bluuebunny/crossref_metadata_2025_split huggingface dataset:
170 Demonstrating Innovation Through the Skills Hub Initiative
Authors: Humphreys Melanie , Coulton Scott 
Published: January 2022

In April 2020, Birmingham City University played a key role in the local response to the coronavirus pandemic by providing essential skills training to student nurses, existing National Health Service (NHS) staff who were returning to practice and staff being redeployed to critical care areas. The University’s action saw the rapid development, and delivery of a logistical plan involving staff mobilization, collaboration, skills mapping and prioritization of clinical service needs. Over 2,000 clinicians, including our own students, received a far-reaching training programme covering eight key skills needed to take on frontline NHS roles in the fight against COVID-19. The programme was innovative, sustainable and all risks to patients were eliminated, as the learning took place within the University’s state-of-the-art simulation facilities.Our aim was to design and deliver a rapid skills development centre that could train a core mass of staff facing redeployment to the standard required to work, competently and confidently, within the teams on the frontline NHS.The rapid development was a huge challenge, involving identifying an essential cohort of staff from the Faculty of Health who were willing and able to deliver such a wide range of clinical skills. Each skill was risk assessed and a COVID-19 lead was identified within the team. We ensured all essential personal protective equipment (PPE) was available and that social distancing could be assured, including reducing the number of students in a room at any one time. This was particularly challenging as it increased the teaching time required exponentially.This was a difficult time globally, and the University’s action led to the demonstration of outstanding courage and commitment to care towards the community we serve. While the public was being urged to stay at home, our staff were constructing a Skills Hub to deliver in-person with personal risk. The Estates and Facilities team worked to create a one-way system throughout the complex building. The University worked closely with the skills teams in local NHS Trusts, especially University Hospitals Birmingham, to ensure the skills taught were in line with Trust requirements, and that the training would have the biggest impact in supporting patient care. The Skills Hub team worked tirelessly and in collaboration to ensure the efficacy of development and the safe delivery of the programme. The Skills Hub continues to operate as a huge success, proving sustainability, whilst continuing to provide an integral part of curriculum achievement for all healthcare students.
156 Practice Made Perfect: The Evolution of an LVAD Algorithm Through Clinical Simulation
Authors: Gamble Brigitte 
Published: January 2022

In total, 70% of patients implanted with a left ventricular assist device (LVAD) will experience a life-threatening emergency within the first year of implantation Develop and introduce an emergency algorithm that provides a standardized approach to LVAD patient emergencies.Increase staff confidence, competence and clinical decision-making.Use simulation to facilitate and enable staff to solve complex problems using standardized assessment and management while ensuring transparency and equitable treatment in situations of rapid clinical deterioration.The LVAD Simulation and Algorithm project commenced through the trial of an out-of-hospital algorithm developed by Bowles that was adapted for in-hospital use. Direct feedback from staff attending low-fidelity ward-based simulations was used to consistently develop and adjust the algorithm from a three-page flowchart to a single page (Practice made perfectSimulation has proved to be essential in developing this innovative, unique, patient safety tool that has increased staff confidence and competence throughout the organization while providing a safe place for clarifying questions. The single-page algorithm continues to be practised via simulation weekly with an ever-increasing multi-disciplinary presence. Staff report increased confidence not only in dealing with LVAD emergencies but also in their ILS and ALS skills, all of which increase safety, quality care for patients. This one of a kind algorithm is now finalized and awaiting organizational review, following which a complete evaluation of its effectiveness will be conducted.
118 Simulation for Novice Anaesthetists: Addressing Training Gaps Created by a Global Pandemic
Authors: Frost Emily , Starnes Samuel 
Published: January 2022

It is well documented that the COVID-19 pandemic is having a huge impact on doctors in training. Much of novice anaesthetists’ training is delivered during high turnover, elective theatre lists of low-risk patients The aim of the study was to create a trust-wide high-fidelity simulation course for novice anaesthetists, focussing on confidence building and preparation for on-calls, together with clinical and non-technical management of specific anaesthetic complications.A pre-course questionnaire aided a learning needs analysis and informed the learning objectives. Poor confidence due to lack of training was a common theme. Issues identified included limited case numbers, exposure to common emergencies and difficulty progressing to more distant supervision. Using a standardized scenario authoring platform (IRIS) we collaborated with a multi-professional faculty group to design a 1-day simulation course. To ensure an authentic learner experience, scenarios were designed for delivery in a high-fidelity simulation suite using Laerdal SimMan3G with LEAP software. Familiar clinical equipment, such as a Datex Ohmeda anaesthetic machine, was used and access to typical cognitive aids provided to mirror a real theatre environment.Initially, participants prepared for an anaesthetic induction following standard operating procedures, including performing the World Health Organisation Surgical Safety Checklist. They then carried out this uncomplicated induction with the assistance of a trained Operating Department Practitioner. This aided in embedding good clinical practice and promoted patient safety. A second scenario followed, during which an emergency unfolded. The group observed each scenario through a video link and contributed to a consultant-led debrief. To assess course impact participants completed post-course questionnaires. Confidence universally improved after the course. Every attendee found the course useful and was highly likely to recommend it to a colleague. For several participants, this provided their first experience carrying out an emergency anaesthetic induction without direct supervision. In this setting, simulation has been used as a valuable tool to supplement clinical exposure where there were significant barriers to traditional training methods. We intend to further develop this course to become an integral part of novice anaesthetic training within our trust.
91 Can ‘Pop-Up’ Style Simulation Teaching Improve The Care That Our Children and Young People’s Emergency Department Team Provide for Children Presenting with Fever?
Authors: Collins Sandra , Arulampalam Nirmala , Dunn Helena , Thorpe Emma 
Published: January 2022

We wanted to use simulation teaching to improve our multi-disciplinary team’s (MDT) management of children who presented to our Children and Young People’s ED (CYPED) with fever.The aims of the study were: first, to use simulation teaching to train the MDT in our CYPED, to improve the care delivered to children presenting with fever, measured as an improvement in our compliance with the Royal College of Emergency Medicine’s (RCEM) standards For cycle one of our audits, we looked at a sample of 136 children who presented to our CYPED with fever; 61 patients met the inclusion criteria and were included. To improve compliance to the RCEM standards Staff’s self-rated knowledge of the RCEM standards ‘Pop-up’ style simulation teaching can be used to improve the care that we offer our patients, as reflected by an improvement in staff’s confidence and in the department’s compliance with RCEM standards
142 The College of Anaesthesiologists of Ireland Return to Work Programme: An Innovative Approach to Support Trainees’ Well-Being and Patient Safety on Return to Work
Authors: Wall Vincent , McMahon Aisling , Moran Louise , Condon Eilis , Burlacu Crina 
Published: January 2022

Within the 6-year Specialist Anaesthesiology Training (SAT) programme overseen by the College of Anaesthesiologists of Ireland (CAI), there is now an option for trainees to take up to 12-month unaccredited professional or personal leave after years 2 and 4. There is also a cohort of trainees taking academic leave, maternity leave or other leave. There is growing recognition in the CAI and among other Training Bodies that returning to work following a period of absence can be daunting. It requires a comprehensive support package to help with the readjustment to the clinical and training environment, and rebuild confidence A CAI steering group was convened to design a Return to Programme (RTP) support package, with the following objectives:
To develop a strategy for managing a return to anaesthesia following a period of absenceTo provide a blended content learning package aiming to ease SAT back into the clinical environmentTo rebuild confidence with/among the peers in a safe simulation environmentTo improve trainees’ well-being and patient safety by refamiliarization with anaesthesia guidelines and emergency algorithmsIt has been agreed that the RTP syllabus must reflect all eight domains of the Irish Medical Council (IMC) domains of Good Professional Practice, as in the following: Patient Safety and Quality of Patient Care; Relating to Patients; Communication and Interpersonal Skills; Collaboration and Teamwork; Management (including Self-Management); Scholarship; Professionalism, and Clinical Skills The lectures have been recorded and embedded in the CAI e-learning platform. A list of simulation scenarios reflecting the most common anaesthesiology emergencies has been selected and tailored towards the needs of the destination training sites and experience level. A first course will take place prior to trainees recommencing their clinical role in July 2021. On successful evaluation, it is aimed to conduct the RTP every 6 months going forward.
36 Assessing the Acutely Deteriorating Patient: Adaption from Face-to-Face to Remote Simulation, in Response to the Restrictions of COVID-19
Authors: Prew Jessica , Boal Hayley , Jones Emma , Williamson Samantha , Gleeson Joe , Coia Fiona , Ross Kevin 
Published: January 2022

COVID-19 has undeniably impacted on learning for medical students, and one of their main concerns was the need for more course material when universities had to abruptly halt medical student placements due to social distancing restrictions. Our team had planned to have face-to-face simulation teaching with second-year medical students, focussing on the essential topic of A-E assessment and management of an acutely deteriorating patient. However, at short notice, we had to adapt this to an entirely online curriculum as a result of COVID-19 measures.The overall aim of the novel session was for students to virtually assess the simulated patient, manage any issues they found and use their examination and investigation findings to formulate a diagnosis and management plan. The presentation of the patient focussed on core conditions such as sepsis and hypoglycaemia.We developed an innovative 2-hour online teaching session designed to be delivered to a group of eight second-year medical students, facilitated in an online capacity over Microsoft Teams. The session ran as follows: using a flipped-classroom approach, the students had been given reading material about the A-E assessment to read prior to the teaching, so we started by discussing this and clarifying key points. Then the facilitator explained how the session would run and briefed the students about the scenario in the style of an SBAR (Situation, Background, Assessment, Recommendation) handover. Following this, students took turns to direct the simulated doctor through the A-E assessment of a low-fidelity simulation mannikin, instructing the doctor of any examinations, interventions or investigations they would like. The facilitator guided the students through the scenario, providing necessary examination findings and investigations for students to interpret and act on. Equipment such as oxygen devices, airway adjuncts and blood bottles were demonstrated to the students throughout.This session was an integral part of our second-year students’ 5-week virtual clinical placement. It was very well received; 95% (n = 21) of students strongly agreed or agreed that the session helped their learning. 90.5% strongly agreed or agreed that they enjoyed the use of technology-enhanced learning. Aspects specifically highlighted in the feedback were interactivity and being able to visualize the assessment of an acutely unwell patient. With online teaching likely to remain an important part of medical education, we have found that remote simulation is a suitable and effective way to introduce the assessment of a deteriorating patient.
71 Step by Step: A Three-Step Approach to Faculty Development
Authors: Sumera Agnieszka , Henderson Helen , Ballard Ian 
Published: January 2022

The Clinical Skills and Simulation Centre (CSSC) at Edge Hill University (EHU) was opened in September 2019 to enhance and standardize simulation-based education across all programmes in the Faculty of Health, Social Care and Medicine. Before the CSSC opened, academic staff had not received any formal guidance in using simulation-based education. With the impact of the pandemic, a three-step blended simulation faculty development approach was created to assist and support faculty in their understanding and in the delivery of simulation The aim of the study was to enhance, encourage and standardize the use of simulation-based education through the delivery of a three-step faculty development programme.The following are the three-step approach to faculty development:
The introduction of simulation sessions is specifically designed and focussed on the newly appointed academic faculty and is embedded in the staff induction programme.Writing simulation scenarios, drop-in sessions are run once a month and are available to all academics from the faculty. They focus on designing and writing simulation scenarios.Shadowing and feedback. At this stage, faculty are offered support during their simulation session. The experienced simulation facilitator leads the first part of the event with the faculty member running the second part supported by the facilitator observing and providing feedback after the session.The evaluative methods included two approaches, quantitative incorporating Likert questionnaires, for evaluations, and qualitative focus groups, for faculty. Approximately 1700 student and faculty evaluations were obtained, and seven faculty members participated in the focus groups. These were obtained and conducted between June 2020 and August 2021.Evaluations are obtained from students and from faculty who are involved in the sessions. In addition, ethical approval has been obtained to carry out focus groups to identify the challenges and benefits that faculty have found in delivering simulation. Feedback from the evaluations and the focus groups were very positive. Examples include:The simulation team have been extremely supportive and always are. It makes my role so much easier and I appreciate all their hard work.We had 450 students over a fortnight, everyone worked so hard and were very supportive, especially to staff who had not facilitated simulation for some time.Data from June 2020 to August 2021The session:
Was beneficial for my learning, 87.74%Archived the learning outcomes, 91.37%Did the session meet your expectations? 87.32%We will continue to offer a blended approach and, from August 2021, a 1-day simulation facilitation programme will be offered to potential adjunct clinical faculty.
ENTOMOFAUNA MINERA LISTA NA DENDROFLORI ZELENIH POV RŠINA URBANIH PROSTORA BOSNE I HERCEGOVINE
Authors: Dimić Nenad 
Published: January 2022

U posljednjih nekoliko godina,lisni mineri na biljkama urbanih područja pokazuju sve veći značaj.
Istraživanjem je obuhvaćeno 276 drvenastih vrsta (drveće, grmlje, penjačice), koje je trajalo u kontinuitetu od 1958. Do sada su lisni mineri potvrđeni na 188 vrsta (68,12%) drvenastih biljaka. 252 vrste lisnih minera su prikupljene i naučno obrađene, uglavnom iz reda Lepidoptera (197 vrsta ili 78,17%). Nešto više od desetine potvrđenih lisnih minera (28 vrsta odnosno 11,11%) pripada redu dvokrilaca, 18 vrsta (7,14%) redu Hymenoptera i samo 9 vrsta (3,57%) u redu Coleoptera. Najveći broj lisnih minera naseljava biljke iz rodova: Quercus (29), Betula (26), Malus (24), Alnus, Primus i Salix (svaki po 21), Crataegus (20). itd.
DEBLJINSKA RASPODJELA ZAPREMINE I ZAPREMINSKOG PRIRASTA JEDNODOBNIH ZASADA CRNOG BORA (PINUS NIGRA ARN.) NA KARBONATNIM SUPSTRATIMA U BOSNI
Authors: Ibrahimspahić Aida 
Published: January 2022

UDK 630*5:582.475(497.6)
U Bosni su tokom dužeg vremenskog perioda podignuti brojni zasadi crnog bora (Pinus nigra Arn.). Provedena istraživanja proizvodnih karakteristika pokazala su da se u predmetnim zasadima nalazi i dalje proizvodi znatna količina drveta. Strukturna izgrađenost i kvalitet stabala još su nepoznati te je kao cilj ovog rada postavljeno utvrđivanje debljinske raspodjele zapremine i zapreminskog prirasta ovih zasada. Rezultat ovog rada pokazaće koja su stabla u zasadima glavni nosioci zapreminskog prirasta, a koja nosioci zalihe pri određenim starostima zasada i uslovima staništa. Pored toga, dobijeni rezultat pružiće orijentacionu sliku debljinske raspodjele očekivanog prinosa na osnovu koje se, pored ostalog, utvrđuje kvalitet i vrijednost prinosa, osnovnog proizvoda šumarstva u drvetu.
ISPITIVANJE ŠTETNOSTI MOLJCA MINERA LISTA DIVLJEG KESTENA CAMERARIA OHRIDELLA DESCHKA & DIMIĆ 1986, (LEP. LITHOCOLLETIDAE) NA PODRUČJU SARAJEVA
Authors: Dautbašić Mirza 
Published: January 2022

UDK 595.78:582.746.56(497.6 Sarajevo)
U ovom radu je ispitivana štetnost C. ohridella na oglednim površinama u području Sarajeva. Analiza je obavljena na osnovu direktnih šteta na listovima divljeg kestena. Utvrđivana je površina koju zauzimaju mine na listu. To je rađeno na potpuno formiranim minama iz kojih su eklodirali leptiri. Uzorak za mjerenje su sačinjavale izmiješane mine svih generacija zajedno, ukupno 130 mina. Veličina mina (dužina, širina i površina) je mjerena pomoću milimetarskog papira. Istovremeno je mjerena (nije procjenjvana) ukupna površina liske radi tačnog izračunavanja procenta larvenog oštećenja lisne površine.
NEKI KORELACIJSKI ODNOSI IZMEÐU SVOJSTAVA PUPOVA, CVIJETA I SJEMENA DIVLJE TREŠNJE (Prunus avium L.) IZ POPULACIJE MRKOVIĆI
Authors: Ballian Dalibor , Čabaravdić Azra 
Published: January 2022

UDK 634.232:311.16(497.6 Sarajevo)
Statističkom korelacijskom analizom nekih svojstava pupova, cvijeta i sjemena divlje trešnje pokušali smo utvrditi stupanj njihove povezanosti.
Ovim istraživanjem smo željeli utvrditi zavisnost između duljine i debljine cvjetnih pupova, sa jedne strane, dužine i širine cvijeta i broja cvjetova u gronji, s druge strane, te dužine, širine i debljine sjemena na trećoj strani. Dobiveni rezultati nam omogućavaju da napravimo procjenu obilnosti cvjetanja, te procjenu veličine sjemena a na temelju toga i ploda, što može igrati veliku ulogu kod podizanja sjemenskih plantaža ili kod selekcije divljih trešanja po svojstvu proizvodnosti ploda.
VOLUMNI UDIO VIŠEREDNIH DRVNIH TRAKOVA U STRUKTURI DEBLA I GRANA OBIČNE BUKVE (Fagus silvatica L.)
Authors: Gurda Safet , Bajrić Muhamed 
Published: January 2022

UDK 674.031.632.2:582.632.2
U ovom radu prezentirani su rezultati istraživanja o:

varijacijama volumnog udjela višerednih drvnih trakova unutar debla bukve i
varijacijama volumnog udjela višerednih drvnih trakova unutar normalnog i tenzijskog drveta grana.
UTVRÐIVANJE BONITETNE DISPOZICIJE STANIŠTA IZDANAČKIH ŠUMA BUKVE NA PODRUČJU KANTONA SARAJEVO
Authors: Balić Besim , Lojo Ahmet , Ibrahimspahić Aida 
Published: January 2022

UDK 630*54:582.632.2(497.6 Sarajevo)
U radu je predstavljen metodski pristup utvrđivanja bonitetne dispozicije staništa izdanačkih šuma bukve na području Kantona Sarajevo.
Kao primarna naučna građa poslužili su podaci premjera izdanačkih šuma bukve na ovom području koji su obavljeni u toku 2005 i 2006 godine. Za izravnanje visina testiran je veći broj funkcija koje najbolje simuliraju razvojne tendencije sastojina. Izračunate srednje vrijednosti visina po debljinskim stepenima izravnate su primjenom Chapman- Richardove funkcije koja u odnosu na ostale testirane funkcije daje najprihvatljivije izravnanje i najbolje statističke parametre. Istom funkcijom izravnata je gornja i donja granica variranja visina ( H ± t × Sh ).Na taj način je utvrđen pojas ukupnog variranja visina koji je podijeljen na pet jednakih dijelova koji predstavljaju relativne bonitetne klase. Tako je za svaku sredinu bonitetne klase utvrđen matematički model za procjenu boniteta staništa. Nakon toga, utvrđen je matematički model za izračunavanje parcijalnih relativnih boniteta za svaki par izmjerenih ili izračunatih podataka (D1,3 i H ili Ds i Hs).
UTICAJ ISPRUŽENOSTI NIVELETE ŠUMSKIH KAMIONSKIH PUTEVA NA TROŠKOVE GRADNJE
Authors: Bajrić Muhamed , Sokolović Dževada , Pičman Dragutin , Potočnik Igor 
Published: January 2022

UDK 630*38:625.725
630*38:657.471
Pri izboru tehničkih elemenata šumskih kamionskih puteva projektantima stoji na raspolaganju lepeza mogućih vrijednosti, od minimalnih tehničkih elemenata do onih za koje se može reći da predstavljaju optimalne tehničke elemente. Minimalni tehnički elementi su naročito pogodni u teškim planinskim terenima, jer omogućavaju uklapanje trase puta u teren. Ovakav šumski kamionski put zahtijeva najmanje finansijskih sredstava za gradnju. Ali, s druge strane, eksploatacija ovakvog puta je otežana zbog velikog broja horizontalnih i vertikalnih krivina sa minimalnim radijusima, kao i zbog velikog uzdužnog nagiba nivelete.
Gornja granica unutar intervala tehničkih elemenata šumskih kamionskih puteva jeste biranje što povoljnijih tehničkih elemenata, bez obzira na terenske karakteristike. Za povoljnije tehničke elemente šumskog kamionskog puta potrebni su viši troškovi gradnje, i to zbog većeg obima zemljanih radova.
Veliki uticaj na obim zemljanih radova, a time i na troškove gradnje šumskog kamionskog puta ima položaj nivelete u odnosu na prirodni teren. Značajne prednosti eksploatacije puta sa što ispruženijom niveletom nameću za potrebu analizu uticaja ispruženosti nivelete šumskog kamionskog puta na troškove gradnje.
KATEGORIZACIJA ŠUMA PREMA NJIHOVOJ NAMJENI
Authors: Beus Vladimir 
Published: January 2022

UDK 502/504:630*4(497.6)
630*1:502/504(497.6)
Prema namjeni izdvojene su različite kategorije šuma, često neprecizno definirane, u nekim slučajevima nelogične, čak apsurdne. Među ovim je i kategorija
«zaštitne šume». Pojam «zaštitne šume» uobičajen je u šumarskoj nauci i praksi a čest je i u svakodnevnoj upotrebi od strane laika. Pri tome se, u mnogim slučajevima, pod ovim pojmom podrazumijevaju različite karakteristike i uloge odnosno značaj šuma.
Nejasnoće i nepreciznosti u ovom pogledu karakteristične su i za odredbe Zakona o šumama.
Međutim, pojam «zaštitne šume» u kontradikciji je sa postulatima šumarske nauke i polivalentnim značajem šuma. S ovim u vezi, postavlja se pitanje značenja odnosno opravdanosti izdvajanja kategorije «zaštitne šume».
U ovom radu se razmatra postojeća praksa izdvajanja «zaštitnih šuma», odnosno općenito kategorizacije šuma s obzirom na njihovu namjenu. Obrazlaže se drugačiji pristup ovom pitanju i daje nova kategorizacija šuma s obzirom na njihovu namjenu.