Introduction of paediatric laparoscopic cholecystectomy in Scotland: a national review of incidence, outcomes and training implications

2021 ◽  
pp. 003693302199595
Author(s):  
P Sekaran ◽  
AR Ross ◽  
A Rooney ◽  
G Duthie ◽  
M Clarke ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Incidence Rates ◽  
Population Estimates ◽  
Data Series ◽  
National Data ◽  
Common Bile Duct Injury ◽  
Major Morbidity ◽  
National Review ◽  
Training Opportunities ◽  
And Training

Background We present a national data series to determine the incidence, outcomes and training opportunities for laparoscopic cholecystectomy among children <16yrs in Scotland as performed by paediatric surgeons. Methods A retrospective cohort study was performed reviewing laparoscopic cholecystectomy performed at the three children’s hospitals in Scotland. Using the National Records Scotland Database mid-year population estimates; age and sex specific annual incidence rates of laparoscopic cholecystectomy were calculated between 1998-2015. Trends in the observed case mix were tested using univariate linear regression and students t-test. Results Between 1998–2015; 141 paediatric laparoscopic cholecystectomies were performed. The annual rate of cholecystectomy increased from 0.10/100,000 to 0.88/100,000 (p = 0.069). Sex specific incidences were identified; 0.00–0.90/100,000 (p = 0.098) in girls and 0.20–0.86/100,000 in boys (p = 0.28). Cholecystectomy was more frequent in girls (63%; p = 0.04). No major complications, defined as common bile duct injury or mortality were identified. Overall; 75% of cases were performed by consultants (n = 17 consultants, median = 5 cases, p < 0.05) and 25% by trainees. Conclusion We have demonstrated that despite a low national case load (8 laparoscopic cholecystectomies per year) paediatric surgeons have been able to perform laparoscopic cholecystectomy safely without major morbidity.

PROBLEMS OF RURAL GIRL STUDENTS IN HIGHEREDUCATIONAL INSTITUTION

2017 ◽  
Vol 4 (23) ◽  
Author(s):  
A. Selvan
Keyword(s):  
Higher Education ◽  
Tertiary Education ◽  
Educational Institutions ◽  
Growing Up ◽  
Access To Education ◽  
Form Discrimination ◽  
Heads Of State ◽  
Girl Students ◽  
Training Opportunities ◽  
And Training

Higher Education means Tertiary Education, which is under taken in colleges (or) universities, and it may be delivered virtually (or) at a distance. There are a large number of problems that girl student’s face for developing their career potential. Some of the serious problems are as Follows: -Problems related to Home, Educational Institutions, Society, Economic problems, Educational problems. Rural girls belong to disable as per the data, Girl dropout ratio has increase with the enhanced pattern of gender inequality in access to education, which seems to be attainment and from urban to rural and to disadvantaged group in the society.Gender equality and the empowerment of women are gaining ground worldwide. There are more women Heads of state (or) Government then ever and the highest proportion of women serving as government ministers women are excursing ever-greater influence in business. More girls are going to school, and are growing up healthier and better equipped to realize their potential. Girl student’s suffer in many case, both form discrimination and from inequality treatment. It is easy to imagine that the difficulties encountered by rural girl students in obtaining higher education. Providing access to local relevant high-qualities education and training opportunities in critical to retaining rural girl students in Higher Educational Institutions.

Precarious Work and Young Workers in the United States

2018 ◽  
Author(s):  
Arne L. Kalleberg
Keyword(s):  
Labor Market ◽  
The United States ◽  
Young Workers ◽  
Severe Problem ◽  
Precarious Work ◽  
The Great Recession ◽  
The Us ◽  
Training Opportunities ◽  
And Training

This chapter discusses how the growth of precarious work and the polarization of the US labor market have produced major problems for the employment experiences of young workers. A prominent indicator of young workers’ difficulties in the labor market has been the sharp increase in their unemployment rates since the Great Recession. Another, equally if not more severe, problem faced by young workers today is the relatively low quality of the jobs that they were able to get. Other problems include the exclusion of young workers from the labor market and from education and training opportunities; the inability to find jobs that utilize their education, training, and skills; and the inability to obtain jobs that provide them with an opportunity to get a foothold in a career that would lead to progressively better jobs and thus be able to construct career narratives.

Abstract P287: Sex Differences in Stroke Incidence: The REGARDS Study

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Virginia J Howard ◽  
Suzanne E Judd ◽  
Abraham J Letter ◽  
Dawn O Kleindorfer ◽  
Leslie A McClure ◽  
...  
Keyword(s):  
Sex Differences ◽  
Stroke Risk ◽  
Proportional Hazards ◽  
Population Based ◽  
Incidence Rates ◽  
National Data ◽  
Stroke Incidence ◽  
The Difference ◽  
Regards Study

Background: There are strikingly few national data available to describe sex differences in age-specific stroke incidence. Methods: REGARDS is a national, population-based, longitudinal study of black and white participants aged > 45 years old, with oversampling of blacks and residents of the stroke belt. Between 2003 and 2007, 30,239 participants were enrolled and examined; follow-up is every 6 months by telephone for self- or proxy-reported stroke, with retrieval and adjudication of medical records by physicians. This analysis included 27,756 participants with follow up data who had no physician-diagnosed stroke at baseline. Stroke incidence rates were calculated as the number of stroke events divided by the person-years at risk with 95% confidence limits. Proportional hazards models were used to assess the race-specific association of sex with stroke risk by age strata (<65, 65–74, and 75+) after adjustment for socioeconomic factors, and Framingham stroke risk factors. Results: There were 613 incident strokes events over 135,551 person-years of follow-up. Stroke incidence rates increased with age (from 237/100,000 to 1003/100,000), and were higher in men than women in both blacks and whites (left panel of figure). After multivariable adjustment, men had higher risk than women at younger ages (<75) but for the 65–75 age group, the difference is larger for blacks than whites (right panel of figure). Discussion: These national data confirm the patterns in male/female stroke risk observed in the Greater Cincinnati/Northern Kentucky Stroke Study, with smaller sex differences at older ages, and for men, larger excess risk in whites than blacks.

Performance Management

2019 ◽  
pp. 69-87
Keyword(s):  
Job Satisfaction ◽  
Performance Management ◽  
Organisational Culture ◽  
Emotion Management ◽  
Individual Group ◽  
The People ◽  
Emotional Behaviour ◽  
Management Techniques ◽  
Training Opportunities ◽  
And Training

In this chapter, the authors focus on the importance of emotion management within the organisation. While they have previously discussed some general issues related to emotion and emotional behaviour in the workplace, it is now time to reflect on how such topics should converge in performance management techniques. Leaders, and managers in general, are required to nurture the people that are part of the organisation, thus somehow recognising the outcomes, results, and accomplishments achieved by an individual, group or organisation. Favouring an organisational culture that takes into account performance as a way to enhance people's efficiency through feedback and training opportunities, managers can improve job satisfaction and limit employees' turnaround, which in turn create a positive workplace for emotion management.

Records and Archives Management Education and Training Opportunities in Bangladesh

2021 ◽  
pp. 25-41
Author(s):  
Md. Maidul Islam
Keyword(s):  
Information Management ◽  
Education And Training ◽  
Electronic Systems ◽  
Public And Private ◽  
Efficient Management ◽  
Hands On ◽  
National University ◽  
Affiliated Colleges ◽  
Training Opportunities ◽  
And Training

The main aim of this chapter is to contextualize the records and archives management (RAM) education and training opportunities in Bangladesh with a view to identify the opportunities and challenges ahead in this endeavour. Some public and private universities and National University affiliated colleges and institutions are providing RAM education and National Library, National Archives, National Museum of Bangladesh, etc. are providing RAM training opportunities hands on practice in Bangladesh. The author discusses the current curriculum of different academia and need for RAM education and training opportunities as a subset of information management, with an acknowledged impact on the systematic and efficient management of Bangladeshi institutions. The author shows how the focus of RAM have shifted over the recent past from the archival management of unwanted documents, to the management of electronic systems, giving records managers an equal standing with other professionals in the field of information management or knowledge management. The result reveals that training opportunities on RAM have increased the professionals' development in Bangladesh. The author feels this chapter may encourage more such research on RAM system in Bangladesh and beyond.

scholarly journals Resource Exchange: A Case Study

1982 ◽  
Vol 1 (2) ◽  
pp. 55-63 ◽  
Author(s):  
Geoffrey Nelson ◽  
Edward M. Bennett ◽  
James Dudeck ◽  
Richard V. Mason
Keyword(s):  
Public School ◽  
School Board ◽  
Service Organizations ◽  
Resource Exchange ◽  
The Public ◽  
Exchange Program ◽  
The University ◽  
Training Opportunities ◽  
And Training

This paper describes a resource exchange program between two human service organizations: a public school board and a university. This case study illustrates the utility of the concept of resource exchange as a response to pressures for the effective management of limited human resources. With an emphasis on mutual goals, needs, and strengths, the resource exchange program expanded resources available to both organizations. For the public school board, new services in the form of primary, secondary, and tertiary prevention programs were developed. For the university, research and training opportunities were created. Finally, the fragmentation between and within the organizations was reduced in correspondence with their increased mutual interdependence.

scholarly journals A SYSTEMATIC APPROACH TO SPREADING THE WORD ABOUT GERONTOLOGY TRAINING OPPORTUNITIES IN A UNIVERSITY SETTING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S614-S615
Author(s):  
Jeremy B Yorgason
Keyword(s):  
Older Adults ◽  
University Students ◽  
Systematic Approach ◽  
Baby Boom ◽  
Faculty Involvement ◽  
Faculty Committee ◽  
Training Opportunities ◽  
University Setting ◽  
And Training ◽  
Gerontology Program

Abstract Training university students to work in professional gerontology settings is extremely important during an era when the number of older adults is increasing due to the Baby Boom cohort entering their later years. Efforts to reach students are critical given budget and enrollment challenges. Some university students find gerontology resources and training on their own, yet gerontology programs can do much to help students know of opportunities. In this paper, I will share methods that the gerontology program at my university has used to reach out to students and faculty across campus to encourage students to study gerontology. In the last 3 years, student enrollment in this gerontology minor has grown from 65 students housed in 3 colleges, to 275 students housed in 7 colleges. Faculty involvement has grown from a 7-faculty committee, to 61 faculty affiliates. The roles of university resources and fundraising will also be discussed.

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