Above and Beyond Robotic Surgery and 3D Modelling in Paediatric Cancer Surgery

Although the survival rates for children's cancers have more than doubled in the last few decades, the surgical practise has not significantly changed. Among the most recent innovations introduced in the clinic, robotic surgery and augmented reality are two of the most promising, even if they are not widespread. The increased flexibility of the motion, the magnification of the surgical field and the tremor reduction provided by robotic surgery have been beneficial to perform complex oncological procedures in children. Besides, augmented reality has been proven helpful in planning for tumour removal, facilitating early discrimination between cancer and healthy organs. Nowadays, research in the field of surgical oncology is moving fast, and new technologies and innovations wich will help to shape a new way to perform cancer surgery. Paediatric surgeons need to be ready to adopt these novel devices and intraoperative techniques to allow more radical tumour resections with fewer complications. This review aims to present the mechanism of action and indications of several novel technologies such as optical imaging surgery, high definition cameras, and intraoperative loco-regional treatments. We hope this will enhance early adoption and more research on how to employ technology for the benefit of children.

Social accountability - Its position and potential in the development of Vietnam

<p>Civil society organizations in Vietnam are experiencing some critical transitions. As the nation is no longer on the list of low income countries, an increasing number of such organizations are changing their missions from alleviating poverty to promoting more democratic governance. ‘Social accountability’, as one of their most common employed approaches, is often the combination of civic engagement, evidence-based monitoring, and advocacy. Carrying with it the expectation of improving accountability in Vietnam, the approach is still a new, foreign-imported concept which will challenge and be challenged by particular contextual factors in the country. This study examines the practices of social accountability in Vietnam to find out its position and potential in terms of development of the country. Promoting social accountability in Vietnam is often based on the assumption that the approach will improve government’s accountability, strengthening the state – citizen relationship. It is envisaged that the country will be eventually more open as a result. It is as yet an optimistic vision and will take time for practitioners to put in place. This study aims to analyse how early adoption of social accountability is affected by Vietnam’s contextual factors, to what extent it is affecting governance and increasing people’s participation, and what organizations can actually expect of social accountability. The research aims to fill a gap in the literature regarding social accountability in Vietnam. As a new concept, social accountability is often introduced via materials provided by international organizations like World Bank and UNICEF. Most of the documents present successful cases of applying social accountability in other countries like India and Bangladesh, and countries in Latin America. Thus, a critical analysis of adopting social accountability in the Vietnam context is necessary to provide more insights for both practitioners and scholars on the topic. Employing interviews as the key method, the study seeks input from key informants who are involved in the adoption of social accountability in Vietnam. From perspectives of government officials, development practitioners, and community members, the reality of practicing social accountability and how it is interacting and negotiating with other factors in society should be more clearly revealed. Practical expectations and recommendations to conceive of and practice social accountability in Vietnam are also suggested.</p>

Social accountability - Its position and potential in the development of Vietnam

<p>Civil society organizations in Vietnam are experiencing some critical transitions. As the nation is no longer on the list of low income countries, an increasing number of such organizations are changing their missions from alleviating poverty to promoting more democratic governance. ‘Social accountability’, as one of their most common employed approaches, is often the combination of civic engagement, evidence-based monitoring, and advocacy. Carrying with it the expectation of improving accountability in Vietnam, the approach is still a new, foreign-imported concept which will challenge and be challenged by particular contextual factors in the country. This study examines the practices of social accountability in Vietnam to find out its position and potential in terms of development of the country. Promoting social accountability in Vietnam is often based on the assumption that the approach will improve government’s accountability, strengthening the state – citizen relationship. It is envisaged that the country will be eventually more open as a result. It is as yet an optimistic vision and will take time for practitioners to put in place. This study aims to analyse how early adoption of social accountability is affected by Vietnam’s contextual factors, to what extent it is affecting governance and increasing people’s participation, and what organizations can actually expect of social accountability. The research aims to fill a gap in the literature regarding social accountability in Vietnam. As a new concept, social accountability is often introduced via materials provided by international organizations like World Bank and UNICEF. Most of the documents present successful cases of applying social accountability in other countries like India and Bangladesh, and countries in Latin America. Thus, a critical analysis of adopting social accountability in the Vietnam context is necessary to provide more insights for both practitioners and scholars on the topic. Employing interviews as the key method, the study seeks input from key informants who are involved in the adoption of social accountability in Vietnam. From perspectives of government officials, development practitioners, and community members, the reality of practicing social accountability and how it is interacting and negotiating with other factors in society should be more clearly revealed. Practical expectations and recommendations to conceive of and practice social accountability in Vietnam are also suggested.</p>

The Power of Beliefs

My commitment to combining normative concerns with empirical social science led, perhaps a bit counterintuitively, to early adoption of rational choice political economy. However, it was a modified form of rational choice that takes into account ethical and societal concerns. This was the approach I applied to considerations of compliance and consent with government, what makes a trustworthy government, the formation of legitimating beliefs, and finally the construction of an expanded and inclusive community of fate as a building block for a new moral political economy. Expected final online publication date for the Annual Review of Political Science, Volume 25 is May 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Early Adoption of Longitudinal Surveillance for SARS-CoV-2 among Staff in Long-Term Care Facilities: Prevalence, Virologic and Sequence Analysis

Our work comprises unique data on the characteristics of SARS-CoV-2 dynamics among staff working at LTCFs in the early months of the SARS-CoV-2 pandemic prior to mandated staff surveillance testing. During this time period, LTCF residents were largely sheltering-in-place.

Abstract 1122‐000242: Effect of Covid‐19 on Stroke Treatment in Australia and New Zealand

Introduction : In general, compared to the rest of the world, the impact of Covid‐19 in the Australia and New Zealand regions has been minimal and this may be attributed to their early adoption of social distancing, stable governments, national wealth and geographic isolation. However, this research was designed to validate this perception amongst the stakeholders. Methods : This research included: primary and secondary research. First, secondary research about Covid‐19 and stroke treatment and Australia and New Zealand in particular was conducted and compiled in a Google spreadsheet. Research sources include Stroke Foundation, Brain Foundation, and World Meters. Data collected included the number of stroke and Covid‐19 cases in Australia and New Zealand as well as a list of stakeholders with their contact information. The stakeholders included neurosurgeons, hospitals, neurologists, interventionists, and vascular surgeons. A survey tool and an interview questions were prepared next. The survey request was emailed to stakeholders, requesting the stakeholders for an interview and survey response. Over the following weeks, survey results came in and interviews were conducted. Since only a small subset of stakeholders responded to the survey (6 survey responses and 4 interviews), this study must be considered to be primarily qualitative in nature. The interviews were conducted online using Zoom. After the interviews, I replayed the interviews and took notes of important details. Results : The survey showed that 83% of the doctors worked in a hospital that had a separate stroke unit and that they perform mechanical thrombectomies most often as a treatment for stroke. Most of the doctors suggested that the stroke numbers have not changed significantly since Covid‐19. Yet, 50% of the doctors said that there had been delays in admitting stroke patients. One third believed Covid‐19 may have made an impact on mortality of stroke patients. One of the interviewees revealed that the main barriers to access to stroke care are the time it takes to treat the patient, fewer locations that treat strokes or perform mechanical thrombectomy, and patients’ reluctance to go to the hospital during the pandemic. Another confirmed that she did think there had been delays due to Covid‐19. Conclusions : Counter to widespread perception, Covid‐19 pandemic DID worsen many barriers for stroke treatment in Australia and New Zealand. These regions have insufficient stroke centers and these are not spread out widely enough for accessibility. Stroke deaths have increased during the Covid‐19 pandemic. Barriers such as time, accessibility, and the patient’s fear of hospitals have affected stroke treatment during the pandemic. Several measures can alleviate the impact: stroke awareness is critical. Every hospital needs to have the ability to assess and treat stroke. Hospitals must run simulations to practice and prepare for different scenarios that they could encounter when dealing with stroke patients. In conclusion, stroke treatment has been affected by the Covid‐19 pandemic and it is critical to minimize and overcome these barriers as stroke is one of the leading causes of death in Australia and New Zealand.

Chitosan/Polyvinyl Alcohol/Tea Tree Essential Oil Composite Films for Biomedical Applications

Tissue engineering is crucial, since its early adoption focused on designing biocompatible materials that stimulate cell adhesion and proliferation. In this sense, scaffolds made of biocompatible and resistant materials became the researchers’ focus on biomedical applications. Humans have used essential oils for a long time to take advantage of their antifungal, insecticide, antibacterial, and antioxidant properties. However, the literature demonstrating the use of essential oils for stimulating biocompatibility in new scaffold designs is scarce. For that reason, this work describes the synthesis of four different film composites of chitosan/polyvinyl alcohol/tea tree (Melaleuca alternifolia), essential oil (CS/PVA/TTEO), and the subdermal implantations after 90 days in Wistar rats. According to the Young modulus, DSC, TGA, mechanical studies, and thermal studies, there was a reinforcement effect with the addition of TTEO. Morphology and energy-dispersive (EDX) analysis after the immersion in simulated body fluid (SBF) exhibited a light layer of calcium chloride and sodium chloride generated on the material’s surface, which is generally related to a bioactive material. Finally, the biocompatibility of the films was comparable with porcine collagen, showing better signs of resorption as the amount of TTEO was increased. These results indicate the potential application of the films in long-term biomedical needs.