Actual Level Research Articles

Interprofessional collaborations in child welfare: providers’ experiences

ABSTRACT This study investigated the experiences of providers collaborating with child welfare workers using the Quality of Collaboration with Child Welfare (Q-CCW) survey. The findings reveal a significant misalignment between the perceived importance of collaboration and providers’ actual satisfaction levels. Despite high valuations of collaboration, participants from a range of professions expressed dissatisfaction with the responsivity and professionalism of workers. They were slightly more satisfied with relational elements of the collaborations. Participants further indicated that their experiences led to poorer outcomes and decreased willingness to continue working on child welfare cases. Providers’ responses underscores the need for improvements in collaborative practices.

Exploratory insights into prefrontal cortex activity in continuous glucose monitoring: findings from a portable wearable functional near-infrared spectroscopy system.

The escalating global prevalence of diabetes highlights an urgent need for advancements in continuous glucose monitoring (CGM) technologies that are non-invasive, accurate, and user-friendly. Here, we introduce a groundbreaking portable wearable functional near-infrared spectroscopy (fNIRS) system designed to monitor glucose levels by assessing prefrontal cortex (PFC) activity. Our study delineates the development and application of this novel fNIRS system, emphasizing its potential to revolutionize diabetes management by providing a non-invasive, real-time monitoring solution. Fifteen healthy university students participated in a controlled study, where we monitored their PFC activity and blood glucose levels under fasting and glucose-loaded conditions. Our findings reveal a significant correlation between PFC activity, as measured by our fNIRS system, and blood glucose levels, suggesting the feasibility of fNIRS technology for CGM. The portable nature of our system overcomes the mobility limitations of traditional setups, enabling continuous, real-time monitoring in everyday settings. We identified 10 critical features related to blood glucose levels from extensive fNIRS data and successfully correlated PFC function with blood glucose levels by constructing predictive models. Results show a positive association between fNIRS data and blood glucose levels, with the PFC exhibiting a clear response to blood glucose. Furthermore, the improved regressive rule principal component analysis (PCA) method outperforms traditional PCA in model prediction. We propose a model validation approach based on leave-one-out cross-validation, demonstrating the unique advantages of K-nearest neighbor (KNN) models. Comparative analysis with existing CGM methods reveals that our paper's KNN model exhibits lower RMSE and MARD at 0.11 and 8.96%, respectively, and the fNIRS data were highly significant positive correlation with actual blood glucose levels (r = 0.995, p < 0.000). This study provides valuable insights into the relationship between metabolic states and brain activity, laying the foundation for innovative CGM solutions. Our portable wearable fNIRS system represents a significant advancement in effective diabetes management, offering a promising alternative to current technologies and paving the way for future advancements in health monitoring and personalized medicine.

Concurrent musical pitch height biases judgment of visual brightness

The integration of music sounds with concurrent visual scenes or objects is a occurrence in our daily lives, attracting the attention of researchers investigating how music influences our perceptions of simultaneous visuals. This study specifically investigates the role of musical pitch height in shaping our judgments of visual brightness during concurrent music–visual events. Participants were presented with pitch-modified versions of a wide range of emotional music pieces alongside various visual stimuli. The results demonstrate that lower-pitched music tends to elicit darker judgments of visual objects than higher-pitched music, when the actual visual brightness level remains constant. These findings suggest the influence of musical pitch height on introducing biases in our evaluations of visual brightness within the context of concurrent music-visual experiences, contributing to the advancement of our theoretical understanding of the complex audiovisual integration involving music in our everyday lives.

Urban perception by using eye movement data on street view images

AbstractUnderstanding the spatial distribution patterns of urban perception and analyzing the correlation between human emotional perception and street composition elements are important for accurately understanding how people interact with the urban environment, urban planning, and urban management. Previous studies on urban perception using street view data have not fully considered the actual level of attention to different visual elements when browsing street view images. In this article, we use eye tracking technology to collect eye movement data and subjective perception evaluation data when people browse street view images, and analyze the correlation between the time to first fixation, duration of first fixation, and fixation frequency of different visual elements and the six perceptual outcomes of wealthy, safe, lively, beautiful, boring, and depressing. Furthermore, this article integrates eye movement data with street view semantic data and introduces a novel method for predicting urban perception using a machine learning algorithm. The proposed method outperforms a comparative model that solely relies on semantic data, exhibiting higher accuracy in perception prediction. Additionally, the study presents a perceptual mapping of the prediction results, providing a visual representation of the predicted urban perception outcomes. As vision is the primary perceptual channel, this study achieves a more objective and scientifically reliable urban perception, which is of reference value for the study of physical and mental health due to the urban physical environment.

Rams-based comprehensive evaluation method for EMU components

EMU (Electric Multiple Units) components were evaluated in multiple dimensions, i.e. reliability, availability, maintainability, and safety. A parameter estimation method, which is based on the data on the mileage between failures and quantities monitored in the actual operation, was put forward for the Weibull proportional hazard model to determine their operational reliability. A multi-index component maintainability evaluation model, which is based on empirical distribution functions, and a maintainability cluster evaluation model, which is based on whitened weight functions, were built, and the entropy weight method was introduced to determine the estimates of the indexes. A component safety evaluation method, which has the safety risk factor as its evaluation basis, was built using both the fuzzy theory and the analytic hierarchy process. A RAMS comprehensive evaluation model based on the linear weighted synthesis method was proposed. All of the models and methods are aimed at meeting the needs of this multidimensional component evaluation. This evaluation method was verified using actual gearbox operation parameters. The reliability and availability evaluation curves based on the Weibull proportional hazard model, whose parameters were determined according to the failure data, show that the EMU component reliability and availability decrease as the EMU mileage increases, thus verifying that this evaluation method is reasonable. The calculated EMU gearbox degree of safety is 0.8659, at an excellent level. The evaluated EMU gearbox maintainability is at the moderate level of III. The proposed evaluation method can reflect the relations of the component reliability and availability to the quantities monitored in operation more accurately and more comprehensively and the actual component maintainability and safety levels in a more objective way. It can provide a theoretical basis for managers and design departments to improve and evaluate the performance of the components, determine their maintenance intervals, and develop scientific preventive maintenance strategies in order to reduce their overhaul cost and increase their maintenance efficiency.

Toxicity of bisphenol S on human normal ovarian epithelial cells mediated by ERβ-MAPK signaling pathway

To investigate the effects of long-term(7 days and 14 days) bisphenol S(BPS) exposure on the ERβ-MAPK signaling pathway, hormone secretion phenotype and cell cycle in human normal ovarian epithelial cells IOSE 80 at actual human exposure level. Physiologically based pharmacokinetic model combined with BPS levels in the serum of women along the Yangtze River in China was used to determine the dosing concentrations of BPS, and vehicle control and 17 β-estradiol(E_2) control were used. Complete medium with corresponding concentrations(0, 6.79×10~(-6), 6.79×10~(-4), 6.79×10~(-2), 6.79 μmol/L BPS and 10 nmol/L E_2) was replaced every 2 days. mRNA expressions of estrogen receptor(ERβ and GPR30), key genes in MAPK signaling pathway(P38/JNK/ERK signaling pathway) and gonadotropin-releasing hormone-related genes(GnRH-I, GnRH-II and GnRH-R) were measured by qPCR. The ERβ-MAPK signaling pathway inhibitors were employed to detect the effect of long-term exposure to BPS on the cell cycle by flow cytometry. Dose-response relationship analysis was performed to calculate the benchmark does lower confidence limits. Compared to the vehicle control, after 7 days exposure to BPS, the ratio of G_2/M phase was significantly increased(P&lt;0.05), and the mRNA expressions of GnRH-I, GnRH-II and GnRH-R were significantly decreased(P&lt;0.05); after 14 days exposure to BPS, the mRNA expressions of ESR2, MAPK3, and MAPK9 were significantly increased(P&lt;0.05), and the mRNA expressions of GnRH-II and GnRH-R were significantly decreased(P&lt;0.05). The GnRH-II mRNA expression level of BPS treatment for 7 days; the G_0/G_1 phase ratio, MAPK3 and MAPK8 mRNA expression level of BPS exposure for 14 days; and the GnRH-I mRNA expression level after BPS treatment for 7 days and 14 days showed a good dose-response relationship but with poor fit. Long-term low-dose exposure to BPS may cause cell cycle arrest by activating the ERβ-MAPK signaling pathway, and may lead to changes in the hormone secretion of IOSE 80 cells.

Development and implementation of vibroseismic protection of buildings and structures from external dynamic loads

The article considers the results of vibration dynamic tests of the vibration acceleration levels of a vibration insulated reinforced concrete slab and floors of a residential building, which have confirmed the effectiveness of the seismic vibration isolation system using rubber elements. The registered levels of vibration accelerations in residential premises on different floors do not exceed permissible levels according to sanitary standards, which ensures comfortable living conditions in the presence of dynamic influences. To determine the actual vibration levels of the soil and piles vibration and dynamic studies were carried out. Based on the results of these studies, numerical calculations were carried out to determine the compliance of the predicted vibration levels in residential premises with the existing sanitary standards when they are exposed to real anthropogenic loads.

Ultimate water level and deformation failures of the artificial dam in the coal mine underground reservoir

Coal mine underground reservoirs provide a new choice for the protection and utilization of water resources. This paper takes the underground reservoir of Wulanmulun Mine as the background, and takes the MB-1# artificial dam in the goaf of 31104–31116 working face of 3–1 coal seam as the research object. The theoretical model of artificial dam is established by elastic–plastic two-way slab theory, and the theoretical mechanical analysis and calculation are carried out. A similitude physical model for the coal mine underground reservoir was built by using the self-developed nested dual-dynamic-pressure similitude simulation testing system. Later, the mechanical response and deformation failure features of the artificial dam under different water pressure values were analyzed and the ultimate water pressure was determined. In addition, FLAC3D was used to determine the stress-seepage field-coupling model for the artificial dam. Using this model, the influence of water pressure on the multi-load coupling effect of the artificial dam and coal pillar dam was characterized. The dam form is optimized and the safety water level evaluation method of the dam body is proposed. The research results are as follows: (1) Based on the theory of elastic–plastic two-way slab, the theoretical analysis model of artificial dam is established, the expression of the ultimate water level function of artificial dam is derived, and the theoretical ultimate water head is determined to be 18.2 m (2) The seepage law of underground reservoir under different water pressures is obtained, and the ultimate water pressure of the model is determined to be 11.43 kPa. (3) It is clarified that the failure modes of the artificial dam are seepage failure and mechanical failure, and it is revealed that the groove area is the weakest position where the dam is most vulnerable to failure. In view of the failure modes of the dam, the I-shaped structure artificial dam is proposed. (4) A safe water level assessment method is proposed for the constructed artificial dam. According to the analysis of on-site monitoring data of MB-1# dam, the actual water level in the reservoir is within the allowable water level range of the artificial dam, and the whole reservoir is in a stable and relatively safe state at present. The reliability of this assessment method has been verified.

Radon Concentration Level in Selected offices at Bells University of Technology, Ota, Ogun State

Radon, a radioactive gas that emanates naturally from the earth crust is accountable for about 50% of the effective dose of ionizing radiation received by humans. Most radon susceptiveness occurs in homes and work places, it comes from the natural disintegration of uranium in soil, rock and water and escalate to the air that we breath, hence it is important to monitor the actual level of exposure in most buildings. This work analysed the indoor radon concentration in air at twenty different offices of different building at Bells University of Technology using Rad7 detector. The mean measured radon concentration ranges from 0-56.7 Bq/m3 for all the study locations. The mean absorbed dose, equivalent dose and effective dose were calculated with the radon concentration which are 0.152 mGy/y, 3.045 mSv/y and 0.365 mSv/y respectively. The results obtained are below the world set limit as recommended by International Commission on radiological protection, except for office 7 which slightly exceed the recommended limit. Thus, the study concluded that good ventilation is very important in the reduction of radon concentration level in our work places.

State Youth Policy in Recruitment System of Political Leader

The article contains the results of a study, the aim of which was to identify the role of youth policy in the system of recruiting political leaders. In the text, the authors analyze the features of the formation and stages of development of youth policy as a part of state policy aimed at supporting young people and realizing their interests. The article describes existing programs and projects designed not only to support young people, but also to help identify, develop and support their political potential and, consequently, the formation of youth political leadership in Russia. The paper presents the results of an expert survey conducted by the authors in 2023, the aim of which was to determine the features of state youth policy as a tool for the formation and identification of the leadership potential of youth, as well as the integration of its representatives into the country’s political elite through the system of recruiting youth political leaders. As a result, the authors came to the conclusion that recently there has been an evolution of state youth policy in the indicated manner. It acts as the primary mechanism of socialization in the field of political leadership, providing opportunities for building a career in various fields of activity, including in the field of public policy and public administration. At the same time, as a result of the study, the authors came to the conclusion about the fragmented nature of its implementation, expressed in the difference between the declared and actual levels, which meanwhile makes it possible to build career trajectories and social elevators for a certain category of young people, forming the first level of the pool for recruiting political leaders.

Study of hydrodynamic characteristics in oscillating wave surge converter

In the realm of renewable energy, researchers worldwide have been paying close attention to developing the Oscillating Wave Surge Converter (OWSC) device. This device has the potential to harness the power of ocean waves and convert it into a reliable source of clean energy. Hydrodynamic characteristics are essential parameters in developing OWSC devices. Therefore, this research conducted a hydrodynamic study on the OWSC device with variations in ocean wave periods, including T= 1.5, 1.7, 1.9, 2.1, and 2.3. The Boundary Element Method (BEM) describes the interaction between sea waves and floating body structures. This method assumes incompressible, inviscid, and irrotational flow. A numerical approach is used as a calculation method followed by verification and validation to support the level of actualization. The research results showed that the incident wave caused the OWSC device to experience a deviation from its equilibrium position in the form of an oscillating flap inclination angle as a form of hydrodynamic characteristics. The sea wave period correlatedwith the rate of change in flap position over time, including the maximum deviation in the flap angle. As a power plant, the performance of the OWSC device can work at reasonably short-wave period intervals based on the device's ability to produce mechanical power. The highest average mechanical power was achieved in the T= 1.5 period of 34.49 Watts with an efficiency of up to 52.43%. The OWSC device requires a high intensity of wave energy in a short duration to generate optimal mechanical power. It is important to note that optimal mechanical power generation is crucial for the OWSC device to function effectively. Therefore, the device should be placed in a location where the wave energy intensity is consistently high.

Association of stress hyperglycemia ratio and mortality in patients with sepsis: results from 13,199 patients.

The stress hyperglycemia ratio (SHR), adjusted for average glycemic status, is suggested for assessing actual blood glucose levels. Its link with adverse outcomes is known in certain populations, yet its impact on sepsis patients' prognosis is unclear. This study explores the association between SHR and mortality in sepsis. We included 13,199 sepsis patients in this study and categorized SHR into distinct groups. Additionally, we utilized restricted cubic spline analysis to evaluate the correlation between SHR as a continuous variable and mortality. The primary outcome was 1-year all-cause mortality. Logistic regression and Cox proportional hazards models were employed to assess the associations between the SHR and both in-hospital mortality and 1-year mortality, respectively. Among the study participants, 4,690 (35.5%) patients died during the 1-year follow-up. After adjusting for confounding variables, we identified a U-shaped correlation between SHR and 1-year mortality. Using an SHR of 0.99 as the reference point, the hazard ratio for predicted 1-year mortality increased by 1.17 (95% CI 1.08 to 1.27) per standard deviation above 0.99, whereas each standard deviation increase predicted the hazard ratio of 0.52 (95% CI 0.39 to 0.69) below 0.99. Furthermore, we found that SHR could enhance the predictive performance of conventional severity scores. There exists a U shaped association between SHR and mortality in sepsis patients, where both low and high SHR values are associated with an increased risk of poor outcomes.

Automated Storage and Retrieval System for Warehouse

Manual picking and retrieval of items from storage locations can be time-consuming, leading to delays in order fulfillment. This can negatively impact customer satisfaction and the overall responsiveness of the supply chain. In addition, manual data entry and tracking systems are prone to human errors, resulting in discrepancies between recorded and actual inventory levels. This can lead to stockouts, overstocking, and difficulties in maintaining accurate inventory records. Therefore, a fully automated storage and retrieval system is proposed to tackle this problem. The overall system consists of infrared sensor as presence of item stored, LEDs indicator, warehouse model with compartments and stepper motors act as actuator to pick and place the item. This project aims to automate the storage and retrieval system with the assist of monitoring system for accurate tracking of inventory and space savings. The use of Programmable Logic Controller (PLC) in this project is a good representation of integrated automation technology in automated storage system design. Furthermore, monitoring system connected to a web-based system will be used to remotely monitor and operate the facility. Implementing an Automated Storage and Retrieval System (ASRS) in the warehouse can address these challenges by automating the storage, retrieval, and tracking of inventory.

The effects of cerebral pressure autoregulation status and CPP levels on cerebral metabolism in pediatric traumatic brain injury

BackgroundCerebral perfusion pressure (CPP) management in the developing child with traumatic brain injury (TBI) is challenging. The pressure reactivity index (PRx) may serve as marker of cerebral pressure autoregulation (CPA) and optimal CPP (CPPopt) may be assessed by identifying the CPP level with best (lowest) PRx. To evaluate the potential of CPPopt guided management in children with severe TBI, cerebral microdialysis (CMD) monitoring levels of lactate and the lactate/pyruvate ratio (LPR) (indicators of ischemia) were related to actual CPP levels, autoregulatory state (PRx) and deviations from CPPopt (ΔCPPopt).MethodsRetrospective study of 21 children ≤ 17 years with severe TBI who had both ICP and CMD monitoring were included. CPP, PRx, CPPopt and ΔCPPopt where calculated, dichotomized and compared with CMD lactate and lactate-pyruvate ratio.ResultsMedian age was 16 years (range 8–17) and median Glasgow coma scale motor score 5 (range 2–5). Both lactate (p = 0.010) and LPR (p = < 0.001) were higher when CPP ≥ 70 mmHg than when CPP < 70. When PRx ≥ 0.1 both lactate and LPR were higher than when PRx < 0.1 (p = < 0.001). LPR was lower (p = 0.012) when CPPopt ≥ 70 mmHg than when CPPopt < 70, but there were no differences in lactate levels. When ΔCPPopt > 10 both lactate (p = 0.026) and LPR (p = 0.002) were higher than when ΔCPPopt < –10.ConclusionsIncreased levels of CMD lactate and LPR in children with severe TBI appears to be related to disturbed CPA (PRx). Increased lactate and LPR also seems to be associated with actual CPP levels ≥ 70 mmHg. However, higher lactate and LPR values were also seen when actual CPP was above CPPopt. Higher CPP appears harmful when CPP is above the upper limit of pressure autoregulation. The findings indicate that CPPopt guided CPP management may have potential in pediatric TBI.

E055 The experience of pain in patients with rheumatoid arthritis - findings from a qualitative study of REMORA app users’ experiences

Abstract Background/Aims The Remote Monitoring in Rheumatoid Arthritis (REMORA) system enables people with rheumatoid arthritis (RA) to track daily symptoms, such as pain and fatigue, via a smartphone app. Graphed symptoms are made available in the electronic health record for patients and clinicians to review together during clinical consultations. REMORA aims to help patients and clinicians to understand fluctuations in disease activity and flares in between clinical appointments. Here, we discuss how patients and clinicians interacted with the data in REMORA, and if and how these interactions provided new knowledge to support person-centred care. Methods Patients and clinicians recruited to take part in a REMORA feasibility trial were invited to participate in this qualitative study about their experience of using the system. We conducted semi-structured interviews (in person, or via telephone or video conference) and observed clinical consultations while taking field notes. Both interviews and clinic observations were audio-recorded, transcribed, and uploaded to NVivo 12 Plus software. Thematic analysis was guided by the Theoretical Domains Framework. Results 21 patients (of 32 consented patients who initiated symptom tracking) and seven clinicians from two study sites were interviewed. Five consultations were observed. Patients tracking their symptoms using the REMORA app highlighted how this helped them to remember periods where they had experienced pain. Clinicians were able to see where pain flares occurred. This created an opportunity for patients and clinicians to discuss pain, in turn supporting decision making around identifying and managing flares, and identifying positive responses to treatment. Some patients expressed difficulty in knowing whether to score all the joint pain they experienced, or just pain secondary to RA. At times they found it difficult to distinguish the origin of pain which created anxiety around score accuracy. For some patients, there was a dissonance between their pain experiences and the pain scores they reported in the REMORA app. For example, sometimes they entered scores that were lower than their actual pain levels because they did not want to admit, and formalise, how bad the pain was. Reviewing these pain scores together enabled clinicians and patients to discuss and interpret the symptom scores, giving clinicians new insights into patients’ approach to their RA. Conclusion The REMORA system captures longitudinal symptom scores to help direct clinical management plans. Patients engaged with the pain scoring function in various ways, and pain reports submitted through the app may not always fully represent people’s actual experiences of pain from their RA and other conditions. During consultations, skilful questioning by clinicians about patient-generated data can create new insights into how an individual copes with and manages their pain and wider long-term condition. Disclosure D. Dowding: None. S. Skyrme: None. Y. Masood: None. S.N. van der Veer: None. D.J. Griffiths-Jones: None. W. Dixon: Consultancies; WGD has received consultancy fees from Google unrelated to this work. C.A. Sharp: None.

Application and comparison of three occupational health risk assessment methods in an automobile manufacturing industry

Objective: Three occupational health risk assessment methods were used to assess the occupational health risk of noise exposed posts in an automobile manufacturing enterprise. According to the results, the selection of risk assessment methods and risk management of such occupational noise enterprises were provided. Methods: Form April to November 2021, The occupational health field survey was carried out in an automobile manufacturing industry in Tianjin. The occupational health MES risk assessment method, occupational health risk index risk assessment method and Australian occupational hazard risk assessment method were used to evaluate the occupational health risk of noise-exposed posts in this enterprise, and the evaluation results of different methods were analyzed and compared. Results: The average value of L(Aeq, 8 h) in the four workshops of automobile manufacturing industry was 82.95 dB (A) , and the noise detection exceeding rate was 22.41% (26/116) . The LAeq, 8h and exceeding rate noise of welding workshop were higher than those of other workshops (χ(2)=23.56, 32.94, P<0.01) . The three occupational health risk assessment methods have the same risk assessment results for the four major workshops. The assembly and painting workshops are level 4 risk (possible risk) , and the stamping and welding workshops are level 3 risk (significant risk) . Conclusion: Occupational noise has certain potential hazards to workers in automobile manufacturing enterprises. Therefore, in the future work, corresponding organizational management measures should be taken to improve the working environment and reduce the actual exposure level of workers in order to protect the health of occupational workers.

Gaining Insight into Teenagers' Experiences of Pain after Laparoscopic Surgeries: A Prospective Study.

There is an anecdotal impression that teenage patients report exaggerated postoperative pain scores that do not correlate with their actual level of pain. Nurse and parental perception of teenagers' pain can be complemented by knowledge of patient pain behavior, catastrophizing thoughts about pain, anxiety, and mood level. Two hundred and two patients completed the study-56.4% were female, 89.6% White, 5.4% Black, and 5% were of other races. Patient ages ranged from 11 to 17 years (mean = 13.8; SD = 1.9). The patient, the parent, and the nurse completed multiple questionnaires on day one after laparoscopic surgery to assess patient pain. Teenagers and parents (r = 0.56) have a high level of agreement, and teenagers and nurses (r = 0.47) have a moderate level of agreement on pain scores (p < 0.05). The correlation between patient APBQ (adolescent pain behavior questionnaire) and teenager VAS (visual analog scale) and between nurse APBQ and teenager VAS, while statistically significant (p < 0.05), is weaker (r range = 0.14-0.17). There is a moderate correlation between teenagers' pain scores and their psychological assessments of anxiety, catastrophic thoughts, and mood (r range = 0.26-0.39; p < 0.05). A multi-modal evaluation of postoperative pain can be more informative than only assessing self-reported pain scores.

I-CHECKIN@PKB: The acceptance among Politeknik Kota Bharu staff

I-Checkin@PKB has been utilized at Politeknik Kota Bharu (PKB) for nearly six months, replacing the thumbprint attendance monitoring system. With I-Checkin@PKB, users can eliminate the need to wait in line at the centralized terminal for attendance registration, making it more efficient and hygienic. This system helps avoid potential germ transmission through contact with the same terminal, particularly amidst the challenges posed by Covid-19 and viral fever outbreaks. While the management of PKB has received verbal feedback from users, the actual level of user acceptance regarding I-Checkin@PKB remains unknown. Therefore, this study aims to investigate the acceptance level among I-Checkin@PKB users, focusing on perceived ease of use, perceived usefulness, attention to use, and behavioral intention. The study involved 100 respondents selected through random sampling. Utilizing 12 items with a Cronbach Alpha reliability coefficient of α=0.97, representing the constructs, the results indicated a high level of acceptance among users regarding I-Checkin@PKB, including its ease of use, usefulness, attention, and behavioral intention. Furthermore, the positive perceptions among I-Checkin@PKB users are likely to garner continuous support due to its ability to reduce the risk of human error associated with manual methods, such as paper-based attendance sheets. It is crucial to emphasize that while I-Checkin@PKB systems offer numerous benefits, their successful implementation necessitates clear communication, employee training, and consideration of privacy and security concerns to ensure a positive experience for both employees and the organization.

Towards a robust approach for evidencing quality in higher education learning: The new CALOHEE model

PurposeKey to transnational higher education (HE) cooperation is building trust to allow for seamless recognition of studies. Building on the Tuning Educational Structures initiative (2001) and lessons learnt from the Organisation for Economic Cooperation and Development (OECD)-Assessment of Learning Outcomes in Higher Education (AHELO) feasibility study, this paper offers a sophisticated approach developed by the European Union (EU)-co-financed project Measuring and Comparing Achievements of Learning Outcomes in Europe (CALOHEE). These evidence the quality and relevance of learning by applying transparent and reliable indicators at the overarching and disciplinary levels. The model results allow for transnational diagnostic assessments to identify the strength and weaknesses of degree programmes.Design/methodology/approachThe materials presented have been developed from 2016 to 2023, applying a bottom-up approach involving approximately 150 academics from 20+ European countries, reflecting the full spectrum of academic fields. Based on intensive face-to-face debate and consultation of stakeholders and anchored in academic literature and wide experience.FindingsAs a result, general (overarching) state-of-the-art reference frameworks have been prepared for the associated degree, bachelor, master and doctorate, as well as aligned qualifications reference frameworks and more detailed learning outcomes/assessment frameworks for 11 subject areas, offering a sound basis for quality assurance. As a follow-up, actual assessment formats for five academic fields have been developed to allow for measuring the actual level of learning at the institutional level from a comparative perspective.Originality/valueFrameworks as well as assessment models and items are highly innovative, content-wise as in the strategy of development, involving renown academics finding common ground. Its value is not limited to Europe but has global significance. The model developed, is also relevant for micro-credentials in defining levels of mastery.

Design of a Tool for Patient Classification Based on Pharmacotherapeutic Attitudes

Perception and relief of pain exhibit variability among individuals. Age, gender, ethnicity, educational level, actual stress level, mood, or medical conditions can modify the personal interpretation of pain and responses to pharmacological treatment. These differences may play a significant role in the effects, sometimes unwanted, of analgesic treatment. Define patient typologies with Failed Back Syndrome regarding attitudes toward the disease, treatment, healthcare, and the follow-up they receive from their healthcare professionals. Create a tool for patient profile identification. A clinical case series study, observational, descriptive, and cross-sectional. Study population: patients from the Pain Unit of Nuestra Señora de La Candelaria University Hospital (HUNSC) in Tenerife, conducted in three phases: collection of medical history data (F0), initial visit (F1), and personal interview (F2). Five patient typologies are obtained based on responses to 17 items. Regression equations are calculated from these responses to predict the patient type. They are grouped into "Classics," "Dependents," "Critics," "Unconscious," and "Responsible." Additionally, two tools with 17 items and another with 7 optimized items are developed to simplify the process. These tools enable Community Pharmacy (CP) to identify patients based on their characteristics to direct personalized strategies for each of them.