Aspects Of Services Research Articles

Perceptions and Attitudes Toward Genetic Counselors and Genetic Testing Among Certified Professional Midwives in Vermont: A Modified Grounded Theory Study.

Increasingly, pregnant people in the United States are choosing to give at birth at home, and certified professional midwives (CPMs) often attend these births. Care by midwives, including home birth midwives, has the potential to decrease unnecessary medical interventions and their associated health care costs, as well as to improve maternal satisfaction with care. However, lack of integration into the health care system affects the ability of CPMs to access standard medications and testing for their clients, including prenatal screening. Genetics and genomics are now a routine part of prenatal screening, and genetic testing can contribute to identifying candidates for planned home birth. However, research on genetics and midwifery care has not, to date, included the subset of midwives who attend the majority of planned home births, CPMs. The purpose of this study was to examine CPMs' access to, and perspectives on, one aspect of prenatal care, genetic counselors and genetic counseling services. Using semi-structured interviews and a modified grounded theory approach to narrative analysis, we identified three key themes: (1) systems-level issues with accessing information about genetic counseling and genetic testing; (2) practice-level patterns in information delivery and self-awareness about knowledge limitations; and (3) client-level concerns about the value of genetic testing relative to difficulties with access and stress caused by the information. The results of this study can be used to develop decision aids that include information about genetic testing and genetic counseling access for pregnant people intending home births in the United States.

Sisi Terang dan Gelap: Digitalisasi pada Perkembangan Pendidikan Indonesia

As time goes by, humans continue to adapt to the environment of their era, developing innovations to make their lives more efficient and practical. In this effort to adapt and change, technology has become a tool that is greatly utilized by humans. In the current era of even development of information technology, education has a very important role because it is needed to provide meaning to every subject matter, which will help Indonesia move towards a more advanced civilization. For this reason, this article aims to examine two different sides to the digitalization of school education in facing the era of revolution 4.0 towards 5.0 in Indonesia today. This research uses descriptive qualitative research with a literature review method. The research results show that there are various applications of digitalization/technology in education that have both good and bad impacts. This impact occurs in aspects of learning and administrative services which will of course influence the development of education, therefore it is necessary to design appropriate strategies as preventive and overcoming measures, especially these negative impacts. So that education in Indonesia is expected to be able to rise amidst world civilization and demonstrate its existence by presenting creative solutions to various global challenges that arise in the current and future eras.

Impact of e-learning service quality on student satisfaction during the Covid-19 pandemic: A systematic review

Educational institutions around the world transitioned from face-to-face learning to online learning as a direct result of the COVID-19 pandemic. This sudden transition had grave consequences on e-learning service quality (ELSQ) and student satisfaction with online learning; however, what dimensions of ELSQ impacted student satisfaction most during the COVID-19 pandemic remain unclear. This study represents the first systematic effort reviewing and synthesizing the available literature on the relationships between the various dimensions of ELSQ and student satisfaction with online learning during the COVID-19 pandemic. We searched the databases Education Source, Education Resources Information Center, and Computer & Applied Sciences Complete for quantitative studies. The results show that ELSQ dimensions were positively associated with student satisfaction with e-learning during COVID-19 pandemic. System quality was the most commonly demonstrated predictor of student satisfaction, followed closely by instructor and course material quality. Little research has focused on the administrative and support service aspect of ELSQ. The most frequent system-related subdimensions were perceived ease of use, perceived usefulness, website design and content, responsiveness, functionality, technical support, advantages and compatibility of ICT, and information quality. The most prevalent instructor- and course-related subdimensions were the course content and design, instructor quality, student-student and student-instructor interactions, responsiveness, and instructor support.

Capability Enhancement of Agricultural Extension Personnel through ICT Interventions and its Economic Impact in Bangladesh

"In this paper, we evaluated the performance of various ICT interventions to empower agricultural extension personnel, especially the Sub Assistant Agriculture Officer (SAAO) and Upazila Agriculture Officer (UAO), the major stakeholders in Bangladesh’s existing agricultural extension system. It is usually challenging for extension staff to keep track of their services and get up-to-date agricultural knowledge in developing nations due to the enormous geographical area and quantity of farmers and insufficient training and monitoring. Different ICT applications and tools, such as online and offline agricultural consultation services applications, a digital diary for recording the daily activities of the SAAOs, a monitoring system for the UAOs, and audiovisual materials have been developed to support the extension people. The evaluation was done after collecting data from Focus Group Discussions (FGD), Key Informant Interviews (KII), surveys, and server-side data processing. This study revealed that ICT applications have increased the knowledge base, efficiency, confidence level, and acceptance of the SAAOs and improved the financial aspects of the agriculture extension services. Thanks to ICT interventions, farmers receive timely and quality services from SAAO, leading to increased crop production and a better lifestyle for farmers."

Pendampingan Pembuatan Teh Daun Mint Untuk Meningkatkan Jiwa Wirausaha Warga Binaan Rutan KLS II B Situbondo

The State Detention Center (RUTAN) is an integral part of the Ministry of Law and Human Rights, which is entrusted with the responsibility for executing the main tasks of the Ministry in the aspects of placement, care and services for prisoners. A concrete example of a detention center is the Situbondo Class II B Detention Center, a correctional institution located in Situbondo Regency, East Java Province, Indonesia. Individuals serving a sentence in a class II B State Detention Center, including inmates or detainees, have the need to improve their skills during the period of their detention. One of the rehabilitative activities carried out in prison is the practice of hydroponics, where one type of plant grown is mint. So far, the harvest of mint plants has been sold directly to prison visitors and also promoted at car free day activities in the Situbondo square. It was revealed that the leaves of the mint plant have significant health value and can be processed into herbal tea. In this context, assistance was provided with the process of making mint leaf tea at the Class II B Detention Center in Situbondo as part of efforts to diversify medicinal plants. This program aims to achieve two main benefits. First, stimulate the motivation of inmates to develop entrepreneurial skills after they are released from punishment, with the hope of improving their economic conditions. Second, increase their understanding of the processing of agricultural products, especially mint leaves which are processed into herbal tea. Training and practical methods are directly applied in this empowerment activity. The results include increased knowledge and skills in processing mint leaves into herbal tea. The final product of this program is herbal tea with an attractive and informative packaging design.

Transformasi Masyarakat Wih Pesam Menuju Desa Digital Bebas Stunting

In the current era technology is experiencing rapid development. Global technological advances have influenced all aspects of life, including economics, health, arts, public services and education. Digital technology is an information technology that prioritizes activities carried out by computer or digital rather than using human power. With the development of digital technology, many fields have benefited from its development. With this technology, village communities should also be able to experience ease in accessing technology because nowadays villages are encouraged to progress and be independent, with the hope of being able to develop the various potentials they have for the advancement of village development, but of course in some villages it is possible not to utilize this digital technology because that community service creates programs that introduce modernizing digital technology. The methods used are discussion and practice. Increasing understanding of village officials and the community means increasing digital literacy skills and showing that the objectives of the White Elephant University 2023 Thematic real work course are quite achievable and successful.

MANAJEMEN HAJI DAN UMRAH DALAM PEMETAAN BIBLIOMETRIK

This research aims to analyze research trends in the field of Hajj and Umrah management from researchers around the world. Through bibliometric analysis, this research provides an overview of research maps formed from keywords and important issues analyzed using the VOSviewer application. Data was obtained from the Dimensions.ai database, with the search keyword "Hajj and Umrah Management". The research results found that research on Hajj and Umrah management has increased every year. Writers from Indonesia and Arabic are the major contributors in this studies. The results of the cluster analysis found six theme clusters, cluster 1 discussed the theme of crowd management strategies. Cluster 2, regarding special service aspects for groups of Hajj and Umrah pilgrims. Cluster 3 shows a close relationship between the themes of the Ministry of Religion, Policy and Transparency. Cluster 4 underlines the issue of customer satisfaction, the role of related institutions and Umrah services in Indonesia. Meanwhile, cluster 5 groups issues regarding the application of technology, applications and information systems in Hajj management. And cluster 6, reflects the relationship between the COVID-19 Pandemic and Hajj and Umrah Management.

Towards Smart Parking Management: Econometric Analysis and Modeling of Public-Parking-Choice Behavior in Three Cities of Binh Duong, Vietnam

In developing cities, newly emerging cities have started facing the problem of insufficient public parking facilities and ineffective regulations. To support the planning, design and management of the public parking system towards a smart and sustainable city vision, it is necessary to study deeply parking behaviors. This paper presents an empirical study on parking-choice behaviors of motorcycle users and car users in the emerging cities of developing countries through a case study of three cities in Binh Duong, Vietnam. To explore the behavioral mechanisms and influential factors, the multinomial logit parking choice models are developed using revealed preference and stated preference data. The users’ overall satisfaction and perceived importance of parking lot design and service aspects are analyzed using order logistic regression. The revealed choices show no trade-off between parking fee and walking distance, as the users are not fully aware of parking locations and service features. However, the stated choice experiments prove a potential existence of the trade-off mechanism and differentiate significant factors in the decision of choices for the two user groups. The results bring insightful implications for the development of a smart public parking system.

IMPLEMENTASI MANAJEMEN BERORIENTASI MUTU PADA STAI TEBING TINGGI DELI

quality and quality of higher education. Higher Education Quality is carried out by implementing quality assurance activities with the PDCA model, namely: 1) Plan (Planning), 2) Do (Implementation), 3) Check (Examination) and 4) Action (Action). By applying the quality assurance model, the quality management of the High Quality Regulation can be monitored both planning, processes, outputs and outcomes. This type of research uses qualitative research, namely research that uses data analysis, which is information or information obtained based on informants, This is in line with the opinion of Bogdan and Taylor, that qualitative research is a research process that produces descriptive data in the form of written or oral words from people (informants) and observed behaviors (based on interviews, and documentation). Data collection techniques use techniques whose relevance is related to qualitative research (in terms of documentation, and interviews). Meanwhile, data analysis techniques are carried out to see the extent of the picture and facts that can be contained in the research results. Based on the results of the study, it was obtained that the implementation of quality-oriented management at STAI Tebing Tinggi Deli can be seen from the following aspects, curriculum aspects, special service aspects, facilities and infrastructure aspects, partnership aspects. Based on the conditions at STAI Tebing Tinggi Deli, an internal institution is needed that functions to carry out quality assurance for the implementation of activities. With the running of internal quality assurance, it is hoped that the quality majamen service process will be of high quality in the future.

Chronic Health Condition Management and School-Based Health Centers in New York: Findings From the 2020 School Health Profiles Survey.

School-based health centers (SBHCs) are associated with numerous positive aspects of student health services. Many schools in the United States (US) do not have transparent policies on chronic health condition (CHC) management. Of particular concern is the underreporting of the delivery of health services in U.S. schools concerning CHC management and its relationship with the presence or absence of a SBHC. Data from the 2020 School Health Profiles (SHP) Survey were examined in New York public secondary schools. Specific health services were reviewed, together with the presence or absence of a SBHC, including daily medication administration, stock rescue medication, case management services, community partners, chronic disease-specific education, and assurance that students with CHCs were enrolled in an insurance program. A significantly greater proportion of schools with a SBHC compared with schools without a SBHC provided: (1) daily medication administration (92.9% vs. 86.5%; p < .001), (2) stock or rescue medication (84.9% vs. 77.4%; p < .001), (3) case management services (83.1% vs. 67.2%; p < .001), (4) disease-specific education for families (63.1% vs. 57.2%; p = .022), (5) student and family connection to community health services (84.2% vs. 76.5%; p < .001), and (6) ensured that a protocol existed whereby students with a CHC were enrolled in an insurance plan if eligible (79.6% vs. 66.8%; p < .001). Findings suggest that data on a national scale include essential facts for states to consider concerning school health policies and practices. Additional research should examine the intricacy of elements connected with school-based health care to understand better the care provided to children with CHCs.

Knowledge And Practice of Preconception Care Among Women of Reproductive-Age in Bheerkot Municipality, Nepal

Background Preconception care is a crucial aspect of maternal and child healthcare services that aims to mitigate adverse pregnancy outcomes and enhance the desired health outcomes for women, newborns, and children. Despite the continuous multi-sectoral efforts in preconception care, maternal mortality and morbidity remain significant health concerns globally. This study aimed to assess the knowledge and practice of preconception care and its associated factors among women of reproductive age in Bheerkot Municipality, Nepal. Methodology A community-based descriptive cross-sectional study was conducted among 215 reproductive-age women to assess knowledge and practice regarding preconception care in Bheerkot Municipality, Nepal. Structured questionnaires were designed in the Nepali language and used in face-to-face interviews. We used a simple random sampling technique to collect quantitative data. In a statistical analysis, we employed the Chi-squared test and logistic regression analysis to identify possible predictors using the odds ratio and considered variables with p&lt;0.05 statistically significant at a 95% confidence interval. Result Out of the 215 women who participated in the study, only 46.9% had a good knowledge of preconception care. Approximately half (43.7%) of the respondents had never practiced preconception care. Among respondents who had practiced preconception care before, 47.9% reported good practice, and 52.1% reported poor practice. Age of the respondent (χ2=14.2063, P=0.000823, df=1), marital status (χ2=17.9851, P=0.000022, df=1), time to reach a health facility (χ2=30.1371, P=0.00001, df=1), and age at first pregnancy (χ2=4.7975, P=0.0285, df=1) were statistically associated with knowledge about preconception care. Women who have foreign employment as a major source of family income and whose age is from 25 to 34 years were more likely to have a better practice of preconception care than their counterparts (COR 3.5000, CI 1.3343 to 9.1805, P = 0.0109) and (COR 3.4000, CI 1.1646 to 9.9265, P = 0.0252), respectively. Additionally, out of those who practiced preconception care, most respondents (93.4%) have practiced it in government health facilities. Conclusion Respondents had relatively poor knowledge and practice of preconception care. Collaboration of governmental health institutions between multiple sectors at local levels for more education and information and a specific national protocol or policy formulation would be beneficial in improving preconception care in Nepal.

Front-desk workforce cultural diversity and its implications for service quality in the accommodation sector: a case from Australia

ObjetivoEl idioma y el dialecto, las costumbres y las actitudes de servicio son sólo algunas de las características que hacen que cada cultura sea única. En consecuencia, la presencia de personas de diferentes culturas durante un encuentro de servicio puede repercutir en la calidad del servicio, ya que lo que constituye una buena calidad de servicio se percibe de forma diferente en las distintas culturas. Como país con una sociedad multicultural, los inmigrantes culturalmente diversos de origen no angloparlante (NESB) desempeñan un papel cada vez más importante en el sector de la hostelería y el alojamiento en Australia. Dentro de este contexto regional, este estudio contribuye a una comprensión más sólida de la influencia de la diversidad cultural de la mano de obra en diferentes aspectos de la calidad del servicio de recepción en el sector del alojamiento.Diseño/metodología/enfoqueEn este estudio cualitativo se realizaron 31 entrevistas en profundidad semiestructuradas a huéspedes, personal de recepción y gerentes de apartamentos en Australia Occidental, seguidas de entrevistas de validación con cinco expertos en gestión de recursos humanos del sector de la hostelería.ConclusionesLos resultados de las entrevistas sugieren que la diversidad cultural del personal de los NESB afecta a varios aspectos de los servicios de recepción de los alojamientos australianos, como la calidad de la comunicación, la interacción entre el personal y los huéspedes y la satisfacción de éstos. Los hallazgos señalan que el personal de recepción de los NESB culturalmente diverso puede (1) enfrentarse a barreras de comunicación intercultural debido a los diferentes acentos extranjeros y a la presencia de jerga local, (2) mejorar la interacción huésped-personal y la experiencia general del huésped en caso de tener antecedentes culturales similares con los huéspedes, y (3) proporcionar representaciones auténticas del multiculturalismo en Australia.Originalidad/valorEl estudio arroja nueva luz sobre las cambiantes percepciones y expectativas de autenticidad de los turistas, especialmente en Australia, donde la diversidad cultural ha cobrado mayor protagonismo. Además, en el servicio de alojamiento australiano, muchos empleados de NESB que han aprendido inglés americano/británico tienen dificultades para conversar con personas con acento australiano, sobre todo cuando también está presente la jerga australiana.

A proposed framework for a social-ecological traits database for studying and managing urban plants and assessing the potential of database development using Floras

Trait-based frameworks have received increased attention in biodiversity research for their capacity to streamline complex information for policy and management purposes. Such frameworks, however, are mostly developed for natural ecosystems, and social-ecological dynamics in urban ecosystems may present needs that are distinct from natural ecosystems. We proposed a framework for developing a social-ecological traits database for plant selection and spontaneous vegetation managementusing three major categories of social-ecologically relevant considerations: 1) Sustenance and maintenance effects; 2) Ecosystem service/disservice effects; and 3) Conservation and ecological-meaning effects. We further examined the potential of using the Flora of Taiwan and vascular plants of Taipei city parks as a case study for using Floras for database development, and compared the results with two global trait databases, TRY and GIFT. Issues in Flora data include: 1) systematic omission of horticultural species, 2) low species trait coverage, and 3) complexity in original data. TRY included more measurement-based traits imperative to functional interpretations; Flora had wider global coverage than TRY. GIFT was based on Floras, but included only functional traits and omitted traits of social importance identified in our framework. Information uniquely available in the Flora include information of local relevance (e.g. associated local landscapes and commonness/rarity within the region) and social aspects of ecosystem services (e.g., edibility and visual aesthetics). Maintenance considerations are lacking in all three databases. We suggest interdisciplinary collaboration to further advance the proposed social-ecological traits framework and database to enhance the functions and sustainability of urban green infrastructures.

Tourism Competitiveness Evaluation Model of Urban Historical and Cultural Districts Based on Multi-Source Data and the AHP Method: A Case Study in Suzhou Ancient City

Urban historical and cultural districts, serving as multi-functional compounds integrating cultural preservation, consumer experience, and economic growth, are increasingly becoming the preferred choice for in-depth tourism under the trend of historical heritage protection and consumption upgrading. Due to the complexity of the construction purpose, inherent functions, and operational management of historical districts, scientifically and rationally evaluating them poses a challenge. This paper attempts to construct an evaluation method for the tourism competitiveness of urban historical and cultural districts based on multi-source data and the Analytic Hierarchy Process (AHP) method. First, based on the model of destination competitiveness and combined with literature research and open-ended expert interviews, an evaluation framework for the tourism competitiveness of urban historical and cultural districts is established, using the AHP method to calculate the specific weights of each evaluation indicator. Then, the corresponding data sources for each indicator and the data processing and calculation methods are further clarified. To verify the effectiveness of the proposed evaluation model, this paper selects three key historical and cultural districts in Suzhou City, calculates the tourism competitiveness of each district based on the proposed model, and collects tourist satisfaction surveys from the three districts for cross-validation with the evaluation results. The experimental results show that the evaluation model is reliably effective in assessing the cultural, commercial, and tourism service aspects of historical districts, thereby providing a theoretical basis for future tourism decision-making information systems and practical applications of historical districts.

Evaluation of optimum classification measures used to define textbook outcome among patients undergoing curative-intent resection of gastric cancer

BackgroundTextbook outcome (TO) is a composite measure reflecting various aspects of services provided to patients with solid malignancies. We sought to evaluate the importance of various TO components previously proposed for gastric cancer.MethodsProspectively maintained electronic databases of 1,743 patients treated in two academic surgical centres were reviewed. Six candidate definitions of TO were evaluated based on their ability to accurately predict patients’ prognosis by Cox proportional hazards modelling.ResultsTO definition combining 10 measures corresponding to complete tumour resection with an uneventful postoperative course showed the best goodness of fit by achieving the lowest values of Akaike (AIC) and Bayesian (BIC) information criteria and the best predictive performance based on the highest value of c-index. The overall median survival was significantly longer for patients with than without textbook outcome (69.0 vs 20.1 months, P < 0.001). TO maintained its prognostic value in a multivariate model controlling for age, sex, comorbidities, treatment, and tumour related variables and was associated with a 39% lower risk of death (HR 0.61, 95%CI 0.51 – 0.73, P < 0.001). Nine variables identified as predictors of TO were used to develop a nomogram showing very good correlation between the predicted and actual probability of achieving TO. The AUC of ROC obtained from the nomogram was 0.752 (95% CI 0.727 to 0.781).ConclusionsA uniform definition of textbook outcome provides clinically relevant prognostic information and could be used in quality improvement programs for gastric cancer patients.

Pengaruh Persepsi Harga, Online Customer Review Dan Promosi Terhadap Keputusan Pembelian Produk Heylook Official Shop Pada Market Place Shopee

The development of information technology in a digital-based economy supports business actors in aspects of marketing, procurement, distribution, and consumer service. This research aims to determine the influence of price perceptions, online customer reviews, and promotions on purchasing decisions for Heylook Official Shop products on the Shopee marketplace. The population in the research is Heylook Official Shop consumers on the Shopee marketplace the number of which is unknown (infinite). The number of samples in this study was 97 respondents determined using the Lemeshow formula. The sampling technique in this research is non-probability sampling with a purposive sampling method. Data collection was carried out through a questionnaire applied on Google Forms, and measured using a Likert scale. Data analysis uses multiple linear regression with the help of SPSS version 26 software. The findings in this research show that price perceptions and promotions have a significant influence on purchasing decisions, while online customer reviews do not influence Heylook Official Shop Purchase Decisions in the Shopee marketplace. Companies are expected to maintain competitive prices and continue to carry out promotional activities effectively. Companies need to push consumers to provide reviews of the products they purchase so that they become input for other consumers and the company itself.

Guide Development for eHealth Interventions Targeting People With a Low Socioeconomic Position: Participatory Design Approach.

People with a low socioeconomic position (SEP) are less likely to benefit from eHealth interventions, exacerbating social health inequalities. Professionals developing eHealth interventions for this group face numerous challenges. A comprehensive guide to support these professionals in their work could mitigate these inequalities. We aimed to develop a web-based guide to support professionals in the development, adaptation, evaluation, and implementation of eHealth interventions for people with a low SEP. This study consisted of 2 phases. The first phase involved a secondary analysis of 2 previous qualitative and quantitative studies. In this phase, we synthesized insights from the previous studies to develop the guide's content and information structure. In the second phase, we used a participatory design process. This process included iterative development and evaluation of the guide's design with 11 professionals who had experience with both eHealth and the target group. We used test versions (prototypes) and think-aloud testing combined with semistructured interviews and a questionnaire to identify design requirements and develop and adapt the guide accordingly. The secondary analysis resulted in a framework of recommendations for developing the guide, which was categorized under 5 themes: development, reach, adherence, evaluation, and implementation. The participatory design process resulted in 16 requirements on system, content, and service aspects for the design of the guide. For the system category, the guide was required to have an open navigation strategy leading to more specific information and short pages with visual elements. Content requirements included providing comprehensible information, scientific evidence, a user perspective, information on practical applications, and a personal and informal tone of voice. Service requirements involved improving suitability for different professionals, ensuring long-term viability, and a focus on implementation. Based on these requirements, we developed the final version of "the inclusive eHealth guide." The inclusive eHealth guide provides a practical, user-centric tool for professionals aiming to develop, adapt, evaluate, and implement eHealth interventions for people with a low SEP, with the aim of reducing health disparities in this population. Future research should investigate its suitability for different end-user goals, its external validity, its applicability in specific contexts, and its real-world impact on social health inequality.

P72: Diagnostic pathways for people living with rare types of dementia

Background:The pathways to diagnosis for people living with rare types of dementia are poorly understood. In Wales, a predominantly rural country, only 53% of people living with dementia have received a formal diagnosis of any form of dementia compared to 71% in England (Welsh Government, 2018). Some practitioners believe that a number of Welsh communities remain fearful of statutory services, particularly the large bilingual population who tend to access dementia services between 4.3 and 7.3 years later than monolinguists (Hedd Jones, 2018). This inevitably impacts on the numbers of people diagnosed with rarer forms of dementia and their ability to locate and negotiate appropriate pathways to access an accurate diagnosis. This study investigated the experience of people using these pathways to understand how a rare dementia diagnosis is delivered in Wales.Method:Ten semi-structured interviews were conducted with people living with a rare dementia or caring for a person with a rare dementia. These interviews considered the onset of symptoms, the experience of using healthcare services to receive a diagnosis and the support provided following diagnosis. The interview data was mapped across individual pathways and a thematic analysis was undertaken to explore shared perspectives.Result:A diagnosis of rare dementia was illustrated as a journey with five potentially recurring landmark points (initial contact, initial referrals, provider referrals, private referrals and diagnosis). Despite some identical diagnoses, no participants followed the same pathways with private healthcare often used to gain a degree of control over a pathway, if the person had the financial means to access this. Two themes were identified throughout the landmark points (involvement and dispute). Involvement illustrated the need to have a degree of control over the pathway whilst dispute acknowledged the overwhelming feeling that accessing a diagnosis often felt like a personal battle between those affected and health services, or between different aspects of health services themselves.Conclusion:Whilst the experiences illustrated the unstructured pathways to a rare dementia diagnosis, these experiences will support services in Wales and countries with similar populations to consider how structured pathways can result in a timelier diagnosis and more supportive experiences.

P4: Help-Seeking Factors Among Older Adults on the National Psychosocial Support Helpline on COVID-19 in India

The pandemic has halted the traditional way of life as we used to know it. Due to the highly contagious nature of the virus, physical distancing had become the primary norm for reducing the spread, inevitably leading to social isolation. The older adult population is vulnerable to environmental changes, making them very prone to stress during disasters. Comorbidities, lack of social support, loneliness and uncertainty can be common precipitating factors. The National Institute of Mental Health &amp; Neurosciences, with the Ministry of Health &amp; Family Welfare, commenced a helpline to provide psychosocial support and mental health services in thirteen languages to distressed persons across the Indian subcontinent. The study aims to explore the help-seeking factors due to which older adult callers have sought help from the helpline during the COVID-19 pandemic by analysing the call recordings and, as a secondary objective, to develop a checklist to assess the psychosocial issues of older adults to be used by telephone- based psychosocial care providers. The researcher would use a “Naturalised” conceptual framework of transcription, which would necessitate a literal interpretation of the call recordings. Recordings of the calls made will be transcribed. “Thematic analysis” shall be conducted to find psychosocial issues older adult callers face. Categories would be identified, refined, and specified for coding. A series of key-informant interviews would be conducted online with a group of mental health professionals (defined as per the Mental Health Care Act, 2017) associated with or working in geriatric mental health. The findings from the study would help look into the evolution of psychosocial needs of the older adult population during a pandemic and would also reflect the different aspects of telephone-based psychosocial support and mental health services and their need during disasters. The study’s outcome would reveal the needs of this at-risk populace and explore the issues and concerns unique to the COVID- 19 pandemic. The findings would also be a substructure for future studies that would probe into research areas analogues to pandemics and other biological disasters, telephone-based psychosocial support, and the older adult populace.

Handling Data Handoff of AI-Based Applications in Edge Computing Systems

Edge computing aims at better supporting low-latency applications. One of its key techniques is computation offloading, the process that outsources computing tasks from resourced-constrained mobile devices and moves them to edge data centers. In this paper, we tackle an emerging problem within the umbrella of computation offloading, i.e., migration of offloaded inference tasks of Artificial Intelligence (AI) trained models. Such context tailors migration aspects of data-sensitive services where i) the value of the updates is inversely proportional to the data age and ii) outage is highly detrimental to accuracy. To tackle this challenge, we propose Mobile Edge Data-handoff (MED) a framework able to relocate inference or online training tasks from one edge datacenter to another by moving only the necessary data to minimize any accuracy drop during the process. We implemented MED in a well-known edge computing emulator, openLEON, and experimentally verified its performance with an AI-based Industry 4.0 application that forecasts the gas flow in a chemical plant. For our experiments, we use a real, open-source dataset that contains sensors readings. Collected results show that MED, employing proactive data handoff algorithms, is able to minimize the packet loss during the handoff thereby providing guarantees on the inference accuracy.