DEI Math from the Front Lines

Front-Line (FL) Treatment Patterns Associated with Elderly Newly Diagnosed Multiple Myeloma (MM) Patients Treated in the US Community Setting

A Phase Ib/II Study of Combined Obinutuzumab and High-Dose Methylprednisolone (HDMP) As Treatment for Patients with Chronic Lymphocytic Leukemia (CLL)

AimsThe aims of our study were to assess and to examine i. the psychological impact of the COVID-19 pandemic on medical residents working on the front and second line, ii. the association between coping strategies, resilience and optimism and different mental health outcomes like stress, anxiety, and depression among the medical residents’ workers during the COVID-19 pandemic, and iii. the coping strategies used on the same sample with consideration of different factors like seniority, frontliner, gender and coping style.MethodAn electronic survey was sent to all medical residents in Qatar. Depression, anxiety and stress were assessed by the Depression, Anxiety and Stress Scale – 21 Items. Professional quality of life was measured by the Professional Quality of Life measure. The coping mechanisms were assessed with the Brief-COPE, resilience by the Brief Resilience Scale, and optimism by the Revised Life Orientation Test (LOT-R).ResultOf the 640 medical residents contacted, 127 (20%) responded. A considerable proportion of residents reported symptoms of depression (42.5%), anxiety (41.7%) and stress (30.7%). Multivariate analysis of variance showed significant effects of seniority in residency, with junior residents having poorer outcomes. In addition, there was a statistically significant interaction effect with moderate effect sizes between gender and working on the front line, as well as gender, working on the front line and seniority, on mental health outcomes. The most commonly used coping strategies were acceptance, religion, and active coping. The least reported coping strategies were substance use and denial. Avoidant coping style scores were higher among junior residents (p = .032) and non-COVID-19 frontliners (p = .039). Optimism LOT-R score was higher in senior than in junior residents (p < .001). Another important finding is that optimism and resilience were associated with better mental health outcomes. In addition, we find that avoidant coping style is highly associated with depression.ConclusionThe COVID-19 pandemic may have a negative impact on junior residents’ mental health. Preventive measures to reduce stress levels and easy access to professional mental health services are crucial. This study also raises awareness among residency programs on the psychological and coping responses and strategies of medical residents.

Improving Outcomes for Patients with Multiple Myeloma through the Optimization of Treatment Sequences

Evaluation of Symptom Distress by Edmonton Symptom Assessment System and Maslach Burnout Inventory-Medical Personnel among Medical Personnel under the Epidemic of COVID-19.

In the operating conditions of the 21st century it is impossible to be competent alone' (O'Hara & Leicester, 2019, p. 16). Competence in leading and managing, as in any professional practice, is best understood as the ability to work with others to meet important challenges in complex human systems (Rychen & Salganik, 2003). Systems thinkers such as Oshry (1999, 2007, 2018, 2019, 2020) recognise that competence is a function of systems and culture; that is, of relationships. This insight acknowledges the importance of being able to work effectively in group settings but goes further in recognising that our lives are always lived in complex patterns of relationships with others (O'Hara & Leicester, 2019).

To assess, in a clinical setting, the comparative values of conventional criteria used in the diagnosis of central nervous system (CNS) involvement in Trypanosoma brucei gambiense sleeping sickness: white cell count (WCC) in cerebrospinal fluid (CSF) > 5 x 10(6) cells/l; total protein concentration in CSF > 40 mg/100 ml); evidence of trypanosomes in CSF following double centrifugation (DC). In vitro culture of CSF was used as the gold standard. The study showed that WCC is, by itself, as sensitive for the diagnosis of the CNS involvement as the usually recommended combination of three conventional criteria. The specificity of WCC is improved while the sensitivity is reduced when the cut-off point is set at a higher value (WCC > 10 X 10(6)/l). In poorly equipped laboratories, the diagnosis of CNS involvement in patients with confirmed systemic infection should be based only on the WCC. However, a pilot study is needed to assess the feasibility and reliability of the WCC handled by 'front line' personnel, for different cut-off values.

Significance The long-range strike follows one on the same airbase and another on an airfield in Ryazan region on December 5. Meanwhile, Ukraine's President Volodomyr Zelensky addressed the US Congress on December 21 on his first foreign trip since the invasion. Impacts Putin will lead on belligerent rhetoric but not military management: others must take any blame. Putin's latest promise of unlimited funding for the war effort cannot be met under current budget plans. The Ukrainian president's trip to Bakhmut embarrasses Russia's defence minister, whose recent 'front line' visit was far behind the lines.

Business execution often comes with the language of military engagement. We are on the 'front line'. But there is more to the analogy than just words.

Shortages of essential medicines are a daily occurrence in many of South Africa (SA)'s public health facilities. This study focuses on the responses of healthcare workers to stock-outs, investigating how actors at the 'front line' of public health delivery understand, experience and respond to shortages of essential medicines and equipment in their facilities. Findings are based on focus groups, observations and interviews with healthcare workers and patients at healthcare facilities in the Eastern Cape Province of SA, conducted as part of the Mzantsi Wakho study. The research revealed a discrepancy between 'informal' definitions of stock-outs and their reporting through formal stock-out management channels. Front-line healthcare workers had designed their own systems for classifying the severity of stock-outs, based on the product in question, and on their potential to access stocks from other facilities. Beyond formal systems of procurement and supply, healthcare workers had established vast networks of alternative communication and action, often using personal resources to procure medical supplies. Stock-outs were only reported when informal methods of stock-sharing did not secure top-up supplies. These findings have implications for understanding the frequency and severity of stock-outs, and for taking action to prevent and manage stock-outs effectively.

PCN46 - Estimating the Budget Impact of Adding Avastin (Bevacizumab) to Front Line Treatment for Advanced Ovarian Cancer in Brazilian Supplementary Health Care System

Book Review| March 01 2020 Front Lines: Soldiers’ Writing in the Early Modern Hispanic World Front Lines: Soldiers’ Writing in the Early Modern Hispanic World. By Martínez, Miguel. Philadelphia: University of Pennsylvania Press, 2016. 320 pp. Stephen Rupp Stephen Rupp Stephen Rupp teaches Spanish and comparative literature at the University of Toronto. His current project centers on Cervantes and the canonical genres of Virgilian poetry. His most recent book is Heroic Forms: Cervantes and the Literature of War (2014). Search for other works by this author on: This Site Google Modern Language Quarterly (2020) 81 (1): 125–127. https://doi.org/10.1215/00267929-7933115 Cite Icon Cite Share Icon Share Twitter Permissions Search Site Citation Stephen Rupp; Front Lines: Soldiers’ Writing in the Early Modern Hispanic World. Modern Language Quarterly 1 March 2020; 81 (1): 125–127. doi: https://doi.org/10.1215/00267929-7933115 Download citation file: Zotero Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter Books & JournalsAll JournalsModern Language Quarterly Search Advanced Search Latin American literature can trace its origins to narratives of exploration and conquest. Prominent within this body of early colonial writing is a learned epic on Spain’s protracted campaigns to subdue the native people of the Arauco region of Chile, Alonso de Ercilla’s La Araucana, initially published in three parts (1569–90) and widely distributed across the Hispanic world. Anchored in the canonical models of Latin epic, Ercilla’s poem attempts to construct a narrative of foundational martial conflicts for Spain’s overseas empire. Various aspects of this poem nonetheless mark its departures from an epic account of heroic origins in a distant past. Ercilla writes as a combatant, a direct participant in the conflict that he recounts; he praises the integrity and heroism of the indigenous warriors in defending their homeland; he stresses the challenges to imperial authority and military force that Spanish... Copyright © 2020 by University of Washington2020 You do not currently have access to this content.

This article draws on data from a case study of a trade union campaign to organize part‐time women workers in a large supermarket chain. The data indicate that combining paid work, work in the home and increased trade union participation means that the work of women activists and the resistance they encounter in its execution is broader than the customer/employee interface, or ‘front line’, that is the current focus in literature on service‐sector work and trade unionism. The findings are used to argue that established feminist literature, in which the location and recipients of women's work are conceptualized as multiple and shifting but inter‐related, still provide a useful analytical framework for service‐sector work. Therefore an ‘all fronts’ approach may better describe the lives of part‐time women workers and trade unionists in the sector. However it is argued that, far from simply being considered as an added burden, trade union activism was a powerful catalyst for change in the home and work lives of the working‐class women in the study.

Research Article| July 01 2000 Experiences from the Front Line: Presenting a Controversial Exhibition during the Culture Wars Peter Liebhold Peter Liebhold Search for other works by this author on: This Site PubMed Google Scholar The Public Historian (2000) 22 (3): 67–84. https://doi.org/10.2307/3379579 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Peter Liebhold; Experiences from the Front Line: Presenting a Controversial Exhibition during the Culture Wars. The Public Historian 1 July 2000; 22 (3): 67–84. doi: https://doi.org/10.2307/3379579 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentThe Public Historian Search This content is only available via PDF. Copyright 2000 Regents of the University of California and the National Council on Public History Article PDF first page preview Close Modal You do not currently have access to this content.

When used in a military context, the term front line refers to the interface between enemies in action on the battlefield. In a non-military context, the front line is the site where the core activity defining a particular industry takes place, and those working there are key to successful operations. In healthcare, the need to improve patient safety has become a global imperative, and an armamentarium of strategies, tools and technological approaches have been adapted or developed for this context. Often neglected, however, have been strategies to engage the healthcare workers, those at the front line, in the cause.In order for healthcare to function error free, we must assume the characteristics of high-reliability organizations. In particular, the ability to bounce back, to be resilient in the face of a catastrophe, is of paramount importance. Those working at the front line may have the answers. We need to create an opportunity for them to be heard.`