scholarly journals A93 VOLUME OF EMR EXPOSURE IN TRAINING IS CORRELATED WITH POLYPECTOMY COGNITIVE COMPETENCE AMONGST RECENT GASTROENTEROLOGY GRADUATES

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 66-67
Author(s):  
T Jeyalingam ◽  
C M Walsh ◽  
S C Grover ◽  
S Heitman ◽  
J Mosko

Abstract Background Competence in performing polypectomy is increasingly appreciated as a colonoscopy quality metric, as incomplete resection can lead to post-colonoscopy colorectal cancer, particularly for polyps removed using piecemeal endoscopic mucosal resection (EMR). The relationship between training experiences and cognitive competence in polypectomy has not been previously described. Aims We aimed to examine associations between training and assessment experiences, self-reported comfort, and cognitive competence in polypectomy amongst recent graduates of Canadian gastroenterology training programs. Methods An online survey was distributed to recent GI graduates (≤5 years in independent practice). The survey comprised 4 sections: (1) demographics; (2) training and assessment experiences in colonoscopy, polypectomy, and EMR; (3) self-reported comfort in performing aspects of polypectomy outlined in the Direct Observation of Polypectomy Skills Assessment Tool; and (4) performance on a 22-item multiple choice quiz intended to assess cognitive competence in polypectomy (items and correct responses to which were determined a priori based on agreement of two experts). Data was analyzed using descriptive statistics and associations between predictors (demographics, training/assessment experiences, self-reported comfort) and outcomes (quiz score) were assessed using multiple linear regression. Results There were 28 survey respondents, comprising 13 (46%) who trained in advanced endoscopy, 5 (18%) in hepatology, 2 (7%) in motility, 1 (4%) in IBD, 1 (4%) in nutrition, and 6 (21%) with no advanced training. This cohort had a mean (SD) duration in independent practice of 29.0 (18.4) months. Their mean (SD) annual volume of colonoscopy, polypectomy, and EMR in independent practice was 530 (221), 182 (76), 28 (16), respectively and they had completed 525 (203) colonoscopies, 146 (92) polypectomies, and 23 (20) EMRs in their prior training. Their mean (SD) quiz score was 71.9% (13.2%). ANOVA revealed significant score differences based on fellowship history, with those trained in advanced endoscopy achieving the highest scores (81.1%, P=0.01). Multiple linear regression revealed that the number of EMRs completed during training was significantly correlated with quiz performance (B=0.60, P=0.03). Conclusions EMR experience during training appears to be associated with cognitive competence in polypectomy in independent practice. These results suggest increasing exposure to EMR in training may improve polypectomy quality amongst practicing endoscopists. Funding Agencies CAG

2020 ◽  
Author(s):  
RYAN WAI KHEONG LEE ◽  
LOY SEE LING ◽  
YANG LIYING ◽  
JERRY CHAN KOK YEN ◽  
TAN LAY KOK

Abstract BackgroundCOVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore.Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity , education , front-line jobs, history of miscarriage and type of antenatal clinic (general , high risk).ResultsA total of 167 survey responses were obtained over eight weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n=127), were of Chinese ethnicity (55%, n=91), attained tertiary education (62%, n=104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home.ConclusionSocial demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental wellbeing.


2021 ◽  
Vol 8 ◽  
Author(s):  
Lori Kogan ◽  
Regina Schoenfeld-Tacher ◽  
Patrick Carney ◽  
Peter Hellyer ◽  
Mark Rishniw

Objective: To assess the impact of on-call duties on veterinarians' job satisfaction, well-being and personal relationships.Design: Cross-sectional survey.Sample: The sample was obtained from Veterinary Information Network (VIN) members in private practice within the United States.Procedures: A link to an anonymous online survey was distributed via an email invitation to all Veterinary Information Network (VIN) members with access from August 15, 2017 to October 21, 2017.Results: A total of 1,945 responses were recorded. The majority of those who reported having on-call duties were female associates. Composite scales were created to assess the impact of on-call shifts on job satisfaction and well-being. Multiple linear regression was conducted and found that gender (p = 0.0311), associate status (p < 0.0001), and age (p = 0.0293) were all significantly associated with on-call related job satisfaction. Additionally, multiple linear regression found that gender (p = 0.0039), associate status (p < 0.0057), and age (p < 0.0001) were all significantly associated with on-call related well-being. On-call shifts were reported by many to have a negative impact on job satisfaction and well-being; this was especially pronounced for female associates. Females had on-call related job satisfaction scores that were, on average, 1.27 points lower than that of males (lower scores equates to lower job satisfaction). Further, females' average on-call related well-being scores were 1.15 points higher than that of males (lower scores equates to higher well-being).Conclusions and Clinical Relevance: This study suggests that on-call shifts have a negative impact on veterinarian job satisfaction, well-being and personal relationships. The negative impact on job satisfaction and well-being is greatest for female associates. Veterinary medicine has been identified as a stressful occupation that can lead to psychological distress. It is therefore important to critically assess current practices that appear to increase stress and reduce emotional well-being. For this reason, it is suggested that veterinary hospitals explore alternative options to traditional on-call shifts.


2020 ◽  
Vol 1 (2) ◽  
pp. 107-116
Author(s):  
Chandra Arifianto ◽  
Mutawali ◽  
Heny Subekti

This study explored the concept of Organizational Citizenship Behavior (OCB) in relation to student employees. The dimensions of religiosity is used as an independent variable in this study. This study expands the extant research by examining OCB of student employees, where very few studies exist. For this research 174 student employees completed an online survey, where we looked to identify correlations between OCB and three dimensions: participation, importance and meaning. Data collection in this study used a qustionnaire that developed a variable of religiosity totaling 9 items and variables totaling 15 items which isusing multiple linear regression. The statistically significant correlation between three of these dimensions and OCB will help campusidentify and encourage OCB in their student employees. The result of study shows that there is effect of the participation dimension (XL) and the meaning dimension (X3), but there is no efect of the meaning dimension (X3) on OCB.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ryan Wai Kheong Lee ◽  
See Ling Loy ◽  
Liying Yang ◽  
Jerry Kok Yen Chan ◽  
Lay Kok Tan

Abstract Background COVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore. Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity, education, front-line jobs, history of miscarriage and type of antenatal clinic (general, high risk). Results A total of 167 survey responses were obtained over 8 weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n = 127), were of Chinese ethnicity (55%, n = 91), attained tertiary education (62%, n = 104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home. Conclusion Social demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental well being.


2021 ◽  
Vol 10 (1) ◽  
pp. 6-13
Author(s):  
Pawan Sharma ◽  
Swarndeep Singh ◽  
Umakanta Tiwari ◽  
Rahul Ranjan ◽  
Nabin Lekhak ◽  
...  

Introduction: The current COVID-19 pandemic has increased emotional and physical toll on healthcare workers. The burnout among doctors could be another psychological outcome due to this. Considering the dearth of literature we planned this study with an aim to explore burnout and its correlates among medical doctors of Nepal. Material And Method: An online survey using a cross-sectional design and purposive sampling was conducted during the lock-down due to COVID-19 pandemic in Nepal. The tools used were basic proforma, Copenhagen Burn out Inventory (CBI) and Perceived Stress Scale (PSS). Descriptive and inferential statistical analysis (bivariate analysis followed by multiple linear regression) was performed with an objective to study prevalence of burnout and its correlates among the medical doctors. Results: The average age of participants was 30.44 years with the majority being male. All the study participants reported moderate to severe level of perceived stress. Around half of them reported moderate to high burnout. The multiple linear regression analyses showed that perceived stress, and working in surgical department were significant correlates for personal and work-related burnout among medical doctors. Additionally, being front-line worker was a significant correlate for client-related burnout. Conclusion: The burden and severity of burnout and perceived stress reported by the medical doctors during COVID-19 pandemic in the present study, suggests it to be an important mental health issue in Nepal. Suitable interventions for targeting this urgent issue of effectively reducing the burnout are warranted.


2020 ◽  
Author(s):  
RYAN WAI KHEONG LEE ◽  
LOY SEE LING ◽  
YANG LIYING ◽  
JERRY CHAN KOK YEN ◽  
TAN LAY KOK

Abstract BackgroundCOVID-19 may predispose pregnant women to higher risks of severe disease and poorer neonatal outcome. Psychological sequalae of this pandemic may pose a greater conundrum than its clinical aspects. It is currently unknown that how pregnant women cope with this global pandemic and its ramifications. The aims of the study are to understand the attitudes and precaution practices of non-infected pregnant women towards the COVID-19 outbreak in Singapore.Methods An online cross-sectional survey of COVID-19 awareness among pregnant women attending antenatal clinics in Singapore was conducted. An internet link was provided to complete an online electronic survey on Google platform using a quick response (QR) code on mobile devices. The online survey consists of 34 questions that were categorized into 4 main sections, namely 1) social demographics 2) attitude on safe distancing measures 3) precaution practices and 4) perceptions of COVID-19. Multiple linear regression analysis was performed to examine women’s precaution practices among six independent socio-demographic variables, including age, ethnicity , education , front-line jobs, history of miscarriage and type of antenatal clinic (general , high risk).ResultsA total of 167 survey responses were obtained over eight weeks from April to June 2020. The majority of women were aged ≤35 years (76%, n=127), were of Chinese ethnicity (55%, n=91), attained tertiary education (62%, n=104) and were not working as frontline staff (70%). Using multiple linear regression models, Malay ethnicity (vs. Chinese, β 0.24; 95% CI 0.04, 0.44) was associated with higher frequency of practicing social distancing. Malay women (β 0.48; 95% CI 0.16, 0.80) and those who worked as frontline staff (β 0.28; 95% CI 0.01, 0.56) sanitized their hands at higher frequencies. Age of ≥36 years (vs. ≤30 years, β 0.24; 95% CI 0.01, 0.46), Malay (vs. Chinese, β 0.27; 95% CI 0.06, 0.48) and Indian ethnicity (vs. Chinese, β 0.41; 95% CI 0.02, 0.80), and attendance at high-risk clinic (vs. general clinic, β 0.20; 95% CI 0.01, 0.39) were associated with higher frequency of staying-at-home.ConclusionSocial demographical factors including age > 36 years old, Malay ethnicity, employment in front line jobs and attendance at high-risk clinics are likely to influence the attitudes and precaution practices among pregnant women towards COVID-19 in Singapore. Knowledge gained from our cross-sectional online survey can better guide clinicians to communicate better with pregnant women. Hence, it is important for clinicians to render appropriate counselling and focused clarification on the effect of COVID-19 among pregnant women for psychological support and mental wellbeing.


2019 ◽  
Vol 5 (4) ◽  
pp. 247-255 ◽  
Author(s):  
D. Deruytter ◽  
C.L. Coudron ◽  
S. Teerlinck

In an industrialised mealworm farm it is important to maximise the production and to know the number of mealworms in each container as early as possible in a fast and reliable way. Two experiments were performed. The first experiment assessed the influence of the number of beetles, crate surface area and oviposition time on the number produced mealworms. A full factorial design was used with 11 beetle densities (between 2.3-300 mg beetles/cm2), 5 oviposition times (from 1-14 days) and 4 different crate sizes (between 250-2,000 cm2). In the second experiment, the influence of cannibalism on the number of produced mealworms was assessed via an alternative oviposition method that prohibited cannibalism. Multiple linear regression was used to model the results. The results indicate that the number of beetles, oviposition time and surface area could predict the number of produced mealworms well. An increase in one of the three parameters increased the number of produced mealworms without reaching an optimum. Furthermore, the number of beetles and the oviposition time can be combined in one parameter, beetledays with minimal loss of predictive power of the model. Nevertheless, the number of produced mealworms per female did decline rapidly with increasing oviposition time and density. The latter is, at least in part, due to cannibalism, as the second experiment indicates that the density effect is almost eliminated when the beetles are unable to reach their eggs. In conclusion, this study indicates that it is possible to construct a formula that can be used to a priori determine the final number of produced mealworms based on the number of beetles, surface area and oviposition time and that cannibalism can greatly reduce the number of produced mealworms. Reducing cannibalism can greatly increase the efficiency and therefore production of a mealworm farm.


1985 ◽  
Vol 10 (3) ◽  
pp. 223-238 ◽  
Author(s):  
Ronald C. Serlin ◽  
Joel R. Levin

Multiple linear regression is a versatile model for encompassing analysis of variance, analysis of covariance, and aptitude-by-treatment interaction designs. The question of how to teach the coding of levels of a qualitative variable is addressed in this paper. Although a variety of coding schemes will produce invariant omnibus statistical results for a given set of data, one’s interpretation of treatment effects and treatment differences depends on the particular code values chosen. A general procedure is presented that allows the user to generate, on an a priori basis, code values that result in directly interpretable estimates of interest.


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