Automated MRI Volumetric Analysis in Patients with Rasmussen Syndrome

Abstract The LIS educators need adequate and accurate knowledge of information to enhance effectiveness as well as productiveness of their teaching profession, most especially as a result of the emergence of ICT in library and information studies. In line with this, knowledge sharing practice for knowledge retention and growth was investigated among the LIS educators in Akanu Ibiam Federal Polytechnic Ebonyi State. A simple random sampling technique was used to select 32 respondents who represented the sample size for the study. Data was obtained through the use of a structured questionnaire. Frequency counts, percentages, means, standard deviations and PPMC were used for data analysis. Findings revealed that 68.8% of the respondents were male and 31.3% female, 59.4% were Senior Lecturers and 65.6% were between ages 40 to 49 years. Majority (87.5%) of the respondents shared professional knowledge and exchange research knowledge and out-put, while 78.2% shared knowledge for career development. On the other hand, 100%, 90.6%, and 59.4% were not sharing knowledge relating to family issues, experiences, methods of teaching and ICT related issues. However, 100% of the respondents realised the importance of knowledge sharing in their department as they shared knowledge during departmental meetings, seminars, workshops, interpersonal interaction and also encouraged their students to share knowledge among themselves. Sharing knowledge with colleagues improved knowledge retention of the respondents (93.8%), and Knowledge sharing built their assimilation skills (78.2%). Furthermore, 87.5% of the respondents were able to apply the knowledge gained from interaction with their colleagues to their professional routine. This built the growth of their information acquisition, confidence and ability to withstand educational related activities, including the respondents’ productivities in teaching and research output (68.7%). Disinterest to get engaged in debate sessions about the specialized fields of Library and Information Science (68.8%) and lacked of cooperation among the faculty members, dissimilarity of the level of knowledge and experience between the faculty members (62.5%) is affecting their knowledge-sharing practice. PPMC revealed that knowledge sharing significantly (

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien\u2013Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9\ub72 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4\u20137) and 7 (6\u20138) days respectively (P < 0\ub7001). There were no significant differences in rates of readmission between these groups (6\ub76 versus 8\ub70 per cent; P = 0\ub7499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0\ub790, 95 per cent c.i. 0\ub755 to 1\ub746; P = 0\ub7659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34\ub77 versus 39\ub75 per cent; major 3\ub73 versus 3\ub74 per cent; P = 0\ub7110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients