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In recent years, the academic world has been increasingly concerned with the social benefits of research and how they can be identified and demonstrated. Various discussions are being held on the impact of research, which are especially controversial in those countries where impact has become an important factor in the distribution of research funding. For participatory health research, a form of research that prioritises the engagement of those whose work or lives are the topic of the research, achieving social just impact outside the academic world is fundamental to its goal to reduce health inequalities.This article explores the questions of how research impact can be understood and collected and whether the impact of participatory health research can contribute to equal health opportunities. It addresses aspects of impact discussions in the United Kingdom and Germany exemplarily and presents the current state of the professional debate on the topic. Finally, it describes the drivers of participatory health research that can lead to a strengthening of equal health opportunities.The discussion of research impact allows for assessing and strengthening the sustainability and value of research, not only in the field of participatory health research. The diverse impacts of participatory health research have, however, the potential to reduce health inequalities and need to be recognised as such.
Participatory research methods are gaining interest. In applying these methods, there is often alack of consideration for methodological issues. Furthermore, aunifying system for categorizing the various approaches does not exist.

Based on ascoping review, acategorization of participatory research methods to promote health equity was undertaken.

Included in the review are 44publications in German and English retrieved from various databases (PubMed, PsycInfo, SocIndex, Livivo, Cochrane, Fachportal Pädagogik). Additional publications were identified by hand searching and using the snowball method.

The methods are categorized by research phase and type of format used. The principles of multidimensionality and phase integration are central to the proposed system of categorization, resulting in aprimary distinction between the methods used to facilitate the participatory research process versus methods used for participatory data collection and analysis. The majority of methods identified are used for data collection or reflexive processes. There are gaps in the German literature regarding methods for cooperative decision making, participatory data analysis, and the application of research results.

The classification system provides an overview of available methods and the degree of participation they promote. The system draws attention to the spectrum of methods available, being useful for both teaching and research purposes.
The classification system provides an overview of available methods and the degree of participation they promote. The system draws attention to the spectrum of methods available, being useful for both teaching and research purposes.Individuals with Autism Spectrum Disorder (ASD) are thought to under-rely on prior knowledge in perceptual decision-making. This study examined whether this applies to decisions of attention allocation, of relevance for 'predictive-coding' accounts of ASD. In a visual search task, a salient but task-irrelevant distractor appeared with higher probability in one display half. Individuals with ASD learned to avoid 'attentional capture' by distractors in the probable region as effectively as control participants-indicating typical priors for deploying attention. However, capture by a 'surprising' distractor at an unlikely location led to greatly slowed identification of a subsequent target at that location-indicating that individuals with ASD attempt to control surprise (unexpected attentional capture) by over-regulating parameters in post-selective decision-making.Congenital heart defects (CHD) is one of the most common types of birth defects. Thanks to advances in surgical techniques and intensive care, the majority of children with severe forms of CHD survive into adulthood. However, this increase in survival comes with a cost. CHD survivors have neurological functioning at the bottom of the normal range. A large spectrum of central nervous system dysmaturation leads to the deficits seen in critical CHD. The heart develops early during gestation, and CHD has a profound effect on fetal brain development for the remainder of gestation. Term infants with critical CHD are born with an immature brain, which is highly susceptible to hypoxic-ischemic injuries. Perioperative blood flow disturbances due to the CHD and the use of cardiopulmonary bypass or circulatory arrest during surgery cause additional neurological injuries. Innate patient factors, such as genetic syndromes and preterm birth, and postoperative complications play a larger role in neurological injury than perioperative factors. Strategies to reduce the disability burden in critical CHD survivors are urgently needed.Conditioning transcranial magnetic stimulation (TMS) with subthreshold conditioning stimulus followed by supra-threshold test stimulus at inter-stimulus intervals (ISI) of 1-5 ms results in inhibition (SICI), while ISI at 10-15 ms results in facilitation (ICF). One concerning issue, applying ICF/SICI protocols on patients is the substantial protocol variability. Here, we hypothesized that increasing the number of CS could result in more robust ICF/SICI protocols. Twenty healthy subjects participated in the study. Motor-evoked potentials (MEP) were obtained from conditioning TMS with a varying number of conditioning stimuli in 3, 4, 10, and 15 ms ISI over the primary motor cortex. MEP amplitudes were then compared to examine excitability. TMS with 3, 5, and 7 conditioning stimuli but not with one conditioning stimulus induced ICF. Moreover, 10 ms ISI produced stronger ICF than 15 ms ISI. Significant SICI was only induced with one conditioning stimulus. Besides, 3 ms ISI resulted in stronger SICI than 4 ms ISI. Only a train of conditioning stimuli induced stable ICF and may be more advantageous than the classical paired pulse ICF paradigm.
The current standard endoscopic technique is a high resolution visualisation up to Full HD and even 4K. A recent development are 3D endoscopes providing a 3-dimensional picture, which supposedly gives additional information of depth, anatomical details and orientation in the surgical field. Since the 3D-endoscopic technique is new, little scientific evidence is known whether the new technique provides advantages for the surgeon compared to the 2D-endoscopic standard technique in FESS. This study compares the standard 2D-endoscopic surgical technique with the new commercially available 3D-endoscopic technique.

The prospective randomized interventional multicenter study included a total of 80 referred patients with chronic rhinosinusitis with and without polyps without prior surgery. A bilateral FESS procedure was performed, one side with the 2D-endoscopic technique, the other side with the 3D-endoscopic technique. The time of duration was measured. Additionally, a questionnaire containing 20 items was completed by 4 different surgeons judging subjective impression of visualisation and handling.

2D imaging was superior to 3D apart from "recognition of details", "depth perception" and "3D effect". For usability properties 2D was superior to 3D apart from "weight of endoscopes". Mean duration for surgery was 26.1min for 2D and 27.4min. for 3D without statistical significance (P = 0.219).

Three-dimensional endoscopy features improved depth perception and recognition of anatomic details but worse overall picture quality. It is useful for teaching purposes, yet 2D techniques provide a better outcome in terms of feasibility for routine endoscopic approaches.
Three-dimensional endoscopy features improved depth perception and recognition of anatomic details but worse overall picture quality. It is useful for teaching purposes, yet 2D techniques provide a better outcome in terms of feasibility for routine endoscopic approaches.Successful transition to perinatal practice and retention rates are affected due to nursing school education and support of graduate nurses when transitioning to the role of RN. selleck chemical A perinatal internship was developed to address the unique issues faced by new graduate nurses transitioning from school to practice and to ensure a successful transition to practice, strong foundation of knowledge, and an increase in retention rates. Through the development, implementation, and necessary redesign of the program, the authors found retention rates to be an average of 74% for the organization with ongoing program revisions being conducted to improve current retention rates. The use of agency nurses has also been dramatically reduced since the implementation of the program. [J Contin Educ Nurs. 2021;52(1)47-52.].Sepsis is a dangerous and costly health care condition requiring prompt identification and emergency treatment. Bedside nurses have a crucial role in these early steps. Nurses should receive effective and timely education on identifying and treating sepsis in their patient populations. The purpose of this article is to review the literature and to identify how current sepsis education methods are addressing the gaps in nursing knowledge of sepsis. PubMed and CINAHL databases were used to search the literature. After inclusion and exclusion criteria were applied, nine articles were chosen for synthesis. Synthesis revealed three major themes (a) assessing nurse sepsis knowledge, (b) using electronic learning methods for education, and (c) incorporating simulation into sepsis training. Gaps in the literature were also identified. [J Contin Educ Nurs. 2021;52(1)43-46.].
Early identification of sepsis continues to be a challenge for nurses in the acute care setting. Often, a gap exists between existing policies for sepsis identification and structured education to support these policies.

Using quantitative methodology and descriptive correlational design, this project explored the differences between emergency department nurses who received education on the early identification and treatment of sepsis and emergency department nurses who did not receive this education.

Descriptive statistics and independent t test were used to analyze and compare data between the control and implementation group. The p value was .018, which was statistically significant. The mean time to identify sepsis was decreased by 33 minutes.

Using a sepsis standing order set combined with education helped to identify and elevate the care of sepsis patients. Resources such as the Surviving Sepsis Campaign screening tool to identify sepsis helped emergency department nurses to identify sepsis in a timely manner. [J Contin Educ Nurs. 2021;52(1)39-42.].
Using a sepsis standing order set combined with education helped to identify and elevate the care of sepsis patients. Resources such as the Surviving Sepsis Campaign screening tool to identify sepsis helped emergency department nurses to identify sepsis in a timely manner. [J Contin Educ Nurs. 2021;52(1)39-42.].
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