Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.
During and after any disaster, a situation report (SITREP) is prepared, based on the Daily Incident Updates (DIU), as an initial decision support information base. It is observed that the decision support system and best practices are not optimized through the available formal reporting on disaster incidents. The rapidly evolving situation, misunderstood terms, inaccurate data and delivery delays of DIU are challenges to the daily SITREP. Multiple stakeholders stipulated with different tasks should be properly understood for the SITREP to initiate relevant response tasks. To fill this research gap, this paper identifies the weaknesses of the current practice and discusses the upgrading of the incident-reporting process using a freely available software tool, enabling further visualization, and producing a comprehensive timely output to share among the stakeholders. In this case, “Power-BI” (a data visualization software) is used as a 360-degree view of useful metrics—in a single place, with real-time updates while being available on all devices for operational decision-making. When a dataset is transformed into several analytical reports and dashboards, it can be easily shared with the target users and action groups. This article analyzed two sources of data, namely the Disaster Management Center (DMC) and the National Disaster Relief Service Center (NDRSC) of Sri Lanka. Senior managers of disaster emergencies were interviewed and explored social media to develop a scheme of best practices for disaster reporting, starting from just before the occurrence, and following the unfolding sequence of the disasters. Using a variety of remotely acquired imageries, rapid mapping, grading, and delineating impacts of natural disasters, were made available to concerned users.
With the development of the new situation, the "00s" have become the mainstream college students in universities, and the "05s" are about to enter universities. The group of college students born in the 2000s has shown ideological characteristics such as high openness, strong self-esteem, strong individualism, active thinking, and weak psychological resilience, which have brought new challenges to ideological and mental health education in universities. At present, it has become a common trend for graduate students in universities to serve as part-time counselors, and the structure of university counselors is generally "a combination of full-time and part-time, with full-time as the main focus, and full-time leading and part-time". As a full-time counselor in a university, I have worked as a part-time counselor during my graduate studies. Based on my personal and practical experience as a part-time counselor, I will consider and study the impact of part-time counselors on the construction of the university counselor team. In order to make the construction of the university counselor team more professional, professional, and diversified, I will propose constructive suggestions.
Employment guidance is an important way for employment education in colleges and universities, and it is also an important educational process. Strengthening the employment guidance in colleges and universities is necessary to alleviate the structural contradiction of employment and serve the talent cultivation of schools, as well as to enhance the employability of college students and serve the growth and success of young students. This paper focuses on the problems of employment guidance in colleges and universities in the new era, and proposes countermeasures to solve them in four dimensions: system construction, precise service, regional coordination and employment capacity enhancement.
Great country craftsmen are skilled craftsmen who strive for the prosperity and prosperity of the country and the well-being of the people in important positions related to the national economy and people's livelihood. The key to cultivating craftsmen in major countries lies in the Party. However, in a vocational undergraduate survey, it was found that the Party's political, ideological, organizational, work style, and institutional leadership role was not well played in the process of cultivating craftsmen in major countries. To this end, we should focus on reflecting the "two safeguards" throughout the entire process of cultivating craftsmen in major countries, and strengthen the Party's comprehensive leadership over the cultivation of craftsmen in major countries; We should adhere to using the Party's innovative theory to guide the practice of cultivating great country craftsmen, and integrate ideological and political work throughout the cultivation of great country craftsmen, in order to promote the construction of grassroots party organizations with high quality, and play a leading role in cultivating craftsmen in major countries; we should also take the lead in actively researching and solving problems, and promote reform, innovation, and development, so as to improve the institutional system for leading the cultivation of craftsmen in major countries through party building, and enhance the institutional execution ability of party members and members.
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