Assessment Center Research Articles

ПІДВИЩЕННЯ ЕФЕКТИВНОСТІ СИСТЕМИ УПРАВЛІННЯ ПЕРСОНАЛОМ НА ПІДПРИЄМСТВІ

Organizations that can effectively manage their personnel have a competitive advantage and are capable of achieving their strategic goals. Successful personnel management is a key factor in achieving success and sustainable development for any enterprise in the modern business environment. The article proposes key directions for improving the efficiency of personnel management system at the enterprise. Specifically, for more effective candidate selection, it is recommended to utilize personality profiling surveys, which will help the company to more efficiently evaluate and select employees. It is identified that one of the primary approaches to enhancing the efficiency of the existing personnel management system is the implementation of modern methods that consider an individualized approach to employee adaptation, training, and motivation (such as mentoring, job shadowing, and buddying). Developing leadership potential becomes a priority aspect in the process of human resource management modernization, laying the foundation for improving personnel management, professionalizing human resources, and enhancing overall enterprise performance. For establishing a training system for administrative staff, the application of leadership development programs and providing opportunities for management courses for managerial personnel is recommended. In the practice of personnel evaluation at enterprises, several trends can be observed, such as the lack of comprehensiveness, where managers prefer simplified procedures (e.g., certification) that typically focus on short-term perspectives, and a limited set of evaluation methods. To achieve more comprehensive personnel evaluation, it is advisable to expand the range of utilized methods and develop an evaluation methodology. The article substantiates the main methods of personnel evaluation, including human resource analysis (HRA), assessment center method, key result indicators (KRI) method (evaluating based on key performance indicators), management by objectives (MBO), and «360 degrees» feedback.

The appearance of rabbit production given Leucaena leaf flour in the ration

Feed is one of the most substantial aspects of financing in the rabbit farming business. Rabbits can breed efficiently with cost-effective feed. This study aims to assess the impact of incorporating Leucaena leaf meal into the diet of rabbits on their growth and production. The study was conducted at the North Sulawesi Agricultural Technology Assessment Center (AIAT) from March to May 2020, using 16 New Zealand White broiler rabbits, all males over 3 months old. The experimental design used a completely randomized design with four treatments and four replications. The treatments tested were as follows: P1 - 0% Leucaena leaf meal, P2-10% Leucaena leaf meal, P3-20% Leucaena leaf meal, and P4-30% Leucaena leaf meal. Parameters observed include weight gain, feed consumption, and feed conversion. The results are shown as follows: -weight gain: P1-247.45 grams, P2-202.74 grams, P3-196.37 grams, P4-225.70 grams. - Feed consumption: P1-6851.73 grams, P2-6902.88 grams, P3-7590.32 grams, P4-6946.57 grams. - Feed conversion: P1-28.98, P2-37.31, P3-39.98, P4-33.81. These findings suggest that introducing up to 30% Leucaena leaf meal into the diet of rabbits does not adversely affect weight gain.

Pengaruh Pengaturan Diri Terhadap Kompetensi Pengambilan Keputusan

This study aims to determine the effect of self-regulation on decision-making competence. Response patterns in one's decision making are influenced by cognitive abilities such as information processing, self-evaluation, and self-regulation (Thunholm, 2004). Self-regulation is an attempt to control oneself, especially regarding one's own choices and preferences (Baumeister & Vohs, 2004). Self-regulation in this case is related to positive emotions and coping strategies, especially problem-focused coping (De la Fuente et al., 2020). The control process is useful in the individual decision-making process in completing tasks at work. In this study, decision making is measured by the results of the assessment center. Then the self-regulation data was obtained from the results of LS-2, interpersonal psychology measurements which were developed using Goleman's theory. A quantitative approach with the type of explanatory research is used to determine the effect of self-regulation on decision making. Data analysis was processed using regression on the SPSS 25 application. All variables were tested on 104 participants who are civil employee of goverment at one of the Ministries. The results show that the influence of self-regulation on decision making shows a significant value of p> .005. This shows that decision-making competence is insignificant influenced by self-regulation.

Frailty status and risk of irritable bowel syndrome in middle-aged and older adults: a large-scale prospective cohort study

Frailty is a public health problem for ageing society, however, evidence is lacking regarding its impact on intestinal functions. We aimed to examine prospective relationships of frailty and pre-frailty in middle-aged and older adults with incident irritable bowel syndrome (IBS) in a large-scale population-based cohort. Participants (aged 37-73 years) free of IBS, coeliac disease, inflammatory bowel disease and any cancer at baseline were included, using data from the UK Biobank (collected 2006-2010, 22 assessment centres). Participants without available primary care data were excluded. Frailty status was assessed using Fried phenotype including fivecriteria (weight loss, exhaustion, low grip strength, low physical activity, slow walking pace). Participants who met at least three criteria were defined as frail, and those who fulfilled one or two criteria were defined as pre-frail. Primary outcome was incident IBS. Cox proportional hazard model was conducted to examine the associated risk of incident IBS. Among 176,423 participants (mean age 56.19 years), 7994 (4.5%) and 78,957 (44.8%) were frail and pre-frail at baseline. During a median of 13.2-year follow-up, 4155 cases of incident IBS were identified. Compared with non-frail individuals, those with frail (HR=1.80, 95% CI: 1.59-2.04) and pre-frail (HR=1.21, 1.14-1.30) showed significantly higher risk of developing IBS after multivariable adjustment (Ptrend < 0.001). Specifically, the positive association was not only observed in older adults (HR=1.69, 1.37-2.08 for frail; 1.24, 1.12-1.39 for pre-frail), but also in middle-aged adults (HR=1.90, 1.62-2.22 for frail; 1.19, 1.10-1.30 for pre-frail), both with Ptrend < 0.001. Further sensitivity analysis and subgroup analysis indicated similar results. Frailty and pre-frailty in middle-aged and older adults are associated with increased risk of incident clinical diagnosis of IBS. National Natural Science Foundation of China (No. 82070550) & National Key Research and Development Program of China (2022YFC2504002, 2022YFC2504003).

Assessing the quality of care and service trajectories in autism from families’ perspective: Early intervention and interim services

BackgroundFollowing the Evaluation of the Autism Trajectory for Parents – Diagnostic Services (ETAP-1), the ETAP-2 instrument was created to assess the quality of the post-diagnostic phase of the care and service trajectory of families of children with autism. The instrument, based on an integrated care perspective, was developed with the input of multiple stakeholders (parents, service providers, researchers). AimsThis study sought to evaluate the factor structure, reliability, and convergent and discriminant validity of ETAP-2. Methods and proceduresParents (N = 197) of children recently diagnosed with autism (M = 5.1 years) were recruited from an assessment center and organizations providing early behavioral intervention and other supports for autism in the province of Québec, Canada. They completed the ETAP-2 questionnaire along with measures of satisfaction and family quality of life. Outcomes and resultsThe instrument presented a five-construct structure generally consistent with previously identified dimensions of quality, except for three items previously associated with the continuity of the service trajectory. ETAP-2 had excellent internal consistency and demonstrated convergent and discriminant validity with other measures. Conclusions and implicationsETAP-2 is a brief parent-report measure with good psychometric properties. It can assist in gathering information on families’ perception and experiences with early intervention and other post-diagnostic, interim services.

Moderators of sex‐ and race‐based subgroup differences in assessment center ratings: A meta‐analysis

AbstractThis meta‐analysis tested a series of moderators of sex‐ and race‐based subgroup differences using assessment center (AC) field data. We found that sex‐based subgroup differences favoring female assessees were smaller among studies that reported: combining AC scores with other tests to compute overall assessment ratings, lower mean correlations between rating dimensions, using more than one assessor to rate assessees in exercises, and providing assessor training. In contrast, we found larger sex‐based subgroup differences favoring female assessees among studies that reported: lower proportions of females in assessee pools, conducting a job analysis to design the AC, and using multiple observations of AC dimensions across exercises. We also observed a polynomial effect showing that subgroup differences most strongly favored female assessees in jobs with the highest and lowest rates of female incumbents. We found race‐based subgroup differences favoring White assessees were smaller on less cognitively loaded rating dimensions and for jobs with lower rates of Black incumbents. Studies reporting greater overall methodological rigor also showed smaller subgroup differences favoring White assessees. Regarding specific rigor features, studies reporting use of highly qualified assessors and integrating dimension ratings from separate exercises into overall dimension scores showed significantly lower differences favoring White assessees.

Association between simple test assessing hand dexterity and mild cognitive impairment in independent older adults.

This study aimed to clarify the association between hand function, including grip strength and hand dexterity, assessed using snap fasteners, and mild cognitive impairment (MCI) in older adults with normal global cognitive function. A total of 228 functionally independent older adults (mean age 77.7±6.1years) participated in this study. None of the participants had a history of dementia diagnosis, and all the participants had a Mini-Mental State Examination score of ≥24. Participants were evaluated for hand function using grip strength and snap fastener tests, and for cognitive function using the National Center for Geriatrics and Gerontology-Functional Assessment Tool. A total of 72 participants (31.6%) were diagnosed with MCI. The slow snap fastener test group had a higher proportion of participants with MCI (p<0.001) and impairments in memory (p=0.010), attention (p=0.043), executive function (p<0.001), and processing speed (p=0.044) compared to the fast snap fastener test group. The slow speed of fastening snap fasteners was significantly associated with MCI and impairment in memory, attention, executive function, and processing speed (MCI: adjusted odds ratio (AOR)=3.88, 95% confidence interval (CI)=1.64-9.19; memory: AOR=5.73, 95% CI=1.58-20.82; attention: AOR=3.95, 95% CI=1.10-14.11; executive function: AOR=7.22, 95% CI=1.78-29.24; processing speed: AOR=7.52, 95% CI=1.19-47.66) according to the multiple logistic regression analysis. Grip strength was not significantly associated with cognitive impairment. Thus, hand dexterity assessed using the snap fastener test was associated with MCI in older adults with normal global cognitive function. Hand dexterity assessment using the snap fastener test is useful for detecting MCI in apparently healthy older adults.

Creating the Map of Interactive Services Aiding and Assisting Persons With Disabilities (MSAADA) Project: Tutorial for the Novel Use of a Store Locator App.

An estimated 15% of the global population is living with a disability. In Kenya, children with disabilities remain among the most vulnerable populations, experiencing substantial barriers to wellness and inclusion. Smartphone ownership and internet access have been increasing across sub-Saharan Africa, including in Kenya. Despite these advances, online or mobile resources remain limited and difficult to find and navigate. This paper aims to describe the novel use of a store locator app to develop an interactive map of organizations that provide medical, educational, and socioeconomic resources to individuals with disabilities in Kenya. The target audience is individuals with disabilities, medical professionals, and organization leaders. A comprehensive list of organizations, government county offices, educational assessment and resource centers, and institutions was compiled. Organizations were contacted via email, WhatsApp, or in person for semistructured interviews. Based on the services offered, each organization was assigned categorical search tags. The data were entered into a third-party store locator app. The resulting map was inserted into a page on the Academic Model Providing Access to Healthcare (AMPATH) website. The Map of Interactive Services Aiding and Assisting Persons With Disabilities (MSAADA; this abbreviation is also Swahili for "help") was launched in July 2020 in both English and Swahili. The map included 89 organizations across Kenya. Of these, 51 were reached for an interview (for a 57% response rate). Interviewees cited limited paid staff and dependence on grant-based funding as primary challenges to growth and sustainability. MSAADA is an interactive, virtual map that aims to connect individuals with disabilities, medical professionals, and organization leaders to resources in Kenya. The novel use of a store locator app to compile resources in remote settings has the potential to improve access to health care for a wide variety of specialties and patient populations. Innovators in global health should consider the use of store locator apps to connect individuals to resources in regions with limited mapping.

Modelling Students' Satisfaction with Computer-Based Assessment (CBA) Environments in Higher Education: The Roles of CBA Center Service Satisfaction and Perceived Trust

It has been extensively researched how satisfied students are with the vast majority of goods and services offered by educational institutions of higher learning. However, there appears to be a paucity of research on students' satisfaction with the facilities and services of computer-based assessment (CBA) centers in higher education institutions, especially when the centers are equipped and staffed by third-party vendors. The CBA centers are public and private examination centers in developing countries that administer computer-based tests for higher education and other external organizations. Although satisfaction with the services and facilities is essential, it has been asserted that having the feeling of trust when using the CBA is even more critical to the students. Trust is essential for the success of any technological advancement, especially in the field of education. Any educational technology that lacks the stakeholders' trust, regardless of how effective it may be, is doomed to fail to be adopted on a large scale. However, limited studies have investigated how students' trust in the CBA affects their satisfaction. Therefore, this study aims to model and analyze the roles of CBA center service satisfaction and perceived trust in the CBA in attaining overall satisfaction by exploring their roles in influencing student satisfaction. A research framework based on the updated information system success model (ISSM) is validated using a survey incorporating system quality, service quality, question content, the cost-effectiveness of CBA services, CBA center service satisfaction, and perceived trust. A total of 459 survey responses collected from three higher education institutions in Nigeria were analyzed using structural equation modelling. As a result, the findings confirmed that students' satisfaction with services at the CBA centers is a mediator between service quality, system quality, and overall satisfaction with CBA. The correlation between CBA centre service satisfaction and overall CBA satisfaction was also found to be the strongest, indicating that student satisfaction with the services and facilities at the CBA centre is crucial. CBA center managers and institutions can utilize the findings from this study to successfully implement the CBA. In enhancing students‘ CBA satisfaction, higher education institutions should consider focusing on the necessary steps towards improving the conditions of the CBA centers in terms of infrastructure and services rendered. Meanwhile, to increase student satisfaction besides enhancing the system and service quality and cost-effectiveness, institutions should seriously consider promoting the CBA to the students by highlighting the personal impact of the CBA in terms of trust by improving the quality and features of the CBA.

The use of NAMs and omics data in risk assessment.

The animal-centric approach so far predominantly employed in risk assessment has been questioned in recent years due to a number of shortcomings regarding performance, consistency, transferability of results, sustainability, costs and ethical reasons. Alternatives to animal testing, collectively termed NAMs, may have the potential to deliver sound, cost-effective, prompt and reliable information, but their regulatory acceptance has not been established yet. The main reasons behind this are mostly related to actual methodological obstacles, with particular reference to addressing complex endpoints such as repeated-dose toxicity, the issue of translating the concept of adversity to NAMs, and doubts of stakeholders about the level of chemical safety ensured by NAMs. With the aim of providing an updated view on major conceptual and methodological developments in the field of toxicology, a symposium and a workshop were organised by the German Federal Institute for Risk Assessment (Bundesinstitut für Risikobewertung, BfR) and Helmholtz Centre for Environmental Research on 15-17 November 2021 in Berlin. The conference, entitled 'Challenges in Public Health Protection in the 21st Century: New Methods, Omics and Novel Concepts in Toxicology' brought together eminent scientists with representatives from industry and regulatory authorities. The organisation, day-to-day operations and the reporting of the event main outcomes in a position paper were the main focus of the present EFSA EU-FORA work programme. Tasks pertaining to 'The use of NAMs and omics data in risk assessment' were implemented under the shared supervision of units 'Testing and Assessment Strategies Pesticides' and 'Effect-based Analytics and Toxicogenomics' of the German Federal Institute for Risk Assessment.

PP43 Impact Of The COVID-19 Pandemic In The Brazilian National Committee for Health Technology Incorporation (Conitec) Recommendation Process

IntroductionHealth Technology Assessment (HTA) Process assists decision-making in health policies. The COVID-19 pandemic caused a high demand on protocol or guideline updates and incorporation of new drugs or therapies, overwhelming local agencies. A recent study reported that major HTA bodies in England, Scotland, Germany, and Canada reduced their number of drug recommendations in 2020, due to reprioritization of resources and COVID-related challenges. The present study aimed to evaluate the impact of the COVID-19 pandemic at the Brazilian National Committee for Health Technology Incorporation (Conitec) recommendation process.MethodsThis descriptive study evaluated all official recommendation reports available on the Government website in 2020 and 2021, extracting the data of disease category, technology type, the aim of the report, Public Involvement, and final result for the recommendation. The results were presented in tabular and graphical form using the machine learning, through the software R studio and excel.ResultsA total of 168 documents were evaluated, including guidelines and recommendation reports, with no reduction in the number of evaluations considering 2019. In 2020, there was a more significant evaluation of guidelines, and in 2021, a report on the non-incorporation of technologies. There were four specific documents about COVID 19, including vaccines and hospital care guidelines. The most incorporated and non-incorporated technologies were medication, targeting rare and highly prevalent diseases in balance. The Brazilian government was the main proposer. These results are part of the study “A Survey about the core methods of the recommendation reports for Brazilian Ministry of Health carried out by Brazilian Health Technology Assessment Centers”, which will characterize and analyze the core methods of the recommendation reports conducted by the Brazilian HTA Centers.ConclusionsThe pandemic had a low impact on demands in the routine of the Conitec. Establish indicators and technological norms applicable to health services, contribute to the identification of possible new practices, methods or criteria.

Analysis of possible directions for improving the operational risk management mechanism

This article is devoted to the study of the operational risks of the organization, as well as the consideration of various mechanisms for managing them. The relevance of studying this issue is emphasized by the need for banks to implement internal corporate measures in order to ensure the proper level of economic stability and security. The article presents the components of risk management, their types and features. As the author notes, the operational risk management system in the Bank ensures security in the activities of various structures and is aimed at continuous improvement, taking into account the possible emergence of new risks. Particular attention in the article is paid to the assessment system, which is most widely used in the process of selecting candidates for a position by modeling the situation in which his competencies are manifested. The author emphasizes that this method is actively used in practice in other countries, but in Russia its use is not so widespread. The information obtained through the assessment is used in the ranking of candidates for the position and selection, taking into account its "security" in relation to the Bank. However, risk management is carried out not only at the stage of selection of candidates. In order to assess the effectiveness of personnel, annual certification is carried out, under the supervision of persons specially trained for this purpose, authorized to analyze employees. In addition, I would like to focus on the fact that an important role in ensuring economic security is played by the internal corporate Assessment Center, which is engaged in the certification of personnel on issues of their competence. The success of the bank's activities is largely dependent on the qualifications of key employees. Currently, there is a shortage of qualified personnel in operations, engineering and technology areas, on which the implementation of business processes at different levels depends. In the final part of the article, the author formulates conclusions regarding possible directions for improving the practical implementation of the operational risk management mechanism.

Necrosis Incidence on The Tail Fin of Sand Lobster (Panulirus homarus) Reared Using Recirculating Aquaculture System (RAS)

Lobster rearing has been widely carried out in Indonesia, especially to prevent a decrease in stocks in nature due to fishing that does not pay attention to the aspect of resource sustainability. However, in the effort to rear lobsters, there are obstacles, namely necrosis to the tail fins of sand lobsters reared with recirculation aquaculture system (RAS) caused by infectious diseases. This research was carried out at the Field Test Facility of Fish Health and Environmental Assessment Center (BPKIL) Serang in June-November 2021. Sand lobsters had an initial size of 50-100 grams which were reared in 1000-L fiberglass tanks with a density of 25 individuals per tank and reared with RAS. Samples from diseased sand lobster after being reared in RAS for 176 days. Necrosis (red color and erosive) can be seen in the tail fins of sand lobsters reared with the RAS. From the results of laboratory tests, it was found that there were parasitic infections of the types of ciliates, protozoa, and vorticella. The results of further testing at the Microbiology Laboratory found that there was an infestation of vibriosis disease caused by the bacteria Vibrio alginolyticus and Vibrio parahaemolyticus. Diseases caused by parasitic and bacterial attacks do not affect mass death in sand lobsters, even these symptoms can disappear if sand lobsters can replace their skin (moulting) perfectly. Observations also show that the most mortality occurred in sand lobsters with smaller sizes (weight ≤100 grams). This disease infection occurred due to a decrease in the water quality of the sand lobster rearing media in RAS, mainly because of the high organic matter concentration in the water.

2022 Crisis Preparedness Training: Annual Report

During 2022, the European Food Safety Authority (EFSA) organised 2 crisis preparedness training events: 1 event involving European Union (EU) Member States (MSs) and EU candidate countries (designated the External Crisis Preparedness Training or ECPT); and another event dedicated to EFSA colleagues (designated the Internal Crisis Preparedness Training or ICPT). The selected scientific domain for both training events was chemical contamination, with a fictional scenario focusing on heavy metal contamination of a foodstuff forming the focus for the simulation exercise elements during both events. The external event was organised in conjunction with the Bulgarian Risk Assessment Centre on the Food Chain (RACFC) and took place over 3 days in Sofia, Bulgaria. The internal event was a day-long session at EFSA's offices in Parma, Italy. EFSA's crisis training contractor, Instinctif Partners, co-organised both events. In addition to simulation exercise elements, both events also included informational presentations relating to chemical contamination of the food chain; facilitated discussions on crisis response topics; plus practical training and rehearsal on EFSA tools and/or procedures. The objectives of each event were achieved, based on recorded outcomes and feedback provided by participants in an evaluation survey completed at the end of each event.

Socioeconomic Deprivation, Genetics and Risk of Dementia

AbstractBackgroundThe risk of Alzheimer’s disease and other subtypes of dementia is determined by multiple pathways including genetic, environmental and lifestyle factors. With higher risk in socioeconomically deprived individuals, it remains unclear whether associations of genetic risk with dementia incidence may be modified by individual‐ or area‐level socioeconomic deprivation.MethodParticipants of the UK Biobank study attended baseline assessments at 22 assessment centers between 2006 and 2010 and were followed‐up until 2016 or 2017. Cox proportional‐hazards regressions with area‐level socioeconomic deprivation based on the Townsend Deprivation Index and individual‐level socioeconomic deprivation based on car and home ownership, housing type, and income were run. A comprehensive polygenic risk score was employed and potential mediation through lifestyle and depressive symptoms was assessed. In an imaging substudy, associations of socioeconomic deprivation with six imaging‐derived phenotypes including white matter hyperintensities were examined.Result196,368 participants (mean [standard deviation] age, 64.1 [2.9] years, 52.7% female) aged 60 years and older, of European ancestry, without dementia diagnosis or cognitive impairment at baseline were followed‐up for 1,545,316 person‐years (median [interquartile range] follow‐up, 8.0 [7.4‐8.6] years). In high genetic risk and high area‐level deprivation 1.71% (95% confidence interval, 1.44% to 2.01%) developed dementia compared to 0.56% (95% confidence interval, 0.48% to 0.65%) in low genetic risk and low‐to‐moderate area‐level deprivation (hazard ratio, 2.31; 95% confidence interval, 1.84 to 2.91). In high genetic risk and high individual‐level deprivation 1.78% (95% confidence interval, 1.50% to 2.09%) developed dementia compared to 0.31% (95% confidence interval, 0.20% to 0.45%) in low genetic risk and low individual‐level deprivation (hazard ratio, 4.06; 95% confidence interval, 2.63 to 6.26). There was no significant interaction between genetic risk and area‐level (P =.77) or individual‐level (P =.07) deprivation. An imaging substudy including 11,083 participants found greater burden of white matter hyperintensities associated with higher socioeconomic deprivation.ConclusionIn older adults without dementia area‐level and individual‐level socioeconomic deprivation and genetic risk were significantly and independently associated with a higher risk of dementia. Dementia prevention interventions may be particularly effective if targeted to people living in deprived households and areas, regardless of genetic vulnerability.

Using Serial Trichotomization to Determine Fitness to Drive in Medically At-Risk Drivers

<h3>Research Objectives</h3> To determine if serial trichotomization of cognitive tests predicts passing or failing a comprehensive driving evaluation (CDE) with 100% sensitivity and 100% specificity in medically at-risk drivers. <h3>Design</h3> Retrospective cohort of CDE data. <h3>Setting</h3> CDE's assessed by occupational therapists at two driving assessment centers in Canada. <h3>Participants</h3> Participants included 143 drivers (72% male; mean age = 69.3 ± 14.1 years, range 24-94) referred by physicians for suspicion of being unfit to drive, and who had complete data on all cognitive tests and the CDE outcome. <h3>Interventions</h3> Not applicable. <h3>Main Outcome Measures</h3> Cognitive tests included the Montreal Cognitive Assessment (MoCA), Trail Making Test Part A (Trails A) and Part B (Trails B), and Useful Field of View® subtests 1-3 (UFOV1-3). The CDE outcome, based on clinical and on-road driving performance, included a pass (considered fit to continue driving), fail (considered unfit to continue driving), or indeterminate outcome (requires lessons and retesting). Serial trichotomization involved performing a receiver operating characteristics curve for each cognitive test to determine cut points with 100% sensitivity and 100% specificity in predicting pass (i.e., pass and indeterminate) or fail outcomes on the CDE. A funnel was created by arranging the cognitive tests in order from most to least predictive and using the cut points to identify pass, fail, and indeterminate outcomes. <h3>Results</h3> Approximately 33% passed, 27% failed, and 40% had indeterminate outcomes on the CDE. Through serial trichotomization, the UFOV3, UFOV2, UFOV1, Trails B, MoCA, and Trails A (from most to least predictive) predicted more pass (44.1%) and fail outcomes (34.3%) with fewer indeterminate outcomes (21.6%). <h3>Conclusions</h3> Serial trichotomization of cognitive tests is more accurate in identifying fit and unfit drivers, reducing the number of unnecessary on-road assessments by approximately twofold (indeterminate outcomes from 40% to 21.6%). Further research using larger samples and more clinical tests will identify the best combination and most accuracy in predicting fit and unfit drivers via serial trichotomization. <h3>Author(s) Disclosures</h3> This work was supported by the University of Waterloo CIHR Research Incentive Fund (PI Crizzle).

PP120 Fluorescent In Situ Hybridization (FISH) Vs Conventional Cytogenetic (CC) For Detecting High-Risk Genetic Mutations In Multiple Myeloma

IntroductionThe Revised International Staging System (R-ISS) International Myeloma Working Group (IMWG) recommends a minimal panel to detect high-risk cytogenetics (del17p, t[4;14], t[14;16]) for patients with multiple myeloma (MM). In the Brazilian Public Health System, the use of FISH is currently authorized for rare diseases only, not including MM. In 2021, the Brazilian National Committee for Health Technology Incorporation, with the purpose of broadening the use of FISH to MM patients, requested a review to be undertaken by the Health Technology Assessment Center of University of Campinas’ Teaching Hospital. This study presents the results of a meta-analysis comparing FISH vs CC to the detection of the above-mentioned aberrations in MM patients.MethodsOn 25 June 2021, a pre-structured search on four databases (Embase, MEDLINE, Cochrane and LILACS) was performed to identify studies comparing FISH and CC results in MM patients for the detection of high-risk cytogenetics (del17p, t[4;14], and t[14;16]) in MM patients’ bone marrow samples. Study selection, risk of bias assessment, data extraction (frequency of positive tests) and quality of evidence assessment were performed by two independent researchers. Conflicts were solved in agreement meetings with a third researcher. Meta-analysis was performed using frequency of positives to obtain Risk Difference (RD), a surrogate measure of the surplus positive tests between FISH and CC.ResultsFrom a total of 1346 rendered entries, 11 studies were selected. Only observational studies were available. These studies presented an overall high risk of bias (QUADAS-2). A total of 781 patients were assessed (653 evaluated by FISH and 719 by CC). Meta-analysis results showed that, for t(4;14) FISH detected 12 percent more samples (RD:0.12 [95% confidence interval (CI):0.06-0.19]). For t(14;16), FISH detected 0.42 percent more samples (RD:0.00 [95%CI:-0.01-0.02]). And for del17p, FISH detected 1.6 percent more samples (RD:0.12 [95%CI:0.04-0.20]).ConclusionsFISH appears to be more effective than CC on the detection of t(4;414) and del17p aberrations, and can be a useful tool in hematology practice. The results of t(14;16) presented non-superiority, probably due to the low frequency of this aberration.

Prosedur Penyusunan Anggaran Biaya Operasional pada Kantor Balai Pengkajian Teknologi Pertanian Provinsi Aceh

This research analyzes the procedures for preparing operational budgets at the Aceh Province Agricultural Technology Assessment Center Office. With a qualitative approach, the participation of financial staff, managers, and organizational leaders involves in-depth interviews, observations, and document analysis. The results show a lack of involvement of related parties, suboptimal utilization of technical broadcasting, challenges in estimating factory overhead costs, untimely decision-making, and a lack of integration of financial information systems. The discussion suggested strategic improvements, such as increased engagement, optimization of forecasting, handling of overhead cost estimates, increased responsiveness of decision-making, and investment in information integration systems. In conclusion, corrective action is needed to achieve effectiveness and efficiency in preparing operational cost budgets

Optimization of physician resources in primary care during a pandemic: A ‘hot’ and ‘cold’ team approach

Healthcare in rural localities has faced unique pressures in the midst of the COVID-19 (coronavirus disease 2019) pandemic. The Marathon Family Health Team physicians created a novel pandemic model that divides active physicians into 'hot' and 'cold' teams with a "sideline" reserve based on physician infectious status and ongoing exposure risk, in order to address the potential instability of small medical groups in isolated situations. Implemented in stages, the model maximizes group agility and healthcare provisions, while minimizing the risk of physicians as vectors for transmission or a possible healthcare system collapse from simultaneous physician incapacitation. The hot/cold pandemic model can be applied to various healthcare facilities, including but not limited to hospitals and assessment centres, and the model's scale can be further adjusted for larger settings. By making use of incapacitated physicians who have been "sidelined" due to illness or burnout but still able to work from home, this model is integrative, efficient and innovative.

Probabilistic Risk Assessment of COVID-19 Patients at COVID-19 Assessment Centre

COVID-19 started impacting Malaysia in early 2020, and the cases have reached 4.4 million as of April 27, 2022, with 35507 deaths. Since then, federal and state governments have set up COVID-19 Assessment Centres (CACs