scholarly journals THE IRONIES OF MANDATORY PLACEMENT

2000 ◽  
Vol 24 (10) ◽  
pp. 823-838 ◽  
Author(s):  
Craig Hadden
Keyword(s):  
2012 ◽  
Vol 126 (4) ◽  
pp. 340-344 ◽  
Author(s):  
M M Khan ◽  
S R Saeed

AbstractObjectives:Despite longstanding concern, provision of undergraduate ENT teaching has not improved in response to the aims of the UK General Medical Council's initiativeTomorrow's Doctors. Previous studies have demonstrated poor representation of ENT within the undergraduate curriculum. We aimed to identify current practice in order to establish undergraduate ENT experience across UK medical schools, a timely endeavour in light of the General Medical Council's new 2011–2013 education strategy.Method:Questionnaires were sent to ENT consultants, medical school deans and students. All schools with a clinical curriculum were anonymously represented. Our outcome measures were the provision of mandatory or optional ENT placements, and their duration and content.Results:A compulsory ENT placement was available to over half (53 per cent) of the students. Ten of the 26 participating schools did not offer an ENT attachment. The mean mandatory placement was 8 days. Overall, 38 per cent of students reported a satisfactory compulsory ENT placement. Most ENT consultants questioned considered that newly qualified doctors were not proficient in managing common ENT problems that did not require specialist referral.Conclusions:Little improvement in the provision of undergraduate ENT teaching was demonstrated. An increase in the proportion of students undertaking ENT training is necessary. Time and curriculum constraints on medical schools mean that optimisation of available resources is required.


Author(s):  
Alexey D. Zhukov ◽  
Karapet A. Ter-Zakaryan ◽  
Igor V. Bessonov ◽  
Vyacheslav S. Semenov ◽  
Alexey V. Starostin

The article presents studies of the exploitation characteristics of the material, the results of a full-scale survey of a residential private house insulated with expanded polyethylene, as well as the main design solutions for the insulation of a frame cottage. The features of insulation systems of low-rise buildings, including those with a frame-bearing carrier system, are considered. It has been substantiated that the use as thermal insulation of mineral-wool plates used on non-loaded structures assumes the mandatory placement of vapor barrier (usually plastic film) from the inside of the insulated surface and the windproof membrane outside. The use of a rolled foamed polyethylene as an insulating material makes it possible to realize an insulating sheath without additional layers. Experimental determinations of diffusion moisture absorption, water absorption upon partial immersion in water, water absorption upon full immersion in water, tensile strength in the longitudinal direction, and adhesion strength of the adhesive layer to metal were performed. It was established that the diffusion moisture absorption of samples of expanded polyethylene is 0.51-0.75%, and taking into account the weld it is 0.70-0.75%. Water absorption of samples when fully immersed in water does not exceed 0.96% by volume. The tensile strength in the longitudinal direction for products with a metallized coating is 80-92 kPa, without a metallized coating - 80-87 kPa, and for a weld - 29-32 kPa. A field survey showed that the humidity of the pine timber is within the normative. The expediency of warming only the outer coating of expanded polyethylene of the calculated thickness without filling the frame is justified, which, with standard air exchange and observance of the conditioning conditions, will be sufficient to maintain the microclimate in the room.


PEDIATRICS ◽  
1990 ◽  
Vol 85 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Garen J. Wintemute ◽  
Mona A. Wright

Training in cardiopulmonary resuscitation for pool owners and mandatory placement of a barrier around pools, two commonly suggested strategies for prevention of drowning, will depend, in part, on the support of pool owners to be successfully implemented. To measure this support, an equal probability sample of 795 Sacramento County households with pools was surveyed. An 80% response rate was achieved. A large majority (86%) favored voluntary cardiopulmonary resiscitation training, and a plurality (40%) favored required cardiopulmonary resuscitation certification for poo1 owners. However, 61% opposed a universal barrier requirement, and 49% objected to a barrier requirement for new pools only. Respondents with small children at home were more likely (P = .0001) to support a required barrier. The previous occurrence of a significant immersion event had surprisingly little effect. The results suggest some specific directions for programs to prevent swimming pool drownings.


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