bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transnasal Endoscopic Resection of Pediatric Orbital Cyst: “How I do it”
Authors: Ma Jingying , Huang Zhenxiao , Zhou Bing 
Published: January 2018

Background An orbital cystic lesion is a common orbital disease and has classically been approached via external incision. The introduction of endoscopic surgery has revolutionized the management of sinus and skull base disorders. Similarly, endoscopic techniques have been increasingly used to access intraorbital lesions with excellent outcomes, especially in pediatric patients. Objective We described, in detail, the surgical technique of the endoscopic approach to treat a pediatric orbital cyst. Results The cyst was completely resected, and the patient quickly recovered without any complication. Conclusion The transnasal endoscopic surgical approach can be safe and effective for pediatric patients with orbital lesions. Use of this approach is based on the surgeon's experience and progressive instrumentation.
Endoscopically Assisted Crawford Tube Placement Results in Shorter General Anesthesia Times in Pediatric Patients
Authors: Dobberpuhl Mitchell R. , Timoney Peter J. , Comer Brett T. 
Published: January 2018

Background Crawford tube placement is commonly used to achieve patency of nasolacrimal ducts for epiphora secondary to nasolacrimal duct obstruction. The nasal passages of pediatric patients are narrower than adults, and the result is a relatively higher risk of intranasal complications (e.g., synechiae, bleeding) with Crawford tube placement. There is evidence that general anesthesia may negatively affect the neurocognitive function and behavioral development of children, which prompts efforts to decrease operation times for potential health benefits and also potentially to reduce health care costs. Analysis ofresearch reports supports the use of nasal endoscopy to reduce intranasal complications with Crawford tube placement; however, no publications currently address the effect of nasal endoscopy concurrent with Crawford tube placement on operative times on pediatric patients or the resulting effects on health care costs. Objective To determine the difference in procedure time and cost between Crawford tubes placed traditionally and those placed with endoscopic assistance in pediatric patients. Methods A chart review was performed from January 1, 2011 to December 31, 2016 for cases using CPT codes 68815 or 31231. Within this group of patients, the patient in whom nasal endoscopy was performed were placed in the “endoscopic” group and the patients without endoscopy were placed in the “traditional” group. Procedure times were noted, and the t-test was performed to examine for any statistically significant difference in operative times. Estimates of anesthesia cost savings were made. We identified 24 patients in the traditional group and 7 patients in the endoscopic group. Results The average operative time for the traditional group was 27.3 minutes compared with 14.0 minutes for the endoscopic group (p = 0.02). The cost comparison data revealed no significant difference with the traditional group averaging $9369 per procedure and the endoscopic group averaging $8891 (p = 0.51). Conclusion An endoscopically assisted Crawford tube placement resulted in patients who had less time under general anesthesia compared with the traditional technique at no difference in cost.
RE-ALIGNING THE SELF: THE NDEBELE WOMAN AND THE INSTITUTION OF MARRIAGE AND FAMILY AS PRESENTED IN NDEBELE MYTHOLOGY
Authors: Siziba L , Wood F 
Published: January 2018

Â This article sets out to discuss the role of the Ndebele woman within the various institutions of Ndebele culture. It analyses the woman within the context of marriage, family and society as a whole. The researchers trace the development of the woman from a pre-colonial context as reflected in the Ndebele myth of creation, through a colonial context as reflected by contemporary mythology as well as by the contemporary roles of women in most societies. It is through mythology, folklore and proverbs in Ndebele traditional and contemporary society that gender roles are prescribed. This is because orature is the bank that houses societyâ€™s history, norms, values and customs. This research therefore investigates the role of the Ndebele woman within the institution of marriage, and within the family structure. It also analyses the presentation of the roles of Ndebele women and men in society, with particular emphasis on domestic and gender roles. In doing so, the article addresses the notion that gender roles did not begin to change during the post-colonial era since that change began in the colonial context and then developed and affected women right through the post-colonial phase. This article reveals this crisis through the juxtaposition of the colonial â€˜Christianâ€™ myth of creation and the Ndebele myth of creation.
PERCEIVED GENDER INEQUALITY REFLECTED IN ZULU PROVERBS: A FEMINIST APPROACH
Authors: Mathonsi N , Mpungose Z 
Published: January 2018

Many scholars have done research about the significance of Zulu proverbs in the society. While most studies have concluded that proverbs play a significant role in instilling positive behaviour in the society (cf. Mathonsi, 2004; Magwaza, 2004, etc.), this paper seeks to show negative emotions (gender inequities) reflected on the some selected Zulu proverbs. Adopting a radical feminist perspective, this paper presents a discussion of Zulu proverbs referring to the role and position of men in the society and those which are associated with women and marriage. The discussion in the article centres around the rigidity of Zulu proverbs vis-Ã -vis prevalent changes in the society
OVERVIEW OF THE ORAL HISTORY PROGRAMME AT THE NATIONAL ARCHIVES OF ZIMBABWE: IMPLICATIONS FOR NATION BUILDING AND SOCIAL COHESION
Authors: Bhebhe Sindiso 
Published: January 2018

This article will aim to give an overview of the development of oral history programme at the National Archives of Zimbabwe since the colonial period to the present. It will look at the strengths and weaknesses of the programme, especially in issues of inclusivity and exclusivity. The article will try to answer Â questions such as whether the programme is national in its outlook or elitist in its approach, serving the interests of few dominant ethnic groups. How it is faring in giving a voice to those marginalised groups of the society will be another issue the article will consider. It will also look at the approaches and methodologies used to collect oral testimonies and how these bear in the long term on preserving and archiving these recorded testimonies. The article will mainly be based on the views made by intervieweeâ€™s who, when interviewed during the oral history programme, made passing statements about the programme. The environment encountered by archivists and the welcome given to them in different communities they visited during oral history exercises will be discussed, especially its implications on the success of oral traditions programme at the National Archives of Zimbabwe. The literature on oral history relating to National Archives of Zimbabwe will be reviewed and a document analysis will be done.
BRICS AND SUB-SAHARAN AFRICA TRADE INTERDEPENDENCE AND PEACE: EVIDENCE BASED ON REVEALED COMPARATIVE ADVANTAGES
Authors: Beyene Hailay Gebretinsae 
Published: January 2018

This study examined economic integration through trade between BRIGS (Brazil, Russia, India, China and South Africa) countries and sub-Saharan Africa. The study examines the comparative advantages of the two economic blocks with respect to the exportation of merchandise (food, agricultural raw materials, fuels, ores and metals, and manufactures). The findings of this study reveal the actual status of these two regions as economic partners in each of the five subsectors of merchandise exports.The Â trend Â shows Â that, Â with Â the Â exception Â of Â manufactures Â exports, the competitiveness of all subsectors of the merchandise Â exports ofÂ BRIGS is characterised by a Â declining Â trend. Â BRIGS has Â a Â comparativeÂ advantage in the world in the exportation of manufactures and fuels, and comparative disadvantage in the export of food, agricultural raw materials, and ores and metals. Â Interestingly, manufactures are Â continuously Â and consistently Â in a steadily rising trend. This is evidence that BRIGS's structural transformation towards higher valued-added commodities is proceeding well, which means that policy makers should be considering ways of enhancing it further.In the case of sub-Saharan Africa,Â with the exception of manufactures exports, it is found to have comparative advantages in all merchandise exports. Sub- Saharan Africaâ€™s competitive advantage is the highest in the exportation of ores and metals, followed by fuels, agricultural raw materials and food. Sub-Saharan Africa has a comparative disadvantage in the export of manufactures throughout the period considered in this study. This implies that the prospects of structural transformation to downstream of the higher value-added commodities export part of the supply chain are good: the slow pace of transformation towards higher value-added goods should therefore be demanding the attention of policy makers. The study has revealed that sub-Saharan Africa is more competitive than BRICS in the exportation of ores and metals, fuel, agricultural raw materials and food. On the other hand, BRICS is more competitive than sub-Saharan Africa in the export of manufactures.The study has also revealed that significant economic integration can be sustained Â between Â BRICS Â and Â sub-Saharan Â Africa Â in Â the Â exportation Â of all merchandise subsectors. Specifically, sub-Saharan Africa is a potential destination market for BRICSâ€™s exports of manufactures. Conversely, BRICS is also a potential destination market for sub-Saharan Africaâ€™s exports of ores and metals, fuel, agricultural raw materials and food.Economic integration between BRICS and sub-Saharan Africa favourably influences peace and stability in the regions. Sustaining peace and stability in these regions also favourably influences the wellbeing of the communities.
De-fuzzification of reflection in the education of health professionals
Authors: Schei Edvin , Fuks Abraham , Boudreau Donald 
Published: January 2018

Our educational institutions are mandated to equip future physicians and other health care professionals with the scientific, craft, and inter-personal knowledge and skills to meet the demands of contemporary clinical practice. Clinicians must acquire advanced communication skills, develop the ability to manage complex situations, make appropriate use of medical knowledge and technology, and problem-solve through the exercise of refined judgment. The ability to reflect in and on situations of this nature is considered a necessary professional aptitude in order to ensure effective and compassionate whole person care. Notwithstanding the general acceptance of these premises, ‘reflection’ remains a fuzzy concept. It is a polysemous term that has proved difficult to define and has attracted to itself numerous false claims and unfulfilled promises. Excellence in reflective abilities is notoriously difficult to recognize in another individual and it may not be ‘teachable’. Furthermore, there have been recurring doubts as to the feasibility of meaningfully assessing reflection.We intend to explore these issues in this session. We will demonstrate how reflection can be role-modeled and inculcated. Instructional Methods This will be an interactive workshop. Learning Objectives By the end of the workshop, participants will be able to:• clarify the concept of reflection and understand its application to the education of health professionals• discuss a framework, including specific methods, for the structuring and deployment of an educational program aimed at promoting reflection.
Whole person care rounds: helping a hospital heal
Authors: Komatsu Glen 
Published: January 2018

Moving the culture of healthcare to embrace healing in addition to curing is a daunting task. Multiple approaches are required. One such approach has been the introduction of quarterly Whole Person Care (WPC) Rounds at our medical center. The Rounds are creatively developed by an interdisciplinary committee and are open to the entire hospital community, including non-clinicians, volunteers and hospice/home health staff. The Rounds have taken on a variety of formats, from panels of providers, panels of patients/family members, mixed panels and interactive workshops. Examples of titles are Mindfulness in the Workplace, Moral Dilemmas in Medicine, Flourishing in the Workplace, Whose Pain Is It, Anyway?, Death Over Dinner (at Lunch), Joy to the (Our) World. The format is a lunch meeting lasting one hour. The emphasis is always on some aspect of healing for patients, families, clinicians, non-clinical staff or volunteers. Mindfulness work is part of every Rounds. The Congress workshop format would allow an introduction of the concept, examples of previous Rounds, video clips of Rounds, feedback from attendees and interactive sample exercises performed with Congress learners accompanied by robust discussion.
Beyond numbers: learning from the experience of kidney-transplant recipients
Authors: Bogue Kerr Stephanie , Soulière Marguerite , Bell Lorraine 
Published: January 2018

The present article presents the findings of a phenomenological study, which sought to explore the subjective experience of kidney transplantation amongst young people who lived the transition from pediatric to adult care. This study was conducted using a qualitative phenomenological approach, involving semi-directed interviews with five people, three of whom received their kidney transplants as children, the other two as young adults. An in-depth analysis of their narratives revealed the paradoxical nature of the kidney transplant experience for these individuals; existing between self and other, sickness and health, and at times, between life and death. The liminal nature of transplantation was found to be an important quality of the experience, thus leading to an analysis of the experience in relation to the theoretical concepts of liminality and rites of passage. This analysis culminates in the introduction of the term transliminal-self, to encompass the complexity of the experience. Finally, the article concludes with a discussion regarding the relevance of the subjective experience for the practice of medical and allied health professionals who work with transplant recipients.
The head start program for women newly diagnosed with breast cancer
Authors: Seely Dugald , Pitman Anne , Ennis Julie , Wilcox Rabia 
Published: January 2018

We present the beneficial impact that our Head Start Program for women newly diagnosed with breast cancer has on participants at the Ottawa Integrative Cancer Centre. While beginning a new world of conventional cancer treatments, our program provides support and guidance at a crucial time of flux in a woman’s life, and addresses the spiritual, physical and mental emotional health of women of all ages, from generation Y through to our elders, who are dealing with a cancer diagnosis.This 6 week program is comprised of workshops, support group sessions and experiential mind body techniques, and is led by a group of therapists skilled in cancer’s psychological and physiological effects.Our research outcome measures of the program to date will be touched upon.
Healing: Toward a practical definition and clinical understanding
Authors: Burley Joseph , McDowell Mary Jane 
Published: January 2018

Healing is included as one of the fundamental goals of medicine. It is a term frequently used in health care but often poorly defined and misunderstood. The purpose of this workshop is to address this problem and will be interactive and discussion driven. We will briefly present a 'working definition' of the concept which will include an outline of the 'realms' of healing work from the diagnostic process through to management and treatment. We will use a case based introduction as a way of demonstrating our understanding of what the healing process entails. We will offer a number of alternate definitions of the term and examine the phenomenology of “lived experience” of illness using the work of Merleau-Ponty, Toombs, Cavel and Cassell and others. Existential issues which lead to the “brokenness” experienced through illness and suffering will be explored. We will open and facilitate a discussion of aspects and methods of healing with the goal being a clear and, to some degree, operationalised understanding of the concept(s) which we hope will be clinically useful and demonstrate the path(s) to “wholeness”. Areas which might be explored in the workshop will include the phenomenology of illness and suffering, the use of the clinician/patient/family relationship as the healing vehicle, intersubjectivity and empathy, the importance of narrative, collaborative and multidisciplinary care, the need to combine objective, empirical (evidence based) knowledge and subjective first person (experiential) knowledge to understand the lived experience of suffering and illness and the methodology of Person Centered and whole person care.
Palliative Care SBAR - A story of forbidden love between SBAR and TWTW with some GRRRR throw in as well
Authors: Jap James 
Published: January 2018

This presentation relates the tale of forbidden love that developed between the Situation - Background - Assessment - Recommendation (SBAR) tool and Te Whare Tapa Wha (TWTW) a New Zealand Maori model of health and wellness that has led to the creation of their love-child - the Palliative Care SBAR.Clinical situations can be thought of as stories that need to be shared between healthcare practitioners at relevant times. Communication of such stories can be difficult if the participants do not have appropriate tools available. The SBAR was originally developed by the United States Navy as a communication tool, but is now widely used in healthcare settings for clinical "hand-off"/hand-overs. TWTW is a New Zealand Maori model of health and wellness first developed by Maori health expert Professor Sir Mason Durie in 1982, and has become widely used by New Zealand Palliative Care teams as it provides a framework for holistic, whole person care provision. The Greet, Respectfully listen, Review, Recommend, Reward (GRRRR) listening model provides a formula for listeners to follow. Intrigued yet? Come along to the presentation to see how a budding raconteur, James Jap, cobbles these disparate story elements together. It will be a bit different. You have been warned…
Exploration of Touch in Faculty of Medicine? Presentation and exploration of touch and perspective in practice
Authors: Lachance Josée , Vinit Florence , Hillion Jacques 
Published: January 2018

In the medical profession, doctors are called in different ways to touch the patient: from the simple handshake to body examinations or sometimes a simple touch of the hand on a shoulder showing support and comforting. Touching does not necessarily mean being in an interpersonal contact of quality with someone. Yet reflection on touch is nearly absent from medical training. This workshop aims to promote awareness of the following: how to touch, feeling the contact with other and being touched ourselves. It is an introductory class on awareness of the elements involved in a quality touch that can confirm the other person in his/her personal integrity and dignity. Awakening the “Sensible” Being (ASB) is a formative practice geared toward care giving and support that includes manual practice. It examines how experiencing one’s own body and its movement stimulates the development of self-awareness and awareness of others, both of which are desirable qualities for healthcare professionals. Through exercises, the participants will be able to explore touch in general and with ASB protocols. We will use also time of reflexivity and of writing about the experience. The workshop will be divided as follows: 1) Introduction: Theorical perspectives and Phenomenology of touch and “being in contact”. 2) Experiential: time in class will be alternating between exploration of different types of touch, interspersed with short writing periods on the lived experience. 3) Conclusion: time to share our lived experiences, and presentation of the results from a research done on ASB (Lachance, 2016).
Having fun with role plays
Authors: Koppe Hilton 
Published: January 2018

Role plays are almost universally loved by educators as a great teaching tool in the medical context, and almost universally hated by students and doctors on training programs, who cite embarrassment and humiliation as key barriers to embracing this teaching technique. “I would rather walk barefoot over hot coals than participate in a role play in front of my colleagues” is not an uncommon response to the suggestion of using role plays in teaching for doctors and medical students. But the good news is that it does not have to be this way! During this fun workshop, Dr. Hilton Koppe will present a number of role play techniques borrowed from psychodrama and adapted for use within the medical context. His use of role plays in teaching has achieved virtual legendary status as a result of the high evaluations they receive from medical students and doctors in training. Workshop attendees will be invited to participate in a number of scenarios which will be used to demonstrate a range of techniques which make the use of role plays both fun, and a highly effective teaching tool. The rationale underpinning these techniques will be outlined.
Nurturing whole person care with nature
Authors: Leach Lynn , Moore Cheryl 
Published: January 2018

As part of our goal to provide Whole Person Care to our residents and families, Stedman Community Hospice is committed to integrating alternative therapies to compliment the more traditional systems of care. Our Horticultural Therapy Program was introduced in the spring of 2011 with the launch of our beautiful therapy garden. This workshop will discuss how we have since developed a comprehensive Horticultural Therapy Program in both a hospice and long-term care setting and how this type of program can benefit residents, families and staff. Discussion will include how to utilize community groups, volunteers and students to achieve and maintain a high standard of program. We hope to inspire other care facilities to embrace horticultural therapy as a means to enhance the level of care for everyone.
Partnering to develop resilience in health professionals and faculty through mindfulness-based education
Authors: Frolic Andrea Nadine , Principi Elaine , Taniguichi Alan , Burgess Ken , Spironello Valerie , Wong Anne 
Published: January 2018

Given the pressures that exist in our health care system, health care professionals often are under significant stress to provide both quality clinical care to patients and quality teaching to their learners. We present an innovative program to develop faculty and health professional skills in reflective practice and resilience, which strengthen participants' ability to act as effective clinicians, educators, role models, and leaders. The basis of the curriculum rests in the neuroscience of mindfulness and its applications. This program was enabled through a unique partnership between acute care hospitals (Hamilton Health Sciences and St Joseph's Healthcare Hamilton), Family Health Teams (McMaster Family Health Team and Hamilton Family Health Team) and the McMaster Faculty of Health Sciences Program for Faculty Development (PFD), with additional funding support in 2013 from the Ontario Ministry of Health and Long Term Care (MOH-LTC). Data from 2013 course participants (validated measurement tools and qualitative feedback) was analyzed to evaluate the effectiveness of this initiative. This poster outlines the journey of this work and a summary of the data gathered to inform further education.