Form Of Checklist Research Articles

Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool

ABSTRACT Integrative models of mental illness and health in psycho-oncology are aimed at all types of cancer, although the patients’ experiences and issues may vary. This review summarizes the different theories and models of mental illness and health pertaining to the breast cancer experience and proposes an integrative phasic model applicable to the breast cancer trajectory. Five databases were searched for studies related to breast cancer mental health and illness theories and models. The PRISMA checklist form was used to extract the essential information from the included studies. Eleven theories and models on the experience of breast cancer were found. The integrative model based on these theories and models illustrates that the breast cancer experience is conceptualized as a trajectory with seven landmark ‘events’, each associated with a pathogenic ‘challenge’ leading to six possible ‘symptoms’, 1) psychological distress with anxious features, 2) psychological distress with depressive features, 3) non-specific distress 4) psychological distress with trauma-related features 5) low health-related quality of life, and 6) fear of recurrence. The Breast Cancer Psychological Integrative Phasic Model is supported by a simple clinical tool (BreastCancerPsych – Integrative Clinical Tool) that serves as a valuable resource throughout the care trajectory. These integrative phasic model and clinical tool are designed to help mental health clinicians formulate treatments that are tailored to the needs of their patients, especially for trajectories that are not marked by resilience.

Cell salvage in obstetrics-Background and practical implementation

Postpartum hemorrhage (PPH) remains aleading cause of maternal mortality worldwide, with an increasing incidence in western countries over the past decades. During this period the numbers of PPH-related allogeneic red blood cell (RBC) transfusions have also significantly increased. Given the increasing scarcity and risks of allogeneic RBC transfusions, which are also associated with adverse maternal outcomes, optimized blood management strategies are urgently needed in obstetrics. In recent years, patient blood management (PBM) has been increasingly integrated into medical care, resulting in asignificant improvement in patient outcomes. Cell salvage (CS) is one of the PBM blood-sparing techniques that enables the collection, processing and retransfusion of the patient's own blood during major bleeding events. Although recent evidence indicates that CS can significantly reduce the demand for allogeneic RBC transfusions and improve patient outcomes, the utilization in obstetrics in German hospitals remains low, with ausage rate of only 0.07% of births with peripartum hemorrhage. It must be assumed that concerns about patient-related complications, such as amniotic fluid embolism and maternal alloimmunization contribute to this hesitancy, alongside alack of familiarity with the technique. This article provides an overview of the current evidence on the use and safety of CS in obstetrics. To facilitate a practical implementation, fundamental considerations and organizational precautions were prepared based on the experiences of the University Hospitals in Würzburg and Frankfurt and presented in the form of graphics and checklists for the perioperative use of CS during cesarean sections.

Pemberian Asupan Gizi Seimbang terhadap Pertumbuhan dan Perkembangan Anak Usia Dini

This study aims to determine the effect of the application of balanced nutritional foods on early childhood growth and development at Sindang State Kindergarten. This study uses a Quantitative research method with a survey type. This method is used in evaluation to make a systematic, factual, and accurate description of the facts and properties of a particular population or area. The total research population was 33 children, then taken using purposive sampling so that the research respondents became 15 children. The instruments used in this study used observation sheets in the form of checklists with data collection through observation, documentation, and structured questionnaires regarding the effect of the application of balanced nutritional feeding on early childhood growth and development. The data analysis technique used a simple linear regression test using the help of the SPSS technique. This research data analysis technique tests validity, descriptive statistics, normality, homogeneity, simple linear regression, correlation, and dependent sample tests using statistics with the help of SPSS. Based on the results of this study there is a significant effect of balanced nutritional feeding on early childhood growth and development in Sindang State Kindergarten. This is evidenced based on the Ftable results calculated using the f test with a sig of 0.05 is 2.70 so that fcount>ftable (9.006> 4.543). This shows that Ha is accepted Ho is rejected, which means that providing balanced nutritional food has a positive and significant effect on the growth and development of children after early age at TK Negeri Sindang.

Assessment of supply chain efficiency through a sustainable supply chain management strategy in the textile sector

The textile industry processes fiber into yarn or fabric. Problems often faced by textile companies are delays in raw materials, which result in the production and distribution of fabrics not reaching the target, so consumers are unsatisfied and switch to competing companies. In addition, solid waste from the production process is still disposed of, potentially polluting the environment. This study uses the Green Supply Chain Operation Reference (Green SCOR) approach to evaluate the performance of green supply chain management (GSCM) in textile companies located in Yogyakarta. The findings of this study could significantly impact the textile industry as they provide a comprehensive evaluation of GSCM performance. Twenty-two performance indicators have been validated using the Item-Content Validity Index (I-CVI) method and weighted using the Analytical Hierarchy Process (AHP) method. Based on the calculation results, the GSCM performance value is 60.208. Improvement recommendations are given for three indicators that need to be prioritized based on Importance Performance Analysis (IPA) matrix mapping and the actual condition of the company. Improvements can be made by using the Vacuum Flash Evaporation method so that recycled PVA can be reused, using natural materials or alternative auxiliary materials that are more environmentally friendly, increasing cooperation with companies engaged in processing weaving waste or textile waste appropriately and effectively, checking the concentration of starch solution not only when changing construction but every beam change, and forming a checklist form that is filled in for monitoring after machine settings and preparation of the production process.

COVID-19 Personal Experiences and Posttraumatic Stress in National Guard Service Members.

The National Guard (NG) was an important component of the U.S. emergency response for the coronavirus (COVID-19) pandemic. Understanding how the personal COVID-19 experiences of NG members may be associated with posttraumatic stress symptoms (PTSS) and disorder (PTSD) can inform approaches to identifying and sustaining service members' mental health. We surveyed 3,993 NG service members (75% Army; 79% enlisted; 33% 30-39 years old; 81% male) during the pandemic. Forty-six percent of participants were activated in response to COVID-19. Surveys were administered between August and December 2020. We defined personal COVID-19 experiences as having COVID-19, a family member(s) having COVID-19, and/or having a close relationship with someone who died from COVID-19. In addition, using a 4-item form of the PTSD Checklist for DSM-5 (PCL-5), current posttraumatic stress symptoms (PTSS) and probable PTSD were assessed. Linear and logistic regression analyses were conducted to examine the relationship of COVID-19 experiences to PTSS and probable PTSD, respectively. Approximately 32% of participants reported at least one personal COVID-19 experience. Univariable linear regression analyses indicated that NG service members who had a personal COVID-19 experience reported more PTSS than those with no personal experience (B = 0.53, SE = 0.12, P < .001). After adjusting for demographics and service-related characteristics, having a personal COVID-19 experience continued to be associated with higher PTSS (B = 0.48, SE = 0.12, P < .001). When examining the relationships of distinct types of personal COVID-19 experiences to PTSS and PTSD together in multivariable models, those who had a close relationship with someone who died from COVID-19 had higher levels of PTSS (B = 1.31, SE = 0.22, P < .001) and were almost 3 times more likely to have PTSD (OR = 2.94[95%CI = 1.93-4.47], P < .001). Personal COVID-19 experiences are associated with increased PTSS and PTSD risk in NG service members. Such knowledge may aid in selection of service members for activation and identifying those in need of care.

Design and Development of a Multimedia Reading Application for Pre-schoolers as a Foundation in the Area of TVET

The greatest time for this is during early childhood schooling, when children are just beginning to become aware of their job options and form an imagination about the careers, they are interested in. In order to prepare pre-schoolers for their future employment, Technical and Vocational Education and Training (TVET) aims to expand their knowledge and skill sets. Technology development also aids in these preschool students' knowledge and skill development in preparation for their future employment, particularly in TVET. At this preschool stage, their reading skills is essential for learning the TVET sector since it aids in their understanding of the subject that piques their interest. Yet, there are a number of reasons why they can struggle to read, including a lack of prior book experience, speech or hearing problems, and a lack of phonemic awareness. This design and development research (DDR) methodology was chosen to assist pre-schoolers in learning to read as a foundational skill in the field of TVET. The researcher focused on the development of multimedia applications for the teaching and learning process using a quantitative approach through ADDIE Model instructional design. The researcher used a random sampling technique to select three academic staff members with the required TVET educational credentials. This sample includes two academics with experience and skill in multimedia creation, as well as a preschool teacher from an appropriate educational institution, so the feedback gained is adequate to obtain precise comments and points of view. Data were acquired and assessed using frequency and percentage values based on a checklist form that was given. To facilitate data analysis, each item is categorised, and frequency information is quantified as a percentage. Professionals who believe that this multimedia application is useful as one of the self-learning mediums have responded favourably to the study's findings about how this multimedia application functions in terms of assisting pre-schoolers in learning to read from the aspects of content design, interaction, and interface. The study's conclusions can be used as a guide by anyone, especially when it comes to encouraging pre-schoolers’ TVET growth.

Perancangan Risk Assessment dengan Metode Kualitatif dan Kuantitatif pada Proyek Pembangunan Ruko di PT XYZ

PT XYZ, a contractor company in the construction sector, is currently working on a project to build 24 shop houses on Jl. Hospital, Bandung City, with a duration of 21 weeks from June to November 2024. This project is divided into several works, including preparation, structure, installation, plumber installation, electrical installation, and wall painting. The project faced challenges such as work accidents, material delays, and conflicts between foremen and subcontractor workers. Due to the lack of effective risk assessment, PT XYZ has difficulty providing a significant response to this problem. Research was conducted to design a risk assessment that includes qualitative and quantitative risk analysis. Qualitative methods are used to create probability impact matrices, risk watch lists and priority risks, while quantitative methods are used to calculate sensitivity analysis related to risk costs. From the research, 186 negative risks and 5 positive risks were found with classifications ranging from insignificant to catastrophic, with the largest risk cost reaching IDR 851,529,000. Researchers also designed contingency plans, checklist forms, material quality checks, and risk reporting to assist PT XYZ in handling project risks.

When, How, and Barriers of Palliative Care in Intensive Care Unit: A Scoping Review

Palliative and near-death conditions in critical ill patients may occur, either predictable prognosis or acute conditions. Nurses are often unprepared for these care needs, resulting in suboptimal patient care. This study aims to review empirical evidence over the past 10 years regarding when to start, how to apply, and constraints during applying palliative care and end of life (EoL) care in intensive care. This review was conducted using journal database CINAHL, PubMed, Scopus, and WOS and selected article by PRISMA. The findings show EoL care begins when the medical team has assessed and approved by the patient and family including using the referral checklist format from intensive care to EoL care including the resources needed. In addition, during the upbringing process counselling and consultation with the family for any decision-making medical measures, nursing rounds, emotional and spiritual support and touches and hugs for the patient and family, including support for the entire medical team. However, there are also obstacles in the right communication time to families, discussions about death, and improving the competence of nurses through EoL education and training.

Roadmap for Linking Registry Data with Health Services Data to Support Evidence-Informed Decision-Making.

ApproachAs part of a learning period to optimize the use of RWE for decision-making for drugs for rare diseases, the [organization name removed to allow for blind review] conducted an environmental scan to map real-world data in patient registries. Over 400 patient registries were identified, signaling the potential wealth of untapped information to support decision-making by linking registry data with health services data. To better understand the challenges faced by registry holders hoping to link registry data with health services data sources available in Canada, a series of interviews were conducted with several Canadian rare disease registries. In addition, a literature review was completed, and Canadian experts in epidemiology, privacy, record linkage, registry science, and health services research were consulted to inform the development of a roadmap to meet various stakeholder needs. ResultsThe resulting roadmap consists of 8 specific steps covering topics related to registry purpose, informed consent, ethical approval, participant privacy, governance, data linkability, participant identifiability and jurisdictional requirements. ConclusionThe roadmap is currently undergoing pilot testing by a pan-Canadian rare disease registry. A final [organization name] report and an accompanying roadmap in a checklist format to facilitate implementation will be finalized, disseminated across key stakeholders, and made publicly available. ImplicationsWhile developed for registries, the roadmap applies to the linkage of clinical trial or cohort study data, or other systematically gathered patient-level data to health services data.

Learning Web for Brickwork Course at the Vocational College / Web Pembelajaran bagi Kursus Kerja Bata di Kolej Vokasional

The increasing demand for skilled workers in the construction industry underscores the importance of effective and modern education. Traditional approaches employed in teaching brickwork courses often face several challenges that impact the learning process. However, the use of academic modules resembling textbooks in the teaching and learning process (T&amp;L) is seen as less suitable in meeting the challenges of the 21st-century curriculum changes. Moreover, the use of static and non-interactive modules leads to reduced student interest and attention because the T&amp;L experienced is less engaging and makes it difficult for students to understand topics due to minimal sensory use. Therefore, this study was conducted to identify the elements required in the development of a web-based learning platform for brickwork and the level of student understanding before and after learning using the web-based platform. The study design utilized was a quasi-experimental quantitative approach using pre and post-tests involving control and treatment groups. The instruments used were checklist forms and pre and post-tests. Respondents involved in this study consisted of experts in Educational Technology and first-year (semester 2) Malaysian Vocational Certificate (SVM) students from the Construction Technology course at a Vocational College. Data analysis in this study was descriptive and inferential statistics, including mean scores, frequency, Mann-Whitney U Test, and Wilcoxon T Test. The results showed a significant improvement in student performance after using the web-based learning platform for brickwork. Findings indicate that the development of the web-based learning platform in terms of interface display and interaction, content and instructional structure, and facilitation received high marks from experts. Essentially, the use of web-based learning for brickwork courses not only modernizes the educational approach but also optimizes accessibility, interactivity, and better prepares students for success in the construction industry.

Introducing BRAINOER: The Behavioral Research and Interdisciplinary Neuroscience Open Educational Repository.

Foundational textbooks for neuroscience courses can be cost-prohibitive for students and may omit recent advances in the field. Therefore, an Open Educational Resource (OER) repository was curated using existing OER materials for use in behavioral neuroscience and physiology courses. The Behavioral Research and Interdisciplinary Neuroscience Open Educational Repository (BRAINOER) contains 9 modules that include the following foundational topics: (1) The Brain and Nervous System, (2) Neurons, (3) The Endocrine System, (4) Neurotransmitters and Psychopharmacology, (5) Motor Processing, (6) Advanced Brain Functions, (7) Sensation and Perception, (8) Genetics and Evolution, (9) Research, Design, and Methods. Each module contains learning objectives in a checklist format, and modules are divided into basic and advanced content where appropriate. Because the repository is divided into content modules, the materials can be used as a full-curriculum or assigned on a module-by-module basis.

Assessment of GMP Compliance in Tempe Production on Sepande Village

Food safety is an essential aspect of sanitation science. Food safety is an essential characteristic of life, both for food producers and consumers. Therefore, food processing enterprises must prioritize hygiene standards for the common good and maintain consumer confidence by improving food security assurances. The consumption of tempe by Indonesian people is relatively high because there is an advantage that tempe has in terms of nutritional value over other foods. The regulations of the Minister of Industry were issued by the Drug and Food Supervisory Authority (BPOM) 14 years ago, and the artisans should have already carried out the production process following the requirements of the regulations. The study aims to evaluate compliance with good manufacturing practices in Tempe production and analyze the correlation between compliance with good manufacturing practices and profits. The study was conducted in May 2024 in the village of Sepande. The number of respondents in this study is 50 tempe artisans, with the probability sampling techniques taking into account that Sepande Village is the area that has the most tempe industry homes and the highest tempe producer in the Candi district. The analysis method used in the first instance is the GMP assessment checklist form, then analyzed using the GAP Analysis method to analyze the gaps that occur, and in the second instance to analyze the costs and profits, then provide a list of questions with the Likert scale method, then correlated using the help of SPSS software with the Spearman Rank Test. The results show that based on the assessment of the aspects of Good Processed Food Production in Tempe products in the village of Sepande, the level of compliance has been applied following the regulations of the ministry as well as the benefits that influence the way good processed food is produced.

Delphi study for developing a checklist of adverse events associated with acupotomy

BackgroundAcupotomy, a more invasive procedure than acupuncture, involves the use of a thicker needle with an integrated knife at the tip, necessitating safety research. We aimed to define relevant adverse events (AEs) and create a standardized form of the ACUPOtomy-related AEs CHECKlist (ACUPOCHECK). MethodsBefore conducting the Delphi process, a systematic review and pilot prospective study were conducted to gather information on previously reported AEs. Using these data, pilot versions of the ACUPOCHECK and Delphi questionnaires were developed. The Delphi questionnaire involved selecting types of AE for inclusion, establishing separate criteria for acupotomy-related AEs, and achieving a consensus on AE assessment. Thirteen Korean doctors with experience in acupotomy or AE research were recruited to participate in each Delphi round. Consensus was considered to have been reached if the critical value for the content validity ratio met or exceeded 0.538. ResultsThe final ACUPOCHECK was developed using four rounds of the Delphi method and one face-to-face consensus meeting. It included 12 local AEs (pain, hemorrhage, bruise, hematoma, edema, pruritus, rash, infection, nerve damage, dysesthesia, movement impairment, and pneumothorax) and 14 systemic AEs (disease aggravation, needle fatigue, sleepiness, procedural nausea, procedural vomiting, procedural headache, procedural dizziness, sweating, procedural shock, syncope, dyspnea, procedural pain, sleep disorder, and postprocedural infection). Separate criteria were established for pain, hemorrhage and bruising: pain was defined as pain that occurrs during daily activities and persists for longer than 72 h, hemorrhage as bleeding that continues for ≥ 3 min despite pressure application, and bruising as having a bruise with a diameter of ≥ 3 cm. Open-ended descriptions were allowed for AEs not covered by the checklist, and severity and causality were assessed using the Common Terminology Criteria for Adverse Events and modified World Health Organization-Uppsala Monitoring Center criteria. ConclusionACUPOCHECK provides a standardization framework that can help research on traditional practices as well as new tools and techniques that are more invasive and may cause more severe AEs. Subsequent studies will use ACUPOCHECK to develop rational safety guidelines for acupotomy techniques.Please cite this article as: Jun H, Lee H, Yoon SH, Kwon CY, Jeon D, Lee JH, Leem J. Delphi study for developing a checklist of adverse events associated with acupotomy. J Integr Med. 2024; 22(5): 579–587.

FAKTOR – FAKTOR YANG MEMPENGARUHI AKSEPTOR KB DALAM MEMILIH METODE KONTRASEPSI SUNTIK DI PRAKTIK MANDIRI BIDAN(PMB) ANNISA KOTA PRABUMULIH

Injectable contraception is a contraceptive in the form of a liquid that is injected into a woman's body periodically and contains hormones, then enters the blood vessels to be absorbed little by little by the body which is useful for preventing pregnancy. The aim of the study was to find out the factors that influence family planning acceptors in choosing the injection contraceptive method at the Independent Midwife Practice (PMB) Annisa Prabumulih. The research method is analytic in nature, using a Cross Sectional approach. The population of this study were all active family planning acceptors at Annisa Prabumulih's Independent Midwife Practice (PMB). Sampling in this study using a total sampling technique, namely as many as 57 respondents. Research instruments in the form of checklists and questionnaires. The results of the study based on biivariate analysis there is a significant relationship between education and the choice of family planning injection contraception with a Pvalue of 0.000 &lt;? 0.05, there is a significant relationship between knowledge and the choice of family planning injection contraception with a Pvalue of 0.000 &lt;? 0.05, there is a significant relationship between husband's support and selection of contraceptive injections with a Pvalue of 0.001 &lt; ? 0.05.

KNOWLEDGE AND ATTITUDE WITH ADHERENCE TO FE TABLET CONSUMPTION IN ANEMIC ADOLESCENT GIRLS

Background: Iron anemia could be prevented through the administration of Fe tablets (TTD). Several studies had shown that one of the obstacles often encountered in the Fe tablet administration program was the problem of compliance. The low compliance of Fe tablets consumption in adolescent girls was influenced by several factors, one of which was the knowledge of female students regarding the benefits of consuming Fe tablets. Knowledge affected the attitudes and behavior of adolescents in choosing food, consuming Fe tablets supplementation, and further affected the overall nutritional condition of individuals including the condition of anemia status. Objective: This study aimed to demonstrate the connection between attitudes and knowledge about adherence to Fe tablets use in anemic adolescents at Pondok Pesantren Mambaus Sholihin, Gresik District, East Java. Methods: This type of research was quantitative research with a cross-sectional design, sampling using the total sampling method. Method in this research was an analytical observational study with a cohort retrospective design. The samples in this study were 81 adolescent girls aged 15-17 years who experienced anemia. The variables used in this study were knowledge, attitude and compliance. The instruments used were questionnaires and checklist forms. Compliance with Fe tablet consumption was carried out for the last 3 months. Results: Most respondents had sufficient knowledge related to anemia and Fe tablets around (31.1%) and most responders had a positive attitude of (56.8%) most respondents were not compliant with the consumption of Fe tablets by (58.0%). After the chi square test, the significance value (p=0.002) was obtained, which means that statistically there is a significant relationship between knowledge and Fe tablet consumption, and (p=0.000) there is a significant relationship between attitude and Fe tablet consumption. Conclusion: The study concluded that among teenage girls attending the Mambaus Sholihin Islamic Boarding School, there was a relationship between knowledge and attitude regarding the intake of Fe tablets.

PERENCANAAN MANAJEMEN PEMELIHARAAN BANGUNAN HOTEL X DI PADANG UNTUK MENCAPAI EFISIENSI BIAYA DAN WAKTU

Every building needs maintenance on every component of the building. Before carrying out maintenance activities, planning is required for every aspect of maintenance in the building. Good planning can ensure achieving goals in carrying out maintenance that utilizes costs and time efficiently. This study aims to plan the implementation of hotel building maintenance to achieve cost efficiency and maintenance time. The implementation methods include making SOPs, checklist forms, cost planning and maintenance schedules. Planning for SOP is made by adding existing SOP from the hotel to several SOPs from ministerial regulations that the hotel has not implemented. Planning checklist forms, costs and maintenance schedules made for architectural, mechanical and electrical work are limited to a period of 1 year and use ministerial regulation no. 24/PRT/M/2008 to check its suitability with implementation in the field. This research shows that hotel building maintenance management planning is better than before. The maintenance management plan created is expected to help the hotel carry out maintenance activities efficiently and utilize costs and time.

Checklist Design, Format, and Content: Benefits of Aviation-Style Computerized Checklists

Checklist Design, Format, and Content: Benefits of Aviation-Style Computerized Checklists

ANALISIS IMPLEMENTASI SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA (SMK3) DI RSUD dr. M. THOMSEN NIAS KABUPATEN NIAS TAHUN 2023

Hospital is a workplace that has a high risk for the safety and health of hospital human resources, patients, patient companions, visitors, and the hospital environment. Realizing an effective, efficient, integrated and sustainable implementation of Hospital Occupational Health and Safety (HOHS) requires the implementation of an Occupational Health and Safety Management System (OHSMS) in the hospital. This research aims to analyze the implementation of OHSMS in RSUD dr. M. Thomsen Nias. This research uses mixed methods with the explanatory sequential design that combines quantitative and qualitative research methods in sequence. The informants in this study amounted to 5 people. Quantitative data was collected by survey using a checklist form from annex 2 of Government Regulation No. 50 of 2012 as evidenced by document review and on-site observation. Qualitative data was collected by interview using guidelines from the quantitative data results. Based on the results of the study, the level of achievement of OHSMS implementation was obtained with an initial category audit of 56.25%, which is included in the category of less implementation. Of the 64 total criteria, there are 36 criteria that are appropriate and 28 criteria that are inappropriate. Commitment in the form of a written policy has not been made, but a decree has been issued to establish an OSH organization and committee. OHS planning has been made in the form of a work program. The implementation of the OHS plan has not been fully implemented by the OHS committee, but the hospital's efforts in implementing OHS are carried out by several related units such as the Infection Prevention and Control (IPC) Committee, the Hospital Facilities Maintenance Installation (HFMI) and the Environmental Installation. The implementation of OHSMS at RSUD dr. M. Thomsen Nias starting from the policy setting stage to evaluation has not been fully implemented properly according to Government Regulation No. 50 of 2012.

Prevalence of non-communicable disease risk factors among nursing staff in a low and middle-income country: A cross-sectional digital survey-based study.

To assess the prevalence of non-communicable disease risk factors among the nursing staff and educate them on prevention. Nursing staff is integral to the Indian community healthcare systems. Recent studies report a high prevalence of non-communicable diseases in Indian nursing staff. Therefore, data on the prevalence of non-communicable disease risk factors among nursing staff are crucial for education on prevention. A cross-sectional digital survey-based study. We invited 4435 nursing staff to attend our online survey. We used a customized questionnaire for data collection, including a digitized version of the Community-Based Assessment Checklist form. A score of >4 was considered high risk and warranted screening. Among 682 nursing staff who attended, 70% had never undergone screening for non-communicable diseases. The prevalence of non-communicable disease risk factors was significantly higher in male nursing staff. In addition, logistic regression analysis showed that age, tobacco and alcohol use, increased waist circumference, physical inactivity and family history of non-communicable diseases were significant risk factors among nursing staff. The study findings suggest that the nursing staff have suboptimal self-health concerns on non-communicable diseases. This situation warrants continued medical education, awareness campaigns on adopting a healthy lifestyle and health promotion.

Implementation of a 4Ms approach in age-friendly oral health care at an Academic Specialty Care Dental Clinic.

Implementing the Age-Friendly Health System (AFHS) framework into dental care provides a significant opportunity to link oral health to healthy aging. This project aimed to implement the AFHS 4Ms (what matters, medications, mentation, and mobility) in the provision of oral health care. This article describes the planning, integration, training development, and outcome measurements supporting a 4Ms approach at an academic dental clinic. The Eastman Institute for Oral Health (EIOH) implemented screening instruments based on the 4Ms framework recommended for ambulatory care clinics by the Institute for Health Care Improvement (IHI). These ambulatory instruments were integrated into the workflows of a Specialty Care Clinic through the development of a plan-do-study-act cycle, utilization of available clinic resources, and creation of interdisciplinary collaborations. This project demonstrated the feasibility of implementing an AFHS checklist and tracking forms in dental practice by integrating available resources and prioritizing the 4Ms elements. This effort necessitated interdisciplinary collaborations between dental, medical, and social service professionals. It also created a new age-friendly focused education and training curriculum for dental residents and faculty. This pilot project is the first to establish dental standards for AFHS implementation, adapting the 4Ms assessment and metrics to oral health. This AFHS underscores key oral health processes, including assessment, planning, and personalized oral health care, adapted to the unique needs of the older adult population, especially those with cognitive impairment.