) watched a single picture of a gear mechanism, one group of learners (n?=?28) watched four pictures, and one group of learners (n?=?30) watched an animation. All groups had to identify specific motions and spatial arrangements covered by the gear mechanism. While learners who watched the animation exhibited the best performance with respect to the identification of motions, learners who watched the pictures showed the best performance with respect to the identification of spatial arrangements. The effect sizes are large. The results of the study help to clarify when animations and when static pictures are most suitable for learning.

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Revolution at the Library Service Desk     

Beverly Murphy  Richard A. Peterson  Hattie Vines  Megan von Isenburg  Elizabeth Berney  Robert James 《Medical reference services quarterly》2013,32(4):379-393

ABSTRACT

This article will describe how a revolution in customer service provision beginning in 2002 has led to an evolution of library services. When the reference and circulation desks were merged to create a single service point, responsibilities were broadened, core competencies were developed, and staff members were cross trained. In 2005, an analysis of staffing and work patterns demonstrated a need to build upon the original model to better utilize staff and ensure coverage of the desk. Reference librarians were moved to “on call” status, technical services staff were added to the schedule, and core competencies and procedures were refined.  相似文献   

我单身,我快乐     

吴凡 《海外英语》2003,(11):20

Q: Is there a trend showing that a growing number of men and women are choosing to stay single?A: It's true that the percentage of Americans who aren t married has been increasing since about 1960, but the rate of "singlehood" is by no means unprecedented(空前的).According to the U. S. Census Bureau, a higher percentage of women are unmarried (48 percent) than men (44 percent) . Most unmarried people would like to be married, but  相似文献