Using National Measures of Patients' Perceptions of Health Care to Design and Debrief Clinical Simulations

This article describes an innovative approach to using national measures of patients' perspectives of quality health care. Nurses from a regional simulation consortium designed and executed a simulation using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to prepare nurses to improve care and, in turn, enhance patients' perceptions of care. The consortium is currently revising the reporting mechanism to collect data about specific learning objectives based on national quality indicator benchmarks, specifically HCAHPS. This revision reflects the changing needs of health care to include quality metrics in simulation

Peningkatan Penguasaan Konsep Siswa Melalui Pembelajaran IPA Terpadu Berbasis Masalah Berbantuan Mind Map

The purpose of this study was to examine the impact of Problem Based Learning aided mind map on student' mastery of Acid Rain concepts. A quasi experimental research design with a pre-test and post-test control group, which was selected from seventh graders, was used in this study. A total of 76 seventh graders in Bandung at the second-semester of the academic year 2014 /2015 participated in the study. One class (39 students) as experimental group were taught using the Problem Based Learning aided mind map while one other class (37 students) as control group used the Problem Based Learning. The results showed: 1) Student mastery of acid rain concepts in control group increased by 32.2%, 2) Student mastery of acid rain concepts in experimental group increased by 75.6%, 3) There are significant differences (p = 0.000) between the experimental group and control group in improving students' mastery of Acid Rain concepts. Results of this study indicate that Problem Based Learning aided mind map could be helpful in improving students' mastery of Acid Rain concepts

Ursinus College Bulletin Vol. 12, No. 1, October 1895

A digitized copy of the October 1895 Ursinus College Bulletin.https://digitalcommons.ursinus.edu/ucbulletin/1108/thumbnail.jp

The effect of adipose-derived stem cell sheets and CTGF on early flexor tendon healing in a canine model

Oral History interview of Curt Sawyer. Interview conducted by Robin Dunn

The Utility Of The Pectoralis Myocutaneous Flap In The Management Of Select Cervical Esophageal Anastomotic Complications

AbstractObjective: The majority of cervical esophageal anastomotic complications can be successfully managed nonoperatively. A small group of patients may have anastomotic strictures or leakage and fistula formation that are chronic and resistant to nonoperative therapy. The purpose of this study was to review our experience with the use of the pectoralis myocutaneous flap to treat these patients. Methods: Since April 1992, four patients have undergone pectoralis myocutaneous flap repair of cervical esophageal anastomotic complications at our institution. Two patients had chronic strictures, one patient underwent prophylactic repair with a pectoralis myocutaneous flap to prevent stricture formation, and one patient had a chronic anastomotic fistula. The pectoralis myocutaneous flap was harvested in the standard fashion. The technique of anastomotic repair is described. The medical records were retrospectively reviewed to determine patient characteristics and our results. Results: Two suture line leaks developed: one small, contained leak required no intervention, and the other resolved with cervical drainage. Pneumonia, seroma at the site of the pectoralis myocutaneous flap donor, transient hoarseness, and partial skin graft loss occurred in one case each. There were no deaths. Hospital stay ranged from 12 to 22 days. A good functional result was obtained in three patients. Conclusion: Our results show that pectoralis myocutaneous flap repair of select cervical anastomotic complications is safe and well tolerated even in patients with complicated problems. (J Thorac Cardiovasc Surg 1998;115:1250-4

An Analysis of the Cross Section of Returns for EREITs Using a Varying-Risk Beta Model

A dual-beta asset pricing model is employed to examine the cross-section of realized equity real estate investment trust (EREIT) returns over bull and bear markets. No significant relationship is found between EREIT returns and a constant beta. However, beta explains cross-sectional returns when betas are allowed to vary across bull markets. This positive relationship exists for both January and non-January months. During bear-market months, no significant relationship is found between REIT betas and returns. But, during such months, size and book-to-market ratio are found to be negatively related to returns

The Relationship Between Size and Return for Foreign Real Estate Investments

In this study, we utilize a relatively new database to examine whether small foreign real estate firms have higher returns than large foreign real estate firms. We examine this issue from the perspective of a U.S. investor who forms portfolios of international real estate firms on the basis of U.S. dollar market value of equity. Using eleven years of foreign real estate data for more than 1200 observations in twenty countries, we find that large firms have higher returns and lower risk than small firms. These results hold when returns are denominated in either local currency or dollars. Further, the relationship between firm size and return is monotonic across portfolio groupings

Deciphering Psychological-Physiological Mappings While Driving and Performing a Secondary Memory Task

An autonomic space model of sympathetic and parasympathetic influences on the heart has been proposed as a method of deciphering psychological-physiological mappings for driving-related tasks. In the current study, we explore the utility of the autonomic space model for deciphering mappings in a driving simulation environment by comparing a single-task driving-only condition to two dual-task, driving-with-a-secondary-workingmemory task conditions. Although limited by a small sample size, the results illustrate the advantages physiological measures can have over performance measures for detecting changes in the psychological process required for drivingrelated task performance. Future research will include a repetition of this same study with more subjects as well the collection of on-the-road autonomic nervous system data