Notes

Interstitial Lungs Ailment Linked to Auto-immune Rheumatic Diseases: Check lists for Medical Exercise.
more than 22 times the maximum doses from 137Cs and 252Cf. For onsite, the highest maximum doses are due to 241Am (121 mSv y-1), which is more than twice the maximum doses from 137Cs and 252Cf. For offsite and onsite, the dominant pathway for 137Cs is direct radiation from soil, the dominant pathway for 241Am is drinking water followed by plant ingestion, and the dominant pathway for 252Cf is direct radiation from soil. Doses from 137Cs and 252Cf are mainly impacted by the contamination on the surface. For 241Am, the opposite is true. Americium-241 doses are mainly impacted by the contamination below the surface. Based on these findings, the exposure impact for replacing an 241Am neutron source for well logging with 252Cf is assessed.
There is no article discussing how to apply the International Electrotechnical Commission (EIC) 60825-1 standard to evaluate laser safety for irregular non-pulsed signal. Yet, as more and more laser applications are introduced, it is very possible that laser radiant power is irregular non-pulsed signal. Here, we present a method of laser safety evaluation for thermal damage under Requirement 3 of the IEC 60825-1 standard.
There is no article discussing how to apply the International Electrotechnical Commission (EIC) 60825-1 standard to evaluate laser safety for irregular non-pulsed signal. Yet, as more and more laser applications are introduced, it is very possible that laser radiant power is irregular non-pulsed signal. Endoxifen Here, we present a method of laser safety evaluation for thermal damage under Requirement 3 of the IEC 60825-1 standard.
A successful transition from the neonatal intensive care unit to home is fundamental for the long-term health and well-being of preterm infants; however, the process parents' experience during their transition home is poorly understood. An improved understanding of this concept will allow nurses to offer families comprehensive and collaborative discharge preparation.

To describe the defining attributes, antecedents, and consequences for the concept of transition in the context of the neonatal intensive care unit to home.

Databases, MEDLINE, CINAHL, PsycINFO, and EMBASE were searched for articles containing "transition" in combination with "neonatal intensive care unit" or variants of these terms. The Walker and Avant method was used for this concept analysis.

The defining attributes of transition in the context of the neonatal intensive care unit to home are "mix of emotions," "uncertainty," and "coming into parenthood." The principal antecedent is "hospital discharge preparation" and consequences include "feeding and medical needs," "family life changes," and "parental confidence."

Gradually increasing parents' participation in their infant's care and forming a partnership and collaborative plan with families will help ease the uncertainty parents experience during their transition home.

Further investigation is needed to determine how best to provide emotional support for parents during their transition home and to explore a feasible option for neonatal nurses to follow up with parents after hospital discharge.
Further investigation is needed to determine how best to provide emotional support for parents during their transition home and to explore a feasible option for neonatal nurses to follow up with parents after hospital discharge.
Neonatal intensive care unit (NICU) is a multifaceted, technology-driven high stress environment for professionals, infants and families.

Examine healthcare professionals' beliefs and perceptions regarding providing FCC within the context of NICU.

This exploratory descriptive study used an online-survey format. The survey comprised several instruments including the Perceived Stress Scale, symptoms of burnout subscale from the Professional Quality of Life scale, and the Family Nurse Caring Belief Scale (FNCBS). Demographic and open-ended items were also included.

Sample consisted of 115 multidisciplinary participants working in a level IV neonatal intensive care unit. Participants report strong levels of FCC beliefs. Participants strongly agreed (82%) or agreed (18%) that no matter how sick the infant is, he or she needs to be treated as an individual. A significant correlation (r = -0.343, P < .001) exists between participant's stress composite score and FNCBS composite score. There were significant relationships between participant's years of experience (F = 5.35, P < .002) and education levels (F = 2.60, P < .05) and higher FNCBS composite scores. There were also significant relationships between participant's years of experience (F = 4.77, P < .004) and education (F = 2.89, P < .039) with higher Perceived Stress Scale composite scores.

Results suggest that while participants agreed that FCC is important, they also believed that inadequate staffing and inappropriate assignments may lead to rationing of care.

Further research is needed to explore factors that lead to rationing of FCC.
Further research is needed to explore factors that lead to rationing of FCC.
There is increasing demand for neonatal advanced practice providers (APPs) and a shortage of neonatal nurse practitioners (NNPs). In many neonatal intensive care units, neonatal physician assistants are trained and hired, as well as new graduate NNPs. Neonatal APPs are utilized as mentors in a regional neonatology program in the Pacific Northwest. As part of a long-term goal to develop an educational program for neonatal APP mentors, an initial survey was administered.

The purpose of this survey was to raise personal insight and identify themes about 51 neonatal APP mentors' recollections of one's own worst and best mentorship experiences.

The design used in this content analysis of survey responses included a phenomenological, qualitative approach. The participants received an online survey consisting of 2 questions asking them to describe their worst and best mentorship experiences. The blinded results were analyzed via content analysis by 2 coinvestigators.

Consistent themes about worst experiences include "Eat our young," "I am better than you," "Thrown under bus," and "Unwanted." Consistent themes about best experiences include "Validation," "Empowerment," "Positivity," and "Inclusion."

Recommendations for successful neonatal APP mentorship based upon the recurrent themes include use of consistent, engaged, trained, and supported mentors, provision of on-time constructive feedback, avoidance of public criticism, private and public praise, focus on the learner, preparation for tasks, and semiautonomy, with adequate support.

Absenteeism, recruitment, retention, and satisfaction data may be measured to determine whether structured mentorship programs are beneficial.
Absenteeism, recruitment, retention, and satisfaction data may be measured to determine whether structured mentorship programs are beneficial.
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