scholarly journals The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study

2020 ◽  
Vol 46 (2) ◽  
pp. 129-133
Author(s):  
Eymen Gazel ◽  
◽  
Engin Kaya ◽  
Serdar Yalcin ◽  
Theodoros Tokas ◽  
...  
2018 ◽  
Vol 17 (4) ◽  
pp. e2099
Author(s):  
E. Gazel ◽  
S. Yalcin ◽  
E. Kaya ◽  
S. Yilmaz ◽  
L. Tunc

2020 ◽  
pp. 274-288
Author(s):  
Jennifer Snodgrass

The learning curve is quite large when moving from the role of a graduate student to the role of a faculty member in academia. Preparation to move into full-time academia begins during one’s time in graduate school, and factors such as finding the right adviser and taking advantage of opportunities in research and teaching are imperative for success. Understanding the first steps in academia helps new PhD students not only to find the right position by creating a curriculum vitae and attending conferences, but also to the importance of surrounding oneself with a supportive network of scholars. A supportive environment embraces questions and celebrates both the successes and the learning opportunities that come from challenges that new faculty may face.


2013 ◽  
Vol 17 (06) ◽  
pp. 1340020 ◽  
Author(s):  
NAGWAN ABU EL-ELLA ◽  
MARTIN STOETZEL ◽  
JOHN BESSANT ◽  
ANDREAS PINKWART

The experience of implementing employee involvement in innovation can be viewed as a bounded opportunity. Whilst long-term strategic benefits could flow from organising participation across the workforce, creating structures that sustain such a culture is highly complex. In effect the "transaction costs" of high involvement innovation limit its implementation. However a number of technological and social developments (such as innovation platforms and company social networks) offer new options in this space which may change this. In particular the "reach" and "richness" trade-off could be changed to permit higher levels of participation in larger-scale projects. Much depends on the ways in which implementation of systems deploying these new approaches is undertaken and the development of appropriate behavioural routines to support them. This paper explores a number of cases within German enterprises and reports early experience along this learning curve.


2018 ◽  
Vol 28 (6) ◽  
pp. 706-710
Author(s):  
David S. Conner ◽  
Kathleen Demchak

Strawberry (Fragaria ×ananassa) and caneberries (Rubus sp.) are popular crops that can bring revenue to farms and may improve farm profitability. High and low tunnels can bring a number of benefits to growers, including season extension and improved berry yield and quality, as well as management challenges. Few studies in the literature report directly on grower experiences using tunnels. We report the results of interviews of 10 independent growers who use tunnels to produce strawberries and caneberries. The results echo previous studies finding improved yield and quality, and highlight benefits and challenges around pest, weed, and nutrient management. One novel finding is the role of season extension in creating marketing opportunities. Interviewed growers caution of a learning curve and the need to start on a small scale and grow gradually. Future focus for research should include improved ventilation and mechanization.


2021 ◽  
Author(s):  
Ioan-Alexandru Minciuna ◽  
Mihai Puiu ◽  
Gabriel Cismaru ◽  
Radu Roșu ◽  
Raluca Tomoaia ◽  
...  

Aims: Intracardiac echocardiography (ICE) is a relatively young technique used during complex electrophysiology proce-dures, such as atrial fibrillation (AF) ablation. The aim of this study was to assess whether the use of ICE modifies the radia-tion exposure at the beginning of the learning curve in AF ablation. Materials and methods: In this retrospective study, 52 patients, in which catheter ablation for paroxysmal or persistent AF was performed, were included. For 26 patients we used ICE guidance together with fluoroscopy, whereas for the remaining 26 patients we used fluoroscopy alone, all supported by electroanatomical mapping. We compared total procedure time and radiation exposure, including fluoroscopy dose and time between the two groups and along the learning curve. Results: Most of the patients included were suffering from paroxysmal AF (40, 76%), pulmonary vein isolation being performed in all patients, without secondary ablation sites. The use of ICE was associated with a lower fluoroscopy dose (11839.60±6100.6 vs. 16260.43±8264.5 mGy, p=0.041) and time (28.00±12.5 vs. 42.93±12.7 minutes, p=0.001), whereas the mean procedure time was similar between the two groups (181.54±50.3 vs 197.31±49.8 minutes, p=0.348). Radiation exposure was lower in the last 9 months compared to the first 9 months of the study (p<0.01), decreasing gradually along the learning curve. Conclusions: The use of ICE lowers radiation exposure in AF catheter ablation from the beginning of the learning curve, without any difference in terms of acute safety or efficacy. Aware-ness towards closest to zero radiation exposure during electrophysiology procedures should increase in order to achieve better protection for both patient and medical staff.


Author(s):  
Marianne Robin Russo ◽  
Valerie Bryan ◽  
Gerri Penney

This chapter addresses post-9/11 emergency preparedness, which has been a point of scrutiny regarding the effectiveness and efficiency of response systems, the role of ICT, and how these methods affect first responders and the socially vulnerable, as well as infrastructure concerns stemming from natural and person-caused disasters. The main objective of this chapter is to describe the ongoing solutions that must be incorporated in terms of information and ICT preparation, social media communications, Community Response Grid (CRG), and social networking. The authors propose new programs that must continuously be explored with a variety of partners to assure that programs and policies for the socially marginalized are mitigated. Finally, the authors explore ways to augment the emergency learning curve through using the cooperation of government so funding and policies are in place to prevent infrastructure weakness, pre- and post-disaster, and to protect the lives and well-being of the citizenry.


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