THE TRANSNASAL APPROACH TO SELLAR LESIONS. A NEUROSURGICAL EXPERIENCE AND PERSPECTIVE

The transnasal approach for pituitary lesions has been adopted increasingly by neurosurgeons for removing sellar lesions. It has made surgery in this region safer with fewer complications in experienced hands. However, the approach requires good knowledge of nasal anatomy and formal training to achieve good results since the territory is unfamiliar to most neurosurgeons. The approach has a somewhat steep learning curve. In our experience of 41 cases, we have presented here. We have discussed the history of this approach, technique and relevant complications and their avoidance.

TEOLOGI BIMBINGAN ORANG TUA KRISTEN DAN KOMUNIKASI INTERPERSONAL GURU UNTUK MEMOTIVASI BELAJAR ANAK

This study aims to determine the existence of meaningful contributions both partially and collectively from the interpersonal communication skills of Christian Education (CE) teachers and parental guidance to the motivation of students' CE learning. The research was conducted at Junior High School GKPI Padang Bulan. The population in this study is all Grade VII Christian students who number 61 people. The results concluded that there is a significant contribution from variable X1 (interpersonal communication skills of CE teachers) to variable Y (motivation to learn CE students). There is a significant contribution from variable X2 (parental guidance) to variable Y (student CE learning motivation). Rhitung value (0.553) (Rtabel value (0.361). The R2 determination value of the correlation calculation is 30.58%, and is meaningful, where things > ttabel (3.51 (1.701). There are contributions together from variable X1 (interpersonal communication skills of PAK teachers) and variable X2 (parental guidance) to variable Y (student PAK learning motivation). Christian education teachers need to encourage communication skills for students and fellow Teachers in various forms of formal and non-formal training in daily practice. Likewise, parents keep an eye on the frame of love in guiding the children god-given to them

Neuropalliative care for the neurosurgeon: a primer

Many neurosurgical conditions are incurable, leading to disability or severe symptoms, poor quality of life, and distress for patients and families. The field of neuropalliative care (NPC) addresses the palliative care (PC) needs of individuals living with neurological conditions. Neurosurgeons play an important role within multidisciplinary NPC teams because of their understanding of the natural history of and treatment strategies for neurosurgical conditions, longitudinal patient-physician relationships, and responsibility for neurosurgical emergencies. Moreover, patients with neurosurgical conditions have unique PC needs given the trajectories of neurosurgical diseases, the realities of prognostication, psychosocial factors, communication strategies, and human behavior. PC improves outcomes among neurosurgical patients. Despite the importance of NPC, neurosurgeons often lack formal training in PC skills, which include identifying patients who require PC, assessing a patient’s understanding and preferences regarding illness, educating patients, building trust, managing symptoms, addressing family and caregiver needs, discussing end-of-life care, and recognizing when to refer patients to specialists. The future of NPC involves increasing awareness of the approach’s importance, delineating priorities for neurosurgeons with regard to NPC, increasing emphasis on PC skills during training and practice, expanding research efforts, and adjusting reimbursement structures to incentivize the provision of NPC by neurosurgeons.

We Were Residents Once … And Young

Each transition in the trajectory of a career comes with changes, some good, some challenging, and some changes are both. As you prepare to enter a Thoracic and Cardiovascular Surgery Residency (TCV Surgery), or the last few years of an Integrated Six Residency, you are well aware that you are likely embarking on one of the most demanding and challenging eras of your professional life. And, you are likely also aware that, as a TCV Surgery resident, you will have a limited amount of time to approximately double what you know about medicine and surgery. In fact, in these last few years of your formal training you will likely have fewer than 700 days to accumulate this necessary medical and surgical knowledge.

Assessment of hygiene status of poultry slaughtering facilities and meat handling practices of butchers by using a hygiene assessment tool

In the present study, hygiene conditions and meat handling practices of poultry butchers are assessed by using a hygiene assessment tool. The study was conducted in the Hyderabad and Jamshoro districts of Pakistan from April 2019 to February 2020. A total of fifty slaughtering facilities were selected based on convenient sampling techniques and butchers from those shops were interviewed by using a hygienic assessment tool. Moreover, socio-demographic details of butchers were also recorded by questionnaire survey. The hygiene assessment tool comprises three domains, personal hygiene index (PHI), meat hygiene index (MHI) and slaughtering facility hygiene index (SFHI). Each of the indexes consists of certain observations and each of the positive observations was scored one, while negative observation was scored zero. It has been revealed from this study that more than 50% of butchers were without any education and none of the butchers had received any formal training in slaughtering and meat handling practices. Basic prerequisites of hygiene such as handwashing facilities and clean water were missing in all of the slaughtering facilities. More than 30 and 50 percent of butchers scored the least (between zero – one) in PHI MHI and SFHI. However, the total score of butchers with a higher level of education was greater (p < 0.05) than with a lower education level. To improve hygiene levels and reduce transmission of diseases due to the consumption of contaminated meat, regular surveillance of the poultry shops and formal training of butchers are necessary.

A Survey to Determine the Capacity Development Needs of Research Ethics Committee Administrators in South Africa

Most capacity development efforts for research ethics committees focus on committee members and little on ethics administrators. Increasing studies mandate the focus on administrators’ capacity development needs to enable adequate and effective committee support. This study investigated current responsibilities, training requirements, and administrator role needs. An online cross-sectional survey was conducted among administrators from 62 National Health Research Ethics Council-registered research ethics committees in South Africa. In total, 36 administrators completed the questionnaire. Results show that, in addition to administration, they perform managerial, review process and guidance-advisory tasks. Nearly 49% indicated only having received informal research ethics-related training, not targeted formal training, with 81% of the informal training being through workshops. Research ethics administrators’ responsibilities have evolved to complex tasks requiring targeted capacity development efforts.

Survey of Preservation and Conservation of Information Resources in Private University Libraries, South-west, Nigeria

Background of study: Preservation and conservation of the cultural, social and technical context of our heritage are germane. Purpose: The study examined the preservation and conservation of information resources in selected private university libraries in South-west Nigeria. Eight (8) selected private universities in South-west, Nigeria with the population consisted of one hundred thirty-seven respondents which comprised of library professionals and para-professionals. Method: The study employed a survey research design and random sampling technique. Data collected with aids of semi- structured questionnaire and was analysed using frequency, mean and standard deviation with the aid of a Statistical Package for Social Sciences (IBM-SPSS) version 20.0 Results: The findings revealed that book becoming torn is the highest nature of deterioration followed by vandalisation, mutilation and brittle of print library materials. Moreover, the study revealed that digital preservation level of utilisation is low and is not extensively used in selected private university libraries. Conclusion: The study concluded that preservation and conservation techniques are recognized in the selected university libraries, but the digital preservation techniques are not adequately used due to various constraints. One of the recommendations made was the provision of formal training for library staff on preservation and conservation of information resources.

The PASS Course: Practical Anatomy and Surgical Skills Course as a Pragmatic Primer for Senior Medical Students Pursuing Surgical Residency

The senior year of undergraduate medical education has been scrutinized for lacking emphasis from educators and value for students. Surgical residency program directors and medical students have reported different sets of perceived weaknesses as surgical trainees enter residency. With this in mind, we developed a novel rotation for senior medical students pursuing surgical residency. The rotation incorporates practical didactics, robust skill and simulation training, and an enriching anatomy experience that entails dissections and operations on embalmed and fresh tissue cadavers. To our knowledge, this is the first reported formal training experience for medical students that involves working with fresh tissue cadavers, which have been described as effective models for live human tissue in the operating room. We describe our multifaceted curriculum in detail, discuss its organization, and elaborate on its potential value. We also provide detailed explanations of the curriculum components so that other surgical educators may consider adopting them.

Speaking the Same Language: Using Controlled Vocabularies to Search Museum Collections Databases

<p>This study set out to see how controlled vocabularies help people find collections materials in electronic museum databases.It did this by interviewing collections staff from four museums. Eight people from library and non-library work areas at the four museums, who regularly search a museum database in the course of their work, were asked about their experiences with using controlled vocabularies to search. How people used controlled terms depended upon their job tasks and upon their knowledge of terms, past experience and training, and whether they trusted that terms would deliver good search results. Difficulties in using them were identified as being to do with terms themselves; the knowledge of the person searching; and the quality of information in the database. Despite controlled terms rarely being used alone for searching, respondents considered that controlled terminologies are important tools within museum databases for accessing collections. Controlled terms are resource intensive and need institutional backing to work well. Peer support, formal training, staff with database and controlled terms experience, and access to terms lists are some specific factors that would assist controlled vocabularies to work better for the people who search museum databases. Museums need to allocate sufficient financial and administrative resources to controlled terms, if they are serious about improving access to their collections.</p>

Assessment of knowledge and implementation practices of the ventilator acquired pneumonia (VAP) bundle in the intensive care unit of a private hospital

Studies have shown that a ventilator associated pneumonia (VAP) bundle significantly decreases VAP rates. In this study, we evaluated existing knowledge, practices, and adherence of nurses and infection control preventionists (ICP) to the VAP bundles of care in the intensive care unit (ICU) by using qualitative and quantitative tools. Of 60 participants (56 nurses and 4 ICPs), mean knowledge score regarding specific evidence-based VAP guidelines was 5 (range 3–8) out of 10 points. Self-reported adherence to the VAP bundle ranged from 38.5 to 100%, with perfect compliance to head of bed elevation, and poorest compliance with readiness to extubate. Overall VAP median bundle compliance was 84.6%. Knowledge regarding specific components of VAP prevention is lacking. Formal training and interactive educational sessions should be performed regularly to assess the competency of key personnel regarding the VAP bundle, especially in the context of rapid nurse turnover. Incentives for retention of nurses should also be considered, so that knowledge of hospital specific initiatives such as the VAP bundles of care can be cultivated over time.