177 research outputs found

    Engineering Student Belonging To Prevent Early Leavers Through Curriculum Decolonization, Academic Self-Concept, And Psychologically Safe Teamwork

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    The proportion of early leavers from engineering degrees closely follows the higher education sector throughout Europe; around 10% leave before graduation. Students are more likely to drop-out if they do not feel that they belong in the learning community. While research shows that academic achievement is a primary factor contributing to student drop-out, other student-centric social factors, such as belonging are equally important to student drop-out rates within higher education. The aim of this paper is to present a model constructed on student belonging. The model consists of 3 pillars, namely academic self-concept & professional identity, psychologically safe teamwork, and decolonisation. The study was based on the development and continuous refinement of interventions that could assist students with feeling a sense of belonging. While the primary intention of this project is to present a body of work that highlights belonging as a contributing factor that may be pivotal to a student remaining in higher education or dropping out, readers will also learn about how best to support students in gaining a sense of belonging through self-concept, providing safe teamwork and by decolonising the curriculum

    Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

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    Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

    Data_Sheet_1_Exploring the hidden connections between information channel use and pro-environmental behavior among recreational anglers of the shore-based shark fishery in Florida, United States.docx

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    IntroductionShore-based shark fishing in Florida is a relatively low-cost and easy-access fishery which attracts a wide variety of experienced and inexperienced anglers leading to concerns about proper handling methods of captured fish that are released either voluntarily or to comply with regulations. Proper handling methods can help reduce post-release mortality among sharks, many of which are threatened with extinction. Therefore, we considered proper handling methods as a pro-environmental behavior, which has been linked with the use of different information channels to increase conservation knowledge.MethodsWe used data from an online questionnaire to understand where anglers of this fishery obtain information about fishing skills with a particular focus on fish handling techniques and best practices for catch-and-release. Then we included their main information channels in a series of hierarchical regression models with perceived conservation knowledge and support for fishery management to explain pro-environmental behavior regarding shark conservation.ResultsWe found that most anglers learned about shore-based shark fishing through interpersonal communications with friends and family, but typically use the internet to learn more about fishing skills. While information channel use was not significantly associated with pro-environmental behavior, it was significantly associated with support for fisheries management, which in turn was associated with pro-environmental behavior among respondents.DiscussionThese findings can inform public educational outreach efforts to spread awareness of proper handling techniques and reduce instances of post-release mortality in sharks.</p

    Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19