The heart of the matter: a teacher's self-study of the emotional curriculum in the foundation phase.

M. Ed. University of KwaZulu-Natal, Durban 2014.The focus of this self-study research was on understanding and attending to the emotional curriculum in my practice as a teacher within the Foundation Phase (grade 1-3). Taking a humanistic perspective in my study allowed me to understand the emotional curriculum as a process of attending to the inter-related emotional, academic and social needs of learners. The „heart of the matter‟ was a recurring metaphor, representing learners‟ and teachers‟ emotions, as well as heart-full teaching and learning. As the central research participant, I retraced and re-examined my own personal history and created strategies to facilitate the emotional curriculum in my grade 3 classroom. 23 grade 3 learners were also participants in the study. My critical friends, my fellow Master of Education (MEd) self-study researchers, participated by providing support and advice. I used the personal history selfstudy method to recall significant instances that shaped my personal and professional development. I used artefact retrieval, journal writing, memory drawing and family storytelling to assist me in remembering key experiences. Three main themes arose from my personal history narrative: a) affection, warmth and care; b) attentiveness and special awareness; and c) motivation and positivity. These themes offered me initial ideas that I extended in implementing the emotional curriculum. The developmental portfolio method enabled me to account for the enactment of the emotional curriculum. Through deep reflection into the implementation of the heart-full teaching and learning, three significant themes arose: a) heart-full communication; b) careful observation and special attention; and c) relationships. Through this self-study research, I became aware that there is a need for learners to obtain not only academic support at school, but also the emotional support that was mostly lacking in my own schooling, but that I did receive at home. This selfstudy research has made me realise that many learners experience emotional difficulties at school and at home and that they require assistance in learning to express and deal with these challenges. The emotional wellbeing of learners is the heart of education

Diagnostic and modeling of elderly flow in a French healthcare institution

One of the highest priorities in the French health care system is to deal with the continuous growth of the percentage population older than 65 years, expected to reach 31% in 2030. This development poses enormous challenges to the operations of the health care system, especially, related to elder patients. The elderly flow in the hospital services is typically uncertain and subject to variations on the length of stay in each stage and on the path or sequence of stages followed by the patient. For that reason, we propose to model the patient flow in a hospital as a continuous-time Markov chain with an absorbing state representing the elderly discharge from the hospital. Three Markov chains are provided with different levels of details and computation complexity. The first model called aggregated provides a prediction of the length of stay per service, the second model called Coxian provides a reliable prediction of the total length of stay, and the third model called detailed provides a prediction of the length of stay per class of elderly. A classification of elderly based on multiple correspondence technique is considered before the application of the third model. Our models are fitted with the data collected from Roanne Hospital, a typical French health care structure

Posterior Reversible Encephalopathy Syndrome in Pediatric Hematologic- Oncologic Disease: Literature Review and Case Presentation

How to Cite This Article: Arzanian MT, Shamsian BSh, Karimzadeh P, Kajiyazdi M, Malek F, Hammoud M. Posterior Reversible Encephalopathy Syndrome in Pediatric Hematologic-Oncologic Disease: Literature Review and Case Presentation. Iran J Child Neurol. 2014 Spring 8(2):1-10.ObjectivePosterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiological disease entity, which is represented by characteristic magnetic resonance imaging (MRI) findings of subcortical/cortical hyperintensity in T2-weighted sequences. It is more often seen in parietaloccipital lobes, and is accompanied by clinical neurological changes. PRES is a rare central nervous system (CNS) complication in patients with childhood hematologic-oncologic disese and shows very different neurological symptoms between patients, ranging from numbness of extremities to generalized seizure.In this article, we will review PRES presentation in hematologic-oncologic patients. Then, we will present our patient, a 7-year-old boy with Evans syndrome on treatment with cyclosporine, mycophenolate mofetil (MMF) and prednisone, with seizure episodes and MRI finding in favour of PRES. References1. De Laat P, Te Winkel ML, Devos AS, Catsman-Berrevoets CE, Pieters R, van den Heuvel-Eibrink MM. Posterior reversible encephalopathy syndrome in childhood cancer. Ann Oncol 2011;22(2):472-8.2. Siebert E, Spors B, Bohner G, Endres M, LimanTG. Posterior reversible encephalopathy syndrome in children: radiological and clinical findings - a retrospective analysis of a German tertiary care center. Eur J Paediatr Neurol 2013;17(2):169-75.3. Lucchini G, Grioni D, Colombini A, Contri M, De Grandi C, Rovelli A, et al. Encephalopathy Syndrome in Children With Hemato-Oncological Disorders Is Not Always Posterior and Reversible. Pediatr Blood Cancer 2008;51:629–33.4. Kim SJ, Im SA, Lee JW, Chung NG, Cho B, Kim HK. Predisposing Factors of Posterior Reversible Encephalopathy Syndrome in Acute Childhood Leukemia. Pediatr Neurol 2012;47(6):436-42.5. Endo A, Fuchigami T, Hasegawa M, Hashimoto K, Fujita Y, Inamo Y , et al. Posteriorreversible encephalopathy syndrome in childhood: report of four cases and review of the literature. Pediatr Emerg Care 2012;28(2):153-7.6. Won SC, Kwon SY, Han JW, Choi SY, Lyu CJ. Posterior Reversible Encephalopathy Syndrome in Childhood with Hematologic/Oncologic Diseases. J Pediatr Hematol Oncol 2009;31(7):505-8.7. Legriel S, Pico F, Azoulay E. Understanding Posterior Reversible Encephalopathy Syndrome. Annual update in intensive care and emergency medicine. Springer; 2011.P.631-653.8. Malbora B, Avcı Z, Donmez F, Alioğlu B, Alehan F, Alehan F, et al. Posterior reversible leukoencephalopathy syndrome in children with hematologic disorders. Turk J Hematol 2010;27(3):168-76.9. Komur M, Delibas A, Arslankoylu AE, Okuyaz C, Kara E.. Recurrent and atypical posterior reversible encephalopathy syndrome in a child with hypertension. Ann Indian Acad Neurol 2012;15(3):208-10.10. Dzudie A, Boissonnat P, Roussoulieres A, Cakmak, Mosbah K, Bejui FT, et al. Cyclosporine-Related Posterior Reversible Encephalopathy Syndrome After Heart Transplantation: Should We Withdraw or Reduce Cyclosporine?: Case Reports. Transplant Proc 2009;41(2):716-20.11. Fuchigami T, Inamo Y, Hashimoto K, Yoshino Y, Abe O, Ishikawa T, et al. Henoch-schönlein purpura complicated by reversible posterior leukoencephalopathy syndrome. Pediatr Emerg Care 2010;26(8):583-5.12. Incecik F, Hergüner MO, Altunbasak S, Erbey F, Leblebisatan G. Evaluation of nine children with reversible posterior encephalopathy syndrome. Neurol India 2009;57(4):475-8.13. Chandramohan V, Nagarajan VP, Sathyamoorthi MS, Kumar S, Shanmugasundaram C, Periakaruppan G, et al. Posterior reversible encephalopathy syndrome in a child with autoimmune lymphoproliferative syndrome: Case report and review of literature. J Pediatr Neurosci 2012;7(3):221-4.14. Wright KL, Polito MH, French AE. Posterior Reversible Encephalopathy Syndrome: A Case Study. Am J Nurs 2012;112(5):36-40.15. Pedraza R, Marik PE, Varon J. Posterior Reversible Encephalopathy Syndrome: A Review.Crit Care & Shock 2009;12:135-43.16. Morris EB, Laningham FH, Sandlund JT, Khan RB. Posterior reversible encephalopathy syndrome in children with cancer. Pediatr Blood Cancer 2007;48(2):152-9.

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

التجارب النفسية لمرضى فيروس كورونا المستجد-19 : دراسة نوعيّة.

الهدف: تهدف هذه الدراسة الى معرفة التجارب النفسيّة لمرضى فيروس كورونا المستجد-19 خلال فترة وجودهم بأقسام العزل بالمشفى.  مواد البحث و طرائقه: دراسة وصفية ظاهراتية، تمّ جمع البيانات من خلال اجراء مقابلات مع 15 مريض تخرجوا من المشفى بعد تلقيهم العلاج في أقسام العزل. تمّ  اختيار المرضى بطريقة العينة القصدية وعينة كرة الثلج من مشفى الحفة ومشفى تشرين الجامعي باللاذقية في الفترة الواقعة  بين 10 تموز -10 كانون الأول عام 2022. تمّ تحليل البيانات بطريقة (Colizzi). النتائج: حددت نتائج الدّراسة الحالية سبع مجموعات أساسية عكست التجارب النفسية لمرض فيروس كورونا المستجد-19. وهي: الخوف، القلق، الحزن، الاحباط، الشعور بالوحدة، الشعور بالذنب، ونقص تقدير الذات. الخلاصة: عاني مرضى فيروس كورونا من تجارب نفسيّة معقدة خلال فترة وجودهم بالمشفى بقسم العزل، لذلك يجب أن تتضمن خطة العناية بالمرضى تقييم الاحتياجات النفسية للمرضى بشكل مبكر ودقيق، وبالتالي اجراء التداخلات المناسبة لمنع تطور هذه المشاكل الى مستويات خطرة وبالتالي تدهور الحالات وتأخير الشفاء. التوصيات: توصي الدّراسة بالتركيز على الناحية النفسية بالعلاج، و اجراء أبحاث  لتطوير أدوات مناسبة لتحديد المشاكل النفسية للمرضى بدقة ، وبالتالي ايجاد الطرق المناسبة للتعامل مع هذه المشاكل، كما يجب اجراء دراسات  لمعرفة  أثر وفعّالية اجراء برامج تدريبية جديدة على  كفاءة مقدمي العناية في تقديم العناية النفسية الجيدة للمرضى و دورها في تحسين الحالة العامة للمرضى