Does a distal radial fracture lead to osteoarthritis? Re-examining the evidence for early treatment.

There are many good reasons to improve the anatomy of a distal radius fracture, such as early return to function and avoidance of sigmoid notch incongruity or ulnocarpal impaction. It is often feared by patients, and portrayed by some authors of scientific articles and medicolegal reports, that a fracture of the distal radius has a propensity to cause symptomatic osteoarthritis. This article examines some of the current evidence and shares the authors' experience.

Synthesis and characterization of two self-assembled [CuGd] and [CuDy] complexes exhibiting the magnetocaloric effect, slow relaxation of magnetization, and anticancer activity.

Two new paths for coordination driven self-assembly reactions under the binding support of 2-((1-hydroxy-2-methylpropan-2-ylimino)methyl)-6-methoxyphenol (HL) have been discovered from the reactions of Cu(ClO)·6HO, NEt and GdCl/DyCl·6HO in MeOH/CHCl (2 : 1) medium. A similar synthetic protocol is useful to provide two different types of self-aggregated molecular clusters [CuGd(L)(HL)(μ-Cl)(μ-OH)(OH)]ClO·4HO (1) and [CuDy(L)(HL)(μ-Cl)(μ-OH)(ClO)(HO)](ClO)·2NHEtCl·21HO (2). The adopted reaction procedure established the importance of the HO and Cl ions in the mineral-like growth of the complexes, derived from solvents and metal ion salts.

Interprofessional practice: the path toward openness.

This article seeks to shed light on the meanings healthcare practitioners attach to practicing interprofessionally and how interprofessional relationships play out in "everyday" practice. It draws on findings from a hermeneutic phenomenological study of health professionals' lived experience of practice, interpreted in relation to Martin Heidegger's concept of a path through the dense forest which leads to an open space where there is no predefined path to follow. Analysis of data from in-depth, semi-structured interviews with 12 health professionals from medicine, midwifery, nursing, occupational therapy, physiotherapy, speech and language therapy, and social work suggests that health practitioners come upon the clearing having walked their own track toward practicing interprofessionally.

From tetranuclear to pentanuclear [Co-Ln] (Ln = Gd, Tb, Dy, Ho) complexes across the lanthanide series: effect of varying sequence of ligand addition.

Two new families of cobalt(ii/iii)-lanthanide(iii) coordination aggregates have been reported: tetranuclear [LnCoL(N-BuDEA)(OCCMe)(HO)]·(MeOH)·(HO) (Ln = Gd, 1; Tb, 2; Dy, 3; n = 2, m = 10 for 1 and 2; n = 6, m = 2 for 3) and pentanuclear LnCoCoL(N-BuDEA)(OCCMe)(MeOH) (Ln = Dy, 4; Ho, 5) formed from the reaction of two aggregation assisting ligands HL (o-vanillin oxime) and N-BuDEAH (N-butyldiethanolamine). A change in preference from a lower to higher nuclearity structure was observed on going across the lanthanide series brought about by the variation in the size of the Ln ions. An interesting observation was made for the varying sequence of addition of the ligands into the reaction medium paving the way to access both structural types for Ln = Dy.

Exploiting host-guest chemistry to manipulate magnetic interactions in metallosupramolecular ML tetrahedral cages.

Reaction of Ni(OTf) with the bisbidentate quaterpyridine ligand results in the self-assembly of a tetrahedral, paramagnetic cage [Ni ]. By selectively exchanging the bound triflate from [OTf⊂Ni ](OTf) (), we have been able to prepare a series of host-guest complexes that feature an encapsulated paramagnetic tetrahalometallate ion inside this paramagnetic host giving [MX⊂Ni ](OTf), where MX = MnCl (), CoCl (), CoBr (), NiCl (), and CuBr () or [MX⊂Ni ](OTf), where MX = FeCl () and FeBr (). Triflate-to-tetrahalometallate exchange occurs in solution and can also be accomplished through single-crystal-to-single-crystal transformations.

Paramedic experiences of providing care in wales (UK) during the 2020 COVID-19 pandemic (PECC-19): a qualitative study using evolved grounded theory.

Objective: To explore paramedic experiences of providing care during the 2020 COVID-19 pandemic and develop theory in order to inform future policy and practice.

Design: Qualitative study using constructivist evolved grounded theory (EGT) methodology. One-to-one semistructured interviews were conducted using a general interview guide.

The History of Allied Health: An International Perspective.

The term allied health is not an uncommon one within the healthcare lexicon. However, the derivation and meaning of the term sit within the murkiness of history, making relevance in the current context perplexing. This article sets out to explore the origins of the term, and in turn how the term and its associated meaning have developed internationally.

Human identification: a review of methods employed within an Australian coronial death investigation system.

Whilst many identification methods have been widely described and discussed in the literature, and considered in disaster and humanitarian contexts, there has been limited reporting and evaluation of the identification methods used in domestic medico-legal death investigation contexts. The aim of this study was to evaluate the identification methods utilised at the Victorian Institute of Forensic Medicine (VIFM), which forms part of a coronial medico-legal death investigation system. The method of identification and time taken to complete the identification were reviewed for all cases admitted to the VIFM over a five-year period from 1 July 2015 to 30 June 2020.

The making of occupation-based models and diagrams: History and semiotic analysis.

Background.: Models provide a structure for organizing knowledge and facilitating learning and are upheld by occupational therapy as epitomizing the cornerstones of its practice.

Purpose.

Interprofessional practice: beyond competence.

Interprofessional practice is commonly discussed in the literature in terms of competencies. In this study we move away from the theoretical notions of criteria, concepts and guidelines to adopt an ontological approach which seeks to stay as close to the lived experience as possible. Our research asked 12 participants from a variety of health disciplines to tell their stories of working interprofessionally.

Working in a spirit of interprofessional practice: a hermeneutic phenomenological study.

Interprofessional practice is recognized as essential to providing patient-centered, collaborative and high quality care, contributing to optimal health outcomes. Understandings of how best to cultivate practitioners able to 'be' and 'become' interprofessional remain problematic. To advance that understanding, this hermeneutic phenomenological study addressed the question: 'What are health professionals' experiences of working with people from other disciplines?' In-depth, semi structured interviews with 12 health professionals from nursing, occupational therapy, physiotherapy, speech and language therapy, medicine, social work, and midwifery were undertaken using a conversation style.

The unsustainability of occupational based model diagrams.

Occupation-based models are generic explanations of occupational engagement. Their associated diagrams are conceptual tools that represent the key concepts and their interrelationships, which have withstood substantial shifts in the profession's knowledge base and scope over the last 30-40 years. We aim to bring into question the sustainability of the diagrams used to represent models.

A simple methodology for constructing ferromagnetically coupled Cr(iii) compounds.

A large family of chromium(iii) dimers has been synthesised and magneto-structurally characterised using a combination of carboxylate and diethanolamine type ligands. The compounds have the general formula [Cr2(R1-deaH)2(O2CR2)Cl2]Cl where R1 = Me and R2 = H (1), Me (2), CMe3 (3), Ph (4), 3,5-(Cl)2Ph (5), (Me)5Ph (6), R1 = Et and R2 = H (7), Ph (8). The compound [Cr2(Me-deaH)2Cl4] (9) was synthesised in order to study the effect of removing/adding the carboxylate bridge on the observed magnetic behaviour.

Action research and millennials: Improving pedagogical approaches to encourage critical thinking.

Background: This article examines the effects of intergenerational diversity on pedagogical practice in nursing education. While generational cohorts are not entirely homogenous, certain generational features do emerge. These features may require alternative approaches in educational design in order to maximize learning for millennial students.

Unsettling moods in rural midwifery practice.

Background: Rural midwifery and maternity care is vulnerable due to geographical isolation, staffing recruitment and retention. Highlighting the concerns within rural midwifery is important for safe sustainable service delivery.

Method: Hermeneutic phenomenological study undertaken in New Zealand (NZ).

Crafting Stories in Hermeneutic Phenomenology Research: A Methodological Device.

Hermeneutic phenomenology, as a methodology, is not fixed. Inherent in its enactment are contested areas of practice such as how interview data are used and reported. Using philosophical notions drawn from hermeneutic phenomenological literature, we argue that working with crafted stories is congruent with the philosophical underpinnings of this methodology.

The emergence of Leptospira borgpetersenii serovar Arborea in Queensland, Australia, 2001 to 2013.

Background: Leptospirosis is an emerging infectious disease, with increasing frequency and severity of outbreaks, changing epidemiology of populations at risk, and the emergence of new serovars. Environmental drivers of disease transmission include flooding, urbanisation, poor sanitation, changes in land use and agricultural practices, and socioeconomic factors. In Queensland, human infection with Leptosira borgpetersenii serovar Arborea was first reported in 2001.

Real life narratives enhance learning about the 'art and science' of midwifery practice.

Health professional educators have long grappled with how to teach the more elusive art of practice alongside the science (a term that encompasses the sort of professional knowledge that can be directly passed on). A competent practitioner is one who knows when, how and for whom to apply knowledge and skills, thereby making the links between theory and practice. They combine art and science in such a way that integrates knowledge with insight.

The role of leptospirosis reference laboratories.

The general goal of reference centres is to support the community, from diagnostic laboratories to research institutions, in the execution of their work by providing reference strains and reagents and giving instructions and recommendations to individual colleagues and national and international organisations on a wide variety of issues. There are different levels of reference centres, from local to international, with an increasing package of tasks and responsibilities. Local reference centres might limit activities to diagnostic confirmation by applying standard testing, while international reference centres cover a wider range of activities from design, validation and harmonisation of diagnostic and reference technologies to international monitoring associated with recommendations on the global burden and distribution of leptospirosis and its prevention and control to national and international health decision makers.

Neutrophil counts in leptospirosis patients infected with different serovars.

In leptospirosis patients, haematological abnormalities have been reported. The aim of this study was to determine if neutrophil counts were different between patients known to be infected with a range of leptospiral serovars. The study retrospectively compared the neutrophil counts from the first blood samples taken from 210 leptospirosis patients at first presentation to a Queensland Health hospital.

The sounds of silence-a hermeneutic interpretation of childbirth post excision.

Four women who had been excised were interviewed about their experiences of giving birth. Using hermeneutic phenomenology we analyzed their narratives to more fully understand their experiences of childbirth in the context of excision. Childbirth is characterized by silence related to excision.

Molecular confirmation of co-infection by pathogenic Leptospira spp. and Orientia tsutsugamushi in patients with acute febrile illness in Thailand.

Leptospirosis and scrub typhus are major causes of acute febrile illness in rural Asia, where co-infection is reported to occur based on serologic evidence. We re-examined whether co-infection occurs by using a molecular approach. A duplex real-time polymerase chain reaction was developed that targeted a specific 16S ribosomal RNA gene of pathogenic Leptospira spp.