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PubMed2006

Using case reports to aid reflective practice in wound care.

Reflection is a widely-used tool in education and practice for giving individuals insight into events and incidents. Case reports, though lacking in rigour as a source of evidence, also provide an opportunity to reflect on and examine practice. They therefore provide a useful opportunity of examining practice in wound care, which is lacking in many nursing curricula. A case report is given here to illustrate some of the lessons that can be learned by reflection--even by an experienced nurse.

Aged, 80 and over↗

PubMedDate not supplied

Reflective practice and guided discovery: clinical supervision.

This article explores the parallels between reflective practice as a model for clinical supervision, and guided discovery as a skill in cognitive psychotherapy. A description outlining the historical development of clinical supervision in relationship to positional papers and policies is followed by an exposé of the difficulties in developing a clear, consistent model of clinical supervision with a coherent focus; reflective practice is proposed as a model of choice for clinical supervision in nursing. The article examines the parallels and processes of a model of reflection in an individual clinical supervision session, and the use of guided discovery through Socratic dialogue with a depressed patient in cognitive psychotherapy. Extracts from both sessions are used to illuminate the subsequent discussion.

Attitude of Health Personnel↗

PubMed2004

Reflective practice and experiential learning: tools for continuing professional development.

The models of reflective practice and experiential learning, described within this article, provide the dental practitioner and his/her team with realistic methods by which they can improve their skills and working atmosphere, and also reduce occupational stress. The reflective dentist is one who engages his/her team in a process of discussion regarding a variety of clinical situations, and who learns from both positive and negative clinical experience. This article offers a detailed analysis of reflective practice and experiential learning, and the ways in which application of these procedures can contribute significantly to the continuing professional development of dentists and dental teams.

Education, Dental, Continuing↗

PubMed2001

Reflection in action in caring for the dying: applying organizational learning theory to improve communications in terminal care.

Currently, single loop learning is the predominant method of problem solving orientation engaged in by healthcare institutions. This mode of learning is not conductive to fostering needed communications between health care providers and terminal patients. Reflection in action, second loop learning, focuses on deep listening and dialogue and can be critical in opening communications paths between the dying patient and his or her caregivers. This article discusses organizational learning theory and applies the theories double loop learning technique of reflection in action to end-of-life care. The article further explores an exemplar of reflection in action in a Palliative Care Program, and end-of-life home care program at Kaiser Permanente. In order to more effectively meet the needs of terminally ill patients, greater efforts are needed to incorporate second loop learning into the practice of those caring for these patients.

Caregivers↗

PubMed2002

Elimination of a back-reflected TE mode in a TM-mode optical isolator with a Mach-Zehnder interferometer.

Eimination of a back-reflected TE mode traveling in a TM-mode optical isolator was investigated. The optical isolator had a Mach-Zehnder interferometer that included a polarization-dependent reciprocal phase shifter in one of the arms. The reciprocal phase shift was achieved by an optical path difference between the two arms. By adjustment of the length of the reciprocal phase shifter, the interferometer prevented the back-reflected TE mode from coupling into an input port of the isolator. An extinction ratio of more than 18 dB was obtained against the back-reflected TE mode at a wavelength of 1.55 microm.

Journal Article↗

PubMed2003

Split off-specular reflection and surface scattering from woven materials.

We measured radiance distributions for black lining cloth and copper gauze using the convenient technique of wrapping the materials around a circular cylinder, irradiating it with a parallel light source and collecting the scattered radiance by a digital camera. One family of parallel threads (weave or weft) was parallel to the cylinder generator. The most salient features for such glossy plane weaves are a splitting up of the reflection peak due to the wavy variations in local slopes of the threads around the cylinders and a surface scattering lobe due to the threads that run along the cylinder. These scattering characteristics are quite different from the (off-)specular peaks and lobes that were found before for random rough specular surfaces. The split off-specular reflection is due to the regular structures in our samples of man-made materials. We derived simple approximations for these reflectance characteristics using geometrical optics.

Journal Article↗

PubMed2003

Characterization of spatial and temporal variations in the optical properties of tissuelike media with diffuse reflectance imaging.

We describe a method to characterize spatial or temporal changes in the optical properties of turbid media using diffuse reflectance images acquired under broad-beam illumination conditions. We performed experiments on liquid phantoms whose absorption (mu(a)) and reduced scattering (mu(s)') coefficients were representative of those of biological tissues in the near infrared. We found that the relative diffuse reflectance R depends on mu(a) and mu(s)' only through the ratio mu(a)/mu(s)' and that dependence can be well described with an analytical expression previously reported in the literature [S. L. Jacques, Kluwer Academic Dordrecht (1996)]. We have found that this expression for R deviates from experimental values by no more than 8% for various illumination and detection angles within the range 0 degrees-30 degrees. Therefore, this analytical expression for R holds with good approximation even if the investigated medium presents curved or irregular surfaces. Using this expression, it is possible to translate spatial or temporal changes in the relative diffuse reflectance from a turbid medium into quantitative estimates of the corresponding changes of (mu(a)/mu(s)')(1/2). In the case of media with optical properties similar to those of tissue in the near infrared, we found that the changes mu(a)/mu(s)' should occur over a volume approximately 2 mm deep and 4 mm x 4 mm wide to apply this expression.

Models, Theoretical↗

PubMed2003

Theoretical model of the polarization properties of the retinal nerve fiber layer in reflection.

In several optical technologies for glaucoma diagnosis, polarized light is used to assess the retinal nerve fiber layer (RNFL) of the eye. For better understanding of the polarization properties of the RNFL, it was modeled as a thick birefringent slab containing parallel light-scattering cylinders, and the Mueller matrix for reflectance was derived. The model predicts that (1) the RNFL reflectance has weak intrinsic diattenuation; (2) the diattenuation spectrum depends strongly on the relative refractive indices of the cylinders; (3) both scattering and birefringence contribute to retardation; and (4) the RNFL reflectance generally preserves polarization, but depolarization may be detectable for thick RNFL at short wavelengths.

Animals↗

PubMed2003

All-dielectric reflection gratings: a study of the physical mechanism for achieving high efficiency.

The physical mechanism for the all-dielectric reflection gratings to achieve high efficiency in the -1st-order Littrow mounting is studied. The all-dielectric gratings consist of two parts, a surface-relief grating and a highly reflecting dielectric stack. The surface-relief grating sits on top of the reflecting stack. A simple analytical expression for diffraction efficiency is obtained in terms of the S-matrix elements of the two parts. By analyzing the expression we show that the diffraction can be interpreted as the interference of a symmetric wave and an antisymmetric wave. The conditions for achieving high diffraction efficiency are also identified. The analytical results are illustrated by numerical computations.

Journal Article↗

PubMed2004

Control of reflectance of liquid droplets by means of electrowetting.

It has recently been noted that hemispherical structures have useful reflection characteristics. We describe a new application that makes use of these characteristics by controlling the reflectance of a surface composed of an array of hemispherical liquid droplets. In this system the reflectance state is spatially controlled through the use of electrowetting to alter the shape of an array of droplets. This may have an application in the field of electronic image displays.

Journal Article↗

PubMed2004

Total internal reflection ellipsometry: principles and applications.

A concept for a measurement technique based on ellipsometry in conditions of total internal reflection is presented. When combined with surface plasmon resonance (SPR) effects, this technique becomes powerful for monitoring and analyzing adsorption and desorption on thin semitransparent metal films as well as for analyzing the semitransparent films themselves. We call this technique total internal reflection ellipsometry (TIRE). The theory of ellipsometry under total internal reflection combined with SPR is discussed for some simple cases. For more advanced cases and to prove the concept, simulations are performed with the Fresnel formalism. The use of TIRE is exemplified by applications in protein adsorption, corrosion monitoring, and adsorption from opaque liquids on metal surfaces. Simulations and experiments show greatly enhanced thin-film sensitivity compared with ordinary ellipsometry.

Journal Article↗

PubMed2004

Modeling the optical properties of mineral particles suspended in seawater and their influence on ocean reflectance and chlorophyll estimation from remote sensing algorithms.

The optical properties of mineral particles suspended in seawater were calculated from the Mie scattering theory for different size distributions and complex refractive indices of the particles. The ratio of the spectral backscattering coefficient to the sum of the spectral absorption and backscattering coefficients of seawater, b(b)(lambda)/[a(lambda) + b(b)(lambda)], was analyzed as a proxy for ocean reflectance for varying properties and concentrations of mineral particles. Given the plausible range of variability in the particle size distribution and the refractive index, the general parameterizations of the absorption and scattering properties of mineral particles and their effects on ocean reflectance in terms of particle mass concentration alone are inadequate. The variations in the particle size distribution and the refractive index must be taken into account. The errors in chlorophyll estimation obtained from the remote sensing algorithms that are due to the presence of mineral particles can be very large. For example, when the mineral concentration is 1 g m(-3) and the chlorophyll a concentration is low (0.05 mg m(-3)), current global algorithms based on a blue-to-green reflectance ratio can produce a chlorophyll overestimation ranging from approximately 50% to as much as 20-fold.

Algorithms↗

PubMed2004

Use of equivalent spheres to model the relation between radar reflectivity and optical extinction of ice cloud particles.

The effect of ice crystal size and shape on the relation between radar reflectivity and optical extinction is examined. Discrete-dipole approximation calculations of 95-GHz radar reflectivity and ray-tracing calculations are applied to ice crystals of various habits and sizes. Ray tracing was used primarily to calculate optical extinction and to provide approximate information on the lidar backscatter cross section. The results of the combined calculations are compared with Mie calculations applied to collections of different types of equivalent spheres. Various equivalent sphere formulations are considered, including equivalent radar-lidar spheres; equivalent maximum dimension spheres; equivalent area spheres, and equivalent volume and equivalent effective radius spheres. Marked differences are found with respect to the accuracy of different formulations, and certain types of equivalent spheres can be used for useful prediction of both the radar reflectivity at 95 GHz and the optical extinction (but not lidar backscatter cross section) over a wide range of particle sizes. The implications of these results on combined lidar-radar ice cloud remote sensing are discussed.

Journal Article↗

PubMed2004

Instrument for measuring small angles by use of multiple total internal reflections in heterodyne interferometry.

A new instrument for measuring small angles by use of multiple total internal reflections in heterodyne interferometry is presented. With this instrument we can achieve a small rotation angle only by measuring the variation in phase difference between s- and p-polarization states. To improve its sensitivity we increase the number of total internal reflections by using two parallelogram prisms instead of two right-angle prisms. The angular resolution of the new instrument is better than 2.2 x 10(-6) rad over the measurement range -2.12 degrees < or = theta < or = 2.12 degrees for 20 total-internal reflections. The experimental results and the theoretical curve are in good agreement.

Journal Article↗

PubMed2005

Model of remote-sensing reflectance including bidirectional effects for case 1 and case 2 waters.

A remote-sensing reflectance model based on a lookup table is proposed for use in analyzing satellite ocean color data in both case 1 and case 2 waters. The model coefficients are tabulated for grid values of three angles--solar zenith, sensor zenith, and relative azimuth--to take account of directional variation. This model also requires, as input, a phase function parameter defined by the contribution of suspended particles to the backscattering coefficient. The model is generated from radiative transfer simulations for a wide range of inherent optical properties that cover both case 1 and 2 waters. The model uncertainty that is due to phase function variability is significantly reduced from that in conventional models. Bidirectional variation of reflectance is described and explained for a variety of cases. The effects of wind speed and cloud cover on bidirectional variation are also considered, including those for the fully overcast case in which angular variation can still be considerable (approximately 10%). The implications for seaborne validation of satellite-derived water-leaving reflectance are discussed.

Journal Article↗

PubMed2005

Light propagation through a monolayer of discrete scatterers: analysis of coherent transmission and reflection coefficients.

An investigation of the coherent transmission and reflection coefficients of a monolayer of spherical scatterers as a function of their size, optical constants, and concentration is carried out. An analysis is performed of the quasi-crystalline approximation of the multiple-wave scattering theory and on the single-scattering approximation (SSA). The results permit determining the limits of applicability of the SSA to the layers with the partial ordering of spherical scatterers in analyzing the phases of the transmitted and the reflected waves. The phase of the transmitted and the reflected waves is investigated in the conditions of the quenching effect. It is shown that in such a case small changes in the refractive index of particles can cause dramatic phase changes. This effect can be used to modulate the light-wave phase, e.g., by electrically controlled composite liquid-crystals films.

Journal Article↗

PubMed2005

Fast computation of the narcissus reflection coefficient for the Herschel far-infrared/submillimeter-wave Cassegrain telescope.

Placement of a scatter cone at the center of the secondary of a Cassegrain telescope greatly reduces Nareissus reflection. To calculate the remaining Narcissus reflection, a time-consuming physical optics code/such as GRASP8 is often used to model the effects of reflection and diffraction. Fortunately, the Cassegrain geometry is sufficiently simple that a combination of theoretical analysis and Fourier propagation can yield rapid, accurate results at submillimeter wavelengths. We compare these results with those from GRASP8 for the heterodyne instrument for the far-infrared on the Herschel Space Observatory and confirm the effectiveness of the chosen scatter cone design.

Journal Article↗

PubMed2006

Coherent optical reflectance from a monolayer of large particles adsorbed on a glass surface.

We develop a coherent-scattering model for the reflection of light from a monolayer of large particles and low surface coverage. The model takes into account multiple scattering between particles of the monolayer and with the substrate, and it can be used around the critical angle in an internal reflection configuration. We compare the results of the model with our own reflectivity data taken with latex particles adsorbed on a glass-water interface and with a simpler effective-medium model.

Journal Article↗