Record Number Research Articles

Comparative study between an antigen test and the reverse transcription-polymerase chain reaction (RT-PCR) test for the diagnosis of COVID-19 in pediatrics.

Introduction. The COVID-19 pandemic has brought to light the need for rapid diagnostic tests. The gold standard test is reverse transcription-polymerase chain reaction (RT-PCR). RT-PCR requires equipment and trained personnel, and results may take a long waiting time. The BD Veritor® System is a rapid chromatographic method used for the detection of severe acute respiratory syndrome coronavirus 2 antigen in symptomatic individuals. The primary objective of this study is to assess the sensitivity and specificity of the antigen test (AT) compared to the RT-PCR in the pediatric population. Population and methods. Prospective study with a diagnostic test. All children younger than 17 years in the first 5 days of symptom onset, who consulted between July 2021 and February 2022, were included. A minimum of 300 specimens was estimated to achieve an accuracy of ±8.76% and ±3.68% for sensitivity and specificity, respectively. Specimens were analyzed in parallel using both methodologies. Results. Of 316 paired samples, 33 were positive by both methods; 6 were positive only by RT-PCR. The specificity of the AT was 100%; sensitivity was 84.6%, with a positive and negative predictive value of 100% and 98%, respectively. Conclusions. The AT proved to be useful in the diagnosis of pediatric patients with COVID-19 in the first 5 days of symptom onset, although those with a negative AT and high clinical suspicion should confirm their result with a RT-PCR. Clinical trial registration: PRIISA.BA - Record number: 4912 - Date of registration: 07/07/2021.

Progressing Towards Same-Day Discharges After Robotic-Assisted Radical Prostatectomy; Safe and Cost Effective to Discharge Without Routine Blood Tests.

Changing population demographics and the recent SARS-CoV-2 pandemic have forever changed healthcare, with increasing demands on straining systems. The economic cost is yet to be fully realised, with growing concerns around the current system's ability to accommodate the ageing comorbid population. Consequently, a paradigm shift has taken place in healthcare systems, prioritizing cost accountability. In the absence of established guidelines or robust literature, the use of laboratory tests postoperatively is often guided solely by clinician preference. This study presents a retrospective analysis that investigates the utility and cost implications of routine postoperative investigation following robotic-assisted radical prostatectomies. The findings aim to emphasise the importance of evidence-based practices and cost-effective approaches in postoperative care. A retrospective analysis was performed on all robotic-assisted radical prostatectomies (RARP) identified from a single institution between 29th June 2017 to 28th June 2019. This interval was chosen in an attempt to avoid bias or confounding variables associated with the SRS-CoV-2 pandemic. A single clinician conducted a comprehensive medical record review using unit record numbers corresponding to identified procedural codes. Demographics and variables were recorded, including postoperative test results, hospital length of stay and 30-day readmission rates. Patients were assigned to either 'Routine Postoperative tests' (RPOT) or 'No Routine Postoperative tests' (No RPOT) and a comparative analysis was performed. Using the Australian National Pharmaceutical Benefits Scheme (PBS) pricing guide, total expenditure was calculated. A total of 319 patients were included in the study with an average of 2.5 tests per patient within the first 24 hours. Routine postoperative tests had no bearing on outcomes, with comparable readmission rates between cohorts, and a significantly shorter length of stay in the "No routine postoperative tests" group when compared to the "Routine Postoperative Tests". A total of 1028 tests were performed within the first 48 hours following surgery with expenditure on routine testing totalling $20,516 based on the Australian PBS pricing schedule. Abnormal results were returned on 96% of patients. In the RPOT group, 18 out of the 20 common interventions occurred from 302 RARP. Among the patients in the RPOT group, eight individuals underwent blood transfusions. However, none of these patients met the hospital-specific criteria for transfusion, which require a hemoglobin level below 70 or symptomatic presentation with a hemoglobin level below 80. The data suggests routine postoperative laboratory has no bearing on re-admission rates, with patients experiencing significantly shorter hospital stays. Furthermore, our results indicate inefficient use of routine postoperative laboratory, with few clinical interventions, frequent abnormal results, and significant accumulative expenses.

PROMIS Scores for Chronic Plantar Fasciitis Before and After Gastrocnemius Recession

Category: Ankle; Hindfoot Introduction/Purpose: There has been an established relationship between increased loading on the Achilles tendon and tension on the plantar fascia. This supports the idea that either tight gastrocnemius and soleus muscles or contractures of the Achilles tendon are risk factors for plantar fasciitis. Gastrocnemius recession has gained popularity as a viable surgical intervention for cases of chronic plantar fasciitis due to isolated gastrocnemius contracture. To our knowledge, this is the first study to investigate PROMIS scores in patients with plantar fasciitis before and after gastrocnemius recession. Methods: The Electronic Medical Record was queried for medical record numbers associated with Current Procedural Terminology code 27687 (gastrocnemius recession). Our study included all patients with a preoperative diagnosis of chronic plantar fasciitis with treatment via isolated gastrocnemius recession with one-year minimum follow-up. 40 patients were included in our study. Patient variables were collected via chart review. Preoperative and postoperative PROMIS scores were collected in the clinic. Results: Preoperative and postoperative PROMIS scores improved for physical function and pain interference from 39.27 and 62.78 to 44.54 and 56.5 (p=0.0005, p=0.0001) respectively, PROIMS Depression scores were not significantly different (p=0.6727). VAS scores significantly decreased from 7.05 to 1.71 (p < 0.0001). Patients with preoperative peripheral neuropathy had significantly lower improvement in PROMIS physical function scores (p=0.0029). Tobacco use led to significantly lower improvement in in PROMIS depression (p=0.0202). Conclusion: Gastrocnemius recession is an effective option for patients with refractory pain in plantar fasciitis. Our PROMIS and VAS data confirm this procedure's utility and highlight its ability to significantly decrease pain and improve physical function in patients with chronic plantar fasciitis. We believe we have added to the literature by incorporating the, inherently superior, PROMIS scores. Based on the results of this study, the authors recommend gastrocnemius recession for patients who fail conservative management for plantar fasciitis.

ICER 2023 Recap

The first hybrid North American ICER was held in Chicago, Illinois, USA, from August 7-11, 2023. A total of 194 participants attended ICER, including 172 physically and 22 virtually. Attendance was roughly split between students and professionals, with over 100 professionals and over 80 students. The program consisted of three full days due to a record number of papers, lightning talks, and poster sessions. This represented a more than 50% increase in the number of each type compared with last year.

Sosialisasi Rekam Medik Elektronik pada Fasilitas Kesehatan Tingkat Pertama

Electronic medical record is a clinical data storage application, as a clinical decision support system, standardization of medical terms, computerized data entry, as well as medical and pharmaceutical documentation in an organized manner. The First Level Health Facility is one of the places used by patients to request health services so that they have a record of interactions with patients. So this socialization is very important to do to reduce losses in terms of time and energy for both medical record officers and patients. This community service activity is carried out in first-level health facilities by providing education and socialization provided in the form of using Electronic Medical Records. Community service activities are carried out using the presentation/lecture method at IDI Kudus Regency on June 11, 2022. The use of electronic medical records is expected to improve and strengthen services for patients, including clinical (medical) and administrative services. Information generated from electronic medical records is also useful for education, regulation formulation, research, community health management, policy support, and to support referral health services. It is hoped that the application of electronic medical records can be easily used by all officers, both from medical record officers and medical personnel, the creation of integrated patient data, no duplication of medical record numbers that can make it difficult to find patient data at the time of re-treatment and holding further socialization regarding the application electronic medical record. The benefits will be felt optimally if the application of electronic medical records is evenly distributed and is supported by updated information systems and technological materials.

War and Peace Journalism in Mass Shootings Coverage - Case Study of a School Shooting in the U.S. Uvalde

Research objective: Analysis of the problem of using the theory of war and peace journalism in reporting mass shootings in the American media on the example of a school shooting in Uvalde. 
 Problem and methods: The article answers the question whether theories about war and peace journalism can be helpful in the analysis of media coverage of mass shootings. The text analyzes how the leading media broadcasters in the U.S. (CNN and Fox News) use war- and peace-oriented mechanisms. The article uses research methods standard for social sciences and humanities, including content analysis with elements of framing analysis, comparative analysis and the case study. 
 Process of argumentation: The starting point for the research was the theories on war and peace journalism by Johan Galtung. The reason for undertaking the research was also the record number of mass shootings in the U.S. in 2021 and the significant importance of the Uvalde shooting in the American public debate on gun control in 2022. The article focuses on the first week of coverage of the shooting. 
 Results: American media use war journalism more often. Coverage is influenced by ideological profile and political affiliation. Political issues and the reconstruction of events come to the fore. Contexts such as victims, solutions, roots of the problem or fate of the perpetrator are discussed less frequently. The shooting in Uvalde became an instrument in the political conflict in which the media took part. 
 Conclusions, innovations, and recommendations: War journalism mechanisms favor media polarization in bipartisan conflict conditions and help show sensational events in a 24-hour cycle. In turn, the mechanisms of peace journalism support reporting on the perpetrator, victims and potential solutions. The article intends to increase awareness of various ways of publicizing extraordinary events and political conflicts and serve for more profound research in the future.

A Study of Human–AI Symbiosis for Creative Work: Recent Developments and Future Directions in Deep Learning

Recent advances in Artificial Intelligence (AI), particularly deep learning, are having an enormous impact on our society today. Record numbers of jobs previously held by people have been automated, from manufacturing to transportation to customer services. The concerns of AI replacing humans by taking over people's jobs need to be urgently addressed. This article investigates some promising different directions of AI development: Instead of using AI to replace people, we should use AI to team up with people so that both can work better and smarter. Human–AI symbiosis refers to people and AI working together to jointly solve problems and perform specific tasks. The recent developments in deep learning models and frameworks have significantly improved the efficiency and performance of human and AI collaborations. In this article, some research work on human–AI collaborative environments has been extensively studied and analyzed to reveal the progress in this field. Although the teaming of humans and machines includes many complex tasks, the development has been very promising. One of the main goals in this field is to develop additional capabilities in machines capable of being successful teammates with a human partner. The correctness of the outcomes is often determined by the underlying technology and how performance and human satisfaction are measured through the collaborative nature of the system. We conclude that the teaming of humans and AI, particularly deep learning, has the advantage of combining the power of AI with the human domain expertise to improve performance and create value. Human–AI symbiosis could be a promising future direction for AI's continuing integration into the world.

ANALISIS KUANTITATIF KELENGKAPAN FORMULIR KOHORT IBU DI BAGIAN POLIKLINIK KESEHATAN IBU DAN ANAK PUSKESMAS PORIS PLAWAD TAHUN 2021

Medical records are documentation of identity, examination, treatment, actions, and services that have been provided to patients. Health services during pregnancy must be documented in the mother's card, medical record, mother's cohort, and mother and child health book. The maternal cohort is a collection of data collected from the mother's card. The documentation must be filled in completely because it affects further contact if needed and in certain circumstances, it is required for a medical audit. This study aims to determine the completeness of filling out the mother's cohort form at the MCH polyclinic at the Poris Plawad Health Center in 2021. This study used a quantitative descriptive method. Determining the number of samples using the slovin formula, so that a sample of 68 maternal cohort data was obtained. The results of the research from 68 maternal cohort data obtained an average of completeness of identification (77%), important reports (62%), and procedures for documentation (49%). Factors that influence incompleteness are the absence of an SOP for Filling in the Maternal Cohort, no updating of guidelines, no recording of medical record numbers, less communicative staff, no column for filling in authentication, and double working forms. Suggestions from researchers are to update the guidelines, create SOP Filling in the Cohort of Mothers and carry out outreach, update forms to add authentication records, conduct training/seminars to increase midwifery insights, and devise a workable system of more than 1 person for recording health data in the system.

Application of Image Processing in Agriculture

Agriculture will face significant challenges in the 21st century to feed a record number of people and animals and generate resources for industry (for example, wood, cellulose, and energy); thus, it is essential increasing yield and reducing pollution, water consumption, and energy consumption [...]

Clinical Validation of a Primary Antibody Deficiency Screening Algorithm for Primary Care

PurposeThe diagnostic delay of primary antibody deficiencies (PADs) is associated with increased morbidity, mortality, and healthcare costs. Therefore, a screening algorithm was previously developed for the early detection of patients at risk of PAD in primary care. We aimed to clinically validate and optimize the PAD screening algorithm by applying it to a primary care database in the Netherlands.MethodsThe algorithm was applied to a data set of 61,172 electronic health records (EHRs). Four hundred high-scoring EHRs were screened for exclusion criteria, and remaining patients were invited for serum immunoglobulin analysis and referred if clinically necessary.ResultsOf the 104 patients eligible for inclusion, 16 were referred by their general practitioner for suspected PAD, of whom 10 had a PAD diagnosis. In patients selected by the screening algorithm and included for laboratory analysis, prevalence of PAD was ~ 1:10 versus 1:1700–1:25,000 in the general population. To optimize efficiency of the screening process, we refitted the algorithm with the subset of high-risk patients, which improved the area under the curve–receiver operating characteristics curve value to 0.80 (95% confidence interval 0.63–0.97). We propose a two-step screening process, first applying the original algorithm to distinguish high-risk from low-risk patients, then applying the optimized algorithm to select high-risk patients for serum immunoglobulin analysis.ConclusionUsing the screening algorithm, we were able to identify 10 new PAD patients from a primary care population, thus reducing diagnostic delay. Future studies should address further validation in other populations and full cost-effectiveness analyses.RegistrationClinicaltrials.gov record number NCT05310604, first submitted 25 March 2022

Research is still limited on nutrition and quality of life among older adults.

Globally, the number of older adults is growing exponentially. Yet, while living longer, people are not necessarily healthier. Nutrition can positively impact healthy aging and quality of life (QoL). Two decades ago, nutrition and diet were rarely viewed as key QoL domains, were not part of QoL screening, and QoL studies frequently used unvalidated tools. It is unclear how the nutrition and QoL research area may have since evolved. A scoping review was conducted in Pubmed of research with community-living older adults (aged ≥65) from developed economies that included 1 of 29 common, valid QoL instruments, nutrition indices, and was published between 1/2000-12/2022. The review followed published methodology guidance and used the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram to document identified studies and record number of included/excluded studies (based on scoping review's pre-specified criteria). Of 258 studies identified initially, 37 fully met scoping review inclusion criteria; only 2 were QoL studies, 30 focused on nutrition, 3 on measurement tool validation/testing, and 2 were other study types. Most studies (n = 32) were among populations outside of North America; majority were conducted in Europe (n = 22) where the EuroQol 5 Dimension (Eq5D) was used in >1/2 the studies. Of 5 North American studies, the 36-Item Short Form Survey (SF-36) was most frequently used (n = 4). Myriad nutrition indices described various aspects of eating, dietary intake, and nutrition status, making comparability between studies difficult. Studies included several different nutrition questionnaires; Mini Nutritional Assessment (MNA) (n = 8) or Mini Nutritional Assessment Short Form (MNA-SF) (n = 5) were used most frequently. The most frequent anthropometric measure reported was Body Mass Index (BMI) (n = 28). Nutrition-related biochemical indices were reported infrequently (n = 8). The paucity of studies over the last two decades suggests research on nutrition and QoL among community-living older adults remains underdeveloped. Valid QoL instruments and nutrition indices are now available. To ensure greater comparability among studies it is important to develop consensus on core indices of QoL and particularly nutrition. Greater agreement on these indices will advance further research to support healthy aging and improve QoL for community-dwelling older adults.

Genetic and environmental parameters for early growth and yearling traits of the Elsenburg South African Mutton Merino resource flock

The Elsenburg South African Mutton Merino (SAMM) resource flock has been maintained at the Elsenburg Research Farm in the Western Cape, South Africa since 1955. Early growth and lamb survival data (record numbers from 9512 for weaning weight or WW to 13101 for lamb survival LS) over the 66-year period from 1955 to 2020 and yearling weight and wool data (record numbers from 1351 the coefficient of variation of fibre diameter or CVFD to 3505 for clean yield or CY) over a 38-year period from 1983 to 2020 were used to estimate genetic and environmental parameters for the flock. The ASREML package was used to estimate fixed effects and genetic parameters. Birth year, sex, birth type and age of dam significantly (P < 0.001) influenced the weight traits and LS. The interaction between birth year and sex was evident in most early growth traits. Direct single-trait heritability estimates amounted to 0.11 ± 0.02 for birth weight (BW), 0.04 ± 0.01 for WW, 0.03 ± 0.01 for LS, 0.28 ± 0.04 for yearling weight (YW), 0.62 ± 0.04 for CY, 0.36 ± 0.04 for clean fleece weight (CFW), 0.33 ± 0.05 for staple length (SL), 0.56 ± 0.06 for CVFD, and 0.65 ± 0.04 for fibre diameter (FD). Maternal heritability estimates were 0.17 ± 0.02 for BW, and 0.06 ± 0.01 for WW. Maternal permanent environmental effects amounted to 0.08 ± 0.02 for BW, 0.04 ± 0.01 for WW, 0.04 ± 0.01, 0.07 ± 0.02 for YW and 0.05 ± 0.02 for CFW. Litter effects were 0.22 ± 0.01 for BW, 0.18 ± 0.02 for WW and 0.14 ± 0.01 for LS. Multi-trait heritability estimates compared well with the single-trait estimates. Genetic correlations for the weight traits in the three-trait analyses ranged from −0.23 ± 0.12 for BW and YW to 0.81 ± 0.09 for WW and YW. Genetic, environmental, and phenotypic correlations amongst yearling weight and wool traits in the six-trait analyses were low to moderate and mostly within the ranges from previous literature for wool breeds. It should be feasible to select for a balanced breeding objective based on economic considerations in the flock.

New Record: Molecular Depiction of Rhamnolipids (rhlA) Gene in Locally Isolated Strains of Pseudomonas aeruginosa

Soil samples were collected from oil-contaminated sites which were located in west Qurna, Basrah, Iraq. Pseudomonas species were initially isolated on mineral salts and Pseudomonas agar media and identified using morphological and biochemical characterizations. Then, specific primers for the rhlA gene belonging to Pseudomonas aeruginosa were designed based on the primer design conditions, and PCR was performed to amplify the 888 bp size fragment of the rhlA gene; additionally, the primary PCR products were purified and sent for sequencing. The band of about 888bp was determined on the gel, the amplified rhlA gene sequencing findings were revised, only 366 bp were ready to analyze using the (BLAST) software, and the final result was identified as a partial sequence of chromosomal rhlA gene related to Pseudomonas aeruginosa with percent identity of 99.45%. The query gene’s incomplete matching with another partial rhlA record on NCBI was caused by variations in two base pair sequences (T in sequence 348 and C in sequence 353, respectively), and despite the small difference, this results in variation in the amino acids produced; so that a new record number, ON637169, was assigned when the sequence was deposited in GenBank. The relation among the new record of partial rhlA gene with the same number of the other rhlA gene sequences (60 records) was demonstrated by creating a phylogenetic tree.

Improving management of hyponatraemia by increasing urine testing in the emergency department

Hyponatraemia on hospital admission is associated with increased length of stay, healthcare expenditures and mortality. Urine studies collected before fluid or diuretic administration are essential to diagnose the underlying cause...

Optimalisasi Tracking Rekam Medis Dengan Barcode di Puskesmas Lendah II

In 2014, primary health centres Lendah II was implemented health information system for primary care (Simpus). the use of simpus can help the physician and health practicioners entry data of patient, import dan export data and also improved theirs performance. The implementation of medical records for primary health centres an important role in managing patient data. The use of technology and information systems in the health sector has an impact on optimizing services. One of them is by utilizing a barcode system to support storage at primary health centres Lendah II This study aims to help the storage tracking system in the filing room using barcodes. Data capture with FGD for needs analysis, then application design and trials. This research uses research and develompent. The results of the study by making class diagrams, barcode applications and examples of barcodes applied to poly service names and medical record numbers. Barcodes will be printed and affixed to the patient's medical record to facilitate tracking of the The barcode of the patient's medical record number will also be affixed to the patient's BPJS card, making it easier for officers to check the patient's medical record number on the simpus. There is a scanner reader tool that will make it easier for officers to read barcode codes.

316 The Impact of a Surgical Same Day Emergency Care (SDEC) Unit

Abstract Aim SDEC units are part of the NHS long term plan. It marks a shift from assessment units to tailored emergency care hubs providing genuine dual assessment and treatment. Its aim is to provide optimal care for patients in a timely manner by the appropriate teams, enabling reduced time to emergent treatment, reduced pressure on other acute services and shorter inpatient stays. This is ever more pertinent in the modern, post-pandemic NHS with staffing and funding challenges combining with record numbers of expectant patients awaiting urgent operations. This QIP aims to investigate one such unit’s effectiveness. Method SDEC surgical admissions data was collected from the online system BIS or from the clinical notes between September 2021-2022. This was then graphed on excel and analysed. Results Pertinent findings include: 47% drop in ED surgical presentations. 66% surgical emergency attendances seen in SDEC (43% prior to SDEC). Decision to admit time reduced by 150 minutes. Median time from arrival to discharge reduced by 7 hours. Conclusions This SDEC unit has had a positive impact on ED workload and improving decision making &amp; throughput of surgical patients. As well as supporting previous studies on SDEC benefits this model works for all surgical specialties. It is also objective and repeatable, allowing like-for-like comparison. Limitations include short study period, and lack of patient satisfaction assessment. It is also unclear which specific elements of SDEC model have had the beneficial effects.

Risk Factors for Post-appendectomy Surgical Site Infection in Laparoscopy and Laparotomy - Retrospective Cohort Study.

Background Appendicitis is a frequent emergency condition. Surgical site infections (SSI) are a common complication of appendectomy. Despite improvements in infection control, SSIs continue to cause harm, prolonged hospital stays, and even death. Objective The objective of this study is to compare the risk of developing surgical site infections (SSIs) between open laparotomy and laparoscopic appendectomies in Al-Baha, Saudi Arabia. Methods This retrospective cohort study compared laparotomy and laparoscopy for post-operative surgical site infection among patients who underwent an appendectomy at King Fahad Hospital (KFH) in Albaha, Saudi Arabia. Medical record numbers (MRNs) of patients who met the inclusion criteria were collected to build the sampling frame. From the final sampling frame, simple random sampling using a random number generator was used to draw a representative sample. Data were collected from the surgical health records of the patients. The collected data included patients' demographics, comorbidities, presenting symptoms, ordered imaging studies, pre-operative shaving, typeand duration of surgery, intraoperative findings, and signs of wound inflammation. Results The total number of patients included in the analysis was 256, who underwent surgery for acute appendicitis. Among those who underwent laparoscopy, 5.7% had to be converted to open laparotomy. Signs of surgical wound inflammation were found in 10.2% of the patients. Patients who underwent open laparotomy had a significantly higher risk of wound infection (RR=3.1, p-value=0.001). Further analysis revealed an effect modification of pre-operative shaving. Open laparotomy has a higher risk of wound infection among patients who have not had pre-operative shaving (RR=4.1 vs. RR=2.6), while both risks were statistically significant (p-value=0.033 and p-value=0.035), respectively. Complicated cases in intra-operative findings were found to have a higher risk of post-appendectomy SSI. Conclusion This study demonstrates that laparoscopic appendectomy carries a lower risk of surgical site infection (SSI) compared to open laparotomy. Additionally, pre-operative shaving of the surgical site was found to increase the incidence of SSI. Healthcare providers can use this information to enhance their practice and reduce the occurrence of surgical site infections. Whenever possible, laparoscopic appendectomy should be preferred over open laparotomy due to its substantially lower SSI risk. We also recommend vigilant monitoring of complicated appendectomy, particularly in cases of ruptured appendicitis, for signs of SSI.

WTP7.6 Novel ambulatory surgical pathways can reduce operation waiting times whilst maintaining patient outcomes

Abstract Introduction A record number of patients are currently awaiting NHS treatment. A novel ambulatory surgical pathway (Rapid Access Theatre (RAT) lists) can reduce patient wait times for common operations such as cholecystectomies and ease the burden on the traditional elective operating list. However, it is important that this approach does not jeopardise patient safety. Method All non-inpatient cholecystectomies carried out in a large teaching hospital from 01/10/21 – 31/01/22 were analysed. Operations carried out on RAT lists were compared to those on elective lists for time to surgery from listing, post-op length of stay (LOS), number of patient returns within 30 days and rate of post-op complications. Results There were 85 cholecystectomies carried out on RAT lists and 86 carried out on elective lists. The average time to surgery from listing was 70.56 days for RAT lists and 152.19 for elective lists (p = 0.0005). The average post-op LOS was 0.73 for RAT lists and 1.00 for elective lists (p = 0.43). The number of patients who returned to hospital within 30 days of their operation was 8 (10.39%) for RAT lists and 11 (14.86%) for elective lists (p = 0.751). The number of post-op complications was 10 (13.33%) for RAT lists and 13 (17.81%) for elective lists (p = 0.52). Conclusions The introduction of a novel ambulatory surgical pathway (RAT lists) has reduced the waiting time for cholecystectomies whilst maintaining outcomes and patient safety. This pathway is therefore cost effective and an important tool for reducing length waiting lists.

Spectrum of Gender Self-Presentations among Women Candidates

In the 2018 U.S. midterm elections, Democratic women, especially those from diverse racial and ethnic backgrounds, were elected in record numbers. Drawing on qualitative website and Twitter bio data, this paper examines twenty key races at varying levels that had women candidates. We extend our previously-developed typology of gender self-presentations by classifying these approaches on a spectrum, ranging from gender traditional on one side to feminist on the other (with gender neutral and gender nontraditional in the middle). Illustrating the utility of this typology by applying it to a variety of races in the 2018 U.S. midterm elections, we extend prior work and suggest that gender nontraditional and feminist self-presentations highlight women candidates’ power and agency.

Business vulnerability diagnosis: an integrative review

In Brazil, SEBRAE reported that a record number of new businesses were created in 2021, with over 3.9 million new companies. However, data from Revista Exame shows that a third of Brazilian companies close before two years of operation. Entrepreneurial Diagnosis done by business consultants contributes to overcoming this problem, as it helps consolidate and recover enterprises in vulnerability. Therefore, this article conducted a systematic review of the integrative type to investigate the possibility of anticipating a diagnosis of business vulnerability. The review followed the methodological criteria determined by Whitemore and Knafl (2005) and improved by Botelho, Cunha, and Macedo (2011). The keywords “Diagnosis,” “Vulnerability,” “Business,” “Anticipation,” and “Forecast” were used on the Scopus and Web of Science databases and papers from the last 10 years were considered. A total of 44,650 manuscripts documents underwent several filters until reaching 16 articles, which were read in full to compose the review. In data extraction, the articles were categorized according to the type of diagnosis performed, technologies, samples, and size. As a result, we present a synthesis of knowledge about anticipating the diagnosis of corporate vulnerability, a discussion of the impact of predicting failures for companies, government, and society, and the constructs that could be built with the review. We believe this study will contribute to maturing the theme academically and for the market, optimizing the business diagnostic consultancy processes and offering rewards to the productive sector.