Designing a Library Orientation for First Year Students with Disabilities Through the STEPS Program

Sheridan College is a diploma and degree granting institution with three campuses in the Greater Toronto Area of Ontario, Canada, with an estimated population of 21,000 full-time students. During each academic year, Sheridan Library participates in a variety of orientation sessions for specific faculties, programs and departments. In 2014 the library’s approach to orientation programming changed when it sought to increase its focus on the quality of the first year experience and introduced a First Year Experience Librarian. A ‘First Year Library Team’ was created with representatives from various student-centered departments across the college with the goal of supporting academic skills development. The Accessible Learning department, which works with students who have disabilities, became an active partner in the Library’s creation and re-design of orientation programming. At Sheridan, approximately 2,500 students with disabilities are registered with Accessible Learning. Due to their specific needs, they are offered a unique orientation program called Summer Transition Experience Program at Sheridan (STEPS). STEPS programming includes sessions offered by a variety of services and partners across Sheridan and typically has approximately 60 students attend. This chapter will address the evolution of the partnership between the Library and Accessible Learning, the design of new orientation programming for students with disabilities, as well as successes, challenges and future plans.https://source.sheridancollege.ca/lls_books/1000/thumbnail.jp

Teaching Library and Legal Research Skills to First-Year Law Students : The Role of Library Tours and Exercises

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Midwest Surgical Association Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients

Abstract BACKGROUND: There is a lack of information regarding the safety, complication rate, and cosmetic outcome of oncoplastic breast conserving surgery. The purpose of this study is to evaluate and compare oncoplastic and nononcoplastic procedures. METHODS: A retrospective review was conducted of patients treated with oncoplastic or nononcoplastic lumpectomies. Immediate and long-term complication rates and cosmetic satisfaction were compared. RESULTS: Of the 142 surgeries, 58 were oncoplastic lumpectomies (40.8%). Oncoplastic patients were younger than nononcoplastic patients (60.9 vs 65.2 years, P 5.043). Immediate complications were similar with the exception of nonhealing wounds (oncoplastic 5 8.6% vs nononcoplastic 5 1.2%, P 5 .042). Cosmetic complaints were similar, but fat necrosis was more common in the oncoplastic group (25.9% vs 9.5%, P 5 .009). Time to radiation and number of future biopsies were similar between the groups. CONCLUSION: Oncoplastic lumpectomy is a safe alternative to standard lumpectomy for selected breast cancer patients

Severe upper airway obstruction due to delayed retropharyngeal hematoma formation following blunt cervical trauma

BACKGROUND: We report a case of severe upper airway obstruction due to a retropharyngeal hematoma that presented nearly one day after a precipitating traumatic injury. Retropharyngeal hematomas are rare, but may cause life-threatening airway compromise. CASE PRESENTATION: A 50 year-old man developed severe dyspnea with oropharyngeal airway compression due to retropharyngeal hematoma 20 hours after presenting to the emergency department. The patient also had a fractured first cervical vertebra and was diagnosed with a left brachial plexopathy. The patient underwent emergent awake fiberoptic endotracheal intubation to provide a definitive airway. CONCLUSION: Retropharyngeal hematoma with life-threatening airway compromise can develop hours or days after a precipitating injury. Clinicians should be alert to the potential for this delayed airway collapse, and should also be prepared to rapidly secure the airway in this patient population likely to have concomitant cervical spinal or head injuries