Additional Aid Research Articles

Objective Personality Determination: A Useful Addition to the Traditional Process of Pediatric Surgical Fellow Selection.

Selection of pediatric surgical trainees is a multifaceted process heavily influenced by in-person interviews to determine personality makeup and institutional compatibility. We present our experience in utilizing a validated personality inventory in the selection of our candidates. All applicants selected for an in-person interview for the 2020 Pediatric Surgery Match were offered the Big Five Inventory (BFI) questionnaire. An initial rank order list (ROL) was formulated employing application information and in-person interview score. A reformulated ROL was created after incorporating BFI data. Correlation of specific personality characteristics vs position on the ROL was assessed for both the initial ROL and the reformulated ROL. Thirty-four applicants were interviewed and 24 (70.6%) were ranked. Linear regression analysis identified a lower neuroticism score directly related to a higher position on the initial ROL {R = .4626, P = .023}. The reformulated ROL identified a higher conscientiousness score {R = .5331; P = .007} and a lower neuroticism score {R = -.4383; P = .032} correlated with ascending the final ROL. The self-administered BFI adds objectivity to personality determination gleamed from the standard face-to-face interview. Conscientiousness and neuroticism had a significant impact on the final ROL position. Adding objective personality data appears to provide additional aid in this difficult process.

Synthesis and robocasting of YAG xerogel: one-step conversion of ceramics

An optimized sol–gel protocol was carried out to produce an yttrium aluminum garnet (YAG) xerogel from aluminum alkoxide and an yttrium salt on a semi-pilot scale. This xerogel was successfully used without prior pyrolysis as a solid load with the aid of additives in the preparation of pastes. Thermal treatment of the green bodies, obtained by robocasting of the paste, led to cohesive single-phase YAG ceramics. Manufacturing ceramic pieces by additive methods will allow shaping complex forms, while the single step conversion/consolidation would simplify the technological process, reducing global energy costs. Since YAG possesses high strength and good creep behavior at high temperatures, these refractory pieces could replace the metal alloys used in turbine blades for deep space exploration. Structural, thermal and chemical characterizations were performed on xerogel powders, pastes, and YAG ceramics.

Progression through emergency and temporary shelter, transitional housing and permanent housing: A longitudinal case study from the 2018 Lombok earthquake, Indonesia

Increasing quality while reducing the time and costs of progressing disaster-affected populations from emergency shelter to permanent housing is key for improving post-disaster resilience. However, targets set around quality and time are often overly optimistic; the process is complex and factors affecting the progression of shelter and housing through the initial weeks and months following a disaster are diverse and not well documented. To identify which contributors are key to recovery efforts and at what stages in the process they can help or hinder, we need to study post-disaster environments over time. This longitudinal study of the shelter and housing evolution over the first eight months following the August 2018 Lombok earthquake helps to provide some insight. We argue that unrealistic expectations over timelines and standards were set. We consider the humanitarian response through aid and grants, the role of individual actors, and wealth and location of those affected. Hampering overall recovery efforts were a lack of transitional housing policy, an overly complex grant process for permanent housing construction, and a failure to declare a national disaster in a politicised environment. Conversely, shelter vulnerability reduction (people moving into more secure shelter then housing) at household level was marginally affected by wealth, proximity to a regency centre, being in an urban location or receiving additional shelter aid in the first few months, but less influential four months following the disaster. Most households self-recovered, with those recovering fastest being the most proactive and adaptable, who were supported by an effective village leader.

Rasch Validation of the Mini-BESTest in People With Parkinson Disease.

The Mini-BESTest is a balance measure with robust psychometric properties widely used in people with Parkinson disease. The aim of this study was to examine-with advanced psychometric techniques-some key properties of the Mini-BESTest (including unidimensionality, functioning of rating categories, internal construct validity, reliability indexes) in a consecutive sample of individuals with Parkinson disease admitted for balance rehabilitation. Confirmatory factor analysis and Rasch analysis (partial credit model) were performed on 193 individual raw scores of the Mini-BESTest items. Confirmatory factor analysis fit indices and principal component analysis of the residuals confirmed the scale's unidimensionality. At Rasch analysis, the 3-level rating scale demonstrated appropriate functioning. All items fitted the Rasch model. Item response dependence was negligible. No differential item functioning was found across gender and age groups. We confirmed and extended the evidence (demonstrated in different populations) on the general psychometric soundness of the Mini-BESTest, even when tested with rigorous statistical methods. In addition, 2 forms were created: (i) to transform raw scores into linear estimates of dynamic balance; and (ii) to compare the individual's item responses with those expected by the Rasch model (thus providing an aid for tailored interventions) and manage missing responses. Further independent studies using advanced psychometric techniques are warranted, also in people with balance disturbances of different etiology. Our study further increases the confidence in using the Mini-BESTest to assess dynamic balance in people with Parkinson disease and provides some useful additional clinical aids for interpreting the results and calculating more precise change scores.See the Supplementary Video, available at: http://links.lww.com/JNPT/A384.

Oral Hygiene Practices and Oral Health Knowledge among Students in Split, Croatia.

Background: Knowledge of oral health is a fundamental prerequisite for healthy behavior, allowing individuals to take measures to protect their overall health. This cross-sectional study aimed to examine the knowledge of oral health as well as to assess the oral hygiene habits among healthcare and non-healthcare students. Methods: The study was based on a questionnaire and was conducted among 1088 students. Most of the students, 67.6% were non-healthcare students. Data were processed by Mann–Whitney or Kruskal–Wallis one-way ANOVA test. Results: The correct median score and interquartile range were 11 (9–13) for all surveyed students, 11 (9–12) for students in non-healthcare programs and 13 (11–14) for students in healthcare programs. Students did not significantly differ in the knowledge of oral health by gender (p = 0.082) but did differ by age, study program, and year of study (p ≤ 0.001). Students whose family members work in the field of dental medicine also showed better oral health knowledge (p ≤ 0.001). Conclusion: The results showed good oral health knowledge among tested university students. However, it is important to emphasize that students who showed better knowledge more often used additional aids to maintain oral hygiene; therefore, the obtained data underline the importance of students’ further education in order to better understand and maintain oral health.

Moving in Semantic Space in Prodromal and Very Early Alzheimer's Disease: An Item-Level Characterization of the Semantic Fluency Task.

The semantic fluency task is a widely used clinical tool in the diagnostic process of Alzheimer's disease. The task requires efficient mapping of the semantic space to produce as many items as possible within a semantic category. We examined whether healthy volunteers (n = 42) and patients with early Alzheimer's disease (24 diagnosed with amnestic Mild Cognitive Impairment and 18 with early Alzheimer's dementia) take advantage of and travel in the semantic space differently. With focus on the animal fluency task, we sought to emulate the detailed structure of the multidimensional semantic space by utilizing word2vec-method from the natural language processing domain. To render the resulting multidimensional semantic space visually comprehensible, we applied a dimensionality reduction algorithm (t-SNE), which enabled a straightforward division of the semantic space into sub-categories. Moving in semantic space was quantified with the number of items created, sub-categories visited, and switches and returns to these sub-categories. Multinomial logistic regression models were used to predict the diagnostic group with these independent variables. We found that returning to a sub-category provided additional information, besides the number of words produced in the task, to differentiate patients with Alzheimer's dementia from both amnestic Mild Cognitive Impairment patients and healthy controls. The results suggest that the frequency of returning to a sub-category may serve as an additional aid for clinicians in diagnosing early Alzheimer's disease. Moreover, our results imply that the combination of word2vec and subsequent t-SNE-visualization may offer a valuable tool for examining the semantic space and its sub-categories.

Oral health practices and self-reported adverse effects of E-cigarette use among dental students in 11 countries: an online survey

ObjectivesE-cigarette use has become popular, particularly among the youth. Its use is associated with harmful general and oral health consequences. This survey aimed to assess self-reported oral hygiene practices, oral and general health events, and changes in physiological functions (including physical status, smell, taste, breathing, appetite, etc.) due to E-cigarette use among dental students.MethodsThis online, multicounty survey involved undergraduate dental students from 20 dental schools across 11 different countries. The questionnaire included demographic characteristics, E-cigarette practices, self-reported complaints, and associated physiological changes due to E-cigarette smoking. Data were descriptively presented as frequencies and percentages. A Chi-square test was used to assess the potential associations between the study group and sub-groups with the different factors. Statistical analysis was performed using SPSS at P < 0.05.ResultsMost respondents reported regular brushing of their teeth, whereas only 70% used additional oral hygiene aids. Reported frequencies of complaints ranged from as low as 3.3% for tongue inflammation to as high as 53.3% for headache, with significant differences between E-cigarette users and non-users. Compared to non-smokers, E-cigarette users reported significantly higher prevalence of dry mouth (33.1% vs. 23.4%; P < 0.001), black tongue (5.9% vs. 2.8%; P = 0.002), and heart palpitation (26.3%% vs. 22.8%; P = 0.001). Although two-thirds of the sample reported no change in their physiological functions, E-cigarette users reported significant improvement in their physiological functions compared to never smokers or tobacco users.ConclusionDental students showed good oral hygiene practices, but E-cigarette users showed a higher prevalence of health complications.

Educational Videos as an Adjunct Learning Tool in Pre-Clinical Operative Dentistry-A Randomized Control Trial.

Background: E-learning is an important adjunct used for teaching clinical skills in medicine dentistry. This study evaluated and compared the effectiveness of e-learning resources as an additional teaching aid to traditional teaching methods in male and female students and based on CGPA scores in a pre-clinical operative skill course. Methods: A randomized control trial was conducted in the College of Dentistry, Jouf University, to assess the impact of e-learning resources in learning clinical skills in a pre-clinical operative dentistry course. Fifty second-year dental students were randomly divided into two groups, with 25 students each. Group A (control group) was taught using traditional teaching methods, and Group B (intervention group) used e-learning resources along with traditional methods. Both groups were assessed using objective structured clinical examinations (OSCEs). Standardized forms prepared by faculty members were used to assess the students. The students also filled in a questionnaire afterwards to provide feedback regarding the e-learning resources. Results: The difference between both groups was statistically significant (p < 0.05). Female students performed better in three OSCE stations out of six. Furthermore, the students positively responded to the use of additional resources. Conclusion: The use of e-learning resources in pre-clinical operative dentistry courses can be a useful adjunct to traditional teaching methods and can result in better learning of dental pre-clinical operative skills.

Backlight system using an interleaved Fresnel lens array that attains a uniform luminance and two-dimensional directional light control.

A novel (to the best of our knowledge) Fresnel lens array is proposed to realize a uniform directional backlight with two-dimensional directionality. Autostereoscopic display with the proposed lens array improves image output quality and relieves the viewer's posture restriction without the need for any additional eye aid. In the proposed lens array, tiny prisms composing two adjacent linear Fresnel lenses are interleaved so that the two lenses may be virtually overlapped and work independently. The widths of the elemental prisms vary depending on the distance from the center of each lens. Thus, the light passing through the two lenses is mixed, which results in higher and more uniform luminance intensity. A prototype of an autostereoscopic display based on the time-multiplexed directional backlight method and made with the proposed lens array attained uniform luminance as well as low cross-talk between left-eye and right-eye images.

Fish-scale waste to portable bioactive discs: a sustainable platform for sensitive and reliable blood group analysis.

Blood group analysis has evolved from conventional "test-tube" to ingenious "lab-on-a-chip" micro/paper-fluidic devices for identifying blood phenotypes. Despite the rapid and economical fabrication of these devices, they require Whatman paper that is obtained by cutting down trees and plastic usage involving complex and sophisticated facilities, making scalable manufacturing laborious and expensive. Most importantly, deforestation and plastic incineration pose great threats to the biotic and abiotic environments. Here, we have developed a blood grouping strip utilizing fish-scale waste and household cardboard-waste generated origami as an affordable and sustainable strategy. The naturally inherited hydrophilicity of fish scale with a contact angle of 89° could succinctly auto-stabilize low-volume antisera without the aid of additives. Moreover, unlike paperfluidics, antisera absorption, as well as RBC-antisera agglutination upon blood introduction, happens on the spot with no capillary wicking. The merits of our technique are: it requires a low amount of blood (3 μL), eliminates additional image processing and assays, is equipment-free, and aids accurate blood typing as a visual hemagglutination readout. Additionally, a high tensile strength of ∼85 ± 5 MPa and the shelf-endurance of the bio-disc allowed us to use the simplest cardboard origami as a shield, obviating plastic and fiber generated fancy shields, making our device portable and simultaneously biodegradable. Our novel bio-disc blood analysis was tested with anonymous blood samples (n = 200), with an accuracy comparable to a standard blood group assay. This zero-cost paper, plastic-free eco-friendly blood group analyser derived from biodegradable food and cardboard waste as a resourceful technique has huge potential in various sensors and point-of-care diagnostics, especially in impoverished areas with limited or no lab facilities.

The Role of Lung Ultrasound in Diagnosing COVID-19-Related Multisystemic Inflammatory Disease: A Preliminary Experience.

Background: To date, there are no data regarding the systematic application of Point-of-Care Lung Ultrasound (PoC-LUS) in children with Multisystem Inflammatory Syndrome in Children (MIS-C). The main aim of this study is to show the role of Point-of-Care Lung Ultrasound as an additional aid in the diagnosis of COVID-19-related Multisystem Inflammatory Syndrome in Children (MIS-C). Methods: Between April 2020 and April 2021, patients aged 0–18 years referred to our emergency department for fever, and later hospitalized without a specific diagnosis, underwent PoC-LUS. Ultrasound images of patients with a final diagnosis of MIS-C were retrospectively evaluated. Results: Ten patients were enrolled. All were described to have pleural irregularities and B-lines. In particular: 8/10 children presented with isolated B-lines in at least half of the lung areas of interest; 8/10 presented with multiple B-lines and 3/8 had them in at least 50% of lung areas; 5/10 had a white lung appearance in at least one lung area and 1/5 had them in half of the areas of interest. Pleural effusion was described in 9/10. Conclusions: During the ongoing COVID-19 pandemic, we suggest performing PoC-LUS in febrile patients with high levels of inflammatory indices and clinical suspicion of MIS-C, or without a certain diagnosis; the finding of many B-lines and pleural effusion would support the diagnosis of a systemic inflammatory disease.

Visual systematization in tech diffusion management

The aim of this article is to structure additive technology aids of visual systematization, to determine the impact of visual systematization on innovation diffusion management. The authors deals with scenarios for managing the technologies diffusion in enterprises of various industries, including the construction industry, using a system and an additive technologies matrix that allow for the optimal choice of technology in existing production conditions. The main advantages provided by the use of additive technologies in industrial production are determined. The system and matrix of additive technologies developed by the authors make it possible to obtain a comprehensive view of existing additive technologies and evaluate their applicability for obtaining business effects. The types of business effects that company managers can get when using matrices are systematized. The use of visual systematization tools allows companies and their managers to improve the labor productivity, increase the company's production potential, and ensure economic.

External aid behavior in the recipient economy: A probit regression for Africa

Aim/purpose – External aid allocation by the donors in recent years has been fraught with instability and volatility. This has a negative consequence on the recipient econo- mies particularly those that are highly aid-dependent. A good solution to the problem requires much understanding of factors influencing the behavior of external aid in the respective recipient economy. In this study, the focus was on analyzing two economic factors uncommonly discussed in the empirical literature – the influence of the degree of economic freedom and external debt burden on aid allocation, with emphasis on African economy. Design/methodology/approach – The study constructs a probit model for the analysis using a panel dataset consisting of 48 African countries from 2010 to 2019. Findings – The key findings of the study include a significant positive effect of economic freedom on aid and it implies that the probability of an additional external aid allocation to African countries increases with an increase in the degree of economic freedom. However, external debt burden, albeit positive, is not statistically significant to motivate more external aid allocations to Africa over the sample period. Research implications/limitations – Hence, the pattern of external aid inflows in Africa is a reflection of a change in the degree of economic freedom in the region. Originality/value/contribution – In contribution to filling the gap in the literature on external aid inflow in the recipient economies, the study traced external aid fluctuations in Africa to external debt burden and the extent of restriction imposed on economic freedom in African countries. Keywords: external aid, economic freedom, external debt burden, probit regression. JEL Classification: F34, F35, C01, E02.

Plasma Therapy: An Effective Treatment for Infections from Microbes with Special Reference to Coronavirus Disease 2019

Infections hold a major place in the global disease burden. About thousands of different microbial species invade human body thereby leading to complications in the physiology of a particular system or the body as a whole. While the world has tried to combat the microbial infections through various natural and synthetic chemical constituents and certain additional medical aids, we still lack effective treatment against all kinds of microorganisms especially, the evolving new microbial species. Currently, as the world is suffering from a major pandemic spread of infection caused by severe acute respiratory syndrome coronavirus 2, scientists all over the world are trying to produce an effective prophylaxis as well as treatment to fight the viral attack. Amongst different trials going on, this review focuses on the effectiveness of plasma therapy, its mechanism and its applications in various infections so far and it’s possible role to treat coronavirus disease 2019.

Evolutionary genomic insights into cyanobacterial symbioses in plants.

Photosynthesis, the ability to fix atmospheric carbon dioxide, was acquired by eukaryotes through symbiosis: the plastids of plants and algae resulted from a cyanobacterial symbiosis that commenced more than 1.5 billion years ago and has chartered a unique evolutionary path. This resulted in the evolutionary origin of plants and algae. Some extant land plants have recruited additional biochemical aid from symbiotic cyanobacteria; these plants associate with filamentous cyanobacteria that fix atmospheric nitrogen. Examples of such interactions can be found in select species from across all major lineages of land plants. The recent rise in genomic and transcriptomic data has provided new insights into the molecular foundation of these interactions. Furthermore, the hornwort Anthoceros has emerged as a model system for the molecular biology of cyanobacteria-plant interactions. Here, we review these developments driven by high-throughput data and pinpoint their power to yield general patterns across these diverse symbioses.

Amino-functionalized polysaccharide derivatives: Synthesis, properties and application

Polysaccharides, cellulose and chitin are fundamental structural biopolymers of our biome, they therefore demonstrate relatively high tensile strength compared to other biopolymers and great diversity. Aqueous insolubility is a natural requirement for these polymers to be fit for purpose. However, non-natural aminated polysaccharides, such as 6-deoxy-6-amino derivatives, display improved solubility profiles, thus allowing further modification in a wider range of protic and aprotic polar solvents. Improved aqueous solubility and additional charge density aids, among others, modest antimicrobial, antioxidant, anticancer and gene transfection properties. Cellulosic and chitinous feedstock is naturally abundant and ideal for further valorisation. However, limitations in environmentally desirable solvents and inconsistency in chemical processing are a key hurdle in the path to commercial exploitation of 6-deoxy-6-aminocellulose and 6-deoxy-6-aminochitosan. This review intents to highlight the successes and challenges in the chemical process methodology that influence optimal valorisation of cellulosic and chitinous waste in the context of exploiting waste derived biopolymers. Note that this review is focused on the synthesis of 6-deoxy-6-amino derivatives and not 6-O-linked aminated derivatives.

Using Visual Grouping to Improve Navigation of Skip Patterns in Mail Surveys: An Experiment

AbstractSkip patterns, in which certain questions should only be answered by subsets of respondents, are particularly challenging for mail surveys because respondents must navigate them themselves with no assistance from a computer or interviewer. Incorrect navigation of skip patterns can lead to (1) errors of omission, which is when respondents fail to answer follow-up questions they should answer; (2) errors of commission, which is when respondents answer follow-up questions they should skip; or (3) filter item nonresponse, which is when respondents fail to answer the initial filter question. Using experimental data from two general population surveys of Nebraskans, this paper examines three visual design elements—common region, indentation, and subnumbering—aimed at decreasing skip errors in mail surveys. Each design element is intended to create stronger grouping and subgrouping among items within skip patterns, thus clarifying the navigational path and decreasing skip errors. We compare error rates across treatments overall and by respondent age, education, and literacy to assess whether visual cues can provide additional aid to those who might struggle with reading text cues. We find that using separate enclosures or subnumbering of the follow-up questions significantly reduces commission error rates and using indentation significantly increases omission error rates. In addition, none of the tested visual designs were more effective for older, less educated, or lower literacy respondents than for their counterparts.

ОСОБЛИВОСТІ ВИКОРИСТАННЯ СЮЖЕТНО-РОЛЬОВИХ ІГОР ДЛЯ ПІДВИЩЕННЯ НАВИЧОК КОМУНІКАТИВНОЇ КОМПЕТЕНЦІЇ УЧНІВ ПОЧАТКОВОЇ ШКОЛИ

Game is a form of organization of student life, in which the teacher can, using various methods, to form oral skills, the features of which are: initiative, contact, spontaneity, emotional coloring. Role-playing games in foreign language lessons should be organized by the teacher in advance, using additional materials, supports and visual aids. The place of role play depends on the degree of readiness of the class for it, taking into account the real capabilities of each student. Communicative and cognitive activities in the classroom are designed to ensure the integrity of the language learning process through the use of role-playing games and it allows students to fully immerse themselves in a foreign language culture through the roles offered to students within a particular topic. The experience of playing games at school has established that students have experience of playing games, they are active, inquisitive and ready to prepare for the game without the help of a teacher. The use of role-playing games in foreign language lessons provides an opportunity to increase interest in a foreign language, creates a positive attitude to its study, stimulates independent thinking, and most importantly, role-playing games affect language development and affect the development of speaking, reading, listening and writing skills. at the senior stage of training. Role-playing games promote the activation of communicative and cognitive activities, thus ensuring a continuous process of learning a foreign language through work with dictionaries, additional literature sources, the use of interdisciplinary links. There are many types of games, including role-playing. Role-playing is an important component of foreign language learning: role-playing performs many of the functions necessary for successful learning. The game situation in the lesson provides immersion in the research topic, removes the language barrier, creates a favorable psychological atmosphere. Role play should be conducted under the strict control of the teacher and planned in advance, ensuring the integrity of the learning process. Role-playing games can not do without props or communication situations. Roles between students should be distributed according to students' abilities and the level of language proficiency. Key words: communicative competence, development, game, educational process, role.

Learning to interpret novel eHMI: The effect of vehicle kinematics and eHMI familiarity on pedestrian’ crossing behavior

Introduction: In current urban traffic, pedestrians attempting to cross the road at un-signalized locations are thought to mostly use implicit communication, such as deceleration cues, to interpret a vehicle’s intention to yield. There is less reliance on explicit driver- or vehicle-based messages, such as hand/head movements, or flashing lights/beeping horns. With the impending deployment of Automated Vehicles (AV), especially those at SAE Level 4 and 5, where the driver is no longer in control of the vehicle, there has been a surge in interest in the value of new forms of communication for AVs, for example, via different types of external Human Machine Interfaces (eHMIs). However, there is still much to be understood about how quickly a novel eHMI affects pedestrian crossing decisions, and whether it provides any additional aid, above and beyond implicit/kinematic information from the vehicle. The aim of this between-participant study, funded by the H2020 interACT project, was to investigate how the combination of kinematic information from a vehicle (e.g., Speed and Deceleration), and eHMI designs, play a role in assisting the crossing decision of pedestrians in a cave-based pedestrian simulator. Method: Using an existing, well-recognized, message for yielding (Flashing Headlights - FH) as a benchmark, this study also investigated how quickly a novel eHMI (Slow Pulsing Light Band – SPLB) was learned. To investigate the effect of eHMI visibility on crossing decisions, the distance at which each eHMI was perceivable was also measured. Results: Results showed that, compared to SPLB, the FH led to earlier crossings during vehicle deceleration, especially at lower approaching speeds, and smaller time gaps. However, although FH was visible earlier than SPLB, this visibility does not appear to be the only reason for earlier crossings, with message familiarity thought to play a role. Participants were found to learn the meaning conveyed by FH relatively quickly, crossing around 1 second earlier in its presence (compared to the no eHMI condition), across the three blocks of trials. On the other hand, it took participants at least one block of 12 trials for the new SPLB signal to affect crossing, which only accelerated crossing initiations by around 200 ms, compared to the no eHMI condition. The role of comprehension, long-term exposure, and familiarity of novel messages in this context is therefore important, if AVs are to provide safe, trustworthy communication messages, which will enhance traffic flow and efficiency.

Systems Barriers to Medication Management During Hospital to Home Transitions of Older Adults With Dementia

The hospital-to-home transition is a high-risk period for medication errors and adverse events for older adults living with dementia. Researchers conducted a qualitative study using semi-structured interviews and participant solicited diaries. Caregivers of adults ages 55 and older were recruited to understand barriers to medication management during hospital to skilled home health care transitions. We used a human factors engineering approach to guide our understanding of systems level barriers. At least two researchers independently coded each transcript using content analysis and the ATLAS.ti software. We interviewed 23 caregivers and identified five barrier types stemming from systems breakdowns related to: (1) knowledge and information, (2) access to and use of resources and tools, (3) caregiver burden, (4) pandemic concerns, and (5) health limitations. Caregivers grappled with receiving overwhelming, insufficient, incorrect, or conflicting information, and had difficulty managing information from different sources. Latinx caregivers encountered language barriers that impeded role and task clarity. Caregivers expressed mistrust in health systems elements and inability to access resources. Caregivers were in need of additional caregiving assistance, financial aid, and tools to manage medications. Balancing multiple medications and responsibilities left caregivers burdened. The health limitations of the older adult and COVID-19 concerns related to reduced access to resources and ability to deliver and receive in person care complicated task management. Altogether these barriers reflect systems level breakdowns impeding task understanding, execution, and overall management. These findings will inform the development of interdisciplinary strategies to ensure safer care transitions.