scholarly journals Perioperative temperature management: a survey of 6 Asia–Pacific countries

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenjun Koh ◽  
Murali Chakravarthy ◽  
Edgard Simon ◽  
Raveenthiran Rasiah ◽  
Somrat Charuluxananan ◽  
...  
Keyword(s):  
Asia Pacific ◽  
Temperature Management ◽  
National Guidelines ◽  
Online Questionnaire ◽  
Management Guidelines ◽  
Limited Temperature ◽  
Prolonged Recovery ◽  
The Individual ◽  
Survey Responses ◽  
Warming Devices

Abstract Background Anesthesia leads to impairments in central and peripheral thermoregulatory responses. Inadvertent perioperative hypothermia is hence a common perioperative complication, and is associated with coagulopathy, increased surgical site infection, delayed drug metabolism, prolonged recovery, and shivering. However, surveys across the world have shown poor compliance to perioperative temperature management guidelines. Therefore, we evaluated the prevalent practices and attitudes to perioperative temperature management in the Asia–Pacific region, and determined the individual and institutional factors that lead to noncompliance. Methods A 40-question anonymous online questionnaire was distributed to anesthesiologists and anesthesia trainees in six countries in the Asia–Pacific (Singapore, Malaysia, Philippines, Thailand, India and South Korea). Participants were polled about their current practices in patient warming and temperature measurement across the preoperative, intraoperative and postoperative periods. Questions were also asked regarding various individual and environmental barriers to compliance. Results In total, 1154 valid survey responses were obtained and analyzed. 279 (24.2%) of respondents prewarm, 508 (44.0%) perform intraoperative active warming, and 486 (42.1%) perform postoperative active warming in the majority of patients. Additionally, 531 (46.0%) measure temperature preoperatively, 767 (67.5%) measure temperature intraoperatively during general anesthesia, and 953 (82.6%) measure temperature postoperatively in the majority of patients. The availability of active warming devices in the operating room (p < 0.001, OR 10.040), absence of financial restriction (p < 0.001, OR 2.817), presence of hospital training courses (p = 0.011, OR 1.428), and presence of a hospital SOP (p < 0.001, OR 1.926) were significantly associated with compliance to intraoperative active warming. Conclusions Compliance to international perioperative temperature management guidelines in Asia–Pacific remains poor, especially in small hospitals. Barriers to compliance were limited temperature management equipment, lack of locally-relevant standard operating procedures and training. This may inform international guideline committees on the needs of developing countries, or spur local anesthesiology societies to publish their own national guidelines.

scholarly journals Public Roads as Places of Interspecies Conflict: A Study of Horse-Human Interactions on UK Roads and Impacts on Equine Exercise

Animals ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 1072
Author(s):  
Danica Pollard ◽  
Tamzin Furtado
Keyword(s):  
Near Miss ◽  
Online Questionnaire ◽  
Near Misses ◽  
Logistic Regression Models ◽  
Emotional Management ◽  
The Road ◽  
Human Interactions ◽  
Road Users ◽  
Conflict Risk ◽  
The Individual

Real or perceived traffic risk is a significant barrier to walking and cycling. To understand whether similar barriers influence equestrians, this study obtained exercise behaviours, road use and experiences of road-related incidents from UK equestrians (n = 6390) via an online questionnaire. Multivariable logistic regression models were used to identify factors associated with road use and experiencing a near-miss or injury-causing incident in the previous year. Content analysis identified themes around equestrians’ decisions not to use roads. Our results show that most equestrians (84%) use roads at least once weekly, and in the previous year, 67.7% had a near-miss and 6.1% an injury-causing incident. Road use differs regionally, with exercise type and off-road route availability. Road-using equestrians covered greater daily distances and were younger. However, younger equestrians were at higher risk of near-misses. Respondents’ decisions not to use roads were based on individualised risk assessments arising from: the road itself, perceptions of other road users, the individual horse and the handler’s own emotional management. Roads were perceived as extremely dangerous places with potentially high conflict risk. Injury-causing incidents were associated with increasing road-use anxiety or ceasing to use roads, the proximity of off-road routes, having a near-miss and type of road use. Targeted road-safety campaigns and improved off-road access would create safer equestrian spaces.

scholarly journals Adherence of Healthcare Workers to Saudi Management Guidelines of Heat-Related Illnesses during Hajj Pilgrimage

2021 ◽  
Vol 18 (3) ◽  
pp. 1156
Author(s):  
Yasir Almuzaini ◽  
Nour Abdulmalek ◽  
Sujoud Ghallab ◽  
Abdulaziz Mushi ◽  
Yara Yassin ◽  
...  
Keyword(s):  
Medical Staff ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
National Guidelines ◽  
Cross Sectional ◽  
Management Guidelines ◽  
Survey Results ◽  
Case Assessment ◽  
Hajj Season

Heat-related illnesses (HRIs), such as heatstroke (HS) and heat exhaustion (HE), are common complications during Hajj pilgrims. The Saudi Ministry of Health (MoH) developed guidelines on the management of HRIs to ensure the safety of all pilgrims. This study aimed to assess healthcare workers’ (HCWs) adherence to the updated national guidelines regarding pre-hospital and in-hospital management of HRIs. This was a cross-sectional study using a questionnaire based on the updated HRI management interim guidelines for the Hajj season. Overall, compliance with HE guidelines scored 5.5 out of 10 for basic management and 4.7 out of 10 for advanced management. Medical staff showed an average to above average adherence to pre-hospital HS management, including pre-hospital considerations (7.2), recognition of HS (8.1), case assessment (7.7), stabilizing airway, breathing, and circulation (8.7), and cooling (5). The overall compliance to in-hospital guidelines for HS management were all above average, except for special conditions (4.3). In conclusion, this survey may facilitate the evaluation of the adherence to Saudi HRIs guidelines by comparing annual levels of compliance. These survey results may serve as a tool for the Saudi MoH to develop further recommendations and actions.

scholarly journals Knowledge sharing in open source software communities: motivations and management

2015 ◽  
Vol 19 (4) ◽  
pp. 791-813 ◽  
Author(s):  
Zilia Iskoujina ◽  
Joanne Roberts
Keyword(s):  
Knowledge Sharing ◽  
Open Source ◽  
Open Source Software ◽  
Online Communities ◽  
Descriptive Analysis ◽  
Online Questionnaire ◽  
Content Type ◽  
The Individual ◽  
The Impact

Purpose – This paper aims to add to the understanding of knowledge sharing in online communities through an investigation of the relationship between individual participant’s motivations and management in open source software (OSS) communities. Drawing on a review of literature concerning knowledge sharing in organisations, the factors that motivate participants to share their knowledge in OSS communities, and the management of such communities, it is hypothesised that the quality of management influences the extent to which the motivations of members actually result in knowledge sharing. Design/methodology/approach – To test the hypothesis, quantitative data were collected through an online questionnaire survey of OSS web developers with the aim of gathering respondents’ opinions concerning knowledge sharing, motivations to share knowledge and satisfaction with the management of OSS projects. Factor analysis, descriptive analysis, correlation analysis and regression analysis were used to explore the survey data. Findings – The analysis of the data reveals that the individual participant’s satisfaction with the management of an OSS project is an important factor influencing the extent of their personal contribution to a community. Originality/value – Little attention has been devoted to understanding the impact of management in OSS communities. Focused on OSS developers specialising in web development, the findings of this paper offer an important original contribution to understanding the connections between individual members’ satisfaction with management and their motivations to contribute to an OSS project. The findings reveal that motivations to share knowledge in online communities are influenced by the quality of management. Consequently, the findings suggest that appropriate management can enhance knowledge sharing in OSS projects and online communities, and organisations more generally.

Perceived competition in agricultural lending: stylized facts and an agenda for future research

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Todd Kuethe ◽  
Chad Fiechter ◽  
David Oppedahl
Keyword(s):  
Commercial Banks ◽  
Bank Lending ◽  
Future Research ◽  
Land Values ◽  
Credit System ◽  
Stylized Facts ◽  
Content Type ◽  
Loan Rate ◽  
The Individual ◽  
Survey Responses

PurposeThis study examines agricultural lending by commercial banks and the competition they face from the Farm Credit System (FCS) and non-traditional lenders, including merchants, dealers and other input suppliers.Design/methodology/approachWe construct a measure of commercial banks' perceived competition with FCS or non-traditional lenders using the individual responses to the Federal Reserve Bank of Chicago's Land Values and Credit Conditions Survey between 1999 and 2019. Through regression analysis of an unbalanced panel of survey responses, we present a number of stylized facts on the relationship between perceived competition and farm loan rate spreads, collateral requirements, loan delinquencies and expected lending volumes.FindingsOur analysis shows that the two sources of competition have very different effects on commercial bank lending terms, loan portfolio riskiness and expected loan volumes. With these results in mind, we offer a number of suggestions for future research.Originality/valueWe leverage the unique characteristics of the Land Values and Credit Conditions Survey to examine the competition with non-traditional lenders that cannot be observed using administrative data.

scholarly journals Evaluation Methods in Teaching Translation by Saudi University Instructors under Coronavirus Pandemic

2020 ◽  
Vol 3 (12) ◽  
pp. 33-46
Author(s):  
Eman Mohammad Mahmoud AlOneen
Keyword(s):  
Online Teaching ◽  
Evaluation Methods ◽  
Educational Institutions ◽  
Future Research ◽  
Online Questionnaire ◽  
Simple Observation ◽  
Assessment Tasks ◽  
University Instructors ◽  
The World ◽  
The Individual

Coronavirus pandemic has posed challenges in evaluating students’ performance in educational institutions all over the world. Therefore, university instructors may encounter some problems in evaluating their students fairly through online teaching since it was not an easy task before this worldly crisis. The current study aims at investigating the perspectives of instructors who teach translation courses at some Saudi universities towards the followed evaluation methods in teaching translation courses during Coronavirus pandemic. Two methods were used to collect data: simple observation and online questionnaire. The participants were 21 instructors from 10 Saudi universities. The findings of this study show that using machine translation and CAT tools by students in doing assessment tasks does not guarantee fairness among students during Coronavirus pandemic regardless of the nature of translation courses. In addition, online exams and assignments are less fair to show the individual differences among students compared with written exams before Coronavirus pandemic. To evaluate students’ performance in translation courses fairly, the participants of this study suggested some solutions such as modifying questions' patterns of some translation exams and assignments to cope with online teaching, emphasizing the importance of live sessions and online participation as assessment tasks for students during Coronavirus pandemic, using other evaluation methods such as live oral assessment, editing texts, multiple choice editing questions, etc. The study concludes with some recommendations for future research.

scholarly journals Restoration of elective spine surgery during the first wave of COVID-19

2021 ◽  
Vol 2 (12) ◽  
pp. 1096-1101
Author(s):  
Riaz Mohammed ◽  
Pranav Shah ◽  
Alexander Durst ◽  
Naveen J. Mathai ◽  
Alexandru Budu ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Collaborative Study ◽  
Length Of Hospital Stay ◽  
Recovery Phase ◽  
Primary Outcome Measure ◽  
Study Cohort ◽  
National Guidelines ◽  
The Mean ◽  
The Individual ◽  
The Uk

Aims With resumption of elective spine surgery services in the UK following the first wave of the COVID-19 pandemic, we conducted a multicentre British Association of Spine Surgeons (BASS) collaborative study to examine the complications and deaths due to COVID-19 at the recovery phase of the pandemic. The aim was to analyze the safety of elective spinal surgery during the pandemic. Methods A prospective observational study was conducted from eight spinal centres for the first month of operating following restoration of elective spine surgery in each individual unit. Primary outcome measure was the 30-day postoperative COVID-19 infection rate. Secondary outcomes analyzed were the 30-day mortality rate, surgical adverse events, medical complications, and length of inpatient stay. Results In all, 257 patients (128 males) with a median age of 54 years (2 to 88) formed the study cohort. The mean number of procedures performed from each unit was 32 (16 to 101), with 118 procedures (46%) done as category three prioritization level. The majority of patients (87%) were low-medium “risk stratification” category and the mean length of hospital stay was 5.2 days. None of the patients were diagnosed with COVID-19 infection, nor was there any mortality related to COVID-19 during the 30-day follow-up period, with 25 patients (10%) having been tested for symptoms. Overall, 32 patients (12%) developed a total of 34 complications, with the majority (19/34) being grade 1 to 2 Clavien-Dindo classification of surgical complications. No patient required postoperative care in an intensive care setting for any unexpected complication. Conclusion This study shows that safe and effective planned spinal surgical services can be restored avoiding viral transmission, with diligent adherence to national guidelines and COVID-19-secure pathways tailored according to the resources of the individual spinal units. Cite this article: Bone Jt Open 2021;2(12):1096–1101.

THE IMPACT OF SOCIETAL CHANGES ON INDIVIDUAL AND SOCIAL BEHAVIOR

Moldoscopie ◽  
2021 ◽  
pp. 112-118
Author(s):  
Elena Railean ◽  
Keyword(s):  
Social Behavior ◽  
Global Education ◽  
Teaching Method ◽  
Educational Process ◽  
Social Changes ◽  
Online Questionnaire ◽  
Societal Changes ◽  
The Individual ◽  
Audio Video ◽  
The Impact

The social changes are the result of societal challenges and are related to profound, sustainable, and non-linear actions and their result on the environment, society, and the individual. The impact of societal changes on human and social behavior is not unequivocal, and its understanding depends on the research methodology. For this paper is applied the phenomenological description - a method that refers to the experience lived in the immediate existential from the perspective of the essence of phenomena. The research data is the result of applying an online questionnaire developed with Google Form on a sample of 158 respondents. The results obtained allow us to describe the impact of societal changes on human and social behavior through the specifics of the phenomenon of “global education”: the diversification of the forms of organization of the educational process; interactive discourse - effective teaching method; prioritization of action methods; the use of audio / video sequences in the teacher’s message; the issue of computerized evaluation; the theme of continuing education courses and the importance of the interactive portal for in-service teachers.

Employability tautological trauma

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Carol Elaine Cuthbert ◽  
F. Owen Skae
Keyword(s):  
Content Type ◽  
Tertiary Institutions ◽  
Academic Reputation ◽  
Graduate Employability ◽  
Cultural Boundaries ◽  
Student Rate ◽  
The Individual ◽  
Survey Responses ◽  
Institutional Reputation ◽  
Ranking Measures

PurposeThis paper explores the institutional and economic drivers of employability, as existing literature focuses on the individual and skills aspects, of employability. Tertiary institutions, possessing a strong academic reputation and standing amongst potential employers, will achieve high graduate employability, however when measured, this is not the case.Design/methodology/approachThis exploratory study builds on Santos' career boundary theory, recognising organisational boundaries; those related to the labour market, personal-aspects and finally, cultural boundaries (Santos, 2020). 37 Universities that provided their employability rate, within 12 months of graduation for 2020, are analysed. The Quacquarelli Symonds (QS) Ranking, measures drivers in terms of institutional reputation through survey responses, and partnerships with employers via research and placement data.FindingsThe regression explained 19% of the variation between the number of graduates being employed and the institutional and economic drivers. Universities in the same economic context, do not have the same number of employed students. Equally, those universities with the most favourable academic reputation, do not have the most employed student rate.Research limitations/implicationsOnly 37 universities provided all their employability data, thus, research with a larger sample will have to be conducted, but equally more needs to be done to establish why the smaller universities are unable to submit all the required data.Originality/valueAn exploratory understanding of the institutional and economic drivers of employability, is provided.

scholarly journals Evaluating mentoring outcomes from the perspective of entrepreneurs and small business owners

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Cordelia Kunaka ◽  
Menisha N. Moos
Keyword(s):  
Knowledge Transfer ◽  
Small Business ◽  
South African ◽  
Business Owners ◽  
Small Business Owners ◽  
Online Questionnaire ◽  
Skills Transfer ◽  
Business Outcomes ◽  
Theoretical Contribution ◽  
The Individual

Background: Mentoring as support for both the business and the individual entrepreneur or small business owner is important for the continued perseverance of the entrepreneurial journey.Aim: Different mentoring outcomes were evaluated to establish what is being gained from the mentoring relationships to encourage other entrepreneurs and small business owners to pursue mentoring relationships.Setting: South African entrepreneurs and small business owners who were currently being mentored or had been mentored.Method: The study used a survey research design that consisted of 209 qualifying entrepreneurs and small business owners. An online questionnaire was used to collect the data.Results: The results show that there is a relationship between the different mentoring outcomes (skills transfer outcomes, knowledge transfer outcomes, entrepreneur resilience outcomes and business outcomes). In addition, it was established that as the mentoring relationship goes through the different phases of initiation, cultivation, separation and redefinition, mentoring outcomes such as skills transfer and entrepreneur resilience are independently attained.Conclusion: Understanding the outcomes of mentoring will encourage more participation in the field of mentoring for South African mentors, entrepreneurs and small business owners through awareness of the benefits thereof as well as how mentoring can form a strong supporting mechanism. This research makes a theoretical contribution by naming and grouping mentoring outcomes into four categories, such as skills transfer outcomes, knowledge transfer outcomes, entrepreneur resilience outcomes and business outcomes.

scholarly journals Oxygen-ozone therapy in arthroplasty infections

Ozone Therapy ◽  
2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Alessandra Vittoria De Lisi ◽  
Marianno Franzini ◽  
Giovanni Ricevuti
Keyword(s):  
Antibiotic Resistance ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Surgical Site Infections ◽  
Negative Consequences ◽  
Ozone Therapy ◽  
National Guidelines ◽  
Duration Of Hospitalization ◽  
The Individual

The prevention of surgical site infections is a priority within the objectives of the National Health System. The negative consequences of postoperative infections (morbidity, duration of hospitalization, mortality) are particularly serious events for the individual patient and for the community, given both the welfare resources needed to treat them, and the continued growth of the phenomenon of antibiotic resistance. In a global health context in which evidence-based medicine has established itself, all medical interventions must be reconsidered in the light of what can be inferred from the literature evaluated according to strict methodological criteria, all the more so when the evidence is available and unanimously shared. The future objective will be to introduce in the national guidelines a protocol involving the use of ozone therapy alongside antibiotic therapy, both in the prevention and treatment of infections, to avoid the emergence of antibiotic resistance and thus reduce the expenditure of the national health system.

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