Introduction: Although extensive research examined time perceptions among patients in the emergency department (ED), studies on temporal awareness among emergency physicians is scant. Salutogenics is the theoretical anchor.
Methods: The sample comprised ten emergency resident physicians from an Israeli public tertiary hospital. Narrative interviews were conducted. To determine the theme of the study, Adlerian narrative analysis was performed. To identify categories, semantic and content analyses were performed.
Results: Adlerian narrative analysis highlighted temporal awareness as a strong theme across interviews. Semantic and content analyses identified categories within temporal awareness. Analyses revealed a movement among three subcategories: A clinical task in which physicians rapidly shift along seven distinct times, temporal awareness shaping their work experience, and temporal awareness as inhibiting or enabling relationships with patients. Data-analyses identified two groups of physicians, one group driven by the need to control the time to avoid errors, experiencing anxiety and poor wellbeing, and the other, shifting from clinical tasks to patient-centeredness while removing the time factor from their considerations and experiencing resilience through manageability and meaningfulness. We introduce the "gyroscope model" for physicians to illustrate these findings and propose recommendations for practice.
Discussion: Understanding the complexity of the temporal continuum and the influence of shifting from the clinical task to relationships with patients may contribute to resilience of resident physician in the ED and to their self-efficacy, enriching their professional skills and capacity to cope and grow while facing the complexity of the ED.
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http://dx.doi.org/10.1177/10497323221134759 | DOI Listing |
Comput Biol Med
January 2025
Applied Artificial Intelligence Institute, Deakin University, Geelong, Australia.
Multimorbidity, the co-occurrence of multiple chronic conditions within the same individual, is increasing globally. This is a challenge for the single patients, as these individuals are subject to a heavy disease and treatment burden, yet evidence on the epidemiology and consequences of multimorbidity remains underexplored. Historically, studies aiming to understand multimorbidity patterns predominantly utilized cross-sectional data, neglecting the essential temporal dynamics which shape multimorbidity progression.
View Article and Find Full Text PDFBiomed Opt Express
January 2025
Department of Robotics, University of Michigan, USA.
Conventional scanned optical coherence tomography (OCT) suffers from the frame rate/resolution tradeoff, whereby increasing image resolution leads to decreases in the maximum achievable frame rate. To overcome this limitation, we propose two variants of machine learning (ML)-based adaptive scanning approaches: one using a ConvLSTM-based sequential prediction model and another leveraging a temporal attention unit (TAU)-based parallel prediction model for scene dynamics prediction. These models are integrated with a kinodynamic path planner based on the clustered traveling salesperson problem to create two versions of ML-based adaptive scanning pipelines.
View Article and Find Full Text PDFJ Neurol
January 2025
Western Institute of Neuroscience, Western University, London, Canada.
Background: Repeat neurological assessment is standard in cases of severe acute brain injury. However, conventional measures rely on overt behavior. Unfortunately, behavioral responses may be difficult or impossible for some patients.
View Article and Find Full Text PDFJ Neurol
January 2025
Epilepsy Unit - Sleep Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Background: Temporal lobe epilepsy with isolated amygdala enlargement (TLE-AE) still lacks a definite characterization and controversies exist.
Methods: We conducted a retrospective study identifying brain MRI scans with isolated AE between 2015 and 2021. We collected clinical and paraclinical data of patients with TLE-AE and evaluated the outcome.
Heliyon
January 2025
Department of Zoology and Environment Sciences, Faculty of Science, University of Colombo, Colombo, 03, Sri Lanka.
There is increasing scientific interest in the potential links between meditation practice and pro-environmental behaviours. The present research investigates relationships between meditation experience (temporal variables of meditation, five facets of trait mindfulness), positive lifestyle habits (PLH), quality of life (QoL) and per-head carbon footprint (CF) among 25 skilled meditators. Self-reported validated questionnaires were given to a group of native speakers of Sri Lanka to collect data on meditation experience, PLH, and perceived QoL.
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