25 thousand years ago, the European Alps were covered by the kilometre-thick Alpine Ice Field. Numerical modelling of this glaciation has been challenged by model-data disagreements, including overestimations of ice thickness. We tackle this issue by applying the Instructed Glacier Model, a three-dimensional model enhanced with physics-informed machine learning.
View Article and Find Full Text PDFIntroduction: Low carbohydrate ketogenic diets have received renewed interest for the treatment of obesity and type 2 diabetes. These diets promote weight loss, improve glycemic control, and reduce insulin resistance. However, whether the improvements in glycemic control and insulin sensitivity are secondary to the weight loss or result from a direct effect of hyperketonemia is controversial.
View Article and Find Full Text PDFBackground: Psychiatric mental health nurse practitioners have rapidly adopted and implemented tele-mental health in their practice; however it is unclear how this modality of care affects the experiential quality of therapeutic alliance, simply defined as the interpersonal working bond between provider and patient.
Objective: This study is the first to explore how psychiatric mental health nurse practitioners experience therapeutic alliance while using tele-mental health.
Design: Husserlian phenomenological qualitative study.
Despite rapid adoption and implementation, theoretical research considerations for virtual care (VC), defined simply as healthcare delivered using technology, are lacking across psychiatric mental health nursing (PMHN) scholarship. By adapting Hildegard Peplau's Interpersonal Relations Theory (IRT) and Media Richness Theory (MRT) using an intermodern and emancipatory knowing approach, a new framework was created for guiding modern PMHN VC research. Using this theoretical framework, readers can gain awareness of how the art and science of PMHN practice can be applied to VC scholarly endeavors in the modern healthcare space.
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