Communication Standards Research Articles

RecruIT: A cloud-native clinical trial recruitment support system based on Health Level 7 Fast Healthcare Interoperability Resources (HL7 FHIR) and the Observational Medical Outcomes Partnership Common Data Model (OMOP CDM)

BackgroundClinical trials (CTs) are foundational to the advancement of evidence-based medicine and recruiting a sufficient number of participants is one of the crucial steps to their successful conduct. Yet, poor recruitment remains the most frequent reason for premature discontinuation or costly extension of clinical trials. MethodsWe designed and implemented a novel, open-source software system to support the recruitment process in clinical trials by generating automatic recruitment recommendations. The development is guided by modern, cloud-native design principles and based on Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) as an interoperability standard with the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) being used as a source of patient data. We evaluated the usability using the system usability scale (SUS) after deploying the application for use by study personnel. ResultsThe implementation is based on the OMOP CDM as a repository of patient data that is continuously queried for possible trial candidates based on given clinical trial eligibility criteria. A web-based screening list can be used to display the candidates and email notifications about possible new trial participants can be sent automatically. All interactions between services use HL7 FHIR as the communication standard. The system can be installed using standard container technology and supports more sophisticated deployments on Kubernetes clusters. End-users (n = 19) rated the system with a SUS score of 79.9/100. ConclusionWe contribute a novel, open-source implementation to support the patient recruitment process in clinical trials that can be deployed using state-of-the art technologies. According to the SUS score, the system provides good usability.

Integrating machine learning techniques with IoT sensors and connected vehicles to enable real-time traffic monitoring and Adaptive signal control systems

This research investigates machine learning algorithms to traffic monitoring and adaptive signal control coordinated in the context of the Internet of things sensors and connected vehicles for real-time traffic supervision. It measures the efficiency of machine learning algorithms, simulates adaptive control strategies for signal systems, and addresses the challenges of deploying signal system changes. The performance metrics suggest better traffic flow, leading to a decrease in traffic congestion. Further study should be made towards parametrization of algorithms, improvement of communication standards and training of integration models.

Integration of electronic project management software in an investigational drug service pharmacy within an academic medical center.

An investigational drug services (IDS) pharmacy plays a vital role in supporting clinical trial research by ensuring the safe and efficient management of investigational products. This article describes the implementation of an electronic project management software to improve an IDS pharmacy's study protocol work. The article describes the implementation of the software and how this approach addressed specific challenges, including project oversight, process standardization, documentation, reporting, accountability, and intrateam communication. We describe an electronic project management software system used to streamline and standardize the work associated with study protocols. This software provides an organized and customizable workspace to manage tasks associated with each study protocol. The software automates task creation, tracks progress, and ensures comprehensive record keeping. Additionally, the software fosters effective communication within the team and offers real-time reporting to assess team productivity and progress. We have observed improved consistency, enhanced revenue, including approximately $18,000 in additional fee capture, and increased collaboration among pharmacy team members. Implementing an electronic project management software has proven highly beneficial in the IDS pharmacy. The software has significantly improved workflow efficiency by addressing challenges in study protocol management. While initial setup and training required time and resources, the long-term benefits in project oversight, collaboration, and revenue capture justify the investment. An electronic project management software is a valuable tool in managing the complexity of study protocol activities and supports the pharmacy's crucial role in advancing clinical research.

Экосистема как механизм государственно- частного партнерства

This very study considers the background and possibilities of implementation ecosystem in the governmental toolbar for the strategic projects. 
 The urgency of the problem is caused by the list of factors, including:
 - negative external background, affecting the availability of resources, technologies and specialists for the implementation of transformation tasks;
 - lack of socio-economic institutes which are ready to ensure the realization strategic goals at the operational level;
 - the need for rapid restructuring of the national economy, which can be provided through mechanisms of operational interaction between the government, business and the population.
 Most modern studies don’t analyze ecosystems as a tool for the supporting of strategic goals of the national economy.
 The purpose of the study is to identify opportunities and risks for the government and society while using ecosystems in realization strategic state goals. 
 The purpose of the study predetermined the following tasks:
 - Determination of the impact of negative external factors of the transformation of the national economy.
 - The role and functions of ecosystems in the implementation of strategic objectives of the national economy.
 - Scenarios and risks of ecosystem impact growth.
 The following tools are used in the study: structural and institutional analyze, modeling and forecasting. The ecosystem is considered as a complex integration platform that unites consumers and producers into a single system through end-to-end sales channels, a single financial infrastructure and communication standards. As the best practices of interaction between ecosystems and the state, the experience of implementing complex projects of the largest national ecosystems was used: Sber, MTS, Rostelecom, Yandex.
 The paper proposes the current scheme of interaction between the ecosystem and the government in the framework of the realization strategic transformation programs. The scheme is formed on the basis of a sophisticated business model (B2G2B2C), involving the participation of all macroeconomic agents. The scheme presents several functional contours: the formation and execution of a complex regional order (the essential contour of agent interaction), financial interaction between participants.
 The second part of the study examines scenarios for the development of the relationship between the ecosystem and the state from the position of influence on society, taking into account two variables: the willingness of the state to play an active role in regulating the activities of ecosystems within the national contour; the level of favorability of external rejection for ecosystems. As a result, 4 scenarios were considered that answer the questions of ecosystem development, their contribution to public welfare, and work with innovations.

White-coat hypertension: ways of optimizing the provision of medical aid (literature review)

Background. White-coat hypertension is a controversial issue of a modern cardiovascular medicine. It is a common condition in clinical practice, in which office blood pressure is elevated while out-of-office measurements (ambulatory or home) are normal. The aim of this review is to address a number of issues related to white-coat hypertension, in particular, its definition, prevalence, etiology, symptoms, and consequences, emphasizing the need to improve diagnosis, management and prognosis of this disease. Results. Recent studies demonstrate that white-coat hypertension is associated with cardiovascular risk factors, including the progression to sustained hypertension and the development of target organ damage. Timely and accurate diagnosis of white-coat hypertension is incredibly important as it allows postponing its conversion to sustained hypertension and prevents alterations of target organ structure and function. The need for improved patient-doctor interaction to enhance diagnosis and management of white-coat hypertension cannot be overstated. Other measures include exploring standardized measurements, improving communication and relationship establishing between physicians and patients, as well as investigating innovative interventions such as health education and telemedicine. The importance of the understanding of the emotional components contributing to white-coat hypertension are highlighted and strategies to improve patient outcomes through early diagnosis, reduced anxiety, and optimal healthcare experiences are proposed. Conclusion. A comprehensive approach, encompassing standardized measurements, improved communication, and innovative interventions, is essential for effectively managing white coat hypertension. Keywords: blood pressure, cardiovascular risk, communication, healthcare, anxiety.

Maxillary osteonecrosis of the jaw. A multidisciplinary approach, communication strategies, and technological tools for prophylaxis

Background. Maxillary osteonecrosis, particularly medication-related osteonecrosis of the jaw (MRONJ), necessitates prompt identification and a comprehensive approach for effective management. Early diagnosis and proactive dental care are crucial in mitigating the complications associated with this condition. Aims. This study aims to outline the importance of early detection, multidisciplinary collaboration, patient education, and proactive dental care in the management of maxillary osteonecrosis. Methods. The study emphasizes the utilization of standardized medical letters to facilitate communication between prescribing physicians and dentists, while ensuring the timely exchange of essential patient information. Additionally, patient education plays a pivotal role, with the distribution of informative leaflets at the initiation of Bone Modifying Agents (BMA) treatment, emphasizing the risks associated with MRONJ and the significance of maintaining oral health and making appropriate lifestyle choices. Results. Dentists are key stakeholders in the prophylaxis of MRONJ, undertaking primary and secondary prevention measures. Primary prophylaxis encompasses various dental procedures aimed at reducing bacterial load and mucosal irritation. Secondary prophylaxis involves educating patients on maintaining optimal oral health and adopting lifestyle modifications. Furthermore, an Android application assists dentists in assessing MRONJ risk factors and making informed treatment decisions based on factors such as BMA type, dose, duration of administration, and the presence of dental and general risk factors. Conclusions. In conclusion, a proactive approach to managing Maxillary Osteonecrosis involves early detection, multidisciplinary collaboration, patient education, and proactive dental care. By integrating standardized communication tools, patient education materials, and risk assessment technology, healthcare providers can optimize patient outcomes and minimize the incidence and severity of MRONJ complications.

Использование диагностического инструмента «Матрица коммуникации» в работе с ребенком с тяжелой осложненной формой аутизма

<p style="text-align: justify;"><strong>Objectives. </strong>At the moment, there are extremely insufficient diagnostic tools suitable for examining the communicative sphere of children with severe complicated forms of autism, and recorded practical experience of their use in organizing psychological and pedagogical support for such children. The purpose of the study is to test the diagnostic tool “Communication Matrix” in working with a child of primary school age with a severe complicated form of autism (autism spectrum disorder (ASD), moderate intellectual disability, systemic speech under-development, visual impairment, atopic dermatitis), who was learning the skills of communication using the PECS image exchange communication system.</p> <p style="text-align: justify;"><strong>Methods. </strong>Diagnostic tool “Communication Matrix”. Data collection was carried out through observation of the child in free and educational activities for one year, and conversation with parents. The study is presented by three diagnostic sections and their analysis.</p> <p style="text-align: justify;"><strong>Results</strong>. At the stage of primary diagnosis, the child’s communicative characteristics were described and comments were given regarding the possibilities of taking them into account using the technique. Formed, partially formed and unformed communication skills of a child at the level of unintentional and intentional behavior, non-standard and standard communication, concrete and abstract symbols and language are identified. The objectives of correctional and developmental work are formulated based on a list of communication skills that are in the process of formation. The tasks were included in a special individual child development program and were implemented during the school day by a team of specialists, then reinforced at home with the participation of a private teacher and family members. At the final diagnostic stage, positive dynamics were noted in the development of communication at all levels. After a break (summer holidays), a regression of some skills was noted at the level of unintentional and intentional behavior, standard communication and specific symbols. </p> <p style="text-align: justify;"><strong>Conclusion. </strong>The “Communication Matrix” tool made it possible to conduct an initial diagnosis of the communication sphere of a child with a severe complicated form of autism and determine the tasks of correctional and developmental work. With the help of the instrument, changes in the child’s communicative sphere were recorded during continuous correctional and developmental education and during a break from it. Also, during the work, the advantages and limitations of the technique in relation to a specific diagnostic case were highlighted.</p>

Legal communication of state authorities as a means of interaction in the informational and legal space

In the article, the authors conducted a scientific study of communication as a legal phenomenon, analyzed the national legislation on legal communication in Ukraine, and made a comparative analysis of the features of legal communication in Estonia, Norway, and Sweden. The concept of «legal communication» is also directly clarified, the problems of legal communication in Ukraine are highlighted. The groups of communication in the field of jurisprudence are distinguished into legislative, judicial, and advocacy, foreign experience of legal communication of the specified types is given. It was emphasized that effective legal communication between state authorities and civil society is an important manifestation of the country’s democratic development. It is through such a phenomenon as legal communication that a feedback occurs, when the government can not only better inform the society about its activities, but also learns about the evaluation of these activities by active segments of the population, representing institutions of civil society. The authors conclude that modern legal communication is one of the necessary conditions for successful management and functioning of the state. The result of communicative interaction is the creation of the main administrative-political and management institutions, the formation of interaction between the authorities and the population. Communication between state authorities and society, the introduction of communication standards in the process of information exchange in society, which is based on fundamentally new principles of equal, mutually responsible dialogue - an integral condition for the democratic development of the state, the formation of civil society. It was determined that high-quality and effective legal communication carried out by the state depends on the current legal framework and its compliance with modern challenges and problematic aspects of social life, which such communication is aimed at. It is the state legal communication that is the regulatory and coordinating mechanism in the relations between the state and society, ensuring the stability and efficiency of the functioning of the social organism as a whole.

Культурно-специфические особенности реализации речевой модели коммуникативного давления (на примере американской лингвокультуры)

The article is devoted to the study of the communicative pressure speech model functioning, based on the rhetorical device of sarcasm in the context of American linguaculture. The work analyzes the mechanism by which communicative pressure is carried out, the features of the relationship between the components of its model and their nature. The research material is represented by the products of English-language oral interpersonal discourse, namely, dialogic statements borrowed from American films. A three-component model which makes it possible for the pressure to function consists of logos, ethos and pathos, and the confrontational nature of its impact is determined by a conflictogene involved in the model of its implementation. The research makes a conclusion about the implementation of a complex three-stage mechanism of the communicative pressure model during the manifestation of sarcasm in speech. The article establishes the primary nature of logos conflictogenes in a sarcastic statement, which can be represented by various forms of absurdity. The analysis of the linguistic material allows us to identify the features of the implementation of the pressure model in the American linguaculture in the process of localizing the global trend of aggressive speech interaction. Methods of implementation of logos conflictogenes, found in American dialogic speech, include both tactics of logical pragmatic absurdity and lexical and stylistic techniques that give rise to the process of violation and distortion of the semantics and expose semantic absurdity. The first group covers such techniques as breaking the semantic connection between statements, equating the part and the whole, reducing the semantic volume of a concept, and contrasting explicit and implicit knowledge. The second group is represented by an absurd hyperbolization, a simile, a metaphor, a zeugma. The absurdization of a speech utterance gives rise to the secondary pathos and ethos conflictogenes. Meanwhile, destructive pathos serves as an independent source of tertiary ethos conflictogenes caused by violation of ethical standards of interpersonal communication. The degree of an impact of communicative pressure can be intensified through various pragmastylistic means.

An Adaptive State Consistency Architecture for Distributed Software-Defined Network Controllers: An Evaluation and Design Consideration

The Physically Distributed Logically Centralized (PDLC) software-defined network (SDN) control plane is physically dispersed across several controllers with a global network view for performance, scalability, and fault tolerance. This design, providing control applications with a global network view, necessitates network state synchronization among controllers. The amount of inter-controller synchronization can affect the performance and scalability of the system. The absence of standardized communication protocols for East-bound SDN interfaces underscores the need for high-performance communication among diverse SDN controllers to maintain consistent state exchange. An inconsistent controller’s network view can significantly impact network effectiveness and application performance, particularly in dynamic networks. This survey paper offers an overview of noteworthy AI and non-AI solutions for PDLC SDN architecture in industry and academia, specifically focusing on their approaches to consistency and synchronization challenges. The suggested PDLC framework achieves an adaptive controller-to-controller synchronization rate in a dynamic network environment.

Priorities, needs and willingness of use of nerve stimulation devices for bladder and bowel function in people with spinal cord injury (SCI): an Australian survey

Study designAnonymous online surveyObjectivesTo investigate the priorities, needs and willingness to adopt nerve stimulation devices for managing neurogenic bladder and bowel function in people with spinal cord injury (SCI) living in Australia.SettingOnline survey of people living with SCI in Australia.MethodsThis anonymous online survey used Qualtrics and was advertised via standard communication channels, such as advocacy groups representing the SCI community in Australia, social media, attending SCI sporting events and by word-of-mouth.ResultsResponses from 62 individuals (32% female, 68% male) were included. Bladder emptying through urethra without catheter was the highest priority for bladder function. Reducing time required for bowel routines and constipation were the top priorities regarding bowel function. The highest concern for internal/implanted devices was the 4% chance of device surgical removal, while wearing wires under the clothes was the main concern for external devices. 53% of respondents were willing to trial an implanted nerve stimulation device, while 70% would trial an external device to improve and gain independence in bladder and bowel function.ConclusionThe findings of this study highlighted the potential role in which nerve stimulation can have in addressing bladder and bowel dysfunction in people with SCI, and have also identified that there was a need for Australian physiotherapists to evaluate their role in bladder and bowel dysfunction. Results from this study can help guide further research in nerve stimulation devices for bladder and bowel dysfunction in people with SCI.Sponsorshipn/a

Understanding Team Dynamics and Culture of Safety using Video Reflexive Ethnography during Real-Time Emergent Intubation.

Endotracheal intubation is the third most common bedside procedure in U.S. hospitals. In over 40% of intubations preventable complications attributable to human factors occur. A better understanding of team dynamics during intubation may improve patient safety. To explore team dynamics and safety-related actions during emergent endotracheal intubations in the emergency department (ED) and intensive care unit (ICU), and to engage members of the care team in reflection for process improvement through a novel video-based team debriefing technique. Video-reflexive ethnography involves in-situ video-recording and reflexive discussions with practitioners to scrutinize behaviors and to identify opportunities for improvement. In this study, real-time intubations were recorded in the ED and ICU at Mayo Clinic Rochester and facilitated video-reflexive sessions were conducted with the multidisciplinary procedural teams. Themes about team dynamics and safety-related action were identified inductively from transcriptions of recorded sessions. Between December 2022 and January 2023, eight video-reflexive sessions were conducted with a total of 78 participants. Multidisciplinary members included nurses (n=23), respiratory therapists (n=16), pharmacists (n=7), advanced practitioners (n=5), and physicians (n=26). Video-reflexive discussions identified major safety gaps and proposed several solutions related to the use of a multidisciplinary intubation checklist, standardized communication and team positioning, developing a culture of safety, and routinely debriefing after the procedure. The findings of this study may inform the development of a team supervision model for emergent endotracheal intubations. This approach could integrate key components such as a multidisciplinary intubation checklist, standardized communication and team positioning, a culture of safety, and debriefing as part of the procedure itself.

Redesign of Military Patient Handoff Training for Emergency Medical Services

We conducted a qualitative research inquiry to facilitate the redesign of a military patient handoff training program for a new population of civilian Emergency Medical Services (EMS) learners. Emergency Medical Service providers provided insights about the organizational and interpersonal factors that contribute to patient handoffs, which were used to tailor the existing military patient handoff training for a civilian population. Results revealed four key phases in the patient handoff journey and three topics regarding improvements to the EMS handoff process: importance of interpersonal communication, dedicated time for handoffs, and standardized communication.

Advanced Data Science Applications in Vehicles: A Comprehensive Review

Purpose: This research paper aims to explore the transformative impact of data science applications within the automotive industry, with a focus on the evolution of vehicles into intelligent, connected, and autonomous entities. Through an extensive literature review and analysis of recent developments, the paper seeks to provide a comprehensive understanding of the current state and future prospects of data science in vehicles.
 Methodology: Advancements in sensor technologies, such as LiDAR, HD maps, radars, location tracking and cameras, are discussed, highlighting their role in data collection for applications like advanced driver assistance systems (ADAS) and autonomous driving. Relevant citations are provided. This subsection covers the collection and transmission of real-time data through telematics systems, showcasing their importance for predictive maintenance, fleet management, and personalized insurance programs. Citations support the presented information. The deployment of edge computing for real-time data processing in vehicles is discussed, emphasizing its significance for safety-critical applications like collision avoidance. Citations are provided to support the information. This section explores the application of machine learning algorithms to predict vehicle failures, optimize fuel efficiency, and analyze driver behavior. The importance of leveraging historical data to create accurate models is highlighted with supporting citations.
 Findings: The pivotal role of data science in enabling autonomous vehicles to navigate complex environments is discussed, emphasizing the use of machine learning models for real-time decision-making. Citations support the presented information. This subsection explores the integration of data science in traffic management systems, covering dynamic traffic signal control, congestion prediction, and route optimization. Citations support the findings related to traffic management applications. The paper discusses challenges associated with widespread implementation, including data privacy concerns, cybersecurity risks, and the need for standardized communication protocols. Additionally, potential future directions are outlined, such as the integration of blockchain for secure data sharing and the development of advanced human-machine interfaces.
 Unique Contribution to Theory, Practice and Policy: This research paper provides a well-rounded contribution by seamlessly integrating theoretical concepts, practical applications, and policy considerations in the realm of advanced data science applications in vehicles.

Examining Inclusive Language in Clinical Narratives in Medical Biochemistry Textbooks to Model Equitable Patient-Centered Care in Preclinical Undergraduate Medical Education.

When healthcare professionals use biased or stigmatizing language to describe people or conditions, it can impact the quality of care or erode the patient-physician relationship. It is not clear where healthcare professionals acquire biased and stigmatizing language in practice. This study focuses on examining language in educational materials used in training of medical students. Specifically, medical biochemistry textbooks were examined as they are often a first exposure to clinical narratives and communication standards. The aim of this project is to investigate whether medical biochemistry textbooks, widely recommended in preclinical UME, model inclusive language communication in clinical narratives. To determine if educational materials follow inclusive writing guidelines, we conducted a modified document analysis on a sample of medical biochemistry textbooks when clinical scenarios were described. Three independent researchers separately reviewed the textbooks, coded the language using NVivo, and generated themes. Our results show that medical biochemistry textbooks contain language which is not in alignment with the best practices for inclusive language. Our analysis mapped codes to two primary themes of language misalignment. The first theme, "clinical language" (n = 92), includedthe following codes: difficult patient, general negative descriptive language, patient as failure, and questioning patient credibility. The second primary theme, "identity-first labeling" (n = 251), included 21 codes. This study provides early evidence that the language used in medical biochemistry textbooks to describe people and conditions is not in alignment with inclusive language recommendations. This can reinforce the way future healthcare professionals speak to and about their patients.

Standards of Adolescent Civilized Communication on Social Media

The current millennial generation uses more trending sentences to follow but is uncivilized. This is due to the enormous influence of the development of communication technology, namely the internet, and applied through the use of social media. The purpose of this study is to find out and explain the standards of civilized communication among adolescents on social media. Using qualitative research methods, inductive and constructivist paradigms, as well as collecting data through the field and virtual observations and in-depth interviews to produce valid research results. The results showed that civilized communication standards practiced by high school students in Jakarta were (a) answering questions quite briefly even though they interacted with parents, not giving forms of appreciation with the words mama or papa, (b) avoiding meeting other people face to face and prefer to use smartphones to communicate online, and (c) self-existence by uploading any kind of information on social media accounts and disseminating it.

Design and Evaluation of Wireless DYU Air Box for Environment-Monitoring IoT System on Da-Yeh University Campus

This paper presents an original wireless DYU Air Box of an environment-monitoring IoT (EMIoT) system on a campus to offer information on environmental conditions through the public ThingSpeak IoT platform for stakeholders including all the students and employees on the Da-Yeh University (DYU) campus in Taiwan. Firstly, the proposed wireless heterogeneous multi-sensor module aggregates BME680, SCD30, PMS7003, and BH1750 sensors with a TTGO ESP32 Wi-Fi device based on the I2C and UART interface standards of series communication. Through the DYU-802.1X Wi-Fi network with the WPA2 Enterprise security directly, the wireless multi-sensor monitoring module further forwards the observation data of environmental conditions on campus via the DYU-802.1X Wi-Fi network to the public ThingSpeak IoT platform, which is a cloud service platform to aggregate, visualize, and analyze live sensing data of air quality index (AQI), concentrations of PM1.0/2.5 and CO2, brightness, ambient temperature, and relative humidity (RH). The results illustrate the proposed DYU Air Box for monitoring the indoor environmental conditions on campus and validate them with sufficient accuracy and confidence with commercialized measurement instruments. In this work, the wireless smart environment-monitoring IoT system features monitoring and automatic alarm functions for monitoring AQI, CO2, and PM concentrations, as well as ambient illumination, temperature, and RH parameters and collaboration and interoperability through the Enterprise Intranet. All the organizational stakeholders interested in the environmental conditions of the DYU campus can openly access the information according to their interests. In the upcoming future, the information of the environmental conditions in the DYU campus will be developed to be simultaneously accessed by all the stakeholders through both the public ThingSpeak IoT platform and the private EMIoT system.

The SBAR tool for communication and patient safety in gynaecology and obstetrics: a Tunisian pilot study

BackgroundIn healthcare, inadequate communication among providers and insufficient information transmission represent primary contributors to adverse events, particularly in medical specialties such as obstetrics and gynecology. The implementation of SBAR (Situation-Background-Assessment-Recommendation) has been proposed as a standardized communication tool to enhance patient safety. This study aims to evaluate the knowledge, attitudes, and practices related to SBAR communication through a pilot study conducted in a middle-income country.MethodsThis prospective longitudinal study took place in the gynecology-obstetrics department of a Tunisian university hospital from May to June 2019. All medical and paramedical staff underwent comprehensive theoretical and practical training through a 4-hour SBAR simulation. To gauge participants’ knowledge, anonymous multiple-choice questionnaires were administered before the training initiation, with a second assessment conducted at the end of the training to measure satisfaction levels. Two months later, the evaluation utilized questionnaires validated by the French National Authority for Health (HAS).ResultsAmong the 62 care staff participants in this study, a majority (89%) demonstrated a low level of knowledge regarding the SBAR tool. The majority (75.8%) expressed enjoyment with the training and indicated their intention to implement changes in their practice by incorporating the SBAR tool in the future (80.7%). Notably, over half of the participants (79%) expressed satisfaction with the training objectives, and 74% reported acquiring new information. Evaluation of the practice revealed positive feedback, particularly in terms of clarity, the relevance of communication, and the time spent on the call.ConclusionOur pilot study showed that the majority of professionals on the ward had little knowledge of the SBAR tool, a good attitude and a willingness to put it into practice. It is essential that healthcare managers and professionals from all disciplines work together to ensure that good communication practice is developed and maintained. Organisations, including universities and hospitals, need to invest in the education and training of students and health professionals to ensure good quality standardised communication.

AutoPKI: public key infrastructure for IoT with automated trust transfer

IoT deployments grow in numbers and size, which makes questions of long-term support and maintainability increasingly important. Without scalable and standard-compliant capabilities to transfer the control of IoT devices between service providers, IoT system owners cannot ensure long-term maintainability, and risk vendor lock-in. The manual overhead must be kept low for large-scale IoT installations to be economically feasible. We propose AutoPKI, a lightweight protocol to update the IoT PKI credentials and shift the trusted domains, enabling the transfer of control between IoT service providers, building upon the latest IoT standards for secure communication and efficient encodings. We show that the overhead for the involved IoT devices is small and that the overall required manual overhead can be minimized. We analyse the fulfilment of the security requirements, and for a subset of them, we demonstrate that the desired security properties hold through formal verification using the Tamarin prover.

Mobile Handoff with 6LoWPAN Neighbour Discovery Auxiliary Communication

The importance of the topic under investigation stems from the burgeoning prominence of the Internet of Things (IoT) paradigm and the consequent imperative to devise and institute an efficacious methodology for neighbour detection that facilitates supplementary connections to mobile nodes. This research primarily aims to elucidate a mobile handover technique aligning with the neighbour discovery paradigm inherent in 6LoWPAN. The methodological framework employed herein amalgamates a systematic analysis of the foundational tenets governing 6LoWPAN communication standards over the IPv6 protocol in the context of IEEE 802.15.4aa personal wireless networks, supplemented with empirical evaluation of message propagation dynamics among discrete nodes of a designated personal wireless network. The findings of this investigation underscore the pre-eminence of the 6LoWPAN networking standard as a prime vehicle for bolstering the dependable communication of IoT's remote entities, contingent upon the utilization of the IPv6 communication protocol. This iteration of the Internet protocol is superior, particularly in surveillance contexts, given its expansive address capacity (128 bits) juxtaposed against its antecedent, the IPv4 protocol (32 bits). The inherent adaptability of this network connection augments the quality of mobile handover, especially when one considers the real-world application of 6LoWPAN's neighbour discovery auxiliary communication standard. The tangible implications of these findings beckon their potential utility in satiating the demands of IoT system users and actualizing the network collaboration ethos intrinsic to the 6LoWPAN communication standard.