The Hand Surgeon Consultation Improves Patient Knowledge in a Hand Surgery Mission to Honduras

2018 ◽  
Vol 23 (01) ◽  
pp. 11-17 ◽  
Author(s):  
Marc E. Walker ◽  
Carolyn Chuang ◽  
Craig R. Moores ◽  
Matthew L. Webb ◽  
Samuel D. Buonocore ◽  
...  
Keyword(s):  
Group Versus ◽  
Hand Surgery ◽  
Standard Of Care ◽  
Hand Surgeon ◽  
Surgical Mission ◽  
Communication Difficulties ◽  
The University ◽  
Quiz Score ◽  
Patient Retention ◽  
Insight Into

Background: The purpose of this study was to assess impact of the surgeon consultation and informed consent process on patient education in an international hand surgery mission compared with a US academic hand surgery practice. These two groups were selected to evaluate communication difficulties in a surgical mission setting compared with standard of care in a high-income country. Methods: A multi-part survey was administered to patients presenting to a hand surgery mission during March 2012 and new patients of a university hand center in a 3-month period during 2011. Surveys were administered prior to and following surgeon consultation with one fellowship-trained hand surgeon. The survey assessed knowledge of basic hand anatomy, physiology, disease, individual diagnosis, and surgical risks. Results: 71 patients participated in the study (university n=36, mission n=35). Pre-consultation quiz score averaged 58% in the university group versus 27% in the mission group. Post-consultation quiz scores averaged 62% in the university group versus 40% in the mission group. Only the mission group’s quiz score increase was statistically significant. 93% of the university group reported learning about their condition and diagnosis, but only 40% demonstrated correct insight into their diagnosis. In the mission group, 73% reported learning about their condition and diagnosis while 53% demonstrated correct insight into their diagnosis. Although all consultations involved discussion of surgical risks, only 62% of the university group and 52% of the mission group recalled discussing surgical risks. Conclusions: The hand surgeon consultation was more effective in improving hand knowledge in the surgery mission group compared to in a university hand practice. This suggests that the surgeon consultation should be pursued despite communication barriers in surgical missions. However, the discrepancy between patient perception of knowledge gains and correct insight into diagnosis, and the deficit of patient retention of surgical risks need to be improved.

The Role of Industry-Academia Collaborative Research in Mineral Exploration

2020 ◽  
Author(s):  
James Marlatt
Keyword(s):  
Collaborative Research ◽  
New Technologies ◽  
Mineral Exploration ◽  
Board Members ◽  
Technological Innovations ◽  
Development Programs ◽  
The University ◽  
Insight Into ◽  
Economic Mineral

ABSTRACT Many people may not be aware of the extent of Kurt Kyser's collaboration with mineral exploration companies through applied research and the development of innovative exploration technologies, starting at the University of Saskatchewan and continuing through the Queen's Facility for Isotope Research. Applied collaborative, geoscientific, industry-academia research and development programs can yield technological innovations that can improve the mineral exploration discovery rates of economic mineral deposits. Alliances between exploration geoscientists and geoscientific researchers can benefit both parties, contributing to the pure and applied geoscientific knowledge base and the development of innovations in mineral exploration technology. Through a collaboration that spanned over three decades, we gained insight into the potential for economic uranium deposits around the world in Canada, Australia, USA, Finland, Russia, Gabon, Namibia, Botswana, South Africa, and Guyana. Kurt, his research team, postdoctoral fellows, and students developed technological innovations related to holistic basin analysis for economic mineral potential, isotopes in mineral exploration, and biogeochemical exploration, among others. In this paper, the business of mineral exploration is briefly described, and some examples of industry-academic collaboration innovations brought forward through Kurt's research are identified. Kurt was a masterful and capable knowledge broker, which is a key criterion for bringing new technologies to application—a grand, curious, credible, patient, and attentive communicator—whether talking about science, business, or life and with first ministers, senior technocrats, peers, board members, first nation peoples, exploration geologists, investors, students, citizens, or friends.

scholarly journals Chemical, Mechanical, and Heat Cleaning to Decontaminate Hospital Drains Harboring Carbapenemase-Producing Enterobacteriales

2020 ◽  
Vol 41 (S1) ◽  
pp. s466-s467
Author(s):  
Alainna Juliette Jamal ◽  
Rajni Pantelidis ◽  
Rachael Sawicki ◽  
Angel Li ◽  
Wayne Chiu ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Controlled Trial ◽  
Intervention Group ◽  
Group Versus ◽  
Brain Heart Infusion ◽  
Standard Of Care ◽  
Rt Pcr ◽  
Comparator Group ◽  
Carbapenemase Gene ◽  
Cleaning Intervention

Background: Carbapenemase-producing Enterobacteriales (CPE) outbreaks have been linked to contaminated wastewater drainage systems in hospitals. The optimal strategy for CPE decontamination of drains is unknown. In this randomized controlled trial, we aimed to determine whether combining chemical, mechanical, and heat cleaning was superior to routine cleaning for drain decontamination. Methods: We enrolled CPE-contaminated hospital drains at 2 geographic locations. Eligible drains were those initially found to be culture positive in a 2017 study and that remained positive (by RT-PCR) when retested twice in August 2018. Drains were stratified by type (sink versus shower) and randomized with a 1:1 allocation ratio (as per computer-generated randomization) to standard-of-care cleaning (comparator) or combined chemical, mechanical, and heat cleaning (intervention) on day 0. Drain tail pieces were swabbed on days 0 (before administration of the intervention), 1, 2, 3, 7, and 14, and at months 1, 2, 3, 4, 5, and 6. Swabs were placed into brain heart infusion with 10% Dey-Engley neutralizing broth and incubated overnight. Direct RT-PCR was performed to detect KPC, VIM, NDM, OXA-48–like, IMP, GES, and SME genes. The primary outcome was drain decontamination, defined as no detectable carbapenemase gene in the drain from day 1 to 7 (inclusive). Results: Overall, 33 CPE-contaminated drains were enrolled (7 sink and 26 shower); 17 and 16 drains were randomized to the intervention and comparator, respectively. Moreover, 12 (36%) drains met the primary outcome of decontamination, 18 (55%) remained contaminated, and 3 (9%) could not be assessed. Among drains that could be assessed, 11 of 15 (74%) in the intervention group met the primary outcome of decontamination compared to 1 of 15 (7%) in the comparator group (P = .0005). Of the 11 drains in the intervention group that were decontaminated, the carbapenemase gene present at enrollment was subsequently detected in 10 (91%): 1 (10%) at day 14, 3 (30%) at month 1, 4 (40%) at month 3, 1 (10%) at month 4, and 1 (10%) at month 6. The median time to a swab yielding CPE was 1 day in the comparator group versus 14 days in the intervention group (Fig. 1). Overall, 24 drains (73%) had a carbapenemase gene (that was not detectable at enrollment) appear in the follow-up. Of patients identified as CPE colonized or infected during this study, none occupied rooms with these drains. Conclusions: Chemical, mechanical, and heat cleaning were superior to standard cleaning for CPE decontamination of hospital drains at 7 days, but these trends were not sustained. Such cleaning may be useful if applied repeatedly.Funding: NoneDisclosures: Allison McGeer reports funds to her institution for studies for which she is the principal investigator from Pfizer and Merck as well as consulting fees from Sanofi-Pasteur, Sunovion, GSK, Pfizer, and Cidara.

scholarly journals Challenges for Change Agents. Best Practices at the University Library of Freie Universität Berlin

ABI-Technik ◽  
2020 ◽  
Vol 40 (4) ◽  
pp. 357-364
Author(s):  
Martin Lee ◽  
Christina Riesenweber
Keyword(s):  
Best Practices ◽  
Change Agents ◽  
Large Change ◽  
University Library ◽  
The Future ◽  
The University ◽  
Insight Into

AbstractThe authors of this article have been managing a large change project at the university library of Freie Universität Berlin since January 2019. At the time of writing this in the summer of 2020, the project is about halfway completed. With this text, we would like to give some insight into our work and the challenges we faced, thereby starting conversations with similar undertakings in the future.

Future Perioperative Registered Nurses: An Insight into a Perioperative Programme for Undergraduate Nursing Students

2008 ◽  
Vol 18 (10) ◽  
pp. 432-435 ◽  
Author(s):  
Karen Clark-Burg
Keyword(s):  
Nursing Students ◽  
Undergraduate Curriculum ◽  
Undergraduate Nursing Students ◽  
Perioperative Nursing ◽  
Undergraduate Nursing ◽  
Operating Room Nurses ◽  
The University ◽  
University Training ◽  
Nursing Training ◽  
Insight Into

An Australian College of Operating Room Nurses (ACORN) submission (ACORN 2002–2008) recently stated that the specialities that suffered significantly from the transition of hospital-based nursing training to university training were the perioperative specialty, critical care and emergency. The main reason for this was that perioperative nursing was not included in the undergraduate nursing curriculum. Less than a handful of universities in Australia offer the subject as a compulsory unit. The University of Notre Dame Australia (UNDA) is one of these universities. This paper will provide an insight into the perioperative nursing care unit embedded within the Bachelor of Nursing (BN) undergraduate curriculum.

Distributed Cognition and Temporal Knowledge in League of Legends

2018 ◽  
Vol 10 (1) ◽  
pp. 23-41
Author(s):  
Jason Ginsberg Reitman
Keyword(s):  
High Pressure ◽  
Video Game ◽  
Distributed Cognition ◽  
Temporal Information ◽  
University Of California ◽  
Competitive Environment ◽  
The University ◽  
League Of Legends ◽  
Insight Into

Elite video game competition provides a setting for studying how digitally connected teams handle massive amounts of information that no individual could manage on their own. This article discusses observations of the University of California, Irvine's scholarship League of Legends teams' practices and competitions from fall 2016 through spring 2017. The observations explore the nature of distributed cognition of time and temporal information in a high-pressure, competitive environment. The capacity and strategies of these teams to maintain high levels of coordination, while sitting at desktops for hours at a time, can provide insight into how other kinds of teams might learn to collaborate skillfully in networked settings.

Athletes Play Through Pain—What Does That Mean for Rehabilitation Specialists?

2020 ◽  
Vol 29 (5) ◽  
pp. 640-649 ◽  
Author(s):  
Amy Barrette ◽  
Katherine Harman
Keyword(s):  
Well Being ◽  
Short Term ◽  
Semistructured Interviews ◽  
Sport Organization ◽  
The University ◽  
E Mail ◽  
Competitive Nature ◽  
And Training ◽  
Insight Into

Context: Pain in sport has been normalized to the point where athletes are expected to ignore pain and remain in the game despite the possible detrimental consequences associated with playing through pain. While rehabilitation specialists may not have an influence on an athlete’s competitive nature or the culture of risk they operate in, understanding the consequences of those factors on an athlete’s physical well-being is definitely in their area of responsibility. Objective: To explore the factors associated with the experiences of subelite athletes who play through pain in gymnastics, rowing, and speed skating. Design: The authors conducted semistructured interviews with subelite athletes, coaches, and rehabilitation specialists. They recruited coach participants through their provincial sport organization. Athletes of the recruited coaches who were recovering from a musculoskeletal injury and training for a major competition were then recruited. They also recruited rehabilitation specialists who were known to treat subelite athletes independently by e-mail. Setting: An observation session was conducted at the athlete’s training facility. Interviews were then conducted either in a room at the university or at a preferred sound-attenuated location suggested by the participant. Participants: The authors studied 5 coaches, 4 subelite athletes, and 3 rehabilitation specialists. Interventions: The authors photographed athletes during a practice shortly before an important competition, and we interviewed all the participants after that competition. Our photographs were used during the interview to stimulate discussion. Results: The participant interviews revealed 3 main themes related to playing through pain. They are: Listening to your body, Decision making, and Who decides. Conclusion: When subelite athletes, striving to be the best in their sport continue to train with the pain of an injury, performance is affected in the short-term and long-term consequences are also possible. Our study provides some insight into the contrasting forces that athletes balance as they decide to continue or to stop.

scholarly journals Arne Noe-Nygaard 30/7/1908 – 3/6/1991

1991 ◽  
Vol 152 ◽  
pp. 9-10
Author(s):  
K Ellitsgaard-Rasmussen
Keyword(s):  
Geological Museum ◽  
Great Insight ◽  
The University ◽  
Insight Into

Arne Noe-Nygaard died on June 3rd 1991, almost 81 years old; he had then been active as a geologist for 64 years. From 1942 until his retirement in 1978 Noe Nygaard was attached to the University of Copenhagen, as Director of the Mineralogical Museum (now Geological Museum), 1969–77 as Professor of Mineralogy, 1942–69, and as Professor of Dynamic Geology, 1969–78. Noe-Nygaard's great insight into the multifarious world of geology, combined with his friendly, sincere and extrovert nature, made him many influential contacts.

scholarly journals Poetry in Teaching Grammar to the Advanced Users of Polish as a FL

2019 ◽  
Vol 5 (1) ◽  
pp. 55-72
Author(s):  
Marzena S. Wysocka
Keyword(s):  
Language Awareness ◽  
Teaching Literature ◽  
Advanced Learners ◽  
Language And Culture ◽  
Teaching Context ◽  
Polish Language ◽  
The University ◽  
Written Assignments ◽  
Teaching Grammar ◽  
Insight Into

The article offers an insight into problematic issues the advanced learners of Polish as a FL cope with in terms of grammar in speaking and writing. It opens with a brief insight into teaching literature, poetry including, in a FL classroom. What follows includes types of poems and their potential to be used in the teaching context, mainly when teaching grammar. Having presented  the scope of linguistic problems experienced by the users of Polish as a FL, the type and frequency of grammatical problems are discussed. Polish grammar-based issues the foreigners struggle with constituted the main area of the research conducted among 146 students of the Polish Language Course attending the School of Polish Language and Culture at the University of Silesia in Katowice, Poland. The findings come from oral and written assignments produced by the sample in question, and, most frequently, reflect grammatical mistakes that are persistent and difficult to eliminate from the linguistic repertoire. Given that,  ways of using poetry as a means of a “grammar refresher” are suggested. These include a few examples of activities based on poems to be used  when trying to overcome particular linguistic difficulties, together with implications for teachers raising students’ language awareness and developing reflection on language per se.

scholarly journals “No me des el pescado, enséñame a pescar” “Do not hand me fish, teach me how to fish” Community Lawyering in Puerto Rico: Promoting empowerment and self-help

2014 ◽  
Vol 12 ◽  
pp. 83
Author(s):  
Myrta Morales-Cruz
Keyword(s):  
Community Development ◽  
Fish Community ◽  
Legal Aid ◽  
Self Help ◽  
Development Section ◽  
The People ◽  
The University ◽  
Insight Into ◽  
Special Meaning

<p>Law 232 of August 27, 2004 has a special meaning to the people residing in some of Puerto Rico's poorest communities. It was the result of the hard work, during a period of a year and a half, of leaders from some of these communities and my students, the students of the community development section of the Legal Aid Clinic of the University of Puerto Rico’s School of Law. The story of Law 232 can provide insight into what the role of a lawyer can be in the battle against poverty. To understand the story of this Puerto Rican law, one has to go back to August of 2002. During that month the University of Puerto Rico's School of Law Legal Aid Clinic inaugurated its community development section.</p>

scholarly journals Specialist Clinical Legal Education: An Australian Model

2014 ◽  
Vol 3 ◽  
pp. 67 ◽  
Author(s):  
Susan Campbell ◽  
Alan Ray
Keyword(s):  
Subject Matter ◽  
Family Law ◽  
Legal Education ◽  
Legal Issues ◽  
Legal Subject ◽  
Grass Roots ◽  
Legal Problems ◽  
The University ◽  
Insight Into ◽  
Australian Universities

<p>Clinical legal education in Australia traditionally has been based in generalist clinics, where the client and caseload intake is limited primarily by the financial means of clients rather than by the legal subject matter of their problems. The breadth and variety of legal problems which confront clinic students provide insight into and understanding of the operation of the legal system at the grass roots and the legal issues raised rarely seem to reflect directly the law the students have learnt in the classroom.</p><p>In recent years, for both educational and political reasons, Australian Universities have begun to develop specialised clinics, serving clients with problems in a particular area of law.</p><p>This article describes the operation of Monash’s specialised Family Law clinic and considers the factors which, in the Monash experience, have combined to ensure its stability and recognition, within the University and in the broader political context.</p>

Sign in / Sign up

Export Citation Format

Share Document