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Silva, Joana, and Karen Bultitude. "Best practice in communications training for public engagement with science, technology, engineering and mathematics." Journal of Science Communication 08, no. 02 (2009): A03. http://dx.doi.org/10.22323/2.08020203.
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Effective training in key communications skills is critical for successful public engagement. However, what are the secrets to designing and delivering an effectual training course? This paper outlines key findings from a research study into communication training programmes for public engagement with STEM (science, technology, engineering and mathematics). The research focused on training in direct communication methods, (as separate from media training) and encompassed both trainers and trainees, the latter group spanning across both scientists and explainers. The findings indicated that training courses are effective at increasing involvement in science communication events and trainees feel more confident and able to engage due to training. An interactive style was found to be a key element of training courses. Demonstrations of good practice followed by own performance with feedback were also important, preferably involving a ‘real’ audience. A list of guidelines on best practice has been developed which offers practical advice.
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Stein, Gary L., Cathy Berkman, and Bonnie Pollak. "What are social work students being taught about palliative care?" Palliative and Supportive Care 17, no. 5 (2019): 536–41. http://dx.doi.org/10.1017/s1478951518001049.
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AbstractObjectivePalliative social workers have taken steps to increase the numbers of social workers trained and competent to deliver effective psychosocial palliative care. Despite these developments, masters of social work (MSW) programs have only begun to develop curricula preparing students for entry-level practice. This study sought to determine the type and extent of content areas included in MSW courses dedicated to palliative care or with content related to palliative care practice.MethodA cross-sectional study using an online questionnaire was conducted. All 248 accredited MSW programs in the United States and 32 programs in Canada were invited to participate. Participants were asked to name the courses in their MSW program that were dedicated to, or included content on, palliative care, and submit the syllabi for these courses. Data comprised course content for each class session and required readings. A grounded theory approach was used to identify the topics covered.ResultOf the 105 participating programs that responded to the survey, 42 submitted 70 syllabi for courses with at least some palliative care content. There were 29 topics identified. The most common topic was grief, loss, and bereavement, followed closely by behavioral and mental health issues, and supporting family and friends; cultural perspectives and advance care planning were also common topics. For the 10 syllabi from courses dedicated to palliative care, supporting family was the most common topical area, followed closely by interprofessional practice and advance care planning.Significance of resultsAlthough there are many challenges to introducing palliative care content into MSW programs, including unqualified faculty and competing course material and electives of equally compelling content, there are model curricula for dedicated palliative care courses. With the large growth of palliative care programs, the time is ripe to add specialty palliative care courses and to add palliative care content into existing courses.
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Adhikari, Eka Raj. "Motivation of Persons with Disabilities towards Mainstream Vocational Training." Journal of Training and Development 3 (September 27, 2017): 12–21. http://dx.doi.org/10.3126/jtd.v3i0.18226.
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The present study has explored the motivational factors to join the vocational training programs among persons with disabilities in Nepal. Based on the phenomenological approach, I conducted in-depth interviews with purposively selected eight persons with disabilities who had been undergoing short-term vocational training courses. I followed the thematic analysis technique to analyze the data. With the help of major content theories of motivation and the social role theory of gender differences, I discussed the study results. The participants’ expressions revealed that the motivating factors were employment, suitability of training to the type of impairment, utilization of free time, advice from relatives, opportunity to get training for free, personal interest, and a strong desire to do something. The results showed that both extrinsic and intrinsic factors were functioning as the motivators for the learners. Their perceptions supported the traditional gender-based selection of occupations. The study showed the need to adopt relevant measures to leverage the learners’ motivation for learning throughout the training.
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Force, Donald C., and Jane Zhang. "Knowledge discovery from within." Records Management Journal 26, no. 3 (2016): 259–78. http://dx.doi.org/10.1108/rmj-11-2015-0034.
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Purpose The purpose of this paper is to report the findings of a research project that analyzed records management (RM) and electronic records management (ERM) course syllabi from North American archival studies’ programs. By identifying the convergences and divergences of the topics and literature found within the syllabi, the authors sought to understand the relationship between the two courses and gain insight about how these courses continue to serve as an integral component of archival studies education. Design/methodology/approach The paper is based on a qualitative analysis of 23 RM and 12 ERM course syllabi from 26 academic institutions from North America. The research examined three different aspects of the syllabi: textbooks, required articles and weekly topics. The syllabi were analyzed as separate data sets (RM syllabi and ERM syllabi), which was followed by a comparative analysis of the two types of syllabi. Findings The findings of this study reveal that RM, ERM and (to a lesser extent) DA (digital archives) knowledge as represented in archival education converges in some course contents but diverges in others. Archival educators should pay close attention to overlapping areas so that the courses can better complement each other and advance knowledge representation within archival studies. Research limitations/implications This study only considered graduate-level programs in the USA and Canada. The study did not include syllabi or instructional guides from associate-level programs or professional organizations such as the International Certification of Records Managers or Association of Records Managers and Administrators (ARMA) International. Practical implications The results of this study lead the authors to present two different approaches for how RM and ERM knowledge may be incorporated into archival curriculum. Originality/value This is the first research project to analyze RM and ERM syllabi with regards to the enhancement of records and information management education and archival curriculum development.
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van Wyk, Micheal M. "E-Pedagogical Support Strategies to Teaching Methodology of Economics Students at an Open Distance Learning University." International Journal of Online Pedagogy and Course Design 10, no. 3 (2020): 1–18. http://dx.doi.org/10.4018/ijopcd.2020070101.
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A systematic review of the literature of e-pedagogical support strategies for an open distance learning context was done to explore the knowledge “gap” on existing scholarly works. This paper investigates the use of pedagogical support strategies employed to support student learning in an online Teaching Methodology of Economics course. The research followed a pragmatic approach—an explanatory mixed-methods design—to conduct the research. An online questionnaire and eDiscussion forum entries were employed to collect data. Convenient and purposive sampling of postgraduate students (n=179) in Teaching Methodology of Economics were selected. Students voluntarily completed the online survey. Findings and practical implications were formulated to advance online pedagogical strategies to support student learning and thus promote essential competencies for the course in the college of education at an open distance learning university. The current study has only examined a small sampling of student views regarding pedagogical strategies employed in a teacher education online course. More research is needed to establish whether a larger sample, comparing similar courses in the teacher education programme, will yield different results.
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Konrad, Theres, Arnim Wiek, and Matthias Barth. "Embracing conflicts for interpersonal competence development in project-based sustainability courses." International Journal of Sustainability in Higher Education 21, no. 1 (2020): 76–96. http://dx.doi.org/10.1108/ijshe-06-2019-0190.
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Purpose Advanced skills in communication, teamwork and stakeholder engagement are widely recognized as important success factors for advancing sustainability. While project-based learning formats claim to advance such skills, there is little empirical evidence that demonstrates how interpersonal competence is being developed. This study aims to describe and explains teaching and learning processes of project-based sustainability courses that contribute to the development of interpersonal competence as one of the key competencies in sustainability. Design/methodology/approach This study on an international project-based learning course adopted a multi-method case study approach, triangulating observations, semi-structured interviews and focus groups supported by Photovoice method through which students tracked their learning processes. Data collection and analysis followed a grounded theory approach. Findings Learning through and from conflicts within a learning community can foster competence development in teamwork, communication and stakeholder engagement. This study identified inner and outer conflicts (within individuals versus between individuals or groups) as potential drivers of learning processes, depending on strategies applied to address these conflicts. Originality value The value of this study is fourfold: it demonstrates how conflicts can be leveraged for students’ competence development; it provides in-depth empirical data from multiple perspectives, it discusses the findings in the context of teaching and learning theories, and it demonstrates an application of the Photovoice method to track and improve teaching and learning processes.
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Elsey, Lynn. "SERVICE EVALUATION OF A CYSTIC FIBROSIS HOME INTRAVENOUS ANTIBIOTIC SERVICE PROVIDED BY A NHS FOUNDATION TRUST." Archives of Disease in Childhood 101, no. 9 (2016): e2.69-e2. http://dx.doi.org/10.1136/archdischild-2016-311535.71.
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AimTo evaluate carers' satisfaction with the current service for home reconstitution and administration of intravenous (IV) antibiotics to cystic fibrosis (CF) patients and identify ways of improving this service to reduce treatment burden.MethodsA formative evaluation was conducted of all 17 carers who reconstituted and administered the IV antibiotics at home. This was carried out using a cross-sectional survey. A questionnaire of open and closed questions was sent first class with a pre-paid return envelope to the carers. This was followed by a reminder letter after the set return date.ResultsThirteen carers responded giving a response rate of 76.5%. The carers had a mean of 2 children in the household with all having 1 child under the care of the paediatric CF team. They had been receiving IV antibiotics for a mean of 8 years and 7 months and had been administering them at home for a mean of 6 years and 1 month. The majority had administered the antibiotics in the last 3 months.Over half received their drugs from the hospital pharmacy, but one carer highlighted that they did not always receive a full supply of the treatment.Removing the reconstitution step by providing pre-prepared syringes could reduce treatment time by around 18 minutes. Overall this could mean a daily reduction in treatment time of almost two hours for a patient who is on two antibiotics three times a day. The majority of respondents stated that they would prefer pre-filled syringes.The carers felt that they received enough training and felt confident in reconstituting and administering the antibiotics. The majority felt that they should receive regular updates to their training and it was highlighted that they are reassessed at the start of each course. Most of the carers felt that they had an opportunity to discuss the IV antibiotics in the out-patient clinic with the doctors and the nurses but none of them would contact the pharmacist. They felt that they were appropriately contacted in advance to organise when the course would start and a proportion were contacting the nurses in advance to organise the treatment around their commitments. When they receive the antibiotics and sundries from the hospital pharmacy they are supplied with written directions for reconstitution and administration. However, the carers did not find these easy to understand. It was highlighted by one that they could not access advice at night.Overall the carers had a high level of satisfaction with the service. Some felt that it could be improved by easier access to advice, having blood tests done by community nurses and pre-filled syringes.ConclusionOverall this cohort is satisfied with their current home IV service. Improvements could be made by: ensuring carers always receive 100% of all necessary supplies; better access to advice; easier to understand written information; access to blood tests in community; increased awareness of the pharmacist. The majority of carers would like pre-prepared syringes and these could greatly decrease the treatment time.
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Penny, Fletcher, and Patel Shruti. "P02 An audit of vancomycin dosing in the neonatal units." Archives of Disease in Childhood 103, no. 2 (2018): e1.5-e1. http://dx.doi.org/10.1136/archdischild-2017-314584.13.
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AimTo audit the prescribing and monitoring of vancomycin in the neonatal units against the local guideline.The neonatal vancomycin guideline has never been audited. Anecdotally, prescribing and monitoring of this drug is challenging, with pharmacists frequently being asked for advice. The guideline has two ranges depending on which bacteria are being treated, 10–15 mg/L and 15–20 mg/L.The initial dosing frequency is different for babies greater than 10 days of age.MethodData on vancomycin doses, levels, time taken, patient age, weight and renal function, were collected on a data collection form prospectively, from prescriptions and clinical records for all babies on vancomycin on between 17/10/2016 and 16/12/2016. Patients were followed throughout their stay; some had repeated courses. The audit was approved locally. Audit standards were derived from the guideline, with 100% adherence aimed for.Data were entered onto an Excel spreadsheet.ResultsData was collected from 19 patients, 28 vancomycin courses and 31 vancomycin levels.28/28 (100%) prescriptions had the correct initial dose. In one neonate the dose changed from 12 to 8 hourly when they were 10 days old. This change led to a high level.13/15 (87%) had the level taken at the correct time. Two were taken 2–3 hours late. Thirteen courses were stopped before requiring levels.19/31 levels (62%) were within a safe range (10–20 mg/L).All 6 levels>20 mg/L had the next dose held and the level repeated. In two of these cases there was no subsequent dose reduction causing further high levels. In one case a further vancomycin course was prescribed as per guidelines, with no consideration of previous levels, a high level was recorded again.Two levels between 15–20 mg/L were considered too high; a dose was omitted, resulting in two sub-therapeutic levels (below 10 mg/L).Of the other four low levels, three were not acted upon appropriately – no dose or frequency increase, one was acted on correctly with a dose increase.ConclusionThe size of the data set was small but the descriptive findings are interesting.The initial aspects of the guideline are adhered to with all doses prescribed correctly. High levels resulted in doses being held and levels repeated but subsequent actions were suboptimal. Levels appeared to be viewed in isolation and so either no change or an incorrect change was made causing further avoidable high levels. Often low levels were not acted upon appropriately.It is possible that there is limited understanding of pharmacokinetic principles underpinning the adjustment of doses.Changes have been made to the guidelines including a statement that the doses are the initial starting doses only and that dose adjustments are based on levels not age. The different ranges caused confusion and given that the specific bacteria presentmay not be known when initiating treatment, the guidelines have been amended to clarify the safe range of vancomycin to be 10–20 mg/L. Teaching sessions with worked examples will be held with all prescribers and nursing staff.
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Buttriss, Judith L. "Translating complex science into life-course health promoting strategies." Proceedings of the Nutrition Society 70, no. 1 (2011): 38–46. http://dx.doi.org/10.1017/s0029665110004726.
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These days, we are bombarded with nutrition information from diverse sources and of varying quality. There has been a dramatic increase in communication channels, including more television channels with airtime to fill, and the emergence of the Internet and ‘new media’ such as social networking sites. Part of this culture is to deliver ever changing and novel angles. The background ‘noise’ that this creates can make delivery of evidence-based advice about healthy eating that generally carries less novelty value, a huge challenge. This paper illustrates ways in which complex scientific information can be translated into meaningful health promoting strategies that can be applied across the life course. The examples used are nutrition in the context of healthy ageing, communicating the concept of energy density in the context of satiety, healthy hydration, health effects of probiotics and resources for use by teachers in the classroom. This selection of examples demonstrates the processes adopted at the British Nutrition Foundation to identify the evidence base for a particular topic and then to communicate this information to various target audiences. The British Nutrition Foundation's approach typically starts with preparation of a detailed review of the evidence, often with the involvement of external expertise, followed by peer review. For much of this work conventional science communication routes are used, but use is also made of the Internet and various forms of new media.
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Hsieh, Hui Min, Wei-Ning Wang, Chan Yi Jui, Wen Ching Yang, Jou Huai Lin, and Li Chun Liu,. "The Flipped-Classroom in Nutrition Intern Clinical Training." Current Developments in Nutrition 4, Supplement_2 (2020): 601. http://dx.doi.org/10.1093/cdn/nzaa048_007.
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Abstract Objectives Flipped-classroom has been widely used in various teaching fields in recent years. It is a learner-centered teaching method. The application of the flipped-classroom model in nutrition intern clinical training is not universal. We implemented this teaching approach to the core training courses and evaluate its efficacy, benefit, and outcome. Methods We designed 3 topics of basic clinical course included diabetic, chronic kidney disease, and cancer. The flipped-classroom consisted of e-learning outside of the classroom, followed by an in-class interactive session with problem-based discussion and case-based discussion. Preceptors assisted the discussion process, guided the right direction. Trainees presented their report after discussion. Preceptors gave feedback at the end of each lesson. Finally, trainees and preceptor finished the evaluation of the course, other learners, and preceptors. Results A total of 10 trainees attended the courses. The average score of knowledge, skill, and attitude was 9.01, 8.90, 8.88 respectively from the trainees’ evaluation. Knowledge, skills, and attitudes get A or higher scores from preceptors. The trainees have a very high evaluation of the Flipped-classroom. They believe that Flipped-classroom is interesting, deepens their impression of relevant knowledge, and from the performance of their peers can provide more personal thinking. The preceptors thought the Flipped-classroom as active learning allows students to become the protagonists of teaching activities. Trainees prepared in advance and participate in discussions actively. Many scenarios can be integrated into the process and let teaching have more flexibility. Conclusions Flipped-classroom is an active learning education that guides learners to have a sense of accomplishment at each stage and achieves superior clinical care advantages through excellent education. Funding Sources Nil
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Rausch Osthoff, Anne-Kathrin, Karin Niedermann, Jürgen Braun, et al. "2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis." Annals of the Rheumatic Diseases 77, no. 9 (2018): 1251–60. http://dx.doi.org/10.1136/annrheumdis-2018-213585.
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Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice. The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated. The TF developed and agreed on four overarching principles and 10 recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 and 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas. Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.
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Emms, Andrew, Lucie Gosling, Sam Papadopoullos, and Rui Duarte. "COMMONLY UTILIZED PHYSIOTHERAPY TREATMENT APPROACHES IN THE MANAGEMENT OF SUB-ACUTE SCIATICA: A PILOT STUDY USING THE DELPHI PROCESS." Journal of Musculoskeletal Research 17, no. 04 (2014): 1450017. http://dx.doi.org/10.1142/s0218957714500171.
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There is limited evidence for the utilization of physiotherapy in the management of sub-acute sciatica. The aim of this pilot study was to explore the Delphi method to attempt to reach consensus on physiotherapeutic approaches to the management of sub-acute sciatica amongst a panel of clinicians experienced in this field. The panel included senior physiotherapists (n = 10) working within an outpatient setting at a specialized orthopedic trust. Iteration 1 consisted of the open-ended question "List the treatment approaches/techniques/modalities you employ when treating a patient with sub-acute sciatica and provide justifications". Themes reaching 70% consensus progressed to the second iteration which followed up with the question "Please indicate how frequently you would employ the following treatments in the management of sub-acute sciatica" using a 5-point likert scale ranging from 1 (never) to 5 (always). The mean score was calculated for each treatment and those themes achieving a mean of 3.5 or greater progressed to iteration 3 "Please rank in order of preference which of the following treatments you would employ in the treatment of sub-acute sciatica". The response rate at iteration 3 was 60%. This pilot study achieved consensus on five treatment approaches to be employed in the management of sub-acute sciatica. In order of preference these treatments were advice (regarding staying active, staying at work, reassurance, analgesia), advice (time scale of recovery, natural course of sciatica, self-limiting condition, hurt does not equal harm), lumbar joint mobilizations (rotations, PA's, ilial mobs [distractions], transverse glides), direction specific stretches and nerve mobilizations. This pilot study provides preliminary evidence of commonly used treatment approaches for sub acute sciatica amongst physiotherapists.
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Johnson, Madhulika, and Dinesh Kumar Badyal. "Prevalence, knowledge, attitude and practice regarding self-medication among medical, dental and paramedical students in a tertiary care hospital." International Journal of Basic & Clinical Pharmacology 7, no. 9 (2018): 1822. http://dx.doi.org/10.18203/2319-2003.ijbcp20183497.
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Background: Self-medication is practiced universally. Having medical knowledge plays a vital role in its prevalence. It is more prevalent in higher education course students especially medical students. However, it is increasing in dental and paramedical students. Hence, this study was conducted to evaluate self-medication among medical, dental and para-medical students in a tertiary care hospital.Methods: A cross sectional questionnaire based study was conducted among 449 undergraduate students. They were divided into three groups. A questionnaire was developed based on literature. The questionnaire was validated and finalised. The paper questionnaire was administered to students. The data collected from questionnaires was analysed. The results were expressed as percentages and frequencies.Results: The male female ratio of students who filled questionnaire was 65:35. All the students (100%) reported that they practice self-medication. The most common reason for self-medication was prior experience (36%) in group A as well as in group B (46%), but in group C, 39% mentioned no serious problem. Main information source was family members in all the groups (A 57%, B 53%, C 29%) followed by advice from senior/friends. Fever was most common symptom reported (29%) by group A followed headache (28%) in group C and cough and cold (23%) in group B. The commonest group of drugs used is cough syrups (25%) in group B, followed by analgesics (23%) in group C and antipyretics (21%) in group A.Conclusions: Self-medication is growing among dental and paramedical students too. It is necessary to educate them about self-medication to prevent future disastrous consequences as well as to make them aware of appropriate use of self-medication.
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Halim, Audrey S., Solaire A. Finkenstaedt-Quinn, Laura J. Olsen, Anne Ruggles Gere, and Ginger V. Shultz. "Identifying and Remediating Student Misconceptions in Introductory Biology via Writing-to-Learn Assignments and Peer Review." CBE—Life Sciences Education 17, no. 2 (2018): ar28. http://dx.doi.org/10.1187/cbe.17-10-0212.
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Student misconceptions are an obstacle in science, technology, engineering, and mathematics courses and unless remediated may continue causing difficulties in learning as students advance in their studies. Writing-to-learn assignments (WTL) are characterized by their ability to promote in-depth conceptual learning by allowing students to explore their understanding of a topic. This study sought to determine whether and what types of misconceptions are elicited by WTL assignments and how the process of peer review and revision leads to remediation or propagation of misconceptions. We examined four WTL assignments in an introductory biology course in which students first wrote about content by applying it to a realistic scenario, then participated in a peer-review process before revising their work. Misconceptions were identified in all four assignments, with the greatest number pertaining to protein structure and function. Additionally, in certain contexts, students used scientific terminology incorrectly. Analysis of the drafts and peer-review comments generated six profiles by which misconceptions were addressed through the peer-review process. The prevalent mode of remediation arose through directed peer-review comments followed by correction during revision. It was also observed that additional misconceptions were elicited as students revised their writing in response to general peer-review suggestions.
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Jethani, Varuna, Rakhee Khanduri, Sushant Khanduri, Neha Taneja, and Ankit Aggarwal. "Retrospective study of clinical profile and management of patients with swine flu at tertiary care hospital." International Journal of Research in Medical Sciences 7, no. 1 (2018): 251. http://dx.doi.org/10.18203/2320-6012.ijrms20185390.
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Background: The first isolation of a swine influenza virus from a human occurred in 1974. There are no unique clinical features that distinguish swine influenza in humans from typical influenza. Thus, clinical course and management were recorded as per a planned pro forma and analysed. This type of study has not been done previously in Himalayan region.Methods: Retrospective observational study done in a group of patients diagnosed with swine flu admitted in department of pulmonary medicine at the tertiary care hospital from November 2016 to July 2017.Results: Out of 30 patients, 53.3% were male, mean age was 48.8±17.7, history of travel or contact to infected person was only 13.3%. Most common symptom recorded was fever (83.3%), followed by dyspnoea, cough, throat pain. Most common co-morbidity was diabetes and presence were significantly associated with admission in an ICU (P<0.05). Bilateral lung infiltrate seen in 53.3% on chest X-ray. Organ involved other than respiratory were renal followed by liver involvement. 40% of patients received corticosteroid for an average of 6days, mostly given in patients with sepsis, septic shock, multi organ involvement. Out of 40%, 16.6% patient expired, 6.6% left against medical advice and 16.6% were discharged, corticosteroid doesn’t help in reducing mortality.Conclusions: A multivariate model to identify independent predictors associated with mortality in swine flu were the use of vasopressor, respiratory failure, requirement of mechanical ventilation and number of organ failure. Use of corticosteroid is controversial.
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Olfert, Melissa D., Rachel A. Wattick, and Rebecca L. Hagedorn. "Experiential Application of a Culinary Medicine Cultural Immersion Program for Health Professionals." Journal of Medical Education and Curricular Development 7 (January 2020): 238212052092739. http://dx.doi.org/10.1177/2382120520927396.
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Nutrition is a key factor in preventing and treating long-term disease. Patients should be advised to follow evidence-based dietary patterns, such as the Mediterranean diet, which has shown success in preventing or managing a variety of long-term diseases. All health professionals can play a role in providing nutrition advice to patients; however, many have shown an overall low nutrition knowledge and self-efficacy in counseling patients. Because of this, there is a call by health professional organizations for an increase in the applied nutrition education of health professionals. Increasing Culinary Health Opportunities for Professionals is a learn-first, practice second experiential learning program with currently practicing or aspiring health professionals aimed to increase nutrition knowledge, self-efficacy, attitudes, and dietary intake. Currently practicing health professionals (n = 15) and aspiring health professionals (n = 14) were recruited to participate in a 16-week online course on culinary medicine and the Mediterranean diet followed by a 2-week cultural immersion in Tuscany, Italy. Participants were taught the Mediterranean diet and lifestyle, culinary medicine, nutrition counseling, and cultural comparisons in the online course. In Tuscany, participants completed culinary lessons, organic farm tours, food production facility tours, and various tastings of Mediterranean foods. Participants completed a 51-item survey that measured nutrition knowledge, self-efficacy, attitudes, and Mediterranean diet adherence at baseline, post-online education, and post-cultural immersion. Mann-Whitney U tests were used to determine differences in mean scores between cohort 1 (currently practicing) and cohort 2 (aspiring). Results showed that cohort 1 had a greater increase in knowledge (1.07 ± 0.40 vs −0.87 ± 0.40, P = .0069) and self-efficacy (0.74 ± 0.24 vs 0.01 ± 0.24, P = 0.0441) from pre-post course, but at the conclusion of the cultural immersion, there were no significant differences between cohorts in mean changes in attitude, knowledge, self-efficacy, or Mediterranean diet scores from baseline. These results suggest that implementation of this curriculum can be equally effective in increasing nutrition-related attitudes, self-efficacy, and Mediterranean diet adherence for both currently practicing and aspiring health professionals.
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Anastasia Kornya. "OSCE ADVICE NOT FOLLOWED." Current Digest of the Russian Press, The 70, no. 047 (2018): 9–10. http://dx.doi.org/10.21557/dsp.52473287.
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Cvetanovic, Miloš, Zaharije Radivojevic, Vladimir Blagojevic, and Miroslav Bojovic. "ADVICE—Educational System for Teaching Database Courses." IEEE Transactions on Education 54, no. 3 (2011): 398–409. http://dx.doi.org/10.1109/te.2010.2063431.
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Kumaran, Maha, and Heather Cai. "Identifying the Visible Minority Librarians in Canada: A National Survey." Evidence Based Library and Information Practice 10, no. 2 (2015): 108. http://dx.doi.org/10.18438/b8zc88.
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Abstract
 
 Objective – This paper is based on a national survey conducted in late 2013 by the authors, then co-moderators of the Visible Minority Librarians of Canada (ViMLoC) Network of the Canadian Library Association (CLA). It is a first survey of its kind, aiming to capture a snapshot of the demographics of the visible minority librarians working in Canadian institutions. The authors hoped that the data collected from the survey and the analysis presented in this paper would help identify the needs, challenges and barriers of this group of librarians and set future directions for ViMLoC. The authors also hoped that the findings would be useful to library administrators, librarians, and researchers working on multicultural issues, diversity, recruitment and retention, leadership, library management, and other related areas. 
 
 Methods – An online survey questionnaire was created and the survey invitation was sent to visible minority librarians through relevant library association electronic mail lists and posted on ViMLoC’s electronic mail list and website. The survey consisted of 12 questions: multiple-choice, yes/no questions, and open-ended. The survey asked if the participants were visible minority librarians. If they responded “No,” the survey closed for them. Respondents who did not identify themselves as minority librarians were excluded from completing the survey. 
 
 Results – Of the 192 individuals that attempted, 120 who identified themselves as visible minority librarians completed the survey. Of these, 36% identified themselves as Chinese, followed by South Asian (20%) and Black (12%). There were 63% who identified themselves as first generation visible minorities and 28% who identified themselves as second generation. A total of 84% completed their library degree in Canada. Equal numbers (38% each) identified themselves as working in public and academic libraries, followed by 15% in special libraries. Although they are spread out all over Canada and beyond, a vast majority of them are in British Columbia (40%) and Ontario (26%). There were 38% who identified themselves as reference/information services librarians, followed by “other” (18%) and “liaison librarian” (17%). A total of 82% responded that they worked full time. The open-ended question at the end of the survey was answered by 42.5% of the respondents, with responses falling within the following broad themes: jobs, mentorship, professional development courses, workplace issues, general barriers, and success stories. 
 
 Conclusions – There are at least 120 first, second, and other generation minority librarians working in (or for) Canadian institutions across the country and beyond. They work in different kinds of libraries, are spread out all over Canada, and have had their library education in various countries or in Canada. They need a forum to discuss their issues and to have networking opportunities, and a mentorship program to seek advice from other librarians with similar backgrounds who have been in similar situations to themselves when finding jobs or re-pursuing their professional library degrees. Getting support from and working collaboratively with CLA, ViMLoC can be proactive in helping this group of visible minority librarians.
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Maebara, Chiharu, Hisakazu Ohtani, Hideyo Sugahara, Kazunori Mine, Chiharu Kubo, and Yasufumi Sawada. "Nightmares and Panic Disorder Associated with Carvedilol Overdose." Annals of Pharmacotherapy 36, no. 11 (2002): 1736–40. http://dx.doi.org/10.1345/aph.1a476.
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OBJECTIVE: To report a case of nightmares and sleep disorder associated with improper use of carvedilol, an α/β-blocker, and to model the time course of receptor occupancy in this patient. CASE SUMMARY: A 41-year-old man with panic disorder had been treated with alprazolam 1.2 mg/d (3 × daily), carvedilol 10 mg/d (once in the morning), and etizolam 0.5 mg (for anxiety attack). Although the physical and psychological symptoms gradually improved, he reported nightmares and panic attacks. An interview revealed that he had been taking carvedilol 5 mg twice a day after lunch and dinner on his own initiative, in addition to the prescribed dosage. The patient was asked to take carvedilol 10 mg only after breakfast, as had been advised. Consequently, the sleep disorder and nightmares disappeared. METHODS: We calculated the time courses of β2-adrenoceptor binding occupancy in the central nervous system after oral administration of carvedilol with the ordinary and improper regimens by using pharmacokinetic/pharmacodynamic parameters obtained from the literature. RESULTS: Compared with the ordinary dose of carvedilol 10 mg once a day, the improper regimen (10 mg after breakfast followed by 5 mg after lunch and dinner) increases the β2-adrenoceptor binding occupancy at night (2300) to as high as the mean β2-adrenoceptor binding occupancy after an ordinary dose of propranolol. CONCLUSIONS: The sleep disorder and nightmares experienced by this patient had been induced by elevation of central β2-adrenoceptor binding occupancy at night as the result of improper use of carvedilol.
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Murphy, William H., and Denis Leonard. "Quality management (QM) leads to healthier small businesses." Journal of Small Business and Enterprise Development 23, no. 4 (2016): 1104–19. http://dx.doi.org/10.1108/jsbed-12-2015-0169.
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Purpose The purpose of this paper is to add to the current knowledge of how and why small businesses should engage in quality management (QM) by providing insights from small business owners who are committed advocates of QM. By so doing, to encourage small business owners to see that QM is right – and possible – for any small business wanting to improve performance. Design/methodology/approach Using an inductive method, semi-structured interviews followed a template of six open-ended questions. Study participants were ten owners of small family-owned business winners of a National Quality Award (National Housing Quality Award (NHQA)), making them industry leaders in applying QM. Data from these QM advocates are presented and discussed. Findings The cases reveal consistent encouragement for small businesses to engage in QM, with every owner certain that positive outcomes follow. Despite recognizing barriers to engagement, interviewees strongly feel the barriers are small relative to gains realized through QM. These QM advocates advise getting started by choosing one or a few QM tools and/or customizing tools rather than becoming overwhelmed by prospects of the complexity of doing QM to the exacting standards of various quality programs. Finally, they encourage small businesses to stay the course once started on QM. Research limitations/implications Limitations are that the paper relies on just ten case studies and these were taken from just one industry. While these limitations cannot be disputed, the rich data, interpretations, and opportunities for future research emerging from the inductive approach seem likely to resonate well beyond the particular industry involved here. Practical implications This paper speaks directly to small business owners by including many quotes from owners and summarizing themes from multiple interviews. The advice provided can be acted upon by any small business, with the opportunity of realizing improved business performance. Originality/value Few articles provide insights on the merits of QM for small businesses directly from interviews with small business owners. Here, the authors learn about the rationale for small businesses engaging in QM, are given thoughtful comments on how to get started, and told about the realities – including difficulties – of small business QM.
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McKee, P., A. Irvine, C. Riddell, and E. Ball. "OP0265-HPR IMPACT OF COVID-19 PANDEMIC ON RHEUMATOLOGY PATIENTS IN NORTHERN IRELAND – A WEB BASED CROSS-SECTIONAL SURVEY." Annals of the Rheumatic Diseases 80, Suppl 1 (2021): 161.2–162. http://dx.doi.org/10.1136/annrheumdis-2021-eular.3200.
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Background:Concern for the susceptibility of rheumatology patients to severe COVID-19 illness has been raised since the start of the pandemic. Rheumatic disease and their immunosuppressant therapies placed many patients into the ‘clinically extremely vulnerable’ group when the UK’s shielding guidance commenced on 23 March 2020. The impact of DMARDs/glucocorticoids/biologics on COVID-19 remains under investigation 1. A recent study suggested caution may be required with rituximab and sulfasalazine in COVID-19 patients 2.Objectives:The objective of this study is to evaluate the impact of the COVID-19 pandemic on rheumatology patients in Northern Ireland by assessing demographics, rheumatic disease, medications, disease progress, shielding advice, access to primary & tertiary care and incidence of COVID-19 infection.Methods:A web-based cross-sectional survey was completed in Northern Ireland. The study duration was between 23rd November 2020 and 22nd January 2021. The questionnaire included consent, demographic details, medication history, comorbidities, disease course, patient experience, shielding advice, COVID-19 illness and hospitalisation. The survey was publicised by sending 6,032 Belfast Trust NHS patients a link via SMS, posters were displayed in rheumatology departments, and links made available via NHS/Versus Arthritis social media platforms.Results:There were 2,615 responses and of these 2,539 had been completed and were analysed. Most respondents were aged 45+ (78.27%) and female (N=1819). Rheumatoid arthritis (41%) and psoriatic arthritis (29%) were the most common diagnoses. Just over one third (35.27%, N=896) of patients were on biological drugs. Most patients were taking methotrexate (28.04%) followed by hydroxychloroquine (15.20%) and adalimumab (12.52%). The majority (79.6%) continued treatment during the pandemic. There was evidence of disease ‘flaring’ in 30.75% of patients who had stopped treatment. Of the respondents surveyed 7.8% (N=198), tested positive for Covid-19 and of these 77.55% reported that they had received adequate shielding advice, primarily from GP or UK government sources. Only 11.11% (N=22) of those who tested positive for Covid-19 required hospital admission and 2 patients required intensive care support. Both patients requiring ICU were not on immunosuppression. Less than one third of patients testing positive for COVID-19 were on biological drugs (30.3%, N=60). Cardiovascular disease was the most prevalent comorbidity. Of the 22 patients hospitalised with COVID-19, 13.64% (N=3) were on solitary sulphasalazine therapy.Conclusion:The survey showed low levels of COVID-19 hospitalisation despite most patients continuing DMARD/biologic/glucocorticoid therapy. This has been replicated in other studies 1, however data continues to be gathered on the safety of some biologic drugs particularly rituximab 2. Most of our patients received clear understandable shielding guidance from a variety of sources. Many patients expressed fear of mortality, isolation and mental health issues. The survey findings indicated that stopping medication can have a negative impact on disease control.References:[1]Robinson PC, Yazdany J. The COVID-19 Global Rheumatology Alliance: collecting data in a pandemic. Nat Rev Rheumatol. 2020 Jun;16(6):293-294.[2]Strangfeld A, Schäfer M, Gianfrancesco MA, et al. Factors associated with COVID-19-related death in people with rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance physician-reported registry. Annals of the Rheumatic Diseases Published Online First: 27 January 2021. doi: 10.1136/annrheumdis-2020-219498Disclosure of Interests:None declared
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Benoni, Cecilia. "Lifestyle Issues in Inflammatory Bowel Disease – Smoking." Canadian Journal of Gastroenterology 8, no. 7 (1994): 422–27. http://dx.doi.org/10.1155/1994/369127.
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During the pa t decade, smoking habit has been identified as a major exogenous factor in inflammatory bowel disease (IBD). It is associated not only with the development of the disease but al o with the clinical course in established disease. IBD combines absolute opposites as smoking is associated with Crohn’s disease and nonsmoking or former smoking with ulcerative colitis. The first reports of a negative association between smoking and ulcerative colitis were based on independent, clinical observations; from those studies a positive association was found between smoking and Crohn’s disease. Epidemiological studies that followed consistently showed that smokers have a reduced risk of ulcerative colitis and an increased risk of Crohn’s disease and that exsmokers have an increased risk of ulcerative colitis. In ulcerative colitis, but not in Crohn’s disease, a dose-response pattern has been demonstrated. Changes in clinical course, in disease severity and extension, and in recurrence rate indicate substantial clinical effects of smoking with a protective effect of smoking in ulcerative colitis and an aggravating effect in Crohn’s disease. There are also indications of smoking’s effects on changes in IBD epidemiology and sex distribution. The biological explanation to the finding is unknown. Smoking may aggravate Crohn’s disease by vascular effects. Theories on the protective effect in ulcerative colitis include effects on immune and inflammatory response, on mucus and on intestinal permeability. Possibly, beneficial effects in ulcerative colitis are exerted by nicotine but further studies are needed. Due to overall negative effects of smoking, IBD patients should not smoke. It seems, however, reasonable to give individual advice in patients with ulcerative colitis who have experienced a beneficial effect of ·making considering both current health status and life situation.
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Goetzinger, John C., Austin L. LaGrow, Dena R. Shibib, and Sharanjeet K. Thind. "Capnocytophaga canimorsus Bloodstream Infection Associated with an Urticarial Exanthem." Case Reports in Infectious Diseases 2021 (June 10, 2021): 1–4. http://dx.doi.org/10.1155/2021/9932170.
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Background. Capnocytophaga canimorsus is a fastidious, slow-growing, Gram-negative rod that is a commensal bacterium in normal gingival flora of canine and feline species. Infection with the organism may cause disease ranging from flu-like symptoms to disseminated intravascular coagulation (DIC), fulminant sepsis, meningitis, and endocarditis with an overall fatality rate of 6–26%. Risk factors for infection from C. canimorsus include immunosuppression, alcoholism, and asplenia. Case Presentation. We describe an unusual case with a relatively indolent clinical course and an urticarial exanthem in an otherwise young immunocompetent patient with a history of type 1 diabetes. The patient presented to the Emergency Department (ED) with a <1-day history of rhinorrhea, fever, and dyspnea. He met sepsis criteria on initial presentation, but left against medical advice and returned to the ED the following day, with new arthralgias and a diffuse rash, multiple erythematous, tender macules scattered across his trunk and extremities, and tonsillar erythema. He had not taken the doses of the prescribed amoxicillin. Blood cultures two days later signaled positive for growth with the Gram stain showing a Gram-negative rod. Three 7-8 cm tender targetoid lesions with central clearing were identified on the patient’s back. The patient reported two nonengorged ticks crawling on his body a week prior and sustaining a dog bite to his ear three weeks before presentation. Ultimately, the organism was identified as C. canimorsus through MALDI-TOF mass spectrometry and additional biochemical testing. He was given appropriate antibiotics and improved clinically thereafter. Despite the patient’s bacteremia, he never progressed to fulminant sepsis and followed a mild clinical course with several unusual characteristics. C. canimorsus is an uncommon cause of illness in humans, but is an important pathogen to consider when evaluating a patient with a dog bite, known risk factors, and an urticarial exanthem as empiric treatment may prevent severe outcomes.
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Ley, S. Jill. "Standards for Resuscitation After Cardiac Surgery." Critical Care Nurse 35, no. 2 (2015): 30–38. http://dx.doi.org/10.4037/ccn2015652.
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Of the 250 000 patients who undergo major cardiac operations in the United States annually, 0.7% to 2.9% will experience a postoperative cardiac arrest. Although Advanced Cardiac Life Support (ACLS) is the standard approach to management of cardiac arrest in the United States, it has significant limitations in these patients. The European Resuscitation Council (ERC) has endorsed a new guideline specific to resuscitation after cardiac surgery that advises important, evidence-based deviations from ACLS and is under consideration in the United States. The ACLS and ERC recommendations for resuscitation of these patients are contrasted on the basis of the essential components of care. Key to this approach is the rapid elimination of reversible causes of arrest, followed by either defibrillation or pacing (as appropriate) before external cardiac compressions that can damage the sternotomy, cautious use of epinephrine owing to potential rebound hypertension, and prompt resternotomy (within 5 minutes) to promote optimal cerebral perfusion with internal massage, if prior interventions are unsuccessful. These techniques are relatively simple, reproducible, and easily mastered in Cardiac Surgical Unit–Advanced Life Support courses. Resuscitation of patients after heart surgery presents a unique opportunity to achieve high survival rates with key modifications to ACLS that warrant adoption in the United States.
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Hannah, Claire. "P005 Diphtheria treatment." Archives of Disease in Childhood 104, no. 7 (2019): e2.7-e2. http://dx.doi.org/10.1136/archdischild-2019-nppc.15.
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BackgroundDiphtheria is a life threatening but vaccine preventable disease. 5 cases were identified by Public Health England (PHE) in 2017.1 Respiratory diphtheria is characterised by a pseudomembrane which obstructs the airways. Corynebacterium diphtheria produces an exotoxin that causes local tissue necrosis, myocarditis, polyneuropathy, paralysis, respiratory failure and death.Clinical caseA 4 year old boy was admitted via A&E with suspected croup requiring intubation and ventilation on intensive care unit (ICU). Throat swabs confirmed diphtheria diagnosis, PHE was contacted and diphtheria antitoxin was obtained. The patient received two subcutaneous doses of diphtheria-antitoxin. He developed myocarditis, Acute Kidney Injury (AKI), impaired left ventricular function and polyneuropathy. He was treated with 14 days intravenous vancomycin and clindamycin following multiple antibiotic changes.Pharmacy contributionAnti-toxin: Diphtheria anti- toxin was obtained and advice was provided regarding an appropriate dose and route of administration. Ward staff were reluctant to give a subcutaneous infusion. A pharmacist provided reassurance that this was the only way to treat the infection and a subcutaneous cannula was inserted. He was given 0.2 ml subcutaneously as a test dose followed by the remaining 40,000 units. His second dose was given as a test dose of 0.2 ml followed by 60,000 units between two sites due to multi-organ involvement. Chemoprophylaxis: The patient’s family and 34 staff members required prophylactic antibiotics. They received azithromycin 500 mg once daily for 3 days. Staff members had throat swabs and were to remain off work until these swabs were negative which resulted in the Trust cancelling elective operations and admissions. Pharmacy confirmed azithromycin was safe for 34 adult patients and checked for interactions with currently prescribed medicines and advised appropriately.Critical careCreatinine doubled and the pharmacist reviewed drugs to account for renal impairment. The pharmacist highlighted that clarithromycin can prolong QT interval. An echocardiogram revealed the patient had prolonged QT interval and clarithromycin was switched to an alternative after discussion with the microbiologist.Vancomycin therapeutic levels were reached on day 5. The dose remained unchanged for the remainder of the course and levels taken every 3 days were appropriate. The pharmacist prepared a weaning plan for morphine and clonidine. The pharmacist advised reducing dexamethasone and stopping when no longer required due to raised blood glucose measurements.Lessons learnedHow to obtain and administer diphtheria antitoxin. What chemoprophylaxis to provide to family and staff, the difficulties of supplying this to so many adults in a children’s hospital and the pressure the hospital faced having 34 staff members excluded for 48 hours while cultures were taken The importance of personal protective equipment to protect staff and other patients Monitoring parameters: vancomycin levels, renal function, cardiac function, blood sugars Importance of encouraging parents to have their children vaccinated with all the primary immunisations to protect their children and othersReferencePublic health England: Diphtheria in England 2017. Accessed via: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/711453/hpr1818_dphthr17.pdf
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Ogwumike, Omoyemi O., Fatima Bashir-Bello, and Bashir Kaka. "Patients’ Experiences About Exercise Prescription and Education in the Physiotherapy Management of Nonspecific Low-Back Pain." Journal of Patient Experience 7, no. 6 (2020): 1458–65. http://dx.doi.org/10.1177/2374373520968997.
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Low-back pain (LBP) is highly prevalent in the society, and its socioeconomic consequences are quite evident. Physiotherapists play a prominent role in the management of individuals with this condition, and it is, therefore, of utmost importance that physiotherapists engage in the most efficient and effective management practices available. For perceptions of good performance and quality health care, patient experience is an important indicator of effective care and management. A mixed-methods research design—a cross-sectional survey (quantitative research) and a focus group discussion (FGD; qualitative research)—was employed in this study, investigating patients’ experience in physiotherapy management of nonspecific LBP. An adapted questionnaire was used for data collection from purposively selected participants recruited from 3 hospitals in Kubwa, Abuja, from April to August 2018. The FGD involved 6 patients recruited by simple random sampling using the fishbowl technique. Descriptive and thematic analyses were done on data collected. A total of 126 patients (male = 41, female = 85) were included, with a mean age of 51.0 ± 14.6 years, while the modal age-group was 60 to 69 years. Of these, 41 (32.5%) had nonspecific LBP for less than a year, and the 2 most applied interventions were exercise and heat therapy, followed by education/advice. In all, 110 (87.3%) reported positive experience about education, while 119 (94.4%) reported positive experience about exercise prescription. The result from the qualitative research is in conformity with that of the quantitative analysis. Patients with nonspecific LBP received adequate education regarding their condition and had good experience in the course of their physiotherapy management.
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McRobbie, Hayden, Peter Hajek, Sarrah Peerbux, et al. "Tackling obesity in areas of high social deprivation: clinical effectiveness and cost-effectiveness of a task-based weight management group programme – a randomised controlled trial and economic evaluation." Health Technology Assessment 20, no. 79 (2016): 1–150. http://dx.doi.org/10.3310/hta20790.
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BackgroundAn increasing number of people require help to manage their weight. The NHS recommends weight loss advice by general practitioners and/or a referral to a practice nurse. Although this is helpful for some, more effective approaches that can be disseminated economically on a large scale are needed.ObjectiveTo assess whether or not a task-based weight management programme [Weight Action Programme (WAP)] has better long-term effects than a ‘best practice’ intervention provided in primary care by practice nurses.DesignRandomised controlled trial with cost-effectiveness analysis.SettingGeneral practices in east London, UK.ParticipantsThree hundred and thirty adults with a body mass index (BMI) of ≥ 30 kg/m2or a BMI of ≥ 28 kg/m2plus comorbidities were recruited from local general practices and via media publicity. Those who had a BMI of > 45 kg/m2, had lost > 5% of their body weight in the previous 6 months, were currently pregnant or taking psychiatric medications were excluded. Participants were randomised (2 : 1) to the WAP or nurse arms.InterventionsThe WAP intervention was delivered in eight weekly group sessions that combined dietary and physical activity, advice and self-monitoring in a group-oriented intervention. The initial course was followed by 10 monthly group maintenance sessions open to all participants in this study arm. The practice nurse intervention (best usual care) consisted of four one-to-one sessions delivered over 8 weeks, and included standard advice on diet and physical activity based on NHS ‘Change4Life’ materials and motivational support.Main outcome measuresThe primary outcome measure was weight change at 12 months. Secondary outcome measures included change in BMI, waist circumference and blood pressure, and proportion of participants losing at least 5% and 10% of baseline body weight. Staff collecting measurements at the 6- and 12-month follow-ups were blinded to treatment allocation. The primary outcome measure was analysed according to the intention-to-treat principle, and included all participants with at least one recorded outcome at either 1, 2, 6 or 12 months. The analysis employed a mixed-effects linear regression model, adjusted for baseline weight, age, sex, ethnicity, smoking status and general practice. The European Quality of Life-5 Dimensions-5 Levels questionnaire was completed and used to estimate quality-adjusted life-years (QALYs) within the cost-effectiveness analysis.ResultsThere were 330 participants (WAP arm,n = 221; nurse arm,n = 109; 72% women). A total of 291 (88%) participants (WAP arm,n = 194; nurse arm,n = 97) were included in the main analysis for the primary outcome. Weight loss at 12 months was greater in the WAP arm than in the nurse intervention arm [–4.2 kg vs. –2.3 kg; difference –1.9 kg, 95% confidence interval (CI) –3.7 to –0.1 kg;p = 0.04]. Participants in the WAP arm were more likely than participants in the nurse arm to have lost at least 5% of their baseline body weight at 12 months (41% vs. 27%; odds ratio 14.61, 95% CI 2.32 to 91.96;p = 0.004). The incremental cost-effectiveness ratio for WAP over and above the nurse arm is £7742 per QALY.ConclusionsA WAP delivered in general practice better promotes weight loss over 12 months than a best usual practice nurse-led weight loss programme.LimitationsThe trial recruited mostly women. Research is needed into factors that would make weight loss programmes more attractive to men.Trial registrationCurrent Controlled Trials ISRCTN45820471.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 20, No. 79. See the NIHR Journals Library website for further project information.
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Israelyan, Viktor. "When the Cia Followed Sir Winston's Advice." Russian History 31, no. 1-2 (2004): 143–52. http://dx.doi.org/10.1163/187633104x00061.
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Mostafa-hedeab, Gomaa. "KNOWLEDGE, ATTITUDE, AND BEHAVIORS TOWARD ANTIBIOTICS OF NON-MEDICAL STUDENTS JOUF UNIVERSITY, SAUDI ARABIA." Asian Journal of Pharmaceutical and Clinical Research 11, no. 8 (2018): 294. http://dx.doi.org/10.22159/ajpcr.2018.v11i8.26308.
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Objective: The objective of the study was to investigate the knowledge and attitude of non-medical students, Jouf University toward antibiotic.Methods: Data were collected from male and female students using a self-prepared questionnaire then tabulated and analyzed using SPSS program.Results: This study included 1035 students; 573 (55.3%) male and 462 (44.6%) female, aged (21.5±2.2) years. About 533 (51.5%) used antibiotic during the year 2015. 705 (68.12%) of the student display wrong answer regarding the uses of the antibiotic. 53.5% depending on the previous prescription on self-medicated antibiotic (SAM), followed by their experience (14.5%) and pharmacy advice (11.3%). 45.9% did not have any idea about the antibiotic name they used. Majority of the students (62.6%) stop antibiotic once improvement is achieved, whereas (28.1%) complete the course till the end of the last dose. 75.4% of the studied populations saving at least one antibiotic at home while 62.7% sharing antibiotic with others. 35.3% of the studied population did not experienced antibiotic-related side effects, while 19.3% experience nausea. About 57.6% believed that broad spectrum is better than narrow-spectrum antibiotic, 70.4% deny that higher doses enhance recovery, (57.3%) believes that low dose decrease side effect. 51.9% depend on their good medical knowledge for SMA, while 20.3% was to save time, 18.8% dependent on pharmacy expert where only 9% was to save money cost.Conclusion: The majority of the sample had a fair level of knowledge in relation to antibiotics. Initiation of national program and campaigns toward antibiotic uses to raise the public awareness about the hazardous of antibiotic misuse/abuse is essential to decrease the gap between antibiotic use and attitude.
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Vassilas, Christopher A., Tarun Kuruvilla, Vinesh Gupta, and Maha El-Nadeef. "Preparing trainees for the MRCPsych examinations." Advances in Psychiatric Treatment 13, no. 4 (2007): 239–50. http://dx.doi.org/10.1192/apt.bp.107.003962.
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This article is aimed at organisers of courses for the Royal College of Psychiatrists' membership examinations (MRCPsych) and College tutors preparing trainees for the MRCPsych. Running revision courses requires planning and a good deal of work but should be possible for most MRCPsych preparation courses. The theoretical background of assessments is explained. An overview of the type of examination used in the MRCPsych is provided and advice as to how trainees can best prepare for them given. Advice is given on the recruitment and retention of examiners for mock clinical exams, how to deal with simulated patients and what equipment is useful to buy for the use of trainees. We also explain how trainees can practice for the written papers and how feedback is best given to them. The new MRCPsych formal examination and workplace-based assessment programme are also discussed.
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Mestrovic, Tomislav, Goran Kozina, Marijana Neuberg, and Rosana Ribic. "1314. From Book to Bedside: Theoretical and Applied Knowledge on the Topic of Healthcare-Associated Infections in Second-Year Nursing Students from a Croatian University." Open Forum Infectious Diseases 5, suppl_1 (2018): S402. http://dx.doi.org/10.1093/ofid/ofy210.1147.
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Abstract Background Adequate training of health workers is pivotal in the prevention of healthcare-associated infections (HAI). Our aim was to assess the theoretical and applied knowledge about the risk factors and effective measures of HAI prevention (most notably the use of standard precautions and hand hygiene practices) in second year undergraduate university nursing students that have already completed obligatory courses in microbiology, infectious diseases and epidemiology. Methods This study included a whole generation of second year undergraduate nursing students, comprised of 161 female and 25 male participants (186 in total), from a public university in Croatia (University Centre Varaždin, University North). They were given an anonymous questionnaire (developed on the model used by Tavolacci et al. in 2008) covering three domains: General Knowledge of HAI, Standard Precautions (SP) and Hand Hygiene (HH). The acceptable score overall (max. 30) and for each area (max. 10) was arbitrarily set at ≥ 20 and ≥ 7, respectively (in accordance with prior research). Results The age range of surveyed students was 19–37 (mean: 21.97, median: 21, mod: 20). An accurate definition of nosocomial infections was provided by 98.92% students (with 60.75% of them defining it as the infection occurring 48 hours after hospital admission). The overall score was 21.5, which indicates sufficient level of applied knowledge of healthcare-associated infections. Very high level of knowledge was observed for the SP area (total score of 9.5); however, the level of knowledge in HAI and HH domains was inadequate (5.9 and 6.1, respectively). There was no statistically significant difference in the overall or specific scores between male and female students (P &gt; 0.05). Formal teaching during the curriculum was students’ primary source of information (60.22%), followed by practical learning in the ward during work (23.65%), formal teaching in the ward (9.68%) and self-learning (6.45%). Conclusion Periodical checking of nursing students’ knowledge on HAI and corresponding curriculum modifications in obligatory courses tackling this topic are advised in order to fill the knowledge gaps, improve training, reduce infection rates and increase compliance with prevention measures. Disclosures All authors: No reported disclosures.
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Castleberry, R. P., L. E. Kun, J. J. Shuster, et al. "Radiotherapy improves the outlook for patients older than 1 year with Pediatric Oncology Group stage C neuroblastoma." Journal of Clinical Oncology 9, no. 5 (1991): 789–95. http://dx.doi.org/10.1200/jco.1991.9.5.789.
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Children older than 1 year of age who have neuroblastoma with complete or partial removal of the primary tumor and positive intracavitary lymph nodes (Pediatric Oncology Group [POG] stage C) are a small but higher-risk subset of patients. To further evaluate the importance of identifying patients with POG stage C neuroblastoma and to assess the efficacy and toxicity of adding concurrent radiation therapy (RT) to chemotherapy (CT) in these children, a randomized study was conducted. Eligible patients received cyclophosphamide 150 mg/m2 orally days 1 to 7 and Adriamycin (doxorubicin; Adria Laboratories, Columbus, OH) 35 mg/m2 intravenously (IV) on day 8 (CYC/ADR) every 3 weeks for five courses with or without RT to primary tumor and regional lymph nodes (24 to 30 Gy/16 to 20 fractions). Second-look surgery was advised to evaluate response and to remove residual disease. Continuation therapy alternated CYC/ADR every 3 weeks with cisplatin 90 mg/m2 day 1 followed by teniposide 100 mg/m2 day 3 (CDP/VM) for two courses each. Secondary CT with CDP/VM alone was available for patients not achieving complete response (CR) following induction treatment and second-look surgery. Of 29 eligible patients randomized to CT alone, 13 achieved CR, and nine are disease-free (NED) 1 to 52 months (median, 35 months) off therapy. Twenty-two of 33 eligible cases treated with CT/RT attained CR, and 19 are NED 1 to 77 months (median, 23 months) off therapy. Local and metastatic relapses occurred in both arms. Differences in CR, event-free survival, and survival rates were significant, P = .013, .009, and .008, respectively. Surgical compliance was excellent and complications uncommon. Therapy was tolerable in both groups but hematopoietic toxicity was more common in the CT/RT arm. We conclude that POG stage C neuroblastoma in children older than 1 year of age is a higher-risk group that should be identified, that CT/RT provides superior initial and long-term disease control compared with CT alone in this patient subset, and that the occurrence of metastatic failures in both treatment groups suggests a need for more aggressive chemotherapy.
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Parker, Gillian, Whitney Berta, Christine Shea, and Fiona Miller. "Environmental competencies for healthcare educators and trainees: A scoping review." Health Education Journal 79, no. 3 (2019): 327–45. http://dx.doi.org/10.1177/0017896919886599.
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Background: The health-care community has a responsibility to address the environmental impact of delivering health-care services. Educational programmes present ideal fora to confer ‘environmental competencies’ to future health system leaders, managers, practitioners and researchers. The aim of this review is to synthesise the literature on health-care competencies, education and training of relevance to issues of environmental sustainability and climate change in the health sector. Methods: We conducted a systematic review of English language articles on environmental competencies in healthcare in the MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and ProQuest databases published from inception to April 2019. Thematic analysis and descriptive statistics were used to synthesise the findings and develop a typology of environmental competencies. Results: Of the 902 unique citations, we identified 23 articles that met our inclusion criteria. Environmental competencies that align with general management skills were most frequent (40%), followed by research skills (37%). Three competencies specific to the environment (22%) were identified: resource stewardship ( n = 16), systems thinking ( n = 14) and social and environmental justice ( n = 7). The majority of work was identified in nursing, medicine and public health. Competencies were most commonly embedded in existing curricula or offered as new courses or workshops. Conclusion: Incorporating environmental competencies into education programmes will serve to raise awareness of, and advance the significance of, the health sector’s impact on climate change and environmental sustainability. Our findings that environmental competencies align with previously validated health-care competencies support the perspective that these competencies represent essential knowledge and skills for the health-care workforce.
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Dhupkar, Abha, and Sachita Gupta. "Ergonomic Advice Dissemination Method in the Immediate Postnatal Period: A One-Month Follow-Up Comparison of Verbal and Pamphlet-Based Advice on Pain Scores." International Journal of Health Sciences and Research 11, no. 9 (2021): 265–69. http://dx.doi.org/10.52403/ijhsr.20210940.
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Background: Pregnancy is a period where the musculoskeletal system undergoes various changes. These changes can cause stresses on the joints, leading to pain in them. Along with this, hormones like relaxin and oestrogen can cause laxity of ligaments and capsules, which can be another cause of strain on the joints. The pain patterns developed due to this can be carried to the post delivery period also. Ergonomics are explained in this period in order for the woman to function with less pain. The methods of reinforcing ergonomics are explored in this study. Methods: 60 women were conveniently selected for this study. They were randomly assigned to verbal mode and pamphlet mode of ergonomic information dissemination at the start of the study. Pain was assessed at four points during the study: before, immediately after, a day after and a month after giving ergonomic advice. Results: The Mann-Whitney U Test and repeated measures ANOVA were used to assess the pain levels. The between group pain and comfort levels showed no significant changes over the course of the study. The repeated measures ANOVA, which assessed within group responses, showed a significant change over the course of the study (p-value less than 0.0001). Conclusion: Ergonomic information can be disseminated by verbal or pamphlet mode, the method can be decided as per the therapist’s and the woman’s need. Key words: ergonomic advice; ergonomic information; pamphlet; postnatal period.
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Kamaladdini, Seied Mohammad Bagher. "Place of the Didactic Literature in Vahshi Bafghi's Khold-e-Barin." International Letters of Social and Humanistic Sciences 27 (May 2014): 194–201. http://dx.doi.org/10.18052/www.scipress.com/ilshs.27.194.
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Masnavi Khold-e-Barin is one of letters that educate people moral courses in different ways. Vahshi Bafghi by using his special technique, compose a word full of advice and using the different metaphor sings helps to understanding of good and bad issues in life. He expresses ethical messages in two ways, the theme of novel and direct expression. This paper tries to evaluate the Place of the educational literature in Vahshi Bafghi's Khold-e-Barin; the author shows aspects and features of didactic literature using content analysis in Khold-e-Barin. Issues such as the avoidance of envy, greed, worldly and other worldly courses, advice and the moral results of tales, praised of the knowledge and awareness, chastity word of poet, give didactic Ethics and Spirituality atmosphere to this letter. In this research, didactic poems in two sections of “sermon – ethical” and “Education – Spiritual” have been studied.
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Decker, Janet R., Patrick D. Ober, and David M. Schimmel. "The Attitudinal and Behavioral Impact of School Law Courses." Journal of Research on Leadership Education 14, no. 2 (2017): 160–85. http://dx.doi.org/10.1177/1942775117742647.
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Although past research has documented that school leaders and teachers lack legal knowledge, this study is the first to ask the critical question whether legal training affects educators’ actions and attitudes. School leaders and teachers responded to a survey in the years after completing a graduate-level school law course. They indicated that the course empowered them to solve legal dilemmas. Specifically, 88% reported that this legal training increased their confidence and 85% indicated that the course altered their behaviors. They encountered numerous legal issues, but prior to the course, they received little legal training and had limited access to legal advice.
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Pittenger, David J. "Grammatik V: A Review." Teaching of Psychology 19, no. 4 (1992): 245–46. http://dx.doi.org/10.1207/s15328023top1904_15.
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Grammatik V is a program that will proofread text for basic errors in grammar, style, usage, and punctuation. It has several features that make it attractive for psychologists. The program allows the instructor to modify existing rules, create new rules specific for psychology, and edit the help and advice screens. When the program detects a potential error, it provides advice for remedying the problem and allows the user to edit the problem. This program is a useful adjunct for helping students learn APA editorial style and prepare written assignments for their courses.
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Noriega, Victor, Hugues de Lavallade, Victoria T. Potter, et al. "HCT-CI Is Not a Useful Predictor for Non Relapse Mortality in Older Patients (>60 years old) Receiving RIC Transplant for AML or MDS." Blood 120, no. 21 (2012): 4158. http://dx.doi.org/10.1182/blood.v120.21.4158.4158.
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Abstract Abstract 4158 Allogeneic hematopoietic stem cell transplantation (HSCT) remains the only curative procedure for patients of high-risk acute myeloid leukaemia (AML) and Myelodysplastic syndromes (MDS). The development of reduced intensity protocols (RIC) has expanded this treatment modality to older patients and to those with comorbidities. The development of the HCT-CI has been an important advance in attempting to more effectively assess patient′s fitness and likely non-relapse mortality (NRM); however its prognosis significance in a population of elderly patients remains uncertain. We evaluated the impact of HCT-CI and other factors that may enhance risk stratification in patients of advanced age receiving a RIC HSCT with alemtuzumab T-cell depletion. 85 consecutive patients aged >60 years who received a RIC HSCT for MDS and AML between January 2002 and December 2010 were retrospectively analysed, All patients received an FBC conditioning regimen (fludarabine 150mg/m2 iv, busulphan 8mg/kg oral or 6.4 mg/kg iv, alemtuzumab 100mg iv) followed by HSCT from an HLA identical sibling (n=19) or volunteer unrelated donors (n=66). Median age was 64 years (range 60–72), with 57/28 male/female. Diagnoses included AML with trilineage dysplasia (AML-TLD n=47), RAEB I/II (n=17), CMML (n=8) and RCMD (n=13),cytogenetics (high risk n= 22), IPSS risk divided patients in Low/Intermediate 1 risk (n=13), Intermediate 2 (n=11), High risk (n=6), AML (n=47). A survival analysis for NRM, overall survival (OS), disease free survival (DFS) was performed including pre-transplant HCT-CI (HCT-CI 0 n=20, HCT-CI 1–2 n=21 and HCT-CI >=3 n=43), ferritin level (<1500 mg n=43, >1500 n=42), number of courses of high dose chemotherapy (=<2 courses n=49, > 2 courses n=33), disease status pre-transplant (CR n=75, no CR n=10), CRP level (<10 n=34, >10 n=25), age >= 65 (<65 n=53, >65 n= 32), albumin median (albumin median = 42g/L), median Inmunoglobulin G (IgG, median = 9,85g/L) and median Inmunoglobulin M (IgM, median = 0,79g/L). At last follow up 60/85 patient had died (NRM, n=25, relapse n=35; median follow-up, 3.5 years, range 0.3–9.5). HCT-CI score showed no statistically significant impact on 2-year NRM (27 %, 40% and 42% in patients having an HCI-CI score of 0, 1–2 and > =3 respectively, p=0.522, Figure) and 3-year NRM (27%, 52% and 49% respectively) or on 2-year OS (40 %, 39% and 29% in patients having an HCI-CI score of 0, 1–2 and > =3 respectively, p=0.577). Ferritin level, number of courses of high dose chemotherapy, CRP level, age >= 65, albumin level and IgM had not statistically significant impact on NRM or OS, while there was a trend of better outcome for patients with higher IgG level (2 and 3-year NRM 26% and 35% vs 53% and 61%, p=0,090, Figure 1). Of note -and as expected- patients in CR at the time of transplant had a better outcome (2 year OS of 38% vs 0%, p=0,008), and high risk cytogenetics was associated with poorer 2-year OS (41% vs 15% (p=0,006). In summary HCT-CI does not best identify patients at higher risk of NRM in patients older than 60 years receiving an alemtuzumab T-cell depleted RIC allo HSCT for AML or MDS while there is a trend toward worse NRM in patients with lower IgG level; this suggests that poorer humoral immunity before transplant might reflect higher risk of NRM although the underlying mechanism remains to be further investigated. Figure 1. Figure 1. Disclosures: No relevant conflicts of interest to declare.
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Mullee, Amy, Aidan O’Donoghue, Pauline Uí Dhuibhir, et al. "Diet and Nutrition Advice After a Solid Tumor Diagnosis." JCO Oncology Practice 17, no. 7 (2021): e982-e991. http://dx.doi.org/10.1200/op.20.00685.
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PURPOSE: Credible evidence-based diet and nutrition advice is essential for patients with cancer. This study aimed to explore what advice patients with cancer obtained before a formal dietetic visit. METHODS: A multicenter, observational study was conducted in seven hospital-based oncology services. Consecutive patients were recruited at first dietetic assessment. In addition to routine dietetic assessment, participants completed a four-item questionnaire describing diet and nutrition advice obtained since diagnosis. RESULTS: Seventy-seven patients participated. More than 80% had multiple nutrition-impact symptoms. In total, 53 (69%) obtained advice from professional and nonprofessional sources before dietetic visit. Family and friends were the most common sources of advice. More than one third got advice from (nondietetic) healthcare professionals. Most advice related to “foods to include” (61%) and “foods to avoid” (54%) in the diet. Many of the “foods to avoid” were important sources of micro- and macronutrients. Advice about dietary supplements (31%) and specific diets (28%) was common, rarely evidence-based, and frequently contradictory. Participants found it difficult to discern what advice was trustworthy and reliable. Despite this, most followed the advice. CONCLUSION: The majority of patients received diet and nutrition advice before first dietetic visit. Most of this came from nonprofessional sources. Any advice from nondietetic healthcare professionals was inconsistent or vague. This was mainly related to the avoidance and/or inclusion of particular foods and was often contradictory. Nevertheless, patients usually followed such advice fully. To help manage their frequent nutrition-impact symptoms and resolve the contradictory advice they had received, many expressed the need for earlier professional dietetic consultation.
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Kariuki*, Anne, and Ernest Odhiambo. "Assessment of Implementation of Energy Efficiency Measures, Savings Achieved and Barriers to Implementation at Various Firms in the Hospitality Industry in Kenya." International Journal of Engineering and Advanced Technology 10, no. 4 (2021): 10–23. http://dx.doi.org/10.35940/ijeat.c2226.0410421.
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The approval of the Energy Act 2006 in Kenya was followed with energy audits and efficiency campaigns, collaboration by different institutions and specialized training driven using various platforms. The energy audits help in the identification of conservation opportunities. Since 2006, over 1,000 energy audits have been performed. Efforts have been made to advance the management of the energy agenda in addition to establishing an enabling and effective environment through legislation. These methods include energy efficiency campaigns like the replacement of inefficient bulbs with LEDs that targeted more than a million households by the national utility company Kenya Power through its Demand Side Management department. The study adopted a descriptive research design and targeted hotels and restaurants within Nairobi. Primary data was collected by means of a semi structured questionnaire. The same unit is in-charge of ensuring that consumers use the energy they have efficiently by readily offering information. According to the Energy Regulations 2012, Energy audits are compulsory for facilities that have an annual consumption above 180,001 kWh. The sector is regulated by the Energy Regulatory Commission (ERC) which issues licenses through a rigorous process to individuals and firms who have qualified to conduct energy audits within the designated facilities. Learning institutions have also started coming up with specialized training to assist in capacity building of individuals within the sector. Several certification courses which are recognized in the country and internationally have been embraced by the regulating body and the experts in the fraternity. This review paper aimed at investigating the implementation of measures of energy efficiency, savings attained and the challenges faces in different organizations within the hospitality sector in Kenya. The paper aimed at solving the problem of energy efficiency measures in the hospitality sector since there are no proper placed policies managing the energy sector in Kenya
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Raisio, Harri, Alisa Puustinen, Pirkko Vartiainen, Juha Lindell, and Seija Ollila. "Teaching public administrators and leaders to handle complexity." Complexity, Governance & Networks 4, no. 1 (2018): 80. http://dx.doi.org/10.20377/cgn-54.
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Understanding and working under complexity has become ‘the new normal’ in public administration. Hence complexity must also be integrated into teaching and training of public administrators, not only in higher education but also in in-service training and educating wider society. This can be done by combining the ongoing research agenda into courses and teaching methods. This article describes the integration of complexity thinking and teaching in one university, both by giving examples on the courses and methods applied, student feedback received and by anticipating future developments. Finally, practical advice for teachers of complexity is given.
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Chechelnitskaya, S. M., A. V. Baerbach, D. V. Zhuk, V. A. Nikulin, A. G. Rumyantsev, and Yu V. Saraikin. "PERSONALIZED PHYSICAL REHABILITATION OF CHILDREN WITH CANCER." Pediatria. Journal named after G.N. Speransky 100, no. 3 (2021): 61–69. http://dx.doi.org/10.24110/0031-403x-2021-100-3-61-69.
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The aim of the research is to study the feasibility and effectiveness of partner medicine programs conducted in full-time and part-time mode in rehabilitation of children with cancer. Materials and methods of research: the article presents a program of physical rehabilitation of children treated for oncological diseases (OD), developed at the Russkoe Pole Medical and Rehabilitation Scientific Center, based on the personal approach and partnerships between the child's family and specialists. The personal approach is based on data of instrumental examination of the actual physical condition of the child and the predicted risks of late toxic complications: somatometry, assessment of energy costs and exercise tolerance, Biomechanical examination of the locomotor apparatus, functional diagnostics of the respiratory and cardiovascular systems. Based on the results, a personal physical rehabilitation program was developed. The process of physical rehabilitation was carried out in a cyclic mode: a hospital period for examination, development of a personal program and implementation training (2 weeks), an inter-hospital period of independent studies with remote support of a doctor and exercise therapy methodologists (from 6 to 12 months). The effectiveness of the developed model was assessed according to three criteria: satisfaction of parents with participation in the program (questionnaire), adherence to recommended physical activity (questionnaire), and assessment of basic mobility (Terrenkur test). The rehabilitation protocol was tested in 135 children aged 6–18 years with hemoblastosis, brain tumors, solid tumors, malignant tumors of bones and skeletal muscles: 61 boys (45,2%) and 74 girls (54,8%). The average age of the participants was 12,6±3,4 years. Results: participation in the program increased parents' confidence in their own ability to help their child with physical exercises at home and formed their willingness to continue the course at home. After discharge, 76% of families followed the recommendations for at least 2 months, 46% additionally applied to recommended organizations for adaptive exercise. Within a period of three months, all families who continue to practice independently have sought advice from exercise therapy methodologists. For three months of home exercises all children adhering to the recommendations have demonstrated an increase in basic mobility. Conclusion: the study confirmed the advisability and desirability for parents of patients to partner with a team of specialists.
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Oppenheim, Charles, and Ilona Woodward. "A survey of copyright advice and guidance in UK higher education libraries." Library and Information Research 28, no. 89 (2009): 50–56. http://dx.doi.org/10.29173/lirg167.
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The results of a questionnaire sent out to members of the lis-copyseek discussion group in Summer, 2003 to assess who currently provides copyright advice in UK higher Education libraries and what concerns these people have. There is a clear feeling that not all the answers given are correct, even though many queries are rated as quite easy. Queries arrive from a variety of sources. There is a need for continued short courses to keep copyright advisors up to date, but lis-copyseek itself is considered by far the most helpful source of information.
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Burton, Jared Z., and Russell T. Warne. "The Neglected Intelligence Course: Needs and Suggested Solutions." Teaching of Psychology 47, no. 2 (2020): 130–40. http://dx.doi.org/10.1177/0098628320901381.
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Intelligence is a well-studied construct in psychology that has correlational relationships with many educational, employment, and health outcomes. However, prior research indicates that incorrect beliefs about intelligence are widespread. In an effort to discern the degree to which the psychology curriculum is responsible for these inaccuracies, we collected course descriptions and catalog information from 303 American colleges and universities. We found that college courses dedicated to mainstream intelligence science are rare. Because the lack of intelligence education within psychology is a plausible contributor to incorrect beliefs about intelligence, we present an outline for a college-level course on intelligence. We also provide advice for implementing a course, including course readings and advice for handling controversies.
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Meyer, Melanie S., and Jeff Cranmore. "College Bound: Advice for Academically Talented Students From Recent Graduates." Journal of Advanced Academics 31, no. 2 (2019): 87–110. http://dx.doi.org/10.1177/1932202x19890613.
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For students who decide to enroll in college after high school graduation, there are numerous factors to consider when searching for potential matches and choosing from the available options. Ten recent high school graduates who participated in self-selected, ability-grouped, advanced academic courses in high school were interviewed at the end of senior year. These students shared valuable lessons they learned about the college decision-making process to offer guidance to students beginning the college search, and the adults, in and out of school, who help them make those choices. Participants offered advice about preparing to apply to college, the application process, and related social and emotional considerations. Nine key themes were identified in which participants encouraged early exploration of career-related interests, a focus on person-environment fit, and managing expectations. Implications for students, parents, and school personnel are also discussed.
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Anilkumar, Shraddha, and Shalini Ramdas Lihitkar. "LIS e-learning programs: a study of Student Support Services." Library Hi Tech News 31, no. 6 (2014): 16–20. http://dx.doi.org/10.1108/lhtn-05-2014-0039.
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Purpose – The purpose of this paper is to know the personalized online student support system provided by e-learning centers, to find out academic advice as Student Support Services provided by institution running e-learning programs; to find out career counseling as Student Support Services provided by institution running e-learning programs; to find out technical support as Student Support Services provided by institution running e-learning programs; to find out registration assistance as Student Support Services provided by institution running e-learning programs; to find out methods used for paying fee for e-learning programs for LIS education; and to find out financial aid available for students for e-learning programs in LIS education. Design/methodology/approach – The present study is exploratory in nature. In the study, the attempt was made to explore the Student Support Services provided by e-learning institution. It focuses on the various online Student Support Services. Data collection was made through following methods: through Web pages of related departments; by contacting the departments and by sending questionnaires. Findings – Student Support Services provided by institutions – academic advice: it was observed from Table I that the data were significant (p < 0.05) and that high percentage (60.9 per cent) of universities/institutes provide support systems like academic advice to the students opting LIS courses through e-programs; career counseling: it was observed from Table II that the data were significant (p < 0.05) and that high percentage (60.9 per cent) of universities/institutes provide support systems like career counseling to the students opting LIS courses through e-programs; technical support: it was observed from Table III that 100 per cent universities/institutes provide technical support to the students opting LIS courses through e-programs; and registration assistance: it was observed from Table IV that 100 per cent universities/institutes provide registration assistance support to the students opting LIS courses through e-programs. *Mode of payment of fees for e-learning programs for LIS education: it was apparent from the information (Table V) that mode of payment of fees such as credit card, check and purchase order or money order is available for majority of e-learning courses. *Financial aid available for students for e-learning programs in LIS education: it may be concluded on the basis of the study results (Table VI) that for significantly (p < 0.05) high percentage of LIS courses, the financial aid is not available. Research limitations/implications – The research work, especially Student Support Services, was limited to only 23 institutions which are running courses in LIS education by e-learning technology. Practical implications – The present study shows that there is a need to strengthen more Student Support Services. The successful implementation of such a system would need efforts by the concerned management of the institutions and substantial support from the apex statutory organizations. The stakeholders have strongly reinforced the necessity of support strategies which need to start from the time the student enrolls to completion of course. Feedback from students, teachers and researchers should be taken for improving the services. It is useful for those who are running e-learning courses. Social implications – Students who are taken and studying online courses would be aware of Student Support Services. Originality/value – This research work is valuable and original, and no prior research has been identified for Student Support Services for e-learning programs in LIS.
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Watson, Hayley, Ron Rapee, and Natasha Todorov. "Forgiveness Reduces Anger in a School Bullying Context." Journal of Interpersonal Violence 32, no. 11 (2015): 1642–57. http://dx.doi.org/10.1177/0886260515589931.
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Forgiveness has been shown to be a helpful strategy for victims of many different forms of abuse and trauma. It has also been theoretically linked to positive outcomes for victims of bullying. However, it has never been experimentally manipulated in a school bullying context. This research investigates an experimental manipulation providing children with response advice following a bullying incident. Children read hypothetical physical and verbal bullying scenarios, followed by advice from a friend to either respond with forgiveness, avoidance, or revenge, in a within-subjects repeated measures design. One hundred eighty-four children aged 11 to 15 from private schools in Sydney participated in this study. Results indicated that advice to forgive the perpetrator led to significantly less anger than advice to either avoid or exact revenge. Avoidance was the most likely advice to be followed by students and the most likely to result in ignoring the bullying and developing empathy for their abuser. However, it also resulted in interpretations of the bullying as being more serious. Forgiveness is suggested as an effective coping response for ameliorating the affective aggressive states of victimized youth, with further exploration needed regarding the interplay between the avoidance and forgiveness processes.
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Moon, Jenny A. "What can you do in a day? Advice on developing short courses on promoting health." Journal of the Institute of Health Education 34, no. 1 (1996): 20–23. http://dx.doi.org/10.1080/03073289.1996.10805901.
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Sładek, M., M. Krucka-Kawalec, E. Wojtas, P. Jagielski, and A. Stochel-Gaudyn. "P351 SARS-CoV-2 infection and seroconversion in pediatric patients on biological therapy for Crohn’s disease: single tertiary center experience." Journal of Crohn's and Colitis 15, Supplement_1 (2021): S372. http://dx.doi.org/10.1093/ecco-jcc/jjab076.475.
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Abstract Background It is still unclear how SARS-CoV-2 infection affect Crohn’s disease (CD) patients and how seroconversion against the virus might take place depending upon disease states and treatments. While the clinical guidance recommended to continue the biological maintenance therapy, some suggestions advice postponing the start of biologic agents. Materials and methods Medical records of all patients undergoing biologic therapy with infliximab, adalimumab, or vedolizumab for mild-to moderate CD followed in our institution were enrolled in the analysis. Demographic parameters, disease characteristics, clinical course, concomitant medications, COVID-19 related symptoms were examined. A naso-pharyngeal swab based RT-PCR testing for SARS-CoV-2 was taken and SARS-CoV-2 serology test was performed using SARS-CoV-2 Immunoassay (Abbott Core Laboratory) in children treated between March 4th 2020 and March 3rd 2021. Every time before hospital admission parents or patients completed a questionnaire exploring the presence of symptoms suggestive of SARS-CoV-2 infection. Results Of the 62 children (35 boys, 56%) aged 2-19 years, median 15 ±3,51 years, 47 (76%) were treated with infliximab, 12 (19%) with adalimumab, and 3 (5%) with vedolizumab including 23 (37%) patients on the induction regiment. Of the entire cohort 11 (18%) patients were on a concomitant immunemodulator, including 6 (55%) on thiopurines, and 5 (45%) on methotrexate. A total of 19 (30%) CD patients tested positively for SARS-CoV-2. Only 5 (26%) patients reported symptoms including fever (n=3, 16%), sore throat (n=1, 5%), cough (n=2, 11%), loss of smell (n=2, 11%), loss of taste (n=1, 5%), and 14 (74%) were asymptomatic. All symptomatic patients had mild clinical presentation, and no patients required hospitalization. Swab test was positive in 8 (13%) patients, including 3 (5%) patients with nonreactive antibody titers. Of the 19 patients, 5 (23%) had elevated SARS-CoV-2 IgG titers, while 14 (74%) had elevated SARS-CoV-2 IgM. Four had elevated both IgG and IgM titers, and 2 of them had acute, mild and resolved symptoms. Biologic agent administration was postponed for 6±5,4 days in 6 patients due to positive swab test, but no other management alteration was needed. No exacerbation of CD was observed attributed to SARS-CoV-2 infection during either induction or maintenance therapy in the studied cohort Conclusion Many patients with SARS-CoV-2 infection remained asymptomatic or presented mild symptoms, and did not develop COVID-19. Biologic therapy did not worsen CD course. Serological testing might provide an accurate estimate of the cumulative prevalence of SARS-CoV-2 infection by detecting subclinical and asymptomatic infected individuals.