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"Hacker, Andrew"
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An evaluation of three community-based projects to improve care for incontinence
The Australian National Continence Management Strategy commissioned the implementation and evaluation of three community-based projects designed to improve care for people with incontinence by improving the detection and treatment of urinary incontinence. Projects were located in demographically diverse areas, overseen by co-operating professional groups with an interest in continence and aimed at facilitating a pathway of care for those with incontinence. Project activities focused on health care provider training and improving local referral networks, as well as raising public awareness. Multifaceted evaluation of each project was designed to inform principles for a national approach to continence care. The evaluation indicated that providers involved in each project became more confident in their ability to manage incontinence, had significantly increased knowledge of issues around incontinence and became more aware of local options for referral. However, there was little evidence that projects achieved an increase in seeking professional help among those with incontinence. From the evaluation, six principles were developed to guide future models of community-based continence care.[PUBLICATION ABSTRACT]
Journal Article
The math mandarins
Every advanced society has professionals who know more about some things than the rest of us. My concern is that mathematics mandarins aren't content to stick to their scholarship. Rather, they take it as given that their intellects entitle them to dominate much of our educational system and set priorities for the greater society.
Journal Article
Compartment syndrome as a complication of a stab wound to the thigh: a case report and review of the literature
Acute compartment syndrome of the thigh is a rare but potentially devastating condition, in which the pressure within the osseofascial compartment rises above the capillary perfusion gradient, leading to cellular anoxia, muscle ischaemia and death. Early diagnosis and treatment is essential to prevent long term disability. It is most often associated with crush injuries and femoral fracture. We present a previously unreported case of thigh compartment syndrome following a stab injury, treated by emergent fasciotomy.
Journal Article
The Self-Exam That Higher Education Would Rather Not Conduct
In a scholarly community supposedly devoted to freewheeling inquiry, it's distressing to find so many issues--ever-rising tuition, for example--off the table. Whether one feels that a little or a lot needs fixing, what is missing are signs that colleges and universities see themselves as part of the problem.
Journal Article
Are Colleges Worth the Price of Admission?
Colleges are taking on too many roles and doing none of them well. They are staffed by casts of thousands and dedicated to everything from esoteric research to vocational training--and have lost track of their basic mission to challenge the minds of young people. Higher education has become a colossus--a $420-billion industry--immune from scrutiny and in need of reform.
Journal Article
Original Sin vs. Utopia in British Socialism
Since the end of World War II, Great Britain has provided a happy hunting ground for students of politics, whose chief prey has been the British Labour movement. Perhaps it is because some considered the Labour Government of 1945–51 to be an “experiment,” and experiments of any sort ought to be watched closely. Or it may be that here was a party with a mass backing which, at the same time, had a corpus of theory which it professed to be implementing; hence the consistency between the words of the ideologues and the actions of the politicians could be measured. Yet for all the consideration of Socialist theory, Labour ideology, and Transport House practice, scholars have tended to neglect the psychological and metaphysical bases of the movement's approach to politics. An examination of the presuppositions regarding the nature of man is vital to the understanding of any political theory—or, for that matter, any practical program of action. While studies of nationalized industries, foreign policy, the bureaucracy, and the internecine warfare of party factions are desirable and of interest, if we are to put our observations in philosophical perspective we must base our investigation of British Socialism and the British Labour movement on its views of human nature.
Journal Article