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Council Recommendations (council + recommendation)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

The complexity of formulating diets for zoo animals: a matrix

INTERNATIONAL ZOO YEARBOOK, Issue 1 2005
S. Crissey
The nutrition matrix presented here identifies a variety of factors that need to be considered when formulating diets for wild animals in captivity. The matrix is designed to be adapted so that it can be customized as required. Food consumption, nutritional requirements, health status and management constraints and opportunities are the four main categories to focus on when developing diets. Each of these categories may, in turn, be affected by other factors. (1) Food consumption is affected by the diet offered, client (zoo animal manager, keeper or veterinarian) wishes and animal preferences. (2) Nutritional requirements are defined by known species requirements and National Research Council recommendations, morphology and feeding ecology. Nutritional requirements may also be influenced by season, life-stage, activity, health status, stress and body temperature. (3) Health status can be affected by nutritional deficiencies or toxicities in the diet offered. Certain health conditions may require specific dietary input. (4) Animal-management protocols, such as housing, breeding opportunities and environment, are affected by other animals, food storage and preparation capacity, and feeding regime, which, in turn, can be affected by training, exercise and enrichment. [source]

Training the trainers: do teaching courses develop teaching skills?

MEDICAL EDUCATION, Issue 8 2004
Joyce Godfrey
Objective, This paper reports on consultants' self-assessed changes in their teaching and training practices over an 8,10-month period. It compares the changes between a group undergoing a 3-day teaching course (participants) and a sample group taken from the course waiting list (controls). Method, A questionnaire listing 18 teaching skills was given to the participants immediately prior to the course and 8,10 months later, and to the controls at the same time intervals. Respondents were asked to rate their ability, frequency of use of each skill, as well as their teaching confidence and effectiveness. Additionally, the second questionnaire asked respondents to identify changes they had made to their teaching. A total of 63% (54) of participants and 51% (23) of controls completed both questionnaires. Changes of 2 + on the rating scales were seen as genuine. The number of such changes was calculated for each individual and on each skill for the 2 groups. Data were analysed using a Mann,Whitney U -test. Results, The majority of course participants reported positive changes in teaching ability on a significantly greater number of skills than did the control group. As a group, changes in ability in 16 of the teaching skills were significantly greater for the participants than for the controls. Increased ability resulted in participants' increased frequency of use of only 4 of the teaching skills. The majority in the participant group reported changes to their teaching. Only a minority in the control group reported such changes. These changes were consistent with course topics and the teaching skills needed to meet General Medical Council recommendations for the education of new doctors. Conclusions, The teaching course is an effective vehicle for increasing consultants' teaching skills. [source]

Clinical practice guidelines for the management of acute limb compartment syndrome following trauma

ANZ JOURNAL OF SURGERY, Issue 3 2010
Christopher J. Wall
Abstract Background:, Acute compartment syndrome is a serious and not uncommon complication of limb trauma. The condition is a surgical emergency, and is associated with significant morbidity if not managed appropriately. There is variation in management of acute limb compartment syndrome in Australia. Methods:, Clinical practice guidelines for the management of acute limb compartment syndrome following trauma were developed in accordance with Australian National Health and Medical Research Council recommendations. The guidelines were based on critically appraised literature evidence and the consensus opinion of a multidisciplinary team involved in trauma management who met in a nominal panel process. Results:, Recommendations were developed for key decision nodes in the patient care pathway, including methods of diagnosis in alert and unconscious patients, appropriate assessment of compartment pressure, timing and technique of fasciotomy, fasciotomy wound management, and prevention of compartment syndrome in patients with limb injuries. The recommendations were largely consensus based in the absence of well-designed clinical trial evidence. Conclusions:, Clinical practice guidelines for the management of acute limb compartment syndrome following trauma have been developed that will support consistency in management and optimize patient health outcomes. [source]

Source Zone Natural Attenuation at Petroleum Hydrocarbon Spill Sites,I: Site-Specific Assessment Approach

GROUND WATER MONITORING & REMEDIATION, Issue 4 2006
Paul Johnson
This work focuses on the site-specific assessment of source zone natural attenuation (SZNA) at petroleum spill sites, including the confirmation that SZNA is occurring, estimation of current SZNA rates, and anticipation of SZNA impact on future ground water quality. The approach anticipates that decision makers will be interested in answers to the following questions: (1) Is SZNA occurring and what processes are contributing to SZNA? (2) What are the current rates of mass removal associated with SZNA? (3) What are the longer-term implications of SZNA for ground water impacts? and (4) Are the SZNA processes and rates sustainable? This approach is a data-driven, macroscopic, multiple-lines-of-evidence approach and is therefore consistent with the 2000 National Research Council's recommendations and complementary to existing dissolved plume natural attenuation protocols and recent modeling work published by others. While this work is easily generalized, the discussion emphasizes SZNA assessment at petroleum hydrocarbon spill sites. The approach includes three basic levels of data collection and data reduction (Group I, Group II, and Group III). Group I measurements provide evidence that SZNA is occurring. Group II measurements include additional information necessary to estimate current SZNA rates, and group III measurements are focused on evaluating the long-term implications of SZNA for source zone characteristics and ground water quality. This paper presents the generalized site-specific SZNA assessment approach and then focuses on the interpretation of Group II data. Companion papers illustrate its application to source zones at a former oil field in California. [source]