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Other than maintaining genome stability via DNA repair, homologous recombination plays an important role in diversifying the genome. In fact, the recombination of sequences forms the molecular basis of genomic evolution. Random and non-random permutations of genomic sequences create a library of new amalgamated sequences. These newly formed genomes can determine the fitness and survival of cells. In bacteria, homologous and non-homologous types of recombination lead to the evolution of new...
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The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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相关实验视频

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重新设计严重疾病对话指南:一种混合方法社区参与的修订过程.

Joanna Paladino1, Catherine Schofield2, Rebekah Angove3

  • 1Massachusetts General Hospital (J.P., C.D.), Boston, Massachusetts, USA; Ariadne Labs (J.P., C.S., A.M., S.D., E.K.F.), Health System Innovation Center at Brigham & Women's Hospital and Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA; Harvard Medical School (J.P., C.D., E.K.F.), Boston, Massachusetts, USA.

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概括

重症疾病对话指南被修订为更具包容性和可访问性. 患者和护理人员的反确保了更新的指南强调希望,伙伴关系和不同人群的情感安全.

关键词:
严重疾病沟通 严重疾病沟通社区参与 社区参与卫生公平性健康公平性医疗保健质量 医疗保健质量

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科学领域:

  • 医学沟通 医学沟通
  • 健康 公平 卫生 公平
  • 以患者为中心的护理

背景情况:

  • "严重疾病对话指南"为讨论严重疾病的价值观,目标和预后提供了一个框架.
  • 之前的实施和研究强调了它在各种临床环境和患者群体中的实用性.
  • 鉴定出需要加强多元化人口的包容性和可访问性.

研究的目的:

  • 完善严重疾病对话指南,以提高包容性和可访问性.
  • 纳入来自不同患者和护理人员顾问的反.
  • 改善严重疾病对话的框架.

主要方法:

  • 使用了一个社区参与的,代的修订过程.
  • 从国家卫生公平专家和跨专业临床医生 (n=59) 收集了反.
  • 来自不同种族/种族背景的患者和护理人员顾问 (n=11) 通过重点小组,采访和调查来改进和评估变化.

主要成果:

  • 对指南的介绍,预后,疾病理解和关键能力部分进行了重大修订.
  • 关键主题包括建立信任,敏感的预后沟通,平衡希望和同情联系.
  • 经过修订的指南被认为对文化和身份敏感 (8/9名顾问),而不是在情感上令人不安 (9/9名顾问).

结论:

  • 修订成功地提高了指南的包容性和可访问性.
  • 更新的指南强调了希望,伙伴关系和对齐.
  • 患者和护理人员顾问发现修订后的指南在情感上是安全和可接受的.