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  1. Article ; Online: Keeping the frogs in the wheelbarrow: how virtual onboarding creates positive team-enabling cultures.

    Varma, Rick / Hastings, Bradley

    BMJ leader

    2023  

    Abstract: Introduction: The post-COVID-19 great resignation puts both employee retention and the onboarding of employees in the spotlight. In an effort to maintain workforce levels, healthcare leaders are turning their attention to both recruitment (ie, bringing ... ...

    Abstract Introduction: The post-COVID-19 great resignation puts both employee retention and the onboarding of employees in the spotlight. In an effort to maintain workforce levels, healthcare leaders are turning their attention to both recruitment (ie, bringing new frogs into the wheelbarrow) and practices that create positive, team-enabling, cultures (ie, keeping frogs in the wheelbarrow).
    Methods: In this paper, we illustrate our experience in building an employee onboarding programme as an efficient mechanism not only to immerse new professionals into existing teams but also to improve workplace culture and reduce team turnover. Key to its effectiveness, and in contrast with traditional large-scale culture change programmes, is that our programme provided a local cultural context via videos of our existing workforce in action.
    Results: This online experience, primed new joiners in cultural norms, helping them navigate critical early period of socialisation into their new environment.
    Language English
    Publishing date 2023-02-24
    Publishing country England
    Document type Journal Article
    ISSN 2398-631X
    ISSN (online) 2398-631X
    DOI 10.1136/leader-2022-000665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Transforming CAMHS: discordance between ambition and reality.

    Varma, Rajesh

    BMJ (Clinical research ed.)

    2019  Volume 364, Page(s) l1360

    Language English
    Publishing date 2019-03-26
    Publishing country England
    Document type Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.l1360
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Online: Treatment of Micropollutants in Water and Wastewater

    Varma, Rajender / Virkutyte, Jurate

    2010  

    Abstract: Treatment of Micropollutants in Water and Wastewater gives a comprehensive overview of modern analytical methods and will summarize novel single and hybrid methods to remove continuously emerging contaminants - micropollutants from the aqueous phase. New ...

    Abstract Treatment of Micropollutants in Water and Wastewater gives a comprehensive overview of modern analytical methods and will summarize novel single and hybrid methods to remove continuously emerging contaminants - micropollutants from the aqueous phase. New trends (e.g. sensor technology, nanotechnology and hybrid treatment technologies) are described in detail. The content of the book is divided into chapters that present current descriptive and analytical methods that are available to detect and measure micropollutants together with detailed information on various chemical, biological and physicochemical methods that have evolved over the last few decades. The provides an understanding of why and how micropollutants must be removed from water sources, and what are the most appropriate and available techniques for providing a cost and technologically effective and sustainable solutions for reaching the goal of micropollutant-free water and wastewater
    Size 1 electronic resource ( p.)
    Publisher IWA Publishing
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT020102086
    ISBN 9781843393160 ; 1843393166
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Article: Extramedullary Tibial Guide Alignment Is Not Affected by Excess Lower Limb Fat Distribution in Total Knee Arthroplasty.

    Williams, John T / Varma, Rajat

    Cureus

    2022  Volume 14, Issue 4, Page(s) e24443

    Abstract: Background The goal of this study is to investigate whether excess lower limb fat distribution affects tibial guide alignment in conventional total knee arthroplasty (TKA) with extramedullary guides. A thicker soft tissue envelope may affect the accuracy ...

    Abstract Background The goal of this study is to investigate whether excess lower limb fat distribution affects tibial guide alignment in conventional total knee arthroplasty (TKA) with extramedullary guides. A thicker soft tissue envelope may affect the accuracy of extramedullary cutting guide placement and subsequent instrumentation. Previous studies have used body mass index (BMI) to stratify patients, a poor proxy of lower limb fat distribution, which may explain conflicting results reported on this topic to date. This study overcomes this issue by using a novel, radiographic anthropometric index to assess lower limb fat distribution. Methodology This is a single-surgeon, single-implant, single-centre retrospective series of 102 consecutive primary TKAs. The suprapatellar fat index (SPFI) and BMI were recorded for all patients, and postoperative tibial component alignment measurements were calculated. Secondary outcome measures included femoral component alignment, femorotibial alignment, length of hospital stay, tourniquet time, blood loss, and complications/reoperations. Results In this study, 102 patients (average age of 69) had an average BMI of 30.8 kg/m
    Language English
    Publishing date 2022-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.24443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Thrombectomy of Inferior Vena Cava Fat Embolism after Trauma.

    Bready, Eric / Varma, Rakesh

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 3, Page(s) 356

    MeSH term(s) Carcinoma, Renal Cell ; Embolism, Fat/diagnostic imaging ; Embolism, Fat/etiology ; Embolism, Fat/therapy ; Humans ; Kidney Neoplasms ; Pulmonary Embolism ; Thrombectomy ; Vena Cava, Inferior/diagnostic imaging ; Vena Cava, Inferior/surgery
    Language English
    Publishing date 2022-02-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2021.11.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3720: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  6. Article ; Online: Study of wave motion on the emergence of veering, locking, and coupling in periodic composite panels.

    Singh, S K / Varma, R K / Banerjee, A / Rathore, K K

    The Journal of the Acoustical Society of America

    2024  Volume 155, Issue 2, Page(s) 826–836

    Abstract: This research proposes the effect of micropolar-Cosserat (MC) parameters (length-scale parameters and Cosserat shear modulus) on the dispersion characteristics of propagating wave modes in periodic composite panels (PCPs). These inbuilt parameters are ... ...

    Abstract This research proposes the effect of micropolar-Cosserat (MC) parameters (length-scale parameters and Cosserat shear modulus) on the dispersion characteristics of propagating wave modes in periodic composite panels (PCPs). These inbuilt parameters are due to the assumption of the length-scale boundary conditions that allow for capturing the micro-rotational (MR) wave mode along with the flexural ones. A significant contribution of this study is the transformation of the two-dimensional (2-D) periodic composite problem into a series of one-dimensional (1-D) ones using the MC continuum theory. The analysis employs the transfer matrix method in the framework of the state-space approach to investigate periodic systems in the eigenvalue domain. Additionally, Bloch-Floquet's periodic boundary conditions (PBCs) are applied to the unit cell to ensure the periodicity of the system. The main innovation lies in observing veering, locking, and coupling phenomena, which occur due to alterations in lamina orientation and MC parameters. Moreover, the presence of inbuilt parameters renders the dispersion characteristics highly sensitive to even minor coefficient variations, with a mere 1% change significantly impacting eigenmode fluctuations. The sudden bandgap (BG) disappearing nature could be used to identify the accurate value of the coefficient for designing and analyzing PCPs.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 219231-7
    ISSN 1520-8524 ; 0001-4966
    ISSN (online) 1520-8524
    ISSN 0001-4966
    DOI 10.1121/10.0024616
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 591: Show issues Location:
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  7. Article ; Online: Bioaccumulation level of metals and health risk assessment of selected red and green seaweeds validated by ICP-MS.

    Pasumpon, Nigariga / Varma, Rahul / Vasudevan, Sugumar

    Environmental science and pollution research international

    2023  Volume 30, Issue 25, Page(s) 66781–66799

    Abstract: The bioaccumulation of trace metals in 10 selected edible seaweeds was studied using inductively coupled plasma mass spectroscopy (ICP-MS). Bioaccumulation of higher levels of manganese (4.94 ± 0.15 μg/g) and aluminium (4.21 ± 0.18 μg/g) and lower levels ...

    Abstract The bioaccumulation of trace metals in 10 selected edible seaweeds was studied using inductively coupled plasma mass spectroscopy (ICP-MS). Bioaccumulation of higher levels of manganese (4.94 ± 0.15 μg/g) and aluminium (4.21 ± 0.18 μg/g) and lower levels of arsenic (0.18 ± 0.02 μg/g) and vanadium (0.09 ± 0.02 μg/g) were observed in Chlorophyta. In Rhodophyta, bioaccumulation of iron (8.51 ± 0.19 μg/g) was high, while lower levels of magnesium (0.13 ± 0.02 μg/g) and strontium (0.21 ± 0.01 μg/g) were observed among the seaweeds studied. Health assessment studies were also conducted on seaweeds to understand their effects on human consumption. The findings imply that consuming macroalgae has no health risk due to these elements in the general population. Furthermore, the confirmative toxicity of specific metals, such as Cd, Pb, and Zn metals in macroalgae, should be monitored constantly.
    MeSH term(s) Humans ; Bioaccumulation ; Metals ; Seaweed/chemistry ; Trace Elements ; Risk Assessment ; Metals, Heavy
    Chemical Substances Metals ; Trace Elements ; Metals, Heavy
    Language English
    Publishing date 2023-04-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-023-27192-x
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    In stock of ZB MED Bonn / Germany

    Z 5915: Show issues

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  8. Article ; Online: Assessment of trace metal bioaccumulation on the shells of edible gastropod Chicoreus ramosus and Hemifusus pugilinus.

    Nigariga, P / Saren, Debasmita / Varma, Rahul / Sugumar, V

    Environmental monitoring and assessment

    2023  Volume 195, Issue 5, Page(s) 608

    Abstract: The current study aimed to examine how some gastropods absorbed trace metals (Chicoreus ramosus and Hemifusus pugilinus). The existence of 17 elements, including aluminium, arsenic, boron, calcium, cadmium, cobalt, chromium, copper, iron, potassium, ... ...

    Abstract The current study aimed to examine how some gastropods absorbed trace metals (Chicoreus ramosus and Hemifusus pugilinus). The existence of 17 elements, including aluminium, arsenic, boron, calcium, cadmium, cobalt, chromium, copper, iron, potassium, lithium, manganese, sodium, nickel, phosphorus, lead, and zinc (Al, As, B, Ca, Cd, Co, Cr, Cu, Fe, K, Li, Mn, Na, Ni, P, Pb, and Zn), was confirmed by inductively coupled plasma-mass spectroscopy (ICP-MS) analysis of trace metals. According to the ICP-MS results, C. ramosus (Al: 1.97 ± 0.2 µg/g, Fe: 1.93 ± 0.2 µg/g, and As: 1.52 ± 0.4 µg/g) and H. pugilinus (Al: 1.85 ± 0.7 µg/g, Fe: 1.68 ± 0.6 µg/g, and As: 1.37 ± 0.6 µg/g) both had significant amounts of aluminium, iron, and arsenic, respectively. Zinc concentrations of 0.58 to 0.7 μg/g (C. ramosus) and 0.67 to 0.2 μg/g were recorded (H. pugilinus). The elemental composition of the surface of the sample was confirmed by scanning electron microscopy-energy-dispersive X-ray spectroscopy (SEM-EDX) micrographs, which also showed the degree of trace metal absorption in the chosen gastropod species.
    MeSH term(s) Animals ; Arsenic/analysis ; Aluminum ; Gastropoda ; Bioaccumulation ; Environmental Monitoring/methods ; Trace Elements/analysis ; Zinc/analysis ; Iron/analysis
    Chemical Substances Arsenic (N712M78A8G) ; Aluminum (CPD4NFA903) ; Trace Elements ; Zinc (J41CSQ7QDS) ; Iron (E1UOL152H7)
    Language English
    Publishing date 2023-04-25
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 782621-7
    ISSN 1573-2959 ; 0167-6369
    ISSN (online) 1573-2959
    ISSN 0167-6369
    DOI 10.1007/s10661-023-11130-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Z 5186: Show issues

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  9. Article ; Online: Bilateral Purtscher-Like Retinopathy Associated With COVID-19 Infection.

    Thatcher, Mitchell D / Wu, Laura Z / Varma, Renatta

    JAMA ophthalmology

    2023  Volume 141, Issue 3, Page(s) 291–293

    MeSH term(s) Humans ; COVID-19 ; Retinal Diseases/diagnosis ; Retinal Diseases/etiology ; Fluorescein Angiography
    Language English
    Publishing date 2023-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701705-9
    ISSN 2168-6173 ; 2168-6165
    ISSN (online) 2168-6173
    ISSN 2168-6165
    DOI 10.1001/jamaophthalmol.2022.6255
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  10. Article ; Online: Financial incentives and dietary modification for TB patients.

    Rajalakshmi, S / Varma, R P

    The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease

    2021  Volume 25, Issue 6, Page(s) 508–510

    MeSH term(s) Humans ; Motivation ; Tuberculosis/epidemiology ; Diet
    Language English
    Publishing date 2021-05-30
    Publishing country France
    Document type Letter
    ZDB-ID 1385624-8
    ISSN 1815-7920 ; 1027-3719
    ISSN (online) 1815-7920
    ISSN 1027-3719
    DOI 10.5588/ijtld.20.0843
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    Zs.MO 261: Show issues

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