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Item Anterolateral thigh osteomyocutaneous femur (ALTO) flap reconstruction for composite mandible and near total tongue defect utilizing a retrograde intramedullary femoral nail stabilization technique: Report of a first case(Elsevier, 2020-06-01) Novinger, Leah J.; Cannady, Steven B.; Wurtz, Lawrence D.; Sim, Michael W.; Moore, Michael G.; Mantravadi, Avinash V.; Shipchandler, Taha Z.; Otolaryngology – Head and Neck Surgery, School of MedicineThe anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We report a novel approach for femur stabilization via retrograde intramedullary nail placement in a patient with a near total tongue and large mandibular defect who underwent ALTO reconstruction that saves operating room time and decreases risk of post-operative fracture.Item Expanding services in a shrinking economy: desktop document delivery in a dental school library(Medical Library Association, 2011-07) Gushrowski, BarbaraAbstract Question: How can library staff develop and promote a document delivery service and then expand the service to a wide audience? Setting: The setting is the library at the Indiana University School of Dentistry (IUSD), Indianapolis. Method: A faculty survey and a citation analysis were conducted to determine potential use of the service. Volume of interlibrary loan transactions and staff and equipment capacity were also studied. Main results: IUSD library staff created Desktop Delivery Service (DDSXpress) for faculty and then expanded the service to practicing dental professionals and graduate students. The number of faculty using DDSXpress remains consistent. The number of practicing dental professionals using the service is low. Graduate students have been quick to adopt the service. Conclusion: Through careful analysis of capacity and need for the service, staff successfully expanded document delivery service without incurring additional costs. Use of DDSXpress is continuously monitored and opportunities to market the service to practicing dental professionals are being investigated.Item Searching for Consistency in Attendance Data Recording, Reporting, and Utilization in the USA(Orbis Scholae, 2023-05-02) Graczyk, Patricia A.; Gentle-Genitty, Carolyn; Humm Patnode, Amber; Moulton, Sara E.According to the United States Department of Education (USDOE), 16% or over eight million kindergarten through twelfth grade students in the US missed 10% or more school days during the 2017−2018 school year. This is approximately 18 of 180 days required. We know this because schools are mandated to report their attendance data to their respective states and to the USDOE. There are concerns around accuracy and consistency because each state is allowed to compile data in their own way and report only select metrics to the USDOE to comply with federal guidelines. The consistency on federal metrics, nonetheless, allows for similar analyses at the federal and state levels and comparisons across states. To best understand what is reported, we report on data compiled by the National Center for Education Statistics (NCES) housed in the Institute of Education Sciences, the science branch of the USDOE, and describe how attendance data are collected, reported, and used at the national level. We share similar findings for two representative US states − Connecticut and Indiana − to highlight similarities and differences between them, and their “best practices.” Key results from these multiple levels of analyses are then discussed, with the goal of informing research, practice, and policy related to school attendance, so that students of all ages and from all backgrounds are provided the opportunity to obtain optimal benefits from schooling throughout their school careers.Item Simulation in medical education : a case study evaluating the efficacy of high-fidelity patient simulation(2018-07) Klein, Barbie Ann; O'Loughlin, Valerie Dean; Brokaw, James; Husmann, Polly; Cole, JamesHigh-fidelity patient simulation (HFPS) recreates clinical scenarios by combining mock patients and realistic environments to prepare learners with practical experience to meet the demands of modern clinical practice while ensuring patient safety. This research investigated the efficacy of HFPS in medical education through a case study of the Indiana University Bloomington Interprofessional Simulation Center. The goal of this research was to understand the role of simulated learning for attaining clinical selfefficacy and how HFPS training impacts performance. Three research questions were addressed to investigate HFPS in medical education using a mixed methods study design. Clinical competence and self-efficacy were quantified among medical students at IUSMBloomington utilizing HFPS compared to two IUSM campuses that did not incorporate this instructional intervention. Clinical competence was measured as performance on the Objective Structured Clinical Examination (OSCE), while self-efficacy of medical students was measured through a validated questionnaire. Although the effect of HFPS on quantitative results was not definitive, general trends allude to the ability of HFPS to recalibrate learners’ perceived and actual performance. Additionally, perceptual data regarding HFPS from both medical students and medical residents was analyzed. Qualitative results discovered the utility of HFPS for obtaining the clinical mental framework of a physician, fundamental psychomotor skills, and essential practice communicating and functioning as a healthcare team during interprofessional education simulations. Continued studies of HFPS are necessary to fully elucidate the value of this instructional adjunct, however positive outcomes of simulated learning on both medical students and medical residents were discovered in this study contributing to the existing HFPS literature.Item Vietnam and Philanthropy: Social Movements, Economic Development and Ocean Issues. Teaching Case Study and Teaching Notes(2022-11) Danahey Janin, PatThis teaching case study and teaching note are pedagogical tools to develop the skills of undergraduate students in analyzing a philanthropic landscape. The case is based on the decision dilemma of a philanthropic actor in the face of a 2016 fish kill event that impacted the ocean environment and the livelihoods of communities in central Vietnam. The event sparked environmental protests and multiple responses to a general government crack down on civil society. Students are asked to position themselves on the decision dilemma and discover the complexity and challenges of a philanthropic actor’s activity. The text contains information about the political, economic, social and cultural environment in Vietnam and the development, manifestation and common approaches to philanthropic activity (giving, associating and volunteering). The teaching note provides suggestions on teaching delivery, discussion scenarios and reading material on civil society, philanthropic actors’ responses to the shrinking space of civil society, multi-disciplinary approaches to volunteering, cultural influences on philanthropic behavior and environmental movements.