Are T-Inversions in Chest Leads Always Benign?

Non peer reviewe

Human Computer Interaction Opportunities in Hand Tracking and Finger Recognition in Ship Engine Room VR Training

The research conducted for this paper is an extension of the continuous efforts at the Turku University of applied Sciences to optimize the Maritime Immersive Ocean Technology (MarsISOT) by integrating advanced immersive technologies. This paper reports the integration of hand tracking and finger recognition in the ShipSEVR learning episode. ShipSEVR, part of MarISOT, is a VR Training next generation learning environment focused specifically on ship engines and engine rooms safety procedures. The technology has been designed and developed at Turku University of Applied Sciences for Wärtsilä Land and Sea Academy utilizing latest VR technologies. The delivered learning episode consists of a 3D ship engine room space where trainees are expected to find certain devices and equipment by utilizing the available technical drawings. This enhanced human computer interaction environment reflects to industry requirements the derived after the first version of the technology and its test with industry experts

Gendered Pathways Towards STEM Careers : The Incremential Roles of Work Value Profiles Above Academic Task Values

Peer reviewe

Causes for delay before specialist consultation in head and neck cancer

Background: Head and neck cancers are often diagnosed at a late stage, thus resulting in a generally poor prognosis. This is partly attributable to patients' hesitancy in seeking treatment. However, the length and causes of these patient delays remain relatively unknown. Material and methods: We included all new head and neck cancer patients treated at our tertiary care center between 2016 and 2017. Using a patient questionnaire, we collected data on patients' symptoms and other factors related to seeking medical care, and recorded both patient- and primary health care-related delays. We then compared the data collected from these patients to patient and tumor characteristics collected from hospital records, and analyzed various causes for delay before a specialist consultation to the Department of Otorhinolaryngology - Head and Neck Surgery. Results: Among the patients (n = 142) in our study, the median patient delay was 35 d with 73% of patients seeking medical care within 3 months. In comparison, the median primary health-care delay was 20 d. Certain symptoms influenced patient delay. Hoarseness and breathing difficulties correlated with longer patient delay while patients with a lump on the neck had a shorter delay. Patient delay was associated with certain tumor-related factors such as the tumor site and the presence of regional metastases, which resulted in shorter patient delay. None of the patient-related factors appeared to impact delay. Important factors influencing primary health-care delay included the initial location visited and whether any follow-up visit was scheduled or not. Conclusions: Although most patients sought medical advice without a major delay and were adequately referred, we found that long delays existed. Raising awareness of the symptoms of head and neck cancer among general population and health-care providers is probably the best way to get patients to curative treatment without delay.Peer reviewe

Academic well-being and smoking among 14-to 17-year-old schoolchildren in six European cities

It is well established that poor academic performance is related to smoking, but the association between academic well-being and smoking is less known. We measured academic well-being by school burnout and schoolwork engagement and studied their associations with smoking among 14- to 17-year-old schoolchildren in Belgium, Germany, Finland, Italy, the Netherlands, and Portugal. A classroom survey (2013 SILNE survey, N = 11,015) was conducted using the Short School Burnout Inventory and the Schoolwork Engagement Inventory. Logistic regression, generalized linear mixed models, and ANOVA were used. Low schoolwork engagement and high school burnout increased the odds for daily smoking in all countries. Academic performance was correlated with school burnout and schoolwork engagement, and adjusting for it slightly decreased the odds for smoking. Adjusting for socioeconomic factors and school level had little effect. Although high school burnout and low schoolwork engagement correlate with low academic performance, they are mutually independent risk factors for smoking. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of The Foundation for Professionals in Services for Adolescents.Peer reviewe