scholarly journals Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca Hospitals: Retrospective Cohort Study

2020 ◽  
Author(s):  
Jeehad Mansour Felemban ◽  
Kenan A Binyaseen ◽  
Waleed S Almalki ◽  
Fahad S Altowairqi ◽  
Amer O Sakhakhini ◽  
...  
Keyword(s):  
Wound Closure ◽  
Emergency Physicians ◽  
Medical Specialties ◽  
P Values ◽  
Factors Affecting ◽  
Wound Closure Techniques ◽  
Vertical Mattress ◽  
The Common ◽  
High Level ◽  
Suturing Techniques

Abstract Objective: Wound suturing is a procedure performed at many medical specialties. This study aims to analyze the effectiveness of wound closure techniques by recognizing the common suturing techniques and materials that used in different type of wounds among surgeons and emergency physicians and to assess the rate of scars formation among their patients in-Mecca City Hospitals, Saudi Arabia.Results:Every participant selects and prefers some methods in wound closure over other methods. Choosing the simple interrupted technique exceeded 50% for all types of studied wounds. The other most common techniques among participants were subcuticular and vertical mattress respectively, also using stabler was limited to some wound types with less percentage than other suture techniques. Regarding suturing material, there are many materials alternatives were selected for the studied wounds such as 23% of participants used Monocryl for eyelid wounds, and 6% for breast wounds, also 9% of participants were using Polypropylene for scalp wounds and 8% for eyelids wounds. This study showed a high level of awareness among participants with a significant p-values regarding the important factors affecting wound healing and scare formation.

scholarly journals Analysis of the effectiveness of wound closure techniques among surgeons and emergency physicians in Mecca  Hospitals: Retrospective Cohort Study.

2020 ◽  
Author(s):  
Jeehad Mansour Felemban ◽  
Kenan Binyaseen ◽  
Waleed Almalki ◽  
Fahad Altowairqi ◽  
Amer Sakhakhini ◽  
...  
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Emergency Physicians ◽  
Medical Specialties ◽  
Factors Affecting ◽  
Wound Closure Techniques ◽  
Vertical Mattress ◽  
Materials Used ◽  
Strongly Agree ◽  
High Level

Abstract Objective: Wound suturing is a procedure performed at many medical specialties. This study aims to analyze the effectiveness of wound closure techniques by recognizing the common suturing techniques and materials used in different types of wounds among surgeons and emergency physicians in Mecca hospitals and assessing their awareness about the factors contributing to scars formation and improper wound healing.Result: Choosing the simple interrupted technique exceeded 50% among all other types of studied wounds. The other most common techniques among participants were the subcuticular and vertical mattress, respectively, also using stapler was limited to some wound types. This study showed a high level of awareness among participants with significant p-values (P<0.05) of Strongly agree and Agree regarding the essential factors affecting wound healing and scars formation. The result gives an insight into the most common suture techniques and materials used in wound closure. There are wide variations in selecting these techniques and materials among the participants. Also, it showed that there is good awareness among participants about factors that lead to scar formation.

Subjective factors affecting gun shooting accuracy among employees of internal affairs agencies in process of learning

2020 ◽  
Vol 2020 (4) ◽  
pp. 198-206
Author(s):  
Anton Rozhkov ◽  
Anton Popov ◽  
Vitaliy Balahonskiy
Keyword(s):  
Subjective Experience ◽  
Statistical Significance ◽  
Self Regulation ◽  
Sensorimotor Coordination ◽  
Factors Affecting ◽  
Intelligent Behavior ◽  
Experience Of Stress ◽  
Firing Line ◽  
High Level ◽  
In Fire

The article is devoted to the study of subjective factors affecting shooting accuracy of law enforcement officers. The empirical study identified some subjective factors reducing gun shooting accuracy and effectiveness among law enforcers. These characteristics include sensorimotor coordination and subjective experience of stress during the shooting process. Scientific analysis made it possible to determine statistical significance of the influence of these factors on the accuracy of shooting. To increase the effectiveness of shooting among officers with a low index of sensorimotor coordination, the authors suggest using exercises aimed at cultivating sensorimotor coordination in fire training classes. While working with employees being under a high level of subjectively experienced stress, more attention should be paid to training techniques to overcome stress and form intelligent behavior in extreme situations. The authors also draw readers’ attention to factors increasing the effectiveness of shooting: officers’ ability to determine the subjective level of stress, their knowledge of emotional self-regulation techniques, knowledge of the sequence of their actions in the firing line.

Negotiations over Accounting Issues: The Congruency of Audit Partner and Chief Financial Officer Recalls

2005 ◽  
Vol 24 (s-1) ◽  
pp. 171-193 ◽  
Author(s):  
Michael Gibbins ◽  
Susan A. McCracken ◽  
Steven E. Salterio
Keyword(s):  
Negotiation Process ◽  
Chief Financial Officers ◽  
Chief Financial Officer ◽  
Relative Importance ◽  
Common Elements ◽  
Contextual Features ◽  
Large Numbers ◽  
The Common ◽  
High Level ◽  
Two Sides

Much of what takes place in auditor-client management negotiations occurs in unobservable settings and normally does not result in publicly available archival records. Recent research has increasingly attempted to probe issues relating to accounting negotiations in part due to recent events in the financial world. In this paper, we compare recalls from the two sides of such negotiations, audit partners, and chief financial officers (CFOs), collected in two field questionnaires. We examine the congruency of the auditors' and the CFOs' negotiation recalls for all negotiation elements and features that were common across the two questionnaires (detailed analyses of the questionnaires are reported elsewhere). The results show largely congruent recall: only limited divergences in recall of common elements and features. Specifically, we show a high level of congruency across CFOs and audit partners in the type of issues negotiated, parties involved in resolving the issue, and the elements making up the negotiation process, including agreement on the relative importance of various common accounting contextual features. The analysis of the common accounting contextual features suggests that certain contextual features are consistently important across large numbers of negotiations, whether viewed from the audit partner's or the CFO's perspective, and hence may warrant future study. Finally, the comparative analysis allows us to identify certain common elements and contextual features that may influence both audit partners and CFOs to consider the accounting negotiation setting as mainly distributive (win-lose).

scholarly journals Strategies for a Circular Economy in the Construction and Demolition Sector: Identifying the Factors Affecting the Recommendation of Recycled Concrete

2021 ◽  
Vol 13 (8) ◽  
pp. 4113
Author(s):  
Valeria Superti ◽  
Cynthia Houmani ◽  
Ralph Hansmann ◽  
Ivo Baur ◽  
Claudia R. Binder
Keyword(s):  
Circular Economy ◽  
A Priori ◽  
Recycled Concrete ◽  
Recycled Aggregates ◽  
Factors Affecting ◽  
Structural Applications ◽  
Adoption Of Innovation ◽  
Decision Making Processes ◽  
Behavioural Factors ◽  
High Level

With increasing urbanisation, new approaches such as the Circular Economy (CE) are needed to reduce resource consumption. In Switzerland, Construction & Demolition (C&D) waste accounts for the largest portion of waste (84%). Beyond limiting the depletion of primary resources, implementing recycling strategies for C&D waste (such as using recycled aggregates to produce recycled concrete (RC)), can also decrease the amount of landfilled C&D waste. The use of RC still faces adoption barriers. In this research, we examined the factors driving the adoption of recycled products for a CE in the C&D sector by focusing on RC for structural applications. We developed a behavioural framework to understand the determinants of architects’ decisions to recommend RC. We collected and analysed survey data from 727 respondents. The analyses focused on architects’ a priori beliefs about RC, behavioural factors affecting their recommendations of RC, and project-specific contextual factors that might play a role in the recommendation of RC. Our results show that the factors that mainly facilitate the recommendation of RC by architects are: a senior position, a high level of RC knowledge and of the Minergie label, beliefs about the reduced environmental impact of RC, as well as favourable prescriptive social norms expressed by clients and other architects. We emphasise the importance of a holistic theoretical framework in approaching decision-making processes related to the adoption of innovation, and the importance of the agency of each involved actor for a transition towards a circular construction sector.

scholarly journals Understanding Urban Commercial Vehicle Driver Behaviors and Decision Making

2021 ◽  
pp. 036119812110035
Author(s):  
Giacomo Dalla Chiara ◽  
Klaas Fiete Krutein ◽  
Andisheh Ranjbari ◽  
Anne Goodchild
Keyword(s):  
Commercial Vehicle ◽  
Operating Time ◽  
Common Belief ◽  
Policy Makers ◽  
Factors Affecting ◽  
Urban Freight ◽  
The Road ◽  
Commercial Drivers ◽  
The Common ◽  
Printed Materials

As e-commerce and urban deliveries spike, cities grapple with managing urban freight more actively. To manage urban deliveries effectively, city planners and policy makers need to better understand driver behaviors and the challenges they experience in making deliveries. In this study, we collected data on commercial vehicle (CV) driver behaviors by performing ridealongs with various logistics carriers. Ridealongs were performed in Seattle, Washington, covering a range of vehicles (cars, vans, and trucks), goods (parcels, mail, beverages, and printed materials), and customer types (residential, office, large and small retail). Observers collected qualitative observations and quantitative data on trip and dwell times, while also tracking vehicles with global positioning system devices. The results showed that, on average, urban CVs spent 80% of their daily operating time parked. The study also found that, unlike the common belief, drivers (especially those operating heavier vehicles) parked in authorized parking locations, with only less than 5% of stops occurring in the travel lane. Dwell times associated with authorized parking locations were significantly longer than those of other parking locations, and mail and heavy goods deliveries generally had longer dwell times. We also identified three main criteria CV drivers used for choosing a parking location: avoiding unsafe maneuvers, minimizing conflicts with other users of the road, and competition with other commercial drivers. The results provide estimates for trip times, dwell times, and parking choice types, as well as insights into why those decisions are made and the factors affecting driver choices.

Caged-electron States and Split-electron States in Endohedral Alkali C60

2021 ◽  
Author(s):  
yifan yang ◽  
Lorenz S Cederbaum
Keyword(s):  
State Of The Art ◽  
Electronic States ◽  
Electron States ◽  
The Common ◽  
High Level

The low-lying electronic states of neutral X@C60(X=Li, Na, K, Rb) have been computed and analyzed by employing state-of-the-art high level many-electron methods. Apart from the common charge-separated states, well known...

scholarly journals 934 Remote one-to-one virtual surgical skills training: Evolving the delivery of operative skills training in the UK

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Christian Asher ◽  
Ibrahim Ibrahim ◽  
Eyfrossini Katsarma
Keyword(s):  
Surgical Training ◽  
Wound Closure ◽  
Cost Effective ◽  
Skills Training ◽  
Training Programme ◽  
Surgical Skills ◽  
Wound Closure Techniques ◽  
Surgical Skills Training ◽  
Speciality Training ◽  
One To One

Abstract Introduction COVID-19 has had an unprecedented effect on surgical training, including prerequisite entry-level courses to speciality training. We describe the implementation of a virtual, one-to-one training programme aimed at the acquisition and retention of operative skills. Methods Enrolment commenced 8th May 2020 for wound closure techniques or an extended programme including tendon repairs, delivered by Specialist Registrars in Plastic Surgery using Zoom® (v. 5.0.5) via mobile device. Participant feedback was collected retrospectively using a 5-point scale following course completion. Results 5 participants completed the wound closure programme, and 3 the extended programme, over an average of 5 weeks, with 2 sessions per week. 5 participants were male, 3 female and were of the following grades: 2 CT2, 4 FY2, 1 FY1 and 1 medical student. A total of 103.5 hours of training was recorded to 7 September 2020. Participants reported that all virtual skills taught were readily transferable to the theatre environment. Following the course, all participants felt confident to complete the skills learnt independently, rating the course as excellent. Conclusions The COVID-19 crisis has placed insurmountable obstacles in the face of surgical training. With further validation, we aim to develop surgical skills training with virtual, easily reproducible, cost-effective, trainee centred programmes.

scholarly journals Study on Tourism Flow Network Patterns on May Day Holiday

2021 ◽  
Vol 13 (2) ◽  
pp. 947
Author(s):  
Shanshan Wu ◽  
Lucang Wang ◽  
Haiyang Liu
Keyword(s):  
Transportation Network ◽  
Edge Structure ◽  
Flow Network ◽  
Factors Affecting ◽  
Spatial Distribution Characteristics ◽  
Transportation Modes ◽  
May Day ◽  
High Level ◽  
Network Patterns ◽  
Main Factor

The development of tourism is based on tourism flow and studying a tourism flow network can help to elucidate its mechanism of operation. Transportation network is the path to realize the spatial displacement of tourism flow. This study used “Tencent migration” big data to explore the spatial distribution characteristics and rules of tourism flow in China, providing suggestions for the development of tourism. The results demonstrate that the 361 cities studied can be divided into three types: destination-oriented, tourist-origin-oriented, and destination-oriented and tourist-origin-oriented. There are significant differences in the quantity of flow, the area of concentration, and the factors affecting the flow in the three types of cities. The larger the flow of tourism between cities, the higher the network level, and the wider the network range. The high-level nodes are closely related, while the peripheral nodes are more widely distributed, with weak attractiveness and inconvenient traffic, forming a “core-edge” structure. Different network patterns are established for different modes of transportation. The degree of response of different types of transportation to distance is the main factor influencing the network patterns of diverse paths. These findings have practical implications for the choice of appropriate travel destinations and transportation modes for tourists.

scholarly journals Understanding employee turnover in humanitarian organizations

2016 ◽  
Vol 48 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Rameshwar Dubey ◽  
Angappa Gunasekaran ◽  
Nezih Altay ◽  
Stephen J Childe ◽  
Thanos Papadopoulos
Keyword(s):  
Employee Turnover ◽  
Factor Loading ◽  
Personal Factors ◽  
Related Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Work Related ◽  
Humanitarian Organizations ◽  
Using Data ◽  
High Level

Purpose – At a time when the number and seriousness of disasters seems to be increasing, humanitarian organizations find that besides their challenging work they are faced with problems caused by a high level of turnover of staff. The paper aims to discuss these issues. Design/methodology/approach – Based on the 24 variables leading to employee turnover identified by Cotton and Tuttle (1986) the authors analyse the work-related, external and personal factors affecting employee turnover in humanitarian organizations, using a survey of members of the Indian National Institute of Disaster Management. Findings – Results indicated that the three factors are present. Of the external factors, only employment perception had a factor loading over 0.7; of the work-related factors, all were significant; of the personal factors, biographical information, marital status, number of dependants, aptitude and ability and intelligence had the highest loadings. It was also shown that behavioural intentions and net expectation were not significant. Originality/value – Only a few studies reported on employee turnover and its reasons are not well understood in the context of humanitarian organizations. To address this need, the aim of this paper is to explore the personal reasons impacting employee turnover in humanitarian organizations. In the study the authors have adopted 24 variables used in Cotton and Tuttle (1986) and classified into constructs to explain turnover, and further tested the model using data gathered from humanitarian organizations.

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