Posterior Shoulder Dislocation due to an Unusual Injury Mechanism

Peer reviewedPublisher PD

Constructing the First Year Experience: Improving Retention and Graduation Rates at a Hispanic-Serving Institution

In 2012, UNM teamed up with the Gardner Institute for Excellence in Undergraduate Education, to conduct a Foundations of Excellence® (FoE) First College Year Self Study addressing student success. As members of the First Year Steering Committee, we invented, coordinated, measured, and documented programs for linking students to the academic experiences and support that were best attuned to their needs

Recent high school graduates support mandatory cardiopulmonary resuscitation education in Australian high schools

Objective: To evaluate recent high school graduates\u27 opinions on mandatory cardiopulmonary resuscitation (CPR) training in the high school curriculum as a solution to improving bystander CPR rates. Methods: Participants completed questionnaires assessing their CPR training history during their high school education, their willingness to learn CPR during their high school years and their opinion on making CPR training mandatory for high school curricula. Results: Of the 178 participants in this study, 60% had undertaken CPR training during their high school education. Of those who had not undertaken CPR training, 75% reported that they would have been willing to learn CPR had they been provided with the opportunity. A total of 97% of participants were in support of mandatory CPR training in high school education. Conclusion: Implementing mandatory CPR training in high school education would be embraced by students. Implications for public health: Findings of this study support our recommendation to implement mandatory CPR training in the high school curriculum. This will likely increase the number of bystanders in the community who would spontaneously administer CPR, thereby improving outcomes for patients experiencing out‐of‐hospital cardiac arrest

Psychosis and Human Rights: Conflicts in Mental Health Policy and Practice

This paper examines conflicts in polices in England and Wales pertaining to the demand for alternative, non-medical crisis support for those experiencing ‘psychosis’. We examine the limitations of current treatment, policy and legislative frameworks in supporting these demands. In particular, we focus on the limitations of prevailing conceptualisations of ‘human rights’, ‘social inclusion’ and ‘recovery’. These concepts, we argue, are embedded within a broader treatment framework which renders medication as mandatory and all other treatment modalities as inherently subsidiary, and a broader policy framework which is complicit with bio-medical orthodoxies of ‘mental illness’ and prioritises treatment compliance and compulsion. Therefore, in order to advance a ‘human rights’ approach to mental health policy, we argue that reigning orthodoxies inherent within policy and practice must be explicitly challenged to open up spaces for the availability of alternatives

Laser Peening to Improve Fatigue Strength and Lifetime of Critical Components1

AbstractFatigue failure is typically driven by component geometric requirements that result in local areas of high tensile loading stress. Within this paper we discuss the deep protective stress generated by laser peening and show examples of using a newly developed finite element predictive strain and stress tool that accurately models laser peening. The analysis tool and robust process enable the accurate engineering of local compressive stress into critical areas of diverse/all(?) ferrous and non-ferrous materials in a well-defined manner that significantly improves fatigue life and strength. This capability opens the potential for advanced designs with increased performance, enhanced reliability and reduced system weight

Learning outside the classroom

Experience is the best teacher -We’ve all heard about immersion, learning by doing, experiential learning. Excursions are an excellent way to involve students in a experiential learning activity. This ideas exchange will explore what students’ learnt on a 2 week study tour program to China

Demographic characteristics of Australian humpback dolphins reveal important habitat toward the southwestern limit of their range

Open Access under Creative Commons by Attribution Licence. Use, distribution and reproduction are un-restricted. Authors and original publication must be credited.ABSTRACT: The paucity of information on the recently described Australian humpback dolphin Sousa sahulensis has hindered assessment of its conservation status. Here, we applied capture-recapture models to photo-identification data collected during boat-based surveys between 2013 and 2015 to estimate the abundance, site fidelity and residence patterns of Australian humpback dolphins around the North West Cape (NWC), Western Australia. Using Pollock’s closed robust design, abundance estimates varied from 65 to 102 individuals, and POPAN open modelling yielded a super-population size of 129 individuals in the 130 km2 study area. At approximately 1 humpback dolphin per km2, this density is the highest recorded for this species. Temporary emigration was Markovian, suggesting seasonal movement in and out of the study area. Hierarchical clustering showed that 63% of individuals identified exhibited high levels of site fidelity. Analysis of lagged identification rates indicated dolphins use the study area regularly, following a movement model characterised by emigration and re-immigration. These density, site fidelity and residence patterns indicate that the NWC is an important habitat toward the southwestern limit of this species’ range. Much of the NWC study area lies within a Marine Protected Area, offering a regulatory framework on which to base the management of human activities with the potential to impact this threatened species. Our methods provide a methodological framework to be used in future environmental impact assessments, and our findings represent a baseline from which to develop long-term studies to gain a more complete understanding of Australian humpback dolphin population dynamics

Developing a clinical pathway for the identification and management of anxiety and depression in adult cancer patients: an online Delphi consensus process

Purpose: People with cancer and their families experience high levels of psychological morbidity. However many cancer services do not routinely screen patients for anxiety and depression and there are no standardized clinical referral pathways. This study aimed to establish consensus on elements of a draft clinical pathway tailored to the Australian context. Methods: A two-round Delphi study was conducted to gain consensus among Australian oncology and psycho-oncology clinicians about the validity of 39 items that form the basis of a clinical pathway that includes screening, assessment, referral and stepped-care management of anxiety and depression in the context of cancer. The expert panel comprised 87 multidisciplinary clinician members of the Australian Psycho-oncology Cooperative Research Group (PoCoG). Respondents rated their level of agreement with each statement on a 5-point likert scale. Consensus was defined as >80% of respondents scoring within 2 points on the likert scale. Results: Consensus was reached for 21 of 39 items, and a further 15 items approached consensus except for specific contextual factors, after 2 Delphi rounds. Formal screening for anxiety and depression, a stepped care model of management and recommendations for inclusion of length of treatment and time to review were endorsed. Consensus was not reached on items related to roles and responsibilities, particularly those not applicable across cancer settings. Conclusions: This study identified a core set of evidence- and consensus-based principles considered essential to a stepped care model of care incorporating identification, referral and management of anxiety and depression in adult cancer patients.This study was funded by Sydney Catalyst Translational Cancer Research Centr

Pre- and Post-Migration Influences on Weight Management Behaviours: Perceptions of African Migrant Women in England

The prevalence of overweight/obesity is high among Black women in England, who also face high risks of pregnancy and childbirth complications. This study explored African migrant women’s perceptions of pre- and post-migration influences on their weight-related behaviours and weight management support during pregnancy. Interviews were conducted with women of child-bearing age from Ghana, Nigeria, and Cameroon (n = 23). Data were analysed using thematic analysis. Four themes were identified: changing dietary behaviours after migration, changing physical activity (PA) behaviours after migration, increased discourse on obesity, and weight management advice and support received. Navigating a new food environment, interactions with other populations in England, and the need to socialise influenced changes in dietary behaviours. Participants considered that living in England ‘makes you lazy’ due to its obesogenic environment, while increased discourses on obesity heightened weight awareness. Women struggled to relate to dietary advice from midwives but found PA advice useful. Relatives provided valuable support but could influence unhealthy weight-related practices. There is a need for interventions addressing gaps in weight management support for these women, especially considering their migrant backgrounds and multicultural identities. Further research is needed to understand their unique challenges, and collaborations with relatives could inform the development of effective weight management interventions

Correspondence between T. Melden, George C. Stokes, and John Shary

Correspondence regarding lot 282, Shary Subdivision between November 1, 1930 and October 15, 1942 between T. Melden, George C. Stokes, John Shary, Pearl Stokes, and attorneys for the United Irrigation Company.https://scholarworks.utrgv.edu/johnshary/1024/thumbnail.jp