Awareness Of Resources Research Articles

Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Payer Status and Medication Management-Part Six of the Movement Is Life Special ONJ Series.

This article is the sixth in the Movement is Life series and focuses on insurance coverage and medication management in the perioperative period, 2 tangentially related variables that affect patient outcomes. Our aim is to use current practices and literature to develop recommendations for nurse navigators' execution of preoperative optimization protocols related to payer status and medication management. Discussions with nurse navigators and a literature search were used to gather information and develop recommendations specific to optimizing payer status and medication management. Nurse navigators connected patients to resources and provided education regarding financial concerns and medications, and findings from the literature discussed insurance status among TJA patients. Nurse navigators can contribute to payer status and medication management optimization by providing patient education and resource referrals. In addition, we recommend conducting repeated medication reconciliation and developing awareness of financial resources and perioperative medication management guidelines.

Finnish Pediatric Surgery Hub – From Centralization to Collective Learning and Sharing of Expertise

Aim of the studyContinuous surgical developments, growing awareness of patient representatives and limited health-care resources are pushing for innovative approaches to ensure equal high-quality pediatric surgical care. We aimed to describe early experiences and assess surgical safety of a novel nationwide pediatric surgery collaborative initiative. MethodsIn 2021, general pediatric surgeons representing all five independent university hospitals performing neonatal surgery in Finland initiated national collaboration, the Finnish pediatric surgery hub (FPSH), for sharing of surgical expertise and collective learning. For each case addressed by FPSH, place of care and surgical team were decided individually, and when deemed necessary, operations were performed in cooperation. Operations performed during 2021–2023 and associated early (<30 days) postoperative complications were analyzed according to Clavien-Madadi classification. ResultsOf the total 40 surgeries managed co-operatively by FPSH, 30 (75%) took place in local university hospitals and 10 in Helsinki University Hospital. There were 34 (85%) elective and 6 urgent cases, which were operated within median 1 (range, 1–3) days. Most frequent underlying diagnoses included anorectal malformations, esophageal atresia and Hirschsprung disease. Overall, 12 (30%) had any early postoperative complications, all Clavien-Madadi grade IIIB or lower, and five patients (13%) were reoperated. Rate or grade of complications was not associated with place of care. In addition to regular virtual case meetings, national care protocols and research projects were introduced. ConclusionThese preliminary findings suggest that our national collaborative initiative, FPSH, not only provided practical and safe framework for sharing of surgical expertise but also for collective learning. Level of EvidenceIII.

Fed-RAC: Resource-Aware Clustering for Tackling Heterogeneity of Participants in Federated Learning

Fed-RAC: Resource-Aware Clustering for Tackling Heterogeneity of Participants in Federated Learning

Prioritising the Mental Health of Psychiatric Trainees across Europe

This first special issue of the International Journal of Psychiatric Trainees (previously named European Journal of Psychiatric Trainees) features four articles based on posters presented at the 31st Forum of the European Federation of Psychiatric Trainees in Zurich. Focusing on mental health challenges faced by psychiatric trainees across Europe – including key themes such as burnout, depression, and the impact of patient suicide – this special issue highlights the need for systematic support programs, improved awareness and utilisation of mental health resources, and structural changes in medical education. By considering these matters, the Journal supports discussion and action towards improving the mental health of psychiatric trainees worldwide.

Kesiagaan menghadapi bencana di Perpustakaan Kementerian “X” di Jakarta

Introduction. This study aims to identify disaster preparedness conducted by the Library of the Ministry of "X" through disaster preparedness standards by the International Federation of Library Associations and Institutions (IFLA). Data Collection Methods. Using a qualitative case study method, the data collection was carried out through observation, interviews, and document studies. Data analysis. Data from interviews and observations were reduced using transcripts and coding. The data was analyzed based on the five aspects of disaster management by IFLA. Results and Discussion. The results of the study show that among the five stages of IFLA disaster preparedness, almost all of the stages did not meet the standard and comprehensive manner. Based on the risk assessment, it is known that the biggest threat comes from the internal environment, one of them is library human resources. Lack of awareness of library human resources affects the absence of an optimal budget and disaster preparedness activities. Conclusion. The Ministry Library "X" in Jakarta had carried out disaster preparedness according to IFLA standards, however, it is still in the early stage.

Providing Better Support for Entrepreneurial Activities in the Weather, Water, and Climate Community

Abstract There has been an increase in entrepreneurial activity within the weather, water, and climate (WWC) community over the past decade, with the potential for much more as artificial intelligence/machine learning techniques continue to develop and as new opportunities arise across the weather, climate, and ocean service enterprises. Despite indications of recent growth, this study reports on key challenges that are limiting the community’s ability to achieve the full potential of commercialization of new WWC products and services. Most of these challenges are related to the preparation of those in the WWC community for jobs in the private sector in general and entrepreneurial activities in particular. These results extend and build upon the work of others who have reported on shortcomings in the preparation of students for positions in the private sector, with this study showing that deficits in preparation and awareness of available resources affect potential entrepreneurs well into their career—most researchers are unaware of the resources available to them. Based on a synthesis of input from successful WWC entrepreneurs, many of the challenges could be greatly reduced by relatively minor adjustments to curriculums at universities and through new programs that could be offered by scientific and professional societies to help potential entrepreneurs better take advantage of existing resources as they spin up a new business.

Caregivers' experience of caring for family members with complex health needs in Latvia.

The article examines the experiences of family caregivers engaged in the provision of long-term care for their relatives with complex health needs within the Latvian context. Semi-structured interviews were conducted with seven caregivers who provide care in cases of dementia, depression, schizophrenia, opioid use, Down syndrome and mild cognitive impairment. A thematic analysis of interview transcripts revealed common themes, such as the initial experiences when encountering a family member's disorder and the subsequent reactions, as well as the quest for support and resources. Variations mainly centered around differences in formal aspects and childhood experiences of care. Caregivers reported risk factors such as guilt, lack of support from family and friends, financial difficulties, deficiency of professional care and ignoring the caregiver's own needs. Awareness of personal resources, values and limits, coping with personal stigma and improved overall quality of life were identified as protective factors. The findings underscore several preventive measures that social and mental health services could implement to mitigate the adverse effects of caregiving on caregivers' lives.

Cost-aware optimal resource provisioning Map-Reduce scheduler for hadoop framework

&lt;p&gt;&lt;span lang="EN-US"&gt;Distributed data processing model has been one of the primary components in the case of data-intensive applications; furthermore, due to advancements in technologies, there has been a huge volume of data generation of diverse nature. Hadoop map reduce framework is responsible for adopting the ease of deployment mechanism in an open-source framework. The existing Hadoop MapReduce framework possesses high makespan time and high Input/Output overhead and it mainly affects the cost of a model. Thus, this research work presents an optimized cost aware resource provisioning MapReduce model also known as the cost-effective resource provisioning MapReduce (CRP-MR) model. CRP-MR model introduces the two integrated approaches to minimize the cost; at first, this model presents the optimal resource optimization and optimal Input/Output optimization cleansing in the Hadoop MapReduce (HMR) scheduler. CRP-MR is evaluated considering the bioinformatics dataset and CRP-MR performs better than the existing model. &lt;/span&gt;&lt;/p&gt;

[formula omitted]-LB: Software-defined IDS with UAV Resource Aware Load-Balancing in FANET disaster scenarios

In critical scenarios like natural disasters, the physical infrastructure of the network may be heavily damaged or completely torn down making difficult communications and rescue activities. In such cases, due to their nature, Unmanned Aerial Vehicles (UAVs) are usually employed to provide a temporary support network by forming a Flying Ad-Hoc Network (FANET). However, this network should be carefully monitored and safeguarded to guarantee its stability by deploying network security appliances, like Intrusion Detection Systems (IDSs). In the wake of these considerations, this paper delves into the utilization of IDS functions deployed on UAVs, named IDS-enabled UAVs, in emergencies leveraging the modern Software-Defined Network (SDN) paradigm. Specifically, the study proposes a dynamic approach to promptly activate IDS-enabled UAVs, in an SDN-FANET, responding to network traffic increasing and/or malicious activities taking place within the network. In order to achieve this objective, a Software-defined IDS with UAV Resource Aware Load Balancing strategy – SURA-LB – is proposed and implemented within the SDN controller, leveraging its programmable nature and its holistic view of the network. The SURA-LB strategy equally distributes the load among the set of IDS-enabled UAVs by considering their resources and energy utilization along with the experienced network traffic conditions. Finally, an extensive experimental campaign shows the benefits of the proposed load-balancing strategy in reducing and fairly distributing the workload among the IDS-enabled UAVs outperforming naive and baseline load-balancing strategies like Random and Round-Robin and, therefore, bolstering the resilience and the reliability of the set of IDS-enabled UAVs while the traffic to be monitored and analyzed increases.

Self‐attention convolutional neural network optimized with Remora Optimization Algorithm for energy aware resource management in Non‐orthogonal Multiple Access networks

SummaryNon‐orthogonal multiple access (NOMA) is an efficient technology for future wireless communication systems. The resource management on NOMA networks is flattering for improving energy efficiency (EE) of systems. Therefore, self‐attention convolutional neural network (SACNN) optimized with Remora Optimization Algorithm (ROA) for energy aware resource management in NOMA network (SACNN‐ROA‐EE) is proposed in this paper for solving user allocation, channel allocation, and power allocation problems. The Matching‐Coalition approach is considered to face the user allocation issue, and the SACNN is considered to face the channel allocation and power allocation problems. SACNN does not adopt any optimization methods to determine the optimal parameters in channel allocation and power allocation. Therefore, the ROA is applied to optimize the SACNN weight parameters. The proposed technique is activated in MATLAB, and its efficacy is analyzed with under performances metrics, such as minimum user rate, sum rate, energy, and spectral performance. The proposed SACNN‐ROA‐EE attains 24.35%, 27.84%, and 38.58% better sum rate and 27.45%, 43.28%, 30.56% better EE compared with existing methods, such as EE utilizing communication deep neural network optimized with power allocation optimization (PAO‐CDNN‐EE), EE under deep transfer deterministic policy gradient along deep deterministic policy gradient approach (DPPGA‐DTDPPG‐EE), and EE utilizing deep reinforcement learning with baseline algorithms (BA‐DRL‐EE), respectively.

The role of gaming for information, education and communication of AMR: full review of online education resources.

The first objective of the Global Action Plan on antimicrobial resistance (AMR) is to improve awareness and understanding of AMR through effective communication, education and training. Towards this several efforts have been made to create AMR awareness resources. The aim of these resources is to inform the public about responsible antibiotic use and drive positive behavioural change. Digital media and specifically games can serve as unique innovative platforms in public communication programmes. This study focuses on compiling and evaluating game-based AMR resources. Recognizing the engaging and creative potential of games as learning tools, the primary objective of this study was to identify games that can be used, individually or in combination depending on their unique focus and gameplay experience, for AMR awareness. Furthermore, games are evaluated on five objective criteria and recommendations are made towards further development of gaming resources towards AMR awareness. Meticulous curation was performed to mine information, education and communication resources, with a primary focus on games for AMR awareness and evaluating them based on game design and gameplay, AMR content and learning, engagement and replay appeal, learning outcomes, and level of difficulty and challenges. In this study, we selected 12 AMR games. Our evaluations, spanning various gamification elements and interactive parameters, informed recommendations for future AMR resource development, including multilevel game design, varied graphics, simple-to-understand rules, sustained challenge and a sense of reward, among others. This study generated the first-ever comprehensive catalogue of AMR games that may assist public communication programmes for AMR awareness. Evaluation of these games led to actionable design recommendations for future resources towards effective communication of AMR complexity, enhanced learning and awareness.

Evaluating Content, Quality, and Adequacy of Maxillofacial Trauma Videos on YouTube

Aim: The study aimed to analyze the content, quality and adequacy of information on YouTube videos regarding maxillofacial trauma. Material and Methods: The keyword “maxillofacial trauma” was obtained from Google Trends, YouTube was then searched, and 200 videos were selected to be analyzed for the study. Of the 200 videos, 108 were found eligible and then rated for quality and adequacy. After evaluating the demographic features of the videos, the viewing rates of the videos were determined. The quality of the videos was assessed by the Information Quality Index (VIQI) and the Global Quality Scale (GQS). The videos were categorized as low and high-content groups using a 16-point score system. Shapiro-Wilk test, Mann-Whitney U test, Pearson chi-square test and Fisher-Freeman-Halton were used for statistical analysis. Results: The vast majority of YouTube videos were uploaded by healthcare professionals (55.6%). The low content videos were classified as 88 videos (81.5%) and 20 videos (18.5%) as high content. The anatomic structures were the most covered topic (43.5%), followed by trauma area (40.7%), treatment procedure (32.4%), intraoral complications (31.5%), and definition of maxillofacial trauma (30.6%). A lower percentage of videos (13.9%) mentioned post-operative. Prognosis and survival (17.6%) were another low finding. The high-content video group had a significantly higher median value of GQS and VIQI score. A positive correlation was obtained from the total content score along with the total VIQI (r=0.792, p&lt;0.001) and GQS (r=0.778, p&lt;0.001) score and also it was determined that there was a statistically significant positive correlation between VIQI and GQS scores (r=0.930, p&lt;0.001). Conclusions: The findings of this study highlight the need for improved content quality and accuracy of YouTube videos on maxillofacial trauma, particularly for layperson audiences. This could be achieved through collaboration between healthcare professionals, commercial entities, laypersons and YouTube to create, review, and promote reliable educational content. By doing so, YouTube can become a more valuable resource for patient education and awareness regarding maxillofacial trauma management and treatment.

A mixed methods evaluation of the appropriateness of hospital on-call pharmacy service use

Abstract Introduction Most English hospitals provide out-of-hours pharmacy support via an ‘on-call pharmacist’.[1] There is scant published literature characterising these services. Prior research[2] suggests a significant number of calls may be inappropriate requests for non-urgent medication or information readily available elsewhere. Delaying while the on-call pharmacist is unnecessarily contacted may avoidably compromise patient care. Handling inappropriate calls may decrease pharmacist job satisfaction and compromise rest between shifts. Dissatisfaction with the on-call commitment is regularly raised at local departmental meetings and exit interviews. Servicing such calls is not sustainable. Aim To explore and quantify appropriateness of calls to the on-call pharmacy service at a single, large, acute English hospital, and to explore the influencing factors behind any inappropriate calls using a theoretically informed approach. Methods A retrospective review of existing on-call records quantified and characterised service use in 2021. Missed calls, callers who did not want the on-call pharmacist and internal pharmacy handovers were excluded. As per previous work, calls were considered inappropriate where an available resource would have provided a complete solution/answer at the caller’s level.[2] Service users were invited to semi-structured interviews via email to explore their capability, opportunity, and motivation to handle pharmaceutical issues. Interviews were conducted and recorded on Microsoft Teams before being transcribed and analysed using a framework based on the COM-B model of behaviour. Quantitative data were analysed in Excel and SPSS v27. Pearson’s chi-square test of independence was calculated for several pre-defined variables with p&amp;lt;0.05 considered significant Results There were 1139 calls in 2021, with 32 meeting exclusion criteria. Of the 1107 remaining, 410 (37%) were inappropriate and 697 (63%) appropriate. Eighty-one (20%) inappropriate calls occurred overnight (22:00-08:30). Almost 90 hours were spent on inappropriate calls, generating £3,144.96 in additional overtime payments to pharmacists. Appropriateness was found to be significantly higher on weekdays (66%) versus weekends (58%), p=0.008, from surgical wards (67%) versus medical wards (58%), p = 0.042 and from doctors (74%) versus nurses (54%), p&amp;lt;0.001. All respondents (five doctors) were interviewed. Analysis found limited training and familiarisation led to low awareness of available resources. Access was often restricted by a cumbersome Trust intranet rather than lack of time. Participants were highly motivated to resolve issues themselves, believing this to be best practice. Conclusion The high proportion, high volume and high cost of inappropriate calls warrants further investigation and intervention. Unfortunately, no nurses responded to interview invitations; this is a significant limitation as nurses were more likely to place inappropriate calls. Future work should consider how nurses can be recruited more effectively. However, analysis of calls combined with elucidation of doctors’ behavioural determinants makes it possible to propose informed interventions. Doctors would benefit from improved awareness of/ability to use resources and improved access to them. Therefore, a searchable electronic “signpost” highlighting resources relevant to common on-call queries is proposed. This would leverage the doctors’ high motivation and the rich data collected in a sustainable, evidence-based intervention designed around service user needs.

PRIEŠMOKYKLINIO AMŽIAUS VAIKŲ APLINKOS TVARUMO SAMPRATOS UGDYMAS, SUSIPAŽĮSTANT SU GAMTOS IŠTEKLIAIS PAKRUOJO RAJONE – DOLOMITINIU AKMENIU

It is often said that nature is our home and that what nature grows are gifts for us to use. When exploring nature, the question arises: what can be obtained from it, and what can be taken home without harming nature? Natural resources are found in living and non-living environments and are used by humans or can be used to satisfy consumer needs. Some examples of natural resources include solar energy, geothermal energy, minerals, climate, water, soil, vegetation, fauna, and landscape. Environmental sustainability is defined as a combination of social and economic development and environmental protection efforts to ensure a high quality of life for current and future generations. For many, environmental sustainability is associated with the protection of ecosystems, the use of renewable sources, and environmentally friendly behaviour. It's very important to talk to children about sustainability too. They are our future, and their habits, knowledge, and awareness are crucial to the fate of the planet. However, finding a clear explanation of sustainability for children is not an easy task. It can sound like this: sustainability - are the micro-changes that we can make to help take care of our planet. When participating in joint activities, preschool children can grow in understanding, describing themselves as a part of nature, and explaining in their own words what human needs are and their impact on the environment. They also demonstrate initiative on how to protect nature and how to use natural resources responsibly. The responsible use of natural resources is an important aspect to preserve our nature. Preschool children have a great opportunity to learn about minerals found in the local region. Children also develop an awareness of natural resources, environmental protection, and the history and culture of the region. Understanding how fossil fuels are used in everyday life can help children appreciate the environment, encourage conscious consumption, and spread ideas of sustainability. Keywords: natural resources, preschool education, environmental sustainability, dolomite rock

Communities organizing to promote equity: engaging local communities in public health responses to health inequities exacerbated by COVID-19-protocol paper.

The COVID-19 pandemic has disproportionately impacted rural and under-resourced urban communities in Kansas. The state's response to COVID-19 has relied on a highly decentralized and underfunded public health system, with 100 local health departments in the state, few of which had prior experience engaging local community coalitions in a coordinated response to a public health crisis. To improve the capacity for local community-driven responses to COVID-19 and other public health needs, the University of Kansas Medical Center, in partnership with the Kansas Department of Health and Environment, will launch Communities Organizing to Promote Equity (COPE) in 20 counties across Kansas. COPE will establish Local Health Equity Action Teams (LHEATs), coalitions comprised of community members and service providers, who work with COPE-hired community health workers (CHWs) recruited to represent the diversity of the communities they serve. CHWs in each county are tasked with addressing unmet social needs of residents and supporting their county's LHEAT. LHEATs are charged with implementing strategies to improve social determinants of health in their county. Monthly, LHEATs and CHWs from all 20 counties will come together as part of a learning collaborative to share strategies, foster innovation, and engage in peer problem-solving. These efforts will be supported by a multilevel communications strategy that will increase awareness of COPE activities and resources at the local level and successes across the state. Our mixed methods evaluation design will assess the processes and impact of COPE activities as well as barriers and facilitators to implementation using aspects of both the Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) models. This protocol is designed to expand community capacity to strategically partner with local public health and social service partners to prioritize and implement health equity efforts. COPE intentionally engages historically resilient communities and those living in underserved rural areas to inform pragmatic strategies to improve health equity.

Practices of and for autonomy in a Pakistani blended learning environment

ABSTRACT Learner Autonomy (LA) was considered irrelevant to Asian educational contexts, at least initially, due to Asian cultural norms characterised by conformity and respect for authority in general. This study seeks to highlight how Pakistani English language teachers and learners are engaging in certain practices of autonomy without consciously aiming for it. Questionnaire and Semi-structured interviews were used as primary tools for data collection for this study involving 150 students and 9 teachers across 3 campuses of a professional education university. Findings of the study show that teachers and learners of a Blended Learning (BL) English Language Communication course switched traditional roles within the class with a sense of shared responsibility and decision making. Learners engaged in a variety of meaningful activities while digital technology was welcomed as a new partner in the learning process and students exhibited increased awareness and evaluation of digital learning resources both inside and outside the class.

Online resources for osteoporosis awareness and prevention.

Online resources for osteoporosis awareness and prevention.

The ACHIEVE Program: Bringing Chicago Youth and Community Organizations Together to Impact Local Disparities

To evaluate the Advancing Community Health and Individual leadership through a noVel Educational (ACHIEVE) program uniting Chicago high school and undergraduate students (scholars) and community organizations to empower youth to meaningfully impact communities while enhancing organizational capacity. Between 2020 and 2022, the ACHIEVE program engaged cohorts of youth in classroom-based learning and community-based projects targeting health and education disparities. Pre and post-program surveys were administered to scholars to assess knowledge about disparities, skills, and self-efficacy. Semi-structured interviews were conducted with community organization leaders to examine programmatic impact. Descriptive and thematic analyses were performed. Across four cohorts (March 2020; September 2020-May 2021; September-November 2021; March-May 2022), 85 students participated in the ACHIEVE program. Scholars supported 19 community-based projects that increased awareness of local issues and resources and evaluated programs. Scholars reported advancement in their knowledge and skills as well as interest in sustaining their community engagement. Leaders shared several benefits at the organizational and community levels from collaborating with scholars. The ACHIEVE program enabled bidirectional learning between scholars and organizations. It also demonstrated that youth can contribute positively to addressing disparities while supporting local organizations and communities.

Access to electronic information resources in law libraries during covid-19 period: The case of office of the director of public prosecutions library, Kenya

The study examined the level of access of electronic resources among library users during the outbreak of Covid-19 pandemic. Qualitative and quantitative data were collected. Document review were further used to strengthen the findings of the study. On the use of electronic resources, the findings revealed there was increased use of electronic resources during Covid-19 pandemic, confirming that electronic resources were essential in sustaining library services during the pandemic. The results indicated that effective use of electronic resources requires library users possess skills to use the access equipment such as computers and Internet facilities. The findings further indicated that there is need for the library staff to create awareness of the available resources among library users. At the same time the study revealed that some of the challenges to the use of electronic resources were lack of computers, poor Internet connectivity and inadequate search skills which was linked to lack of elaborate training.

The digital divide in rural and regional communities: a survey on the use of digital health technology and implications for supporting technology use

ObjectiveA digital divide exists for people from rural and regional areas where they are less likely and confident to engage in digital health technologies. The aim of this study was to evaluate the digital health literacy and engagement of people from rural and regional communities, with a focus on identifying barriers and facilitators to using technology.ResultsForty adults living in rural/regional areas completed a survey consisting of the eHealth Literacy Scale (eHEALS) with additional items surveying participants’ experience with a range of digital health technologies. All participants had used at least one digital health technology. Most (80%) participants had an eHEALS score of 26 or above indicating confidence in online health information. Commonly reported barriers to digital health technology use centred on product complexity and reliability, awareness of resources, lack of trust, and cost. Effective digital health technology use is becoming increasingly important, there may be a need to prioritise and support people with lower levels of digital health literacy. We present opportunities to support community members in using and accessing digital health technology.