Activities Of Department Research Articles

The use of imaging in COVID-19-results of a global survey by the International Society of Radiology.

ObjectivesThis survey conducted by the International Society of Radiology and supported by the European Society of Radiology aimed to collect information regarding radiology departments’ current practices in the management of patients with COVID-19.MethodsResponses from 50 radiology departments involved in the management of COVID-19 patients representing 33 countries across all continents were analyzed. The analysis revealed important variations in imaging practices related to COVID-19 across the world for different disease severity and various clinical scenarios.ResultsImaging is usually not performed in asymptomatic patients (69% of institutions do not image) but is used at the end of confinement (in 60% of institutions). In the majority of institutions, chest imaging is used in suspected or confirmed patients with COVID-19 (89% and 94%). All imaging departments involved in this survey reported the use of imaging in COVID-19 patients showing severe symptoms or who were critically ill. However, there is a wide variation in imaging modality type used for each clinical scenario. The use of imaging is applied in line with existing guidelines and recommendations in 98% of institutions with structured reporting recorded in 58% of institutions. The vast majority of institutions reported a significant impact of the COVID-19 pandemic on the imaging department’s routine activity (83%).ConclusionWe believe that the results of this survey will help to understand current heterogeneities in radiology practice and to identify needs and gaps in the organization and function of radiology departments worldwide in relation to the COVID-19 pandemic. The results of this survey may inform the development of an overall strategy for radiology department organization and imaging protocols in pandemic conditions.Key Points • The results of this survey, which included responses from 50 radiology departments representing 33 countries, showed important variations in imaging practices related to COVID-19 across the world. • While imaging is usually not performed in asymptomatic patients (69% of institutions), it is used in suspected or confirmed patients with COVID-19, in COVID-19 patients showing severe symptoms or who were critically ill, and at the end of confinement (89%, 94%, 100%, 100%, 60% of institutions, respectively). However, there is a wide variation in imaging modality type used for each clinical scenario. • In 98% of institutions, the use of imaging is applied in line with existing guidelines and recommendations, with structured reporting recorded in 58% of institutions. COVID-19 pandemic made a significant impact on the imaging department’s routine activity in 83% of institutions. Electronic supplementary materialThe online version of this article (10.1007/s00330-020-07252-3) contains supplementary material, which is available to authorized users.

Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre.

PurposeUrological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions.MethodsDepartmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital.ResultsSeventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform.ConclusionCompared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.

Training-Module for Residents in Medical Educational Technologies (TRIM): Need and Operational Strategies

Residents-as-teachers campaign started abroad during the last decade of the twentieth century. In India, though used informally for teaching of undergraduate students, residents have mostly been used for patientcare and their formal induction as teacher in Indian scenario is rare. Accordingly, not much effort has been made to train them formally in educational technologies. Teaching job requirements of residents are not the same as that of medical college faculty; as such, a program designed for medical college faculty will not prove equally effective for the residents. There is urgent need to train the residents in educational technologies for tapping their full potential as teachers and for this to happen, there must be a training module, tailor-made for the teaching-job requirements of the residents. This paper proposes such a program, after emphasizing the need of inducting residents in departmental formal teaching activities.

Genetic counseling during COVID‐19 pandemic: Tuscany experience

BackgroundCOVID‐19 outbreak prompted health centres to reorganize their clinical and surgical activity. In this paper, we show how medical genetics department's activity, in our tertiary pediatric hospital, has changed due to pandemic.MethodsWe stratified all our scheduled visits, from March 9th through April 30th, and assessed case‐by‐case which genetic consultations should be maintained as face‐to‐face visit, or postponed/switched to telemedicine.ResultsOut of 288 scheduled appointments, 60 were prenatal consultations and 228 were postnatal visits. We performed most of prenatal consultations as face‐to‐face visits, as women would have been present in the hospital to perform other procedures in addition to our consult. As for postnatal care, we suspended all outpatient first visits and opted for telemedicine for selected follow‐up consultations: interestingly, 75% of our patients’ parents revealed that they would have cancelled the appointment themselves for the fear to contract an infection.ConclusionsSpread of COVID‐19 in Italy forced us to change our working habits. Given the necessity to optimize healthcare resources and minimize the risk of in‐hospital infections, we experienced the benefits of telegenetics. Current pandemic made us familiar with telemedicine, laying the foundations for its application to deal with the increasing number of requests in clinical genetics.

The role of Nurse in the Positive Aging culture

The main goal of this paper is to introduce the positive aging theory in the geriatric nursing context. In particular, how to implement the interventions carefully in the way to improve the capabilities and skills of professional nurses. Being a theoretical paper, we carry out a thorough literature review, and we propose a new model of nursing care. The model we propose analyses the potentialities and performances of older people focusing on their strengths; it gives a way to work with older people to nurses in every setting care. These findings can be used to organize departmental activities by nurses’ managers; moreover, can be used to develop the competencies of nurses who work with older people.

Problems and suggestions for improvement in technology and society division

While searching for lecture papers in the technical and social sectors, I found the lack of public information on the Japan Society of Mechanical Engineers department website. This is a matter that should be taken into consideration regarding the way the organization should be, and considering the impact of future departmental activities, we would like to make an immediate improvement proposal, and make a status report and an improvement proposal.

Hôpital de jour de soins de support dans un Centre de Lutte contre le cancer : étude comparative de l’activité entre 2008 et 2016

The Paul Strauss Center day-care accompaniment department ("SSAJ") is an oncologic supportive day-care, also an alternative to conventional hospitalization. In order to follow the SSAJ department's activity, in the "ambulatory turnover" context, we compared the 2008 and 2016 four first months activity. In 2016, there was an average of 4.96 patients per day versus 5.62 in 2008 (P<0.001); average day incoming of 653€ per stay in 2016 versus 775€ in 2008 (P<0.001). In 2016, there was an average 63.9% of imagery done versus 27.7% in 2008 (P<0.001). The 2016 average patient following period was of 84.7 days versus 67.6 days in 2008 (P=0.019). Average time between first day-care visit and death was 161.7 days in 2016 versus 133.5 days in 2008 (P=0.0033). Average day activity is lower in 2016 than 2008, nonetheless number of total stays and inpatients has increased on the four months period. The SSAJ intervenes more precociously in 2016 than 2008. Hospital technical platform is better used, but average per-stay incoming has statistically lowered. The SSAJ limits and prepares complete hospitalizations. Inpatient close reevaluation after a "shorter-willing" stay, home issues anticipation and identification with the home-care team, and worsening prevention gives this activity all its meaning.

Application development of website content filling in the Information Technology Department of State Polytechnic of Malang

The website is a communication tool that is used as an intermediary to share the latest news. The website of the Information Technology Department - Malang State Polytechnic (JTI-Polinema) is also a means of communication to share the latest activities and information about JTI. From January 2018 to November 2018, the news uploaded is only six content. This is not proportional to the number of activities available at the JTI. This is because there is only one type of user, the admin who can fill the website content. And the admin does not always know the activities in the information technology department. This study aims to develop an application to fill the website content of the Information Technology Department in state polytechnic Malang’s website by adding one more type of user, namely students and also make the interface look better and easy to use. This application allows students to upload articles about departmental activities, competitions, workshops and other information they know. This application development uses Kanban which is one of the lean software development methods (lean method). Based on validation testing this application is able to meet all the main functional requirements. while the usability test results based on usefulness, ease of use, ease to learn and satisfaction shows a high average value of 86.95%, it can be concluded that this application is acceptable and easy to use.

Оценка ведомственного контроля качества и безопасности медицинской деятельности в Челябинской области

The article presents a general assessment of the organization and implementation departmental quality and safety medical activities control in the Chelyabinsk region. The reasons for the decrease in the effectiveness of departmental quality control and safety of medical activities conducted by the regional executive authority in relation to subordinate medical organizations are shown.

The Design and Implementation of a Professional Development Program for Physician Assistants in an Academic Emergency Department.

Physician assistants (PAs) are expanding their role in academic emergency departments (EDs). There are no published models for how to integrate PAs into departmental educational activities, scholarship, and operations outside of a PA residency approach. We created a professional development program for PAs that would provide them with opportunities to integrate into all aspects of our department mission and provide them with a forum for personal growth and ongoing education. The program provides PAs with resources including protected time and mentorship to become a content expert in an academic area of interest. We review our 5-year experience creating and implementing this program, which has grown from six PAs in 2013 to 24 PAs in 2018. These PAs now have formal roles in five of our eight divisions, participating in education, administrative, and research activities. The retention rate for PAs in this program is 90.2% versus 85.7% for PAs at our department who are not in the program. Our experience and results demonstrate the value of investing in the professional development and continued education of PAs at an academic ED versus the traditional model of service and the potential for integration into all aspects of an academic ED's mission.

A Quality Strategy to Advance the Triple Aim in California’s Medicaid Program

The California Department of Health Care Services (DHCS) administers the nation's largest Medicaid program. In 2012, DHCS developed a Quality Strategy modeled after the National Quality Strategy to guide the Department's activities aimed at advancing the Triple Aim. The Triple Aim seeks to improve the patient experience of care and the health of populations as well as reduce the per capita cost of health care. An academic team was contracted to assist DHCS in developing the strategy, which also was informed by extensive stakeholder input, an advisory committee, and a comprehensive inventory of DHCS quality improvement (QI) activities. From 2012 to 2018, the strategy included 129 unique QI activities. Most activities were intended to deliver more effective, efficient, affordable care or to advance disease prevention. This qualitative assessment of the DHCS Quality Strategy provides insights that may inform other Medicaid programs or large health systems as they develop quality strategies.

Особливості державного управління техногенною безпекою

The article states that the current state of technogenic safety of Ukraine is of concern and requires constant attention from the state regarding the reduction and prevention of emergencies risks. The analysis of tendencies of increase of social and economic losses from natural and man-made emergency situations testifies to the necessity of forming an effective system of management of natural and man-made safety. The author focused attention on the fact that the formation of the system of management of natural and man-made safety should be based on two provisions, namely: the correct establishment of the ultimate goal and the search for appropriate means that provide an appropriate level of such security. The study of selected issues shows the need for effective management in emergencies and improving the effectiveness of the coordination of official government, departmental and nongovernmental activities through the development of a functional structure and the development of managerial skills, but also the transition to a new «management paradigm». It is noted that the management of natural and man-made safety is part of the systemic approach to decision-making, procedures and practical measures in solving tasks for the prevention or reduction of the danger of occurrence of industrial accidents and catastrophic natural processes for human life, diseases or injuries, damage to material values and the natural environment the environment, reducing the negative effects of catastrophic natural processes. At the same time, existing trends in the development of natural and man-made processes in Ukraine necessitate the further development and scientific substantiation of measures to improve and improve the functioning of emergency protection systems as an important part of national security. The construction of the theory of natural and technological safety should be based on a conceptual categorical apparatus that covers the most important aspects of the processes involved in ensuring the safety of complex systems.

Utilizing a Multi-Step Consensus-Building Process to Create a Shared Departmental Definition of Community Engagement.

A multidisciplinary department at a College of Pharmacy utilized a multi-step consensus-building process to create a shared departmental definition of community engagement that was consistent with the department's mission and vision. Throughout the consensus building and engaged department process, faculty and staff were given opportunities to participate in community-engaged work and departmental activities, including updates in regular scheduled department meetings. This allowed faculty to have a reference and common understanding of the concept of community engagement when striving towards outlined promotion objectives. A shared understanding of what constitutes community engagement was necessary to ensure that all members of the interdisciplinary department are working toward a common goal and shared vision.

Armando T. Chiong, Sr., MD (1930 - 2018)

Dr. Armando T. Chiong, Sr. is fondly called by his contemporaries as Arman. A mild mannered man, he may be interpreted as a very docile and complacent individual but, for those who truly know him, this is far from the truth. He maybe a very accommodating person willing to listen and extend help to anybody but he is never complacent. Too caring may be a better term to describe him. I still can vividly remember the controversy regarding the six students. Though his term as chair of the department was already over, he stood his ground and supported the stand of the faculty in general but more specifically, he was even willing to resign from the college if any faculty of the department was removed from the roster because of their stand. Such was the fortitude of the man, that he is even willing to risk not only his security of tenure but also whatever retirement benefits that may accrue to him.&#x0D; Another incident that I can recall was his stand to protect the chairman’s prerogative regarding admission to the residency program. He decided to uphold and give premium to academic performance irrespective of the gender of the applicant. Where before females were only given at most two slots, he decided that as chair he has the final say on admission matters and gave the slot to an applicant with a better academic grade and incidentally a female one. Thus was abolished the quota system for females and academic performance upheld.&#x0D; He was also a man with a mission. He preferred approaching matters in a very organized manner. He required all services/sections to formulate and submit a research agenda for the section with the intention of having a guided/directed research effort/activity by the department. Thus was born the research handbook of the department. This transpired when his own daughter, Charlotte, incidentally was the chief resident of the department. However, implementation and pursuit of the objective has been spotty and sporadic except for a few services.&#x0D; A good family man, it can be said that he was, until now, the only one who can claim that two of his children became faculty members of our department. A third child is presently connected with another department of UPCM. It may be recalled that an early and untimely demise of another so devastated him. That is the hallmark of his being a good family man.&#x0D; He was never a flamboyant person. You can always expect him to attend departmental activities in his usual attire of colored pants, never in denims, topped by his trademark long sleeved polo shirt without a necktie. This get-up was his invariable uniform. He never would like to rock the boat except to drive home certain principles or rules that must stand the test of time. Whenever such things do occur, that is when you can see him in his decisive best.&#x0D; He was also a very approachable person. A research oriented person, he was requested by some residents for advice on certain research matters and he would gladly listen to the residents’ query and try to help resolve any quandary that may arose from the query. You can be sure that the next time he is in the department, he will be bringing with him pertinent articles and researches that may assist the resident. And chances are, included in the reprints were articles he had performed on the topic/subject when he was still with the University of Virginia under Prof. Fitz-Hugh, the same institution where Dr. Victor S. Ejercito, the younger Dr. Ejercito that is, had his training. Such was indicative of the high regard that the university had for him that a simple letter of recommendation from him is enough to guarantee admission. How many of us can make the same claim? But he never mentioned or boasted about this matter. I hope those of us present here tonight can make possible to the younger residents such easy acceptance and availability of further training abroad.&#x0D; This is in a nutshell Dr. Armando Chiong,Sr. A quiet man who rarely speaks unless called for, organized and with a mission, a researcher, a father but most of all, a mentor worthy of emulation who always stands by the principles he believed in. Sir, goodbye and may your ideals be better appreciated and practiced by your successors.

Seeding long-term, sustainable change in teacher preparation programs: the case of PhysTEC

BackgroundThe continuation of teacher preparation activities after a 3-year Physics Teacher Education Coalition (PhysTEC) grant is used as a case study to examine multi-faceted aspects of sustainable change in higher education. Since teacher preparation is outside typical physics departmental activities, success is highly dependent on finding a department and institution who values this cause. Throughout the history of providing grants, PhysTEC has identified ten components of successful sites that they consider during the selection process. In this paper, we retrospectively analyze characteristics of six comprehensive PhysTEC sites, to see how department histories, values, and activities affect long-term sustainability as sites moved from grant funding to matched institutional funding and beyond.ResultsThe most important components required to sustain these programs were (1) institutional commitment—both financial support as well as intellectual and cultural support for potential teachers—(2) champion, a respected change agent at the university who ensures program success through advocacy and support, and (3) activities that enhance not only the production of teachers but also the undergraduate education activities of the department. Of the six PhysTEC sites, three sites were able to institutionalize the majority of PhysTEC activities into departmental routine. These three sites have departmental leadership and administrators who valued and invested in physics teacher preparation. At these sites, PhysTEC symbiotically supported typical departmental activities including increasing majors, improving courses, and involving undergraduates to support teaching. Two sites were sustaining activities at the time of study but attitudes toward teaching as a profession were mixed so continued sustainability is precarious and reliant on external funding. One site discontinued the majority of PhysTEC activities because of a lack of alignment with a different physics teacher initiative on campus.ConclusionsBecause physics teacher preparation is not often prioritized as a part of undergraduate departmental activities, success emerges when departmental and institutional value systems align with this goal. PhysTEC funding is not enough to create this culture; it must exist prior to funding. Sustaining PhysTEC activities is easier when they are seen as enhancing the undergraduate experience as a whole. The PhysTEC grant helped bring physics teacher preparation to the forefront, and a well-respected champion in a leadership position can help set this tone and advance departmental activities accordingly. This study has implications for sustaining reforms of typically undervalued activities in higher education or secondary teacher preparation programs in any discipline.

Detailed Findings From the CLER National Report of Findings 2018.

Detailed Findings From the CLER National Report of Findings 2018.

What can we Learn from each other about Undergraduate Medical Education in General Practice/Family Medicine?

IntroductionThere is a dearth of published literature on the organisation of family medicine/general practice undergraduate teaching in the former Yugoslavia.MethodsA semi-structured questionnaire was sent to the addresses of 19 medical schools in the region. Questions covered the structure of Departments of Family Medicine (DFM), organisation of teaching, assessment of students and their involvement in departmental activities.ResultsThirteen medical schools responded, of which twelve have a formal DFM. Few DFM have full-time staff, with most relying upon external collaborators. Nine of 13 medical schools have family doctors teaching other subjects, covering an average of 2.4 years of the medical curriculum (range: 1-5). The total number of hours dedicated to teaching ranged from 30 - 420 (Md 180). Practice-based teaching prevails, which is conducted both in city and rural practices in over half of the respondent schools. Written exams are conducted at all but two medical schools, with the written grade contributing between 30 and 75 percent (Md=40%) of the total score. Nine medical schools have a formal method of practical skills assessment, five of which use Objective Structured Clinical Examinations. Student participation is actively sought at all but three medical schools, mainly through research.ConclusionMost medical schools of the former Yugoslavia recognise the importance of family medicine in undergraduate education, although considerable variations exist in the organisation of teaching. Where DFM do not exist, we hope our study will provide evidence to support their establishment and the employment of more GPs by medical schools.

Faculty Development for Teaching Faculty in Psychiatry: Where We Are and What We Need.

A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Residency Training membership to assess faculty development for graduate medical education faculty in psychiatry departments and barriers to seeking graduate medical education careers. An anonymous Survey Monkey survey was emailed to 722 American Association of Directors of Psychiatric Residency Training members. The survey included questions about demographics, the current state of faculty development offerings within the respondent's psychiatry department and institution, and potential American Association of Directors of Psychiatric Residency Training faculty development programming. Two open-response questions targeted unmet faculty development needs and barriers to seeking a career in graduate medical education. Results were analyzed as frequencies and open-ended questions were coded by two independent coders. We limited our analysis to general psychiatry program director responses for questions regarding faculty development activities in an attempt to avoid multiple responses from a single department. Response rates were 21.0% overall and 30.4% for general program directors. General program directors reported that the most common existing departmental faculty development activities were educational grand rounds (58.7%), teaching workshops (55.6%), and funding for external conference attendance (52.4%). Of all survey respondents, 48.1% expressed the need for more protected time, 37.5% teaching skills workshops, and 16.3% mentorship. Lack of funding (56.9%) and time (53.9%) as well as excessive clinical demands (28.4%) were identified as the main barriers to seeking a career in graduate medical education. Despite increasing faculty development efforts in psychiatry departments and institutions, real and significant unmet faculty development needs remain. Protected time remains a significant unmet need of teaching faculty which requires careful attention by departmental leadership.

ACTIVITY OF THE ART STUDIES DEPARTMENT IN POLTAVA INSTITUTE OF PUBLIC EDUCATION IN THE PERIOD FROM 1921 TO 1933 YEAR

The article outlines the essence of the activity of the Department of Art Studies in Poltava Institute of Public Education (INO) for the training of pedagogical staff in the period from 1921 to 1933. The material and organizational-methodical conditions of its creation and functioning under direction of the famous Ukrainian musicologist, teacher, ethnographer, choreographer, conductor and composer V. M. Verkhovinets are revealed. The main directions of department's activity are described: musical- theoretical, conductor-choir, instrumental-performing, methodical training of future teachers; organization of research work and pedagogical practice of students in various educational institutions; preparation of concert programs and performances of student choir and other amateur art groups; conducting active public and cultural- mass work within the educational institution, city and region. The forms of educational process organization, including lecture classes, laboratory and scientific workshops, scientific observations and experiments, practice of teaching, studying of techniques, textbooks, scientific and educational and popular literature of corresponding specialties, labor practices, holding of student conferences for discussion of practical results are determined. The features of organization and diverse activities (educational, rehearsal, concert) of student choir in Poltava INO are revealed. Methods and principles (scientific, systematic, consistency, accessibility, visibility, unity of theory and practice of teaching educational disciplines are revealed).

Synthetic Biology for Teaching Control Engineering: A Case Study in a Student-Directed, Collaborative Environment

Abstract –As the bio-based economy expands, Chemical Engineering graduates will find themselves in new contexts for which they must be prepared. The broad shift toward including biology in departmental research and teaching activities reflects this, but relatively little formal thought has been given to the pedagogy of biology within Chemical Engineering curricula. The case study presented here is centered on the use of a biological control system in a lab setting as the means by which advanced control concepts can be taught to upper-year and graduate students within a constructivist framework. This approach was successfully applied to achieve all of the learning outcomes for the lab, but student feedback indicated that structured collaboration and metacognitive activities should have been given higher priority to improve student experiences. A re-iteration of this framework for upper-year lab curriculum design based on student feedback is presented.