Comprehensive Assessment Process Research Articles

Unlocking the potential of tafamidis in treating transthyretin cardiac amyloidosis: A systematic review

Cardiac amyloidosis has gained increasing attention in recent years due to substantial advancements in diagnostic techniques and treatment options. Among the most notable developments in this field is the approval of tafamidis by the U.S. Food and Drug Administration in May 2019 for treating transthyretin amyloid cardiomyopathy (ATTR-CM). This marked a pivotal step forward in managing this complex condition. This systematic review aimed to comprehensively analyze the efficacy of tafamidis in treating ATTR-CM and determine its broader applications, with a focus on its impact on patient outcomes, optimal dosing strategies, and side effect profiles. We strictly adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines, ensuring that the methodology was transparent and rigorous. This review involved an extensive search of multiple databases, including PubMed and Google Scholar, for relevant articles published between January 1, 2014 and January 9, 2024. After a comprehensive screening and quality assessment process, 16 high-quality articles were identified and included in the final analysis. These articles provided abundant data on the clinical outcomes associated with tafamidis use in ATTR-CM. The findings of our review highlight the transformative role of tafamidis in the treatment of ATTR-CM. The drug not only improves the quality of life of patients by significantly alleviating symptoms but also markedly reduces hospitalization rates and all-cause mortality. Tafamidis showed an impressive safety profile across different dosage levels, representing a key therapeutic option. As the use of tafamidis continues to expand in clinical practice, its potential to improve short- and long-term outcomes in patients with ATTR-CM becomes increasingly evident.

Patterns of referral to interprofessional services among frail older adults presenting to emergency departments in Canada.

Geriatric Emergency Department (ED) Guidelines recommend optimizing transitions of care for older patients with complex needs. In this study, we investigated referral patterns to interprofessional services, including occupational therapy, physiotherapy, dietician, social work, home care, and specialized geriatric services, among older adults presenting to the ED with high-risk characteristics. We recruited community-dwelling older adults presenting to 10 EDs across Ontario, Quebec, and Newfoundland, Canada, from April 2017 to July 2018. To observe processes of care in the ED, we deployed a two-stage high-risk case-finding and focused comprehensive assessment process based on the interRAI ED-Screener and ED Contact Assessment to identify and characterize older adults at high risk. We analyzed the secondary data using descriptive statistics and logistic regression. We screened 5265 individuals with the ED Screener, further assessed 1479 with the ED Contact Assessment, and analyzed data from a subset of 1055 community-dwelling older adults assessed with the ED Contact Assessment. Participants in our study sample had a mean age of 83 years, 58% were female, and many had a complex burden of cognitive and functional impairment and social needs. Over half of this high-needs sample were referred to general home care services (62.7%), occupational therapy (59.3%), and physiotherapy services (55.2%), while 16% were referred to specialized geriatric services. We also found a significant positive association between interprofessional referrals and the Assessment Urgency Algorithm and Institutional Risk Scale. The most important determinants of referral to interprofessional services were hospital province, functional, clinical, and social burden and support measures. The referral patterns identified suggest that patient needs and risk intensity did not always guide referral patterns in the Canadian EDs investigated. We suggest that EDs critically examine the appropriateness of their documentation and referral systems for supporting person-centered care provision.

Improving the assessment and documentation of systemic cancer therapy–related toxicity in the ambulatory oncology setting.

221 Background: Accurate documentation of systemic cancer therapy toxicity is crucial for patient safety and effective treatment management. However, achieving consistent and comprehensive documentation remains challenging. While the use of electronic patient-reported outcomes (ePROs) is becoming standard in clinical practice, small community-based practices lack the resources to implement this strategy. This project aims to offer alternative methods for implementing patient-reported outcomes in such practices and utilize this information to enhance the documentation of systemic cancer therapy toxicities using the CTCAE (Common Terminology Criteria for Adverse Events). Methods: We conducted a quality improvement project targeting the adequate assessment and documentation of graded toxicity assessments among healthcare providers. Interventions included implementing a patient-reported outcome survey created using the National Cancer Institute PRO-CTCAE form builder, which patients completed while waiting to be seen by the provider. Additionally, we educated providers on how to use the CTCAE grading tool available in Cerner. Rates of documented graded toxicity assessment using the CTCAE system were evaluated among 71 patients aged 18 years or older receiving systemic cancer therapy and attending follow-up appointments at the Seton Cancer Clinic. Data were collected from electronic medical records both before and after the intervention, with 50 patients assessed pre-intervention and 21 patients assessed post-intervention. Results: The implementation of the patient-reported outcome survey and the utilization of the CTCAE grading tool available in Cerner facilitated a more consistent and comprehensive assessment and documentation process. Post-intervention, the rate of documented graded toxicities increased significantly; the percentage of patients with documented graded toxicities increased from 4% pre-intervention to 80% post-intervention. The intervention also improved the workflow efficiency and the accuracy of toxicity assessments in the oncology clinic. Conclusions: These findings highlight the importance of implementing strategies to improve the assessment and documentation of systemic cancer therapy-related toxicity, especially in small community-based practices where resources may be limited. Continued monitoring and periodic data collection will be essential for sustaining these improvements.

Mapping the way: functional modelling for community-based integrated care for older people

BackgroundHealthcare system sustainability is challenged by several critical issues; one of the most pressing is the ageing population. Traditional, episodic care delivery models are not designed for older people who are medically complex and frail. These individuals would benefit from health and social care that is more comprehensive, coordinated, person-centred and accessible in the communities in which they live. Delivering this is a challenging endeavour. Community-based health and social care professionals are siloed, dispersed across various locations and sectors, each with their own mental models, electronic health information systems, and means of communication. To move away from fragmented care delivery models and towards a more integrated approach to care, an analysis of the process of community-based comprehensive geriatric assessment was conducted in an urban location in Atlantic Canada. The purpose of the study was to identify where in the community-based comprehensive geriatric assessment process challenges and opportunities existed for moving towards a more integrated model of care delivery.MethodThe functional resonance analysis method (FRAM) and dynamic FRAM (DynaFRAM) modelling were used to model the community-based health and social care system and create a hypothetical patient journey scenario. Data collected to inform modelling consisted of document review, focus groups, and semi-structured interviews with health and social care professionals providing care and service to older people in the community setting.Findings.Challenges and opportunities for implementing integrated care in the local context were identified. Findings from the FRAM and DynaFRAM analysis informed the co-design of multi-level process improvement recommendations that aim to move the local community-based comprehensive geriatric assessment process towards a more integrated model of care.ConclusionsA transformative redesign of community-based health and social care in the local context is necessary but cannot be accomplished without an understanding of how health and social care professionals conduct their work and how older people may receive care under the dynamic conditions. The FRAM and DynaFRAM modelling provided an enhanced understanding of system operations and functionality and demonstrated a critical step that should not be overlooked for decision-makers in their efforts to implement a more integrated model of care.

Intelligent assessment system of material deterioration in masonry tower based on improved image segmentation model

Accurate and timely data collection of material deterioration on the surfaces of architectural heritage is crucial for effective conservation and restoration. Traditional methods rely heavily on extensive field surveys and manual feature identification, which are significantly affected by objective conditions and subjective factors. While machine vision-based methods can help address these issues, the accuracy, intelligence, and systematic nature of material deterioration assessment for large-scale masonry towers with complex geometries still require significant improvement. This research focuses on the architectural heritage of masonry towers and proposes an intelligent assessment system that integrates an improved YOLOv8-seg machine vision image segmentation model with refined 3D reconstruction technology. By optimizing the YOLOv8-seg model, the system enhances the extraction capabilities of both detailed and global features of material deterioration in masonry towers. Furthermore, by complementing it with image processing methods for the global visualization of large-scale objects, this research constructs a comprehensive intelligent assessment process that includes "deterioration feature extraction—global visualization—quantitative and qualitative comprehensive assessment." Experimental results demonstrate that the intelligent assessment system significantly improves the performance of target feature extraction for material deterioration in masonry towers compared to existing methods. The improved model shows improvements of 3.39% and 4.55% in the key performance metrics of mAP50 and mAP50-95, respectively, over the baseline model. Additionally, the efficiency of global feature extraction and visualization of material deterioration increased by 66.36%, with an average recognition accuracy of 95.78%. Consequently, this system effectively overcomes the limitations and subjective influences of field surveys, enhancing the objectivity and efficiency of identifying and analyzing material deterioration in masonry towers, and providing invaluable data support for the subsequent preservation and restoration efforts.

Dynamic Integrated Ecological Assessment along the Corridor of the Sichuan–Tibet Railway

Engineering activities along the Sichuan–Tibet Railway (STR) could cause land degradation and threaten the surrounding ecological security. It is crucial to evaluate the integrated land ecology during and after the construction of this project. This study assesses the land ecology along the STR corridor from 2000 to 2022 using a transfer matrix, the analytic hierarchy process (AHP), and the PSR-TOPSIS model. The main results are as follows: (1) The novel comprehensive ecological assessment process including nine indicators is feasible. (2) The high-quality land ecological, surface vegetation, and environmental regions were concentrated in Ya’an and Nyingchi, whereas the low-quality regions were situated in Qamdo and Garze Tibetan Autonomous Prefecture. (3) There was an overall decline in the integrated land ecological quality along the STR from 2000 to 2022. While it steadily improved in the Ya’an and Nyingchi regions from 2010 to 2022, it continued to decline around the Qamdo region. (4) The most degraded land-use type during the 22 years was grassland, and farmland was the most secure land-use type. Overall, spatial analyses and examinations of residue disposal sites suggested that these locations have negatively impacted integrated land ecology since the beginning of the STR construction project. Our findings have implications for preserving the ecological ecosystem and ensuring the sustainability of the STR construction project.

Pengembangan Assesment Pembelajaran Pendidikan Agama Islam pada Lembaga Pendidikan Vokasi Islam di Era Digital

The purpose of this study is to find out the efforts to develop an assessment of Islamic learning in Islamic vocational education institutions in the digital era. The method used in this study uses a qualitative method with a descriptive analysis approach through library research. The results of the study can be concluded that the development of an assessment of Islamic Education learning in Islamic vocational institutions in the digital era 1) Attempts to develop and evaluate learning for the progress of students by carrying out a comprehensive assessment process. 2) The vision and mission reflect the excellence that educational institutions want to inculcate, and the main objectives focus on three things, namely skills, religion and character education. 3) Evaluation results to promote digital technology advances and understand Islamic religious principles. 4) Aiming for professionalism in the digital era both in terms of knowledge and characteristics.

ADMINISTRATION AND REALIZATION OF SCHOOL, COLLEGE, AND NON-FORMAL EDUCATION ACCREDITATION CERTIFICATION

Accreditation is carried out as an effort to improve quality in the field of education, the aim is to improve quality which covers all aspects of education in the form of science, administration teaching, and educational staff. Accreditation activities contain a comprehensive assessment process of the suitability of an educational unit or program, as a form of recognition for the provision of education in an educational unit. In this discussion, we will discuss and explain educational accreditation. By using the literature review or literature study method. The results of this discussion explain that accreditation is defined as a process of evaluating and assessing the quality of an institution or institutions carried out by a team of experts who we as assessors are based on predetermined quality standards. To further encourage Pre-Schools, Schools or Islamic Schools, Non-Formal Education, and Higher Education institutions to always strive to improve quality in various aspects and in order to increase accountability to the wider community, efforts to provide accreditation for educational institutions at every level are a very important need. Accreditation will achieve maximum results if each PAUD, School/Madrasah, Non-Formal Education, and Higher Education Institution always carries out regular and ongoing self-evaluations in an objective, honest, and transparent manner.

Modeling and Assessment of Landslide Susceptibility of Dianchi Lake Watershed in Yunnan Plateau

The nine plateau lake watersheds in Yunnan are important ecological security barriers in the southwest of China. The prevention and control of landslides are important considerations in the management of these watersheds. Taking the Dianchi Lake watershed as a typical research area, a comprehensive modeling and assessment process of landslide susceptibility was put forward. The comprehensive process was based on the weight of evidence (WoE) method, and many statistical techniques were integrated, such as cross-validation, multi-quantile cumulative Student’s comprehensive weight statistics, independence testing, step-by-step modeling, ROC analysis, and ROC-based susceptibility zoning. In this paper, fourteen models with high accuracy and validity were established, and the AUC reached 0.83–0.87 and 0.85–0.88, respectively. In addition, according to the susceptibility zoning map compiled via the optimal model, 80% of landslides can be predicted in the very-high- and high-susceptibility areas, which only account for 19.58% of the study area. Finally, this paper puts forward strategies for geological disaster prevention and ecological restoration deployment.

Using a Comprehensive On-Site Assessment Process to Reduce Central Line-Associated Bloodstream Infection Rates.

Central line-associated bloodstream infection (CLABSI) rates increased substantially in the United States following the emergence of COVID-19 and subsequent surges. The pandemic resulted in hospital capacities being exceeded and crisis standards of care being implemented for sustained periods. As COVID-19 rates in the United States began to stabilize, some facilities did not return to previous CLABSI rates, indicating a change in practices that had a longer-term impact on CLABSI prevention. The authors' large health care system observed similar increases in CLABSI following the emergence of COVID-19, prompting investigation and intervention in the form of a quality improvement project. To identify changes related to ongoing increases in CLABSI, an assessment team conducted standardized on-site assessments at 11 facilities. Site assessments were considered an intervention, as they involved rigorous preassessment investigations and interviews, case reviews, practice observations, on-site staff interviews, and postassessment support for additional interventions. Nine facilities had enough postassessment data to analyze the impact of intervention. The overall CLABSI rate (infections per 1000 line days) at the 9 facilities in the 6 months prior to intervention was 1.42, and the postassessment rate in the 6 months following intervention was 0.44. This indicates the effectiveness of facility-specific investigation followed by targeted performance improvements to reduce the rate of CLABSI.

Pengembangan Assesment Pembelajaran Pendidikan Agama Islam pada Lembaga Pendidikan Vokasi Islam di Era Digital

The purpose of this study is to find out the efforts to develop an assessment of Islamic learning in Islamic vocational education institutions in the digital era. The method used in this study uses a qualitative method with a descriptive analysis approach through library research. The results of the study can be concluded that the development of an assessment of Islamic Education learning in Islamic vocational institutions in the digital era 1) Attempts to develop and evaluate learning for the progress of students by carrying out a comprehensive assessment process. 2) The vision and mission reflect the excellence that educational institutions want to inculcate, and the main objectives focus on three things, namely skills, religion and character education. 3) Evaluation results to promote digital technology advances and understand Islamic religious principles. 4) Aiming for professionalism in the digital era both in terms of knowledge and characteristics.
 Keywords: Assessment, Islamic Religious Education, Vocational, Digital Era.

Research on the Teaching Reform of Human Resource Management Curriculum Based on the Ideological and Political Education in the Course

Curriculum ideology and politics is an important measure and fundamental task to combine professional courses with ideological and political courses to carry out moral education and cultivate people in Chinese colleges and universities. Traditional teaching of human resource management neglects the cultivation of moral character. Therefore, it is necessary to reform the teaching of human resource management, and integrate ideological and political education into the whole process of teaching to improve the ideological and moral level of students. On the basis of analyzing the necessity of human resource management in curriculum ideology and politics construction, curriculum teaching reform is carried out. A new curriculum ideological and political education model that includes "teaching objective -- ideological and political content -- teaching means -- teaching evaluation" has been constructed. The content of the course is divided into 8 chapters, and the multi-level teaching objectives including "knowledge - skills - ideology and politics" have been clearly defined, and the triple teaching objectives of each chapter are clearly set. The ideological and political content has been integrated into the process of knowledge teaching by chapters. The modern educational technology and Internet platform technology are made full use of to optimize teaching methods, and heuristic and experiential teaching means are adopted, the combination of classroom and society is increased, and an assessment and evaluation system with diversified subjects is built with diversified subjects, a comprehensive assessment process, and diverse assessment methods, comprehensively evaluating students' learning outcomes from multiple dimensions, in order to improve the effectiveness of ideological and political education in human resource management courses. It is expected to provide a reference and basis for the construction of curriculum, ideological and political reform, the practice of socialist core values, and the realization of goals.

Exploratory Study of a Team-Based Model of Transition Professional Development

This article shares the results from a quasi-experimental mixed-methods study of a promising transition-focused professional development approach. The 12-week team-based intervention resulted in positive outcomes among intervention group participants’ knowledge and capacities. The intervention group exhibited statistically significant changes in knowledge of transition assessment practices as well as in using various types of age-appropriate transition assessments and implementing effective practices associated with a comprehensive transition assessment process. At the program level, findings indicated team-level indicators showed statistically significant improvements. The study demonstrated teams who received the intervention were more likely to attain a program-level goal, which was substantially greater than the comparison teams. Implications for future research and practice are shared.

Numerical assessment on aerodynamic free area of natural smoke and heat exhaust ventilator without and with side wind

As a convenient means for modeling the dynamics of fluids, computational fluid dynamics has not yet been fully applied in the refined quantitative analysis of the effectiveness of individual smoke ventilator. Previous related numerical simulation studies were short of the overall consideration of various verification scenarios involving all aspects of performance of testing device and accuracy of testing results without and with side wind. In this paper, a comprehensive numerical assessment process containing seven typical simulation scenarios is established for determining the aerodynamic free area of a roof mounted ventilator without and with side wind. Compared with related on-site testing platform, the geometric construction of testing apparatus is reasonably optimized to obtain more uniform flow field inside the settling chamber and more appropriate coverage of side-wind field acting on the ventilator; some measurement positions of air speed, which are unspecified in the testing standard, are designed properly in the simulation. Six types of regression equations on the relationship between discharge coefficient and pressure difference are established and compared for exploring the best goodness of fit of curve fitting. Good agreement of simulation results with reference data demonstrates the feasibility and validity of the numerical assessment process developed in this study.

Study on Functional Zoning Method of National Park Based on MCDA: The Case of the Proposed “Ailaoshan-Wuliangshan” National Park

In a national park master plan, functional zoning plays a key role in developing differentiated zoning controls that achieve multiple park construction objectives. In this study, a geographical attribute code and basic zoning elements are developed for the proposed “Ailaoshan-Wuliangshan” National Park, followed by the development of spatial multi-criteria sets and weight sets to determine the suitability of the land. Next, we use a clustering algorithm and conflict unit prioritization to allocate space for multi-target units to get the preliminary zoning schemes, and then identify stable units and unstable units through sensitivity analysis. Ultimately, the functional zoning of the National Park was determined. According to the results, the proposed “Ailaoshan-Wuliangshan” National Park can be divided into nine types of 164 landscape units; the highest land suitability values of each zone showed the traits of differentiation and aggregation in spatial distribution; there are 97 stable units and 67 unstable units; approximately 62.83% and 37.17% of the total park area can be divided into core conservation area (primary sensitive area and secondary sensitive area) and general control area (ecological activity area and ecological control area). By implementing a comprehensive assessment and decision-making process, the defined functional zones are precise and simple to recognize on the ground, and they adhere to the area proportions needed by national standards. Furthermore, the functional zoning is clustered, which avoids the fragmentation of the zoning results causing difficulties in management, and serves as a point of reference for the functional zoning approaches used in other proposed national parks in China.

A business model canvas framework for sustainable one-stop-shops

The Sustainable Business Model Canvas (SBMC) offers a useful tool for business model design, as it manages to integrate all the three dimensions of sustainability without distinguishing between three different layers (economic, environmental, and social). This paper presents the application of SBMC in a real study case of a one-stop-shop (OSS) for the renovation of single-family houses operating in Kronoberg province in Sweden. The case is based on shifting from the current approach of the OSS, making interventions that will lead to the development of a "new" OSS which can reach the highest possible sustainability potential. A two-stage comprehensive assessment process for the "new" model is proposed, following a life cycle perspective. The use of SBMC and the assessment process allows both existing and under-development OSSs to gain a better understanding of different alternatives regarding their business, and how these alternatives improve or weaken their existing business model. This work also proposes the steps that should be followed to assess the impact of potential intervention in the business model on the sustainability performance of an OSS. There is a need though to acquire relevant data to make a more detailed evaluation of the economic, environmental, and social burdens and benefits of an OSS. Such an evaluation will lead to more well-informed interpretations regarding the sustainability performance of different OSSs.

Best practices and emerging trends in assessment of trauma in students with autism spectrum disorder

AbstractChildren and adolescents with autism have a higher likelihood of being exposed to bullying, abuse, and sexual assault which, through repeated exposure, has been demonstrated to impede academic, social, and physical functioning among this population. However, the complexity of unpacking the characteristics of autism and trauma can pose a challenge for school psychologists in using the most appropriate clinical method of intervention. This paper summarizes the co‐occurrence of autism and trauma in an effort to better inform practitioners and recommends the need for valid and reliable assessments that measure adverse experiences for children with autism. A practitioner assessment guide of childhood trauma and autism spectrum disorder is also provided to facilitate a comprehensive assessment process. We conclude that there is a pressing need for more research examining the relationship between autism and trauma by better understanding the relationship of these constructs, and for the development of more effective assessments to provide more evidence‐based interventions.

Mentoring Of Documents Arrangement Of Educational Unit Accreditation Instrument 2020 In Preparation For School Accreditation

This community service aims at providing mentoring toward accreditation team in SDK Biloe in relation to school accreditation. School accreditation is a comprehensive assessment process of the feasibility of schools, the results of which are manifested in the form of public accountability carried out by an independent and professional institution, called BAN S/M. Assistance activities for the preparation of the 2020 Education Unit Accreditation Instrument Document (IASP) at SDK Biloe were carried out with the stages of preparation, mentoring, and reflection. The implementation of accreditation can be viewed from two things that are assessed, namely a review of administrative compliance and secondly related to the performance of the education unit for efficiency and simple and accountable implementation. After mentoring, it was found that there was an increase in the understanding and awareness of school principals, teachers, and education staff about accreditation which is one of the factors in improving the quality of education. The level of understanding is manifested by the preparation of complete documents referring to IASP 2020, namely documents on the components of graduate quality, quality of learning processes, quality of teaching staff, and quality of school management.

Evidence-based nursing care of patient with acute myocardial infarction: Case report

To achieve high-quality nursing care and management of acute myocardial infarction patients must be in accordance with evidence-based nursing practice and nurses' willingness to modify nursing practice when new evidence emerges. The framework for the comprehensive care and management of a patient with acute myocardial infarction includes a comprehensive nursing assessment, diagnosis, planning, intervention, and assessment process. This case study aims to explain and illustrate how to care for patients with acute myocardial infarction based on the rationale and nursing practice evidence underlying the holistic approach. Nurses have been shown to have an essential role in the diagnosis, management, and treatment of acute coronary syndromes. This is because nurses provide care directly to patients and can identify problems early.

Islamic Banking Risk Assessment Process: A Case Study from Indonesia

Indonesian Islamic banks are required have minimum capital in relation to bank’s risk profile rating that comes from the comprehensive risk assessment process. This is a qualitative study to observe how Islamic banks in Indonesia respond to the regulation, with the focus observation on the material risk identification process, risk indicators and determination of risk level. Based on discussion with some risk officers of Islamic banks indicates that the banks do not have specific process to identify material risks. They make assessment on risk types that have been defined by regulator. They also do not develop additional Islamic risk indicators to describe the unique risks of Islamic transactions. They just follow the risk indicators that have been defined by regulator. To determine the rating of each material risk, they defined some scales and threshold derived from the bank’s risk appetite and tolerance. From the observation of annual reports, it was found that not all banks disclose their risk profile rating. The number of respondents were limited compared to the number of all Islamic banks therefore the result of discussion might not represent the population. Future research is required to develop methodology for a comprehensive risk assessment for Islamic banks as a prerequisite for the implementation of ICAAP