83 research outputs found

    Closing the Industry-University Gap through Web-Supported Course Partnerships

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    This paper discusses a course partnership involving Day & Zimmermann, Inc., a large engineering and professional services company, and Temple University. The course was taught between the months of May and July of 1999 and its main goal was to teach students business process redesign concepts and techniques. These concepts and techniques were used to redesign five real business processes from Day & Zimmermann\u27s information technology organization. Day & Zimmermann\u27s CIO and a senior manager, who played the key role of project manager, championed the course partnership. A Web site with bulletin boards, multimedia components and static content was used to support the partnership. The paper concludes with a set of lessons learned with emphasis on the role of the Web site as an enabler of the course partnership

    Post-bariatric surgery nutritional follow-up in primary care: a population-based cohort study

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    BACKGROUND: Bariatric surgery is the most effective treatment for severe obesity. However, without recommended follow-up it has long-term risks. AIM: To investigate whether nutritional and weight monitoring in primary care meets current clinical guidance, after patients are discharged from specialist bariatric care. DESIGN AND SETTING: Retrospective cohort study in primary care practices contributing to IQVIA Medical Research Data in the UK (1 January 2000 to 17 January 2018). METHOD: Participants were adults who had had bariatric surgery with a minimum of 3 years' follow-up post-surgery, as this study focused on patients discharged from specialist care (at 2 years post-surgery). Outcomes were the annual proportion of patients from 2 years post-surgery with a record of recommended nutritional screening blood tests, weight measurement, and prescription of nutritional supplements, and the proportions with nutritional deficiencies based on blood tests. RESULTS: A total of 3137 participants were included in the study, and median follow-up post-surgery was 5.7 (4.2-7.6) years. Between 45% and 59% of these patients had an annual weight measurement. The greatest proportions of patients with a record of annual nutritional blood tests were for tests routinely conducted in primary care, for example, recorded haemoglobin measurement varied between 44.9% (n = 629/1400) and 61.2% (n = 653/1067). Annual proportions of blood tests specific to bariatric surgery were low, for example, recorded copper measurement varied between 1.2% (n = 10/818) and 1.5% (n = 16/1067) where recommended. Results indicated that the most common deficiency was anaemia. Annual proportions of patients with prescriptions for recommended nutritional supplements were low. CONCLUSION: This study suggests that patients who have bariatric surgery are not receiving the recommended nutritional monitoring after discharge from specialist care. GPs and patients should be supported to engage with follow-up care. Future research should aim to understand the reasons underpinning these findings

    The American Child Welfare System: The Inconspicuous Vehicle for Social Exclusion

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    Ueber die Resorption ungelöster Stoffe durch die Epidermis

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    Ueber das Verhältniss der Oberhaut zur Papillarschicht insbesondere bei pathologischen Zuständen der Haut

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    Juvenile Status Offenses: The Prejudicial Underpinnings of the Juvenile Justice System

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