Evaluation Approach Research Articles

Time to pars plana vitrectomy in adults with retained lens fragments: a systematic review and meta-analysis

ObjectiveTo compare visual outcomes and complication risk based on the timing of pars plana vitrectomy (PPV) following cataract surgery with retained lens fragments. MethodsMEDLINE (Ovid), EMBASE, and Cochrane Library were searched between 2000 to February 2022 for studies comparing visual outcomes and complications based on time to PPV. Discrete outcomes were analyzed using a random-effects meta-analysis model on Review Manager (RevMan 5.4). The certainty of evidence of outcomes was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation approach. ResultsTen studies and 1,693 eyes were included. The incidence of patients achieving a final best-corrected visual acuity (BCVA) of >6/12 Snellen may be similar among patients receiving PPV within 1 week or after 1 week of cataract surgery (RR = 1.06, 95% CI = [0.96, 1.17], p = 0.25), and patients receiving PPV within 1 month or after 1 month of cataract surgery (RR = 1.12, 95% CI = [0.95, 1.32]; p = 0.18). Incidence of glaucoma or elevated intraocular pressure for patients may be similar among patients receiving PPV within 1 week or after 1 week of cataract surgery (RR = 1.08, 95% CI = [0.62, 1.87]; p = 0.79), and patients receiving PPV within 1 month or after 1 month of cataract surgery (RR = 0.33, 95% CI = [0.09, 1.23]; p = 0.10). ConclusionIncidence of patients achieving a final BCVA of >6/12 Snellen or postoperative adverse effects was similar between patients who underwent early and late PPV following cataract surgery. However, all studies had an overall serious risk of bias, primarily because of confounding and reporting bias.

A pioneering approach to measure increased resilience to face climate change: insights from the Race to Resilience campaign

This paper illustrates a methodology to measure the impact of resilience-building actions on the increased resilience of people and natural systems to face climate change, developed and field-tested around the Race to Resilience Campaign. Despite increasing acknowledgment of the need for robust methodologies and indicators to monitor and evaluate efforts across adaptation planning and implementation, and provide credibility, accountability and transparency to such actions, there is still a lack of sufficiently standardized and agreed upon metrics able to capture the effect of resilience-building actions. The proposal illustrated in this manuscript offers a pioneering approach for high-level tracking, monitoring and evaluation of resilience-building efforts of non-state actors, based on two complementing sets of metrics: depth metrics measure the degree to which an action is generating a change to fundamental conditions which can demonstrably be related to increasing resilience; while magnitude metrics offer a quantification of the beneficiaries that are affected by these changes. Underlying both stand the Resilience Attributes: properties which can be soundly associated with triggering resilience across different systems, and which can then be used to assess increased resilience ‘by proxy’: that is, by seeing how an action sets forth changes in properties commonly associated with resilience. These Attributes were identified based on updated scientific literature and co-construction exercises with global experts. The integration of Depth and Magnitude indices, adjusted by a Confidence Index evaluating data reliability, allows to estimate the overall contribution of a set of actions on increasing resilience against climate challenges. Based on the above, a possible Monitoring & Evaluation cycle is proposed, and an illustration is offered on two case studies from the Race to Resilience campaign. Key strengths, lessons learned and insights are summarized to stimulate the global discussion, in the context of the Global Stocktake and Global Goal on Adaptation.

Innovative player evaluation: Dual-possibility Pythagorean fuzzy hypersoft sets for accurate international football rankings

This study introduces an advanced approach for ranking international football players, addressing the inherent uncertainties in performance evaluations. By integrating dual possibility theory and Pythagorean fuzzy sets, the model accommodates varying degrees of ambiguity and imprecision in player attributes. Additionally, the use of hypersoft set theory enriches the analysis by capturing the multifaceted nature of player evaluations. The proposed aggregation operators refine the synthesis of diverse information sources, leading to a comprehensive and nuanced assessment. This research significantly enhances player evaluation methodologies, providing a more adaptable framework for a fair assessment of international football talent. A practical example illustrates the application of dual-possibility Pythagorean fuzzy hypersoft sets (DP-PFHSS). A numerical technique is proposed for solving multi-criteria decision-making (MCDM) challenges with known dual possibility information using the proposed aggregation operators. This decision-making algorithm effectively determines a football player's worth, contributing to the overall ranking and evaluation process. The approach aids in scouting and recruitment by facilitating talent identification and informed player signings. Graphical analysis, comparing existing and proposed methods using average and geometric operators, demonstrates the superiority of the proposed approach in the players evaluation, indicating that F1 is in the top ranking.

A Data-Driven Approach for Battery System Safety Risk Evaluation Based on Real-World Electric Vehicle Operating Data

A Data-Driven Approach for Battery System Safety Risk Evaluation Based on Real-World Electric Vehicle Operating Data

Wheeled mobility use outcomes: a systematic review protocol of measurement properties.

Numerous tools have been developed to measure constructs related to wheelchair use. Currently, no toolkit comprehensively details assessments of wheeled mobility device use based on the quality of their measurement properties. The current review aims to systematically identify high-quality assessment tools that measure different aspects of wheeled mobility use. The objectives are two-fold: i) to synthesize outcome measures that assess use of wheeled mobility devices, and ii) to evaluate measurement properties of the assessment tools. The populations of interest are manual wheelchair users, power wheelchair users, and scooter users of any age, diagnosis, or setting. Instruments of any type will be included. The JBI methodology for systematic reviews of measurement properties will guide this review. A search strategy will be developed to search the following databases: MEDLINE (Ovid), Embase, CINAHL (EBSCOhost), PsycINFO (EBSCOhost), PsycTests (EBSCOhost), Web of Science, and Google Scholar. The article selection process, data extraction, and quality appraisal will be performed by 2 independent reviewers, with a third reviewer being consulted to achieve consensus. The methodological quality of the studies will be assessed through the Consensus Standards for the Selection of Measurement Instruments (COSMIN) Risk of Bias tool and the COSMIN Checklist. The quality of the pooled evidence and individual measurement properties will be graded using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach and the COSMIN Criteria for Good Measurement Properties recommendations. Measurement properties of each instrument will be described, with the goal of developing a toolkit that identifies appropriate assessment tools for wheeled mobility use outcomes. PROSPERO CRD4202276169.

Efficacy and Safety of Sphingosine 1-Phosphate Receptor Modulators for Ulcerative Colitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Sphingosine 1-phosphate receptor modulators (S1PRMs) are an effective treatment for ulcerative colitis (UC). This review summarizes all available randomized trial data on the efficacy and safety of S1PRM therapy. Multiple publication databases were systematically searched for randomized control trials (RCTs) of adults with moderate to severe UC treated with S1PRMs. Random effects meta-analysis was performed. The risk of bias was assessed using the Cochrane Risk-of-Bias 2 tool, and the overall quality of evidence was rated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. We identified 7 RCTs (1737 patients) involving the use of S1PRMs for moderate to severe UC. During induction, S1PRM therapy was efficacious when compared with placebo for clinical remission [RR: 2.65 (95% CI: 2.00, 3.53)], clinical response [RR: 1.68 (95% CI: 1.48, 1.91)], endoscopic improvement [RR: 2.17 (95% CI: 1.76, 2.68)], endoscopic normalization [RR: 2.56 (95% CI: 1.58, 3.83)], mucosal healing [RR: 2.88 (95% CI: 1.94, 4.26)], and histologic remission [RR: 2.42 (95% CI: 1.60, 3.66)]. Similar results were seen throughout the maintenance peroid, although fewer data were available to pool; notably, both sustained [RR: 3.57 (95% CI: 1.23, 10.35)] and steroid-free [RR: 2.92 (95% CI: 1.35, 6.33)] remission were significantly increased by S1PRM. There were no significant differences in adverse events [RR: 1.02 (95% CI: 0.90, 1.15)] and infections [RR: 1.15 (95% CI: 0.82, 1.60)] between S1PRM and placebo. Pooling of RCT data confirms that S1PRM therapy is both effective and safe for patients with moderate to severe UC.

Cost and cost-effectiveness of treatments for rheumatic heart disease in low- and middle-income countries: a systematic review protocol.

This review will synthesize studies on costs, the impact of these costs, and the cost-effectiveness of treatments for rheumatic heart disease (RHD) in low- and middle-income countries. RHD incurs high costs owing to its clinical complexity, surgical treatments, and prolonged hospital stays. Thus, the disease has a substantial economic impact on the health system, patients, and their families. No systematic review on economic evidence of treatments for RHD has been published to date. This review will consider all cost and cost-effectiveness studies on RHD treatments for children and young adults (5─30 years) residing in low- and middle-income countries. The review will follow the JBI methodology for systematic reviews of economic evaluation evidence. The search strategy will locate published and unpublished studies in English. Systematic searches will be conducted in MEDLINE (PubMed), MEDLINE (Ovid), Embase (Ovid), Scopus, CINAHL (EBSCOhost), National Health Service Economic Evaluation Databases, Pediatric Economic Database Evaluation, and Cost-Effectiveness Analysis Registry. Two independent reviewers will screen titles and abstracts, followed by a full-text review based on the inclusion criteria. Data will be extracted using a modified JBI data extraction form for economic evaluations. JBI's Dominance Ranking Matrix for economic evaluations will be used to summarize and compare the results of cost and cost-effectiveness studies. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach will be used to assess the certainty of economic evidence for outcomes related to resource use. PROSPERO CRD42023425850.

Effectiveness and safety of self-management interventions for improving glycemic control and health-related quality of life among adults with type 2 diabetes mellitus in sub-Saharan Africa: a systematic review and meta-analysis.

The objective of this review was to assess and synthesize evidence on the effectiveness and safety of self-management interventions for improving glycemic control and health-related quality of life among adults with type 2 diabetes mellitus (T2DM) in sub-Saharan Africa. There has been a rapid increase in the prevalence of T2DM in sub-Saharan Africa. Lifestyle-related risk factors require self-management strategies, and these must be tailored to the context. Several randomized controlled trials (RCTs) evaluating T2DM self-management interventions in sub-Saharan Africa have been conducted. This systematic review included RCTs assessing the effectiveness and safety of self-management interventions among adults with T2DM in sub-Saharan Africa, where the self-management intervention matched at least 1 category of the Practical Reviews in Self-Management Support (PRISMS) for long-term conditions taxonomy. The following databases were searched from inception until January 14, 2023: MEDLINE (Ovid), PubMed, Embase (Ovid), CINAHL (EBSCOhost), PsycINFO (Ovid), Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), Directory of Open Access Journals, EThOS, and ProQuest Dissertations and Theses (ProQuest). Global Health (EBSCOhost) was searched from inception until June 8, 2021. OpenGrey was searched from inception until its archive date of December 1, 2020. Two independent reviewers conducted title and abstract screening, full-text screening, data extraction, and critical appraisal. Disagreements were resolved through discussion or with a third reviewer. Data synthesis was conducted narratively, followed by meta-analysis where feasible. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach for assessing the certainty of evidence was applied. From 2699 records identified, 18 RCTs were included in the systematic review and 14 in the meta-analysis. Interventions included broad self-management education programs, peer support, exercise interventions with education, nutrition education, educational text messaging, and blood glucose self-monitoring support. Only 4 studies received a "yes" response for more than half of the criteria in the standardized JBI critical appraisal tool for RCTs. Compared to the control, self-management interventions did not significantly reduce glycated hemoglobin (HbA1c) levels at 3 months (302 participants, mean difference [MD] -6.0 mmol/mol, 95% CI -17.5, 5.4; very low certainty on GRADE assessment) or 12 months (1504 participants, MD -3.7 mmol/mol, 95% CI -8.2, 0.7; moderate certainty on GRADE assessment). HbA1c was significantly reduced at 6 months (671 participants, MD -8.1 mmol/mol, 95% CI -10.7, -5.4; low certainty on GRADE assessment). Four studies assessed health-related quality of life, but only 1 demonstrated an improvement (2205 participants). Three studies reported no adverse events in relation to the trial interventions (1217 participants), and adverse events were not reported in the remainder of studies. There did not appear to be clinically significant effects on body mass index, lipid profile, or systolic or diastolic blood pressure. The evidence was mixed for weight and waist circumference. Self-management interventions for adults living with T2DM in sub-Saharan Africa may produce a clinically significant improvement in glycemic control at 6 months, but this may wane in the long term. There was not convincing evidence to indicate a benefit of these interventions on health-related quality of life, but reporting on this outcome measure was limited. There were insufficient data on adverse events to be able to draw conclusions. PROSPERO CRD42021237506.

Effectiveness of Platelet Rich Fibrin in Accelerating Canine Distal Movement: A Systematic Review of Randomized Controlled Trials.

This review aimed at a systematic evaluation of the available literature on the effect of platelet-rich fibrin (PRF) in accelerating canine distal movement (CD). An elaborate search of the available literature on the effect of PRF on the acceleration of canine distal movement was conducted using appropriate search terms in PubMed, Scopus, Cochrane Central, and Google Scholar until April 2024. The risk of bias within the studies was assessed using the Cochrane risk of bias (RoB)-2 tool. Publication bias was assessed with a funnel plot, and a random effects model was used for quantitative synthesis. The certainty of the available evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Following the systematic search, a total of 11 studies were included for the qualitative analysis, and three studies were included for quantitative synthesis. Most of the studies reported an increased rate of canine distal movement following administration of PRF. The overall pooled CD at one, two, three, four, and five months showed a significantly increased mean CD in i-PRF (p<0.00001; MD = 0.23; 95% CI: 0.14 to 0.32), and a significantly increased rate of CD was noted during the first and second months. The available studies had a moderate to low risk of bias and a moderate certainty of evidence. Hence, with a moderate certainty of evidence and a risk of bias, it can be concluded that PRF accelerates orthodontic tooth movement during the first two months.

Impact of Intraoperative Dexamethasone on Perioperative Blood Glucose Levels: Systematic Review and Meta-Analysis of Randomized Trials.

Dexamethasone is associated with increased blood glucose levels that could impact patient outcomes or management. This study aimed to synthesize the available evidence regarding the impact of an intraoperative single dose of dexamethasone on blood glucose levels. We searched CENTRAL, MEDLINE, and clinicaltrials.gov for randomized controlled trials (RCTs) comparing a single intraoperative dose of dexamethasone to control in adult patients who underwent noncardiac surgery. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the review was registered in PROSPERO (CRD42023420562). Data were pooled using a random-effects model. We reported pooled dichotomous data using odds ratios (OR) and continuous data using the mean difference (MD), reporting 95% confidence intervals (95% CIs), and corresponding P-values for both. Confidence in the evidence was appraised using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. As primary outcomes we assessed maximum blood glucose levels measurement and variation from baseline within 24 hours of surgery; blood glucose levels measurement and variation from baseline at 2, 4, 8, 12, and 24 hours after dexamethasone administration. As secondary outcomes, we evaluated insulin requirements and hyperglycemic events. We included 23 RCTs, enrolling 11,154 participants overall. Dexamethasone was associated with a significant increment in blood glucose levels compared to control at all timepoints. The results showed an increase compared to control of 0.37 mmol L-1 (6.7 mg dL-1) at 2 hours (95% CI, 0.16-0.58 mmol L-1 or 2.9-10.5 mg dL-1), 0.97 mmol L-1 (17.5 mg dL-1) at 4 hours (95% CI, 0.67-1.25 mmol L-1 or 12.1-22.5 mg dL-1), 0.96 mmol L-1 (17.3 mg dL-1) at 8 hours (95% CI, 0.55-1.36 mmol L-1 or 9.9-24.5 mg dL-1), 0.90 mmol L-1 (16.2 mg dL-1) at 12 hours (95% CI, 0.62-1.19 mmol L-1 or 11.2-21.4 mg dL-1) and 0.59 mmol L-1 (10.6 mg dL-1) at 24 hours (95% CI, 0.22-0.96 mmol L-1 or 4.0-17.3 mg dL-1). No difference was found between subgroups regarding diabetic status (patients with diabetes versus patients without diabetes) in all the outcomes except 2 (maximum blood glucose levels variation within 24 hours and variation at 4 hours) and dexamethasone dose (4-5 mg vs 8-10 mg) in all the outcomes except 2 (blood glucose levels at 24 hours and hyperglycemic events). Mean blood glucose levels rise between 0.37 and 1.63 mmol L-1 (6.7 and 29.4 mg dL-1) within 24 hours after a single dose of dexamethasone administered at induction of anesthesia compared to control, but in most patients this difference will not be clinically relevant.

Occupational Therapy Assessment Tools for Children and Adolescents in Iran: A Scoping Review.

Assessment tools are essential in occupational therapy for providing client-centered care, clinical decision-making, evidence-based documentation, and defining expected outcomes. This study investigated available occupational therapy assessment tools for children and adolescents in Iran. A comprehensive search was conducted in MEDLINE, PubMed Central, Web of Science, Embase, Scopus, SID, Magiran, and Google Scholar from their inception until May 24, 2022. Two reviewers screened records and applied inclusion criteria focused on peer-reviewed articles in English or Persian, covering children and adolescents aged 0-18 years old in Iran. The methodological quality of each study and the evidence quality of each measurement tool was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias Checklist, and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. A review of 66 articles published between 2010 and 2021, identified 51 assessment tools. The majority of tools (70.7%) targeted typically developing children and those with cerebral palsy, with limited options for adolescents (n=5) and infants (n=1). These tools primarily focused on assessing body functions (47.06%), particularly sensory-motor functions. While numerous tools demonstrated good reliability (66.67%) and significant content validity (31.37%), there was a paucity of high-quality evidence supporting other psychometric properties. This study identified 51 occupational therapy assessment tools for Iranian children and adolescents. However, the present research identified some concerning trends, such as lack of tools available for specific populations, an overreliance on translated tools, and a predominant focus on body functions. Moreover, there were concerns about the methodological quality of studies using these tools.

“A Study To Assess The Effectiveness Of Planned Teaching Programme On Knowledge Regarding Blood Donation Among Late Adolescent Students (18-20years) At Tagore College Of Arts And Science, Chrompet, Chennai”

Age group between 10 to 20 years is considered as a period of transition from childhood to adulthood. They are no longer children yet not adults. It is characterized by rapid physical growth, emotional and psychological changes. Donation of blood is a behavioural phenomenon and is always considered a humanitarian act. Our body has approximately. 5.5 litre of blood of which only 350 ml - 450 ml of blood is taken depending upon weight of donor. The withdrawn blood volume is restored within 24 hours and the haemoglobin and cell components are restored in 2 months. Therefore, it is perfectly safe to donate blood every three months. Evaluative research approach and one group pre-test and post-test design was used. Purposive sampling technique was used to select the sample for the study. The total number of study sample consisted of 30 late adolescent students. The pre-test knowledge mean score is 8.87 and post-test knowledge mean score is 18.47. The ‘t’ value is 27.03 statistically significant at P≤0.001. This indicates that the mean difference of 10. It is hypothesized that there is significant in effectiveness of planned teaching programme among late adolescent students (18-20years) regarding blood donation. So the researcher accepted the research hypothesis and it is evident that the planned teaching programme significantly effective in improving the knowledge among late adolescent students (18-20years) regarding blood donation

The mechanisms of diseases and global approaches

New approaches for elucidating mechanisms of diseases including environmental diseases, cancer, metabolic diseases, infectious diseases are challenging. After the presentation on elucidating the mechanism of cancer and infectious diseases, lectures by Dr. Tae-Young Kim (Korea) on metabolic deuterium oxide labeling in environmental diseases, Dr. Rosalia Rodriguez-Rodriguez (Spain) on targeting the hypothalamus with nanomedicines to treat metabolic diseases, Dr. Chang-Beom Park (Korea) on methodological approach for evaluation of the environmental diseases were presented. The deeper understanding of the global research approaches on diseases will be expected based on the fruitful discussion at the international symposium.

New approaches for evaluation of microbiological quality in equine clinics using Fourier transform infrared spectroscopy

New approaches for evaluation of microbiological quality in equine clinics using Fourier transform infrared spectroscopy

SM-GMVAE: an intelligent model for defect quantification evaluation based on few ultrasonic signals

The conventional defect quantification evaluation approaches based on machine learning requires massive amounts of labelled defect signals, which is expensive and time-consuming works. This paper proposed a novel Similarity Metric Gaussian Mixture Variational Auto-Encoder (SM-GMVAE) model, which enables quantify defect with few labelled defect signals. The SM-GMVAE model is designed based on few-shot learning, which includes two modules: feature extraction (FE) module and similarity metric (SM) module. The FE module is designed to extract the feature of defect signal via the Variational Auto-Encoder (VAE). The SM module is used to measure the similarity of two defect signals based on the Gaussian Mixture Model (GMM). Moreover, sparse filtering techniques are used to enhance the sparsity of the features in the SM module. To validate proposed model, some specimens with four various depth defects are designed and fabricated for ultrasonic non-destructive testing experiments. A dataset with defects of different depths is established to compare proposed model with other methods. Our method obtains state-of-the-art experimental results with few labelled defect signals. Different from many published papers, our model is trained with few labelled data, which is more close to engineering practical application than other evaluation model trained using large numbers of labelled data. In other words, the developed approach can realize more complex defect evaluation tasks (such as: size, location, shapes, etc) at very low data labelling cost.

Methods for evaluating intersectoral action partnerships to address the social determinants of health: a scoping review.

Many of the social and economic factors that shape conditions for population health and health equity (e.g. income, education and employment) lie outside of the health sector. Intersectoral action (ISA) is pivotal to building diverse partnerships that address these social determinants of health. Despite the significant role of ISA, there are few comprehensive reports from the health sector on how such partnerships are evaluated. The purpose of this scoping review is to provide an overview of examples of ISA partnership evaluations, including the identification of evaluation methods, tools and indicators. A literature search of two academic databases, Embase and MEDLINE, identified seven relevant studies published between 2012 and 2022. Common evaluation approaches were network analysis, community- or system- level analysis, partnership evaluation and longitudinal process evaluation. Five of the studies assessed the strength and functionality of partnerships, with reach (e.g. distance between partners) used most frequently as an indicator. Despite the complexity of evaluating ISA partnerships, such evaluations are crucial for assessing impacts on health outcomes and social determinants of health, goal achievement, accountability and sustainability. Different evaluation models are available to program planners and evaluators involved in ISA initiatives.

Numerical investigation on the tracer followability of nitrogen droplets over the airfoil in cryogenic wind tunnel

Cryogenic wind tunnels (CWT) achieve high Reynolds number aerodynamic performance measurements by cooling the medium with liquid nitrogen. Utilization of naturally-occurring liquid nitrogen droplets as tracer particles for non-intrusive measurement applications in CWT shows great potential in the previous work. However, the droplet motion characteristics over the airfoil remain to be investigated, and the followability evaluation approach is lacking. Accordingly, an Euler-Lagrange model for transonic particle flow over the NACA0012–64 airfoil was established. The effect of flow characteristics on the particle motion was explored. The results reveal that the flow separation and shock wave phenomenon over the airfoil causing velocity deviation between airflow and droplet. The shock wave is the main deviation driver, and flow separation causing trace blind zones. Droplets larger than 10 μm fail to effectively follow the variation of airflow. The blind zone enlarges with angle of attack (AoA), particularly when AoA exceeding 10 degrees. Moreover, Stokes number is found to be inadequate for characterizing the followability of tracer particles in turbulent flow. Consequently, an evaluation method based on the Basset-Boussinesq-Oseen equation was developed. This research provides theoretical and technical support for advancing the use of nitrogen droplets as tracer particles in CWT.

Advancing Nurse Practitioner proficiency and confidence: An evaluation of postgraduate training in rural and medically underserved communities.

Nurse practitioners (NPs) are critical in delivering primary health care, especially in underserved and rural areas. Transitioning from academic training to practical application poses challenges, highlighting the need for structured post-licensure training (PLT). To address the knowledge gap regarding the impact of PLT programs on the clinical development, confidence, and care delivery of NPs using an innovative evaluative approach. Using a mixed-methods approach, this study engaged 19 NP fellows in quantitative and qualitative evaluations. Assessments of clinical skills and feedback were collected using the REDCap platform, focusing on mentorship and the practical application of skills. Quantitative analysis showed improvements in several domains: patient-centered care (median score increase from 8 to 10, p = .005), knowledge of evidence-based practice (median score from 8 to 9, p = .028), and health systems (median score from 8 to 9, p = .014). Qualitative feedback underscored the benefits of the program's structured support and practical learning experiences while revealing the need for improvements in mentor preparedness. The PLT program effectively advanced NP proficiency across various domains, particularly in patient-centered care and evidence-based practice. However, it also highlighted a crucial need for focused mentorship in developing leadership skills. The study's limited scope, dependence on self-reported measures, and specific statistical methods constrain the broader applicability of its findings. Future research should aim to validate these results across diverse settings and explore long-term outcomes. This study provides new perspectives on NP workforce development, emphasizing the importance of structured mentorship and training, especially in medically underserved communities.

A damage effectiveness evaluation approach of warhead fragment group on missile target based on intuitionistic fuzzy neural network

A damage effectiveness evaluation approach of warhead fragment group on missile target based on intuitionistic fuzzy neural network

PRINCIPLES OF TEACHER TRAINING IN THE FINNISH EDUCATION SYSTEM

The article presents in detail the principles of the Finnish educational policy, which are the basis of the principles of school management and teacher training. It presents the principles that are widely used in the process of teacher training in developed European countries and the principles that are characteristic mainly of the Finnish education system. We reveal the peculiarities of the principles of Finnish teacher training by presenting the theories of adaptation of education and masterful learning based on them. The paper analyzes the principles of equality, continuity, teaching evaluation, teaching research, and trust at the same time. It presents the current stage of the teacher training process in the education system in Finland, as well as the factors that form the principles of teacher training, in particular the innovative policy of Finland in the field of education. The article analyzes the principles of systematization, consistency of state policy, strategic direction of reforms, taking into account the socio-economic goals of the country, correction and modernization of programs. It analyses as a special feature, adaptive learning theories, examines in the context of which evaluation approaches and standards. It singles out the principle of individual development of Finnish teacher training. It is noted that it acts as an alternative principle. The idea is emphasized that any principles of Finnish teacher training are based on the principles of educational reforms, which are the starting point in educational policy. The novelty of the research is that, as a result of historical comparative analysis, trends and features of the formation and development of Finnish teacher training principles were revealed.