DO IT Research Articles

FANTASY SPORTS WAGERING: IS IT A CONCERN AND DOES IT REQUIRE MORE REGULATION?

Gaming Law ReviewVol. 22, No. 1 CommentariesFANTASY SPORTS WAGERING: IS IT A CONCERN AND DOES IT REQUIRE MORE REGULATION?Jeffrey L. Derevensky and Loredana MarchicaJeffrey L. DerevenskySearch for more papers by this author and Loredana MarchicaSearch for more papers by this authorPublished Online:1 Feb 2018https://doi.org/10.1089/glr2.2018.2212AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetailsCited byInvestigating the effects of online sports betting on the perceived social wellbeing of student athletes30 October 2021 | International Journal of Business Ecosystem & Strategy (2687-2293), Vol. 3, No. 2Longitudinal playing trends among daily fantasy sports playersComputers in Human Behavior, Vol. 104 Volume 22Issue 1Feb 2018 InformationCopyright 2018, Mary Ann Liebert, Inc.To cite this article:Jeffrey L. Derevensky and Loredana Marchica.FANTASY SPORTS WAGERING: IS IT A CONCERN AND DOES IT REQUIRE MORE REGULATION?.Gaming Law Review.Feb 2018.55-60.http://doi.org/10.1089/glr2.2018.2212Published in Volume: 22 Issue 1: February 1, 2018Keywordsfantasy sportsdaily fantasy sportsproblem gamblingregulationPDF download

SOUTH–SOUTH AND NORTH–SOUTH ECONOMIC EXCHANGES: DOES IT MATTER WHO IS EXCHANGING WHAT AND WITH WHOM?

AbstractThis paper surveys the literature on costs and benefits of South–South versus North–South economic exchanges. Unlike the case for North–South exchanges, academic work on South–South economic relations has been historically limited given their marginal importance in the global economy. After the 1990s, the literature has changed in two main ways. First, South–South trade and finance since then has increased dramatically, leading to a bourgeoning literature on the topic. Second, the rise of the Emerging South has opened up new lines of inquiry to include not just the traditional topics of trade and preferential trading agreements, but also cover technology transfer, capital flows, labor migration, institutions, and environment. We discuss how this literature has evolved to take into account the greater complexity of South–South relations with a focus on China in Africa as well as the blurring of the lines between heterodox and mainstream analysis of South–South relations. We end the review by showing how the empirical and theoretical literature is exploring the increasing divergence within the global South between what we refer to as the Emerging South and the Rest of South.

WHOSE ISSUE IS IT ANYWAY… AND DOES IT REALLY MATTER? Issue Ownership and Negative Campaigning

Although academic research has yielded mixed results, candidates and consultants are rational people whose experience persuades them that “going negative” can be an effective campaign strategy under the right circumstances. And they are almost certainly right, even if their evidence is more anecdotal than systematic. This article considers whether the impact of negative ads is moderated by perceptions of issue ownership, a factor that is known to affect the candidate preferences of some voters. Focusing on the attitudes of those who identify with the party of the targeted candidate, we examine the changes in support and favorability induced by four policy‐based attacks against a hypothetical congressional incumbent seeking reelection. Results from an Internet survey experiment suggest that attacks are somewhat more effective among target co‐partisans who do not believe that their party is more competent to handle the issue in question, especially when that issue is salient to the individual.

ANALISIS PERILAKU AMAN PADA PEKERJA KONSTRUKSI DENGAN PENDEKATAN BEHAVIOR-BASED SAFETY (STUDI DI WORKSHOP PT. X JAWA BARAT)

PT. X is a company in steel structure construction and fabricator pole field. In the company’s Workshop, there are bending, shearing, and cutting processes. The basic causation of work accident are unsafe behavior and unsafe condition. This research aims to analyze the safe behavior of construction workers with Behavior-Based Safety approach in the stage of define and observe of The DO IT Process, with the ABC (Activator, Behavior, and Consequence) model. This is an observational descriptive research with the cross-sectional design. The respondents of this research are 30 construction workers in Workshop of PT. X. The results of this research showed that all workers have good awareness; 93,3% of construction workers have good knowledge; 93,1% have good perception; 92,7% have good motivation; 93,3% stated that the safety needs had been fulfilled; 93,3% of construction workers stated that the existing safety rules of the company had been implemented; 90% of construction workers ever got positive reinforcement; 85,7% of construction workers ever got punishment; the construction workers stated that safety training and management role of the company had been implemented. The result also showed the construction workers largely did safety behavior at work. In order to improve safe behavior, the company needs to give training to all construction workers, implement SOP consistently, evaluate and monitor the worker’s behavior, and implement the Behavior-Based Safety program (The DO IT Process).Keywords: safe behavior, behavior-based safety, construction company

“THAT’S HOW THEY TAUGHT US TO DO IT”: Learned Deviance and Inadequate Deterrents in Retail Banking

ABSTRACTThe recent reports of Wells Fargo and Morgan Stanley being engaged in widespread fraudulent sales practices in the retail banking industry make this field a timely and interesting area of study. The current study expands upon previous research examining retail banking deviance and seeks to further explore potential causes of such conduct. Specifically, the current study seeks to explore whether the underlying deviance is being taught by senior employees and also whether current ethics and compliance policies are adequate deterrents. To achieve this goal, the current study utilizes an approach mirroring a qualitative case study. Results indicate that new employees are being taught these fraudulent practices and that current ethics and compliance practices and policies are largely ineffective in curtailing such conduct. Informed by these findings, policy recommendations are presented.

HOW MANY NAILS DOES IT TAKE TO SEAL THE COFFIN? Review of Perry, R. J. (2015). Killer apes, naked people & just plain nasty people: The misuse and abuse of science in political discourse. Johns Hopkins University Press, Baltimore, MD.

HOW MANY NAILS DOES IT TAKE TO SEAL THE COFFIN? Review of Perry, R. J. (2015). <i>Killer apes, naked people &amp; just plain nasty people: The misuse and abuse of science in political discourse</i>. Johns Hopkins University Press, Baltimore, MD.

Agunas reflexiones sobre el PCCMCA

As I look back over the 35 years of development of the PCCMCA, its success and accomplishments have definitely been a real source of satisfaction to me and I believe to all participants. The mere fact that it is going stronger than ever after 35 years of operation is in itself a highly significant sign of its success. The PCCMCA not only sparked the modem developments of agricultural production in Central America and Panama, but it also ranks high as one of the successful operational models in the agricultural revolution of the Third World. Regional maize programs in the Andean Zone and Southeast Asia were soon patterned after it. Even more impressive, it provided a basic pattern for a whole series of interacting collaborative regional research programs widely promoted by the International Research Centers around the world. This is something of which the Central American agricultural and development workers can be proud. As a matter of fact, all participants can feel doubly proud because in the development of this highly successful approach they had no precedent to follow. They relied on enthusiasm, common sense and hard work. They were generous with their certificates of recognition for all those who helped, regardless of nationality or institutional affiliations both from within and outside the region.¿HOW DID IT ALL GET STARTED?It all got started when seven people met in Turrialba in 1954 (one representative from each of the six middle American countries and a representative of the “Oficina de Estudios Especiales”, OEE, in México) to talk about the possibilities of starting a Central American Cooperative Maize Improvement program.

YOU CAN DO IT! EFFECTS OF AUDIENCE SUPPORT AND ANXIETY ON PHYSICAL AND PERCEPTUAL-COGNITIVE PERFORMANCE IN CYCLISTS

Event Abstract Back to Event YOU CAN DO IT! EFFECTS OF AUDIENCE SUPPORT AND ANXIETY ON PHYSICAL AND PERCEPTUAL-COGNITIVE PERFORMANCE IN CYCLISTS Bethany Bradhurst1*, James Donnelly1 and Christopher Stevens1 1 Southern Cross University, Psychology, School of Health and Human Sciences, Australia Aim: The presence of a supportive audience is reported to be a contributing factor to optimal physical performance. Research also indicates that supportive audiences can induce anxiety, causing people to perform below their actual physical abilities. Currently, little is known about the effects of audience support on perceptual-cognitive performance during exercise. Therefore, this study investigated the effects of audience support and anxiety on physical and perceptual-cognitive performance during cycling. Method: Forty one participants were allocated to either a live audience (n=12), recorded audience (n=15), or no audience (n=14) group. Participants completed the Revised Competitive State Anxiety Inventory-2 (CSAI-2R) and an abbreviated version of the Physical Activity and Sport Anxiety Scale (PASAS) before completing a 10-min warm up protocol on a Wattbike cycle ergometer. Participants then performed a 10-min time trial (TT) for the highest mean power. During the TT, participants performed a combined Flanker/Go-No Go task that was presented on a monitor positioned in front of the bike. Results: No significant differences were found between groups on cycling performance (F(2,36) = 1.04, p = .364, ηp² = .055), cognitive task reaction time (F(2,37) = .30, p = .741, ηp² = .016), or accuracy (F(2,36) = 1.58, p = .220, ηp² = .081). Conclusions: Cycling and in-task cognitive performance are neither enhanced nor debilitated by the presence of a live or recorded supportive audience. Keywords: Anxiety, Cycling, power output, audiences, Perceptual-cognitive Conference: Southern Cross University 13th Annual Honours Psychology Research Conference, Coffs Harbour, New South Wales, Australia, 7 Oct - 7 Oct, 2016. Presentation Type: Research Topic: Psychology Citation: Bradhurst B, Donnelly J and Stevens C (2016). YOU CAN DO IT! EFFECTS OF AUDIENCE SUPPORT AND ANXIETY ON PHYSICAL AND PERCEPTUAL-COGNITIVE PERFORMANCE IN CYCLISTS. Front. Public Health. Conference Abstract: Southern Cross University 13th Annual Honours Psychology Research Conference. doi: 10.3389/conf.FPUBH.2016.02.00013 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 29 Sep 2016; Published Online: 30 Sep 2016. * Correspondence: Ms. Bethany Bradhurst, Southern Cross University, Psychology, School of Health and Human Sciences, Coffs Harbour, NSW, 2450, Australia, b.bradhurst.10@student.scu.edu.au Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Bethany Bradhurst James Donnelly Christopher Stevens Google Bethany Bradhurst James Donnelly Christopher Stevens Google Scholar Bethany Bradhurst James Donnelly Christopher Stevens PubMed Bethany Bradhurst James Donnelly Christopher Stevens Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.

A prognostic indicator in rectal cancer surgery: Lymph node ratio in neo-adjuvant chemo-radiotherapy (CRTX)

s / International Journal of Surgery 23 (2015) S15eS134 S23 Results: 76 patients underwent lung resection in the year prior to the ERP and 80 patients in the following year. Median agewas 72 years (IQR 64-77) and 69 years (IQR 64-75) before and after programme commencement, respectively (p 1⁄4 0.120). The proportion of patients undergoing VATS resectionwas 55.3% and 66.3% in the consecutive years (p1⁄4 0.160). LOS for all approaches prior to and following the introduction of ERP was 6 days (IQR 4-8) versus 5 days (IQR 3-8), respectively (p 1⁄4 0.126). The non-significant reduction in LOS was observed in both open and VATS cases. Overall, the reduction in LOS represented a cost reduction of £26880(14%). Conclusion: The benefits of a thoracic surgery ERP may be difficult to measure in terms of hard end-points due to the staged nature of ERP implementation. A trend towards reduced LOS was observed following the introduction of the thoracic surgery ERP. 0308: A PROGNOSTIC INDICATOR IN RECTAL CANCER SURGERY: LYMPH NODE RATIO IN NEO-ADJUVANT CHEMO-RADIOTHERAPY (CRTX) K. Ong , S.S. Fong , G.S. Tay . University of Glasgow, UK; 2 Tan Tock Seng Hospital, Singapore Aim: This study aims to identify which variables -lymph node yield (LNY), LN ratio (LNR) and LN involvement (LNI)are significant predictors of overall survival (OS) in patients who had neo-adjuvant CRTx for rectal cancer. Methods: This is a retrospective study of patients who had surgical resection for rectal cancers from January 2006-December 2011 in TTSH (Singapore). LNY, LNI and LNR from histopathology are recorded. Correlation and multiple regression analyses were conducted to examine relationship between OS ( 3-year follow-up) and potential predictors (LNY, LNI, and LNR). Results: A total of 200 patients were included, of which 80 had neoadjuvant CRTx. A reduction in mean LNY and LNI were found in the neoadjuvant group (from 23.4 to 15.0, p < 0.01 and 3.45 to 1.86, p 1⁄4 0.163 respectively). There was no reduction in mean LNR (both 0.11). OS is negatively and significantly correlated with LNI (p 1⁄4 0.019) and LNR (p 1⁄4 0.011). The stepwise multiple regression model showed LNR as best predictor of survival (R2 1⁄4 0.072, F (1, 71) 1⁄4 5.495, p < 0.05). Conclusion: Neo-adjuvant CRTx reduces LNYand LNI but not LNR. LNI and LNR are inversely related to OS. LNR is the single best predictor of prognosis for patients who had neo-adjuvant CRTx for rectal cancer. 0339: A COMPARISON OF TWO DIGITAL MAMMOGRAPHY SYSTEMS AT BREAST TEST WALES e WHAT DOES IT MEAN FOR SURGEONS? G. Devonish, T. Evans, B. Burlton, D. Bailey, K. Gower-Thomas. Breast Test

Excision of basal cell carcinoma: Who does it best?

s / International Journal of Surgery 23 (2015) S15eS134 S94 no drain group. The combined complication risk was almost identical between groups (10.9% drain Vs 11% no-drain group). Conclusion: The use of drains has been subject to debate. Studies increasingly support that drains offer no increased recovery benefits and are associated with discomfort and infection risks. High-level studies are required to evaluate drain use in free-flap breast reconstruction, allowing the development of appropriate guidelines. 0762: EXCISION OF BASAL CELL CARCINOMA: WHO DOES IT BEST? M. Chowdhry, R. Shah, P. Dziewulski, N. El-Muttardi. Broomfield Hospital,

Exploring the experiences of surgical patients admitted with non-trauma gastrointestinal disorders: A qualitative study

s / International Journal of Surgery 23 (2015) S15eS134 S111 0146: EXPLORING THE EXPERIENCES OF SURGICAL PATIENTS ADMITTED WITH NON-TRAUMA GASTROINTESTINAL DISORDERS: A QUALITATIVE STUDY J. Mason, A. McNair, N. Blencowe, D. Stevens, K. Avery, A. Pullyblank, J. Blazeby. University of Bristol, UK Aim: The RCSEng recommends the use patient reported outcome data in surgical trials, although there are no validated questionnaires to measure these outcomes within emergency surgery. The aim of this study, therefore, was to explore the views of patients admitted with unplanned abdominal problems. Methods: Semi-structured interviews were conducted with a purposive sample of patients admitted to SAU at 2 acute hospitals in the South West of England. Interviews explored patients’ experiences regarding their illness, treatment and recovery. Analysis was an on-going iterative process, occurring concurrently alongside data collection. Results: Fourteen semi-structured patient interviews were carried out (10 females, median age 51.5, range 27e77) covering the spectrum of nontrauma emergency surgery presentations. Six patients were treated conservatively, while 8 patients underwent either endoscopy or surgery. All patients reported abdominal pain as the primary reason for seeking medical attention. Immobilisation was the main consequence of pain regardless of age. Treatment related complications were more common in patients who underwent surgery, and were associated with a prolonged period of immobility during recovery. Conclusion: Patients admitted with unplanned abdominal problems report a similar collection of experiences. Future work should focus on the development of a core outcome set for this patient population. 0160: WHO DOES IT BETTER? COMPARISON OF TRAUMA CARE AND PELVIC BINDER USE AT TWO HOSPITALS IN WALES J. Clutton , L. Moulton , J. Organ , C. Carpenter . University Hospital of Wales, UK; Ysbyty Gwynedd, UK Aim: To compare the standard of care of the Severely Injured Patient (SIP) between a DGH and a teaching hospital. Methods: All trauma calls for a one-year period were reviewed retrospectively. Attendance distribution, proportion of trauma calls undergoing CT, time to CT, and initial management of suspected pelvic injuries were reviewed. Our standards were Royal College of Radiologists' guidelines, and the 2007 NCEPOD report. Results: We reviewed 270 trauma patients in total (190 at the teaching hospital, 80 at the DGH). Incidence of pelvic fractures was equal at both sites (10%). At the DGH, SIPs were more likely to have a CT scan, have a pelvic binder applied, and have this applied correctly. At the teaching hospital, time to CT was significantly faster (p <0.01), and patients were more likely to have a binder on a fractured pelvis. Time to CT increased by 30% at both sites out of hours. Conclusion: Both hospitals have room to improve care of SIPs. Delay to CT at the DGH is likely to be due to hospital layout, and increased time to CT out of hours due to decreased resources. Improvements are needed at both sites to decrease the delay to CT. 0182: THE EMERGENCY LAPAROTOMY; POST-OPERATIVE MORTALITY AND LENGTH OF STAY IN HOSPITAL N. Stephens, R. Dolan, H. Dorrance. Victoria Infirmary, UK Aim: A contemporary study in England showed a 30 day mortality rate of 15.6% for patients undergoing emergency laparotomies. We aim to assess the mortality and length of stay following emergency laparotomies. Methods: Electronic and paper based theatre logbooks were searched to identifyall consecutivepatientsundergoingemergency laparotomiesovera6 month period. Patients’ online electronic clinical records were also reviewed and demographics, diagnosis, procedure and outcome documented. Results: 70 patients (male: 32, female: 38) were included in the study. Median (SD) age was 61 (19) years (range 21e92 years). The most common reason for a laparotomy was for bowel obstruction which accounted for 15.7% of cases. Perforated diverticular disease accounted for 14.3% of cases, while stabbings and blunt force trauma accounted for 4.3% of cases. Median length of stay in hospital was 17 (19) days (range 1e115), while the median time from laparotomy to dischargewas 15 (17) days (range 1e109). 30 day mortality rate was 11%. Conclusion: This study has demonstrated low post-operative mortality rates following emergency laparotomy at our institution. Although length of stay in hospital post-operatively was just over 2 weeks, therewas awide range (up to 109 days) which deserves further exploration. 0213: APPENDICECTOMY PRE AND POST INTRODUCTION OF A DEDICATED EMERGENCY SURGICAL UNIT P. Karayiannis, N. McKinley, R. Lambon, B. Clements. Royal Victoria

CELLS, ORGANS AND PEOPLE AGING WITH HIV: WHERE DOES IT ALL LEAD?

CELLS, ORGANS AND PEOPLE AGING WITH HIV: WHERE DOES IT ALL LEAD?

Irish Origins and the Shaping of Immigrant Life in Savannah on the Eve of the Civil War

WE DO NOT KNOW WHY CHARLES J. WHITE DID IT. Perhaps he was a particularly meticulous gentleman. Perhaps he was curious. Perhaps he anticipated the interests of future generations of historians. Perhaps he simply misunderstood his instructions. These directions, distributed to the thousands of census takers who began compiling the eighth decennial census in June 1860, directed White to record the state of birth for anyone born in the United States or the nation of birth for anyone born abroad. But White, a twentyeightyearold whose active support of the Democratic Party had likely led to his appointment as the deputy United States marshal for the southern district of Georgia, did not follow his instructions. If respondents told White that they were nativeborn Americans, he insisted on knowing their exact birthplace within their native state and duly recorded the information. If “Ireland” was the response he received, he asked in which of Ireland’s thirtytwo counties the immigrant had been born. This was the procedure White followed for every one of the 13,875 white inhabitants of Savannah (including 3,145 Irish immigrants) and the 705 free people of color he tallied in the summer of 1860. For Savannah’s 7,712 slaves, however, White did follow instructions, recording only their age, gender, skin color, and the name of the owner, not that of the slave. The Savannah census of 1860 is unique. In no other major American city did an antebellum census taker record such detailed birthplace data for all of its residents. Historians can therefore ask, and answer, a number of questions about the Irish in Savannah on the eve of the Civil War that they can for no other city. We can examine, for example, a question that for decades has puzzled historians on both sides of the Atlantic—from exactly where in Ireland did the immigrants who emigrated in the wake of the Great Potato Famine of the late 1840s and early 1850s originate? We can also consider the extent to which an immigrant’s Irish birthplace affected his or her employment opportunities. Finally, we can reconstruct

HOW TO STUDY ADAPTATION (AND WHY TO DO IT THAT WAY).

Some adaptationist explanations are regarded as maximally solid and others fanciful just-so stories. Just-so stories are explanations based on very little evidence. Lack of evidence leads to circular-sounding reasoning: "this trait was shaped by selection in unseen ancestral populations and this selection must have occurred because the trait is present." Well-supported adaptationist explanations include evidence that is not only abundant but selected from comparative, populational, and optimality perspectives, the three adaptationist subdisciplines. Each subdiscipline obtains its broad relevance in evolutionary biology via assumptions that can only be tested with the methods of the other subdisciplines. However, even in the best-supported explanations, assumptions regarding variation, heritability, and fitness in unseen ancestral populations are always present. These assumptions are accepted given how well they would explain the data if they were true. This means that some degree of "circularity" is present in all evolutionary explanations. Evolutionary explanation corresponds not to a deductive structure, as biologists usually assert, but instead to ones such as abduction or Bayesianism. With these structures in mind, we show the way to a healthier view of "circularity" in evolutionary biology and why integration across the comparative, populational, and optimality approaches is necessary.

THE SENSEMAKING PERSPECTIVE IN ORGANIZATIONS: WHAT DOES IT REALLY MEAN?

Leader to LeaderVolume 2015, Issue 76 p. 68-69 FROM THE FRONT LINES THE SENSEMAKING PERSPECTIVE IN ORGANIZATIONS: WHAT DOES IT REALLY MEAN? First published: 16 March 2015 https://doi.org/10.1002/ltl.20182Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume2015, Issue76Spring 2015Pages 68-69 RelatedInformation

Food Supplementation for Improving the Physical and Psychosocial Health of Socio‐economically Disadvantaged Children Aged Three Months to Five Years: A Systematic Review

Food Supplementation for Improving the Physical and Psychosocial Health of Socio‐economically Disadvantaged Children Aged Three Months to Five Years: A Systematic Review

The relationship between the number of modularities and serum ions across different designs of metal on metal hip arthroplasty

s / International Journal of Surgery 12 (2014) S13eS117 S61 Results: The mechanism of injury was either due to a rugby tackle or fall from a bicycle. The majority of our cohort was male 86% with mean age 38 at time of surgery. All patients received physiotherapy sessions and been followed for 3-6 months. Post-operatively there were no significant difference in mean CC between operated and normal contralateral side. (12.2 vs 11.9 mm) (P<0.5). The median of quick DASH and ASES scores were 15.9 & 79.99 respectively. All the patients were satisfied with no complications recorded. Conclusions: Arthroscopic dog bone tight rope fixation of the ACJ is showing significant promise with minimal scarring and promising functional outcomes, good radiological outcomes, short post-operative stays and a low rate of complications. 0727: THE RELATIONSHIP BETWEEN THE NUMBER OF MODULARITIES AND SERUM IONS ACROSS DIFFERENT DESIGNS OF METAL ON METAL HIP ARTHROPLASTY Samer Mahmoud , Salam Ismael , Ibrahim Malek , D. woodnut , Alun Jones , Steve Jones . Royal National Orthopaedic Hospital, London, UK; University Hospital of Wales, Cardiff, UK; Morriston Hospital, Swansea, UK; 4 St George Hospital, London, UK. Introduction: To assess the relationship between serum ion levels and modularity across different metal on metal (MOM) arthroplasty designs. Methods: A cohort of 616 metal on metal hip replacement patients with similar bearing materials divided based on modularity design (number of articulating surfaces) into 4 groups: resurfacing BHR, Midhead replacements BMHR, Non-cemented stem MOM Hip replacement and the R3 with 3 bearing surfaces (115, 108, 355 and 38 patients respectively). Serum Cobalt and Chromium levels were assessed for each group and multivariant analysis used to create a regression model. Results: Mean time between the procedures and the blood results for the BHR, BMHR, non-cemented stem THR and R3 groups were 40, 35.5, 41.7 and 36.6 months respectively. After adjusting for other potential confounders like head size and gender there was liner relationship between number of articulations and S. Cobalt with positive coefficient values started from 0.25 in BMHR to 0.4 in R3 (P value<0.000:R21⁄411.65). Gender is a positive influence factor, which increases relationship linearity across all designs (P value<0.000:R21⁄413) S. Chromium did not fit the regression model as S. cobalt. Conclusions: There is statistically significant positive proportional relationship between increasedmodularity of MOM hip implants and S. Cobalt accumulation in patients' blood samples. 0731: GETTING TO GRIPS WITH THE BEST PRACTICE TARIFF FOR NECK OF FEMUR FRACTURES, EXPERIENCES FROM A MAJOR TRAUMA CENTRE: A COMPLETED AUDIT LOOP Iain Rankin , Amy Bibby, Reza Jenabzadeh, Dylan Griffiths, Rajarshi Bhattacharya. Department of Trauma and Orthopaedics, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK. Introduction: The Best Practice Tariff (BPT) introduced in 2010 aims to financially incentivize hospitals to optimize management of patients with neck of femur (NOF) fractures, utilizing a multidisciplinary approach against set criteria. Major Trauma Centres face challenges in the prioritisation of major trauma patients against fractured NOF patients. This audit examined compliance at a regional Major Trauma Centre, managing acute admissions in conjunction with transfers from a second site within the same trust, prior to and following implementation of a NOF Action Group. Methods: A retrospective audit of our compliance to BPT was conducted for the months of April December 2012, repeated January September 2013 following implementation of a NOF Action Group aimed to improve workflow. Results: 237 patients in 2012 and 236 patients in 2013 were eligible for BPT. Implementation of a NOFAction Group improved outcomes: BPT in all criteria increased from 46.8% to 71.2%; (p<0.001), with the most notable improvement in the rates for time to theatre <36 hours 57.6% to 80.5% (p<0.001). The financial implications were an estimated additional £77,235 for the trust. Conclusions: Implementation of a NOF Action Group improves compliance with BPT in a Major Trauma Centre, despite the challenges faced. 0739: THE ROLE OF EXOGEN IN NON-UNIONS, DOES IT SHOW ANY CLINICAL BENEFIT IN A LARGE DISTRICT GENERAL HOSPITAL? Nader Ibrahim , Devendra Mahadevan, Ramanathan Natarajan, James Rudd, William Groom. Northampton General Hospital, Northampton,

JUST DO IT! Pointers to Get Your Work Published in the Academic Literature (… and why you should, no pressure)

You are not alone in coming to the realization that writing is hard work. Don’t believe anyone who says otherwise, but also don’t let it dissuade you from giving it a shot. You may not know it, and someone early in his or her career may not believe it, but the fact is that someone wants to read your work, and there is a home for it. Only one thing is for certain: if you don’t get started and give it a real try, then your work will never be published. Writing is hard work, but it is also a skill you can learn and one that gets better with practice and time. I hope to persuade you that there are steps you can take to make the process more efficient, more hopeful, more likely to succeed, and, if nothing else, more bearable.

HEART FAILURE SUPPORTIVE CARE CLINIC: DOES IT IMPROVE QUALITY OF LIFE?

OBJECTIVE: Intravenous administration of loop diuretics is a cornerstone of therapy for acute decompensated heart failure (ADHF). Best practices to achieve safe, efficient fluid loss are dependent on appropriate monitoring and then adequate responses including diuretic dose adjustment and electrolyte correction. Our objective was to evaluate real-world practices for furosemide administration during the first 48 hours of admission for ADHF at our academic institution and to identify areas for quality improvement. We assessed the adequacy of weight monitoring, the relationship to drug administration, and practices to monitor and replace potassium. METHODS: Retrospective single center electronic chart review was conducted of hospitalized ADHF patients treated with intravenous furosemide from the time of admission. Patients who died or were discharged within 48 hours of starting furosemide were excluded. Demographics, length of stay and clinical data from the first 48 hours of admission were collected. RESULTS: We identified 402 unique episodes of care for ADHF between February 2010 and November 2012. Twenty-seven percent of patients had a baseline weight recorded within 12 hours of admission. The median time to first recorded weight after admission was 19 hours. The median total number of weights obtained in the first 48 hours was 1. Fifty-nine percent of patients had less than 2 weights recorded within 48 hours of admission. The mean furosemide dose administered over 48 hours was (163 128 mg). There was no difference in average furosemide dose between patients with and without baseline weight. However, patients who had less than 2 weights received significantly less furosemide (145 120 mg) compared to patients who had 2 or more weights (188 160 mg) (p1⁄40.007) over 48 hours. There was no significant difference in the median length of stay between patients who had less than two weights (8 days) versus those had 2 or more weights over 48 hours (7 days). All patients had a baseline and a repeat potassium measurement within 48 hours. Forty-two percent of patients presented with a baseline potassium <4 mmol/L, and 40% of those patients were administered replacement. CONCLUSION: Sizable proportions of patients were not weighed in a timely fashion, or lacked sufficient documentation to evaluate weight loss after furosemide administration. This appeared related to the total dose of furosemide received early on during admission. Practices for monitoring serum potassium were better, though replacement was less systematic. We identified several targets for quality improvement in the care of ADHF at our center. 281 HEART FAILURE SUPPORTIVE CARE CLINIC: DOES IT IMPROVE QUALITY OF LIFE?

PASSION FOR WORK: WHAT DOES IT REALLY MEAN?

Leader to LeaderVolume 2014, Issue 74 p. 61-62 FROM THE FRONT LINES PASSION FOR WORK: WHAT DOES IT REALLY MEAN? First published: 09 September 2014 https://doi.org/10.1002/ltl.20156Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume2014, Issue74Fall 2014Pages 61-62 RelatedInformation