Younger Colleagues Research Articles

ПАРАМЕТРИЗМ АБО АЛГОРИТМІЧНІ МЕТОДИ СТВОРЕННЯ СУЧАСНОЇ АРХІТЕКТУРИ В ВИКЛАДАННІ КОМП’ЮТЕРНОЇ ГРАФІКИ У ЗАКЛАДАХ ВИЩОЇ ОСВІТИ

Currently, more and more architects in their projects apply methods, techniques, tools and technologies that allow you to create attractive and unique buildings and structures. One such method is the principle of parametricism, founded by the German architect Patrick Schumacher together with the Iraqi-British architect and designer Zaha Mohammad Hadid. Parametricism as a style did not appear for a reason. He was preceded by the work of various scientists, including mathematicians, such as Georgy Voronoi (1868–1908) and his student Boris Delaunay (1890–1989) in the field of studying the environment around us, namely the study of bionics, and the creation of digital architecture on its basis. Only today, having powerful computers, the architect could create a beautiful bionic architecture and at the same time correctly calculated constructively. According to Patrick Schumacher, the new style is due to cutting-edge designers and creators of computer scripting methods. This style was founded and developed 18–20 years ago and now claims the primacy in avant-garde architecture. Now parametricism as a style has developed and opened up its facets. There were such directions in parametricism as – «flexi architecture», «Art-architecture», «Nature-architecture». Sometime will pass and we will hear a new direction in parametricism. Parametric architecture is lively, natural, and exciting, which could not but offend Ukrainian architects. Today, many of our young and courageous colleagues work in the style of parametricism. A prominent representative of this style is a young Ukrainian architect-programmer Dmitry Aranchiy, who at one time improved his qualifications in England, where he was imbued with this style.

New Voices

ABSTRACT New Voices is a section with psychoanalytically informed writing by students at the college, graduate, and post-graduate level. Papers may concern psychoanalytic ideas as they are relevant to clinical dilemmas, educational experiences, or culture, including literature, film, music, and socio-political issues. Submissions would ideally provide information on what areas are of most interest to younger colleagues. The encouragement of psychoanalytic writing at an early level could create a connection between university and residency programs and the world of psychoanalytic thought.

Reflection on Slide Rules, Calculators, Log Tables, and Computers

As I approach my 70th year in physics, let me tell my younger colleagues about my adventures with computation. When I was 14, my father gave me a slide rule because I appeared to be headed toward a career in physics. Since then, I have had experience with many other calculating devices.

United in Patriarchy? A View from across the (Aegean) Pond

United in Patriarchy? A View from across the (Aegean) Pond

Dans sa chair by Yasmine Chami

Reviewed by: Dans sa chair by Yasmine Chami Jane E. Evans Chami, Yasmine. Dans sa chair. Actes Sud, 2022. ISBN 978-2-330-16124-8. Pp. 192. Books about female protagonists grieving the end of a relationship or marriage abound, with the main character detailing her progress from heartbreak to a healthier condition. However, in Yasmine Chami’s evocative fourth novel, male protagonist Ismaïl attempts to make sense of his role in his significant life changes from the past two years, “deux années chaotiques” (14), including the end of an extramarital affair with Meriem, a younger colleague; the demise of his thirty-year marriage to Médée, whom he still loves; his estrangement from his grown children and his siblings; and his leave from his career as a renowned brain surgeon and medical school professor. Ismaïl focuses on three areas of his life, namely, his childhood and the loss of his father; his early years as a married man and a driven medical specialist; and his present existence as a maladjusted, solitary sixty-year-old. For each period, the protagonist recalls a “truth” from that time and re-evaluates it. He sees his childhood as the moment in which his father was inexplicably imprisoned and then died, leaving him, at age ten, as “responsable de tous” (52). His desire to make his mother and family proud of him accompanies this huge loss. Ismaïl next considers his life as a young surgeon, supported by his wife, Médée, and their three children. He realizes that he had misunderstood his ex-wife’s sculpted figurines, which he had dismissed as a mere hobby. Instead, she turned exhibiting and selling her creations into a lucrative business that sustains her after their divorce. Moreover, he concedes that her “étonnante résilience” (127) was exemplary: she graciously shouldered the planning of all birthdays and holidays with family, occasions that he regularly missed, without complaint. In praising Médée’s versatility, Ismaïl confesses that he lacks this quality: “la réalité que son épouse lui avait longtemps épargnée, œuvrant afin de le maintenir au centre d’une vie familiale chaleureuse et unie qu’elle avait pour la plus grande partie assumée seule” (110). Ismail’s realization of his ex-wife’s steadfastness helps him understand why his adult son and daughter sided with their mother upon learning of their father’s adultery. As the protagonist gains a new understanding of his former wife as well as of his grown children, he also revisits his early promises to his mother, not only to become a brilliant doctor, but also to provide the best medical care for Jawad, his autistic younger brother. Ismaïl again recognizes his shortcomings because Jawad never received any treatment for his autism. The protagonist provided minimal support through monthly checks that he sent to his sisters for their brother’s wellbeing. Thus, through the protagonist’s reassessment of his behavior from childhood on, Dans sa chair reveals his inexperience in functioning autonomously in the world. At each turn, as Ismaïl accepts another painful truth about himself, his quest for the meaning in his life ultimately eludes him. [End Page 210] Jane E. Evans University of Texas, El Paso Copyright © 2022 American Association of Teachers of French

The Aging Surgeon Cohort: Their Impact on the Future of the Specialty.

Achieving technical excellence in surgery can happen at any point of a surgical career. The accumulation of wisdom brought by the aging surgeon's decades of experience, however, can only come with time and practice. With the accumulated life and professional experience obtained, aging surgeons can still contribute a valuable perspective/point of view to young trainees and colleagues. This article reviews the current literature of the aging surgeon and suggests strategies for how aging surgeons can use their expertise in an innovative fashion to train and develop the future legacy of the specialty.

Editorial introductions.

Editorial introductions.

Antibiotic deprescribing: Spanish general practitioners’ views on a new strategy to reduce inappropriate use of antibiotics in primary care

Background A doctor may recommend that a patient stop an antibiotic course before its scheduled completion time if further treatment may cause more harm than benefit. Objectives This study explores general practitioners’ (GP) opinions about the use of antibiotic deprescribing (AD) in general practice. Methods A cross-sectional, questionnaire-based study answered from February to March 2022. GPs (n = 6,083) affiliated with the largest Spanish scientific society of primary care were invited to participate. The survey included two statements related to use and fourteen views about AD rated by GPs using a 5-item Likert scale. Results Eleven hundred and seven doctors completed the surveys (18.2%), of whom 92.5% (95% confidence interval [CI] 90.8–94%) reported having used the AD strategy in their practice at least once. GPs felt very confident in using a deprescribing strategy in patients with common cold and influenza (97.6% and 93.5%, respectively) but less with acute bronchitis (45.5%); 12.1% (95% CI, 10.2–14.2%) considered this practice harmful to patients. Respondents reported using AD more frequently when they initiated the antibiotic course (96.8%; 95% CI, 95.5–97.7) than when the treatment was initiated by another doctor (52.3%; 95% CI, 49.3–55.3%). However, doctors aged >60 years were more prone to use AD compared with younger colleagues (64.5% vs. 50%; p < 0.005). Conclusion The GPs in this study employ the strategy of AD. Nonetheless, essential differences lie in their views of the way the strategy is used. Further studies are warranted to explore the beliefs behind these perceptions and promote wider use of AD by GPs.

Career Spillovers in Internal Labour Markets

Abstract This article studies career spillovers across workers, which arise in firms with limited promotion opportunities. We exploit a 2011 Italian pension reform that unexpectedly tightened eligibility criteria for the public pension, leading to sudden, substantial, and heterogeneous retirement delays. Using administrative data on Italian private-sector workers, the analysis leverages cross-firm variation to isolate the effect of retirement delays among soon-to-retire workers on the wage growth and promotions of their colleagues. We find evidence of spillover patterns consistent with older workers blocking the careers of their younger colleagues, but only in firms with limited promotion opportunities.

“The Army of Exempts”: Medical Examinations and the Challenges of Mobilization in Civil War Connecticut

“The Army of Exempts”: Medical Examinations and the Challenges of Mobilization in Civil War Connecticut

Emergency medicine residents: Don’t give up!

In this issue of Emergency Care Journal we publish a letter from some young colleagues from CoSMEU (the Italian association of Emergency Medicine, EM).1&#x0D; They express great concern on the several aspects the EM situation in Italy.2 The first issue is the collapse of the Emergency Departments (ED)2,3 caused by crowding/boarding combined with low available resources, particularly regarding EM physicians. The logical consequence is that EM is no longer attractive neither for “older” (indeed, not so much) physicians who are leaving their careers in great number, or “younger” doctors who are not attracted by the EM specialization,4 despite growing available access (up to 1000 training positions) in the recent years. [...]

Surgical basics of cardiac implantable electronic device implantation from skin incision through closure

Implantation of pacemakers is generally considered a"minor intervention". Younger colleagues obtain their skills from experienced ones; ideally not just over the course of one or two interventions under surveillance but until a certain level of confidence is achieved. In Germany, certification is still optional. The German Cardiology Society (DSC, "Deutsche Gesellschaft für Kardiologie") provides expertise courses to obtain basic knowledge of pacemaker therapy; the GCS/GSCVS has been offering certification modules since 2013 to acquire fundamental knowledge from experts and basic technical skills by simulator training. The present article illustrates the major aspects of pacemaker implantation procedures and some avoidable pitfalls.

Global experts for historic towns: Leonardo Benevolo and Giorgio Lombardi’s contributions to UNDP/UNESCO Andean region programme

ABSTRACT Italy’s policies for the protection of historical cities in the 1960s and early 1970s met with great praise from European countries and institutions at the time of their implementation. In the following decades, they became a model for architects and planners worldwide and particularly for large international organizations. This article focuses on the international dissemination of Leonardo Benevolo's work during the 1970s, identifying three defining moments: the 1976 UN Habitat Conference, the meetings organized in the framework of the 1975 European Year of Architectural Heritage, and, notably, the consulting work for UNDP/UNESCO carried out in Latin America by Benevolo and his younger colleague, Giorgio Lombardi. In this context, one specific facet of Benevolo's approach emerges: the idea that preserving historic districts constitutes an integral component of the modern city development. The article provides insights into how Benevolo’s approach to the preservation of historical centres was received, manipulated, and used by international agencies, local experts, and institutions in Latin America.

Fusion between 3D transthoracic echocardiography and computed cardiac tomography: A novel diagnostic approach in congenital heart disease

Cardiac ultrasound has remained the primary tool for diagnostic and surgical decision-making for congenital heart disease (CHD). With recent developments in fusion imaging especially between CT and 3D echocardiography, previously described in percutaneous tricuspid annuloplasty and left atrial appendage closure, we obtain more information from combined images. Our aim is to study the feasibility and the added preoperative input and educational value of CT/3D-US fusion in prospective cohort of CHD patients more specifically in double outlet right ventricle, where a biventricular repair approach may need delicate preoperative analysis in order to achieve the best result. We prospectively included 25 patients (median age: 5 years) with mild to complex CHD, who underwent cardiac CT and 3D transthoracic echocardiography as part of their pre-operative or follow-up evaluation at our centre. We included three complete atrioventricular canal, three transposition of the great arteries, two congenitally corrected transposition of the great arteries with VSD and pulmonary stenosis, seven double outlet right ventricle, three truncus arteriosus, two tetralogy of Fallot, three Sinus Venosus ASD, one multiple VSD and one congenitally abnormal aortic valve. Time for completing fusion process and the quality of fusion between CT and 3D-US were noted. Educational value was evaluated by fellows. Fusion was successful in all patients with median fusion quality scored 4/5. The median time to complete the fusion process was 735 seconds [628–1163] regardless of the cardiopathy complexity. Landmarks were significantly modified in complex congenital heart disease. Educational value was scored by fellows (C: No-Little value; B: Intermediate value; A: Major value) ( Fig. 1 ). Using Fusion modatily is feasible for everyone with little knowledge. The simultaneous visualization of intracardiac structures with fusion helps better understand anatomical relations of atrioventricular valves with outlets and helps young fellows in pediatric cardiology better visualize intracardiac repair and familiarize with congenital heart disease. Fusion technique can be routinely applied to patients regardless of their age and weight.

The Formation of the Early Petrine Military Elite: Belgorod Razryad Voivodes

This article examines some aspects underlying the formation process of the early Petrine military elite referring to the careers of three military leaders who advanced to higher positions in the late seventeenth century (A. S. Shein, B. P. Sheremetev, and Prince Ya. F. Dolgorukov). They were almost the same age, their starting positions were comparable, and they climbed up the career ladder in voivodeship traditional for the aristocracy differently, depending on the circumstances and the political situation that seriously affected their careers. Referring to a considerable amount of new archival material and synthesising the latest historiographic information, the author demonstrates the influence of the political crisis of 1682 on their career trajectories. Also, the author examines the differences in their life paths at the initial stage of the Russian-Turkish war of 1686–1700, the acquisition of diplomatic experience by B. P. Sheremetev and Ya. F. Dolgorukov during these years; and their participation in the Azov campaigns. The author reveals the uneven nature of Ya. F. Dolgorukov’s career, as he received the boyar rank much later than his younger colleagues. The author notes not only the commanding but also the outstanding administrative merits of the voivodes, whose appearance as part of the military-political elite was, among other things, a reflection of the objective process of a generational change. The author concludes that the most significant step in their acquisition of military leadership and the military organisational experience was the leadership of the Belgorod razryad – the largest unit of Russia’s field army in the second half of the seventeenth century and the most significant military administrative district, most closely involved in the “great wars” of Russia in the second half of the seventeenth century.

Work Conditions of Italian Nurses and Their Related Risk Factors: A Cohort Investigatory Study.

(1) Background: Nursing is a satisfying employment pathway, as nurses preserve lives, but it is also considered one of the most stressful care professions. Nursing is a lifesaving and highly satisfying profession, yet it is considered one of the most stressful occupations. This study aimed to assess differences in anxiety, depression and stress states among nurses according to gender, work history, shift and body mass index (BMI) characteristics. (2) Methods: An online questionnaire was addressed to all Italian nurses during May 2022, investigating anxiety, depression and stress conditions according to the Depression, Anxiety and Stress Scale-21 Items (DASS-21) and sampling characteristics, such as sex, work experience, shift and BMI values. (3) Results: A total of 408 Italian nurses answered the questionnaire. Significant differences between the following were reported: anxiety levels and work experience, since nurses employed over 6 years reported higher anxiety levels than their younger colleagues (p = 0.035); depression levels and sex (p = 0.017), as females reported higher depression levels than males; and also between depression levels and BMI levels (p = 0.003), as 5.90% of overweight and 2.50% of obese participants reported extremely severe depression. By considering stress levels according to sampling characteristics, significant differences were registered according to BMI levels (p < 0.001), as overweight subjects reported higher stress levels (7.40%) than the other subgroups. Finally, significant associations were recorded between anxiety, depression and stress conditions with sex, work experience, shift and BMI. (4) Conclusions: The data were in agreement with the current literature, indicating that nurses might take care not only of their patients but also of themselves, in both the physical and mental aspects.

Mental Health Status of Teachers During the Second Wave of the COVID-19 Pandemic: A Web-Based Study in Bangladesh.

BackgroundFollowing the outbreak of the COVID-19 pandemic, the government of Bangladesh implemented strict non-therapeutic measures, i.e., “social distancing,” “lockdown,” “work from home,” in the first quarter of 2020. Like other professionals, teachers at schools, colleges and universities were confined within households. However, the introduction of online education imposed an additional burden on teachers along with growing household responsibilities, thus, affecting their psychological state.AimsThis study was aimed to explore the prevalence of mental health problems among teachers in Bangladesh and to identify the associated risk factors.MethodsThis web-based cross-sectional study was conducted during the second wave of COVID-19 pandemic in Bangladesh. Data were collected from 381 teachers working at schools, colleges, and universities between 01 August and 29 August 2021 by administering a self-reported e-questionnaire using Google Form, where the mental health of teachers was assessed by depression, anxiety, and stress scale. Data were analyzed using IBM SPSS Statistics (Version 26) and STATA Version 16, and multiple linear regression was executed to predict mental health problems among teachers.ResultsThe findings indicate that the overall prevalence of depression, anxiety, and stress among teachers was 35.4%, 43.7%, and 6.6%, respectively. The prevalence was higher among male and older teachers than among their female and younger colleagues. The findings further showed that place of residence, institution, self-reported health, usage of social and electronic media, and fear of COVID-19 significantly influenced the mental health status of teachers.ConclusionIt is strongly recommended that the government and policymakers provide proper mental health services to teachers in order to reduce mental health problems and thus sustain the quality of education during and after the pandemic.

Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology.

Ultrasound (US) is widely used as a fast and cost-efficient first-choice imaging technique without relevant side effects for a variety of diagnostic tasks. Due to technical advances, more complex and sophisticated methods such as color-coded duplex ultrasound, image fusion, contrast-enhanced ultrasound (CEUS), and ultrasound-guided interventions have become increasingly important in diagnostic algorithms. This study presents an overview of all aspects regarding the establishing of an interdisciplinary US center based on five representative examples in Germany. These aspects include topics of ultrasound education, research, economics, and administration. The goal of an interdisciplinary US center is to bundle the use of equipment, staff, rooms, and infrastructure resources (optimization of equipment availability and use of new techniques) to expand the range of examinations, to promote resident training, and to boost continuing medical education of residents. This should result in better patient care and has additionally improved patient care while considering the added value for the participating institutions involved. Interdisciplinary US centers allow a reduction of the number of US devices needed in a hospital and more efficient use of available equipment through bedside time optimization by central organization within interdisciplinary management. The focused application of special US techniques such as CEUS or image fusion for complex, difficult interventions as well as the training and education of younger colleagues in using these techniques is centrally organized by experts and can be improved through the multidisciplinary experience available. Organizational structures, sharing of materials, and standardization of diagnostic reports facilitate and accelerate cooperation with the referring specialty. · Interdisciplinary US centers foster clinical collaboration, research, and jointly organized, standardized training.. · Economic aspects include optimization of available equipment, use of the latest US techniques, and centralization of organizational structures.. · Common terminology and standardized reporting increase the satisfaction of referring doctors. · Clevert DA, Jung EM, Weber M et al. Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology. Fortschr Röntgenstr 2022; 194: 1322 - 1332.

PROFESSOR ANGELESCU’S GUIDE

Predecessors in the Romanian School of Microbiology established several golden guidelines for the clinical integration of the microbiology laboratory, the clinical rationale behind the infectious disease patients, and the antibiotic administration. However, without a determined mind to continue, strengthen, and nurture the work they have undertaken, professors Ion Cantacuzino, Victor Babes, and Matei Bals' expertise would have vanished [1-3]. Professor Angelescu proved to be the ideal individual right when he was most needed, determined to carry on their legacy, to further advance antibiotic knowledge, and a patient, father-like figure to his younger colleagues. He answered the invitation to become a leading authority at a time when advances in the science of antibiotics had doctors puzzled. The "Angelescu’s Guide" was intended to be a lifeline for what would soon become one of the major challenges of the twenty-first century: antibiotic resistance in delicate clinical settings. Actual, achievable strategies for the care of an infectious illness patient are provided below, as are pertinent research recommendations for younger and fresher medical minds. Keywords: Professor Mircea Angelescu, Antibiotic Use and Abuse, Antibiotic Guidelines, Medical Writing, Clinical and Laboratory Medicine

Adoption Of Formalized Mentoring Among Academic Staff in Selected Nigerian Universities

The study investigated how mentoring is being adopted and practiced among academics in three universities in Edo State, Nigeria. A survey research design was used. A structured questionnaire was administered to 459 academic staff across the three universities in Edo State. The data collected were analysed using descriptive statistics and the Binomial test. The study finds that mentoring though not formalized was widely practiced in universities in Edo State. Both senior and junior lecturers agreed that mentoring was very important in teaching the younger colleagues how to better perform their jobs. Given the above findings, the study recommends that universities in Edo State should as a matter of necessity formalize the adoption of mentoring among academic staff thus giving it institutional support to make it more effective with measurable outcomes. Also, a mentoring programme of universities should be structured in a way that would incorporate the uniqueness of the different areas of specialization in advancing mentees' career development.