Coordination Office Research Articles

A student-community partnership to enhance cancer research training

BackgroundDespite the importance of community involvement in research, little formal training in community outreach and engagement (COE) is offered to cancer research trainees. A collaboration between the Office of COE and the Office of Cancer Research Training and Education Coordination (CRTEC) at the Sidney Kimmel Comprehensive Cancer Center at Jefferson led to the COE-CRTEC Trainee Working Group, a unique program in which trainees in cancer research each created a novel COE initiative.MethodsFour cancer research trainees were selected to serve as COE Program Liaisons (CPLs), each aligned with one of the four cancer center research programs. Each CPL developed, implemented, and evaluated a project that enhanced the bidirectional relationship between their research and the community. Trainees were provided a modest budget, support from the Office of COE, and a requirement to complete the project within one academic year.ResultsProjects included a cancer education seminar for older adults at a senior center, a prostate cancer education and screening event at a predominantly African American church, a video demonstrating a day in the life of a skin cancer researcher, and a podcast that featured SKCCC investigators answering research questions from community members.ConclusionStudents who would not typically be exposed to COE training gained experience developing, implementing, and evaluating community-based initiatives. Projects were diverse in topic and approach, reflecting the diversity of the trainees and the community. Allowing trainees, those who are the next generation of cancer researchers, to design community-based research may lead to more patient-centered research in the future.

Levels of Telehealth Use, Perceived Usefulness, and Ease of Use in Behavioral Healthcare Organizations After the COVID-19 Pandemic.

The use of telehealth in behavioral healthcare increased significantly since the start of the COVID-19 pandemic and remains high even as a return to in-person care is now feasible. The use of telehealth is a promising strategy to increase access to behavioral healthcare for underserved and all populations. Identifying opportunities to improve the provision of telehealth is vital to ensuring access. An online survey about the current use of, and attitudes toward, telehealth was conducted by five Mental Health Technology Transfer Center (MHTTC) regional centers and the MHTTC Network Coordinating Office. The national MHTTC network provides training and technical assistance, to support the behavioral health workforce to implement evidence-based treatments. Three hundred and sixty-five respondents from 43 states and Puerto Rico participated. The majority of respondents were clinical providers (69.3%). Nearly all (n = 311) respondents reported providing at least one telehealth service at their organization, but the number and type of services varied substantially. Respondents had positive views of both video-based and phone-based services, but most had some preference for video-based telehealth services. Other services, including text message reminders, medication services, and mobile apps for treatment or recovery, were offered via telehealth by ~ 50% or fewer of respondents' organizations. Many organizations have areas where they could expand their telehealth use, allowing them to extend the reach of their services and increase access for populations that experience barriers to service access, though organizational barriers may still prevent this.

Resilience building interventions to manage climate induced livestock poverty and deaths in Southern Zimbabwe

Livestock production in Mwenezi District (MD) has become more susceptible to effects of climatic variability and change which undermines developmental gains from livestock value chain. Climate change impacts are increasing the intensity of livestock poverty and deaths across all forms of livestock. The study examined livestock production interventions implemented to reduce livestock poverty deaths in MD. Descriptive research design which utilizes both qualitative and quantitative paradigms was used to accurately and systematically describe the phenomenon. A household survey questionnaire was administered to sampled households in MD wards 4 and 10 while interviews were conducted with purposively selected key informants from the department Agriculture Technical and Extension Services (AGRITEX), Veterinary Services Department, Rural District Council, CARE and District Development Coordinator's Office. Various interventions including construction of improved livestock structures, availing of safe drinking water for livestock, livestock feed formulation have been initiated to reduce and contain livestock poverty deaths. The study recommends that development actors should initiate more interventions to boost livestock production sector since it is the most suitable intervention in relation to climate and weather conditions experienced in MD. The research offers insights to address the complex interplay between climate change, livestock farming, poverty and resilience building. Results inform future researchers while guiding policy makers working in similar contexts on how best to support vulnerable communities. Findings lessen the burden to achieve Sustainable Development Goals namely no poverty, zero hunger amongst others. The study enlightened farmers on how to implement drought mitigation and adaptation techniques during drought periods.

How can a community be successfully empowered to deal with death, dying, and bereavement?-formative evaluation of the Caring Community Cologne using focus groups.

Compassionate communities aim to empower people to deal with death, dying, and bereavement. They also intend to facilitate access to care and support at the end of life. However, there is a need for systematic knowledge on how to achieve the desired outcomes for citizens and for insights regarding the development, implementation, and evaluation. The aim of this study was to assess the views of members of a German Compassionate City, the "Caring Community Cologne" (CCC), and to report on its practical implementation. The CCC consists of a citywide Round Table, a Steering Group, a Coordination Office and four Working Groups in areas where activities are already in place. We conducted two qualitative focus groups with nine members of three Working Groups. The transcripts were analysed with qualitative content analysis, using MAXQDA version 2022, and results were transferred into the logic model "Throughput Model". At the time of evaluation, participants felt that the structures of the CCC were adequate, but criticised the cooperation and transparency between them. A key aspect of this was the requirement for a coordinating body. They stressed the support of federal institutions as a key factor, while at the same time describing insufficient citizen involvement. The transfer of the results into the Throughput Model highlighted four areas that the CCC should address: (I) neighbourhood networks need to be established to strengthen civic support; (II) people need to be made aware of the issues by making them accessible in their everyday lives; (III) the many existing support initiatives need to be better linked and made more accessible; (IV) adequate healthcare service structures have to be guaranteed. The top-down approach described, supported by the city's engagement and involving existing initiatives can facilitate the development of a bottom-up civic engagement model in a large city. However, active citizen involvement appeared to be a challenge. The Throughput Model was a suitable basis for mapping work processes and developing evaluation plans.

Regional hospice and palliative care networks worldwide: scoping review

BackgroundRegional hospice and palliative care networks (RHPCNs) are increasingly being established to improve integrative care for patients with life-limiting illnesses. This scoping review aimed at identifying and synthesising international literature...

2023 DZ2 Planetary Defense Campaign

We present the results of a fourth planetary defense exercise, focused this time on the small near-Earth asteroid (NEA) 2023 DZ2 and conducted during its close approach to the Earth in 2023 March. The International Asteroid Warning Network (IAWN), with support from NASA's Planetary Defense Coordination Office (PDCO), has been coordinating planetary defense observational campaigns since 2017 to test the operational readiness of the global planetary defense capabilities. The last campaign focused on the NEA Apophis, and an outcome of that exercise was the need for a short burst campaign to replicate a real-life near-Earth object impact hazard scenario. The goal of the 2023 DZ2 campaign was to characterize the small NEA as a potential impactor and exercise the planetary defense system including observations, hypothetical risk assessment and risk prediction, and hazard communication with a short notice of just 24 hr. The entire campaign lasted about 10 days. The campaign team was divided into several working groups based on the characterization method: photometry, spectroscopy, thermal IR photometry and optical polarimetry, radar, and risk assessment. Science results from the campaign show that 2023 DZ2 has a rotation period of 6.2745 ± 0.0030 minutes; visible wavelength color photometry/spectroscopy/polarimetry and near-IR spectroscopy all point to an E-type taxonomic classification with surface composition analogous to aubrite meteorites; and radar observations show that the object has a diameter of 30 ± 10 m, consistent with the high albedo (0.49) derived from polarimetric and thermal IR observations.

Crisis of Translating Scientific Terms into Arabic Between Terms Creation and Use

This paper presents a study and analysis of the Arabic terms crisis as well as its impacts on the translator work, since this later is one of the first concerned by the crisis . It sheds light, after explaining the crisis and its causes, on the choices to take by the translator in order to translate the foreign terms into Arabic language in the midst of Arabic terms disunion and absence of real standardization between the different parties concerned with terms creation and use. In this context, the translator will have a double responsibility, he has to take into consideration the existing correspondences used by speakers , even if they don’t respect the conditions of terms creation, and the proposed terms by specialists in terminology such as the academies of Arabic language and the arabization coordination office. He must take into account the difference of terms use among the different groups of speakers. In fact, the scientific concepts remain the same in spite of the multiplicity of the used terms, but this multiplicity affects the reception and use of the true scientific information. It also affects the communication operation in case of different groups of speakers using different terms , and has an impact on the translator work which must take into consideration the conditions of terms creation and the reality of terms use. At the end of this paper and in order to put an end to this crisis we emphasize on the necessity of arabization of all sectors by unifying all efforts in one organism to be a reference for language specialists, translators and all speakers.

PENINGKATAN KOMPETENSI GURU SD NEGERI 123/II TEBAT PELEPAT DALAM IMPLEMENTASI KURIKULUM MERDEKA

This service activity was carried out to improve the competency of teachers at SD Negeri 123/II Tebat Pelepat in implementing the Independent Curriculum. This needs to be done because of the lack of facilities available to teachers at the school to study in more depth related to the Merdeka curriculum. Activities were carried out by providing practical workshops using lecture techniques, simulations, and discussions at the Pelepat VII Regional Coordinator office. The results of this activity had a good impact on teachers at SD Negeri 123/II Tebat Pelepat. Teachers who participated in the activity gained insight into knowledge related to the Pancasila student profile, the Discovery Learning learning model, and the Problem-Based Learning learning model. The knowledge teachers gain can increase teacher competency, influencing teacher readiness to carry out the learning process in the classroom. In this way, teachers are better prepared to carry out the learning process in the Merdeka curriculum.

Military health system auditory blast injury prevention standard

The Department of Defense (DoD) lacks a single medical standard for prevention of auditory blast injury, relying on the Service Branches to develop their own guidance. The DoD Executive Agent established the Blast Injury Prevention Standards Recommendation (BIPSR) process, led by the DoD Blast Injury Research Coordinating Office (BIRCO), to investigate the effects of blast injuries on warfighters. The BIPSR Process implementation of the Auditory Blast Injury Type illuminated characteristics, capabilities, and limitations of current capabilities to predict and prevent auditory injuries. The evaluation resulted in the recommendation of 8-h Equivalent Level (LAeq8hr) as the interim MHS Auditory Blast Injury Prevention Standard to serve as the cross-Service standard while the community performs additional research to fill critical knowledge gaps. BIRCO is working to formalize the Military Health System Auditory Blast Injury Prevention standard to support updates and coordination across DoD guidance including military design standards and health protection policies.

Promoting Kenya’s National Interests through Strategic Communication: Challenges and Opportunities

Purpose: Throughout history, nations have sought to protect, promote and advance their national interests. Countries use various elements and instruments of national power in pursuit of those national interest. These includes military, diplomatic, economic and information. Like other nations, Kenya employs these instruments in various ways. Strategic communications, forms a key element of the information aspect of national power. Despite the importance of strategic communications in the pursuit of national interests, this paradigm has not been fully acknowledged nor been substantially leveraged on. This study therefore had the key objectives of determining the role of strategic communications in selected case studies in promotion of national interests, examining the role of strategic communications in promoting Kenya’s national interests and identifying opportunities and challenges of strategic communications in promoting national interests.
 Methodology: This study adopted a pragmatic research methodology. Both qualitative and quantitative research methodologies were adopted. The qualitative research offered the usual narrative information collected through interviews. While information acquired through questionnaires and interviews offered quantitative data necessary data on the role of strategic communication in promoting Kenya’s national interests. Being a cross-sectional research study, the researcher used interviews for gathering data, and questionnaires for data collection. This study used purposeful sampling to choose 86 respondents in ‘Job Group’ ‘P’ and above from the Ministry of Foreign Affairs, Ministry of Internal Security and National Administration and the Ministry of Information Communication Technology and Digital Economy based in Nairobi. The quantitative data gathered from the questionnaires was coded, edited, organized, and analyzed with the assistance frequency tables, whereas the qualitative data obtained from the open-ended questions of the interviews is thematically analyzed in accordance with the research objectives.
 Findings: The findings reveal that the Government of Kenya has attempted to institutionalize strategic communications in various Ministries, Departments, and Agencies (MDAs). This study further shows that if well capacitated, coordinated and provided with requisite leadership, these institutions provide opportunities that would be useful in the synchronization of the instruments of national power. The study identified various opportunities as well as challenges encountered in the utilization of strategic communications in promoting Kenya’s national interests.
 Unique Contribution to Theory, Practice and Policy: This study was informed by Institutional and Realism theories. The Institutional theory has been identified as one of the most prominent theoretical perceptions of organizational and management research while Realism is considered a longstanding theory, critical in understanding social phenomena from different perspectives. The study recommended the entrenchment strategic communications in the National Security Council (NSC) by setting up an office of strategic communications and coordination under the NSC. Moreover, there is need to ensure implementation of the National Communication Policy and Strategy while ensuring harmonization through a whole government approach that can lead to policy coherence.

Sediment Transport Modeling in the Pasig River, Philippines Post Taal Volcano Eruption

Following the eruption of the Taal Volcano in January 2020 and its continuous signs of unrest in the preceding years, this study delves into the investigation of sediment transport in the Pasig River, Philippines. The historical data of total suspended solids (TSS) and arsenic indicated a notable increase starting from the year 2020. The field measurements were conducted in February and March of 2022, two years after the eruption. Due to the observed homogeneity in the river’s mixing, a refined 1D sediment transport model was developed. In this study, HEC-RAS modeling software was employed. The calibration process using the Laursen transport function yielded an impressive R2 value of 0.9989 for the post-eruption model. This predictive accuracy underscores the robustness of the developed model. The study’s scope was further expanded by creating a model for February 2020, incorporating water quality data gathered by the Pasig River Coordinating and Management Office. The model simulation results showed peak TSS values of 120.63 mg/L and 225.15 mg/L in February 2022 and February 2020, respectively. The results of the study highlight the probable impact of geological events on sediment dynamics within the Pasig River, which could help manage and sustain ongoing river improvements.

Workforce Development and Training Needs for Behavioral Health Telehealth Use in the Post COVID-19 Era

Temporary regulatory changes early in the COVID-19 pandemic facilitated telehealth use, but with an increased return to in-person care in some settings, understanding provider attitudes about the practice and benefits of telehealth may help to inform policy and practice. This mixed methods study seeks to identify areas of training needed for effective telehealth provision in this new era. An online survey was distributed by five Mental Health Technology Transfer Center (MHTTC) regional service centers, which provide workforce capacity-building training and technical assistance, and the MHTTC Network Coordinating Office’s national listserv. Three hundred and sixty-five respondents from 43 states and Puerto Rico participated. The majority of respondents were clinical providers (69.3%). Eighty-five percent of respondents indicated they provided at least one telehealth service. Most indicated telehealth has improved their organizations’ ability to meet patient needs and increased access for underserved populations but suggested significant needs for continued training on telehealth use. These needs were consistent across organization locations and provider types. Qualitative analysis of free response questions identified key areas for ongoing training, including administrative topics (e.g., billing, documentation); integration of telehealth with existing systems; telehealth use with specific populations, especially children; and methods to increase access to technology for less-connected populations. Despite many providers receiving exposure to telehealth use during COVID-19, training in telehealth administration is still needed and may better serve those in certain roles and areas. While ongoing training may effectively address many needs identified, other significant concerns facing behavioral health providers may not be easily addressed via training (e.g., increasing technology access) and may require other approaches to facilitate the continued use of telehealth.

From Advice to “Secret Mandates”: The Evolution of Government Intervention in Public-Sector Bargaining in Alberta, Canada

Governments in Canada are increasingly using multiple tools to advance their political agenda at the expense of free collective bargaining in the public sector. Legislative intervention has long been a strategy to curtail bargaining rights (Evans et al., 2023). Recently, governments have turned to non-legislative means to influence bargaining outcomes. This article is about the use of a coordination office, a decidedly non-legislative tactic, and how, over two rounds of negotiations, it transformed public-sector bargaining in Alberta. Bargaining has been further transformed by enactment of a legal requirement to keep the government’s mandates secret, the outcome being increased frustration among union representatives and potential damage to long-term relationships. Together, these measures have provided the government with a powerful means of influence, which, if successful, could spread to other jurisdictions.

A Pathway to Prevention – Concept of the Tyrolean Approach

Health is an ongoing, natural process rather than a temporary state. To preserve and promote health, a structured, personalized, holistic, and coherent approach for primary and secondary prevention is needed. A study by Widschwendter et al. investigated to the effect of different health interventions on the epigenome. Based on this information, the Tyrolean Federal Institute for Integrated Care (LIV Tyrol) developed a concept for a prevention pathway, which aims to increase the number of healthy life years for the Tyrolean population. 
 The key to prevention is the adherence of the people. To increase adherence, a therapy goal, which is mutually defined by the patient and the caregiver, is essential. The definition of a therapy goal leads to a joint development of a therapy concept. This is the starting point of the Tyrolean prevention pathway: (1) The Prevention pathway starts with the annual checkup of (healthy) people with their general practitioner (GP). These people are usually perceived to be healthy and make a point in preserving their health. (2) Based on the findings of the checkup, risk factors are discussed with the GP and health potentials, such as overweight/obesity, lack of exercise or the smoking status, are defined. (3) The Tyrolean prevention pathway offers different interventions for different health potentials. Thus, the information regarding the developed therapy concept is sent to a central coordination office, which will be located at LIV Tyrol. The coordination office thereafter contacts the person concerned and provides an overview of the interventions and measures based on the therapy plan in a transparent manner. The decision to follow the pathway is therefore made jointly and consciously. 
 In order to develop and identify prevention interventions and provide a broad overview over the variety of the prevention intervention offers, many different stakeholders had to be taken into account and contacted. This included therapists (e.g. physiotherapists, psychologists), dieticians, clubs and associations, clinicians, the federal government, and national insurances. 
 To evaluate the success of the prevention pathway, specific data needs to be collected, stored and analyzed. Therefore, a so-called IT-based prevention record will be implemented. It will enable a person-/patient-centered approach and provide a holistic view of the person concerned to all involved caregivers (read or write permission). This allows the GDs to see, how the preventive measures are being accepted and how the person/patient is doing. Additionally, clearly defined intervention providers (which need to be in a treatment context with the person) can document information regarding the progress of the person/patient. This enables the whole preventive care team to be on the same page regarding their level of knowledge of the person. This allows the person to take responsibility for their own health and acquire health competence. 
 Further steps are the launch of a pilot project for the health prevention pathway and the step-wise development of the prevention record. Also, the networking activities and updating of the catalogue of interventions will be continued. Additionally, an evaluation plan for the effectiveness of the pathway will be developed and implemented.

DARIAH-HR digital tools in the frame of Open Science

Responsibility, ethics, inclusiveness, and the principles of Open Science are central to the advancement of scholarly research and publishing. By embracing these values, we can create a more transparent, collaborative, and accessible research ecosystem, as proposed by UNESCO (2022). However, there is a pressing need for effective tools that aid researchers in practising Open Science while addressing the specific requirements of disciplines such as the Humanities and Arts, especially in the context of the welldocumented prevalence of STEM disciplines over the Humanities in the development of Open Science and Open Access trends (Eve, 2014). The Digital Research Infrastructure for the Arts and Humanities (DARIAH-EU) consortium, formed by "researchers for researchers", is uniquely positioned to address this inequality while driving the development of an open ecosystem that naturally evolves from authentic community practices and needs (Tóth-Czifra, 2021). Croatia as a member country with its DARIAH-HR coordination office readily follows it in this endeavour by organising workshops, creating one-of-a-kind digital platforms and tools, etc.In this poster presentation we aim to introduce several digital tools designed or codesigned by DARIAH-HR for scholars in the fields of the Humanities and Arts (and broader): 1) a digital tool for the creation of thesauri, 2) a digital tool for creating registers, 3) a digital tool for generating GDPR-compliant forms for obtaining consent from data subjects and 4) a software for modelling, processing and representation of monumental heritage and culture of memory. While the first and second tools represent pioneering efforts to encompass the widest community of humanists and researchers in Croatia, the third and fourth tools provide in-depth solutions in their respective areas of focus, extending their reach to an international level and catering to a diverse audience that includes researchers as well as tourists.The digital thesaurus creation tool “tezaurus.hr” is designed to streamline the process of developing structured vocabularies relevant to the Humanities and Arts. The digital register development tool “DH Register” provides a user-friendly interface (currently in development) that enables researchers to create and curate registries, incorporating metadata standards while adhering to the requirements of the FAIR principles (as recommended in, e.g., Hahnel & Valen, 2020). The “Consent Form Wizard” (CFW) is a tool developed by the DARIAH-EU working group Ethics and Legality in Digital Arts and Humanities (ELDAH) to support humanities researchers within the European Union in obtaining valid consent for data processing in the context of their specific professional activity. “Monument Heritage Map” is a digital platform that allows the implementation of available data and methods for data collection, processing, multimodal visualisation and mapping of cultural monuments.When integrated into an Open Science framework, these tools provide researchers with efficient means to enhance knowledge organisation, resource sharing, and collaboration while upholding responsible research practices and promoting inclusivity within the academic community. Enabling researchers to create user-friendly thesauri and registers also facilitates the discoverability, interoperability, and accessibility of research outputs. Conclusively, it contributes to the development of a robust and interconnected research infrastructure.Through the presentation of these digital tools and their implications, this poster seeks to contribute to the discourse surrounding responsible and inclusive research in the context of the Humanities and Arts. It emphasises the significance of training, education, and capacity building for Open Science.

Emergence and institutionalization of interorganizational coordination structures in crises

AbstractCrises often reveal a mismatch between organizational and problem structures, demanding interorganizational coordination or new organizational solutions. Much is known about functions and roles of such organizational solutions, but less about the processes underlying them. This study investigates the processes behind the emergence and institutionalization of organizational solutions to meet new coordination needs in crises, using the Swedish County Administrative Boards' coordination offices for Covid‐19 and Ukraine as a case. Based on 94 interviews across political‐administrative levels, this study reveals that the coordination office emerged as an interorganizational coordination structure during Covid‐19 but is now institutionalized and central to the crisis management system. The institutionalization began during the 2018 wildfires, demonstrating the importance of a decisive event in initiating and shaping organizational adaptation to crises. Thereafter, practices were institutionalized through increasing returns connected to incentives, commitments to norms and identities and objectification of shared ideas and routines. The findings motivate consideration of criteria for evaluating new coordination structures that may become permanent. Contingently evolving practices, often taken for granted and embedded in professional norms and identities, calls for explicit consideration of alternative practices. Last, this study illustrates the importance of appreciating the past when understanding present and future coordination structures.

오송참사의 조사 및 수사과정 고찰

Based on government agency data and media reports, this study examined the progress of the Osong disaster investigation and examined several characteristic issues that have emerged in the process of police investigation, inspection by the State Affairs Coordination Office, and prosecution investigation.
 First, Chungbuk Police Agency after the Osong disaster, lost its power when the Office of Public Service Management initiated service inspection. Since then, the investigative agency has been changed from police to prosecution, and the police investigation headquarters has been disbanded. Second, the Office of the Public Service Management requested the Supreme Prosecutors' Office to investigate those involved in the case, including civilians, through rapid inspection activities. The fact that the Office of Public Service Management will investigate civilians and request an investigation is an activity that publicly expressed that it will no longer stay at the public official inspection agency but play its role as an preparatory investigation agency that investigates civilians. Third, based on the request for investigation, the Supreme Prosecutors' Office established an investigation headquarters at the Cheongju District Prosecutors' Office, and the case has been investigated and investigated so far. This investigation and investigation behavior is typical of prosecutors opening investigations through a request for investigation by a state agency, and is based on each item of Article 4 (1) 1 of the Prosecutors' Office Act, and in the case of important crimes prescribed by Presidential Decree (a item of the same issue), it is outside the limits of the delegation legislation and is at the center of controversy over unconstitutionality and illegality.

OLD AGE LIAISON MENTAL HEALTH SERVICEIN QATAR INTERVENTIONS AND OUTCOMES

Background: There is wide variation in the degree of provision of liaison mental health services across many countries (3) Qatar is no exception, in a general hospital in southern part of Qatar, Liaison Old Age Mental health is provided by Adult Psychiatrists with a phone advise from an Old Age Psychiatrist when requested. A general Hospital in the Northern division of the country is provided by Adult Psychiatrists with one day input from an old age Psychiatrist. Older adults Patients with mental health problems using acute and general hospital inpatient services should have access to a liaison service that specializes in the diagnosis and management of older peoples mental health (5) The research represents a newold age liaison psychiatry service intervention and outcomes in the state of Qatar. Methods: We audited the number referrals to Old Age Mental Health Liaison one year before a new service intervention in a central General hospital and one year after the service intervention. All referrals are received by the Liaison coordination office in the General hospital and data was collected electronically from the office to ensure accuracy. We also audited the educational interventions done for both staff and patients/Families.Our study included all the number of referrals for patients aged 65 plus and under 65 with Dementia to ensure the maximum statistical power possible for the service intervention. Results: The total number of referrals for patients aged 65 and above or below 65 with Dementia from June 2021 to May 2022 were 125 (n=125). The total number of Old Age Liaison Similar referrals after the service intervention from June 2022 to May 2023 were 95 referrals (n=95, p 0.01, 24% reduction in referrals rates)The Chi squared test was used to calculate the p value. Expected average of referrals to a general hospital was estimated from several inner cities general hospitals (8,21) Conclusion: The authors believe that is the first service to focus on Old Age Mental Health Liaison in the state Qatar. The study was statistically significant and qualitatively included educational outcomes provided for both staff and Patients/families. In addition, it showed an overall reduction in the number of referrals following our intervention. We believe that our outcomes are evidence based and although our outcomes are limited, they are specific, measurable, attainable, and time linked.

Effect of vaporizing cannabis rich in cannabidiol on cannabinoid levels in blood and on driving ability – a randomized clinical trial

The aim of this prospective, placebo-controlled, double-blind, randomized, cross-over study was to determine cannabinoid levels in blood and driving-related ability after single (S1) and repetitive (S2) vaporization of cannabis rich in cannabidiol (CBD) containing < 1% Δ9-etrahydrocannabinol (THC). Healthy adult volunteers (Nsingle = 27, Nrepetitive = 20) with experience in smoking vapor-inhaled two low-THC/CBD-rich cannabis products both with < 1% THC (product 1: 38 mg CBD, 1.8 mg THC; product 2: 39 mg CBD, 0.6 mg THC) and placebo. Main outcomes were THC- and CBD-levels in whole blood and overall assessment of driving-related ability by computerized tests. Among 74 participants included, 27 (mean age ± SD, 28.9 ± 12.5 years) completed S1, and 20 (25.2 ± 4.0) completed S2. Peak concentrations and duration of detectability depended on the THC-content of the product. After single consumption THC dropped below 1.5 µg/L after 1.5 h, but was detected in some participants up to 5 h. Pairwise comparison of driving-related ability revealed no significant differences between low-THC/CBD-rich products (P1, P2) and placebo. Detection of THC after consumption of low-THC/CBD-rich cannabis might have legal consequences for drivers. Regarding overall driving-related ability, no significant differences were observed between the interventional products. This trial was registered with the German Clinical Trials Register (DRKS00018836) on 25.10.2019 and with the Coordination Office for Human Research (kofam) which is operated by the Federal Office of Public Health (FOPH) (SNCTP000003294).

Pengaruh Motivasi dan Budaya Organisasi Sekolah terhadap Kinerja Guru melalui Disiplin Kerja

The purpose of this study was to describe motivation, school organizational culture, work discipline and teacher performance in the Office of the Regional Coordinator for Education, Rangsang District, Meranti Islands Regency and to analyze the influence of motivation and school organizational culture on teacher performance with teacher work discipline as an intervening variable. This research using a quantitative approach. The population in this study were 54 teachers in the Regional Coordinating Office for Education, Rangsang District, Meranti Islands Regency, the sample in this study was determined as many as 54 people using the census sampling method. This study uses the SEM method with PLS. The results showed that Motivation, Organizational Culture, Work Discipline and Teacher Performance Coordinator of the Education and Culture Subdistrict District of Rangsang Meranti Islands Regency were good, the effect of motivation on discipline was positive and significant, organizational culture on discipline was positive and insignificant, motivation on performance is positive and significant, organizational culture on performance is positive and not significant, discipline on performance is positive and significant, motivation on performance in intervening work discipline is positive and significant, organizational culture on performance is intervened by discipline work is positive and not significant