Traumatic dislocations of the shoulder commonly present to emergency departments (EDs). Immediate closed reduction of both anterior and posterior glenohumeral dislocations is recommended and is frequently performed in the ED. Recurrence of dislocation is common, as anteroinferior labral tears (Bankart lesions) are present in many anterior shoulder dislocations.14,15,18,23 Immobilization of the shoulder following closed reduction is therefore recommended; previous studies support the use of immobilization with the shoulder in a position of external rotation, for both anterior and posterior shoulder dislocations.7-11,19 In this study, we present a technique for assembling a low-cost external rotation shoulder brace using materials found in most hospitals: cotton roll, stockinette, and shoulder immobilizers. This brace is particularly suited for the uninsured patient, who lacks the financial resources to pay for a pre-fabricated brace out of pocket. We also performed a cost analysis for our low-cost external rotation shoulder brace, and a cost comparison with pre-fabricated brand name braces. At our institution, the total materials cost for our brace was $19.15. The cost of a pre-fabricated shoulder brace at our institution is $150 with markup, which is reimbursed on average at $50.40 according to our hospital billing data. The low-cost external rotation shoulder brace is therefore a more affordable option for the uninsured patient presenting with acute shoulder dislocation. [West J Emerg Med. 2015;16(1):–0.]
With the aid of an Institute of Museum and Library Services (IMLS) grant the American Library Association (ALA) Office for Diversity offered the first full fellowships under the Spectrum Scholarship program for 12 students to pursue doctoral degrees in Library and Information Science at accredited institutions around the country. The Fellows were drawn from the four underrepresented ethnic populations and are in various stages of study from early course work to near completion of their doctoral degrees.
With the goal of increasing racial and ethnic diversity among the profession’s next generation of Library and Information Science (LIS) faculty and leaders, the program has provided an unprecedented opportunity for the scholars. It has also created the ability to extract a wealth of information from the scholars about their experiences as doctoral students. The major goal of this research is to capture that information, especially the advantages and disadvantages those students experienced both as Fellows and as minority students in LIS PhD programs. The results of this research will inform LIS education and pedagogy and provide documented evidence of experiences that can lead to the improvement of doctoral education for minorities in the future and enrich the knowledge on which future initiatives are based.
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