211 research outputs found
Transport 2040 : Impact of Technology on Seafarers - The Future of Work
https://commons.wmu.se/lib_reports/1091/thumbnail.jp
ANTENATAL CARE EQUITY & SOCIAL EQUALITY FOR WOMEN WITH FEMALE GENITAL MUTILATION (FGM) IN SCOTLAND: A MULTI-STAKEHOLDER VIEW
This thesis describes a case study of an NHS Scotland antenatal care pathway for women with female genital mutilation (FGM), and includes recommendations for the field of antenatal FGM management. Over the last decade, reports of substandard antenatal FGM management from a rapidly growing population of affected women have increased demands for just and equitable healthcare. Consequently, in 2015, a health board in the central belt of Scotland established a multidisciplinary FGM management programme. To determine the impact of this programme on antenatal care equity and social equality for women with FGM its guidelines, interviews with community midwives (CMWs), FGM specialists, and women with FGM were conducted. The findings were analysed using critical communicative methodology (CCM). The findings on the development, organisation, and delivery of the pathway demonstrate the transformative impact of multidisciplinary resources for FGM management and support on equitable antenatal care access when embedded into routine antenatal policies and practices. The findings also show how the absence of robust monitoring and evaluation processes enables contested practices and limits care equity for non-pregnant women with FGM. Novel contributions of this study link social and emotional FGM training to reciprocal improvements in confidence, trust, and communication between CMWs and women with FGM. FGM specialists who empower women to advocate for themselves and their relationship with the practice of FGM are also found to be central to the delivery of sensitive, relevant, and person-led antenatal care. Furthermore, the interdisciplinary implications of this study offer relevant insight for research, development, and service provision beyond Insight. Most notably, until unjust educational and financial health system policies are challenged, experiences of unresolved intersectional discrimination will continue to disproportionately disadvantage migrant women with FGM
Systematics and Diversity of Annelids
In this Special Issue, we address the state of the art of the systematics of the main annelid groups and the improvements in the diversity they hold, with special emphasis on the latest discoveries in well-studied areas, expeditions to unsurveyed areas or environments, or the use of novel techniques that allow for the improvement of biodiversity knowledge. We are hoping that this Special Issue will provide a platform facilitating a review of current knowledge on the subject, identifying current research problems, as well as indicating directions and research trends for the future
Soft liver phantom with a hollow biliary system
Einleitung: Die flexible Endoskopie bietet eine ständig wachsende Zahl innovativer diagnostischer und therapeutischer Möglichkeiten bei hepatobiliären Erkrankungen. Diese fortschrittlichen Verfahren, die mitunter komplex und gar nicht so selten mit relevanten Komplikationen verbunden sind, erfordern spezielle technische Fertigkeiten, ein profundes anatomisches Wissen und eine lange Lernkurve, die praktisch trainiert werden muss. Für ein patientenunabhängiges Training endoskopischer und endosonographischer Eingriffe sollte ein weiches, naturgetreues und langlebiges Leberorganmodell mit detaillierter Morphologie zur Verfügung stehen. In dieser Arbeit wird ein praktikables und kostengünstiges selbst hergestelltes weiches Lebermodell mit anatomisch korrektem Gallensystem vorgestellt.
Methode: Mit Hilfe von 3D-Druck- und Weichstoffformungstechnologien wurde ein nahezu realistisches Lebermodell mit einem komplexen, hohlen Gallensystem hergestellt. Die Anatomie des Lebermodells wurde mittels Computertomographie (CT), Ultraschall und Endoskopie validiert. Nach Aufbereitung und Auswertung der Bildgebung wurden interventionelle transhepatische Eingriffe eingeleitet. Zur Validierung der Trainingseffekte und der individuellen Kompetenz wurde ein genaues Bewertungssystem für den transhepatischen Zugang etabliert.
Ergebnisse: Ein realistisches Lebermodell wurde erfolgreich entwickelt und hergestellt. Die CT-Ergebnisse zeigen, dass das Lebermodell die detaillierte Anatomie wiedergibt, mit einem räumlichen Root Mean Square Error (RMSE) von 0,9 ± 0,2 mm und 1,7 ± 0,7 mm für die äußere Form bzw. den Gallengang. Das endosonographische Bild des Modells ist realistisch und die Dimension der Gallengänge ist konsistent. Die transhepatische Punktion der Gallengänge war durchführbar und ein elektronisches Abtastsystem zur quantitativen Lokalisierung der transhepatischen Nadel in Echtzeit war erfolgreich möglich.
Schlussfolgerung: Das vorgestellte künstliche Lebermodell für das endoskopische und endosonografische Training kommt der Realität einer normalen Leber sehr nahe, ist kostengünstig, einfach zu reproduzieren und für die Serienproduktion geeignet. Mit dem elektronischen Sensormodul lässt sich der Trainingserfolg objektiv kontrollieren. Neben der transhepatischen Punktion könnten an diesem Modell weitere Eingriffe trainiert werden, wie z. B. endoskpischen retrograden Cholangiopankreatographie (ERCP), perkutane transhepatische Cholangiographie oder choliangiographische Drainage (PTC/PTCD), perkutane holedochofiberoskopie (POC), endoskopische ultraschallgeführte biliäre Drainage (EUS-BD)
Maine State Government Administrative Report 1988-1989
https://digitalmaine.com/me_annual_reports/1015/thumbnail.jp
2022-2023 academic catalog
This annual catalog from the University of South Carolina Upstate includes an academic calendar, general information, admissions information, financial information, student affairs details, and more
Maine State Government Administrative Report 1989-1990
https://digitalmaine.com/me_annual_reports/1016/thumbnail.jp
Emerging technologies and their impact on regulatory science
There is an evolution and increasing need for the utilization of emerging cellular, molecular and in silico technologies and novel approaches for safety assessment of food, drugs, and personal care products. Convergence of these emerging technologies is also enabling rapid advances and approaches that may impact regulatory decisions and approvals. Although the development of emerging technologies may allow rapid advances in regulatory decision making, there is concern that these new technologies have not been thoroughly evaluated to determine if they are ready for regulatory application, singularly or in combinations. The magnitude of these combined technical advances may outpace the ability to assess fit for purpose and to allow routine application of these new methods for regulatory purposes. There is a need to develop strategies to evaluate the new technologies to determine which ones are ready for regulatory use. The opportunity to apply these potentially faster, more accurate, and cost-effective approaches remains an important goal to facilitate their incorporation into regulatory use. However, without a clear strategy to evaluate emerging technologies rapidly and appropriately, the value of these efforts may go unrecognized or may take longer. It is important for the regulatory science field to keep up with the research in these technically advanced areas and to understand the science behind these new approaches. The regulatory field must understand the critical quality attributes of these novel approaches and learn from each other's experience so that workforces can be trained to prepare for emerging global regulatory challenges. Moreover, it is essential that the regulatory community must work with the technology developers to harness collective capabilities towards developing a strategy for evaluation of these new and novel assessment tools
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