Component Of Practice Research Articles

Translation, cross-cultural adaptation, reliability, validation of King's Health Questionnaire in the Marathi language.

Outcome measurement is a crucial component of contemporary professional practice. Many Indian rehabilitation facilities employ the King's Health Questionnaire (KHQ), but there has never been an official Marathi translation with its reliability and validity. As per the recommendations for cross-cultural validation of an outcome assessment, KHQ was translated into the Marathi language at a tertiary hospital in Pune, India. A study was conducted to assess the dependability of 123 patients from tertiary hospitals in India. The reliability of the study was assessed by two competent physiotherapists. The interrater reliability of the KHQ total scores and each item was evaluated using Cronbach's alpha coefficient. To compare the interrater dependability with the findings of other investigations, the intraclass correlation (ICC) coefficient was determined. When evaluated by domain, the KHQ's standardized Cronbach's alpha ranged from 0.49-0.92. All domains had reliability that was rated as moderate to strong by ICC, and the severity rating scale varied from 0.53 to 0.81. The Pearson correlation coefficient between KHQ and short form-36 (SF-36) in the majority of related areas was found to be weak to moderate, with values ranging from -0.27 to -0.53. The Marathi version of the KHQ was translated and adapted for use in Marathi language-speaking Indian women with urinary incontinence complaints. It represents an important instrument for the evaluation of incontinent women in clinical research with good interrater reliability and validity with SF-36 quality-of-life measure.

Occupational stressors and associated factors among dentists in Erbil City, Kurdistan Region-Iraq

Background. The health and well-being of dentists are essential components of a successful dental practice. Many studies showing high levels of stress, burnout, and psychological distress reported by dental professionals. Objective. To assess the main occupational stressors among dentists practicing in Erbil city and to identify the associated factors that lead to or aggravate these stressors experienced in the work environment. Subjects, materials and methods. This was a cross-sectional study conducted from August to October 2023. Data were collected from private and two government dental teaching institutions, along with accessible dental clinical practices. A total of 220 dentists were recruited. A modified version of the Occupational Stress Indicator questionnaire was used to assess the stressors. The study was approved by the Research Ethics Committee of the Kurdistan Board for Medical Specialties. The questionnaire consisted of two sections, the first gathering demographic and professional data of the participants, while the second section contained 33 items assessing the causes of stress. Participants rated the frequency of stressors using a scale of “never”, “seldom”, “sometimes”, “often”, “very often”, and “always”. Results. The response rate was 199/220 (90.5%). 64.3% of participants were younger than 38 years. Males contributed for 57.3%. The mean total stress score was 90 ± 17.6. Higher stress score was significantly associated with the presence of health problems, (p<0.05). A lower mean stress score was reported among dentists who were practicing their job only in private clinics, (p<0.05). No other factors showed a significant correlation with stress scores. Conclusion. Dentistry is a stressful profession and there are significant stressors that dental professionals face in their daily work, which can have implications for their overall well-being and the quality of patient care. There is a significant association between stress levels and the presence of health problems, as well as the place of employment.

Learning from success in the supervision process

Supervision forms an essential component of professional social work practice. It supports the development of the capacity and skills of both students as emerging practitioners and of more experienced social workers. Reflection is a key part of supervision because social work practice is constantly evolving due to rapid change in society. Supervision provides social work practitioners and students with an opportunity to speak openly and honestly about their work, and the everyday feelings and emotions they face whilst in practice. This enables both improvement in practice and prevents the buildup of stress. In this article, we explore different methods of supervision utilised in social work and highlight implementation in Slovenia and England. We developed our own framework of supervision drawing on our knowledge of research from Slovenia and England; moreover, we engaged in informal discussion with colleagues in England, and a more formal process with supervisors in Slovenia, to inform the development of this model. This article thus reports the conceptual findings of a study and introduces our own model of reflective supervision, which is founded on the premise that we learn better from good experiences than from mistakes. We believe that through the proposed format of appreciative practice, we can move from deficit-based practice to strengths-focused practice. Key words social work; reflective practice; co-creation; group work; professional development

Perception and Use of Herbal Medicine in General Practice Patients: A Cross-Sectional Study in Saudi Arabia.

In Saudi Arabia, herbal medicine is an essential component of traditional health practices, reflecting a deep cultural appreciation for natural remedies. Despite widespread use, comprehensive data on perceptions and utilization among general practice patients are scarce. This study aims to elucidate the patterns of herbal medicine use, associated beliefs, and communication with healthcare professionals in this context. A cross-sectional survey was conducted using an online questionnaire distributed through social media and professional networks, targeting adult residents of Saudi Arabia. The survey encompassed questions on demographic characteristics, use of herbal medicine, reasons for use, sources of herbal products, perceptions of efficacy and safety, and discussions with healthcare professionals about herbal medicine usage. The survey was completed by 1,184 participants, with 736 (62%) reporting the use of herbal medicines in the past 12 months. Among these users, the age group 30-39 was most represented (328/1,184, 27.8%), while participants over 60 were the least (66/1,184, 5.6%). Herbal medicines were primarily used for general wellness (332/736, 45%) and treatment of specific ailments (221/736, 30%). The majority obtained their herbal medicines from pharmacies (427/736, 58%), and 294 (40% of users) used them as alternatives to prescribed medications. Only 259 (35% of herbal medicine users) had discussed their usage with healthcare professionals. Most users believed in the safety (515/736, 70%) and effectiveness (478/736, 65%) of herbal remedies, with a significant portion (626/736, 85%) advocating for more scientific research. This study reveals a significant engagement with and positive perception of herbal medicine among general practice patients in Saudi Arabia, alongside a notable gap in communication between patients and healthcare providers. The findings highlight the need for integrating discussions on herbal medicine into patient care, encouraging evidence-based, safe use through better-informed healthcare practices.

Fatigue life prediction of notched components under size effect based on strain energy density gradient

AbstractIn practical mechanical components, the characteristic of geometric discontinuous generates non‐uniform energy field near the notch, which affects the local damage evolution process of the notched specimens. Therefore, it is particularly crucial to formulate a parameter that can characterize such inhomogeneous state distribution. First, a strain energy density gradient factor is introduced to describe the complexity of strain energy density distribution near the notch. Meanwhile, a size effect factor is given considering the strain energy gradient factor and notch geometry parameter. Then, taking into account the impact of phase difference, a direct damage parameter considering non‐proportionality of different multiaxial load levels is developed. Furtherly, the modified strain energy density parameter is determined. Finally, the comparison between the proposed model and the other three models emphasizes the advantages of the model.

Integrating UPLC-Q-Orbitrap MS with serum pharmacochemistry network and experimental verification to explore the pharmacological mechanisms of Cynanchi stauntonii rhizoma et radix against sepsis-induced acute lung injury.

Introduction: Patients with sepsis are at an incremental risk of acute lung injury (ALI). Baiqian, also known as Cynanchi stauntonii rhizoma et radix (Csrer), has anti-inflammatory properties and is traditionally used to treat cough and phlegm. This study aimed to demonstrate the multicomponent, multitarget, and multi-pathway regulatory molecular mechanisms of Csrer in treating lipopolysaccharide (LPS)-induced ALI. Methods: The bioactive components of Csrer were identified by ultrahigh-performance liquid chromatography Q-Orbitrap mass spectrometry (UPLC-Q-Orbitrap MS). Active targets predicted from PharmMapper. DrugBank, OMIM, TTD, and GeneCards were used to identify potential targets related to ALI. Intersection genes were identified for Csrer against ALI. The PPI network was analysed to identify prime targets. GO and KEGG analyses were performed. A drug-compound-target-pathway-disease network was constructed. Molecular docking and simulations evaluated the binding free energy between key proteins and active compounds. The protective effect and mechanism of Csrer in ALI were verified using an ALI model in mice. Western blot, Immunohistochemistry and TUNEL staining evaluated the mechanisms of the pulmonary protective effects of Csrer. Results: Forty-six bioactive components, one hundred and ninety-two potential cross-targets against ALI and ten core genes were identified. According to GO and KEGG analyses, the PI3K-Akt, apoptosis and p53 pathways are predominantly involved in the "Csrer-ALI" network. According to molecular docking and dynamics simulations, ten key genes were firmly bound by the principal active components of Csrer. The "Csrer-ALI" network was revealed to be mediated by the p53-mediated apoptosis and inflammatory pathways in animal experiments. Conclusion: Csrer is a reliable source for ALI treatment based on its practical components, potential targets and pathways.

Key predictors of food security and nutrition in Africa: a spatio-temporal model-based study

There is voluminous literature on Food Security in Africa. This study explicitly considers the spatio-temporal factors in addition to the usual FAO-based metrics in modeling and understanding the dynamics of food security and nutrition across the African continent. To better understand the complex trajectory and burden of food insecurity and nutrition in Africa, it is crucial to consider space-time factors when modeling and interpreting food security. The spatio-temporal anova model was found to be superior(employing statistical criteria) to the other three models from the spatio-temporal interaction domain models. The results of the study suggest that dietary supply adequacy, food stability, and consumption status are positively associated with severe food security, while average food supply and environmental factors have negative effects on Food Security and Nutrition. The findings also indicate that severe food insecurity and malnutrition are spatially and temporally correlated across the African continent. Spatio-temporal modeling and spatial mapping are essential components of a comprehensive practice to reduce the burden of severe food insecurity. likewise, any planning and intervention to improve the average food supply and environment to promote sustainable development should be regional instead of one size fit all.

Research on Practical Teaching Reform of Applied University Courses: A Case Study of "Concrete Structure Design"

By analyzing the current situation and deficiencies of the teaching of concrete structure design courses, summarizing teaching experience, and combining with the characteristics of our university's "applied" talent training, this study explores the teaching reform of concrete structure design courses for the 2021 level civil engineering majors. The exploration primarily focuses on optimizing teaching content, improving teaching methods, strengthening practical components, and diversifying assessment methods. Practice has shown that this approach has a demonstrative effect on undergraduate teaching in civil engineering at our university.

The impact of preceptorship on the newly qualified nurse and preceptors working in a critical care environment: An integrative literature review.

Preceptorship has been found to be effective in supporting Newly Qualified Nurses (NQNs) during their transition into challenging environments, particularly in addressing issues related to confidence and anxiety. Effective preceptorship is an element of best practice and essential to support NQNs' transition into the critical care setting. However, the impact of preceptorship on NQNs and their preceptors in critical care units is yet to be completely understood. To review the impact of preceptorship on NQNs and preceptors working in a critical care environment. An integrative literature review of the literature. The review employed Whittemore and Knafl's (2005) five-stage integrative review approach. Three databases (MEDLINE, CINAHL and PsycINFO) were searched for papers published between January 2010 and May 2022. The PRISMA framework was used to guide the search and screening. Thematic analysis was used to extract, organize and analyse the data. Nine studies were included in this review. Reflective thematic analysis revealed three themes, with four related subthemes. Preceptorship has an impact on the development of the NQNs and preceptors' 'nurturing' relationship. NQNs develop their knowledge, competence and confidence when experiencing supportive preceptorship. Meanwhile, preceptors experience a combination of increased workload and opportunities for learning and professional development as a result of preceptorship. There is evidence of the impact of preceptorship on learning and professional development for both NQNs and preceptors, but this is a complex phenomenon and further research is required to understand this area more fully. In nursing practice, it is well-established that Newly Qualified Nurses (NQNs) often face heightened levels of anxiety and a lack of confidence when embarking on their careers, particularly in the demanding and stressful environment of critical care units. This review holds particular significance in the realm of clinical practice as it delves into the pivotal role of preceptorship in nurturing the professional growth and development of NQNs within the challenging domain of critical care. Effective preceptorship, as an essential component of best practice, plays a pivotal role in aiding NQNs' transition into critical care settings.

Evaluation of Safety of 9- and 6-Month Treatment Regimens in Patients with Rifampicin-Resistant Tuberculosis in the Republic of Belarus

The objective: to evaluate the safety of 39- and 24-week treatment regimens in the patients with rifampicin-resistant tuberculosis (RR-TB).Subjects and Methods. Cohorts of patients with RR-TB were treated with the following regimens: 550 patients received modified short course treatment regimens (mSCT), and 139 patients were treated with BPaLM regimen. Serious adverse events (SAEs) and adverse events of special interest (AESI) of grade 3 or higher were assessed according to the EndTB Severity Grading Scale, Version 5.Results. In mSCT cohort, 113 SAEs were reported, in BPaLM cohort, 12 SAEs were reported, at least 1 SAE was reported in 16.0% and 7.2% of patients, respectively. In mSCT cohort, 37 AESI were reported in 5.8% of patients. Of the 150 SAEs/AESI reported in mSCT cohort, 78.7% have resolved, 4.0% are being resolved, 0.7% have resolved with sequelae, and 2.7% have not resolved. Of the 12 SAEs in BPaLM cohort, 66.7% have resolved, 16.7% are being resolved, and 8.3% have resolved with sequelae. Drugs were discontinued in 16.8% of SAEs, 8.1% of AESI in mSCT cohort, and 25.0% of SAEs in BPaLM cohort. In mSCT cohort, 21 patients died during treatment, only in 6 patients the influence of anti-tuberculosis drugs on the fatal outcome could not be ruled out, in 15 cases there was no such a correlation. In BPaLM cohort, 1 patient died due to progression of concomitant cancer.Conclusions. SAEs/AESI rarely occur with mSCT and BPaLM regimens and rarely lead to treatment discontinuation. Appropriate monitoring and management of SAEs/AESI is an important component of clinical practice.

Debating: effective and satisfactory learning method in dentistry

BackgroundEducation in the modern world of health needs diverse methods of learning and teaching. The traditional education model has limited capacity for developing abilities such as critical thinking, problem-solving, and reasoning skills. Therefore, improving the quality of teaching–learning processes requires implementing educational innovations in the classroom and evaluating them. This study aimed to determine the impact of the debate teaching method on improving the abilities of general dentistry doctoral students.MethodsThe research was a semi-experimental study with pre-tests and post-tests to measure the knowledge and abilities of students. The study included 60 dental students who completed the fall 2022 session of the Community Oral Health (COH) 2 practical course. This course, one of three practical components within the Community Oral Health curriculum, aligns with the educational framework of general dentistry. Challenging topics on which there is no consensus in dentistry were chosen for the debate. The descriptive statistics indicators include an independent t-test and variance analysis test with a significance level of 5%. Were used to analyze the data.ResultsThe results of the study showed that the average total knowledge (P < 0.001), 'perception of critical thinking skills (P < 0.001), expression power (P < 0.001), reasoning skills (P = 0.003), interpretation and Information analysis power (P < 0.001), the ability to find and use scientific databases (P < 0.001) and the ability to analyze and evaluate evidence (P < 0.001) increased significantly after intervention in students. 95% of students agreed/strongly agreed that this method enhances their ability to answer people's questions. From an instructor’s point of view, students had 93.1% of the ability to reason and analyze information after intervention and 88.5% of the ability to think critically.ConclusionThe results of the study showed that the use of debate in the classroom is an effective way to present content. The process of evaluating data-driven arguments promotes higher-level cognitive skills and teaches students about the knowledge base and the use of scientific databases.Trial registrationRegistration date: 21/11/2022, Registration number: IRCT20141128020129N3.

Scientific and Theoretical Basis for Training Future Communication Specialists in Higher Military Education Institutions

Since 2014 Ukraine has been under the military influence of the Russian aggressor and in February 2022, it immediately turned into a full-scale war. Equipping the Armed Forces of Ukraine with sophisticated weapons, expanding the range of tactical techniques for conducting combat operations in various conditions necessitated a broad scientific search for ways to develop and improve the training (combat) process, including physical training, which has always been considered the most important factor in the high combat capability of the Armed Forces of Ukraine and the Security and Defense Sector of Ukraine. According to the results of the analysis of scientific, methodological and specialised literature, it has been established that the system of training future communication specialists for military and professional activities needs a scientifically based transformation in accordance with the requirements of today. The purpose to analyse the scientific, methodological and special literature on the training of future communication specialists for military and professional activities by means of special physical training. Research methods: analysis, synthesis, comparison, systematization of scientific and special sources. Conclusions. As a result of the analysis of scientific, methodological and specialised literature, it is determined that the system of training future communication specialists for military professional activities needs a scientifically based transformation in accordance with the new requirements of today. The article also analyses various approaches of modern scholars to the training of future specialists for professional activities using special physical exercises. In addition, in the context of theoretical research, we have identified an insufficient number of scientific papers devoted to solving the practical problem of training future communication specialists for military professional activities by means of special physical training, which emphasises the relevance and practical component of the chosen area of scientific research.

Translators’ and interpreters’ engagement with professional development in Australia: An analysis of key factors

Professional development aims to facilitate the maintenance, improvement and broadening of knowledge and skills, and has become a standard or even compulsory component of professional practice for many occupational groups. This paper traces the uptake of professional development amongst certified translators and interpreters in Australia, where in 2014 it was introduced as a requirement for newly-certified practitioners only, and in 2019 for all holders of translation or interpreting certification from the national certifying authority. Based on responses gained from a sample of 3,268 practitioners, we report high uptake overall with little variation according to level of qualifications. Slightly lower uptake rates are recorded only amongst ‘newcomers’ with less experience while for all others, it is consistently high. Lower uptake rates are recorded amongst those who work 1-10 hours per week and those earning up to A$10,000 per year compared to others working more hours and those earning more. A desire for more work does not co-occur with elevated levels of PD uptake. The data presented reflects the reported experiences of those who had already been required to engage with PD, those for whom this requirement was new with a three-year time window to undertake PD, as well as those for whom it still remains optional. These findings contribute to our understanding of PD uptake amongst a professional group whose engagement with post-certification training has been under-studied. Findings may inform relevant stakeholders in other countries considering measures to arrest atrophy and extend the skill sets of practising translators and interpreters.

Comparative evaluation of the dimensional accuracy of two commercially available extended pour alginates and a conventional alginate impression material at various time intervals – An in vitro study

Because of its acceptable accuracy, affordable price, accessible availability, and simplicity of handling, alginate impression materials continue to be a crucial component of dental practice despite many developments.The purpose of this study was to evaluate and compare the dimensional accuracy of two commercially available extended pour alginates (Cavex ColorChange and Algeniux) and a conventional alginate impression material (Zelgan) at different time intervals. On a maxillary model (Columbia Dentoform, Long Island City, N.Y.) the canines and the first molars were replaced with metal dies. This was selected as the master model. A ‘+’ mark was inscribed on these metal dies to serve as a reference for measurements. A self-cure acrylic resin custom tray was fabricated such that it was positioned over the model in the same spatial relationship with equal amount of space between the tray and model every time an impression was made. A total of 180 impressions were made of the master model, 15 impressions with each material at four different time intervals; immediate, 30 minutes, 48 hours (2 days) and 120 hours (5 days) to obtain gypsum cast. Manufacturer recommended water/powder ratios and storage conditions were followed in the process. Following the designated storage time interval, the casts were poured in minimum expansion Type IV dental stone. Measurements were done with a coordinate measuring machine after 7 days when the casts were completely dry. To evaluate and compare the dimensional accuracy of materials across various time points, for each group, the mean and standard deviation were estimated and subjected to statistical analysis. Two Way Repeated Measure Analysis of Variance (ANOVA) was performed to determine if the dimensions differed significantly across groups with time. The pair wise analysis for materials and time points was performed using Tukey’s post-hoc test. The p value was taken as significant when less than 0.05.Across different time points, a minimum % change was observed at immediate time point, which gradually increased at 30 minutes and at 48 hour, but at 120 hour the % change was maximum for all dimensions. Among three groups, Cavex ColorChange material showed minimum % change across time points, whereas Zelgan group showed maximum % change across all dimensions. All the paired differences were statistically insignificant (p &amp;#62; 0.05) for Algeniux and Cavex ColorChange group. But for Zelgan group, the difference between all the pairs of time points were statistically significant (p &amp;#60; 0.05), except for the pair immediate vs. 30 minutes. These results suggest that Zelgan material showed significant changes after 30 min for all the dimensions.: The results revealed that both the extended pour alginates Cavex ColorChange and Algeniux produced dimensionally accurate casts at all time intervals while the conventional alginate, Zelgan was accurate only at immediate and 30-minute time interval. It was also observed that, among the 4-time intervals investigated, most accurate casts were obtained when the impressions were poured immediately.

STUDENT PERSPECTIVE IN ExCoS APPROACH IN ELECTRONIC COURSE IN UNIVERSITI TEKNIKAL MALAYSIA MELAKA (UTeM)

For students studying electronic engineering, having a firm grasp of the foundations of electronic circuits is essential. This prowess includes both academic and practical components, preparing students for more challenging courses by helping them become resilient. Additionally, having a solid understanding of the fundamentals of electronic circuits equips students to apply their learning in courses that include design components, such as Integrated Design Projects (IDP) and Final Year Projects (PSM). Based on these issues, the Experiential with Cooperative and Service Learning (ExCoS) approach has been designed and implemented in Fundamental Electronic courses in semester 1 2023/2024 at Fakulti Kejuruteraan Elektronik &amp; Kejuruteraan Komputer (FKEKK), UTeM. The ExCoS approach integrates experiential, cooperative, and service-learning theory in this course. As a result of this approach, the achievement percentage of Learning Outcome 1 (LO1) in Fundamental Electronics increased from 83% to 93%. Moreover, this method has nurtured students who are more confident, skilled, and critical thikers attributes that contribute to their future success in the professional realm. According to students’s feedback the ExCoS approach enhances student understanding of basic electronic circuit and boost their communication confidence. Besides, participant from SMK Durian Tunggal have benefited from the service-learning program embedded in this approach. Through this program, students have improved their understanding of fundamental circuit concepts and have been successful in rekindling the students' enthusiasm in the science and technology sector, which has recently received less attention.

The Role of Pharmaceutical Innovation in Clinical Practice Guidelines for Chronic Diseases.

Over the last 25 years, clinical practice guidelines have emerged as a means to standardize and improve care. As pharmaceutical innovations develop, guidelines are updated to incorporate new interventions. However, the extent to which pharmacotherapies are represented as treatment options in guideline recommendations has not been well elucidated. This study aimed to quantify the role pharmacotherapy has played in clinical practice guidelines across a range of chronic diseases over the past 20 years. Clinical practice guidelines published from 2000 to 2021 were identified for five chronic diseases: ischemic heart disease (IHD), non-small cell lung cancer (NSCLC), chronic obstructive pulmonary disease (COPD), Alzheimer's disease (AD), and type 2 diabetes (T2D). Guidelines were reviewed and data on treatment recommendations were collected, including the type of intervention, line of therapy, and, for pharmacotherapies, year of regulatory approval and year of inclusion in guidelines. In total, 92 clinical practice guidelines were reviewed. Among the 184 discrete recommended interventions across the five disease areas, 146 (79.3%) were pharmacotherapies, 21 (11.4%) were behavioral modifications, 6 (3.3%) were surgical interventions, and 11 (6%) were other interventions. Across guidelines, when a line of therapy was specified, behavioral modifications and pharmacotherapies were most frequently recommended as first-line interventions, whereas surgical interventions were more often recommended for subsequent lines of treatment. The time from regulatory approval of novel pharmacotherapies to inclusion in guideline recommendations varied considerably by disease area and geography. Across the reviewed disease areas, behavioral interventions and pharmacotherapies are shown to be critical components of clinical practice. Over the last 20 years, novel pharmaceutical innovations have been incorporated into clinical practice guideline recommendations; however, with varying speeds of adoption. Given the increasing pace of pharmacologic innovation, timely updates of clinical practice guidelines are critical to evolving the standard of care and practicing evidence-based medicine.

Experimental competence formation in chemistry teacher training

Relevance. The research relevance is determined by the need to adapt the educational system to the rapidly changing requirements of the labour market and technological progress. Purpose. The study aims to evaluate the effectiveness of analytical chemistry training programmes in leading universities of Kazakhstan from the point of view of developing the scientific competence of students necessary for employment. Methodology. The study employs comparative, qualitative, and statistical analyses, questionnaires, surveys and observation. Results. The study examines the role of universities in training analytical specialists. The requirements of the labour market and academic institutions for candidates for positions in analytical chemistry, as well as the current state of research and development in training, were considered. The findings showed that many university graduates trained in analytical chemistry prefer not to go to work in industry or factory laboratories, but plan to stay in academia and continue their research. This indicates the need to revise curricula to better meet the requirements of the labour market and academic institutions. Problems and gaps in current programmes and methods of teaching analytical chemistry at universities in Kazakhstan have been identified. Approaches to strengthening the practical component of courses have been critically analysed, considering the current requirements and assessments of industry specialists. Conclusions. The study highlighted the high demand for qualified specialists, emphasizing that the issue lies not in the shortage of vacancies but in the level of training. The practical significance of the study lies in the fact that its results can be used to modernise the system of education in the field of analytical chemistry and improve curricula and teaching methods. This, in turn, will help to improve the quality of training of analytical chemists who will be able to meet the needs of the labour market and scientific institutions. Keywords: active learning; analysis methodology; students; specialist qualifications; researchers

Re‐thinking youth work as initial mental health support for young people

AbstractYouth work is a practice that supports young people and bolsters mental health and well‐being. In the aftermath of the Covid‐19 pandemic, young people in the UK have experienced rising levels of mental distress. However, in the broader youth policy field, youth work is rarely acknowledged as a mental health support. This article draws upon research uncovering to what extent youth workers provide mental health support for young people. A survey questionnaire was distributed to youth workers across selected local authorities in central Scotland and north‐east England. Our original findings show that most youth workers provide initial mental health support for young people and, since the pandemic, this has become a key component of youth work practice. The youth workers surveyed were confident that they had the skills, experience and training to provide such support but were struggling to meet increased demand due to funding shortages in the sector.

Centre variation in home dialysis uptake: A survey of kidney centre practice in relation to home dialysis organisation and delivery in England.

Disparities in home dialysis uptake across England suggest inequity and unexplained variation in access. We surveyed staff at all English kidney centres to identify patterns in service organisation/delivery and explore correlations with home therapy uptake, as part of a larger study ('Inter-CEPt'), which aims to identify potentially modifiable factors to address observed variations. Between June and September 2022, staff working at English kidney centres were surveyed and individual responses combined into one centre-level response per question using predetermined data aggregation rules. Descriptive analysis described centre practices and their correlation with home dialysis uptake (proportion of new home dialysis starters) using 2019 UK Renal Registry 12-month home dialysis incidence data. In total, 180 responses were received (50/51 centres, 98.0%). Despite varied organisation of home dialysis services, most components of service delivery and practice had minimal or weak correlations with home dialysis uptake apart from offering assisted peritoneal dialysis and 'promoting flexible decision-making about dialysis modality'. Moderate to strong correlations were identified between home dialysis uptake and centres reporting supportive clinical leadership (correlation 0.32, 95% Confidence Interval (CI): 0.05-0.55), an organisational culture that values trying new initiatives (0.57, 95% CI: 0.34-0.73); support for reflective practice (0.38, 95% CI: 0.11-0.60), facilitating research engagement (0.39, 95% CI: 0.13-0.61) and promoting continuous quality improvement (0.29, 95% CI: 0.01-0.53). Uptake of home dialysis is likely to be driven by organisational culture, leadership and staff attitudes, which provide a supportive clinical environment within which specific components of service organisation and delivery can be effective.

Risk Mitigation and Value Creation: Exploring Innovative Financial Management Practices in Global Enterprises

Risk mitigation and value creation are essential components of financial management practices in global enterprises. This article aims to explore innovative financial management practices adopted by global enterprises to mitigate risks and create value. Employing a qualitative method, this study conducts a comprehensive literature review and library research to gather relevant data. Through the review of existing literature, various innovative financial management practices are identified, including risk assessment frameworks, hedging strategies, financial derivatives utilization, and dynamic asset allocation models. Additionally, the study evaluates the impact of these practices on risk reduction and value enhancement in global enterprises. The findings reveal that innovative financial management practices contribute significantly to risk mitigation by providing enterprises with tools and techniques to identify, assess, and manage risks effectively. Moreover, these practices facilitate value creation through improved decision-making processes, enhanced operational efficiency, and optimized resource allocation. Furthermore, the study examines the challenges and opportunities associated with the adoption of innovative financial management practices in the global business environment. Key challenges include regulatory compliance, technological integration, and organizational culture alignment, while opportunities include increased competitiveness, enhanced stakeholder confidence, and sustainable growth. Overall, this study provides insights into the importance of innovative financial management practices in addressing contemporary challenges and opportunities faced by global enterprises