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Ragan, James F., and Qazi Najeeb Rehman. "Earnings Profiles of Department Heads: Comparing Cross-Section and Panel Models." ILR Review 49, no. 2 (January 1996): 256–72. http://dx.doi.org/10.1177/001979399604900205.
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Academics who become department heads suffer declining research skills because of time spent performing administrative tasks, and this skill depreciation slows future wage growth. This study examines Kansas State University faculty who served as department heads during the period 1965–92. Cross-section estimates of the compensation for serving as department head are biased upward because of a correlation between unmeasured productivity characteristics and selection as department head. To correct for this bias, the authors reestimate earnings equations using a panel model that incorporates personal fixed effects. Although the average department head in the sample received a wage premium of 12%, the premium for past administrative service had completely disappeared for the typical former head. Another finding is that skill depreciation was most severe and wage growth most adversely affected in the sciences. As compensation, department heads in the sciences received a larger initial administrative premium than did other department heads.
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Baskin, R. Michael, Jingnan Zhang, Carolyn Dirain, Paul Lipori, Gileno Fonseca, Raja Sawhney, Brian J. Boyce, Natalie L. Silver, and Peter T. Dziegielewski. "Predictors of returns to the emergency department after head and neck surgery." Head & Neck 40, no. 3 (December 14, 2017): 498–511. http://dx.doi.org/10.1002/hed.25019.
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Горнов and A. Gornov. "Evgeniy Alekcandrovich Glazunov. To the 125th Anniversary from the Birthday." Geometry & Graphics 3, no. 4 (December 17, 2015): 55–66. http://dx.doi.org/10.12737/17351.
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This year marks 85 years of the National Research University “Moscow Power Engineering Institute” (National Research University "MPEI”). The department of engineering drawing was the first among other departments in the MEI, for which it is also the anniversary year. The organizer and the first head of this department from 1930 to 1962 was Eugeniy A. Glazunov - a prominent scientist and educator, engineer and organizer, who celebrates 125 years. At the beginning of 1930 the Department of Electrical Engineering Higher Technical School, which earlier E.A. Glazunov graduated, has been transformed into the Moscow Higher School of Energy, which became soon the Moscow Energy Institute. Eugeniy Glazunov was appointed to the head of the department of descriptive geometry and drawing in MPEI. (Some time this department was called "Technical graphics"). His name is undeservedly rarely mentioned in textbooks and other literature in applied geometry and graphics. But Eugeniy Glazunov was very authoritative in the circle geometry and graphics, and among the heads of departments he was one of the initiators and leaders of the Moscow seminar on descriptive geometry, who published his works, and the head of the department, who generously shared teaching materials with his related institution. But E.A. Glazunov had relatively few publications compared with present time. But there were very capital works. One of them was written in conjunction with the N.F. Chetverukhin and is called "Axonometry." But it was not only an outstanding organizer and teacher, but also a magnitude engineer — designer and practitioner in the field of electrical engineering. He was a team-mate, who developed and marketed the first installation, substation and network of well-known Russian electrification plan — the plan for electrification. Based on his experience and under his leadership tasks on the engineering drawing based on electrical products and parts were improved, and drawing ceased to be exclusively machine-building. His merits in the development of engineering education and his geometry and graphic component were so significant that he was awarded the title of professorship of Higher Attestation Commission without doctoral dissertation. He was also one of the highest awards of that time, the Order of Lenin (1951).
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White, Jill M., Neeraj H. Panchal, Carolyn J. Wehler, Susan C. Bestgen, José E. Colón, Hemal G. Desai, Christie M. Hogue, et al. "Department of Veterans Affairs Consensus: Preradiation dental treatment guidelines for patients with head and neck cancer." Head & Neck 41, no. 5 (January 8, 2019): 1153–60. http://dx.doi.org/10.1002/hed.25519.
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Kligerman, Maxwell P., Rosh K. V. Sethi, Elliott D. Kozin, Stacey T. Gray, and Mark G. Shrime. "Morbidity and mortality among patients with head and neck cancer in the emergency department: A national perspective." Head & Neck 41, no. 4 (January 24, 2019): 1007–15. http://dx.doi.org/10.1002/hed.25534.
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Henriksson, Thérèse, Jacob Kjellberg, Yogendra Shakya, and Göran Kurlberg. "Head Injuries at the Emergency Department of a University Hospital." Journal of Institute of Medicine Nepal 42, no. 3 (December 31, 2020): 47–51. http://dx.doi.org/10.3126/jiom.v42i3.37581.
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Introduction Traumatic head injuries constitute a major cause of morbidity and mortality worldwide. The developing world is particularly affected due to a high prevalence of risk factors and difficulties in enforcing preventive efforts. This study was carried out at the Emergency Department (ED), Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal – where head injuries account for five per cent of all emergency visits. The aim was to describe demographics, cause of trauma, type of injury, and severity according to the Glasgow Coma Scale (GCS), as well as the outcome of emergency attendance in patients seeking medical care for traumatic head injuries. Auxiliary aims were to study correlations between age, cause of trauma and injury severity.
MethodsData from 577 cases of head injuries from June to October 2019 were collected retrospectively.
ResultsTraumatic head injuries accounted for 5.2 % of all emergency visits. The median age was 23 years. Patients were predominantly male. Superficial injuries and concussions were the most common. Most injuries were mild (94.4 %, GCS 13–15) and caused by falls (51.3 %) or road traffic accidents (19.1 %). Fall accidents and mild injuries had the lowest median age. Patients from outside Kathmandu Valley constituted 44.9 % of the cases. Only 12.1 % of the patients were admitted to the hospital.
ConclusionCommonest head injuries are mild and superficial; and are caused by falls and road traffic accidents. Most head injury patients are children.
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Arkhireiskyi, D. V., and A. G. Venher. "Department of World History of Oles Honchar Dnipro National University: past and present." Науково-теоретичний альманах "Грані" 21, no. 10 (November 9, 2018): 37–53. http://dx.doi.org/10.15421/1718028.
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This article reveals problems of development of the department of the world history of the Oles Honchar Dnipro National University during last 100 years. The department began to form in 1918 when Katerinoslav university was opened. The world history researchers V. Evstafiev and M. Brechkevich became it’s first university lecturers, they formed potential basics of the research directions. During the fight with reactionary representatives in science and high school they were criticized and fired. The new generation of the department’s lecturers mostly consisted of youth, who had got education during revolutionary and after-revolutionary times. Teaching work became their main assignment, they were active participants in the struggle against “sabotage” on the historical front, reviewed the world history textbooks. Also they were monitoring implementation of the marxism methodology in the world history teaching. During the repressions which started in 1930th some of lecturers were fired and the departments’s head was arrested and then shot away. The historical department was liquidated in the second part of 1930th. At the ending of 1930th historical education at the university was resumed, respectively the department began it’s work again. The young lecturers, post-graduate students from Kyiv, Odesa, Kharkiv were hired. During nazi occupation the work was interrupted. The work resumption was in 1944, the department was headed by N. Ladizjenska who occupied this position before the occupation. Post-war years of the department’s work are characterized as high level of scientific activity, defense of masters’ thesis by the young lecturers, writing a number of scientific articles dealing the world history issues, which have never been published and now are kept in manuscripts. There was a World History museum at the department in 1940−1950th, founded by the head J. Rubin. At the beginning of 1950th the historical department was closed. The new stage of it’s work was related to 1967 when the department and the historical faculty was resumed. In 1970−1980th under the direction of department head the main scientific direction historical germanistics was based. Due to it’s work the department begun to publish the yearly scientific magazine «The German history issues». The department’s lecturers also worked through the problems of late Roman, American, English history. In 1990−2000th due to prof. S. Plohiy and S. Bobyleva the department became an acknowledged research center of the German diasporas in the Russian empire and Ukraine. The institute of Ukrainian-German historical relations was found at the department. The high scientific potential of the department’s lecturers was repeatedly confirmed by presentations on the conferences, published articles and monographs. Nowadays the department members are working through a number of important issues from German diasporas history, Bulgarian, Russian studies.
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Umer, Ummara Siddique, Aruba Nawaz Khattak, Aman Nawaz Khan, Shahjehan Alam, Hadia Abid, Mahwish Jabeen, Faria Maqsood, Abdullah Safi, and Anisa Sundal. "Audit of CT head request appropriateness for patients referred from emergency department." Journal of Rehman Medical Institute 6, no. 2 (July 10, 2020): 21–23. http://dx.doi.org/10.52442/jrmi.v6i2.178.
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Introduction: Considering the usefulness and relative ease of Computerized Tomography (CT) based diagnosis, the propensity to request it in the Emergency Room setting when at times it is not really indicated can become an issue.
Objective: To audit use of CT imaging in the emergency department of Rehman Medical Institute by evaluating the clinical practice for CT referral and compliance with clinical guidelines by NICE (National Institute for Health and Care Excellence).
Materials & Methods: This study was conducted at Radiology Department of Rehman Medical institute Peshawar in Oct-Dec 2019 on 100 patients referred for computed tomography (CT) head scans from the emergency department (ED), mostly performed outside normal working hours. Clinical record and CT reports of patients who had their CT head scans done between 1 January 2018 and September 2019 were reviewed. The imaging record of included patients was reproduced from the Picture Archiving and Communication system (PACS) and laboratory data were reviewed through the Hospital Management Information System (HMIS). Clinical details were reviewed to assess risk factors satisfying NICE criteria for a CT scan in those with head injuries. An urgent CT head scan request was deemed appropriate if it led to an immediate change in patient management. Appropriateness of the requests according to the various guidelines was also evaluated. The NICE guideline 176 was used as a standard of care. Data were entered and analyzed using Microsoft Excel.
Results: For suspected brain injuries at least one of the NICE criteria was fulfilled by 84 patients, and 3 or more criteria by 16 patients with a history of head injury; 81% scans were both requested and performed in afternoon and night (between 1700 hrs and 0800 hrs). Most (70) patients were males; ages of patients were from 1- 90 years, most being 51-60 years. Most common presenting complaint was altered consciousness (85%); 51% of the advised CT scans were reported normal, 10% had skull fractures (base 2%, vault 8%), 13% extra-axial hemorrhages, 7% contusions, 7% only scalp hematoma, 6% intracerebral hemorrhages. 2% had infarcts and 2% were cerebral abscesses. Common change in patient management included intracranial bleed requiring urgent neurosurgical intervention and hemorrhagic stroke being ruled out. CT head scans also facilitated early discharge of the patients with head injuries and headache from the hospital.
Conclusion: All (100%) patients had CT head in compliance with NICE guidelines and 81% of these were performed in off hours.
Keywords: Head; Tomography; Craniocerebral Trauma.
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Khan, Dalia, Rohan Sajeev Wijesurendra, Melanie Orchard, Pru Evans, and Richard William Smith. "Picture Quiz: All in the head?" Acute Medicine Journal 9, no. 2 (April 1, 2010): 97. http://dx.doi.org/10.52964/amja.0393.
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A 40 year old previously fit bank executive of Cypriot origin presented to the acute medical take with insidious onset frontal and vertex headaches with features suggesting raised intracranial pressure. He had been under investigation in the outpatient department after developing multiple erythematous lesions on his legs, associated with malaise, occasional mouth ulcers and episodic sweats.
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Lin, Shang-Ping. "Correlations of Perceived Power Discrepancies with Ratings of Faculty Morale." Psychological Reports 71, no. 3 (December 1992): 1015–18. http://dx.doi.org/10.2466/pr0.1992.71.3.1015.
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The present study examined the five discrepancies in power—coercive, reward, legitimate, referent, and expert—between faculty and the department head as predictors of faculties' job satisfaction, involvement, and alienation in department heads' influence system. The differences between subjects' ratings of their perceptions of the department heads' use of power and the ratings assigned to their preference for superiors' use of power constituted the operational definition of discrepancy in power. Analysis indicated that alienation was significantly and positively correlated with discrepancies in coercive, reward, and legitimate power; involvement had significant negative correlations with discrepancies in coercive, referent, and expert power; satisfaction had significant negative correlations with discrepancies in coercive and legitimate power. Discrepancy in rated use of coercive power had the most consistent and significant correlation with all three indexes of faculty morale. One might conclude that the measurement of discrepancies in power might predict morale of faculty.
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Trieb, Klemens, and Nicola Stadler. "A New Case of Fracture of a Modular Femoral Neck Device After a Total Hip Arthroplasty." Open Orthopaedics Journal 9, no. 1 (May 15, 2015): 126–28. http://dx.doi.org/10.2174/1874325001509010126.
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This report addresses a new case of a modular femoral neck fracture after total hip arthroplasty. A now seventy-three-year- old overweight female underwent total hip replacement of the right hip because of osteoarthritis in the year 2002. Then, years later, the head and the polyethylene were changed due to wear. In October 2014, the patient was transferred from the trauma department of her hometown to our department after she had slipped and fallen directly on her right hip. The x-rays done at the trauma department have shown no periprosthetic fracture but a fracture of the modular neck. Therefore, the patient was transferred to our department in order to undergo a revision arthroplasty with change of the stem and head after splitting the femur.
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Masood, S., and L. B. Chartier. "LO66: Did the Choosing Wisely Canada campaign work? A retrospective analysis of its impact on emergency department imaging utilization for head injuries." CJEM 19, S1 (May 2017): S50—S51. http://dx.doi.org/10.1017/cem.2017.128.
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Introduction: Head injuries are a commonly encountered presentation in emergency departments (ED) and the Choosing Wisely Canada (CWC) campaign was released in June 2015 in an attempt to decrease imaging utilization for patients with minor head injuries. The impact of the CWC campaign on imaging utilization for head injuries has not been explored in the ED setting. In our study, we describe the characteristics of patients with head injuries presenting to a tertiary care academic ED and the impact of the CWC campaign on CT head utilization. Methods: This retrospective cohort study used linked databases from the province of Ontario, Canada to assess emergency department visits with a primary diagnosis of head injury made between June 1, 2014 and Aug 31, 2016 at the University Health Network in Toronto, Canada. We examined the number of visits during the study period, the proportion of patients that had a CT head performed before and after the release of the CWC campaign, as well as mode of arrival, and disposition. Results: There were 4,322 qualifying visits at our site during the study period. The median presenting age was 44.12 years (IQR 27.83,67.45), the median GCS was 15 (IQR 15,15) and the majority of patients presenting had intermediate acuity (CTAS 3). Overall, 43.17% of patients arrived via ambulance, 49.24 % of patients received a CT head and 10.46% of patients were admitted. Compared to patients presenting before the CWC campaign release, there was no significant difference in the rate of CT heads after the CWC (50.41% vs 47.68%, P=0.07). There were also no significant differences between the two groups in mode of arrival (ambulance vs ambulatory) (42.94% vs 43.48%, P=0.72) or admission rates (9.85% vs 11.26%, P=0.15). However, more patients belonged to the high acuity groups (CTAS 1 or 2) in the post CWC campaign release group (12.98% vs 8.11% P<0.001). Conclusion: Visits for head injuries make up a significant proportion of total ED visits and approximately half of these patients receive CT imaging in the ED. The CWC campaign did not seem to impact imaging utilization for head injuries in the 14 months following its launch. Further efforts, including local quality improvement initiatives, are likely needed to increase adherence to its recommendation and reduce imaging utilization for head injuries.
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Sachdeva, Virender, Caroline Vasseneix, Rabih Hage, Samuel Bidot, Lindsay C. Clough, David W. Wright, Nancy J. Newman, Valérie Biousse, and Beau B. Bruce. "Optic nerve head edema among patients presenting to the emergency department." Neurology 90, no. 5 (January 5, 2018): e373-e379. http://dx.doi.org/10.1212/wnl.0000000000004895.
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ObjectiveTo determine the frequency of and predictive factors for optic nerve head edema (ONHE) among patients with headache, neurologic deficit, visual loss, or elevated blood pressure in the emergency department (ED).MethodsCross-sectional analysis was done of patients with ONHE in the prospective Fundus Photography vs Ophthalmoscopy Trial Outcomes in the Emergency Department (FOTO-ED) study. Demographics, neuroimaging results, management, and patient disposition were collected. Patients in the ONHE and non-ONHE groups were compared with bivariate and logistic regression analyses.ResultsOf 1,408 patients included, 37 (2.6%, 95% confidence interval 1.9–3.6) had ONHE (median age 31 [interquartile range 26–40] years, women 27 [73%], black 28 [76%]). ONHE was bilateral in 27 of 37 (73%). Presenting complaints were headache (18 of 37), visual loss (10 of 37), acute neurologic deficit (4 of 37), elevated blood pressure (2 of 37), and multiple (3 of 37). The most common final diagnoses were idiopathic intracranial hypertension (19 of 37), CSF shunt malfunction/infection (3 of 37), and optic neuritis (3 of 37). Multivariable logistic regression found that body mass index ≥35 kg/m2 (odds ratio [OR] 1.9, p = 0.0002), younger age (OR 0.5 per 10-year increase, p < 0.0001), and visual loss (OR 5, p = 0.0002) were associated with ONHE. Patients with ONHE were more likely to be admitted (62% vs 19%), to be referred to other specialists (100% vs 54%), and to receive neuroimaging (89% vs 63%) than patients without ONHE (p < 0.001). Fundus photographs in the ED allowed initial diagnosis of ONHE for 21 of 37 (57%) patients. Detection of ONHE on ED fundus photography changed the final diagnosis for 10 patients.ConclusionsOne in 38 patients (2.6%) presenting to the ED with a chief complaint of headache, neurologic deficit, visual loss, or elevated blood pressure had ONHE. Identification of ONHE altered patient disposition and contributed to the final diagnosis, confirming the importance of funduscopic examination in the ED.
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Yershov, Danylo, and Radovan Hudák. "Unusual Variation of the Biceps Brachii with Possible Median Nerve Entrapment." Prague Medical Report 116, no. 2 (2015): 167–72. http://dx.doi.org/10.14712/23362936.2015.55.
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The biceps brachii is one of three muscles of the anterior compartment of arm. Variations of the biceps brachii are not rare. The most frequent is the existence of a third head called the humeral head by Le Double (1897) (Rodríguez-Vázquez et al., 1999). Our article is based on the unexpected result of a routine dissection class held for medical students. Dissection was performed according to the guidelines accepted by the anatomy department (Seichert, 1999). We describe a third (accessory) head of the biceps brachii. In addition of two regular heads, the third head originated together with the short head from the coracoid process and had three insertions on the humerus after enfolding the median nerve and the brachial artery. This particular variation is important from a clinical perspective as the third head may cause entrapment syndrome of the median nerve and hypoperfusion of the upper limb due to compression of the brachial artery.
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Veerapandiyan, Aravindhan, Akilandeswari Aravindhan, James Huynh Takahashi, Devorah Segal, Keith Pecor, and Xue Ming. "Use of Head Computed Tomography (CT) in the Pediatric Emergency Department in Evaluation of Children With New-Onset Afebrile Seizure." Journal of Child Neurology 33, no. 11 (July 10, 2018): 708–12. http://dx.doi.org/10.1177/0883073818786086.
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Objective: Cranial computed tomography (CT) is not recommended in the routine evaluation of children with first afebrile seizure due to its low yield. The objective was to assess the current practice in our pediatric emergency department regarding the use of head CT in children with first afebrile seizure and to identify the factors that lead to ordering a head CT. Methods: Medical records of patients between 1 month and 18 years old evaluated at our emergency department for presentation of first afebrile seizure between 2010 and 2014 were retrospectively reviewed. Data extracted include age, gender, seizure type, single or multiple seizures at presentation, seizure duration, predisposing conditions to seizures (ie, history of developmental delay), and whether a head CT was performed. Contingency tables with chi-square analyses were used to determine which variables were associated with increased use of head CT. Results: Of 155 patients (88M/67F) included in the study, 72 (46.5%) underwent head CT and only 3 had clinically significant findings that did not require acute management. There were no differences in CT use by age, sex, seizure type, seizure number, seizure risk factors, or findings on physical examination. Head CT was performed more frequently in cases with seizures ≥5 minutes and unknown seizure duration ( P = .04). Conclusion: Despite existing evidence, the emergent head CT rate was high in our cohort. Children with seizure duration of ≥5 minutes or of unknown duration were more likely to undergo head CT in our emergency department.
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Munir, M., T. Shouter, and H. S. Tay. "63 Quality Improvement Project: Should We be Doing More or Less Ct Head Scans in the Health Care of Older People Department?" Age and Ageing 49, Supplement_1 (February 2020): i18—i20. http://dx.doi.org/10.1093/ageing/afz187.04.
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Abstract Introduction Older people are likely to have more CT head scans given their multiple co- morbidities, being on anticoagulants, and increased falls. The aims of this quality improvement project (QIP) were to identify the number of patients who had CT head scan, the reason/indication of it, the number of patients who had new finding/s on it, actions taken on new findings, and whether the management plan was altered because of the CT scan. Methods Medical notes and CT head scan reports of all patients admitted to the Health Care of Older People department from April to September 2018 were reviewed to evaluate the indications of CT head scans, new findings, and management plans following the findings. Results 461 (10.7%) out of the 4323 patients discharged from the healthcare of older people department during April to September 2018 had CT head scans during admission. Frequent indications for CT head scans included delirium, falls and head injury. Only 46 (9.9%) patients had new finding/s on the CT head scan, and action was taken on 26 (56.5%) of these patients. The CT head scan changed the management plan of only 17 (3.6%) patients. Please see Table for more details. Conclusions By using our clinical judgement, following NICE guidelines on head injuries, educating our colleagues on the criteria for requesting a CT head scan, taking collateral histories about patients’ cognition and ascertaining the mechanism of fall, we can lessen the financial burden on the NHS and minimise the radiation exposure to our patients.
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Menahem, Samuel, Dina Roth, and Sara Haramati. "Psychiatric Collaboration in a Paediatric Department." Australian & New Zealand Journal of Psychiatry 31, no. 2 (April 1997): 214–18. http://dx.doi.org/10.3109/00048679709073823.
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Objective: To review the impact of integrating child psychiatry services into a paediatric department. Method: Following the arrival of a new head of paediatrics, a mandatory multidisciplinary meeting was set up to review, diagnose and manage selected patients under the care of the paediatricians and/or a child psychiatrist. A prospective audit was undertaken of the patients discussed with a brief review of their outcome. The educational value of the meetings and their overall impact on the department was reviewed. Results: Over an 8-month period 30 patients were discussed in some detail with diagnoses ranging from a psychiatric disorder to a chronic organic illness, each subjected to the deliberations of the multidisciplinary team of the attending paediatrician, resident staff, child psychiatrist/psychologists, nurses, social worker, etc. Recommendations included further assessment by the psychiatric team, or management by the paediatricians with or without guidance of the former, involvement of an outside agency, etc. Such interventions generally had positive outcomes: at times dramatic, although early discharge often resulted in limited goals. There was also an overall increased awareness within the department of the psychological needs of the child and family and the importance of serious physical illness; this awareness is essential in the training of paediatricians and psychiatric staff. Conclusion: Closer integration of the two disciplines led to benefits both to the patients and staff. The initiation of a mandatory multidisciplinary meeting facilitated the process, overseen by a psychologically-minded new head of paediatrics. His departure led to a loss of some goals achieved, raising the question as to how such collaboration may be self-generating and ongoing. In addition, the issue of how to deal with those patients with ongoing difficulties not addressed during their limited inpatient stay was unresolved.
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Craik, Christine. "Management Training for Occupational Therapists Part 1: Establishing the Need." British Journal of Occupational Therapy 49, no. 7 (July 1986): 220–23. http://dx.doi.org/10.1177/030802268604900705.
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This study had two related aims regarding management training for occupational therapists: firstly, to discover if occupational therapists currently employed as heads of department considered that they had sufficient management training to carry out their duties effectively and, secondly, to begin to identify management training needs. A personal interview was carried out on a small sample of head occupational therapists to ascertain their views. The results are discussed and areas for future research are suggested.
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Glorioso, Brad M., Lindy J. Muse, Cory J. Hillard, Brittany R. Maldonado, Jared Streeter, Charles D. Battaglia, and J. Hardin Waddle. "A Trapping Survey Targeting Head-Started Alligator Snapping Turtles in Southwest Louisiana." Journal of Fish and Wildlife Management 11, no. 2 (August 20, 2020): 572–82. http://dx.doi.org/10.3996/jfwm-20-009.
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Abstract The alligator snapping turtle Macrochelys temminckii is the largest freshwater turtle in North America and humans seek it as a food source, primarily in Louisiana. Scientists point to decades of intensive commercial harvest of alligator snapping turtles as a cause of population declines. The Louisiana Department of Wildlife and Fisheries initiated a head-start program for alligator snapping turtles and released 53 head-started juveniles at seven sites along an approximately 5.7-km stretch of Bundick Creek in southwest Louisiana between November 2015 and October 2016. Before release, department personnel measured, weighed, and marked all alligator snapping turtles with both an internal passive integrated transponder tag and a numbered external tag. In 2018, the U.S. Geological Survey initiated a turtle trapping survey at those seven release sites targeting the head-started alligator snapping turtles. In 1 wk of trapping effort at each site, we recorded 69 turtle captures comprising seven species, including 15 alligator snapping turtles (representing 12 individuals). Of those 12 individuals, 8 were head-started juveniles and 4 were native to the creek. A landowner captured an additional head-started juvenile alligator snapping turtle during our trapping and we took measurements before its release. A minimum of 17% of head-started alligator snapping turtles survived since release, and we trapped most captured head-started individuals near their release site; the captured individuals exhibited growth consistent with other studies, indicating acclimatization to their new environment. Three head-started alligator snapping turtles had their external tags entangled in the net mesh, and two of these turtles drowned. An additional two head-started individuals lost their external tags in the natural environment prior to their capture in this study. The Louisiana Department of Wildlife and Fisheries discontinued the use of external tags based on our findings, as these tags were detrimental to the health of head-started turtles.
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Karthigayan, Aruna, Noor Azleen Ahmad Tarmizi, Elizabeth Gar Mit Chong, Rizah Mazzuin Razali, Weng Keong Yau, and Fatt Soon Lee. "18 Utilisation of Head CT to Determine Rates of Intracranial Injury Following Inpatient Falls in the Medical Department, Hospital Kuala Lumpur (HKL)." Age and Ageing 48, Supplement_4 (December 2019): iv6—iv8. http://dx.doi.org/10.1093/ageing/afz164.18.
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Abstract Introduction Inpatient falls are associated with serious and life–threatening injuries in 4-6% of cases1. This includes Intracranial Injury (ICI). Imaging of the Head is required to detect and manage patients with head injury2; however there are no specific guidelines to facilitate utilisation of Head CT after Inpatient Falls. Objective The goal of this study is to review the utilisation of Head CT to determine rates of intracranial injury (ICI) following inpatient falls. Methodology This is a retrospective study of all patients admitted to the Medical Department, HKL in year 2017 who sustained an inpatient fall. The data was obtained from the database of the Falls Team HKL and review of medical notes. Results 152 patients, with an average age of (61.65±15.51) years were included in this study. Of these 94 (61.8%) were male, 85 (55.9%) were ≥ 65 years. 45 (29.6%) patients had a Head CT after inpatient fall. Median time to request for Head CT was 130 (IQR 30–582.50) minutes from the time of fall. Head CT was more likely in patients with Direct impact to head during fall (Adj.OR;4.71(95%CI 1.39 – 15.85). Fifty-seven (37.5%) patients sustained Direct impact to head during fall, however only 32/57(71.1%) had a Head CT as inpatient. Patients who had Direct impact to head during fall, were more likely to develop Giddiness (Adj.OR;5.96(95%CI 1.94-18.30) and Hematoma (Adj.OR;6.186(95%CI 1.59 – 24.03) after fall. Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT. Patients with (ICI) had an average age of (74.00 ±7.906) years. All 5 patients were reviewed by the Neurosurgical team. Of these, 1/5 (20%) patient died during hospitalisation and 1/5 (20%) patient was discharged in a terminally ill condition. Conclusion Intracranial injury (ICI) was identified in 5/45 (11.1%) patients who underwent a Head CT and they were more likely to be ≥ 65years. Head CT was more likely in patients with Direct impact to head, headache, hematoma and confusion after inpatient fall.
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Ribelles, N., I. Alvarez-Lopez, A. Arcusa, J. I. Chacon, J. de la Haba, J. García-Corbacho, J. Garcia-Mata, et al. "Electronic health records and patient registries in medical oncology departments in Spain." Clinical and Translational Oncology 23, no. 10 (April 17, 2021): 2099–108. http://dx.doi.org/10.1007/s12094-021-02614-9.
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Abstract Purpose We aimed to evaluate the current situation of electronic health records (EHRs) and patient registries in the oncology departments of hospitals in Spain. Methods This was a cross-sectional study conducted from December 2018 to September 2019. The survey was designed ad hoc by the Outcomes Evaluation and Clinical Practice Section of the Spanish Society of Medical Oncology (SEOM) and was distributed to all head of medical oncology department members of SEOM. Results We invited 148 heads of oncology departments, and 81 (54.7%) questionnaires were completed, with representation from all 17 Spanish autonomous communities. Seventy-seven (95%) of the respondents had EHRs implemented at their hospitals; of them, over 80% considered EHRs to have a positive impact on work organization and clinical practice, and 73% considered that EHRs improve the quality of patient care. In contrast, 27 (35.1%) of these respondents felt that EHRs worsened the physician–patient relationship and conveyed an additional workload (n = 29; 37.6%). Several drawbacks in the implementation of EHRs were identified, including the limited inclusion of information on both outpatients and inpatients, information recorded in free text data fields, and the availability of specific informed consent. Forty-six (56.7%) respondents had patient registries where they recorded information from all patients seen in the department. Conclusion Our study indicates that EHRs are almost universally implemented in the hospitals surveyed and are considered to have a positive impact on work organization and clinical practice. However, EHRs currently have several drawbacks that limit their use for investigational purposes. Clinical trial registration Not applicable
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Kiyasova, E. V. "Kazan anatomic scientific school of V.N. Tonkov and its siberian branches." Kazan medical journal 94, no. 6 (December 15, 2013): 947–54. http://dx.doi.org/10.17816/kmj1825.
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Anatomic scientific school of Tonkov is one of the established scientific and scholar schools in Russian medicine. The school has reached its rise at the period when Vladimir Nikolaevich Tonkov headed the department of anatomy at the Academy of Military Medicine, however, the scientific and life journey of that great anatomist is intimately related to the department of anatomy of the medical faculty at the Emperor’s Kazan University, where V.N. Tonkov was admitted at a hard time for the department. The situation has changed with his arrival. V.N. Tonkov was a talented scientist and scholar. He has founded the basis of a new scientific field in studying vascular system, anthropologic studies, that were traditional for the department, were continued. The certain merit of V.N. Tonkov was the foundation of the study museum at the department. Vladimir Nikolaevich headed the department of anatomy for 10 years (1905-1915). It was in Kazan where the famous anatomic Tonkov’s scientific school, honoured by its followers, alumni of Emperor’s Kazan University, who had grown up within its walls, got an outstanding education and left alma mater as a professor to honor the native university in other cities of Russia. From all of the V.N. Tonkov’s students, only V.A. Popov and K.M. Yakhontov did not leave the Kazan University. Both died in Kazan, being staff members of the department of anatomy. Honored scientific researcher and academician A.D. Speransky, the head of the department of anatomy of Omsk Medical Institute professor B.N. Bazhanov, the head of the department of anatomy of Saratov Medical Institute professor V.I. Bik had started their scientific career as students of V.N. Tonkov. They have always noted that they belong to the Kazan anatomic scientific school headed by Tonkov. K.V. Romodanovsky and I.S. Malinovsky, also students of V.N. Tonkov, have contributed to the development of medical education in the Universities of Siberia. The first head of the department picked out from the Emperor’s Kazan University alumni for its centennial history was the student of V.N. Tonkov, Nikolay Dmitrievich Bushmakin, who later participated in creation of medical faculty in Irkutsk University, and of Khabarovsk Medical Institute.
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Worrall, James C., Sadia Jama, and Ian G. Stiell. "Radiation doses to emergency department patients undergoing computed tomography." CJEM 16, no. 06 (November 2014): 477–84. http://dx.doi.org/10.1017/s1481803500003493.
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Abstract Objectives: Computed tomography (CT) use is increasing in the emergency department (ED). Many physicians are concerned about exposing patients to radiation from CT scanning, but estimates of radiation doses vary. This study’s objective was to determine the radiation doses from CT scanning for common indications in a Canadian ED using modern multidetector CT scanners. Methods: We conducted a health records review of consecutive adult patients seen at two busy tertiary care EDs over a 2-month period who underwent CT scanning ordered by emergency physicians. Cases were identified by searching an imaging database. Data collected included patient age and sex, study indication, scanner model, body area, and reported dose-length product. Effective dose per scan was calculated from reported dose-length product. Data were collected on a standardized form, entered into an electronic database, and analyzed with descriptive statistics and 95% CIs. Results: During the study period, emergency physicians assessed 19,880 patients. Overall, 2,720 (13.7%) underwent CT scanning, and of these, 144 (5.3%) patients had more than one scan. Patients had a mean age of 59.0 years, and 45.3% were men. Mean doses for the most common indications were as follows: simple head, 2.9 mSv; cervical spine, 5.7 mSv; complex head, 9.3 mSv; CT pulmonary angiogram, 11.2 mSv; abdomen (nontraumatic abdominal pain), 15.4 mSv; and abdomen (renal colic), 9.8 mSv. Conclusions: Approximately one in seven ED patients had a CT scan. Emergency physicians should be aware of typical radiation doses for the studies they order and how the dose varies by protocol and indication.
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Simonetto Faganello, Lucas, Mauricio Pimentel, Ana Paula Arbo Magalhães, and Leandro Ioschpe Zimerman. "ST elevation myocardial infarction during head-up tilt testing." Journal of Cardiovascular and Thoracic Research 12, no. 1 (October 5, 2019): 73–74. http://dx.doi.org/10.34172/jcvtr.2020.12.
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We report a case of ST elevation myocardial infarction (STEMI) during head-up tilt testing (HUTT). A 54-year-old man was admitted to our emergency department after four episodes of syncope. Treadmill test and electrophysiological study were normal. During passive HUTT, the patient had inferolateral ST elevation. Coronary angiography showed two severe lesions in the right coronary artery and circumflex artery.
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Ameyaw, S., and A. Frempong-Kore. "RECORDS MANAGEMENT PRACTICES IN GHANAIAN TERTIARY INSTITUTIONS: A CASE STUDY OF GHANA TECHNOLOGY UNIVERSITY COLLEGE." UDS International Journal of Development 7, no. 2 (February 24, 2021): 461–72. http://dx.doi.org/10.47740/503.udsijd6i.
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This study was conducted to ascertain records management practices at the Ghana Communications Technology University (formerly Ghana Technology University College) a mid-sized Ghanaian public university located in Accra. All the staff at the Admissions and Records departments participated in the study. This comprised two (2) heads of department and seven (7) senior staff from both departments. The face-to-face interviews were employed as a data collection instrument for this study. The findings indicated that the University has neither a policy to regulate the management of students' records nor a professional archivist to manage records. However, the head of the Records office was given a three-day training on the assumption of office. It was revealed that the head of admissions, as well as all the staff of the two departments, had never been given any training. There were some challenges impeding records management in the Admissions and Records offices– among them are; lack of adequate staff, inadequate storage equipment, lack of periodic training, lack of policy to guide records management and inability of students to furnish the Admission office with the needed information. It was recommended that the University should employ a professional archivist to manage student records, provide adequate storage facilities, organise periodic training for staff as well promulgate a policy to guide records management in the Admissions and Records offices. Keywords: Accra Campus, Records, Management, Practices, Ghana Communication Technology University
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Bolvardi, Ehsan, Maryam Ahmadzadeh, Hamideh Feiz Disfani, Fariborz Rezaeitalab, Yalda Ravanshad, and Mahdi Foroughian. "Predicting outcomes 3 months after traumatic brain injury in patients admitted to emergency department." Universa Medicina 38, no. 3 (September 11, 2019): 147. http://dx.doi.org/10.18051/univmed.2019.v38.147-155.
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Background<br />Traumatic brain injury (TBI) is among the leading causes of mortality and long-term disability. Prognosis assessment is a primary factor of clinical decision-making by emergency physicians. This study aimed to investigate the prognostic factors of TBI in the patients admitted to a typical emergency department.<br /><br />Methods<br />This prospective cohort study was conducted involving 100 TBI patients. Baseline characteristics, including age, gender, Glasgow Coma Scale (GCS), and vital signs were recorded. Blood tests and brain CT scans were collected. The patients were followed-up three months after the date of admission. The observed outcomes were categorized as recovery without complication, recovery with complication, or death. Statistical analysis was performed using the simple and multivariate binary logistic regression in the software IBM SPSS version 19. <br /><br />Results<br />The most common brain CT scan findings were subarachnoid hemorrhage (21.0%) and epidural hemorrhage (20.0%). In the follow-up performed three months after the admission, 47 patients (47.0%) had died, 39 (39.0%) were suffering from complications, and 14 patients (14.0%) were recovering without complications. Simple binary logistic regression showed that older age (OR=3.28, 95% C.I.=1.27-8.41), minor/moderate head trauma (OR=13.93, 95% C.I.=1.73-112.11), severe head trauma (OR=54.40, 95% C.I.=5.71-517.56) and presence of deep skull fracture (OR=8.92, 95% C.I.=1.04-75.53) were statistically significant predictors of mortality. Multivariate logistic regression showed that mortality chance was higher in elderly (OR=7.45, 95% C.I.=2.02-27.36), minor/moderate head trauma (OR=26.87, 95% C.I.=2.42-298.25) and severe head trauma (OR=127.97, 95% C.I.=9.11-1796.28).<br /><br />Conclusion<br />This study demonstrated that severe head trauma was the most predicted risk factor of poorer clinical outcomes after TBI.
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Mistry, Dylan A., and Timothy H. Rainer. "Concussion assessment in the emergency department: a preliminary study for a quality improvement project." BMJ Open Sport & Exercise Medicine 4, no. 1 (December 2018): e000445. http://dx.doi.org/10.1136/bmjsem-2018-000445.
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BackgroundIn sport, concussion is assessed using the Sports Concussion Assessment Tool (SCAT) 5 and managed with return to play guidelines. Similar, user-friendly tools are rarely, if ever, used in the emergency department (ED).ObjectivesTo evaluate a modified concussion assessment tool designed for the ED (ED-CAT) in patients presenting with a head injury and to identify variables that predict 30-day reattendance.MethodsA preliminary, prospective, evaluation in a quality improvement project was conducted in one hospital in South Wales. Patients were recruited if they were over 13 years, and either did not have an ED-CT head scan or had a scan with no acute changes. The primary outcome was 30-day reattendance.Results40 patients were recruited, 18 of whom had a CT scan. 37 were discharged on the same day with advice, two discharged the next day and one was admitted. Three (7.5%) patients reattended the department. Predictors of reattendance were headache score (median 3.0 vs 5.0; p<0.05), pressure in head score (2.0 vs 5.0; p<0.05), nausea/vomiting score (1.0 vs 3.0; p<0.05), dizziness score (1.0 vs 4.0; p<0.05), blurred vision score (0 vs 4.0; p<0.01), balance problems score (0 vs 4.0; p<0.05), sensitivity to light and confusion score (0 vs 4.0; p<0.01), orientation score (1. 0 vs 0; p<0.05) and immediate memory score (5.0 vs 4.0; p<0.05).ConclusionsKey symptoms and signs predicted 30-day reattendance. The ED-CAT requires validation and refinement in a larger population to produce a short, practical, user-friendly, relevant tool for ED head injury assessment.
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Ganai, Mudasir Rashid, Shahid Shabir Khan, Inayat Rahim, Saheel Maajid, and Tahir Ahmed Dar. "Short term outcome of radial head arthroplasty in Mason type 3 and 4 fractures." International Journal of Research in Orthopaedics 7, no. 4 (June 23, 2021): 830. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20212431.
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<p class="abstract"><strong>Background:</strong> Radial head arthroplasty provides a suitable treatment in Mason type 3 and 4 3 fractures. Arthroplasty produces consistent results with a shorter learning curve than ORIF and prevents the late complications associated with radial head excision.</p><p class="abstract"><strong>Methods: </strong>After seeking approval from local institutional ethical committee 30 patients with Mason type 3 and 4 radial head fractures were admitted from outpatient department (OPD) of SKIMS MC and Hospital Bemina, Srinagar. The study was conducted from February 2019 to June 2020 in department of Orthopaedics SKIMS MC and Hospital Bemina, Srinagar. 30 patients with mean age of 25 years comprising of 9 females and 21 males underwent radial head arthroplasty and were followed up to a minimum of 1 year post-operatively.</p><p class="abstract"><strong>Results: </strong>Outcome was evaluated by assessing elbow functional performance using Mayo elbow performance (MEPI). No revisions were performed during the study. Two patients had implant backout and 6 patients had elbow stiffness.</p><p class="abstract"><strong>Conclusions: </strong>Radial head arthroplasty can be used successfully with most of excellent results for treatment of comminuted radial head fracture (Mason type III and IV radial head fractures). Over all radial head arthroplasty is a demanding option in type 3 and type 4 fractures which are not amenable to reconstruction.</p>
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Naz, Rashida, Sajida Naureen, and Zeenat Sana Baloch. "Identification Of Managerial Problems Faced By Primary School Head Teachers In Quetta." Pakistan Journal of Applied Social Sciences 6, no. 1 (September 8, 2017): 77–90. http://dx.doi.org/10.46568/pjass.v6i1.310.
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The primary schools year is an important phase of children education. The objective of this research was to identify the managerial problems faced by Primary Schools Head teachers. For primary data the sample was comprised 10 school heads 100 teachers from the primary schools, questionnaires were distributed among teachers and head teachers. The samples were randomly selected. Results showed that teachers were trying to achieve the students learning outcomes. A large number of head teachers agreed that they knew the process of school management and they were able to control the management of schools. They were trained by the education department regarding primary school management. But on the other hand less number of professional trainings were available for primary school teachers and head teachers. There were some evidences that most of the non-government organizations introduced some training programs for primary school teachers. Most of the head teachers of primary schools faces the shortage of physical and human resources in their schools. A number of head teachers had no qualification related to school management. It was concluded that almost all the in charge and teachers had no clear concept regarding curriculum 2006. Majority of the head teachers had no ability to manage the learning and teaching process. They were found incompetent for report writing and implement their decisions in jurisdiction of school. It was recommended that new posts should be created for head teachers in primary schools and their job description should be cleared. All the incharges or head teachers should be trained in school management and resource management.
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Guarnizo, Angela, Kevin Farah, Daniel A. Lelli, Darren Tse, and Nader Zakhari. "Limited usefulness of routine head and neck CT angiogram in the imaging assessment of dizziness in the emergency department." Neuroradiology Journal 34, no. 4 (January 25, 2021): 335–40. http://dx.doi.org/10.1177/1971400920988665.
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Objective To assess the usefulness of head and neck computed tomography angiogram for the investigation of isolated dizziness in the emergency department in detecting significant acute findings leading to a change in management in comparison to non-contrast computed tomography scan of the head. Methods Patients presenting with isolated dizziness in the emergency department investigated with non-contrast computed tomography and computed tomography angiogram over the span of 36 months were included. Findings on non-contrast computed tomography were classified as related to the emergency department presentation versus unrelated/no significant abnormality. Similarly, computed tomography angiogram scans were classified as positive or negative posterior circulation findings. Results One hundred and fifty-three patients were imaged as a result of emergency department presentation with isolated dizziness. Fourteen cases were diagnosed clinically as of central aetiology. Non-contrast computed tomography was positive in three patients, all with central causes with sensitivity 21.4%, specificity 100%, positive predictive value 100%, negative predictive value 92.6% and accuracy 92.8%. Computed tomography angiogram was positive for angiographic posterior circulation abnormalities in five cases, and only two of them had a central cause of dizziness, with sensitivity 14.3%, specificity 97.7%, positive predictive value 40%, negative predictive value 91.46% and accuracy 92.1%. Conclusion Both non-contrast computed tomography and computed tomography angiogram of the head and neck have low diagnostic yield for the detection of central causes of dizziness, However, non-contrast computed tomography has higher sensitivity and positive predictive value than computed tomography angiogram, implying a lack of diagnostic advantage from the routine use of computed tomography angiogram in the emergency department for the investigation of isolated dizziness. Further studies are required to determine the role of computed tomography angiogram in the work-up of isolated dizziness in the emergency department.
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Nielsen, Torfinnur Rubek, Ulrik Koks Andreassen, Christopher Leigh Brown, Viggo Hulthin Balle, and Jens Thomsen. "Microsurgical technique in thyroid surgery – a 10-year experience." Journal of Laryngology & Otology 112, no. 6 (June 1998): 556–60. http://dx.doi.org/10.1017/s0022215100141076.
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AbstractObjectiveTo report the results of thyroid surgery in a University department of ENT – head and neck surgery, and to evaluate the benefits of the use of the surgical microscope in thyroid surgery.DesignA retrospective evaluation of the records of all patients who underwent thyroid surgery in the 10-year period 1987–1996.MethodsIn addition to standard surgical principles the Zeiss multi-discipline universal surgical microscope with a 250 mm ocular lens was used in all cases. Total thyroidectomy was performed in all malignant cases, while unilateral lobectomy plus isthmus resection was the standard procedure in benign cases.PatientsThere were 573 patients, aged 11–87 years, 444 females and 129 males. Four hundred and fifty-one had benign lesions, 122 malignant. Four hundred and eighty-nine had primary surgery, 84 underwent completion surgery or surgery for recurrent disease.ResultsPrimary thyroid gland surgery in benign/malignant disease resulted in permanent recurrent laryngeal nerve palsy in 0.6 per cent/3.5 per cent of the patients respectively, when calculated as nerves at risk (NAR). In benign recurrent or malignant completion surgery this complication rate was 4.5 per cent/2.9 per cent respectively.ConclusionThyroid surgery in our University ENT – Head and Neck Department with the use of the surgical microscope provides pleasing results, especially considering the diversity of surgeons, due to the departments' teaching responsibilities.
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Keys, Jennifer, Louise Venter, and Garry Nixon. "The use of CT in the management of minor head injuries in Queenstown." Journal of Primary Health Care 9, no. 2 (2017): 162. http://dx.doi.org/10.1071/hc16029.
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ABSTRACT AIM This study retrospectively reviewed the management of head injury at Lakes District Hospital in Queenstown, New Zealand. The aim is to describe the management of minor head injury with particular reference to the current Traumatic Brain Injury guidelines of the New Zealand Guidelines Group. METHODS We identified all patients with head injury as a primary diagnosis who were seen in the Emergency Department at Lakes District Hospital during 2013–2015. We recorded clinical criteria indicating need for computed tomography (CT) scanning according to current guidelines for management of minor head injury. RESULTS A total of 883 patients were seen with head injury as their primary diagnosis: 280 patients aged >15 years had a minor head injury that met current criteria for immediate CT scanning. Of these, 66 (23.6%) actually had a CT head scan. CONCLUSION The rate of CT head scanning for minor head injury in Queenstown does not comply with current New Zealand guidelines.
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Schnaus, Julia, Roman Smolorz, and Mark Spoerer. "Die Rolle des Ghetto Litzmannstadt (Łódź) bei der Versorgung der Wehrmacht und der deutschen Privatwirtschaft mit Kleidung (1940 bis 1944)." Zeitschrift für Unternehmensgeschichte 62, no. 1 (March 10, 2017): 35–56. http://dx.doi.org/10.1515/zug-2017-0003.
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AbstractThe Role of the Ghetto Litzmannstadt (Łódź) for the Clothing Provision of the German Armed Forces and Private Firms (1940 to 1944)Shortly after the establishment of the Ghetto in Łódź, the German administration set up a textile and clothing department. As Łódź was the leading Polish textile center, many ghetto inhabitants had basic or advanced skills in the textile and clothing business. After several months it became clear for the Jews that working for the Germans was the only chance to making themselves valuable and to avoid or postpone being deported to extermination camps. The textile and clothing department soon became the largest sweatshop in the ghetto and was also an important provider of textiles, clothing and leather goods for the German economy. Previous research followed the claim of the department's head that the German military took over 90 per cent of its production. We show for the large textile and clothing department that the share of production for civilian purposes was much higher, around 50 per cent. Moreover, we analyze the business relationship between the ghetto administration and German firms.
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Aldridge, Patrick, Heather Castle, Emma Russell, Clare Phillips, Richard Guerrero-Luduena, and Raj Rout. "31 Head home: a prospective cohort study of a nurse led paediatric head injury clinical decision tool at a district general hospital." Emergency Medicine Journal 37, no. 12 (November 23, 2020): 853–54. http://dx.doi.org/10.1136/emj-2020-rcemabstracts.57.
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Aims/Objectives/BackgroundObjectivesTo assess if application of a nurse-led paediatric head injury clinical decision tool would be safe compared to current practice.Background>700,000 children attend UK hospitals’ each year with a head injury. Research indicates <1% undergo neurosurgical intervention. No published evidence for nurse-led discharge of paediatric head injuries exists.Methods/DesignMethods – All paediatric (<17 years) patients with head injuries presenting to our Emergency department (ED) 1st May to 31st October 2018 were prospectively screened by a nurse using a mandated electronic ‘Head Injury Discharge At Triage’ questionnaire (HIDATq). We determined which patients underwent computed tomography (CT) brain and whether there was a clinically important intracranial injury or re-presentation to ED. The negative predictive value of the screening tool was assessed. We determined what proportion of patients could have been sent home from triage using HIDATq.Results/ConclusionsResults - Of 1739 patients screened; 61 had CTs performed due to head injury (6 abnormal) with a CT rate of 3.5% and 2% re-presentations. Of the entire cohort, 1052 screened negative. 1 CT occurred in this group showing no abnormalities. Of those screened negative: 349/1052 (33%) had ‘no other injuries’ and 543/1052 (52%) had ‘abrasions or lacerations’. HIDATq’s negative predictive value for CT was 99.9% (95% Confidence interval (CI) 99.4–99.9%) and 100% (CI 99.0–100%) for intracranial injury. The positive predictive value of the tool was low. Five patients screened negative and re-presented within 72hrs but did not require CT imaging.Conclusion - A negative HIDATq appears safe in our ED. Potentially 20% (349/1739) of all patients with head injuries presenting to our department could be discharged by nurses at triage with adequate safety netting advice. This increases to 50% (543/1739) if patients with lacerations or abrasions were treated and discharged at triage. A large multi-centre study is required to validate the tool.
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Sheppard, B., G. Beller, C. O'Rielly, and Charles Wong. "LO54: Emergency department prevalence of intracranial aneurysm on computed tomography angiography (EPIC-ACT)." CJEM 22, S1 (May 2020): S26—S27. http://dx.doi.org/10.1017/cem.2020.109.
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Introduction: Evidence is accumulating that a CT plus a CT angiogram (CTA) of the head and neck may be adequate to rule out subarachnoid haemorrhage (SAH) in patients with a thunderclap headache, thus potentially negating the need for lumbar puncture. One of the most widely cited objections to this strategy is the fear of detecting “incidental asymptomatic aneurysms,” lesions seen on angiography that are not in fact the cause of the patient's symptoms. Currently existing data on the background rate of aneurysms are based on cadaveric studies, invasive angiography, or MRI, and thus does not reflect the true rate of incidental aneurysms that would be detected using a CT plus CTA strategy. This study characterizes the rate of incidental aneurysms identified on CTA in an emergency department population. Methods: In this multicentre retrospective cohort study we analyzed the electronic medical records of all emergency department patients ≥ 18 years of age who underwent CTA of the head and neck over a two month period across four urban tertiary care emergency departments. Two independent reviewers evaluated the final radiology reports and extracted relevant data. The primary outcome of interest was the presence of incidental intracranial aneurysm, defined as a newly diagnosed aneurysm not associated with evidence of acute hemorrhage. Secondary outcomes included aneurysm location and size. Results: Of 739 charts meeting inclusion criteria, incidental intracranial aneurysms were detected in 21 cases or 2.85% (95% confidence interval, 1.77 - 4.32). An additional 20 aneurysms were identified but excluded from the analysis as they were previously known (n = 9) or were associated with evidence of acute hemorrhage (n = 11) and thus were not considered incidental. Of 21 patients with identified incidental aneurysms, 7 had multiple aneurysms. The most common aneurysm sites were internal carotid artery (n = 13), middle cerebral artery (n = 6) and anterior cerebral artery (n = 4). The average size of incidental aneurysm was 4.1 mm. Conclusion: The rate of incidental intracranial aneurysm among emergency department patients undergoing CTA of the head and neck is lower than many previously described estimates obtained through invasive angiography and MRI studies. To our knowledge, this is the first study on the prevalence of incidental intracranial aneurysms in an emergency department specific population and may therefore help guide clinicians when considering using a CT plus CTA rule out strategy for patients presenting with acute headache suspicious for SAH.
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Malinga, Cynthia B., and Loyiso C. Jita. "Step children of the science department? The neglect of the Grade 8 and 9 natural sciences teachers in South African secondary schools." Educational Management Administration & Leadership 48, no. 2 (July 24, 2018): 231–47. http://dx.doi.org/10.1177/1741143218788576.
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To date, little research has been conducted on subject leadership by primary and/or junior secondary school heads of department (HODs). Unlike their senior secondary school counterparts, South African science HODs have the more complex task of leading in the multidisciplinary context of natural sciences (NS 1 ). Such leadership comes in addition to the complications of role ambiguity, limited time and authority that are inherent in the HOD position. Using interviews and 360° multi-rater by four teachers and subject meeting observations, data were transcribed and categorised into themes that describe the instructional leadership practices of three NS HODs in South Africa. This paper is part of a more comprehensive PhD study. It suggests that providing leadership for NS teaching is more complex in practice than has been reported to date. In the context of increasing focus on accountability and national testing, the unintended consequence has been the neglect of the junior secondary NS teachers by the HODs. Furthermore, the data suggest that the HODs tend to limit their attention to areas of their own specialisation. The paper concludes with a conceptual framework that provides guidance for improving instructional leadership by the HODs in such multidisciplinary contexts, especially for the junior secondary school levels. It also recommends the restructuring of the conglomerate departments to make them more effective.
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Satti, Sidra Aftab, Kashif Ramooz, Muhammad Usman Malik, Nadeem Akhtar, and Yasar Shahzad. "Post traumatic CSF fistulas – a solved problem?" Professional Medical Journal 28, no. 05 (May 10, 2021): 630–34. http://dx.doi.org/10.29309/tpmj/2021.28.05.4784.
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Objective: To find the frequency of post-traumatic fistulas in acquire data in neurosurgery department of District Hospital Rawalpindi. Study Design: Descriptive Retrospective Study. Setting: Department of Neurosurgery in District Hospital Rawalpindi. Period: July 2017 to 2019. Material & Methods: Total 70 Patients presented with CSF leaks from either ear or nose or scalp wound following head trauma. All these patients underwent treatment in the emergency room because the study of patients included only those to who presented to emergency with head trauma, including some who underwent some surgical procedure as well, apart from the standard conservative management for all patients. Mean and standard deviation of quantitative data (age), was recorded. Categorical data like gender, early and late onset of disease, surgical treatment were expressed in frequencies & percentage. Results: 70 patients including 52(74.2%) male and 18(25.7%) female. The mean ages was 38.34+13.21 year. CSF leakage was from nose 33(47%) and ear was 37(53%). At the postoperative period, 8(11%) patients had meningitis and 62(89%) patients had no meningitis. Those patients who treated non surgically as 56(80%) as compared to those who underwent some surgical procedures 14(20%). Majority of the patients 59(84%) had early onset < 48 hours of presentation, while 11(16%) had delayed > 48 hours of CSF leakage. Conclusion: CSF fistulas remain a problem after head trauma, with a significant risk of complications and rarely death, hence requiring prompt diagnosis and careful management. Failure of CSF fistula to heal within an average time of 2 weeks of conservative treatment, usually requires surgical treatment.
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Jack, Andrew, and Brent Burbridge. "The Utilisation of Radiology for the Teaching of Anatomy in Canadian Medical Schools." Canadian Association of Radiologists Journal 63, no. 3 (August 2012): 160–64. http://dx.doi.org/10.1016/j.carj.2010.11.005.
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Objective To determine the utilisation of diagnostic imaging (radiology) as a department and/or imaging medium in the teaching of anatomy at the Canadian undergraduate medical education level. Methods The study objectives were achieved through the use of a questionnaire and a literature review. The anatomy department head at each English-based Canadian Medical School was contacted, and the individual most responsible for anatomy teaching in the medical school curriculum was identified. This individual was subsequently asked to complete a questionnaire that evaluated the involvement of radiology for anatomy teaching in their curriculum. Results The use and integration of radiology is a common practice in the teaching of anatomy in Canadian undergraduate medicine. Although the methods and extent of its use varied among institutions, every English-based Canadian medical school, except one, was using diagnostic imaging material in their instruction of anatomy. Furthermore, half of the institutions had a radiologist as a faculty member of their anatomy department to help teach and to use imaging to its full potential. Discussion This audit of anatomy departments suggests that diagnostic imaging has an important role to play in anatomy teaching in Canadian English-speaking medical schools.
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Varner, C., S. L. McLeod, C. Thompson, and B. Borgundvaag. "P122: Emergency department length of stay for alcohol intoxicated patients presenting with head injury." CJEM 19, S1 (May 2017): S119. http://dx.doi.org/10.1017/cem.2017.324.
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Introduction: Excessive consumption of alcohol is associated with harm and responsible for up to 30% of emergency department (ED) visits. ED visits and length of stay (LOS) related to alcohol intoxication have increased over the last decade. The objective of this study was to compare the ED LOS of alcohol intoxicated and non-alcohol intoxicated patients presenting to the ED with acute head injury. Methods: This was a nested cohort analysis of patients screened for enrollment in a randomized controlled trial assessing minor traumatic brain injury (MTBI) discharge instructions in the ED of an academic tertiary care hospital (annual census 65,000). Patients aged 18 to 64 years presenting to the ED with a Canadian Emergency Department Information System (CEDIS) chief complaint of a head injury or suspected concussion occurring within 24 hours were eligible for study inclusion. Patients were identified as acutely intoxicated by their treating clinical providers. ED LOS for patients acutely intoxicated and those not intoxicated was compared using a Mann-Whitney U test using the Hodges-Lehmann method. Proportional differences were assessed using chi-square statistics. Results: A total of 164 patients were included in the analysis, 46 (28.0%) intoxicated and 118 (72.0%) not intoxicated. Median (IQR) ED LOS was 2.9 (1.5, 6.6) hours for intoxicated and 1.8 (1.3, 2.9) hours for non-intoxicated patients (Δ1.1 hours; 95% CI: 0.4, 1.8). Arrival by ambulance was higher in the intoxicated (73.9%) compared to the non-intoxicated (29.7%) group (Δ44.3%; 95% CI: 27.6, 57.1). Patients were more likely to have experienced assault in the intoxicated (34.8%) compared to the non-intoxicated (6.8%) group (Δ28.0%; 95% CI: 14.5, 42.8). There no difference in the proportion of patients who arrived after daytime hours, had a brain computed tomography, received analgesia in the ED, had another traumatic injury or had a history of psychiatric illness. Conclusion: One third of patients screened for a randomized controlled trial for MTBI were deemed ineligible for study inclusion due to acute alcohol intoxication. Alcohol intoxication was associated with prolonged ED LOS. Future studies specifically aimed at identifying factors that impact care on this frequent ED patient population are needed.
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Ng, P., M. McGowan, and B. Steinhart. "LO059: CT head scans yield no relevant findings in patients presenting to the emergency department with bizarre behavior." CJEM 18, S1 (May 2016): S50—S51. http://dx.doi.org/10.1017/cem.2016.96.
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Introduction: The standard approach between Emergency Departments (EDs) and Psychiatric Emergency Services is to medically “clear” a stable patient of organic pathology prior to psychiatric consultation. Medical clearance involves neuroimaging, typically in the form of a computed tomography (CT) head scan. This study examines the clinical impact of ordering CT head scans for patients presenting with bizarre behaviour. Methods: A 5-year retrospective chart review was conducted at 3 academic, urban ED sites. Inclusion criteria were patients ≥18 years of age triaged as “mental health - bizarre behavior” (defined as deviating from normal cognitive behaviour with no obvious cause) with a CT head scan ordered while under the care of the ED. Exclusion criteria were focal neurologic deficits on exam, alternative medical etiology (i.e. delirium, trauma) and/or pre-existing CNS disease. Demographic, administrative, and neuroimaging data were extracted with 10% of charts independently reviewed by a staff Emergency Physician for inter-rater reliability. Results: 270 cases met study criteria. CT results were unavailable in 3, leaving 267 cases studied. The population demographics were: 49% percent female, average age 51 years old, 28% homeless, 59% arrived by police and/or ambulance. CT head results demonstrated 1 (0.4%) case with possible acute findings on CT. 108 (40%) had incidental findings (i.e. cerebral atrophy, small hypodensities), none of which impacted clinical management. Average time to physician assessment was 1 hour 58 minutes (sd 1:17) and time to CT head completion was 6 hours 50 minutes (sd 7:20) leaving an average of 4 hours 52 minutes awaiting these results. Ultimately 86% of patients were referred to a consultant of which 92% were to Psychiatry. Conclusion: This study of CT head scans for bizarre behavior ED presentations showed that the CT results did not change the clinical management of the patient. Furthermore, awaiting these results prolonged ED length of stay and delayed patient disposition. A prospective trial of a clinical decision tool for ordering CT head scans in these patients is warranted.
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Šponer, Pavel, David Pellar, and Karel Karpaš. "Our Approach to the Conservative Treatment of the Dislocated Hip in Developmental Dysplasia." Acta Medica (Hradec Kralove, Czech Republic) 46, no. 3 (2003): 117–19. http://dx.doi.org/10.14712/18059694.2019.18.
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The purpose of this study is to evaluate the effectiveness of the use of traction in achieving closed reduction of a dislocated hip. We evaluated 38 hips in 29 consecutive patients who had been treated at our department between January 1999 and December 2001. There were 26 girls and 3 boys and the average age was 8 weeks. The minimal duration of follow-ups was 12 months after closed reduction. We achieved 32 concentricaly reduced hips, the barriers to the concentric reduction were demonstrated by arthrography in 5 hips and 1 hip redislocated after removal of the spica cast. Avascular necrosis of the femoral head developed in no conservatively treated hip. The traction reduction method is preferred at our department because of high rate of success without damaging the femoral head.
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Aldridge, Patrick, Heather Castle, Clare Phillips, Emma Russell, Richard Guerrero-Luduena, and Raj Rout. "Head home: a prospective cohort study of a nurse-led paediatric head injury clinical decision tool at a district general hospital." Emergency Medicine Journal 37, no. 11 (August 5, 2020): 680–85. http://dx.doi.org/10.1136/emermed-2019-208892.
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ObjectivesTo assess if a nurse-led application of a paediatric head injury clinical decision tool would be safe compared with current practice.MethodsAll paediatric (<17 years) patients with head injuries presenting to Frimley Park Emergency Department (ED), England from 1 May to 31 October 2018 were prospectively screened by a nurse using a mandated electronic 'Head Injury Discharge At Triage' questionnaire (HIDATq). We determined which patients underwent CT of brain and whether there was a clinically important intracranial injury or re-presentation to the ED. The negative predictive value of the screening tool was assessed. We determined what proportion of patients could have been sent home from triage using this tool.ResultsOf the 1739 patients screened, 61 had CTs performed due to head injury (six abnormal) with a CT rate of 3.5% and 2% re-presentations. Of the entire cohort, 1052 screened negative. 1 CT occurred in this group showing no abnormalities. Of those screened negative, 349 (33%)/1052 had ‘no other injuries’ and 543 (52%)/1052 had ‘abrasions or lacerations’. HIDATq's negative predictive value for CT was 99.9% (95% CI 99.4% to 99.9%) and 100% (95% CI 99.0% to 100%) for intracranial injury. The positive predictive value of the tool was low. Five patients screened negative and re-presented within 72 hours but did not require CT imaging.ConclusionA negative HIDATq appears safe in our ED. Potentially 20% (349/1739) of all patients with head injuries presenting to our department could be discharged by nurses at triage with adequate safety netting advice. This increases to 50% (543/1739), if patients with lacerations or abrasions were given advice and discharged at triage. A large multicentre study is required to validate the tool.
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Ahuja, Ankit, Siddhartha Verma, and Aditya Narayan Chaudhary. "Outcome of traumatic head injury in unknown patients." International Surgery Journal 5, no. 2 (January 25, 2018): 633. http://dx.doi.org/10.18203/2349-2902.isj20180366.
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Background: Traumatic brain injury is the most common cause of death in trauma victims accounting for about half of deaths at the accident site. Most commonly, traumatic brain injury occurs in the presence of additional injuries to other major organ systems, but it can also occur in isolation. Complications from closed head injuries are the single largest cause of morbidity and mortality in patients who reach the hospital alive. The objective of this study was to determine the outcome of traumatic head injury in patients admitted in the Department of Neurosurgery as unknown.Methods: All patients admitted as “unknown” to Neurosurgery department with traumatic head injury were studied retrospectively. Data was collected regarding demography, mode of injury, clinical presentation at the time of admission, management and outcome of these patients.Results: Data pertaining to 107 unknown patients were collected. Most patients were found to be males in 3rd decade of their lives with vehicular accidents as the common mode of injury. Patients presenting with Glasgow coma scale (GCS) score <8 at the time of admission had poor outcome and associated with higher mortality. Intra-cranial hemorrhage were predominantly found on CT scan. Only one-third of the patients were discharged after treatment while half of them suffered untimely death.Conclusions: Outcome of these neglected patients is poorer in comparison to patients who are accompanied by their relatives. Their management from pre-hospital to treatment and discharge from hospital is fraught with challenges. They need special care from trained nursing staff as well as help from social workers for recovery and rehabilitation.
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Chan, Richie Chiu-Lung, and Jimmy Yu-Wai Chan. "Head and Neck Mucoepidermoid Carcinoma." Otolaryngology–Head and Neck Surgery 151, no. 5 (September 22, 2014): 797–801. http://dx.doi.org/10.1177/0194599814551131.
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Objective We noticed that a significant proportion of our patients with head and neck mucoepidermoid carcinoma (HNMEC) had second primary malignancies. To our knowledge, such an association has never been described. The aim of our study is to elucidate the association between second primary malignancies and HNMEC. Study Design Case series with chart review. Setting Tertiary referral center. Subjects and Methods We included all patients with histologically proven HNMEC managed in the Department of Surgery, Queen Mary Hospital, from January 2003 through December 2013. Medical records were retrospectively reviewed and analyzed. Results Fifty-seven patients with HNMEC were identified. Fourteen (24.6%) had second primary malignancies. The commonest second primary malignancy was nasopharyngeal carcinoma, followed by carcinoma of the thyroid. Second primary malignancies developed before HNMEC in 7 patients, with a mean interval of 196 months. Five patients had second primary malignancies after development of HNMEC, with a mean interval of 65 months. Two patients had synchronous second primary malignancies. Clinical patterns of patients with HNMEC with and without second primary malignancies were compared. Major salivary glands were more frequently affected among patients with second primary malignancies, while minor salivary glands were more frequently affected among those without secondary primary malignancies ( P = .032). Development of second primary malignancy was not found to affect the survival. Conclusion About one-fourth of patients with HNMEC had a second primary malignancy. Major salivary glands were more frequently affected among patients with second primary malignancies. Development of second primary malignancy did not affect survival.
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Maharjan, Surendra, Saroj Chhetry, Neyaj Ahmed, and Pasang Sherpa. "CT head findings in suspected cases of head injury." Asian Journal of Medical Sciences 8, no. 2 (March 1, 2017): 76–81. http://dx.doi.org/10.3126/ajms.v8i2.16205.
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Background: Head injury is one of the leading causes of morbidity and mortality throughout the world. Fall injury is the main cause of head trauma followed by road traffic accidents (RTA) and physical assault. Every victim with altered level of consciousness must be evaluated for brain injury. Radiological evaluation has undergone dramatic changes with the advent of computed tomography (CT) as it can precisely define the nature and location of the culprit lesion(s).Aims and Objective: To identify the major CT scan findings in suspected cases of Head injury.Materials and Methods: Three hundred seventeen patients of age 4 years and above, with suspected cases of head injury attending emergency department of TUTH during a period of 3 months (28 June 2012 to 28 September 2012) were included in this study. Non-contrast CT scan of head was performed in a single slice Hitachi Spiral CT scanner and 10 mm axial slices of head without any interslice gap were obtained at 15-20 degrees to the canthomeatal line. Data analysis was performed in SPSS v.21.0 software.Results: From 317 patients studied 198(62.5%) were male and 119 (37.5%) were female. Head injury was more common in male. 80(25.23%) were below 15 years of age, 221(69.73%) were between 16 to 65 years and only 16(5.04%) were above 66 years of age. The mean age was 28.57 years. In 239(75.4%) of patients the CT scan was normal. The most common cause of head injury was fall which was found in 210(66.2%) patients followed by RTA 82(25.9%) and Physical Assault 25(7.9%). Fall as a cause of head injury was more common in children and old people, with the RTA being more common in adults and adolescents. The most common positive finding in CT was contusion which was found in 32(10.1%), 25(7.9%) had SDH, 11(3.5%) of the patients had EDH, 10(3.2%) had SAH. Headache was found to be nonspecific for predicting positive CT findings.Conclusion: CT was found highly sensitive in demonstrating fractures and was considered the modality of choice when imaging suspected cases of head injury and in emergency patients due to its accuracy, reliability, safety and wide availability.Asian Journal of Medical Sciences Vol.8(2) 2017 76-81
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Tutorskiy, Andrey V. "The Field of Life of Alexey Alexeevich Nikishenko." Вестник антропологии (Herald of Anthropology) 48, no. 4 (December 10, 2019): 18–32. http://dx.doi.org/10.33876/2311-0546/2019-48-4/18-32.
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The article depicts the scientific biography of the former head of the Department of Ethnology of the Moscow State University Alexei Nikishenkov, one of the most prominent Russian ethnographers. The author investigates biographical data, the scientific approach, the role the field research played in the life of Nikishenkov and his activities at the Moscow State University as the head of the Department. The author draws attention to the fact that Nikishenkov conveyed the ideas and approaches of both Russian (Soviet) and British anthropological traditions as he had been studying the latter since late 1970s. His field research in Buryatia was clearly different from expeditions of other scientists: having conducted a series of field research there, he later returned there as a family member more than 10 times. Nikishenkov had raised a group of prominent scholars in Russia and the scientific heritage that he left has not been properly praised yet.
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Ariesanti, Alia, Eko Ganis Sukoharsono, Gugus Irianto, and Erwin Erwin Saraswati. "Practice of Sustainability in Higher Education." International Journal of Engineering & Technology 7, no. 3.25 (August 14, 2018): 84. http://dx.doi.org/10.14419/ijet.v7i3.25.17473.
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Higher education have a significant role in supporting the realization of sustainable development, thus forming the concept of the sustainable university. The concept of the sustainable university emphasizes the importance of economic, environmental and social activities conducted by the college. The college is expected to formulate the curriculum, perform research and community service activities with the topic of sustainability. The purpose of this study was to assess the extent of higher education considering the environmental, social and economical in their activities. The respondents of this study are the head of a department in Ahmad Dahlan University, Indonesia. This study uses a mixed method approach. Quantitative data obtained using a questionnaire, then processed by using the compared group statistical test. Qualitative data obtained using interview, then processed by using data reduction, data display and conclusion and verification. The results of this survey suggest that the head of the departments had considered the aspect of sustainability in formulating the curriculum, implementation of research and community service activities. From the three points of the Tridharma, which is learning and curricula, research and community service, the departments give more attention to community service activities.
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Masoumi, Babak, Farhad Heydari, Hamidreza Hatamabadi, Reza Azizkhani, Zahra Yoosefian, and Majid Zamani. "The Relationship between Risk Factors of Head Trauma with CT Scan Findings in Children with Minor Head Trauma Admitted to Hospital." Open Access Macedonian Journal of Medical Sciences 5, no. 3 (June 3, 2017): 319–23. http://dx.doi.org/10.3889/oamjms.2017.071.
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BACKGROUND: In emergency medicine for determining the intracranial injury (ICI) in children with head trauma, usually brain CT scan is performed. Since brain CT scan, especially in children, has some disadvantages, it is better to find a procedure which could help to choose only the children with real head trauma injury for brain CT scan.AIMS: The aim of this study is to find such procedure. This study was descriptive, analytic and non-interventional.METHODS: We reviewed the archived files of children with head trauma injuries referred to the emergency department of Imam Hossein Hospital within two years. Patient’s CT scan findings and head trauma risk factors were evaluated in this study.RESULTS: Out of 368 patients, 326 patients had normal brain CT scan. 28 of them showed symptoms of ICI consisting intraventricular haemorrhage (IVH), contusion, subarachnoid haemorrhage (SAH), subdural haemorrhage (SDH), epidural hematoma (EDH), and pneumocephalus. Twenty-seven patients showed skull FX, which 14 of them had an Isolated fracture, and 13 of them also showed symptoms of ICI. Since patients with isolated FX usually discharge quickly from Emergency Department; their data did not include in results of the study. The patients have been divided into two groups: 1- ICI, 2- without ICI. RR (relative risk), CI (Confidence interval) and sensitivity, positive predictive value (PPV), negative predictive value (NPV) and association of these risk factors with ICI were assessed with the Chi-2 test. In the end to determine the indications of CT scan, the presence of one of these five risk factors is important including abnormal mental status, clinical symptoms of skull FX, history of vomiting, craniofacial soft tissue injury (including subgaleal hematomas or laceration) and headache.CONCLUSIONS: For all other patients without these risk factors, observation and Follow Up can be used which has more advantages and less cost.
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Lee, Hyun Woo, In Bok Chang, Sung Min Cho, Dae Cheol Rim, Joon Ho Song, and Sung Ki Ahn. "Analysis of Causes of Deaths of the Patients Who Had a Head Injury with Multiple Traumas in Emergency Department." Journal of Korean Neurotraumatology Society 4, no. 2 (2008): 62. http://dx.doi.org/10.13004/jknts.2008.4.2.62.
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Sultan Abdul Kader, Mohamed Iliyas, Siti Sarah Razak, Vijayaprakas Rao Ramanna, Nor Kamaruzaman Esa, Abdul Razak Ahmad, and Irfan Mohamad. "Challenges and Adaptation in Otorhinolaryngology Practice During Pandemic Lockdown: Experience from a Malaysian COVID-19 Hospital." Malaysian Journal of Medical Sciences 28, no. 3 (June 30, 2021): 143–50. http://dx.doi.org/10.21315/mjms2021.28.3.13.
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COVID-19 has taken the world by storm: since the first few cases appeared in Wuhan, China in December 2019 and by June 2020 there were more than 10 million cases of COVID-19 cases worldwide. Malaysia had its first case in January 2020 and acted promptly by implementing several drastic measures to contain the disease. Subsequently, the Ministry of Health Malaysia has implemented guidelines and recommendations on the management of COVID-19. The Department of Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) provides services for patients with ear, nose, throat, head and neck diseases and provides audiology, speech and language therapy, as well as undergraduate and postgraduate training. As the department’s staff is heavily involved in examinations and interventions of upper aerodigestive tract problems, the challenges are distinctly different from other specialties. This article discusses how COVID-19 affected ORL-HNS services and what measures were taken in Hospital Melaka, Malaysia.