Results of the One-Year Cluster Pilot Project

Author(s):  
Kimmo Koski ◽  
Jussi Heikonen ◽  
1Jari Miettinen ◽  
Hannes Niemi ◽  
Juha Ruokolainen ◽  
...  
Keyword(s):  
One Year ◽  
2020 ◽  
Vol 36 (S1) ◽  
pp. 10-10
Author(s):  
Vigdis Lauvrak ◽  
Kelly Farrah ◽  
Rosmin Esmail ◽  
Anna Lien Espeland ◽  
Elisabet Hafstad ◽  
...  

IntroductionIn 2019, the Norwegian Institute for Public Health and Canadian Agency for Drugs and Technologies in Health (CADTH) received support from HTAi to produce a quarterly current awareness alert for the HTAi Disinvestment and Early Awareness Interest Group in collaboration with the HTAi Information Retrieval Interest Group. The alert focuses on methods and topical issues, and broader forecasts of potentially disruptive technologies that may be of interest to those involved in horizon scanning and disinvestment initiatives in health technology assessment (HTA).MethodsInformation specialists at both agencies developed search strategies for disinvestment and for horizon scanning in PubMed and Google. The template for the alert was based on an e-newsletter developed by the Information Retrieval Interest Group. Information specialists and researchers reviewed the monthly (PubMed) and weekly (Google) search results and selected potentially relevant publications. Additional sources were also identified through regular HTA and horizon scanning work.ResultsAlerts are posted quarterly on the HTAi Interest Group website; members receive an email notice when new alerts are available. While the revised PubMed searches are identifying relevant information, Google alerts have been disappointing, and this search may need to be revised further or dropped. When the one-year pilot project ends, in Fall 2020, interest group members will be surveyed to see if the alerts were useful, and whether they have suggestions for improving them.ConclusionsCollaborating on this alert service reduces duplication of effort between agencies, and makes new research in horizon scanning and disinvestment more accessible to colleagues in other agencies working in these areas.


Author(s):  
Eleanor D Msidi ◽  
Moses Sinkala ◽  
Amy Bositis ◽  
Thomasine Guberski ◽  
Patrick Katayamoyo ◽  
...  

This article describes the implementation and evaluation of a program to prepare HIV Nurse Practitioners in Zambia. Thirty nurses from all nine Zambian provinces participated in this program. Data on a variety of indicators were collected at baseline and throughout the one-year program including student and supervisor assessments, student performance on pre- and post-tests, clinical and case study assessments, documentation of care in patients’ health records, and their performance on final oral and written examinations. Findings indicated that the students were able to achieve the identified competencies and that their supervisors perceived that they would be able to implement their expanded skills to improve care for patients with HIV and AIDS in Zambia. Lessons learned from this initial pilot project will be used to expand the program in order to ensure successful task-shifting to address the critical shortage of health workers in Zambia in the context of the HIV/AIDS epidemic.


2020 ◽  
Vol 7 ◽  
pp. 238212052095968
Author(s):  
Ajay Sampat ◽  
Danielle Larson ◽  
George Culler ◽  
Danny Bega

Background: Mentorship is critical for achieving success in academic medicine and is also considered one of the core professional competencies for residency training. Despite its importance, there has been a decline in the mentor-mentee relationship, largely due to time constraints and lack of clear guidelines for productive discussions. We provide a mentorship curriculum with an easily adoptable workbook which may serve as a guide for programs seeking more formalized mentorship opportunities. Methods: We created a mentorship curriculum that was divided into 4 quarterly sessions, each with topics to facilitate career guidance and development, and to provide insight into the practical aspects of business of medicine. The mentorship pilot curriculum was implemented during the 2017 to 2018 academic year. Specific questions were provided to stimulate reflection and appropriate discussion between resident mentee and faculty mentor. A post-curriculum survey was distributed to evaluate the effectiveness and satisfaction of the curriculum. Results: A total of 23 residents participated in this pilot project. A majority had not had any formal teaching related to the business aspects of medicine (82%). Upon completion of the curriculum, most residents felt several topics were sufficiently covered, and a majority were satisfied with the course and relationship developed with their mentor (87%). Conclusions: Our pilot curriculum provides a model to address a knowledge gap in the practical aspects of medicine while simultaneously enhancing residency mentorship. The one-year course was generally well-received by residents and can serve as a model to other academic residency programs with similar challenges and goals.


Author(s):  
Yifan Zhu ◽  
Kuangyuan Hou ◽  
Chung C. Fu ◽  
Naiyi Li ◽  
Ruel E. Sabellano

Joint failure, which causes leakage in bridge decks as well as deterioration in girders and substructures, is one of the most common concerns in highway bridges. Therefore, link slabs have been considered as a preventive maintenance method in eliminating these joints. This paper presents a pilot project that constructed the link slab system in Maryland, U.S., with modified bearings to improve its durability and reduce maintenance costs. Compared with the traditional bearing replacement design for the link slab systems, this project proposes a more economical method by removing the anchor bolts and restricting sliding plates of the fixed bearings at both abutments to match the designed boundary conditions while avoiding the high cost of jacking girders and replacing bearings. Furthermore, numerical analysis and structural health monitoring were conducted and validated to investigate the effectiveness of the link slab design with various high performance concrete materials. After the one-year monitoring period, the link slab system is verified to be in fully functional condition and the bearing modification design is verified to be effective.


Author(s):  
Suzanne Van den Hoogen ◽  
Kristel Fleuren-Hunter

Leisure reading collections were once as integral to academic libraries as they currently are to public libraries. This article examines the results of a partnership between an academic and a public library to provide access to leisure reading materials to a university community through a one-year pilot project. Data were collected using circulation statistics, gate counts, and comment cards in the form of book inserts. During the pilot, gate counts increased by 6%, and 91% of participants indicated that they would continue to use the collection often or sometimes. The pilot was officially adopted as a new service at the end of the one-year trial period. Auparavant, les collections de livres de détente faisaient partie intégrante des bibliothèques académiques tout comme elles font présentement partie des bibliothèques publiques. Cet article présente les résultats d’un partenariat entre une bibliothèque académique et une bibliothèque publique cherchant à donner accès à du matériel de lecture de détente à une communauté universitaire par le biais d’un projet pilote d’un an. Les données ont été recueillies en utilisant des statistiques de prêt, le nombre d’entrées et des commentaires reçus sur des formulaires insérés dans les livres. Durant le projet pilote, le nombre d’entrées a augmenté de 6% et 91% des participants ont indiqué qu’ils continueraient d’utiliser la collection souvent ou à l’occasion. Le projet a été adopté officiellement comme nouveau service suite au pilote d’un an.


2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.


VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Asciutto ◽  
Lindblad

Background: The aim of this study is to report the short-term results of catheter-directed foam sclerotherapy (CDFS) in the treatment of axial saphenous vein incompetence. Patients and methods: Data of all patients undergoing CDFS for symptomatic primary incompetence of the great or small saphenous vein were prospectively collected. Treatment results in terms of occlusion rate and patients’ grade of satisfaction were analysed. All successfully treated patients underwent clinical and duplex follow-up examinations one year postoperatively. Results: Between September 2006 and September 2010, 357 limbs (337 patients) were treated with CDFS at our institution. Based on the CEAP classification, 64 were allocated to clinical class C3 , 128 to class C4, 102 to class C5 and 63 to class C6. Of the 188 patients who completed the one year follow up examination, 67 % had a complete and 14 % a near complete obliteration of the treated vessel. An ulcer-healing rate of 54 % was detected. 92 % of the patients were satisfied with the results of treatment. We registered six cases of thrombophlebitis and two cases of venous thromboembolism, all requiring treatment. Conclusions: The short-term results of CDFS in patients with axial vein incompetence are acceptable in terms of occlusion and complications rates.


2020 ◽  
Vol 63 (3) ◽  
pp. 286-302
Author(s):  
Damian Mowczan ◽  

The main objective of this paper was to estimate and analyse transition-probability matrices for all 16 of Poland’s NUTS-2 level regions (voivodeship level). The analysis is conducted in terms of the transitions among six expenditure classes (per capita and per equivalent unit), focusing on poverty classes. The period of analysis was two years: 2015 and 2016. The basic aim was to identify both those regions in which the probability of staying in poverty was the highest and the general level of mobility among expenditure classes. The study uses a two-year panel sub-sample of unidentified unit data from the Central Statistical Office (CSO), specifically the data concerning household budget surveys. To account for differences in household size and demographic structure, the study used expenditures per capita and expenditures per equivalent unit simultaneously. To estimate the elements of the transition matrices, a classic maximum-likelihood estimator was used. The analysis used Shorrocks’ and Bartholomew’s mobility indices to assess the general mobility level and the Gini index to assess the inequality level. The results show that the one-year probability of staying in the same poverty class varies among regions and is lower for expenditures per equivalent units. The highest probabilities were identified in Podkarpackie (expenditures per capita) and Opolskie (expenditures per equivalent unit), and the lowest probabilities in Kujawsko-Pomorskie (expenditures per capita) and Małopolskie (expenditures per equivalent unit). The highest level of general mobility was noted in Małopolskie, for both categories of expenditures.


2011 ◽  
Vol 15 (2) ◽  
Author(s):  
Peter P. Smith

The United States is in a bind. On the one hand, we need millions of additional citizens with at least one year of successful post-secondary experience to adapt to the knowledge economy. Both the Gates and Lumina Foundations, and our President, have championed this goal in different ways. On the other hand, we have a post-secondary system that is trapped between rising costs and stagnant effectiveness, seemingly unable to respond effectively to this challenge. This paper analyzes several aspects of this problem, describes changes in the society that create the basis for solutions, and offers several examples from Kaplan University of emerging practice that suggests what good practice might look like in a world where quality-assured mass higher education is the norm.


Sign in / Sign up

Export Citation Format

Share Document