0000000000153084
AUTHOR
S Harding
Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery
Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery.A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a c…
Safety of hospital discharge before return of bowel function after elective colorectal surgery
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Assessing Online Collaborative Problem Solving Among School Children in Finland : A Case Study Using ATC21S TM in a National Context
Online collaborative problem-solving tasks were piloted in five Finnish schools participating in the Assessment and Teaching of Twenty-first Century Skills (ATC21STM) project. Process stream data from online tasks were captured from 480 Finnish students who explored dyad problem spaces. The log file data were explored to identify indicative behaviours of collaborative problem solving (CPS), which were coded into a series of dichotomous indicators. The Rasch simple logistic model was used to analyse student performance across the social and cognitive dimensions of CPS. Analysis of the Finnish data indicated that the construct can be interpreted using a two-dimensional model, matching the fin…