Intracerebral hemorrhage during the pandemic- Learning from experience

Worldwide stroke care was affected by COVID 19 pandemic and the majority of the literature was on ischemic stroke. Intracerebral hemorrhage (ICH) accounts for about one-fourth of strokes worldwide and has got high mortality and morbidity. We aimed to study the effect of the Pandemic on ICH outcomes and flow metrics during the first wave compared to the pre-pandemic period and how that experience was made used in managing ICH during the second wave. Ours was a single-center observational study, where consecutive patients with non-COVID spontaneous ICH aged more than 18 years who presented within 24 hours of last seen normal were included in the study. We selected the months of June, July, and August in 2021 as the second wave of the pandemic, the same months in 2020 as the first wave of the pandemic, and the same months in 2019 as the pre-pandemic period. We compared the 3-month functional outcomes, in hospital mortality and workflow metrics during the three time periods. We found poor three-month functional outcomes and higher hospital mortality during the first wave of the COVID 19 pandemic, which improved during the second wave. In-hospital time metrics measured by the door to CT time which was delayed during the first wave improved to a level better than the pre-pandemic period during the second wave. ICH volume was more during the first and second waves compared to the pre-pandemic period. Other observations of our study were younger age during the second wave and higher baseline systolic BP at admission during both pandemic waves. Our study showed that functional outcomes and flow metrics in ICH care improved during the second wave of the pandemic through crucial re-organization of hospital stroke workflows. We are sharing this experience because we may have to do further rearrangements in future as the upcoming times are challenging due to new variants emerging.

Learning from experience in positioning new computer products

The correct positioning of new computer products has become crucially important as markets saturate and competition intensifies. The logistic function can provide an aid to product positioning. The method presented her addresses questions of price and performance only, and involves determination of learning curves from data on past successful product launches. It assumes that companies learn like individuals and that variables such as performance/price grow according to logistic curves limited by the basic technologies at hand.Digital's experience shows that its VAX family of computers is amenable to such an analysis, which also provides insights on the overall evolution of that technology. Besides offering guidelines for product positioning, this approach provides a means for estimating price drops and/or performance enhancements necessitated from delays in product delivery.

An Overview on Issues Among Individuals With Intellectual Disability in India

Intelligence is the general mental capacity that involves reasoning, planning, solving problems, thinking abstractly, comprehending complex ideas, learning efficiently, and learning from experience. Intellectual disability (previously termed “mental retardation”) shows significant cognitive deficits (IQ score of below 70, i.e., two standard deviations below the mean of 100 in the population) and also significant deficits in functional and adaptive skills. Individuals with intellectual disability meet with various challenges in every span of life. The chapter tries to highlight some of the areas that are related to the concerns for the people with intellectual disability.

Reflective Practice in Anesthesia Clinical Teaching

BackgroundReflective practice is an essential aspect of knowledge generation for professional practice. By reflecting on action, professionals learn to improve their practices. Through processes of reflection, practitioners participate in a dialogue between theory and practice. Even though reflective practice is an important approach for learning from experience, its place remains unclear in anesthesia clinical education as well as anesthesia practice in a broad sense.AimThe aim of this paper was to examine the affordances of reflective practice in anesthesia clinical education.MethodsTwo cases, illustrating critical incidents in the anesthesia clinical teaching environment, were examined to consider how incorporating reflective practice into clinical education can advance knowledge generation in the field.FindingsThe two cases studies show how reflective practice can contribute to experiential learning, particularly through reflection on critical incidents.ConclusionReflective practice can help bridge the gap between theoretical knowledge and practice in anesthesia education and practice.Rwanda J Med Health Sci 2021;4(3):406-411

The Effectiveness of Site Visit Approach in Teaching and Learning of Construction Site Safety: A Case Study in Civil Engineering Faculty, Universiti Teknologi MARA, Johor Branch, Pasir Gudang Campus

Learning from experience approach has been widely adopted in the academic cluster of Built Environment including Civil Engineering field. To further strengthen this aspect, a study in exploring construction site visit as an aid to educational component in teaching and learning method is significant. This provide a platform which helps civil engineering students to enhance their safety knowledge and understanding by experiencing the real time situation at the construction site. The objectives of this study are to: (1) determine the effectiveness of site visit approach in teaching and learning of construction site safety (2) measure the performance between students who acquire knowledge related to safety by experiencing one site visit compared to students with zero site visit; and (3) compare the achievement and understanding between male and female students if site visit is adopted in the teaching and learning process. A set of questions is designed as an instrument and participating students are required to answer the questions nonverbally to show their knowledge on the construction site safety. Based on the scoring marks, a statistical analysis has been conducted. The result indicates that students with one site visit have better achievement and understanding compared to students with zero site visit. In addition, the result also shows that with one site visit, female students have better performance in the score marks compared to male students. Keywords: construction site, experience-based learning, site safety, site visit

China’s environmental miracle

. The article is devoted to the analysis of China’s great breakthrough in the fi eld of environmental protection. In recent years, the country has made enormous efforts to help reduce the anthropogenic impact on the environment: it has become an advanced manufacturer of consumables in the fi eld of "green" energy, has included the environment in the strategic development plan, adjusted the tax system, which has allowed us to achieve great results and consider these large-scale transformations a real miracle, worthy of attention in the aspect of learning from experience.