Impact of the Surgical Environment on the Incidence, Timing, and Severity of Complications Associated With Oromaxillofacial Oncologic Surgery in Dogs

Numerous reports describe complication rates associated with oromaxillofacial oncologic surgery in dogs, however, investigation regarding the impact of the surgical environment on the incidence of complications is under reported. The objective of this retrospective cohort study, including 226 dogs surgically treated for oromaxillofacial tumors between January 1, 1997 and December 31, 2018, is to evaluate the impact of the surgical environment on the incidence of complications in oromaxillofacial oncologic surgery in dogs. A secondary objective is to report the incidence of local complications in oromaxillofacial oncologic surgery and characterize the type, timing, and severity of complications encountered. Incidence of complications was identified to be 69.9%. No significant association was identified between the incidence, timing, or severity of complications and the training background of the clinician, physical location of the procedure, or the ostectomy instrument used. These results suggest that the surgical environment has little impact on the incidence, timing, and severity of complications in dogs undergoing oromaxillofacial oncologic surgery. The results also emphasize the importance of preparing the surgical team and the client for a high incidence of complications associated with oromaxillofacial oncologic surgery in dogs and indicate that both short-term and long-term follow up is important in these cases. Oromaxillofacial surgery performed by residents-in-training within a veterinary teaching environment with adequate supervision appears to be safe.

Evaluation of masonry buildings and mosques after Sivrice earthquake

The evaluation of masonry and mosque type structures after the Sivrice Earthquake is presented in this study. Stone masonry buildings exhibited damage such as vertical cracks and splitting at corners, wedge shaped corner failures, diagonal cracking on walls, out-of-plane splitting of walls, and separation of walls from flooring/roofing systems. On the other hand, the separation of flags and caps of minarets was a common example of damage in mosques. Future earthquake damage can be prevented by following design codes and providing adequate supervision for new structures, while strengthening measures are recommended for the existing buildings.

Prospects and Challenges Analysis of China’s Customs Tobacco Trade Security and Facilitation System Innovation

Objectives: At present, affected by the coronavirus pandemic, the global industrial chain and logistics chain have been hit, and the international trade security and facilitation order have encountered unprecedented challenges. As a supervisory authority for the entry and exit of a country, customs plays a pivotal role in global economic exchanges. The customs management system is also considered one of the core issues affecting international trade, and the customs clearance link is the crucial link in the ongoing international trade. Customs clearance efficiency, import and export procedures, import and export time, import and export costs, and transparency of border management and other issues related to trade time and trade costs are closely related to customs. In the WTO’s trade facilitation agreement, 90 per cent of the content is directly related to customs. At the same time, certain specific powers possessed by the customs as a government department also make it shoulder the obligations of the times entrusted by the sovereign state, this includes safeguarding normal international trade and combating the smuggling of tobacco and frozen products. Achieving adequate supervision and promoting trade facilitation are the main contradictions and challenges faced by customs in various countries under economic globalization. Facing the new international environmental changes, the customs of all countries need to spare no effort to overcome barriers and join together.

Confidence of psychiatry trainees in meeting the needs of borderline personality disorder in comparison with schizophrenia

Objective: Borderline personality disorder (BPD) and schizophrenia are both serious and chronic mental health conditions of similar prevalence. This study was designed to assess trainees’ confidence in the assessment, management and treatment of BPD in comparison with schizophrenia. Methods: A survey was used to assess psychiatry trainees’ confidence and experience of training with regard to managing BPD and schizophrenia. Results: Eighty-two psychiatry trainees completed the survey. Overall, confidence scores of respondents with respect to BPD were significantly lower in comparison with schizophrenia. Trainees reported a preference for working with patients with schizophrenia compared with BPD. Respondents reported receiving less adequate supervision and training in the assessment, management and treatment of BPD than for schizophrenia. Conclusions: The results suggest an urgent need to enhance training and supervision in skills related to the diagnosis, management and treatment of BPD, with a greater focus on psychotherapy to improve trainee psychiatrists’ confidence in working with people diagnosed with BPD.

E-Peer Coaching: A Model to Support Rural Special Education Field Placements

Providing adequate supervision for pre-service teachers enrolled in special education field placements is a challenge. Rural placements often exacerbate this challenge due to the large geographical areas in which these placements are located. The purpose of this article is to describe one approach to early field supervision in rural settings that may provide solutions to this dilemma. E-peer coaching utilizes video-facilitated peer coaching to provide novice pre-service teachers (NPTs) with accurate feedback that is both frequent and timely. This study investigated the use of a Google App that allowed NPTs to record instructional sessions and provide feedback to one another under the supervision of a course instructor. Recommendations for implementation are discussed.

Satisfaction of General Versus Specialized Continuity Clinic in Hematology Oncology Fellowship Training: A Survey

Background: At the University of Florida (UF), hematology-oncology (HO) fellows participate in 2 general types of continuity clinic as part of their fellowship training. One clinic, at the Veterans Hospital (VA), allows fellows to care for patients with a variety of hematology oncology diagnoses in a general clinic setting. The other clinic, located at the university site, is disease or system specific (such as breast or GI clinic). Considerable research supports the value of continuity clinic in residency and fellowship training, but the differences in having a general versus specialized clinic for HO fellows have not been explored. The purpose of this study was to investigate the perceived differences of general versus specialized continuity clinics by recent HO graduates from UF. Specifically, we were interested in learning which features of a continuity clinic they felt were most impactful for their current clinical practice. Methods: An anonymous survey was sent to the last 6 graduating classes of HO fellows at UF, between years of 2013 and 2018. The survey contained short demographic questions, followed by 5 open ended questions pertaining to the differing continuity clinic experiences. Graduates were asked about their opinions of both the general and specialized clinics during their training at UF. Survey responses were reviewed and coded for common themes by the authors. Results: Of 28 graduating fellows surveyed, 13 responded to the survey (response rate 46%). In thematic review of survey responses, the most common themes that emerged concerned autonomy, level of supervision, and the diversity of the patient population. A majority of respondents felt they had more autonomy and personal responsibility at the VA general clinic, but less direct supervision than at the specialized clinics. They also believed they got a broader exposure to different disease types at the VA general clinic. Surveyed participants also commented on the quality of educational seminars and activities, preceptor expertise and teaching, and ability to observe cutting edge practice and clinical trials. Conclusions: Graduated oncology fellows from UF believe that there is a balance that exists between having autonomy and ownership of their patients versus having adequate supervision. Many believe that having “controlled autonomy” and “as much independence as is safe for patients” is key to a meaningful continuity clinic experience during oncology fellowship training.

AMIANTO NÃO! O MANEJO DAS TELHAS DE FIBROCIMENTO E PERSPECTIVAS PARA DESAMIANTIZAÇÃO NA UNIVERSIDADE FEDERAL DA BAHIA, EM SALVADOR-BAHIA

<p>Ao se estudar e analisar resíduos sólidos, nota-se a relação entre os aspectos ocupacionais, ambientais e de saúde. Os resíduos sólidos provenientes de materiais contendo amianto são comprovadamente nocivos, causando o adoecimento dos trabalhadores e culminando em uma questão de saúde pública. O presente trabalho teve como objetivo analisar o manejo das telhas de fibrocimento contendo amianto e a existência de perspectivas de desamiantização nas instalações da Universidade Federal da Bahia em Salvador/BA. Trata-se de um estudo do tipo exploratório com abordagem qualitativa em que a coleta de dados ocorreu por meio de entrevistas semiestruturadas com trabalhadores telhadistas, servidores, estudantes e professores dessa universidade e por meio do exame das legislações vigentes. A análise documental mostrou que os dispositivos legais e normativos identificados carecem de recursos e ações para serem implementados e que não há uma política de incentivo à desamiantização, assim como revelou a carência de áreas públicas para destinação final ambientalmente adequada do material contaminado e a falta de uma fiscalização apropriada. A pesquisa não identificou haver uma perspectiva de desamiantização na UFBA, apesar de ter constatado a existência de pessoas expostas ao risco invisível provocado pelo amianto. O estudo mostra um cenário de degradação ambiental e preocupante para a saúde coletiva, mas que também estimula a discussão de soluções e o desenvolvimento de novas pesquisas.</p><p> </p><p>NO ASBESTOS! THE MANAGEMENT OF FIBROCEMENT TILES AND PERSPECTIVES FOR DEAMIANTIZATION IN THE FEDERAL UNIVERSITY OF BAHIA, IN SALVADOR - BAHIA</p><p>When studying and analyzing solid waste, the relationship between occupational, environmental and health aspects is noted. Solid waste from materials containing asbestos is proven to be harmful, causing workers to become ill and culminating in a public health issue. The present work aimed to analyze the handling of asbestos-cement tiles and the existence of prospects for deactivation in the Federal University of Bahia facilities in Salvador / BA. This is an exploratory study with a qualitative approach in which data collection took place through semi-structured interviews with roofing workers, servers, students and professors at this university and through the examination of current legislation. The documentary analysis showed that the legal and normative provisions identified lack resources and actions to be implemented and that there is no policy to encourage deactivation, as well as the lack of public areas for the environmentally appropriate final disposal of contaminated material and the lack of adequate supervision. The research did not identify a prospect of deactivation at UFBA, despite having found the existence of people exposed to the invisible risk caused by asbestos. The study shows a scenario of environmental degradation and worrying for public health, but which also stimulates the discussion of solutions and the development of new research.</p><p> </p>

Residents' Performance of Single-Incision Pediatric Endo-Surgery Appendectomy (SIPESA) Versus Conventional Laparoscopic Appendectomy (CLA) in Two Centers

Background: The outcome of SIPESA performed by surgical residents is explored once in the literature. To the best of our knowledge, there are no published studies comparing the outcome of SIPESA versus CLA performed by the surgical residents.Aim: To assess the outcome of SIPESA at King Fahd Armed Forces Hospital (KFAFH), Jeddah versus CLA at Prince Sultan Military Medical City (PSMMC), Riyadh performed by surgical residents. Material & Methods: A retrospective comparative study of the outcome of SIPESA versus CLA conducted in two centers from January 2011 to July 2018. The two groups were compared for age, seniority of operating surgeon, mean operative time (MOT), perioperative complications and length of hospital stay (LOS).Results: 136 appendectomies (83(61%) SIPESA & 53(39%) CLA) were performed by residents between January 2011 and July 2018 in both centers. Postoperative complications were reported in 3.8% of CLA and 3.6% of SIPESA. There was no significant difference in postoperative complications between the two groups. The MOT of SIPESA and CLA was 92.25 minutes & 87.85 minutes respectively. Conclusion: SIPESA and CLA performed by residents are equally safe and feasible with no added morbidity. We believe that this good outcome is related to the adequate supervision of residents by experienced surgeons in conjunction with a properly structured training program. There was no significant difference in the outcome of both groups.

The Ethical Conflict of Dual Obligations Amongst Social Workers: The Role of Organisational Affiliation and Seniority

The purpose of the current study was to examine the frequency of ethical conflicts amongst social workers, deriving from dual obligations to clients and employers, as associated with their organisational affiliation and professional seniority. The sample included 723 social workers from three organisational sectors in Israel: the government sector, the third sector and the for-profit sector. Two-way analysis of variance (ANOVA) was conducted to examine the main and interaction effects of organisational affiliation and seniority on the frequency of ethical conflicts amongst social workers. Social workers in the for-profit and third sectors experienced a significantly higher frequency of ethical conflicts than those in the government sector. In addition, social workers with moderate seniority were found to experience ethical conflicts more frequently than those with low and high seniority. These findings have an important contribution to the ongoing public debate on the privatisation of social services, by pointing to the difficulties encountered by social workers employed in partially privatised social services in meeting their obligations to clients. Better public monitoring and adequate supervision of social workers are recommended. In addition, it is suggested that partial privatisation processes be reconsidered in the case of vulnerable populations.