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Related Concept Videos

Lumber Defects01:23

Lumber Defects

Lumber defects, which can affect both the appearance and structural integrity of wood, include a variety of growth and manufacturing flaws. Growth defects such as knots and knotholes occur where branches were once attached to the tree trunk, with knotholes forming when these knots fall out. Other natural defects include decay and insect damage, which compromise the wood's strength and durability.
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
Gap Junctions01:37

Gap Junctions

Multicellular organisms employ a variety of ways for cells to communicate with each other. Gap junctions are specialized proteins that form pores between neighboring cells in animals, connecting the cytoplasm between the two, and allowing for the exchange of molecules and ions. They are found in a wide range of invertebrate and vertebrate species, mediate numerous functions including cell differentiation and development, and are associated with numerous human diseases, including cardiac and...
Gap Junctions01:27

Gap Junctions

The cytoplasm of adjacent animal cells can exchange small molecules, ions, and secondary messengers via the communication channels which form the gap junctions. These junctions comprise a few hundred to thousands of molecular channels, each made of two halves, called the connexon hemichannel. A connexon is a hexamer of six transmembrane connexin proteins, which assemble radially, thus forming a pore or channel in the center. One connexon hemichannel docks with a corresponding connexon on the...
Bone Markings01:26

Bone Markings

Bones have various surface features that help form joints and attach to other soft tissues. Depending on the function, bone markings are categorized into articulating projections, processes for attachment, depressions, and openings.
Articulating Projections
Articulating projections are found where two bones meet to form a joint. These structures are usually found at the ends of bones. The largest articulation is a rounded projection called the head, supported by a narrow neck at the ends of...
Types of Building Separation Joints01:23

Types of Building Separation Joints

Building separation joints divide large or complex building structures into smaller, discrete units that can move independently. These joints are categorized into three types: volume-change joints, settlement joints, and seismic separation joints.
Volume-change joints address the effects of expansion and contraction due to temperature and moisture variations. They are strategically placed at discontinuities in a building's mass where cracking is most likely and are spaced about 150 to 200 feet...
Expansion and Contraction in Masonry Walls01:19

Expansion and Contraction in Masonry Walls

Masonry walls are subject to slight expansion and contraction due to variations in temperature and moisture. Thermal movement in masonry is relatively straightforward to measure and plan for. On the other hand, moisture movement poses more of a challenge. New clay masonry units typically absorb water and expand over time under normal environmental conditions. Conversely, new concrete masonry units tend to shrink as they lose the excess moisture acquired during their production process.
To...

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Gaps, holes and change.

Carolyn O'Shea

    Australian Family Physician
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    PubMed
    Summary
    This summary is machine-generated.

    General practitioners should reflect on practice gaps, as identified by themselves or patients. Recognizing and addressing these gaps ensures evidence-based care and avoids surprises when justifying current medical practices.

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    Area of Science:

    • General Practice
    • Medical Education
    • Healthcare Quality

    Background:

    • The beginning of a new year prompts reflection on past performance and future improvements in medical practice.
    • Gaps in clinical practice can be recognized by general practitioners (GPs), patients, or remain unidentified.
    • Current practices, even if perceived as evidence-based, may require justification.

    Discussion:

    • This issue of Australian Family Physician focuses on identifying and addressing gaps in general practice.
    • Recognizing discrepancies between perceived and actual practice is crucial for professional development.
    • Patient and practitioner awareness of practice gaps can differ, highlighting the need for open communication.

    Key Insights:

    • Proactive identification of practice gaps is essential for maintaining high-quality patient care.
    • The concept of 'what we always do' may not align with current evidence-based guidelines.
    • Continuous self-assessment and patient feedback are vital for improving general practice.

    Outlook:

    • Future efforts should focus on systematic methods for detecting and rectifying practice gaps.
    • Encouraging a culture of reflective practice among GPs can enhance healthcare outcomes.
    • Bridging identified gaps will lead to more consistent and evidence-based medical care.