Journal articles: 'Education Department Appointments'

1

Bailey, David N. "The Veterans Affairs Healthcare System and Academic Pathology Departments: Evaluation of the Relationship." Academic Pathology 7 (January 1, 2020): 237428952093926. http://dx.doi.org/10.1177/2374289520939265.

Full text

Abstract:

A survey was conducted to evaluate the relationship between Veterans Affairs Healthcare Systems and academic departments of pathology in their respective affiliated schools of medicine. Most (73%) of the responding academic departments were within 5 miles of their Veterans Affairs Healthcare Systems; 60% of Veterans Affairs Healthcare Systems supported 1 to 5 full-time pathologist positions at the Veterans Affairs Healthcare Systems while 70% provided 1 to 5 full-time resident positions; only 34% of academic departments had “without compensation” appointments at the Veterans Affairs Healthcare Systems while 20% had fee-based consulting appointments; 62% of academic departments granted academic appointments to full-time Veterans Affairs Healthcare Systems pathologists while few (26%) had split appointments between the academic department and the Veterans Affairs Healthcare Systems; only half of academic departments granted the same academic privileges to Veterans Affairs Healthcare Systems pathologists as they did to full-time university faculty; 60% of the Veterans Affairs Healthcare Systems pathologists were not involved in recruitment of medical school faculty while 58% of medical school faculty were not involved in recruitment of Veterans Affairs Healthcare Systems pathologists; most academic departments reported no research space at the Veterans Affairs Healthcare Systems (68%) and no Veterans Affairs Healthcare Systems research support (72%); only 23% of academic departments reported a sharing agreement that allows the Veterans Affairs Healthcare Systems to perform clinical work for the academic department while 36% reported an agreement that permits the academic department to perform clinical work for the Veterans Affairs Healthcare Systems; only 32% of academic departments indicated that the Veterans Affairs Healthcare Systems Chief of Pathology and Laboratory Medicine Service is a member of the academic department leadership team. All academic departments reported that the Veterans Affairs Healthcare Systems plays a significant role in education of medical students, residents, and fellows. Strengths and weaknesses of the Veterans Affairs Healthcare Systems/academic department relationships are identified.

APA, Harvard, Vancouver, ISO, and other styles

2

Steedman, N. M., V. Worsnop, and R. Fernie. "Acceptance of genitourinary medicine clinic appointments within 48 hours is influenced by patient perception of risk but not by symptoms." International Journal of STD & AIDS 20, no. 9 (September 2009): 644–46. http://dx.doi.org/10.1258/ijsa.2008.008513.

Full text

Abstract:

The Department of Health has addressed access to genitourinary medicine services by setting targets that 100% of patients should be offered an appointment within 48 hours of contact and 95% should be seen within 48 hours. Such rapid access appointments are often declined by patients. We wished to ascertain whether patient perception of health risk or the presence of symptoms suggestive of a sexually transmitted infection (STI) might influence how quickly patients accept an appointment. We designed a two-armed study which demonstrated that up to 37% of patients offered an appointment within 48 hours declined it, with work commitments offered by 84% of these patients as the reason for deferring attendance. The presence of symptoms did not influence whether patients accepted an early appointment, however the patient's perception of health risk associated with an untreated STI was statistically significantly associated with earlier attendance ( P < 0.0001). Increased public education regarding the consequences of untreated STI may therefore improve the acceptance by patients of appointments within 48 hours.

APA, Harvard, Vancouver, ISO, and other styles

3

Brites, Mariana Azevedo, Joana Gonçalves, and Francisca Rego. "Admission to the Emergency Department by Patients Being Followed Up for Palliative Care Consultations." International Journal of Environmental Research and Public Health 19, no. 22 (November 17, 2022): 15204. http://dx.doi.org/10.3390/ijerph192215204.

Full text

Abstract:

Introduction: Palliative care aims to improve the quality of life of patients and families facing life-threatening diseases. Admissions to the emergency department are considered potentially avoidable. This study aims to characterize the use of the emergency department by palliative care patients at a public hospital in Portugal. Methods: This retrospective study included patients who had their first palliative care appointment during the year 2019; 135 patients were included, with 255 admissions to the emergency department. Descriptive statistical analysis consisted of calculating the absolute (n) and relative (%) frequencies for categorical variables and medians (Mdn) and percentiles (P25 and P75) for continuous variables. The multivariable associations were calculated via logistic models, with the statistical significance set to p < 0.05 and 95% confidence intervals. Results: Dying in hospital was associated with going to the emergency department. Patients who died in hospital had more admissions and spent more time there. Conclusion: Emergency department admissions suggest that there are gaps in the provision of care. It is necessary to anticipate crisis situations, provide home and telephone appointments, and invest in professionals’ education to respond to the needs that will grow in the future.

APA, Harvard, Vancouver, ISO, and other styles

4

Droog, Alissa, and Laura M. Bredahl. "ORCID education: a departmental approach." Library Hi Tech News 38, no. 1 (February 15, 2021): 1–5. http://dx.doi.org/10.1108/lhtn-11-2020-0106.

Full text

Abstract:

Purpose This paper aims to provide a case study of an ORCID promotion at the University of Waterloo School of Optometry and Vision Science, providing context for the importance of education in ORCID outreach. Design/methodology/approach The three-month ORCID promotion used workshops and individual appointments to educate faculty about ORCID, identity management systems and research impact and scholarly communications. Findings A targeted and personal approach to ORCID promotion focused on education about why you might use this author disambiguation system resulted in 80% of the faculty within the School of Optometry and Vision Science signing up for, or using ORCID. Scaling an ORCID implementation to a larger group would likely benefit from a dedicated project group, and integration with existing institutional systems such as a requirement of an ORCID for internal grant applications. Originality/value Although time consuming, this small-scale ORCID promotion with one department reveals that a departmental approach to ORCID education may lead to larger conversations about scholarly communications and a stronger relationship between faculty and the library.

APA, Harvard, Vancouver, ISO, and other styles

5

Yong, Aiwain, Avinash Kumar Kanodia, Milne Wendy, Sanjay Pillai, Gillian Duncan, Ann Serman, Gavin Main, et al. "Developing patient-centred MRI safety culture: a quality improvement report." BJR|Open 1, no. 1 (July 2019): 20180011. http://dx.doi.org/10.1259/bjro.20180011.

Full text

Abstract:

Objective: Despite having a detailed MRI-safety questionnaire check at the point of referral, we have encountered a significant number of near-misses with patients being identified with MRI-Unsafe devices at the time of appointments, making this an important safety hazard. Methods and materials: A two-part survey was performed to assess referrer compliance of asking MRI-questionnaires. 120 outpatients across 3 MRI sites were interviewed at the time of appointment to confirm whether their referrers completed the MRI questionnaires with them at the time of referral. Location: Department of Radiology, Ninewells Hospital, Perth Royal Infirmary and Stracathro Hospital in Scotland. Results: Only 50–55 % of patients confirmed that they were asked about presence of a pacemaker at the point of referral. Less than 50 % of patients reported being asked about other potential hazards. Suggested strategies for change: (1) Risk Alert—Sent to all MRI referrers in the organization. ( 2) Changes to MRI Safety Questionnaire. (3) Feedback mechanism to referrers—NHS trust website publications on number of recorded near-misses and wasted appointments due to MRI-safety issues. (4) Compulsory education/training of future referrers (junior doctors/allied health professionals). (5) Education of patients/public on MRI safety—Displaying patient information leaflets/posters in waiting areas of the hospital. Key measures for improvement: (1) Reduction in number of recorded near-misses. (2) System improvements, referrer and patient education, reduction of wasted MRI appointments and improvement of waiting-times for MRI appointments Effects of survey and conclusions: The survey highlights the possibility of inadequate referrer attention, and poor patient communication about MRI safety questionnaire with regards to potential hazards of MRI examination in presence of undeclared implants. It initiated several interventions resulting in improved patient safety, with no events in next 12 months, whilst promoting public and referrer’s understanding of potential MRI safety issues. Such actions are recommended for all NHS centres across UK since there are significant similarities in functioning across UK.

APA, Harvard, Vancouver, ISO, and other styles

6

Shanock, Linda Rhoades, Steven G. Rogelberg, and Eric D. Heggestad. "A View Into the Future of Organizational Psychology: Our Experiences With an Interdisciplinary Approach to Graduate Education." Industrial and Organizational Psychology 3, no. 3 (September 2010): 272–76. http://dx.doi.org/10.1017/s1754942600002406.

Full text

Abstract:

Of the four possible “futures” for I-O psychology discussed by Ryan and Ford (2010), one (Scenario 2: Identity Merger) struck close to home. In fact, it is not the future for us, it is the present. The three of us are I-O psychologists with appointments in both a psychology department and a fully integrated interdisciplinary organizational science (OS) PhD program. The program, which is now 5 years old, spans two colleges (Liberal Arts & Sciences and Business) and includes individuals from four departments (Psychology, Management, Sociology, and Communication Studies). Although considerable thought was invested in how to structure and operate such an interdisciplinary program well before we accepted our first class of students, our collective thinking has evolved dramatically as we have experienced the program.

APA, Harvard, Vancouver, ISO, and other styles

7

Bloot, Regina, and Jennifer Browne. "Factors Contributing to the Lack of Female Leadership in School Physical Education." Journal of Teaching in Physical Education 14, no. 1 (October 1994): 34–59. http://dx.doi.org/10.1123/jtpe.14.1.34.

Full text

Abstract:

This paper focuses on reasons why so few females hold head of department positions in physical education in government secondary schools in Western Australia. Despite the almost equitable proportion of females and males teaching the subject, and the absence of Ministry of Education policy constraints on female promotion since 1972, women held only 5 (7%) of the 70 substantive head of department appointments in 1991. In-depth interviews were conducted with 27 female physical education teachers to document their career experiences and aspirations. Analysis revealed that constraints on the promotion of females were based primarily on stereotypic attitudes and expectations regarding gender roles, and comprised systemic, attitudinal, and internalized barriers. It is proposed that social settings from studentship, through teacher education, to the teaching environment could play a crucial role in shaping and nurturing the career decisions and aspirations of female teachers.

APA, Harvard, Vancouver, ISO, and other styles

8

Marr, Amy L., Tyson Pillow, and Stephen Brown. "Southside Medical Homes Network: Linking Emergency Department Patients to Community Care." Prehospital and Disaster Medicine 23, no. 3 (June 2008): 282–84. http://dx.doi.org/10.1017/s1049023x00065018.

Full text

Abstract:

AbstractBackground: The 14 neighborhoods surrounding University of Chicago Hospitals (UCH) have both Chicago's highest “ambulatory-care-sensitive condition” hospitalization rates and lack of community-based care. To address these problems, in 2004, the Southside Medical Homes (SMH) Network began linking emergency department (ED) patients with 18 community providers. The ED-based patient navigator (patient advocate) is an integral component of this network, and both their current and developing roles will be discussed.Methods: Six navigators worked in the UCH-ED approached eligible patients that are flagged by the ED electronic tracking system. Patients were offered the services provided by primary-care referral and appropriate dental, mental health, and substance abuse facilities. Appointments were scheduled, and pertinent ED medical data was faxed to the outlying sites. Navigator roles were expanding with SMH to include: (1) focus on frequent user/chronic disease populations such as sickle cell disease where advocates will expedite a multidisciplinary clinic referral; (2) navigator training to better inform patients of the specific benefits a “medical home” provides for preventive and psychosocial care; (3) and improving navigator, and secondarily, patient knowledge, of community resources: health-education sites, vocational programs, advocacy agencies, support groups, etc.Results/Conclusions: Data through 01 July 2007 show a monthly average of 950 ED patients surveyed and 80% of these accepting follow-up referral services. Of those patients with ED-scheduled appointments (43%) in community clinics, network data shows patients returning to their referred providers: 39% of patients have been ≥2 times. The navigator role is evolving with the expansion of SMH to include: (1) frequent-user population referrals; (2) preventive health education; and (3) utilization of community resources.

APA, Harvard, Vancouver, ISO, and other styles

9

Prescott, Lauren S., Andrea S. Dickens, Sandra L. Guerra, Jila Tanha, Desiree G. Phillips, Kathryn B. Lowe, Miguel A. Lozano Garcia, et al. "SMART chemotherapy: A comprehensive cancer center’s journey to shared medical appointments." Journal of Clinical Oncology 32, no. 30_suppl (October 20, 2014): 135. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.135.

Full text

Abstract:

135 Background: Shared medical appointments (SMA) offer a novel approach to improve efficiency and quality of care consistent with the goals of the Institute of Medicine. To our knowledge, there are no established SMA models for oncology patients undergoing treatment. Our objective was to develop and implement a SMA for chemotherapy education and clearance for women with gynecologic cancer. Methods: We first assessed the level of interest in SMAs among our patients and providers through qualitative interviews. We subsequently created a multidisciplinary team comprised of physicians, mid-level providers, nurses, pharmacists, administrators, health education specialists and members of the QI Department. Our project consisted of several phases: 1) provider buy-in, 2) program development, 3) staff education, 4) implementation; and 5) patient recruitment. A plan-do-study-act cycle was performed following each SMA, using patient and provider feedback. Appropriate modifications were made before the subsequent SMA. Results: Both patients and providers identified pre-chemotherapy as an optimal area to pilot SMAs. We established a multidisciplinary Shared Medical Appointment and Readiness Teaching (SMART) clinic for all gynecologic oncology patients initiating chemotherapy with platinum- and taxane-based regimens. This model of care provides patient education within a framework of social support that empowers patients. We developed a standardized chemotherapy education presentation, and also provided patients with a tool kit that consisted of chemotherapy drug education, a guide to managing side effects, advanced directives and center contact information. Surveyed patients reported being highly satisfied with the group visit and would recommend SMA to other patients. Our preliminary data analysis revealed that SMART visits decreased wait time and increased value-added time for patients. Conclusions: SMAs for oncology patients initiating chemotherapy is both novel and feasible. A patient centric model, collaboration of multidisciplinary team members, and timely responsiveness to constructive feedback are essential to the successful integration of SMAs in an academic center.

APA, Harvard, Vancouver, ISO, and other styles

10

Brearly, Timothy W., Courtney S. Goodman, Calandra Haynes, Katherine McDermott, and Jared A. Rowland. "Improvement of postinpatient psychiatric follow-up for veterans using telehealth." American Journal of Health-System Pharmacy 77, no. 4 (February 7, 2020): 288–94. http://dx.doi.org/10.1093/ajhp/zxz314.

Full text

Abstract:

Abstract Purpose To describe the implementation and initial outcomes of a pilot interdisciplinary telehealth clinic, Allied Transitional Telehealth Encounters post-iNpatient Discharge (ATTEND), providing clinical pharmacy specialist follow-up for veterans transitioning from inpatient to outpatient mental healthcare in a Department of Veterans Affairs (DVA) hospital. Summary The ATTEND clinic’s primary intervention was providing medication management appointments through clinical video telehealth (CVT) to patient discharge locations through a DVA-provided tablet. An interdisciplinary team supported care through on-unit inpatient training, secure messaging, and self-help applications. Clinical outcomes were measured through readmission rates, wait times, self-report measures, and follow-up interview at the completion of ATTEND services. Twenty patients completed on-unit training, and 16 unique patients were seen for at least 1 outpatient appointment. Inpatient readmission rates were lower for ATTEND patients than with standard care (5% versus 19%, respectively). Wait times until first postdischarge mental health appointment were reduced by a mean of 18.6 (S.D., 8.8) days. The pharmacist made medication interventions, including dosing changes, education on incorrect administration, and medication discontinuation. Self-reported psychological symptoms decreased during ATTEND participation. Post-ATTEND interviews indicated high levels of acceptance and interest in continued tablet-based care. Primary challenges included unique technological limitations and effective care coordination. Conclusion The ATTEND telehealth clinic provided postinpatient mental health follow-up that was more prompt and convenient than conventional on-site appointments. Psychiatric self-report improved during ATTEND-facilitated transition to outpatient care, and the recidivism rate for ATTEND patients was lower than the general inpatient rate during the same time period.

APA, Harvard, Vancouver, ISO, and other styles

11

Bryan, J., F. Al Rawi, T. Bhandari, J. Chu, S. Hansen, and M. Z. Klaiman. "P026: Need for training in medical education: staff emergency physician perspectives." CJEM 19, S1 (May 2017): S86. http://dx.doi.org/10.1017/cem.2017.228.

Full text

Abstract:

Introduction: Emergency medicine physicians in our urban/suburban area have a range of training in medical education; some have no formal training in medical education, whereas others have completed Master’s level training in adult education. Not all staff have a university appointment; of those who are affiliated with our university, 87 have appointments through the Department of Medicine, 21 through the Department of Pediatrics, and 117 through the Department of Family Medicine. Emergency physicians in our area are a diverse group of physicians in terms of both formal training in adult education and in the variety of settings in which we work. The purpose of this study was to gauge interest in formal training in adult education among emergency medicine physicians. Methods: With research ethics board approval, we created and sent a 10-item electronic questionnaire to emergency medicine staff in our area. The questionnaire included items on demographics, experience in emergency medicine, additional post-graduate training, current teaching activities and interest in short (30-60 minute) adult education sessions. Results: Of a potential 360 active emergency physicians in our area, 120 responded to the questionnaire (33.3%), representing 12 area hospitals. Nearly half of respondents had been in practice over 10 years (48.44%). Respondents were mainly FRCP (50%) or CCFP-EM (47.50%) trained. 33.3% of respondents had masters degrees, of which 15% were MEd. Most physicians were involved in teaching medical students (98.33%), FRCP residents (80%) and family medicine residents (88.3%), though many were also teaching off-service residents, and allied health professionals. More than half of respondents (60%) were interested in attending short sessions to improve their skills as adult educators. The topics of most interest were feedback and evaluation, time-efficient teaching, the learner in difficulty, case-based teaching and bedside teaching. Conclusion: Emergency physicians in our area have a wide variety of experience and training in medical education. They are involved in teaching learners from a range of training levels and backgrounds. Physicians who responded to our survey expressed an interest in additional formal teaching on adult education topics geared toward emergency medicine.

APA, Harvard, Vancouver, ISO, and other styles

12

McInnes, Susan, Cheryl M. Carrino, and Laura Shoemaker. "Frontline oncology care team primary palliative symptom guideline education, the oncology care model, and emergency department visits." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 143. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.143.

Full text

Abstract:

143 Background: The Oncology Care Model (OCM) is a novel 5-year quality-based Oncology payment and care delivery program established by the Centers for Medicare & Medicaid Service in 2016. OCM prioritizes high-quality, coordinated care for patients undergoing chemotherapy (chemo pts.) Participating centers provide augmented services to enhance care and meet quality goals. Challenging symptoms (sxs) are common among chemo pts and may lead to hospitalization and decreased quality of life. Specialist palliative care teams are not able to see all chemo pts with active sxs. Front line oncology care teams (FLC) need education on primary palliative sx management. Methods: Cleveland Clinic Taussig Cancer Institute is one of 181 practices voluntarily participating in OCM. Locations include main campus and 5 regional cancer offices with 100 oncologists caring for about 4,000 chemotherapy patients annually. Our OCM team engaged Oncology (Onc) and Palliative Medicine (PM) providers to standardize sx management. Education was provided to FLC of all disciplines. Electronic record analytics were used to determine emergency department (ED) utilization. Results: A multidisciplinary team of Onc and PM experts developed guidelines for 4 common sxs (chemotherapy-induced neuropathy, persistent cancer pain, nausea/vomiting and constipation. Guidelines were approved by key Onc and PM staff and made available to all providers online. There were 4 educational sessions for FLCs to all sites in 2017. Urgent sx outpatient appointment slots were created in oncology offices to address uncontrolled sx. From Dec 2017 to May 2018, ED visits for all cancer patients at main campus decreased from 500/month to 453/month (9.4%.) Reductions in ED visits were also seen at 2 hospitals adjacent to regional cancer centers (16% and 6%.) Conclusions: OCM participation provided an opportunity to improve care quality at our institution. Primary palliative sx guidelines were successfully developed by an interdisciplinary team and disseminated to FLC. Urgent sx management appointments were made available in oncology offices. These interventions coincided with a reduction in ED visits for all cancer patients.

APA, Harvard, Vancouver, ISO, and other styles

13

MOSCOLA, RITAMARIE. "The Future of Primary Care." Pediatrics 88, no. 1 (July 1, 1991): 186–87. http://dx.doi.org/10.1542/peds.88.1.186a.

Full text

Abstract:

To the Editor.— In the article "Primary Care: The Future of Pediatric Education"1 Dr Alpert addresses many issues facing pediatrics. I agree with his list of problems. However, I doubt that the social, economic, and cultural changes he describes will ever occur. My informal survey of pediatricians in practice is a song of frustration and boredom. The ringing telephone provides the rhythm. How does a patient-physician relationship develop in an environment of missed appointments, 3 AM emergency department visits, and managed care? Many families change physicians whenever employers change health benefits packages.

APA, Harvard, Vancouver, ISO, and other styles

14

Mena Lora, Alfredo J., Stephanie L. Echeverria, Ella Li, Miguel Morales, Rita Esquiliano, Genessa Schultz, James Sifuentes, Sherrie Spencer, Eden Takhsh, and Romeen Lavani. "566. Impact of a Culturally Sensitive Multilingual Community Outreach Model on COVID-19 Vaccinations at an Urban Safety-net Community Hospital." Open Forum Infectious Diseases 8, Supplement_1 (November 1, 2021): S385. http://dx.doi.org/10.1093/ofid/ofab466.764.

Full text

Abstract:

Abstract Background The United States (US) is one of the most affected countries by the COVID-19 pandemic. A disproportionate burden of COVID-19 deaths is seen in Black, Asian, and Latinx groups. COVID-19 vaccines are the primary mitigation strategy to reduce morbidity and mortality. However, vaccine hesitancy is high in these communities due to factors such as low health literacy, language barriers, and other health inequities. Our objective was to implement a culturally sensitive, multi-lingual, community outreach model to promote vaccine education and facilitate vaccine administration. Methods Community healthcare workers or “promotoras” were deployed to high traffic areas such as supermarkets, laundromats, churches, and commercial hubs from February-May 2021. The promotoras provided culturally sensitive vaccine counseling to individuals in their preferred language and facilitated vaccine appointments at our hospital. Our data was compared with publicly available data from other facilities organized by ZIP codes defined by the Department of Public Health as low, medium, or high-vulnerability to COVID-19. Results A total of 109 outreach workers were hired, of which 67% (73) were Latinx, 27% (29) Black and 6% (7) Asian. Overall, 8,806 individual encounters led to 6,149 scheduled appointments and 3,192 completed first doses (Figure 1). A total of 14,636 individuals were vaccinated. Average age was 45.5 (range 12-98). Preferred language was 54% Spanish, 38% English, and 8% Chinese. Ethnicity was mostly Hispanic (66%) with race mostly white (54%) (Figure 2). High and medium-risk ZIP codes represented 69.4% of vaccinations at our facility (Figure 3). Figure 1. Education encounters and appointments made by community outreach workers and associated vaccinations. Figure 2. Racial distribution of vaccinated individuals at our facility Figure 3. Comparative vaccinations by zip codes from hospitals in our area. Conclusion We successfully implemented a culturally sensitive community outreach model which resulted in higher vaccination rates from at risk ZIP codes when compared to other hospitals. Promotoras encouraged vaccination in native languages, thereby increasing vaccine awareness and appointment faciliation. Barriers to vaccine access remain in these vulnerable communities. This model educated the community via its own members and may help reduce barriers, increase vaccine awareness and vaccination rates. Disclosures All Authors: No reported disclosures

APA, Harvard, Vancouver, ISO, and other styles

15

Boniface, B., E. Castaigne, E. Balaguer, T. Ghanem, A. Bouhlal, E. B. Ivascu, A. Youssouf Abdou, and P. Hardy. "Outpatient treatment engagement after suicidal attempt: A multicentre prospective study." European Psychiatry 33, S1 (March 2016): s271. http://dx.doi.org/10.1016/j.eurpsy.2016.01.713.

Full text

Abstract:

IntroductionMost suicide attempters are referred to community health professionals (CHP) after discharge from emergency department (ED). Thereafter, outpatient treatment engagement (OTE) is often poor. Strengthening it seems likely to reduce the risk of repeat suicidal behaviour.ObjectivesTo identify the predictive factors of OTE.MethodsMulticentre prospective study in true life conducted in adult patients (≥18) in 4 EDs of the Southern Paris region. Patients were referred to CHP. OTE was assessed by telephone calls at 1 and 3 months. OTE at 1 month was defined as having booked 1 appointment; OTE at 3 months as having attended 2 appointments and booked another one.ResultsOne hundred and fifty-five patients were assessed at 1 month and 144 at 3 months. OTE at 1 and 3 months was observed in 58% and 51% respectively. A multivariate analysis showed factors significantly predictive of OTE at 1 month: a psychiatric follow-up before the suicide attempt (SA), ≥2 psychiatric interviews during the stay at ED, appointment with CHP booked before discharge from the ED; and at 3 months: college or university education, absence of alcohol intake during the SA, psychiatric follow-up before the SA, appointment with CHP booked before discharge from the ED.ConclusionsThis multicentre prospective study highlights the benefit of booking outpatient appointment before discharge from ED; of allowing patient to benefit from at least two psychiatric interviews; of being particularly cautious with patients who took alcohol concomitantly to their SA, patients with low level of academic achievement and patients without psychiatric follow-up.Disclosure of interestThe authors have not supplied their declaration of competing interest.

APA, Harvard, Vancouver, ISO, and other styles

16

Taylor, Barrett, Kelly Ochs Rosinger, Lindsay Coco, and Sheila Slaughter. "Digesting “the Worm's Share”: Administrative Authority and Faculty Strategies in the Humanities." Teachers College Record: The Voice of Scholarship in Education 121, no. 9 (September 2019): 1–38. http://dx.doi.org/10.1177/016146811912100905.

Full text

Abstract:

Background/Context Research on academic capitalism often maps changing conditions in which faculty work occurs without explaining the mechanisms by which change occurs. We use Fligstein and McAdam's theory of fields to posit that the changing conditions in which humanities faculty members work reflect activities in overlapping (the academic profession more generally) and proximate (university administration) fields. We seek to illuminate the ways in which humanities faculty experience heightened administrative authority and strategically respond. Research Questions We ask: 1) How do faculty members in the humanities understand the changes in their field? 2) How do faculty members in the humanities understand their relationships to members of overlapping (e.g., faculty in other areas) and proximate (e.g., administrators) fields? and 3) How do faculty members in the humanities strategize to improve their positions? Participants We conducted semistructured interviews with 46 faculty members in humanities fields with various appointments (tenured, tenure-track, non-tenure-track). Faculty participants were mainly housed in English and history, two of the largest humanities departments at many institutions, but also in philosophy and religion departments. Research Design Our multiple case study design took place at two public research universities to understand how faculty respond to changing conditions. The research sites, typical of many public research universities, experienced declining direct government support and therefore conditions in which academic capitalist processes occur were present at both. Humanities departments contributed a large portion of student credit-hour production at both research sites, yet such funds were centralized and allocated by university administration. Data Collection and Analysis Our interview protocol focused on faculty perceptions of resource allocation within the institution, allocation of work within the department, perceptions of the department relative to others, and how faculty structured their time and careers in response to various pressures inside and outside of their university. Semistructured interviews ranged from 25 and 90 minutes and were recorded and transcribed. We analyzed data using a priori and emergent codes which were grouped into broad themes reflecting faculty responses to changing conditions. Results Three strategic responses emerged among humanities faculty members we interviewed: utilizing lower status faculty members, exploiting weaker units in the field, and forming alliances. Conclusions/Recommendations Strategies result in the improved status of some individual faculty members but do not arrest the diminishing status of the humanities as a field. Our analysis suggests that field-level analyses entail implications for the study of academic work and processes in the academic capitalism tradition.

APA, Harvard, Vancouver, ISO, and other styles

17

Polyvkan, M. I. "SPECIFICS OF SELECTING AND EXPERIENCE OF IMPLEMENTATING DISTANCE LEARNING TECHNOLOGIES AT THE DEPARTMENT OF HISTOLOGY, CYTOLOGY AND EMBRYOLOGY OF IVANO-FRANKIVSK NATIONAL MEDICAL UNIVERSITY." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 21, no. 1 (March 21, 2021): 133–37. http://dx.doi.org/10.31718/2077-1096.21.1.133.

Full text

Abstract:

Because of COVID-19 spreading since March 2020, European countries began to introduce quarantine measures that inevitably led to the closure of all educational institutions. In the context of globalization and the development of the Internet, opportunities for lifelong education and self-education have appeared and are rapidly evolving. In particular, distance learning is available for a large audience including self-education-oriented learners and teachers, as well as can improve the qualification levels of specialists. The learners can reside in different geographic regions, represent different ethnic groups and cultures, but they are all united by one desire to update and expand their knowledge, improve practical skills. Most of medical universities in Ukraine had to modify their courses for distance learning format in a short time. The readiness for this process was different for each university: both purely technical problems arose, mainly due to the lack of the Internet in rural areas, out-of-date computers, no specially prepared educational and methodological materials and guidance on the one hand, and difficulties associated with no experience in organizing this form of education, on the other. To conduct all forms of training at the Ivano-Frankivsk National Medical University in quarantine restrictions, various interactive teaching techniques were chosen in the form of videoconferences, organized by using the corporate Microsoft Teams platform. This teamwork centre brings together chat, appointments, notes and attachments in its workspace. This teamwork platform brings together chat, appointments, notes and attachments in its workspace. On this platform, in the form of webinars, the heads of the information department of the University conducted training for educators sharing practical recommendations for organizing distance learning. Scientific and pedagogical staff of the Department of Histology, Cytology and Embryology managed effectively enough to adapt educational distance learning technologies for the study and knowledge of the students of the microscopic and ultramicroscopic structure of the structures of the human body, its development and changes in the different conditions to develop and boost their general and professional medical competence. Distance learning can be considered a very promising form of organizing the educational process in the context of life-long learning. In the medical field, due to the large number of practical skills at the undergraduate stage and the complexity of their development remotely, the maximum effectiveness of this form of education is currently presented when receiving correspondence pharmaceutical education and postgraduate advanced training of doctors.

APA, Harvard, Vancouver, ISO, and other styles

18

Boek, Walter. "Action and Research from Field Methods." Practicing Anthropology 24, no. 2 (April 1, 2002): 23–27. http://dx.doi.org/10.17730/praa.24.2.c126x10j7lvj9581.

Full text

Abstract:

For many anthropologists, utilization of their store of knowledge and skills by others has been an accepted part of their functions. For me, this has included participation in a variety of institutions with action missions, that is, they were designed to accomplish some task, to change or cause to be changed some behavior or physical form. These included appointments by three governors in a state health department, a people of Indian ancestry project in Manitoba, a resettlement project in the Mackenzie Delta of Canada, a research and training organization, a mental health center, a university college of education, joint venture development in China and a college of democracy special training in a University.

APA, Harvard, Vancouver, ISO, and other styles

19

Calvin, Rammbuda Mulatedzi. "Implementing the Curriculum and Assessment Policy Statement: A Case Study of the Vhembe West District, South Africa." Journal of International Education and Practice 2, no. 2and3 (October 15, 2019): 45. http://dx.doi.org/10.30564/jiep.v2i2and3.1006.

Full text

Abstract:

This qualitative study was undertaken to investigate how district officials implemented Curriculum and Assessment Policy Statement in the Vhembe West District in South Africa. Interview data were collected and used for themes identification. The study identified the following challenges that the district officials experienced as they performed their duties: insufficient resources, lack of finances to buy learning and teaching support materials, infrastructure failures, the district’s inadequate support to schools, shortage of district officials in certain disciplines, unclear roles, lack of collaboration, unavailability of follow-up visits, the shortage of computers for the district officials and teacher support materials, bribery and corruption of selling principalship posts, slow filling of district officials posts, and inappropriate skills for school management and leadership. The study concluded that qualified district officials should be appointed, ongoing support from the Department of Basic Education and provision of resources in ensuring smooth curriculum implementation is needed, and bribery and corruption should be stopped when school principal appointments are made. This study also concludes that the district officials should be continuously capacitated so that they should be able to meet curriculum challenges, and the Department of Basic Education should speed up the curriculum delivery by ensuring that the vacancies are filled up.

APA, Harvard, Vancouver, ISO, and other styles

20

Lightbody, Teresa, Jennifer Thull-Freedman, Stephen Freedman, Nicole Finseth, Stephanie McConnell, Angela Coulombe, Jennifer Woods, et al. "Improving assessments and follow-up for pediatric emergency department mental health visits." Canadian Journal of Emergency Nursing 45, no. 2 (July 12, 2022): 10–11. http://dx.doi.org/10.29173/cjen182.

Full text

Abstract:

Background: Over the past decade, the number of children presenting to emergency departments (ED) with mental health (MH) concerns has increased substantially. EDs struggle to respond to this increase with approaches that comprehensively address patient needs. The lack of standardized processes to perform risk stratification, assess severity, and ensure access to follow-up care pose barriers to the provision of safe MH care. Our team addressed this gap by introducing an evidence-based care bundle to Alberta’s two pediatric EDs. This report presents the quality improvement (QI) approach used to ensure fidelity of implementation at one of the EDs. This initiative was funded by Alberta Innovates (Partnership for Research and Innovation in the Health System; PRIHS). Methods: We used the Model for Improvement to test and implement each bundle element: suicide risk screening (Ask Suicide-Screening Questions [ASQ]) at ED triage; a tool (HEADS-ED) to streamline and standardize MH assessments by ED-based MH nurse); and an urgent, single-session ‘Choice Appointment’ with a MH professional within 96 hours of the ED visit for patients lacking access to appropriate and timely MH follow-up care. The two ED-based bundle elements did not require additional resources or funding and are expected to reduce length of stay. The follow-up clinic option for ED patients without resources is intended to prevent crisis escalation and match patients with supports. Each new practice was introduced sequentially over a 2-week period. For each practice, we identified 1 to 2 improvement aims, developed key driver diagrams, and selected primary outcomes and measures. Each practice was implemented using Plan-Do-Study-Act (PDSA) cycles with initial tests of change starting small and becoming larger as learning accrued from previous cycles. Our QI team included families with lived experience, patient care and unit managers, nurse educators, frontline healthcare providers, content experts, and clinical leaders who supported staff and led change management strategies. A nurse was hired as a QI lead to support execution of PDSA cycles. We developed a sustainability plan which included embedding education regarding new practices in new healthcare staff orientation, having a measurement strategy to ensure that improvement was maintained, and planning for transition of responsibility for these processes to operational and medical leadership. Evaluation Methods: Primary aims included: 80% of targeted patients would receive the ASQ and HEADS-ED and 100% of children eligible for an Urgent, single-session ‘Choice Appointments’ would be offered it within 96 hours. We used clinical data from the electronic health record (Epic/Connect Care) as well as patient experience data collected via parent/caregiver surveys to determine if the aims for each practice were achieved. We included balancing measures to test whether changes in care in one part of the system introduced unintended consequences in other parts. We evaluated results for the primary aims using run charts to rapidly detect change according to established rules for detecting special cause. We discussed the results from each PDSA cycle in the context of existing healthcare resources to support implementation of each element of the bundle. Results: Tests of change to introduce suicide risk screening began February 1st, 2021. Performance was measured in weekly intervals. The median initial use of ASQ by triage nurses was with 77% of MH patients (686/901 patients), and over time, improved to 93% (319/350 patients), with special cause (shift) in noted September 2021. Tests of change to introduce the HEADS-ED tool began February 16th, 2021. Initial use of the HEADS-ED by MH nurses was 81% (440/555) and improved to 87% (201/227) with special cause (shift) noted August 2021. Urgent, single-session ‘Choice Appointments’ were offered to all patients who did not have timely and access to urgent follow-up with an existing mental healthcare provider with 89.1% having an appointment booked within 96 hours of the ED visit (139/156). Advice and Lessons Learned: Three plans were viewed as crucial to the success of this initiative: 1) a robust strategy to develop proposed changes based on best evidence combined with patient and staff engagement; 2) a comprehensive QI strategy to test, measure, and implement changes; and 3) regular communication and collaboration among ED staff, mental healthcare staff, patients/families, and hospital leadership. There were also lessons learned regarding what could have further enhanced project success: 1) enhanced communication strategies using multiple methods to ensure that project communications reached all stakeholders, including those not regularly present in the ED; 2) hiring the QI lead earlier to begin change management prior to bundle implementation; and 3) outlining a transition plan for clinical data management and bundle monitoring earlier to ease the QI transition to clinical leadership.

APA, Harvard, Vancouver, ISO, and other styles

21

Jones, James E., and Gerald C. Preusz. "Attitudinal Factors Associated with Individual Faculty Research Productivity in Academic Dentistry." Perceptual and Motor Skills 76, no. 3_suppl (June 1993): 1191–98. http://dx.doi.org/10.2466/pms.1993.76.3c.1191.

Full text

Abstract:

The purpose of this study was to examine attitudinal factors associated with increased research productivity of individual clinical faculty in 66 United States and Canadian schools of dentistry. Thirteen variables, evaluating the subjects perceptions of their research background, work environment, attitude and outcome effects from publishing, and the use of colleagues in conducting research, were evaluated. The 833 respondents represented a response rate of 64.9% (833/1200) from a 50% stratified random sample of faculty who (1) had full-time appointments and held at least the D.M.D. or D.D.S. degree or the foreign equivalent, (2) taught in a clinical department of the dental school, and (3) were not departmental chairpersons or administrators (assistant dean, associate dean, or dean). Respondents reported a mean of 10.3 yr. (range = 1 to 45, SD = 7.3) in full-time dental education (career age) and a mean of 10.1 career publications (range = 0 to 110, SD = 13.8). Analysis of variance for mean number of career publications, by increasing agreement in response to each attitudinal variable, yielded a significant positive association for each of the 13 attitudinal variables. Implications of the findings were discussed with respect to strategies for improving research productivity of individual faculty.

APA, Harvard, Vancouver, ISO, and other styles

22

Ardani, Ardani, and Djaka Permana. "Evaluation of Community Participation and Fire and Rescue Sub-dept. In Fire Prevention Tanjung Priuk District." Ilomata International Journal of Social Science 1, no. 1 (October 30, 2019): 20–28. http://dx.doi.org/10.52728/ijss.v1i1.35.

Full text

Abstract:

This study aims to determine the level of community participation in fire prevention and management in Tanjung Priuk Subdistrict, the City of Administration against Fire Disasters in North Jakarta, the theory used in this research is the opinion of M. Nuh Minister of Education in the era of President Bambang Yudhoyono in Climbing the Amstein ladder to organize an ideal participation. The research method used is a qualitative method to obtain key data from interviews with legitimate sources that are directly involved in fire prevention and management and are supported by data from field observations. The data is then analyzed by the triangulation process. To find out the level of community participation. The results showed that the level of participation in fire prevention in Tanjung Priuk District had a range of information, consultations and appointments. the training program, which is carried out as an annual program, is provided for the community to provide information one way. In the management process, the community is at the second level of the seventh stage because the community is already a partner in the fire department before the fire department arrives at the fire location, the community has tried to extinguish the fire independently. To increase community participation in fire prevention and management, the Fire Department of the North Jakarta City Administration Office must optimize human resources, as well as other fire management resources, to be able to act also to provide costs for Balakar (Voluntary Fire) every month.

APA, Harvard, Vancouver, ISO, and other styles

23

Kopari, Nicole M., Jessica A. Zagory, Kristen Lindsey, Herb A. Phelan, and Jeffrey E. Carter. "504 Starting a Pediatric Burn Center: Challenges Faced in an Underserved Patient Population." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S86—S87. http://dx.doi.org/10.1093/jbcr/irac012.135.

Full text

Abstract:

Abstract Introduction Burn injury is the third most common cause of childhood injury resulting in death. The CDC recognizing the South as having the highest rate of pediatric burn deaths in the U.S. Unfortunately, 10% of all child abuse cases involve burn injuries and 20% of all pediatric burn admissions are due to nonaccidental trauma. Our study demonstrated that aftercare was a major challenge in starting a pediatric burn center. We analyzed the rate of lost to follow-up in burn-injured children following surgery and our steps to address this need in our community through key partnerships within our state. Methods Our study is a single center review of pediatric burn-injured children undergoing surgery from 01/01/2021 through 09/30/2021. Lost to follow-up was defined as three or more consecutive months without clinic or telemedicine visits despite three of more documented communication attempts by attending surgeons and/or clinic staff. Children requiring child protective services (CPS) for suspected nonaccidental trauma were compared to those where nonaccidental trauma was not suspected. All children sustained burn injuries of sufficient severity to require excision and autograft with follow-up in the outpatient clinic. Families were provided with an after-visit summary reviewing the clinic appointment, transportation and meal assistance, and they received a call prior to clinic to remind them of the scheduled appointment. Results A total of 35 children required surgery with outpatient follow-up per protocol. 23% of the patients required CPS investigations. We reviewed 151 subsequent clinic visits and the associated cancellations, rescheduled appointments, and no-show visits. Children under the care of CPS had a higher rate of being lost to follow-up (50%) compared to other children (17%). Parents undergoing CPS investigation were 4x less likely to provide cancellation notice. Children placed in foster care had no cancellations, reschedules appointments, or missed visits despite a higher number of clinic visits overall. Conclusions Children suffering nonaccidental injuries represent an exceptionally vulnerable portion of our population. Burn injuries often are a public and personal reminder of severe trauma. CPS works to find a balance in securing a safe home while attempting to maintain a family unit. Our work demonstrated an unacceptably high rate of loss to follow-up for children requiring surgical intervention after injury especially in those with concerns for nonaccidental etiologies. As a result, our burn surgeons led an initiative with statewide burn directors and our state’s emergency response network to engage the state’s CPS department. Our goal was to raise awareness and increase education for CPS social workers and foster families on burn injury and aftercare needs.

APA, Harvard, Vancouver, ISO, and other styles

24

Schoenherr, Jordan Richard, and Raelyne L. Dopko. "Heterarchical social organizations and relational models: Understanding gender biases in psychological science." Theory & Psychology 29, no. 2 (February 22, 2019): 258–81. http://dx.doi.org/10.1177/0959354318825307.

Full text

Abstract:

In the present study, we sought to explain changes in the proportion of men and women working within North American psychological science in terms of a heterarchical social organization defined by norms and conventions of society, the structure of higher-education institutions, as well as scientific communities. Using archival records from psychology within the U.S., we found that the demographic shift from male-dominated to female-dominated reflects an asymptotic relationship that has been established in the last two decades. An examination of three potential indicators of status (PhD department appointments, general science awards, and scientific awards in psychology) did not indicate a similar trend compared to the ascension of women within psychological science. We believe that this reflects a heterarchical structure: disparate criteria were used to assign women’s status in the social networks of academic institutions and scientific research. Moreover, we also claim that the increase in the number of women and “female-associated” topics has resulted in a general change in the status of psychology.

APA, Harvard, Vancouver, ISO, and other styles

25

Mondal, S., B. Ghosh, S. Atreya, J. Bhaumik, and A. Mukhopadhyay. "Role of Gynaecology Oncology Specialist Nurses in Improving Patient Follow-Up and Integration With the Health Care Team." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 91s. http://dx.doi.org/10.1200/jgo.18.69100.

Full text

Abstract:

Background: All advanced gynecologic cancers treated initially with a curative intent should also be referred to palliative care at the outset for symptom management. Specialist nurses can play an integral role in this process as patients feel more comfortable to relay their symptoms to nurses rather than busy clinicians. The concept of specialist nurses has been introduced in June 2016 in the Gynecologic Oncology Department in Tata Medical Center. We aim evaluate our services through this prospective audit. Aim: i: To assess whether pre and posttreatment counseling and follow-up by gynecologic oncology specialist nurses lead to better patient care in the following areas. Increased patient participation in self-reporting of PROM (patient reported outcome monitoring) and uptake of follow-up methods via e-mail, telephone etc. ii: Coordinate administration of intraperitoneal chemotherapy and follow-up. iii: Detection of posttreatment complications and symptoms by telephonic follow up and coordination with the treating team including quality of life data collection. iv: Communicating MDT decisions to patients and arrange appropriate follow-up. v: Reduction of patient follow-up appointments and distress by coordinating with other departments i.e., palliative care team and gynae/medical oncology at same visit. vi: Develop patient information leaflets and providing preoperative education Methods: Prospective audit for service evaluation. Patients follow-up was done by face to face, telephone, e-mail in the pre and postoperative period, during chemotherapy and follow-up visits by 4 specialist nurses. Results: Between June 2016 and December 2017, specialist nurses conducted follow-up of 225 patients both in preoperative and postoperative period and collected 30 day morbidity data. Preoperative health education was given to all. 36 patients were coordinated with palliative care team on same day with gynecologic visit to reduce harassment/repeat appointments. Postchemotherapy follow-up was done for 80 patients after each cycle of chemotherapy. Coordination for 19 intraperitoneal chemotherapy was done by nurses during a 9 month period. As a result of regular follow-up visits, women were more comfortable in self-reporting of symptoms to the nurse including sensitive issues like body image and sexuality even by nonface to face methods including telephone calls/e-mails and postal mails. This has led to early detection of recurrences in 4 women, participation in multicentric national/international quality of life studies (SOCQER2/ SOCQER IND) and successful organization of survivorship programs in gynecologic oncology. Conclusion: Counseling, education and building up of interpersonal relationship with specialist nurses can improve patient participation. The role of CNS is vital to the advancement of nursing practice.

APA, Harvard, Vancouver, ISO, and other styles

26

Kowitlawakul, Yanika, Tan Jian Zhi, Ho Shu Qin, Lata Raman Nee Mani, Piyanee Yobas, and Chan Moon Fai. "Assessing patient satisfaction with healthcare services at outpatient Urology Department of a tertiary hospital in Singapore." European Journal for Person Centered Healthcare 2, no. 3 (July 15, 2014): 393. http://dx.doi.org/10.5750/ejpch.v2i3.793.

Full text

Abstract:

Objectives The patient satisfaction assessment at an outpatient Urology Centre in Singapore was based on one single question and it has failed to provide a direction of the areas for improvement. The objectives of this study were to identify the levels of patients’ satisfaction with health care services, the differences in general satisfaction within patients’ socio-demographic characteristics, and the most influential factor of healthcare services in predicting patients’ satisfaction.Method The study is a cross-sectional descriptive study design, using a validated Patient Satisfaction Questionnaire (PSQ) in both English and Chinese language. A total of 450 outpatients (85.1% response rate) participated in the study. Results In general, patients were moderately satisfied with healthcare services at the outpatient Urology Centre services. The satisfaction level was significantly higher for elderly patients compared with young and middle-aged adults. Patients of private paying class were more satisfied with the services than those who were in the subsidized paying class. Doctors were found to be the most influential domain in predicting patients’ general satisfaction, followed by nurses. About 56% of variance in general patient satisfaction was explained by doctors, nurses, access of care, appointments and facilities (R2=0.56).Conclusions The moderate satisfaction scores imply that there is room for improvement in the quality of healthcare services delivery system. As doctors and nurses were identified as the strongest predictors of general satisfaction, this knowledge could allow nursing, medical education and management to develop strategies which will further increase the level of patient satisfaction.

APA, Harvard, Vancouver, ISO, and other styles

27

Levy, Cari, Anne Hale, Emily Galenbeck, and Leah M. Haverhals. "VETCONNECT: A VA TELEHEALTH PROGRAM PROVIDING TREATMENT, EDUCATION AND TRANSITIONS OF CARE TO NURSING HOME VETERANS." Innovation in Aging 3, Supplement_1 (November 2019): S338—S339. http://dx.doi.org/10.1093/geroni/igz038.1228.

Full text

Abstract:

Abstract Transporting nursing home Veterans to hospitals for outpatient care can present many challenges, including lengthy time in transit, coordination difficulties between the hospital and nursing home, and travel burden on Veterans. In June 2017, the VetConnect program began offering Veterans in Colorado residing in Department of Veterans Affairs (VA) contracted Community Nursing Homes (CNHs) and State Veteran Nursing Homes (SVHs) telehealth appointments in Geriatrics, Mental Health, Palliative Care, and Psychiatry via clinicians at the Rocky Mountain Regional VA Medical Center (VAMC). Then in June 2018, VetConnect expanded to offer Virtual Tours for Veterans transitioning out of inpatient care to CNHs the opportunity to virtually tour the CNH, connecting with CNH staff through video for a more stress-free and informed transition from hospital to CNH. In winter 2018, VetConnect expanded once more to include Dementia Educational Outreach Series for CNH and SVH staff, allowing them to connect virtually to VA staff with expertise in dementia care and other Veteran-specific topics such as treating post-traumatic stress disorder (PTSD). To date, VetConnect has provided 502 telehealth visits, 18 Virtual Tours, and 4 dementia ECHO trainings (with 58 nursing home staff participants). Evaluation measures to be presented include collection and analysis of telehealth nurse field notes (who are present with Veterans at CNHs/SVHs during telehealth visits), creation of process maps, conducting key stakeholder interviews, and identification of potential impacts the VetConnect program has had on VA to CNH and SVH relationships and Veteran health.

APA, Harvard, Vancouver, ISO, and other styles

28

Merkel, Warren. "“Make the Appointments Obligatory”: The Cultural and Institutional Challenges of Establishing a University Writing Center in Norway." Nordic Journal of Modern Language Methodology 8, no. 2 (November 26, 2020): 49–67. http://dx.doi.org/10.46364/njmlm.v8i2.763.

Full text

Abstract:

In the US, writing centers have a long history at institutions of higher learning. Often housed in individual colleges, writing centers function to help both undergraduate and graduate students develop their writing skills and become more confident, independent writers. Assistance, which is typically offered by students who are themselves seasoned writers, takes form in both face-to-face and online tutoring sessions, and can focus on tenets of writing ranging from general skills (e.g., outlining, drafting, organization) to discipline- or genre-specific assignments (e.g., theses, reports, presentations). In recent years, efforts have been made to transfer the writing center culture across the pond; success stories have popped up in a wide range of European countries. Yet several contexts have yet to be investigated. The purpose of this study was to examine the challenges of establishing a writing center at the Department of Teacher Education (Institutt for lærerutdanning) at the Norwegian University of Science and Technology (NTNU). In autumn 2019, 43 pre-service second-year students taking a course on Content and Language Integrated Learning (CLIL) were obligated to make one appointment with the writing center to discuss drafts of a paper for a required assignment. Afterwards, they completed a survey detailing the experience of their visit. Results revealed that while students on the whole benefited from the sessions to discuss their writing, the students hinted at several cultural deviations that have the potential to hobble efforts of establishing a writing center. Instructional implications are discussed.

APA, Harvard, Vancouver, ISO, and other styles

29

Boldovskiy, K. A. "The Cadres of Besieged Leningrad on the Nomenclature Lists of the Central Committee of the ACP(b)." Modern History of Russia 12, no. 4 (2022): 840–52. http://dx.doi.org/10.21638/spbu24.2022.402.

Full text

Abstract:

The research is based on briefing papers and other reporting documents prepared during 1943– 1944 by the Cadres department of the Leningrad City Committee of the ACP(b) for the Cadres Department of the Central Committee of the Party. It contains information on the senior leaders of besieged Leningrad, who were on the nomenclature lists of the Central Committee of the All-Union Communist Party of Bolsheviks. These lists included heads of organizations and enterprises that were considered the most important for the country. Briefing papers and reports contain information about the personal composition of managers, their education, age, previous jobs. Based on the analysis of these documents, the article concludes that during the Great Patriotic War, the cadres of Leningrad leaders consisted entirely of local officials. During the period of 1941–1944 less than half of the posts included in the nomenclature of the Central Committee for Leningrad were occupied by workers who were sent from other regions. Most of the leaders of the party and Soviet apparatus held their positions from the pre-war period throughout the entire period of the Siege. Cadre appointments were approved by heads of the Leningrad city committee, while the second secretary of the city committee A. A. Kuznetsov played the main part in this process. This policy led to the formation of a stable group of “Siege officials”, which remained in leadership positions in Leningrad until the start of purges in 1949–1950. Most of the Siege leaders belonged to the same age group (30–40 years old), about half of them had a higher, most often engineering, education. The article also discusses some typical cases of dismissal of executives from their positions. The author shows that during the Siege, such punishments were used by the local party leaders, and not by the initiative of the central authorities.

APA, Harvard, Vancouver, ISO, and other styles

30

Sherlock, LaGuinn P., Candice E. Ortiz, Georgina P. Blasco, and Daniel I. Brooks. "Retrospective Assessment of the Efficacy of Modified Progressive Tinnitus Management Skills Education in a Military Medical Treatment Facility." Military Medicine 184, no. 9-10 (February 27, 2019): e468-e473. http://dx.doi.org/10.1093/milmed/usz024.

Full text

Abstract:

Abstract Introduction The number-one service-connected disability is tinnitus. Tinnitus currently has no cure, but the functional impact of tinnitus has been shown to be mitigated by Progressive Tinnitus Management (PTM), a multi-level management approach. The duration of PTM Level 3 skills education (PTM-SE) and the inclusion of mental health providers have been identified as barriers to implementation of PTM-SE in Department of Defense (DOD) medical treatment facilities. The goal of this study was to determine if a version of PTM-SE modified for use in DOD medical treatment facilities resulted in positive changes in tinnitus-related outcomes. Materials and Methods A retrospective study was conducted by examining the medical records of patients who attended modified PTM-SE appointments. The study was approved by the Walter Reed National Military Medical Center Institutional Review Board. The study sample included 130 patients who completed modified PTM-SE between January 2015 and June 2016. Primary outcome measures were tinnitus awareness and tinnitus annoyance; secondary outcome measures were effect on life and self-perceived coping ability. Outcome measures were analyzed with nonparametric statistics and logistic regression. Results Modified PTM-SE resulted in clinically significant improvements in the primary outcome measures (awareness, p < 0.0001; annoyance, p < 0.0001). The proportion of patients who indicated an improvement in coping with tinnitus was similar to other published data with similar modifications to PTM-SE. Conclusions The evidence supports the assumption that PTM is a flexible program of tinnitus management that even when modified to be suitable for use in a DOD medical treatment facility provides meaningful reductions in tinnitus awareness and annoyance and improves tinnitus coping ability among military beneficiaries. These findings should encourage audiologists to modify PTM to work within their military medical treatment facility.

APA, Harvard, Vancouver, ISO, and other styles

31

Duncan, Pamela W. "One Grip a Little Stronger." Physical Therapy 83, no. 11 (November 1, 2003): 1014–21. http://dx.doi.org/10.1093/ptj/83.11.1014.

Full text

Abstract:

Abstract Pamela W Duncan, PT, PhD, FAPTA Dr Duncan has actively participated in and contributed to physical therapist practice, physical therapist professional education, professional preparation of other health care providers, national policy development related to rehabilitation after stroke and aging, and scientific investigation. She has served several government appointments and provides leadership within several organizations. She served as co-chair of the Consensus Panel on Establishing Guidelines for Stroke Rehabilitation for the Agency for Health Care Policy, Research, and Education. She was a panel member on the National Institutes of Health's Total Hip Replacement Consensus Conference and served on the Strategic Planning Group for Stroke Research for the National Institute of Neurological Disorders and Stroke. She recently was appointed to serve on the Steering Committee of the Department of Education's National Institute on Disability and Rehabilitation Research and is currently on the Executive Leadership Council of the American Stroke Foundation and the Advisory Committee of the Canadian Stroke Network. She has served on committees and panels for the American Heart Association and was president of APTA's Neurology section. Dr Duncan's research activities focus on geriatric rehabilitation, stroke rehabilitation, and health outcomes measurement. She developed the Functional Reach Test, used to assess balance in older adults. In the past 20 years, she has received $13 million in research awards as principal investigator or co-investigator from agencies such as the National Institutes of Health, National Institute on Aging, American Heart Association, Department of Veteran's Affairs, and National Center for Medical Rehabilitation Research and from multiple private funding sources. Dr Duncan has disseminated her research findings in more than 80 peer-reviewed articles in 20 different journals, and she has written a book and 12 book chapters. Dr Duncan's work has influenced the care and rehabilitation of patients in the United States and worldwide. Physical therapy education programs across the country incorporate her findings and professional vision into the preparation of the next generation of physical therapists. APTA has awarded Dr Duncan the Marian Williams Award for Research in Physical Therapy, the Catherine Worthingham Fellowship Award, and the Mary McMillan Scholarship Award. She has also received research awards from the APTA Neurology Section, Sports Physical Therapy Section, and Section on Geriatrics, as well as a service award from the Neurology Section. She is an elected fellow of the Stroke Council of the American Heart Association and has given 8 invited lectureships at universities across the United States.

APA, Harvard, Vancouver, ISO, and other styles

32

DSouza, Karen, Yeon Soo Lee, Dzhuliyan J. Vasilev, Megan Allyse, Alessandra Ainsworth, Caroline J. Davidge-Pitts, Felicity Enders, and Zaraq Khan. "133 Investigating the Utilization Rate of Fertility Preservation Services Amongst Transgender and Gender Diverse Patients." Journal of Clinical and Translational Science 6, s1 (April 2022): 9. http://dx.doi.org/10.1017/cts.2022.46.

Full text

Abstract:

OBJECTIVES/GOALS: Fertility preservation (FP) allows transgender and gender diverse (TGD) patients undergoing gender-affirming therapy to pursue genetic parenthood. Barriers to care exist leading to its underutilization; while these barriers to care have been investigated, the true utilization rates of FP services by TGD patients are unknown. METHODS/STUDY POPULATION: This study includes a retrospective chart review of adult and pediatric patients from Mayo Clinics Transgender and Intersex Specialty Care Clinic who have provided research authorization. We will assess if FP was discussed and review if the patients proceeded to make appointments with either the Department of Reproductive Endocrinology & Infertility or the Department of Urology. FP terms include semen cryopreservation, sperm extraction, sperm aspiration, testicular tissue cryopreservation, oocyte cryopreservation, embryo cryopreservation, and ovarian tissue cryopreservation. Patient demographic data will be collected to determine associations between utilization rate and age, sex recorded at birth, gender identity, race, ethnicity, and variables related to socioeconomic determinants of health. RESULTS/ANTICIPATED RESULTS: We hypothesize that the rate of FP utilization will be higher for patients who begin to affirm their gender at the age of 25 or older, and for those seeking feminization treatment in comparison to pre-pubescent adolescents, young adults, and transgender men. Of FP options, semen cryopreservation will be most utilized, followed by oocyte cryopreservation; both will be more utilized than embryo cryopreservation, sperm extraction, sperm aspiration, testicular tissue cryopreservation, and ovarian tissue cryopreservation. Employment, and insurance status and coverage, will play a role in FP service utilization after initial consult. This study was approved by Mayo Clinics Institutional Review Board. Data on N=611 patients is expected to be abstracted and analyzed prior to Translation 2022. DISCUSSION/SIGNIFICANCE: This study will be one of the first to examine the rate of FP utilization by TGD patients with respect to the age and timing of gender-affirming therapy initiation. Understanding the rate of utilization of FP services will allow for the creation of age-appropriate education materials for TGD patients pursuing gender affirmation and FP at Mayo Clinic.

APA, Harvard, Vancouver, ISO, and other styles

33

Peña-Montoya, Maria Eugenia, Maria Garzon-Duque, Doris Cardona-Arango, and Angela Segura-Cardona. "Acceso a los servicios de salud de los adultos mayores. Antioquia - Colombia." Universidad y Salud 18, no. 2 (August 31, 2016): 219. http://dx.doi.org/10.22267/rus.161802.33.

Full text

Abstract:

Objetivo: Determinar el tiempo de espera para la asignación de cita con médico general, de los adultos mayores en las regiones de Antioquia en el año 2012, en función de características sociodemográficas, económicas, del estado de salud, personales, familiares y de atención en salud. Materiales y métodos: Se realizó un estudio trasversal retrospectivo con fuente secundaria de información representativa de base poblacional, tomando como población de referencia 4.215 encuestas realizadas a adultos mayores. Se realizó análisis univariado, bivariado y se identificaron los factores que más explicaban el acceso y uso de los servicios de salud por parte de los adultos mayores. Resultados: Con respecto a las variables y su asociación con el tiempo de espera para la asignación de cita con médico general de cada una de las regiones se encontraron con significancia estadística los siguientes factores de riesgo: en la ciudad de Medellín el área de residencia (IC: 1,018 – 8,990 ), en la región del Oriente, percibir la situación de salud como buena (IC: 1,579 – 8,186 ) y en la región del Suroeste, vivir en el área rural (IC: 5,934 – 174,499), no tener educación certificada (IC: 1,697 – 23,194), contar con estudios de básica primara (IC: 1,732 – 10,274), vivir en estratos 0 y 1 (IC: 1,998 – 47,863), y estrato 2 (IC: 3,492 – 16,019), además de estar afiliado al régimen subsidiado (IC: 2,449 – 15,875). Conclusión: El tiempo de esperar para la asignación de cita con médico general, aun se comporta como una barrera en el acceso a los servicios de salud de los adultos mayores del departamento de Antioquia, explicado por características tales como área de residencia, percepción del estado de salud, nivel educativo, y tipo de afiliación, esto según la región del departamento.Abstract Objective: To determine the waiting time for the allocation of medical appointments with general practitioner for older adults over the Antioquia regions in 2012, according to their socio demographic, economic, health status, personal, family and health service characteristics. Material and methods: A transversal retrospective research was done with secondary source of representative demographic based data, taking as reference population 4.215 surveys of older adults. Univariate and bivariate analysis were performed and the factors that most explained the access and the use of health services by older adults were identified. Results: According to the described variables and its association with the waiting time for the allocation of medical appointments with general practitioner at every region it is possible to identify the following factors with statistical significance: rural area of residence, health situation, not having certified education or only having studies in primary school, living in low strata and being affiliated to the regime. Conclusion: The waiting time for the allocation of medical appointments with general practitioner is still an access barrier to health services for older adults all over the analyzed Antioquia regions, which is explained by features like resident area, health state perception, educational level and type of affiliation, according to the region of the department.

APA, Harvard, Vancouver, ISO, and other styles

34

De Wouters, Solange, Steven Petronilia, Daniel Paulet, Tom De Baere, Etienne Willemart, and Olivier Cornu. "Outpatient total hip arthroplasty : the future?" Acta Orthopaedica Belgica 87, no. 2 (June 30, 2021): 313–19. http://dx.doi.org/10.52628/87.2.16.

Full text

Abstract:

With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety. Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered. Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience. With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.

APA, Harvard, Vancouver, ISO, and other styles

35

Sleeman, Allyson, Jessica Odom, and Megan Schellinger. "Comparison of Hypoglycemia and Safety Outcomes With Long-Acting Insulins Versus Insulin NPH in Pregestational and Gestational Diabetes." Annals of Pharmacotherapy 54, no. 7 (January 1, 2020): 669–75. http://dx.doi.org/10.1177/1060028019897897.

Full text

Abstract:

Background: Current guidelines from the American College of Obstetricians and Gynecologists recommend insulin as the standard therapy for treatment of pregestational and gestational diabetes (PGDM and GDM). However, the guidelines do not specify which type(s) of insulin to utilize. Additionally, there are limited published data regarding safety parameters of insulin in this population. Objective: To evaluate if insulin glargine or detemir (long-acting insulin) results in less hypoglycemia, hospitalizations, or delivery complications compared with intermediate-acting insulin neutral protamine Hagedorn (NPH) in PGDM and GDM. Methods: This single-center, retrospective, observational cohort study included pregnant women who were 18 years or older with PGDM or GDM and received insulin therapy during pregnancy at an outpatient obstetric clinic. The primary outcome was the frequency of hypoglycemia (BG < 60 mg/dL). Secondary outcomes included emergency department visits and hospitalizations, delivery complications, and the duration of time at glycemic targets during pregnancy. Results: A total of 63 patients were included for evaluation. There was no significant difference in the frequency of hypoglycemia between the long-acting and NPH groups (4.4 vs 6.2 events per patient, respectively; P = 0.361). Patients receiving long-acting insulin had significantly more encounters with diabetes education (10.6 vs 5.1 visits per patient, P = 0.002) and more consistently provided glucose readings at their appointments (8.3 vs 4.8, P = 0.043). There was no difference in hospitalizations or maternal and neonatal complications. Conclusion and Relevance: Long-acting insulins did not reduce the frequency of hypoglycemia compared with NPH. The results of this study confirm the need for additional investigations with larger populations.

APA, Harvard, Vancouver, ISO, and other styles

36

Aslan, Fatih, and Çağlar Öktem. "Evaluation of Patients Presenting to the Ophthalmology Department of a Tertiary Hospital for Nonemergency Reasons During the Covid-19 Pandemic." Czech and Slovak Ophthalmology 76, no. 6 (January 25, 2021): 260–64. http://dx.doi.org/10.31348/2020/36.

Full text

Abstract:

Objective: To evaluate changes in the demographic and diagnostic distribution of patients presenting to the ophthalmology department during the COVID-19 pandemic, compared to the pre-pandemic period. Methods: The study included patients who made outpatient appointments in our ophthalmology department. The COVID-19 group (CovG) comprised patients who presented between April 15 and May 15, 2020, the 30-day period with the highest daily number of new cases in Turkey. The control group (CG) was obtained by randomization through a computer program from among 2 245 patients who applied in the same period of the previous year. The patients’ presenting complaint(s), diagnostic(s) and demographic information’s were collected from a database, with all identifying information concealed. For patients who presented more than once, their initial complaint and diagnoses were analyzed. Results: The study included a total of 400 patients: 200 in the CovG and 200 in the CG. Mean ages in the CovG and CG were 41.23 ± 14.48 and 48.20 ± 17.49 years, respectively (p < 0.001). The female to male patient ratio was 0.53 in the CovG and 0.83 in the CG (p = 0.032). There were fewer university graduates compared to other education levels among the patients who presented during the pandemic (p = 0.013). During the COVID-19 pandemic, there was no increase in presentation frequency for any ocular disease compared to the previous year. The only statistical decrease in patient application complaints was observed in reading difficultness (11 % in CovG vs. 37 % in CG; p < 0.001). Presentations due to dry eye (DE) and allergic conjunctivitis (AC) were similar to the same period of the year (p = 0.303 and p = 0.550, respectively). At least 1 chronic ocular disease was present in 25 % of the CovG and 45.5 % of the CG (p < 0.001). A statistically significant decrease was observed in CovG for age-related macular degeneration and glaucoma in the diagnoses made at the end of the examination (p = 0.001 and p < 0.001, respectively). Conclusion: During the first peak of the COVID-19 pandemic in Turkey, the most common outpatient presentations to the ophthalmology department were for the diagnoses of DE and AC. During peak pandemic period, elderly patients, women and academically trained patients significantly reduced their visits to the Eye Clinic. The reduction in presentation of patients with glaucoma and age-related macular degeneration may be due to the long-term treatment planning for these patients and the social isolation measures issued for the older population. These patients should be encouraged to use video consultation / telemedicine in eye patients at risk of vision loss.

APA, Harvard, Vancouver, ISO, and other styles

37

Tsai, Rebecca N. W., Muhammad M. Qureshi, Stephanie Losi, Michael A. Dyer, Minh Tam Truong, Pablo Buitron de la Vega, and Kimberley S. Mak. "Assessing social determinants of health in a safety-net oncology population: Use of an EHR-based screening and referral system." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19072-e19072. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19072.

Full text

Abstract:

e19072 Background: Routine electronic health record (EHR)-based screening and resource referral to address social determinants of health (SDOH) have been established in adult primary care clinics and the emergency department of New England’s largest safety-net hospital. The burden of SDOH in safety-net oncology patients is less well-studied. This study aimed to understand the social needs of this vulnerable patient population and evaluate the need for implementation of SDOH screening in the oncology clinic. Methods: Patients with lung or head and neck cancer seen in consultation in the Department of Radiation Oncology at Boston Medical Center between 3/2019-1/2020 were identified. EHRs were reviewed for receipt of THRIVE, an EHR-based screening and referral model addressing SDOH. Associations between patient demographics and SDOH screening were evaluated. Results: A total of 104 head and neck (n = 53; 51%) and lung (n = 51; 49%) patients were identified. Median age was 65 years (interquartile range 57.5-72). The majority of patients were male (71.2%), and English-speaking (82%). Whites, Blacks, and Asians comprised 43%, 38%, and 3% of patients, respectively. Fifteen patients were Hispanic (14%). Patients were most likely to have private health insurance (n = 41; 39%), followed by joint Medicare-Medicaid plans including senior and community health plans for elderly (n = 27; 26%), Medicaid (n = 17; 16%), and Medicare (n = 17; 16%). 83 of 104 patients (79.8%) were screened for at least one SDOH domain, with 55 patients (66%) screened before presentation in radiation oncology clinic. Transportation to medical appointments (16%), food insecurity (14%), and inability affording medications (10%) were the most prevalent concerns among these oncology patients. Housing insecurity, utilities, caregiving, unemployment, and education were identified social concerns for 4-5% of patients. The majority of patients who had at least one social need requested resources to assist them (71%). Age, gender, race, language, and insurance status were not associated with receipt of the SDOH screener (p≥0.1). Conclusions: Safety-net oncology patients report significant social needs. Routine SDOH screening and resource referral should be considered in these vulnerable patients.

APA, Harvard, Vancouver, ISO, and other styles

38

Coleridge, Sarah Louise, Alison Wiggans, Ellen Nelissen, Rob Bethune, Richard Blackwell, Andrew Bryant, and Jo Morrison. "Improving the uptake of cervical screening in pregnant and recently postnatal women: a quality improvement project." BMJ Open Quality 11, no. 2 (May 2022): e001709. http://dx.doi.org/10.1136/bmjoq-2021-001709.

Full text

Abstract:

BackgroundIn 2018, cervical screening uptake was at its lowest level since screening began, particularly in those aged 25–35, coinciding with the peak incidence of cervical cancer and average age at first delivery.ProblemRetrospective baseline data of pregnant women found 47.3% (n=123/260) were overdue for screening by delivery, of whom 74% (n=91/123) remained overdue by 6 months postnatal.MethodsWe undertook a quality improvement project from April 2018 to April 2019 to improve cervical screening uptake in pregnant and postnatal women. We mapped out the screening process and canvassed stakeholders. The main theme was inconsistency of advice received by women. From February 2018 to May 2020, we undertook a prospective audit of 10 women per week who gave birth in our maternity department, recording screening status at delivery and 6 months postnatal.Interventions included introducing evidence-based guidelines about cervical screening in pregnancy and the postnatal period, flow charts for maternity staff, multiprofessional teaching for all maternity staff and information dissemination to women (via the HANDiApp platform, a social media campaign and adapting results letters following colposcopy, highlighting dates when screening would be due). Primary care opening hours were extended for screening and women received a letter from their midwives, if they required cervical screening in pregnancy.ResultsLocally, the percentage of women overdue for cervical screening by 6 months postnatal improved by 8.0% during this project, compared with a 1.6% change in national screening rates in women aged 25–49.ConclusionsWe increased the percentage of local pregnant and postnatal women attending cervical screening by introduction of a package of information, targeted education and widening access to screening appointments.

APA, Harvard, Vancouver, ISO, and other styles

39

Hatton, Chris. "School absences and exclusions experienced by children with learning disabilities and autistic children in 2016/17 in England." Tizard Learning Disability Review 23, no. 4 (October 1, 2018): 207–12. http://dx.doi.org/10.1108/tldr-07-2018-0021.

Full text

Abstract:

Purpose The purpose of this paper is to examine data on absences and exclusions from school amongst children with learning disabilities and autistic children in England in 2016/2017. Design/methodology/approach Data were drawn from Department for Education statistics for the school year 2016/2017 on school absences (authorised and unauthorised) and school exclusions (fixed-period and permanent) for children in the primary special educational needs categories of moderate learning difficulty (MLD), severe learning difficulty (SLD), profound and multiple learning difficulty (PMLD) and autistic spectrum disorder (ASD). Findings Authorised school absence rates were higher for all groups of children investigated compared to children without special educational needs, primarily due to illnesses and health-related appointments. Rates of unauthorised school absences were low. Rates of fixed-period and permanent school exclusions were higher for children with MLD and ASD compared to children without SEN, and lower for children with SLD and PMLD. Reasons given for exclusions were similar across children (persistent disruptive behaviour, physical assault against a pupil, verbal abuse against an adult), although physical assault against an adult was also commonly mentioned for children with SLD, PMLD or ASD. Social implications Reducing school absences for children with learning disabilities and autistic children will involve co-ordination of health and social care support arrangements to ensure they are convenient and efficient for children and families. In terms of exclusions, schools need to consider the extent to which they are making reasonable adjustments for children with learning disabilities and autistic children. Originality/value This paper presents in one place statistics concerning school absences and school exclusions for children with learning disabilities and autistic children in England.

APA, Harvard, Vancouver, ISO, and other styles

40

Turner, Oliver, Gwenllian Collin, and Vikram Luthra. "Evaluation of Junior Doctors’ Experience of Psychodynamic Psychotherapy Training in LYPFT During the COVID-19 Pandemic." BJPsych Open 8, S1 (June 2022): S130—S131. http://dx.doi.org/10.1192/bjo.2022.383.

Full text

Abstract:

AimsDeveloping psychotherapeutic competencies is an essential part of psychiatric training. All core trainees in LYPFT until 2021 saw a patient for Psychodynamic Psychotherapy. The pandemic led to unprecedented changes to clinical practice and medical education. In LYPFT all face-to-face appointments in the Medical Psychotherapy Service were paused in March 2020. Patients were offered the choice to continue therapy remotely or postpone therapy. Supervision was also moved to a remote format. Face-to-face psychotherapy sessions resumed from August 2020, with new departmental procedures around infection control and the use of PPE. This project aimed to establish the junior doctors’ experience of delivering psychodynamic psychotherapy in LYPFT during the COVID-19 pandemic.MethodsThe project was carried out via a two-step methodology: Firstly with an online survey which included a quantitative analysis of the impact of the pandemic; and secondly via semi-structured interviews with a resultant thematic analysis.Results22 junior doctors who were invited to participate, 15 completing the survey (68%). Four patients had deferred therapy; the mean length of deferral was 2 months. Ten respondents had sessions cancelled due to infection or self-isolation. Face-to-face delivery was experienced by 13 respondents, 5 respondents had delivered therapy via phone and 6 had delivered therapy with PPE. Thirteen were concerned about attaining their psychotherapy competencies. Seven preferred face-to-face supervision, and 4 preferred remote working.Thematic Analysis of the semi-structured interviews identified three themes regarding the impact of the COVID-19 pandemic on Junior Doctors experience of Psychodynamic Psychotherapy, with sub-themes detailed below. Throughout the themes, the challenges and difficulties with delivering therapy in the COVID-19 pandemic, as well as areas of good practice and opportunities were identified.The Work of Therapy (Remote Therapy, PPE and Therapy, COVID-19-related) 1.The Structure of Therapy (COVID-19 Guidance, Setting/Frame of Therapy, Boundaries of Therapy)2.The Therapist's Training (Supervision, Attaining Competencies, Loss of Training Experience)ConclusionRecommendations: 1.To create a short guide for junior doctors delivering Psychodynamic Psychotherapy during a pandemic.2.To consider the types of supervision delivery within the Medical Psychotherapy Service3.To ensure there is space for junior doctors within the Medical Psychotherapy department or a private space within their base placement, should remote therapy be required.4.To ensure future plans related to possible pandemic restrictions address the need for good quality and strong internet connections/WIFI

APA, Harvard, Vancouver, ISO, and other styles

41

Mbokazi, Msawenkosi Sandile, Rachel Gugu Mkhasibe, and Oluwatoyin Ayodele Ajani. "Evaluating the Promotion Requirements for the Appointment of Office-Based Educators in the Department of Basic Education in South Africa." International Journal of Higher Education 11, no. 2 (February 20, 2022): 184. http://dx.doi.org/10.5430/ijhe.v11n2p184.

Full text

Abstract:

Various promotion requirements are adopted in the appointment of classroom or subject educators as office-based educators or subject advisors (education specialists) in the Department of Basic Education. This qualitative adopted interpretive paradigm study sought to explore educators' lived experiences on the promotion requirements espoused by the Department for the appointment of qualified educators as office-based educators. Ten educator-participants were purposively selected for a semi-structured, face-to-face interview to collect in-depth data for the study. Collected data were thematically analysed to generate themes for the presentation and discussion of findings. The promotion requirements for office-based educators are inadequately utilised in the selection of suitable candidates for the posts. The study established an unfair promotion process in the appointment of office-based educators, and thus, many qualified educators are disadvantaged. The study recommends that promotion requirements should be adhered to in the selection process, to ensure fairness and social justice for all qualified candidates.

APA, Harvard, Vancouver, ISO, and other styles

42

Mbokazi, Msawenkosi Sandile, Rachel Gugu Mkhasibe, and Oluwatoyin Ayodele Ajani. "Evaluating the Promotion Requirements for the Appointment of Office-Based Educators in the Department of Basic Education in South Africa." International Journal of Higher Education 11, no. 2 (February 20, 2022): 181. http://dx.doi.org/10.5430/ijhe.v11n2p181.

Full text

Abstract:

Various promotion requirements are adopted in the appointment of classroom or subject educators as office-based educators or subject advisors (education specialists) in the Department of Basic Education. This qualitative adopted interpretive paradigm study sought to explore educators' lived experiences on the promotion requirements espoused by the Department for the appointment of qualified educators as office-based educators. Ten educator-participants were purposively selected for a semi-structured, face-to-face interview to collect in-depth data for the study. Collected data were thematically analysed to generate themes for the presentation and discussion of findings. The promotion requirements for office-based educators are inadequately utilised in the selection of suitable candidates for the posts. The study established an unfair promotion process in the appointment of office-based educators, and thus, many qualified educators are disadvantaged. The study recommends that promotion requirements should be adhered to in the selection process, to ensure fairness and social justice for all qualified candidates.

APA, Harvard, Vancouver, ISO, and other styles

43

Hellgren, Paul. "The Appointment Procedure in a Finnish University Department of Teacher Education." European Journal of Teacher Education 13, no. 1-2 (January 1990): 41–45. http://dx.doi.org/10.1080/0261976900130106.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Lopes, Leonor, Rita Ferro-Rodrigues, Samuel Llobet, Luís Lito, and João Borges-Costa. "Sífilis: Prevalência num Hospital de Lisboa." Acta Médica Portuguesa 29, no. 1 (January 29, 2016): 52. http://dx.doi.org/10.20344/amp6247.

Full text

Abstract:

Introduction: Syphilis is a sexual and vertical transmitted disease. Its incidence is increasing in Europe, particularly, in Portugal. Material and Methods: A descriptive, retrospective study was performed based on positive treponemal tests from January to December 2013, at the Santa Maria Hospital, Lisbon. In-patients and out-patients evaluated in medical appointments and at the emergency department were included. We proceeded to epidemiological characterization, disease classification and definition of risk factors. Results: We obtained a sample of 580 patients, of whom 51 with no clinical data and 45 with false positive serologies were excluded. There was a predominance of male patients (75%) and a mean age of 47 years. Most (59%) had syphilis successfully treated in the past and 3.7% were in follow-up. We recorded 13 primaries syphilis, 71 cases of secondary syphilis, 40 cases of early latent syphilis, 49 unknown duration syphilis and five cases of late latent syphilis. In the early syphilis group, 42% (n = 124) were HIV-positive and, in 8% both diagnosis were done simultaneously. Discussion: We emphasize the high prevalence of syphilis/HIV co-infection in patients with early syphilis, reinforcing the importance of promoting the use of preventive measures. We obtained 11% of patients with late clinical forms, which are notifiable since June 2014, in Portugal. All serological tests for the diagnosis of syphilis have limitations which emphasizes the importance of clinical-laboratory correlation. Conclusion: Syphilis remains an important public health problem. It is necessary to establish education programs, screening and follow-up strategies to reduce their prevalence and to perform more efficient screening of the partners.

APA, Harvard, Vancouver, ISO, and other styles

45

Lopes, Leonor, Rita Ferro-Rodrigues, Samuel Llobet, Luís Lito, and João Borges-Costa. "Sífilis: Prevalência num Hospital de Lisboa." Acta Médica Portuguesa 29, no. 1 (January 29, 2016): 52. http://dx.doi.org/10.20344/amp.6247.

Full text

Abstract:

Introduction: Syphilis is a sexual and vertical transmitted disease. Its incidence is increasing in Europe, particularly, in Portugal. Material and Methods: A descriptive, retrospective study was performed based on positive treponemal tests from January to December 2013, at the Santa Maria Hospital, Lisbon. In-patients and out-patients evaluated in medical appointments and at the emergency department were included. We proceeded to epidemiological characterization, disease classification and definition of risk factors. Results: We obtained a sample of 580 patients, of whom 51 with no clinical data and 45 with false positive serologies were excluded. There was a predominance of male patients (75%) and a mean age of 47 years. Most (59%) had syphilis successfully treated in the past and 3.7% were in follow-up. We recorded 13 primaries syphilis, 71 cases of secondary syphilis, 40 cases of early latent syphilis, 49 unknown duration syphilis and five cases of late latent syphilis. In the early syphilis group, 42% (n = 124) were HIV-positive and, in 8% both diagnosis were done simultaneously. Discussion: We emphasize the high prevalence of syphilis/HIV co-infection in patients with early syphilis, reinforcing the importance of promoting the use of preventive measures. We obtained 11% of patients with late clinical forms, which are notifiable since June 2014, in Portugal. All serological tests for the diagnosis of syphilis have limitations which emphasizes the importance of clinical-laboratory correlation. Conclusion: Syphilis remains an important public health problem. It is necessary to establish education programs, screening and follow-up strategies to reduce their prevalence and to perform more efficient screening of the partners.

APA, Harvard, Vancouver, ISO, and other styles

46

Türker, Abdullah. "Geography Teachers’ Opinions Regarding the Teaching Field Knowledge Test in the Public Personnel Selection Exam." International Education Studies 14, no. 1 (December 26, 2020): 52. http://dx.doi.org/10.5539/ies.v14n1p52.

Full text

Abstract:

The number of teacher candidates is increasing as a result of the excessive quotas given to departments that train teacher candidates and the right to teach different branches with pedagogical formation certificates. Therefore it becomes compulsory to hold selection exams in teacher appointments. The exams carried out during this selection process undergo changes over time both in number and content. While exams containing questions of general knowledge, general ability, and educational sciences were used in teacher appointments in Turkey since 2002, the field knowledge test has also been applied since 2013. Geography is also one of the branches in which the field knowledge exam is applied. This study aims to evaluate the field knowledge exam according to the views of geography teachers. The study conducted in a phenomenology pattern, one of the qualitative research methods, was carried out with 25 geography teachers determined by criterion sampling methods. The data collected through semi-structured interviews were analyzed by descriptive analysis method. Direct quotations are included to increase the reliability of the research. In line with the opinions of the geography teachers, it was determined that as it increases teacher competence, taking the field knowledge exam is important and necessary. The majority opinion is that increasing the number of questions in the field knowledge exam in 2019 increased the content validity of the exam. As it caused changes in the questions, the field knowledge exam duration was considered to be excessive by some participants. According to the views of the geography teachers, undergraduate education did not coincide with the scope of the field knowledge test. It was determined that most of the candidates went to the course in the exam preparation process in order to fill the deficiencies. As a result of the research, it is recommended that the number of questions in the field knowledge test, the content validity should increase further, and the effect of the field knowledge test on the scoring basis for appointment should be further increased.

APA, Harvard, Vancouver, ISO, and other styles

47

Radziszewska, Maria. "The organization of education in the pioneer period in Olsztyn by the ment of Education at the Plenipotentiary Office of the Government of the Republic of Poland (April–August 1945)." Masuro-⁠Warmian Bulletin 303, no. 1 (May 15, 2019): 57–76. http://dx.doi.org/10.51974/kmw-134968.

Full text

Abstract:

In April 1945, the Department of Education was formed in Olsztyn by the Plenipotentiary Office of the Government of the Republic of Poland. Its head was the native Paweł Sowa. During the functioning of the Department of Education at the Plenipotentiary Office of the Government of the Republic of Poland from April through to the end of August 1945, thanks to this department in the Masurian district, a network of educational administration in the area and the first schools were established. Polish education particularly developed in Olsztyn, supported by the increase in inhabitants. The aim of this article is to present the beginnings of the organization of primary and secondary education as well as pedagogic education in Olsztyn under the direction of the Department of Education in the Plenipotentiary Office during the pioneer period, which lasted until the appointment of the School District of Masuria in Olsztyn, i.e. September 1, 1945.

APA, Harvard, Vancouver, ISO, and other styles

48

Busse, Jennifer Alison, Kranthi Nandan Seelaboyina, Grace Malonga, and Thomas Moulton. "A Patient Event Diary Improves Self-Management In Pediatric Sickle Cell Disease Patients." Blood 122, no. 21 (November 15, 2013): 1723. http://dx.doi.org/10.1182/blood.v122.21.1723.1723.

Full text

Abstract:

Abstract Introduction Promotion of chronic illness self-management is crucial to improve outcomes of children with sickle cell disease (SCD). Improvements in patient outcomes and quality of life as well as enhancement in health literacy and patient agency are also imperative. Through an event diary developed by the Bronx Lebanon Hospital Sickle Cell Program, our pediatric SCD patients are better able to track significant health events and health care appointments. This study seeks to validate the effectiveness of the patient event diary as a tool for improvement in self management, allowing for improvement in medication and clinic visit compliance, as well as in a reduction in number of emergency room visits. Additionally, the education section at the beginning of the diary has become an integral teaching tool and reference for patients and their families. It is our hypothesis that the event diary as an educational tool, a self management tool, and a tool for providers, will lead to better management of chronic illness and improved patient outcomes. Methods We utilized laboratory and demographic data from the Bronx Lebanon Hospital Center patient electronic medical record between July 2011 and July 2013. Our sample included a population of 50 sickle cell disease patients aged 0 to 21, median age being 7 years. Sickle cell disease types included SS (64%), SC (32%), Sβ+ thalassemia and Sβ0thalassemia (4%). We used a paired, two tailed t-test to assess patients’ medication compliance on vitamin D (22 patients) and hydroxyurea (14 patients) through 25-hydroxyvitamin D (25-OHD) and MCV (mean corpuscular volume) levels, respectively. Increased MCV was used as a proxy to indicate improved medication compliance in patients on hydroxyurea. We compared patients on hydroxyurea and vitamin D six months before receiving the event diary and six months after. Additionally, we compared compliance with hematology clinic visits one year before and one year after receiving the event diary. We also compared the number emergency room visits during the year before and the year after patients received the event diary. Results 25-OHD data from six months after receiving the event diary showed significantly improved compliance with vitamin D treatment (M = 47, SD = 20) as compared to six months before receiving the event diary (M = 26, SD = 15), t(20) = 2.1, p < 0.05. Additionally, there was a statistically significant improvement in MCV levels six months after receiving the event diary (M=101.6, SD=9.6), as opposed to six months before receiving it (M=97.7, SD=5.6), t(12)=2.2, p<0.05. When looking at patient hematology clinic appointment compliance, there was an improvement, however not statistically significant, in compliance with appointments between one year before (M=33.3%, SD=41.7%) and one year after patients received the event diary (M= 27.2%, SD=30.3%), t(17)=2.1, p=0.2. Emergency department visits did decrease, however not significantly, one year before receiving the event diary (M=1.8, SD=2.5) to one year after receiving the event diary (M= 1.3, SD=1.9), t(47)=2.0, p=0.17. Conclusions These data suggest the patient event diary has significantly improved patient self-management. We believe this effect is due to enhanced understanding of disease processes and increased confidence and skills in self-management of the disease. There is improved compliance with hydroxyurea and vitamin D, as well as a trend toward improvement in clinic visit compliance and decreased emergency room visits. The patient event diary is crucial to improved patient outcomes in the pediatric SCD population, and may be useful for other pediatric populations with chronic illness. It is a significant part of our current practice and our ability to teach and empower patients and their families to manage sickle cell disease while at home. Additionally, this tool allows for better management of patients by providers. The event diary helps to elucidate difficulties in patient self-management and gives better insight into complications patients are experiencing at home. In the future, we hope to see that with improved patient knowledge of sickle cell disease and self-management facilitated by use of the event diary, there will be significantly fewer emergency room visits, fewer hospital admissions, and most important, quality of life. Disclosures: Moulton: HRSA: Research Funding; New York State Grant: Research Funding.

APA, Harvard, Vancouver, ISO, and other styles

49

Haynie, Aisha, Carlos Plasencia, Kimberly Fields, Elna Nesbitt, Audrey Lovings-Clark, Mary Scott, Dana Wiltz-Beckham, Brian Reed, and Umair A. Shah. "Interdisciplinary Public Health Intervention in a Multigenerational Tuberculosis (TB) Outbreak in Harris County, Texas: A Case Study with Implications for Disease Control Process Improvement and Transmission Cycle Interruption." Open Forum Infectious Diseases 4, suppl_1 (2017): S25. http://dx.doi.org/10.1093/ofid/ofx162.064.

Full text

Abstract:

Abstract Background Harris County Public Health (HCPH) is the health department for Harris County, Texas jurisdiction. Harris County as a whole is the nation’s third most populous county, with 4.3 million residents, and a TB case rate more than double that of the USA. (7.6 cases per 100,000 pop). A total, 327 individuals were diagnosed with TB in Harris County during 2015, over two-thirds occurring in foreign-born individuals. In 2016, HCPH treated an immigrant female with active TB. Initial contact investigation (CI) yielded five household contacts (HHC). Two tested positive, but refused subsequent clinical evaluation by HCPH. Two months later, HCPH was notified of a HHC hospitalized with TB. After hospital discharge, the sick HHC moved into a motel in attempts to self-isolate, but refused evaluation of additional HHC in the home, and banned home access, precluding adequate CI. After numerous phone calls, visits to motel and home, and multiple rescheduled appointments, legal action appeared inevitable. Days later, HCPH was notified of another HHC diagnosed with active TB. Methods With alarm regarding the family’s adherence to control orders, TB staff implemented an innovative multidisciplinary team-based intervention in hopes of avoiding legal action. A site visit was paid to the motel by a local health authority, two TB staff, a county public investigator, and a refugee clinic outreach worker fluent in the family’s language. Patients were presented with letters requesting immediate cooperation to avoid court filings. Questions were answered, misinformation corrected, and education provided. Results Intermediary on-site intervention using a compassionate, firm multidisciplinary team approach resulted in 16 additional family members tested, yielding an infant with active TB (Case 4) and 8 with TB Infection (TBI). Isolation breaches were also discovered. Most importantly, TB transmission cycle was interrupted. Cultural and economic barriers hindering successful interaction with family were addressed, TB misconceptions corrected, and trusting relationship developed. Conclusion This innovative multidisciplinary intervention avoided court proceedings and curtailed the TB transmission cycle. HCPH improved its non-adherence intervention process, and modified TB control orders for infectious patients residing in congregate settings. Disclosures All authors: No reported disclosures.

APA, Harvard, Vancouver, ISO, and other styles

50

Walling, Anne, and Kari M. Nilsen. "Tenure Appointments for Faculty of Clinical Departments at U.S. Medical Schools." Academic Medicine 93, no. 11 (November 2018): 1719–26. http://dx.doi.org/10.1097/acm.0000000000002346.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Education Department Appointments'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles