29 research outputs found

    Onboarding Residents in the VCU Obstetric Anesthesia Service

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    Purpose and Background: Onboarding is commonly utilized in the corporate world. It is a process that begins before an employee starts a new position. During the process, the employee is welcomed to their new role, and provided tools and knowledge to be successfully assimilated into his or her position with a quicker ramp-up to productivity1. A structured onboarding process in post graduate training generally occurs before the start of residency2. Once residency is underway there is a wide variety of pre-rotation information that is passed on to the residents. There no published data on onboarding of anesthesia residents prior to the start of the obstetric anesthesia rotation. The obstetric anesthesia rotation offers a unique experience in that the team cares for both mother and fetus. It is not uncommon for a new resident to encounter a medically complex pregnant patient requiring an emergency cesarean delivery at the very start of their rotation. Due to the unpredictable nature of the labor and delivery unit, it requires preparation of the resident prior to beginning their obstetric anesthesia rotation. We developed an online obstetric anesthesia-based onboarding system available on https://rampages.us/obanes/3. Learner Objectives: 1.Review of the importance of an onboarding system in post graduate training. 2.Understand the need for an improve obstetric anesthesia service onboarding system. 3.Discuss planned improvements and future direction for the obstetric anesthesia service onboarding process

    Liberia as a maritime flag state and its economic impact

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    The institutional nature of U.S. hegemony: post 9/11

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    Abstract: A fragmented world of competing states is potentially very unstable. As rival states challenge each other militarily, the outcome will likely generate a very uneven distribution of power. For many observers, the political solidarity and economic prosperity in the post-second world war world would not have been as great without United States (US) leadership. The hegemonic project involves using political and economic advantages gained in a world war to restructure the operation of the world market and interstate system in the hegemon's own image. The United States took the lead in opening markets, protecting allies, and promoting the stability of the non-communist world. Because of this great accomplishment, many people worry about the waning of American global leadership and the seeming unwillingness or inability of other states to step into the role. This research report will aim to provide evidence U.S. Hegemony is nothing to fear because since the end of World War II (WWII). U.S. hegemony has developed a system of complex interdependence that has immensely benefited the core states and the periphery. The security community that was fostered under U.S. hegemony will be the major factor in reducing the chances of great power war and also increasing the chances of peaceful conflict resolution

    Assessment of the suitability of different cassava varieties for gari and fufu flour production in Liberia

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    Open Access Article; Published online: 15 Feb 2020Different cassava varieties are available in Liberia, but there is little knowledge of their product suitability. Hence, the need to assess the potentials of these varieties to produce gari and fufu flour. The two products from ten improved and two local cassava varieties were characterized based on their yield and chemical, pasting and functional properties using standard methods. The results showed that TMS 96/0097 (gari 27.54%) and Butter cassava (fufu flour 27.35%) have the highest percentage yields. The starch content was higher in gari produced from TMS98/0505 (92.00%) and lower from TMS95/0289 (82.62%); the fufu flour starch content was higher in TMS98/0505 (90.59%) and lower in Bassa girl (84.75%). Gari and fufu flour produced from TMS96/0097 (507.38 RUV) and TMS00/0357 (506.04 RVU) had the highest final viscosity, and the products from TMS95/0289 (338.46 RVU and 336.80 RVU) had the least. The highest swelling power was found in gari (12.74%) and fufu flour (13.55%) produced from TMS92/0057 and the lowest in TMS91/0416 gari (8.23%) and TMS01/1235 fufu flour (8.31%). All the samples may form a paste below the boiling point of water (100°C) at < 7 min. However, cassava varieties and the interactions between varieties and locations had a significant (P < 0.05) effect on the properties of the products: Chemical (except ash content), pasting (except pasting temperature) and functional. Therefore, all the varieties may be suitable for gari and fufu flour production based on the quality preferred by the consumers

    Hyponatremia in the intensive care unit: How to avoid a Zugzwang situation?

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    Alhaji G.V. Kromah, Part 2

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    Location: MontserradoRuntime: 5:09:02Hearing Type: Institutional and ThematicCategorized as pertaining to Diaspora, Hearings.The Truth and Reconciliation Commission of Liberi

    The study of the behavior of the Liberian Police Force during the Americo -Liberian Administration, First Republic and up to the administration of the Second Republic

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    The aim and objective of this research was to examine the impact of the Liberian Police force toward its citizens and how that impact developed over time. In addition, this project will explore the police training, police organization, police recruitment and crime control strategies. A questionnaire was developed by the researcher as a data collection method necessary to gather information regarding the attitudes of Liberian citizens toward the Liberian Police Force in terms of crime control strategies, recruitment, training, and police organization. The questionnaire was passed out to a sample of Liberian population residing in Nashville and other locations in the United States. The data was analyzed through the use of several statistical procedures to determine the legitimacy of the hypothesis. After the data was analyzed, the results indicated that age and education were not significant predictors of attitudes toward police practices and procedures in Liberia. The researcher concluded that both eras of policing in Liberia were perceived being ineffectiveness. However, a significant difference was found between females and males, younger and older, in regards to perceptions of police practices by the Liberian Police Force during both eras

    Aqueous Adsorption of Heavy Metals on Metal Sulfide Nanomaterials: Synthesis and Application

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    Heavy metals pollution of aqueous solutions generates considerable concerns as they adversely impact the environment and health of humans. Among the remediation technologies, adsorption with metal sulfide nanomaterials has proven to be a promising strategy due to their cost-effective, environmentally friendly, surface modulational, and amenable properties. Their excellent adsorption characteristics are attributed to the inherently exposed sulfur atoms that interact with heavy metals through various processes. This work presents a comprehensive overview of the sequestration of heavy metals from water using metal sulfide nanomaterials. The common methods of synthesis, the structures, and the supports for metal sulfide nano-adsorbents are accentuated. The adsorption mechanisms and governing conditions and parameters are stressed. Practical heavy metal remediation application in aqueous media using metal sulfide nanomaterials is highlighted, and the existing research gaps are underscored
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