Busy Schedule Research Articles

A REVIEW ON PALITYA AND DHATRYADI RASAYANA

Hair is a valuable anatomical structure of the body, having cosmetological and sociological importance in drafting the beauty and personality of an individual. Greying of hair represents the sign of ageing known as Palitya in Ayurveda. But when hair starts greying before the usual age of onset, known as premature greying of hair. Premature hair greying is called Akalaja Palitya, which occurs due to various factors resulting in the vitiation of Pitta dosha. Due to mankind’s hectic, sedentary and busy schedule, the current scenario is witnessing several challenges, and premature greying of hair is one among them. Premature hair greying has multifactorial aetiology, including oxidative stress, nutritional deficiency, smoking, and dysfunctional thyroid hormones, but the exact aetiology is still unknown. Acharyas have mentioned various rasayana for preventing and treating premature hair greying, i.e., Akalaja Palitya. Rasayana therapy aims primarily to promote the strength and vitality of the body. It also helps maintain the integrity of sapta dhatus (fundamental structural component) by improving digestive power resulting in the sound production of successive dhatus and their malas. Dhatryadi rasayana is a polyherbal formulation consisting of three ingredients, i.e., Dhatri (Emblica officinalis Gaertn.), Bhringraj (Eclipta alba Hassk.) and Tila (Sesamum indicum Linn.). All three plants have the keshya property. Emblica officinalis Gaertn. and Sesamum indicum Linn. both act as a 5α-reductase inhibitor. Eclipta alba Hassk. stimulates the proliferation of follicular keratinocytes by downregulating the TGF-β1 (Transforming Growth Factor Beta 1) expression. Furthermore, all ingredients of Dhatryadi rasayana have antioxidant properties and contribute to essential nutritional supplements required for proper hair development and growth.

Meningkatkan Kompetensi Pedagogik Guru Di Sekolah Dasar Melalui Pengawasan Yang Dilakukan Oleh Kepala Sekolah.

ABSTRACT
 The purpose of this research is to clarify how school administrators supervise teachers to improve pedagogical skills in the classroom. This study focuses on two issues: (1) how to improve school education by involving the community, and (2) the biggest challenges in content management and teacher development. Data mining and constructive methods were used in this investigation. The results showed that effective methods for managing principals and training teachers consisted of: (1) routine classroom practices, (2) supervision by administrators and educators, (3) floating procedures for describing class visits, and (4) evaluation of leadership activities with the intention of discussing and sharing ideas to improve teaching in the classroom. However, there are also constraints on the capacity of principals to supervise school administrators, including (1) Management issues, such as control of school administrators, teacher anxiety, and educators' lack of understanding of supervision; and (2) The decisions made by the school administration, such as the implementation of action plans, curriculum, teaching resources, teaching strategies, and teaching methods used by teachers in the teaching staff. Due to their busy schedule outside of school hours and the lack of support and incentives for teachers, especially in terms of preparing them for monitoring, the follow-up of school administrators was inadequate. Principals, teacher pedagogic competence, and monitoring are the keywords.
 Keywords: supervision, school principals, and teacher pedagogic competence

PROPOSAL DESAIN KURIKULUM PENDIDIKAN AGAMA KRISTEN (PAK) DEWASA BERPUSAT PADA TEKNOLOGI (TECHNOLOGICAL-CENTERED DESIGN) DI GEREJA

Adults are considered as an age category that is able to use digital technology in various ways, such as for the benefit of working, undergoing education, and communicating. Therefore, in the context of adult education, the use of digital technology is very effective in the learning process. This is really needed in this era considering that adults are of productive age. They have very busy schedules so they don't have much time to receive education, especially Christian religious education (PAK) which is organized formally, informally and non-formally. Based on the adult situation, the use of digital technology in adult learning is the right choice. For this purpose, adult educators must prepare a technology-centered design curriculum. However, the problem is that there are still many adult PAK educators who do not understand what is meant by this curriculum design and how to develop it. Therefore, the purpose of this research is to describe the technological-centered design of the adult Christian religious education curriculum.

Peran Keluarga Dalam Membentuk Kecerdasan Spiritual Anak Usia Prasekolah Dusun Sawangan RT 03/RW 01, Karanganyar, Purwanegara, Banjarnegara

The family in RI Law No. 52 of 2009 is defined as the smallest unit in society, which includes husband and wife, or husband, or wife and children, or father and mother and their children. Family harmony can affect the formation of children's intelligence because family is the most important foundation in a child's life. Intelligence itself is interpreted as thinking. Spiritual intelligence is a complete soul or thought that is formed from an activity to solve problems in accordance with the meaning contained therein. Nowadays, there are many families where the intelligence of their children is not balanced because of their busy schedules, low awareness of the importance of balancing the formation of their children's intelligence, and parents' lack of knowledge about spiritual intelligence. This research was conducted using a qualitative field method. With data collection techniques, namely observation, interviews and documentation. With data analysis techniques, namely data reduction, data presentation and drawing conclusions. The results obtained from this study were only about 35.3% of parents who understood well about spiritual intelligence, 64.7% of parents who thought that spiritual intelligence was only closely related to learning/knowledge about religion and had nothing to do with other. This study also found that 27.7% of pre-school-age children in Sawangan hamlet, RT 03/RW 01, had good spiritual intelligence and had been formed according to indicators in spiritual intelligence, although it could be said that it was not optimal. Meanwhile, as many as 72.2% of pre-school aged children ranging from 2 to 4 years of age have spiritual intelligence that has not been formed properly so that it does not meet the indicators of spiritual intelligence itself.

Knowledge, attitude, and practice of body shape and fitness among university students in China

BackgroundBody shape and fitness (BSF) is critical for overall well-being, while university students in China are subjected to stress, peer pressure, performance anxiety, busy schedules, and lack of sleep, which can easily lead to poor BSF. This study aimed to explore the knowledge, attitude, and practice of BSF and related factors among university students in China.MethodsThis web-based cross-sectional study was conducted on students of 15 universities in China between September 1st and November 30th, 2022. The KAP scores were evaluated using a 38-item questionnaire, including social demography, knowledge, attitude, and practice. Univariable and multivariable regression analyses were performed to identify the factors associated with KAP.ResultsA total of 995 valid questionnaires were collected. There were 431 (43.3%) males and 564 (56.7%) females. Most participants were sophomores (51.2%) and freshmen (36.3%). Most participants had a BMI of 18–24 kg/m2 (66.1%). The students scored highly on BSF-related knowledge (8.30 ± 1.49), moderately on attitude (37.20 ± 4.46), and low on practice (19.64 ± 4.62). Multivariate logistic regression analysis showed that attitude score (P = 0.001), sex (P = 0.001), grade (P = 0.011), body mass index (BMI) (P < 0.050), parent’s education level (P = 0.005), monthly allowance (P < 0.050), and sleep quality and habits (P = 0.016) were independently associated with practice scores.ConclusionsUniversity students in China were found to have good knowledge, moderate attitude, and poor practice toward BSF. Attitude, sex, grade, BMI, parents’ education, monthly living expenses, and sleep quality and habits affected their practice. More BSF-related courses or activities are required to motivate students, especially females.

ANALISIS KAPASITAS RUANG PARKIR DI PUSKESMAS LASI KECAMATAN CANDUNG KABUPATEN AGAM

Abstract : Parking facilities are an inseparable part of driving life. Parking facilities are quite a concern, especially when visiting places that are crowded with visitors such as public service centers, for example the Lasi Health Center. Puskesmas usually have a busy schedule of visitors at certain hours each day so that there are problems such as the absence of parking areas. To overcome this problem, it is necessary to identify the availability of parking areas at the Lasi Health Center by analyzing the characteristics and level of parking services at the Puskesmas, the analyzed characteristics such as parking volume, parking duration, parking accumulation, parking index, parking turnover rate, usage rate and parking capacity. From the results of research conducted for 6 days (11-16 July 2022) from 07.00-17.00 WIB and data processing, it can be concluded that: the largest incoming vehicles are 4 cars on Monday at 07.00 08.00 WIB and 24 motorcycles on Friday 07.00-08.00 WIB, the largest accumulation is 6 cars on Thursday and 19 motorbikes on Friday, the maximum parking duration is 2.6 hours for cars on Monday and the maximum parking duration is 3.01 hours for bicycles on Monday, the largest parking volume for cars is 12 vehicles on Wednesdays and motorbikes is 59 vehicles on Thursdays.Keywords: Parking Facilities, Availability of Parking Areas, Parking Characteristics, Parking Service Levels.

Best Practice Alerts: A Poke in the Eye or an Efficient Method for Safer Prescribing?

Best Practice Alerts: A Poke in the Eye or an Efficient Method for Safer Prescribing?

Uncovering the Key Elements and Supporting Factors of Tahfiz Houses in Shaping the Spiritual Education of the Younger Generation in Indonesia

Tahfiz houses have become the choice of parents for their children's education, while spiritual education for children has become a challenge for urban families due to the busy schedules of their parents. The presence of tahfiz houses is one solution to this challenge. This study aims to uncover the key elements and supports of tahfiz houses in shaping the spiritual education of young people in Indonesia. This research uses a case study approach, which emphasizes in-depth analysis of specific cases with the aim of finding specific aspects of tahfiz programs. The research findings indicate that the presence of An-Nur tahfiz house has brought spiritual education to children through a trilogy of education programs: Night of Building Faith and Piety (MABIT), Quranic camp living, preserving Islamic traditions, shalawat, creativity, and the role model of Mudabbir-Mudabbirah. This program has instilled a sense of consistency in performing night prayers, morning prayers, fasting on Mondays and Thursdays, reading good readings, eating and drinking in accordance with religious teachings, and a love for the Quran. Not only does it foster spiritual attitudes, but it also nurtures social cohesion. These findings suggest that the integration between tahfiz programs and worship practices with consistent and sustained spiritual education has resulted in children's spiritual development

Understanding the Consumption of Antimicrobial Resistance-Related Content on Social Media: Twitter Analysis.

Antimicrobial resistance (AMR) is one of the most pressing concerns in our society. Today, social media can function as an important channel to disseminate information about AMR. The way in which this information is engaged with depends on a number of factors, including the target audience and the content of the social media post. The aim of this study is to better understand how AMR-related content is consumed on the social media platform Twitter and to understand some of the drivers of engagement. This is essential to designing effective public health strategies, raising awareness about antimicrobial stewardship, and enabling academics to effectively promote their research on social media. We took advantage of unrestricted access to the metrics associated with the Twitter bot @AntibioticResis, which has over 13,900 followers. This bot posts the latest AMR research in the format of a title and a URL link to the PubMed page for an article. The tweets do not contain other attributes such as author, affiliation, or journal. Therefore, engagement with the tweets is only affected by the words used in the titles. Using negative binomial regression models, we measured the impact of pathogen names in paper titles, academic attention inferred from publication counts, and general attention estimated from Twitter on URL clicks to AMR research papers. Followers of @AntibioticResis consisted primarily of health care professionals and academic researchers whose interests comprised mainly AMR, infectious diseases, microbiology, and public health. Three World Health Organization (WHO) critical priority pathogens-Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacteriaceae-were positively associated with URL clicks. Papers with shorter titles tended to have more engagements. We also described some key linguistic characteristics that should be considered when a researcher is trying to maximize engagement with their publication. Our finding suggests that specific pathogens gain more attention on Twitter than others and that the levels of attention do not necessarily correspond to their status on the WHO priority pathogen list. This suggests that more targeted public health strategies may be needed to raise awareness about AMR among specific pathogens. Analysis of follower data suggests that in the busy schedules of health care professionals, social media offers a fast and accessible gateway to staying abreast of the latest developments in this field.

Why do teachers participate in technology-focused online language teacher communities on Facebook?

The study sets out to examine why language teachers from 78 different countries are utilizing technology-focused online language teacher communities on Facebook. The findings which were collected via a questionnaire (n = 482) and in-depth interviews (n = 31) illustrated how these online communities are being used in a multitude of ways—to explore ideas, keep abreast with the latest educational technologies, ask for techno-pedagogical help, experience a sense of belonging, to name a few. The study’s diverse dataset offers much-needed answers for understanding how technology-focused online language teacher communities on Facebook are valuable for supporting technology-using teachers, especially those who are on a tight budget, have a busy work schedule, or have unsupportive coworkers at their workplace.

Physicians’ professionalism from the patients’ perspective: a qualitative study at a single-family practice in Saudi Arabia

IntroductionProfessionalism is a crucial component of medical practice. It is a culturally sensitive notion that generally consists of behaviors, values, communication, and relationships. This study is a qualitative study exploring physician professionalism from the patients’ perspective.MethodsFocus group discussions with patients attending a family medicine center attached to a tertiary care hospital were carried out using the four gates model of Arabian medical professionalism that is appropriate to Arab culture. Discussions with patients were recorded and transcribed. Data were thematically analyzed using NVivo software.ResultsThree main themes emerged from the data. (1) In dealing with patients, participants expected respect but understood delays in seeing physicians due to their busy schedules. In communication, participants expected to be informed about their health conditions and to have their questions answered. (2) In dealing with tasks, participants expected proper examination and transparency of diagnosis, but some expected the physician to know everything and did not appreciate them seeking outside opinions. They expected to see the same physician at every visit. (3) In physician characteristics preferences, participants preferred friendly smiling physicians. Some cared about the outer appearance of the physician whereas others did not.Discussion/conclusionsThe findings of the study explained only two themes of the four gates model namely dealing with patients and dealing with tasks. Cultural competence and how to benefit from patients’ perceptions to be an ideal physician should be incorporated into the process of physicians’ training.

Evaluation of Mobile devices in the classroom: Learning motivations using the SPSS Method

Learning motivations and mobile devices are closely interconnected in today's digital age. Smartphones and tablets mobile devices like, have significantly impacted the way people access information and engage in learning activities. Here are some key aspects to consider regarding learning motivations and their relationship with mobile devices: Accessibility: Mobile devices provide easy access to a vast amount of information and learning resources. Learners can access educational content from anywhere and at any time, which removes barriers to learning and motivates them to explore new subjects or topics. Convenience: The portability of mobile devices allows learners to fit learning activities into their busy schedules. Whether it's during a commute, waiting in line, or during breaks, people can engage in short learning sessions, making learning more manageable and appealing. Personalization: Mobile devices enable personalized learning experiences through apps, adaptive learning platforms, and customizable content. Tailoring educational content to individual preferences and skill levels can enhance motivation and engagement. Gamification: Many leader boards, and challenges, making learning more interactive and enjoyable. These gamified features can motivate learners to complete tasks and achieve learning goals. The significance of researching learning motivations and mobile devices lies in its educators and developers can create more engaging and interactive learning experiences. This can lead to increased student participation, retention of knowledge, and overall learning outcomes. Inclusive Learning Opportunities: Mobile devices can bridge the gap between learners in different geographic locations or with limited access to traditional educational resources. Research on learning motivations can inform the development of inclusive learning tools and strategies, ensuring that education are accessible to a broader audience. Personalized Learning: Understanding individual learning motivations through mobile devices can facilitate personalized learning experiences. Adaptive learning platforms can leverage this research to tailor content and activities based on learners' preferences, skills, and interests. Optimal Use of Technology: Mobile devices are omnipresent in modern society, and their integration into education is inevitable. Research on learning motivations can guide educators in making informed the classroom and beyond. SPSS is descriptive eand bivariate data for statistics analytical, numerical effect projections and groups for identification provides predictions. software data conversion, map and direct marketing aspects provides software the interface is its key similar to a spreadsheet in view also shows open data. computer supported cooperative learning, computer supported cooperative play, E-learning, mobile &amp; wireless games, mobile learning The Cronbach's Alpha Reliability result. The overall Cronbach's Alpha value for the model is .658 which indicates 66% reliability. From the literature review, the above 50% Cronbach's Alpha value model can be considered for analysis.

A worldwide review of illness outbreaks involving mixed salads/dressings and factors influencing product safety and shelf life.

The trends toward healthy living, vegetarianism, and busy schedules have increased salad popularity. Salads are usually consumed raw without any thermal treatment, and therefore, without proper care they can become major vehicles for foodborne illness outbreaks. This review examines the microbial quality of 'dressed' salads which contain two or more vegetables/fruits and salad dressings. The possible sources of ingredient contamination, recorded illnesses/outbreaks, and overall microbial quality observed worldwide, besides the antimicrobial treatments available are discussed in detail. Noroviruses were most frequently implicated in outbreaks. Salad dressings usually play a positive role in influencing microbial quality. However, this depends on several factors like the type of contaminating microorganism, storage temperature, dressing pH and ingredients, plus the type of salad vegetable. Very limited literature exists on antimicrobial treatments that can be used successfully with salad dressings and 'dressed' salads. The challenge with antimicrobial treatments is to find ones sufficiently broad in spectrum, compatible with produce flavour which can be applied at competitive cost. It is evident that renewed emphasis on prevention of produce contamination at the producer, processor, wholesale and retail levels plus enhanced hygiene vigilance at foodservice will have a major impact on reducing the risk of foodborne illnesses from salads.

Value generation analysis within the design process of construction projects in Chile

Value generation occurs during the life cycle of construction projects. However, the ability to influence the projects' characteristics at the design stage increases the probability of maximizing value. Nevertheless, few studies assess value creation during the design. Considering this gap, the aim of this paper is to analyze the value generated at the design stage of Chilean construction projects. The research method responds to a descriptive type of study consisting of three stages: design value attributes definition, assessment and quantitative measurement of value applying a Value Analysis Model recently developed, and value comparison. Twenty-eight value attributes were selected from literature review and grouped into seven satisfaction conditions. The value assessment was performed through a questionnaire applied to 47 Chilean companies within the construction industry. The main findings show that 1) companies, in general, have low-value expectations related to the design process and, in turn, low-value generation, which can be negatives values; 2) projects tend to compensate the lack of indispensable attributes with the inclusion of attractive features, thereby demonstrating an absence of prioritization; and 3) the satisfaction conditions with the highest value generation are business environment, schedule and budget, and with lowest value generated are deliverables, integration and tools and technology. The primary contribution of this study is be useful to designers, managers and researchers, as it provides information on focus attributtes that require appropriate care to improve value within design-build processes; and for any project or company wanting to know its value benchmarking concerning other projects.

High Acceptability and Perceived Feasibility of Long-Acting Injectable Antiretroviral Treatment Among People Living with HIV Who Are Viremic and Health Workers in Uganda.

Long-acting injectable antiretroviral treatment (LAI ART), such as a bimonthly injection of cabotegravir/rilpivirine, is a promising HIV treatment option. LAI ART may particularly benefit people who are reluctant to initiate or are poorly adherent to daily oral pills and not virally suppressed. However, the acceptability and feasibility of LAI ART among individuals with viremia in Africa has not been well studied. We conducted qualitative in-depth interviews with 38 people living with HIV with viral load ≥1000 copies/mL and 15 medical and nursing staff, and 6 focus group discussions with peer health workers, to examine acceptability and feasibility of LAI ART in south-central Uganda. Transcripts were thematically analyzed through a team-based framework approach. Most people living with HIV reacted positively toward LAI ART and endorsed interest in taking it themselves. Most felt LAI ART would make adherence easier by reducing the challenge with remembering daily pills, particularly in the context of busy schedules, travel, alcohol use, and dietary requirements. Participants also appreciated the privacy of injections, reducing the likelihood of stigma or inadvertent HIV serostatus disclosure with pill possession. Concerns about LAI ART included side effects, perceived medication effectiveness, fear of injection, and medical mistrust and conspiracy beliefs. Health workers and participants with viremia also noted health system challenges, such as stockouts and monitoring treatment failure. However, they felt the health system could overcome these challenges. Implementation complexities must be addressed as LAI ART is introduced and expanded in Africa to best support viral suppression and address HIV care continuum gaps.

ЗАСОБИ ТА МЕТОДИ АСИНХРОННОГО НАВЧАННЯ ПРИ ПІДГОТОВЦІ НАНОІНЖЕНЕРІВ ДО ПРОФЕСІЙНОЇ ДІЯЛЬНОСТІ

The article is devoted to consideration of modern achievements concerning asynchronous learning technologies and the possibilities of their application in preparing future nanoengineers for productive professional activity in the modern conditions. The article examines a number of innovative technologies, including online learning, virtual and augmented reality, artificial intelligence and machine learning, blockchain technology and the Internet of Things (IoT). The purpose of the article is to evaluate the expediency and effectiveness of these technologies in activating the training of nanoengineers for professional activities. We sought to analyze the potential advantages and disadvantages of each technology and how they can be integrated into the process of training future nanoengineers to create the latest dual-purpose materials. The article also seeks to provide practical recommendations and ideas on the effective use of asynchronous learning in the training of future specialists in the field of nanomaterials science, especially considering the new conditions in which Ukraine has found itself. Background analysis has shown that asynchronous learning has the potential to be an effective and efficient means of delivering professional nanoengineering education, offering flexibility, scalability, and the ability to accommodate busy schedules. The article reviews the available literature on this topic, taking into account the latest achievements and the current state of the industry. Based on the analysis and comparison of different sources, the authors come to conclusions about the potential of each technology to support asynchronous learning in the preparation of nanoengineers if it is correctly applied. The article also provides recommendations for further research in this area and for the development of more effective educational programs for future nanoengineers, which will allow them to remain competitive and ready for the challenges and opportunities of the future. Key words: asynchronous learning, nanoengineers, professional activity, online training, virtual and augmented reality, artificial intelligence, machine learning, blockchain technology, internet of things

A critical review on fast-food consumption pattern among South Asian and Southeast Asian young adults

Fast food consumption trend has become very popular worldwide. Globalization has led to rapid rise in the number of fast-food outlets in Asian countries. The present study focuses on reviewing the consumption pattern of fast food among young adults of South Asian and Southeast Asian countries. Here a shift has been witnessed from consumption of traditional homemade food which included healthy nutritious locally available foods toward fast foods and processed foods. An extensive review of existing scientific studies in several South Asian and Southeast Asian countries was carried out to analyse fast food consumption patterns of young adults. Globalization, affluence, busy schedules, increase in number of working female population, mass media, increase in fast food production and delivery outlets are some of the main reasons contributing to increasing fast food consumption trends. Several western fast-food franchises are now well established in developing Asian countries. Dining out culture has increased in the Asian society and is socially acceptable. A rapid nutritional shift in Southeast Asia may be due to increase in food availability and food purchasing power. Consumption of fast-food items is associated with increasing obesity rates among young adults. Such trends are also associated with the increasing prevalence of non-communicable diseases such as indigestion, hypertension, asthma, and other several diseases among South Asian and Southeast Asian adults.

Gas Leakage Detection and Booking Using IoT

There is a rapid development in technology which influencing the human life in several aspects due to rapid development in different fields but we still need to adopt that technology such that we can make human life easier to live. In our Country it is not possible to supply LPG through Pipes to each and every home as production of LPG is too short. At present we are having a system Advance LPG cylinder booking through IVRS or online which is most difficult for the illiterate and busy schedule people to book the LPG cylinder in advance. Another Major problem LPG cylinder users facing is “They don’t know exactly the status of LPG gas completion” makes even more delay in booking the cylinder which is uncomfortable most of the times. Now a day we are having a IVRS system in which customer needs to go through few steps in accordance with the Automatic voice which also includes selecting options. Most of the illiterate people can’t even complete the booking due to this reason and also most of the times these landline phones are either busy due to congested calls or phones not working due to some technical issues. This paper proposes a system that will make entire LPG cylinder booking procedure automated without human intervention. This system continuously measures the weight of the cylinder and once it reaches minimum threshold it will automatically sends message to the authorized LPG Agent so that they can deliver the LPG cylinder in time. Along with the Automated cylinder booking we also designed feature related to the safety of the user in which it continuously monitor the leakage of LPG gas and alerts the user regarding leakage to avoid major accidents which costs human lives mostly.

An Online Mindfulness Program for Teachers: A Feasibility Study of the DeStress Monday at School Program.

Stress has deleterious effects on teachers' well-being and interactions with students. While in-person mindfulness programs have demonstrated benefits for teachers' mental health, in-person classes are often not feasible due to teachers' busy schedules. This study assessed four components of feasibility (implementation, demand, acceptability, and limited-efficacy testing) for an online mindfulness intervention for teachers. A volunteer sample of 50 primary school teachers was recruited across three urban public schools and wasoffered a 9-week online mindfulness program (DeStress Monday at School). The program provided weekly mindfulness practices for (1) self-care and (2) classroom use to promote teacher and student stress management. Surveys and focus group discussions assessed program feasibility. Paired t-tests were used to evaluate pre-post changes in teacher well-being. Most participants had no technical problems, providing general support for implementation. Support for program demand was mixed; while 85% of participants used practices at least once, some never used practices, and over half used practices only 1-3 times. Those who used practices generally rated their acceptability favorably. Qualitative analyses showed significant pre-post improvements in work-related and overall stress, depressive and anxiety symptoms, and sleep; those who used practices reported more benefits than those who did not. Qualitative data corroborated these findings, with teachers describing improved stress- and emotion-management following program use. Our findings suggest mindfulness can be delivered online to teachers and may enhance mental health and wellness. Next steps include conducting more rigorous research with a control condition to better understand potential program impact. This study is not preregistered. The online version contains supplementary material available at 10.1007/s12671-023-02142-3.

Implementation of clinical recommendations from the geriatric oncology clinic

IntroductionWhile evidence on the value of routine geriatric assessment (GA) in cancer care for older patients is growing, there is limited data on the geriatric oncology (GO) clinic's specific recommendations and how they are implemented. In this study, we aimed to assess and evaluate the implementation of recommendations from the GO clinic at Princess Margaret Cancer Center, Toronto, Canada, within six months of the initial visit. Materials and MethodsA retrospective chart review was conducted on 100 consecutive adults age 65+ visiting the GO clinic from 2018 to 2019. For each patient, we evaluated the number and type of recommendations from the GO clinic. Recommendations were grouped based on clinical judgement. Of the recorded recommendations, we measured the rate of implementation within six months of the initial visit including who implemented the recommendations and why recommendations were not implemented. Data were analyzed using descriptive statistics. ResultsOne hundred patients visiting the GO clinic (mean age of 80.5 years, 62% male, 52% with planned curative intent, with the genitourinary site being most common) received a median of six recommendations (range of 2–12), regardless of sex, cancer stage, cancer site, and treatment intent. Medication optimization (27%), patient education (26%), and referral to allied health (14%) were the top recommendations from the GO clinic. At six-month follow-up, 83% of all recommendations were implemented, of which 94% were performed by the GO clinic team. Patient education was implemented at a 100% rate by the GO clinic at the time of initial assessment. GO follow-up visit and other diagnostic tests (hearing test, vision test) were the recommendations with the lowest implementation rates, at 51% and 31%, respectively. The most common reasons for recommendations not being implemented were patient transfer to palliative care/death and patient declining recommendations due to busy appointment schedules. DiscussionA median of six recommendations were made per patient. The vast majority of recommendations were implemented, predominantly by the GO team. Overall, the study helps evaluate recommendations provided to patients visiting GO clinics, identify potential gaps, and assist with resource planning for optimal cancer care for older adults.