Continuous Communication Research Articles

Collaboration between stakeholders in the design of a context-based curriculum in Ghana

PurposeThis study examines the nature and forms of collaboration among stakeholders that led to and existed during the design of the B.Ed. curriculum for the Colleges of Education (CoE) in Ghana. It aims to highlight the views of local stakeholders about the processes in an educational project that were likely to have enhanced the importance of contextualisation in the curriculum change process. The paper also prioritises the voices and views of local stakeholders, which have often been stifled in the process of curriculum change in Ghana.Design/methodology/approachA qualitative approach, using semi-structured interviews, was used to collect data from 17 local stakeholders. Thematic analysis and social constructivism framed the interpretation of findings.FindingsThe study found that the CoE reform prioritised local stakeholders’ input throughout a highly collaborative process. This collaboration unexpectedly led to the development of a curriculum reflective of the Ghanaian context. However, ideological conflicts emerged at both the international and local levels, particularly regarding approaches to change and the decision to extend CoE management to four public universities. The conflicts underscore the power dynamics inherent in educational reforms funded by foreign aid.Originality/valueThe research offers crucial insights for policymakers and curriculum developers regarding the importance of local stakeholder engagement in collaborative reforms involving foreign aid. The study underscores the need for active involvement from all stakeholders to create contextually relevant curricula. While conflicts may arise, the research highlights that a social constructivist approach, combined with continuous communication, negotiation and compromise, can lead to meaningful and sustainable curriculum reform outcomes.

ASSISTÊNCIA DE ENFERMAGEM NO PARTO HUMANIZADO

This article aimed to analyze the performance of the nursing team in the context of humanized birth, with the aim of improving the systematization of this practice and understanding the impact on the perception and experience of women and newborns. With a descriptive and exploratory approach, an integrative literature review was used, allowing a comprehensive analysis of nursing interventions that contribute to the humanization of childbirth. The research was conducted based on inclusion criteria that considered scientific articles published in the last five years, in Portuguese, and available in full in electronic databases, such as SciELO, LILACS and BDENF. The results indicate that nursing care is fundamental to women's positive experience during humanized childbirth. Factors such as continuous support, effective communication and active listening emerged as essential elements for the empowerment and satisfaction of parturient women, also highlighting the importance of continuous training of nursing professionals in humanized practices and adequate training. Public policies play a crucial role in promoting humanized practices, requiring institutional support and clear guidelines so that the nursing team can implement these practices effectively. It is concluded that nursing care in humanized birth has a direct impact on improving the birth experience, requiring greater appreciation and investment in health policies that prioritize humanization in obstetric services.

Communication Capacities and Mutual Connection System of Teachers in Public Elementary Schools

This study examined the communication capabilities and mutual connection system of public elementary school teachers in the Davao Central District, Division of Davao City. A universal sampling method was employed using a non-experimental quantitative research design with a correlational approach. The respondents were 132 public elementary school teachers. Statistical tools utilized included the mean, Pearson Product-Moment Correlation Coefficient (Pearson r), and regression analysis. The findings revealed that the communication capabilities of public elementary school teachers—measured in terms of connections, compelling communication, stability, manners, listening, and charm—were often demonstrated. Similarly, the mutual connection system, assessed through revision, goal achievement, unification, and potential, was also frequently evident. A significant relationship was found between the teachers' communication capabilities and their mutual connection system. Furthermore, specific domains of communication capabilities significantly influenced the mutual connection system. These results underscore the synergistic relationship between communication capabilities and a mutual connection system, where effective communication enhances mutual connections, and a well-structured connection system fosters continuous and efficient communication. Conversely, weaknesses in these areas could result in communication breakdowns, misunderstandings, or diminished group cohesion. The study highlights the importance of fostering both robust communication skills and a supportive connection system among public elementary school teachers to promote collaboration and effectiveness in the educational setting. This study was limited to public elementary school teachers in the Davao Central District, which may affect the generalizability of the findings to other contexts. Future research could explore other educational levels or regions and consider mixed methods to provide deeper insights and validate the results.

دور العلاقات العامة في تشكيل الصورة الذهنية لموظفي القطاع البلدي بالمنطقة الشرقية

The study showed that effective public relations activities, including media campaigns and direct communication with employees, contribute significantly to improving the mental image of the municipal sector. These activities play a major role in enhancing employees’ confidence in their management and raising their level of job satisfaction. The study also found that continuous and comprehensive internal communication increases employee satisfaction and enhances their sense of belonging. Public relations contribute to achieving alignment between management goals and employee aspirations, which helps achieve a stable and supportive work environment. The results indicated that transparency in communication processes between management and employees is one of the essential elements for building a positive and reliable relationship. This transparency contributes to reducing rumors and misunderstandings, which increases positive interaction between management and employees and enhances their impressions of the institution. The study also highlighted the effectiveness of modern technical tools in enhancing internal communication, as the use of these tools contributes to facilitating the exchange of information and clarifying procedures, which leads to improving the effectiveness of communication and enhancing the positive mental image of the municipal sector. The study stressed the importance of adopting sustainable public relations strategies aimed at continuous and constructive communication with employees, to support the long-term goals of the sector. She recommended the need to focus public relations efforts on transparency, continuous communication and the use of modern technologies, which contributes to creating a positive work environment and enhances job satisfaction and belonging among employees, thus achieving a positive and supportive mental image of the municipal sector in the Eastern Region.

Optimizing Agility in the Pharmaceutical Supply Chain Using Digital Twins to Cope with the Ripple Effect

The pharmaceutical supply chain is a multilayered and complex structure designed to deliver medicines to customers in a timely manner while ensuring optimal quality and quantity of medicines. The COVID-19 outbreak exposed the vulnerability and uncertainty of the pharmaceutical supply chain, so managing the risks in the pharmaceutical supply chain has become particularly important. This study demonstrates that digital twin (DT) technology can improve pharmaceutical supply chain agility and reduce the ripple effect caused by disruptions. The ripple effect refers to the effect that a sudden disruption at one node in the supply chain has on causing a chain reaction in the rest of the supply chain. The most used risk management method today is the Enterprise Resource Planning (ERP) system, which allows for real-time data sharing but has limitations in predicting and modeling the entire supply chain and lacks the ability to make quick decisions and simulate the entire supply chain. DT technology creates a virtual model of the supply chain, which enables continuous communication and information exchange between real assets and the virtual model, offering a promising alternative to risk management for pharmaceutical supply chains. risk management by providing a promising alternative. This study utilizes the AnyLogistix platform to construct a DT model and demonstrates the effectiveness of DT technology in reducing ripple effects and improving supply chain agility using quantitative analysis. This paper focuses on analyzing the pharmaceutical supply chain for 75mg aspirin tablets in London. A supply chain that operates normally, a supply chain that introduces a disruptive event (closure of the logistics center due to an earthquake), and a supply chain that applies a proactive strategy (activation of an alternate logistics center) to mitigate risk are simulated separately. The positive impact of DT technology on the supply chain is evaluated by analyzing the methods of key performance indicators (KPIs) such as inventory level, order fulfillment rate, and delivery time. The experimental results show that DT technology enhances the responsiveness, flexibility, speed, and proactivity of the supply chain, which significantly improves the agility of the supply chain. Proactive and effective strategies also reduce the financial impact of disruptions and service levels are quickly recovered. In addition, the proactive strategy stabilized inventory levels and reduced delayed orders. The above key metrics confirm the hypothesis that DT technology can improve supply chain agility and effectively reduce the ripple effect. Despite the significant conclusions drawn in this paper, there are some limitations. Firstly, sensitivity analysis and t-test were not used in the study for secondary testing, which resulted in the lack of reliability of the validation results. In addition, the possible interaction between the ripple effect and the bullwhip effect was not discussed, leading to a confounding factor in the experimental results. The above issues can be considered in further research in the future. Finally, this paper explores the possibilities and uses of introducing machine learning techniques and considers the supply chain risk factors of globalization. In summary, this study validates the potential of digital twin technology in improving agility and coping with ripple effects in pharmaceutical supply chains. As research continues, DT technology is expected to improve supply chain efficiency and reduce supply chain risk while ensuring patient safety.

Practice research in free improvisation

This article focuses on interaction processes during the performance of free improvisation in the jazz idiom, and their correlation to the construction of individual musical identities. In this article, I regard musical identity as an artistic, dynamic and personal process characterized by continual communication, construction and negotiation with the surrounding social and cultural environment. Interaction, just like improvisation, is a fundamental defining element in jazz and free improvisation, playing a crucial role in shaping the musical identity of each musician during their performance. This is presented here as analogous to the moulding of individual identity in our everyday social interactions. This research is based on the author’s active participation in improvisation sessions and interviews with professional jazz musicians based in Lisbon, Portugal. Additionally, it explores how the context of free improvisation, when musical restrictions are minimized, intensifies the focus on the interactive improvisational process. This attribute makes free improvisation an ideal terrain for research on interaction and its relation with musical identity.

Unravelling the Molecular Dialogue of Beneficial Microbe-Plant Interactions.

Plants are an intrinsic part of the soil community, which is comprised of a diverse range of organisms that interact in the rhizosphere through continuous molecular communications. The molecular dialogue within the plant microbiome involves a complex repertoire of primary and secondary metabolites that interact within different liquid matrices and biofilms. Communication functions are likely to involve membrane-less organelles formed by liquid-liquid phase separation of proteins and natural deep eutectic solvents that play a role as alternative media to water. We discuss the chemistry of inter-organism communication and signalling within the biosphere that allows plants to discriminate between harmful, benign and beneficial microorganisms. We summarize current information concerning the chemical repertoire that underpins plant-microbe communication and host-range specificity. We highlight how the regulated production, perception and processing of reactive oxygen species (ROS) is used in the communication between plants and microbes and within the communities that shape the soil microbiome.

Primary Health Care As a Common Good.

Growing commodification of health care has resulted in a system that is impersonal, fragmented, and inequitable. A potential antidote to this poisonous situation is to understand and treat primary health care as a common good. Common goods are resources supported as essential to the wellbeing of all. They can be actualized through a Collective Impact approach of a developing a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and backbone support organizations. Investing in primary health care as a common good, with investments in primary medical care spending, support, and workforce development, complemented by integrated support of public health and social drivers of health, can launch a transitional period that moves US health care toward greater accessibility, effectiveness, equity, and sustainability.

Domiciliary Care Service at a Tertiary Centre

Background: The domiciliary service comprises of medical and rehabilitation services done at the home of patients to ensure uninterrupted care upon early discharge, render support to the family members in training the caregiver and to reduce readmission by providing quality care. Objective: To explore the facilitators and barriers of domiciliary services at Hospital Seberang Jaya (HSJ), Penang. Methods: A total of 53 respondents (34 trained nurses, 8 sisters, 5 matrons, 4 occupational therapists and 2 physiotherapists) involved in domiciliary care from the medical, surgical, orthopedics and pediatrics wards were interviewed using a semi-structured questionnaire as homogenous focus groups or as individuals, audio recorded, transcribed and thematically analyzed. Results: 3 domains were identified as facilitators and barriers; Health System factors, Health professional and Patient and Caregiver factors. In facilitators, health system factors (ongoing measures in domiciliary updates, having a reference file in ward, cluster hospital concept and a dedicated person in charge). Health professional factors (teamwork, synchronized explanation and pre planned discharge), patient and caregiver factors (suitable caregiver, locale convenience of health facility) and finally the proactiveness, motivating and supportive factors that encompasses all 3. The Health System barriers were (inadequacy in; man power, public information and ineffective domiciliary team). Health Professionals Barriers were (bias selection of cases and default in responsibilities). Patient and Caregiver Barriers (unsuitable caregiver, misconception on nursing role, lacking confidence to learn and financial issues). Encompassing all were lack in continual monitoring, communication and supervision. Conclusions: For a successful domiciliary care, health system factor, health professional factors, patient and caregiver factors need to be addressed. Its Implementation will involve all stakeholders to work for a common goal for an effective delivery of domiciliary services at HSJ.

Underwater Line Monitoring Using Optimally Placed Inclinometers

Underwater monitoring presents challenges related to maintaining a continuous power supply and communication, necessitating the use of a smaller number of sensors to effectively cover the entire line. An underwater line tracking method is proposed to evaluate global behaviors and stresses in real time. The method employs angles at several points on the line, as well as displacements and curvatures at both ends. In this method, any line displacement, angle, and curvature are expressed as Fourier series, and Fourier coefficients are obtained by utilizing sensor data. Then, the behavior of any line location is assessed. In addition, to reduce the number of sensors and improve accuracy, optimal inclinometer locations are determined by a genetic algorithm. The proposed line tracking algorithm was validated through two numerical examples; one with an inclined tunnel and one with a marine steel catenary riser attached to a Floating Production Storage and Offloading (FPSO) vessel. Through these examples, the proposed algorithm was proven to capture global behaviors accurately when optimally located sensors are used. In the riser monitoring case, the optimized sensor placement with eight intermediate sensors achieved an average mean distance error of 1.91 m, which is lower than the 2.65 m error obtained with ten intermediate sensors without optimization.

JA ImpleMENTAL Implementing the Belgian Best Practice on Community Mental Health system Reform

Abstract Mental health challenges affect more than one in six people across the EU. In order to support Member States to proceed with mental health care system transformation and suicide prevention JA ImpleMENTAL, was initiated on the request of Member States, on October 2021 under the European Union 3rd Health Program. The JA consists of 39 organizations from 21 countries, more than 180 persons are working. Two advisory bodies support the consortium and provide their insights and expertise, a stakeholder forum with 10 key European Organizations in Mental Health including EUPHA Mental Health Section and WHO Europe and OECD, and the Member State Policy Committee which ensures the involvement of ministries and enables the practices to be embedded in health systems. Within the 11 countries implementing pilots under the Belgium model using a common Implementation Strategy, a total 163 activities are implemented under the 5 following key areas: 62 on structural measures needed for the establishment of local networks promoting a user’s centered, human’s right based recovery approach, 43 for the development and/or transformation of mental health services, 22 on training & capacity building in support of the reform and cultural change, 22 on continuous communication, information and awareness raising, and 13 on data collection, monitoring and evaluation. An analysis of MS pilot action plans shows that most service transformation efforts have concentrated on: defining care pathways for people at risk and for those with mild to severe mental health conditions including smooth transition from child and adolescent to Adult Mental Health services, as well as from inpatient to community services, the nomination of case managers for assisting individuals to their recovery process the development of individual service plans, the Involvement of users in various layers of service delivery including peer support and the provision of assertive treatment through mobile units.

Parental awareness and dental health behavior of children with congenital heart disease, with diabetes mellitus, or undergoing anti-cancer treatment, compared to healthy children.

Children with chronic diseases tend to experience a considerably higher burden of oral disease compared to their healthy peers. Low awareness of the impact of systemic diseases on oral health, lack of motivation, and discomfort may render the maintenance of good oral hygiene challenging. We conducted a study of four groups of parents: of children with congenital heart disease (CHD), with diabetes mellitus type 1 (DM), and undergoing anti-cancer treatment (ACT); and a control group of healthy children (C). We aimed to compare between the groups, parental attitudes and knowledge of their children's oral health, and their reports of their children's dental habits. Parents who arrived with their children for routine check-ups at three main clinics: cardiology, endocrinology, and hematology-oncology were asked to respond to a questionnaire regarding their children's oral and dental health. A total of 287 questionnaires were collected from 76 parents of children with CHD, 100 parents of children with DM, 50 parents of children undergoing ACT, and 61 parents who comprised group C. Compared to the CHD and DM groups, the ACT group demonstrated significantly more awareness of the importance of maintaining oral and dental health following diagnosis of their children's medical condition. Mothers' education was found to correlate with dental health knowledge. Most children in the DM and C groups had previous dental examinations, compared to only half in the CHD and ACT groups. A higher proportion of the children in the C than the other groups brushed teeth twice daily. The groups were similar in their consumption of sugary drinks, and of sweets and snacks. The children's specialist physicians were the main source of information on oral health, especially in the ACT group. Although most of the parents reported awareness to the oral health aspects of their children's disease, only part of them reported that their children visited dentists, and brushed their teeth twice daily. For the parents of children with CHD, DM, and ACT, their children's treating specialists were the primary source of information regarding oral health. This highlights the importance of clear and continuous communication between pediatric specialists and dentists.

Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis.

About 25% of palliative medication incidents involve continuous subcutaneous infusions. Complex structural and human factor issues make these risk-prone interventions. Detailed analysis of how this safety-critical care can be improved has not been undertaken. Understanding context, contributory factors and events leading to incidents is essential. (1) Understand continuous subcutaneous infusion safety incidents and their impact on patients and families; (2) Identify targets for system improvements by learning from recurrent events and contributory factors. Following systematic identification and stratification by degree of harm, a mixed methods analysis of palliative medication incidents involving continuous subcutaneous infusions comprising quantitative descriptive analysis using the PatIent SAfety (PISA) classification system and qualitative narrative analysis of free-text reports. Palliative medication incidents (n = 7506) reported to the National Reporting and Learning System, England and Wales (2016-2021). About 1317/7506 incidents involved continuous subcutaneous infusions with 943 (72%) detailing harms. Primary incidents (most proximal to patient outcomes) leading to inappropriate medication use (including not using medication when it was needed) were underpinned by breakdowns in three major medication processes: monitoring and supply (405, 31%), administration (383, 29%) and prescribing (268, 20%). Recurring contributory factors included discontinuity of care within and between settings, inadequate time, inadequate staffing and unfamiliarity with protocols. Psychological harms for patients and families were identified. System infrastructure is needed to enable timely supply of medication and equipment, effective coordinated use of continuous subcutaneous infusions, communication and continuity of care. Training is needed to improve incident descriptions so these pinpoint precise targets for safer care.

Investigating the Effect of Educational Intervention on Postpartum Health Attitudes and Behaviors in Women Referring to Health Centers in Qom Province, Iran

Background and Objectives: Postpartum is one of the most critical and dangerous periods in the life of a mother and a newborn. The health behaviors of mothers are influenced by their attitudes. Some attitudes act like dams against receiving health care. The health behaviors of mothers can be improved through education, increasing public awareness, and correcting attitudes. The present study was conducted to investigate the effectiveness of educational intervention on the attitudes and behaviors of mothers referring to health and treatment centers in Qom Province, Iran. Methods: This qualitative study investigates the attitudes and behaviors of mothers during the postpartum period. It is an educational intervention conducted on 110 mothers during their postpartum period. The mothers were selected by available sampling from the health and treatment centers of Qom Province and were randomly assigned to the intervention and control groups. The intervention took four months, and the education was conducted in four sessions using educational clips, lectures, posters, and pamphlets. The follow-up feedback was accomplished until 42 days after delivery. Results: After the educational intervention, significant differences were observed between the intervention and control groups in the components of health attitudes and behaviors, including maternal behaviors, nutritional behaviors, and infant-related behaviors of mothers in the postpartum period (P<0.05). Conclusion: The results of the present study showed that multimedia educational intervention, along with individual counseling and continuous communication with mothers, has a positive effect on their health attitudes and behaviors in the postpartum period.

A Novel Energy-Aware Path Planning by Autonomous Underwater Vehicle in Underwater Wireless Sensor Networks

Wireless sensor networks can monitor the environment to detect anomalies and reduce the risk of maritime traffic. Energy is necessary for low-power conditions where wireless sensor networks are used. Ensuring the lifespan of energy constraints and providing continuous environmental observation, data collecting, and communication requires management. Battery replacement and energy consumption issues can be resolved with path planning and energy-efficient autonomous underwater vehicle charging for sensor nodes. The nearest neighbour technique is used in this study to solve the energy-aware path planning problem of an autonomous underwater vehicle. Path planning simulations show that the nearest neighbour strategy converges faster and produces a better result than the genetic algorithm. We develop robust and energy-efficient path-planning algorithms that efficiently acquire sensor data while consuming less energy, allowing the monitoring system to respond to anomalies more rapidly. Increased sensor connectivity lowers energy usage and increases network longevity. This study also considers the situation when it is recommended to avoid taking direct travel paths between particular node pairs for a variety of reasons. This recommendation is considered in this study. We present a strategy based on a modified Nearest Neighbour-based Approach from the Nearest Neighbour method to address this more challenging scenario. The direct pathways between such nodes are constrained within the context of this technique. The modified version of Nearest Neighbor-based approach performs well even in that particular situation.

Impacting trauma care in resource-limited settings: Lessons learned from Tanzania's web-based trauma registry initiatives.

Trauma significantly impacts Tanzanian healthcare. Lacking standardized hospital-based minimal trauma data sets places further challenges for policymakers. In other resource-limited countries, implementing trauma systems and registries has reduced injury mortalities. In 2013, we introduced an electronic trauma registry, iTRAUMATM at the Tanzanian Muhimbili Orthopedic Institute (MOI) but noted several drawbacks. In 2023, we introduced a robust web-based trauma registry platform. This study assesses the feasibility and utility of implementing the platform at MOI and summarizes challenges, lessons, and results compared to existing systems. This prospective observational study involved clinicians collecting data directly on the platform at the point-of-care, following specific training. Semi-structured interviews with local stakeholders identified challenges and areas for improvement. Data were reported from July to December 2023. Data from 2930 patients showed 59% of injuries were from road traffic collisions (RTCs), with 43% of patients arriving at MOI by non-ambulances. Our findings show that non-ambulance arrivals were associated with higher injury severity (p<0.026), mortalities (p<0.017), and delayed hospital arrival (p<0.004), underscoring the critical role of prompt transport in trauma management. The new platform identified trauma care gaps, with a mean arrival-to-care time of 29.89min, prompting trauma training at MOI to enhance clinician capacities. It also demonstrated superiority over existing systems by improving data completeness, timeliness, and usability. Challenges included gaining support for the platform's functionality, technology integration, and navigating administrative changes. With continued communication, stakeholder acceptance and support were achieved. The web-based platform has become MOI's standard trauma database, demonstrating its feasibility and utility. It overcame the existing challenges of data completeness, timeliness, and usability for policymaking. Positive feedback has prompted plans to expand the platform to other hospitals, benefiting clinical benchmarking and trauma preventive efforts. Ensuring sustainability requires involvement from the Ministry of Health, ongoing training, functionality enhancements, and strengthened global partnerships.

Patient and provider perceptions of the benefits and limitations of implementing ePRO-driven remote symptom monitoring into real-world cancer care settings.

325 Background: Remote symptom monitoring (RSM) utilizes electronic patient-reported outcomes (ePROs) to facilitate the monitoring and management of treatment-related symptoms outside of traditional healthcare appointment settings. Research suggests benefits surrounding the implementation of RSM; however, there is a literature gap regarding patient and provider perceptions of its implemented use. Methods: This qualitative study included patients and providers from the University of Alabama at Birmingham (UAB) and the Mitchell Cancer Institute (MCI) in Mobile, Alabama, who participated in semi-structured interviews aimed at gaining insight into the experiences of and perceptions surrounding RSM utilization. Interviews occurred over the phone, via digital videoconference, or in person, and were transcribed and inductively coded using NVivo software alongside a constant comparative method to establish a grounded coding schema. Results: Forty patients (20 UAB; 20 MCI) and 30 oncology providers (16 UAB; 14 MCI) identified 25 benefits across 3 overarching themes. Patients and providers found RSM Facilitated Proactive Management enabling early symptom identification and intervention, which helped to reduce symptom burden. Both groups also noticed RSM Improved Therapeutic Alliance, by fostering the relationship between the patient and their care team and enhancing the patient’s sense of safety and security through continued and sincere communication. Patients and providers also discussed how RSM Promoted Self-Efficacy and Management among Patients by allowing patients to feel involved and in control of their care, while giving them an inclination to be active members in their care. Providers felt that more active patient involvement in care contributed to a more accurate and thorough reporting of symptoms. Patients and providers also noted drawbacks regarding RSM, including lack of need in cases of no or mild symptoms. Conclusions: Patients and providers recognized the impact RSM had on patient care during cancer treatment. However, given some of the perceived limitations, patient and provider evaluations should continue to ensure successful implementation in future clinical trials. Clinical trial information: NCT04809740 .

Technology-Based Interventions to Promote Diabetes Self-Management Behaviors for Persons Newly Diagnosed with Type 2 Diabetes: A Scoping Review.

Type 2 diabetes (T2D) management is complex and requires daily personal involvement and self-management skills to maintain optimal glycemic levels and improve health outcomes. Engagement in self-management behaviors in the early years of diagnosis can be challenging due to prevailing psychosocial factors present during this critical transition period, coupled with a lack of information, support, and skills. Technology-based diabetes self-management interventions can improve access to needed education and support, and their effectiveness in the general T2D population is well documented. This scoping review synthesized evidence on the use of technology for promoting diabetes self-management behaviors and related outcomes among individuals newly diagnosed with T2D (within the first 12months since diagnosis). Twenty-five studies were included. Technology-based diabetes self-management interventions tailored to those newly diagnosed with T2D have grown exponentially in the past five years. Existing evidence, though limited, showed that technologies such as websites, mobile apps, and continuous glucose monitoring combinedwith other communication features, can facilitate patient education, patient-provider communication, and health data monitoring. However, these technologies less commonly involved social support functions. These technologies have the potential to improve diabetes knowledge and positively impactclinical, behavioral, and psychological outcomes. However, small sample sizes, use of non-experimental designs, and the absence of formative research and theoretical foundations limit the strength ofexisting studies. Technology-based self-management interventions for those newly diagnosed with T2D show promise in improving T2D-related outcomes. Future studies should include larger sample sizes, adopt rigorous study designs, and integrate formative work to enhance relevance, adoption, and impact.

Robustness and Scalability of Incomplete Virtual Pheromone Maps for Stigmergic Collective Exploration

The Swarm Guiding and Communication System (SGCS) is a decision-making and information-sharing framework for robot swarms that only needs close-range peer-to-peer communication and no centralized control. Each robot makes decisions based on an incomplete virtual pheromone map that is updated on each interaction with another robot, imitating ant colonial behavior. Similar systems rely on continuous communication with no range limitations, environment modification, or centralized control. A computer simulation is developed to assess the effectiveness and robustness of the framework in covering an area. Consistency and the time needed for 99% coverage are compared with an unbiased random walk. The pheromone approach is shown to outperfom the unbiased one regardless of number of agents. Innate resilience to individual failures is also demonstrated.

Experiences of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care: a qualitative study

BackgroundThe transition of family caregivers of patients with end-of-Life cancer receiving palliative care from hospital to home is a complex and challenging process. This phase of care involves not only the physical and psychological health of the patient but also the role adaptation and emotional support of the family caregivers. To gain a deeper understanding of the various experiences and feelings during this process, we conducted a qualitative study.MethodsThis study employed a descriptive phenomenological research method. The interviews focused on the specific experiences, challenges faced, support received, and coping strategies of family caregivers of patients with end-of-life cancer during the transition from hospital to home palliative care. All data were treated with strict confidentiality, and recordings and transcriptions were made with the participants’ consent.ResultsA total of 15 family caregivers participated. Four main themes and nine sub-themes were identified: complex transition process (anxiety about uncertainty, resistance to transition), discontinuity in care (insufficient discharge guidance, lack of continuous communication mechanisms), post-discharge continuous care needs (need for home care knowledge and skills, social and emotional support, grief counselling and death education), and personal growth and gains (enhanced coping ability, increased psychological resilience).ConclusionFamily caregivers face numerous emotional, cognitive, practical, and social support challenges during the transition from hospital to home care. To improve the caregiving experience and quality of life, appropriate training and support should be provided to better meet the caregivers’ needs.