Support Of Department Research Articles

Second Look Opportunity for Radiation Oncology Medical Residency During Virtual Interview Season

PurposeDespite easing of COVID-19 travel restrictions and social distancing, medical radiation oncology (RO) residency interviews for the 2023 Match remained exclusively virtual. Virtual interviews can be limited in providing program atmosphere, resident camaraderie, and city culture. Our institution offered a voluntary in-person second look (SL) to address these concerns and supplement the virtual interview. Methods and MaterialA voluntary in-person SL across 3 dates was offered to all applicants who successfully interviewed with the RO department for the 2023 Match (n=54). Attendees of the SLs (n=38) were invited to complete a voluntary 10-question anonymous survey after Match Day regarding their perspectives on this opportunity including motivations for attending, financial burden, and perceived benefits of SLs. Results38 individuals (70%) attended one of the departmental SLs with 19 participants (50%) completing the survey. 16 out of 19 (84%) participants traveled >200 miles to attend. All surveyed applicants were grateful for the in-person SL opportunity and agreed such opportunities should continually be offered with exclusively virtual residency interviews. All participants reported that their decision to attend the SL was affected by departmental financial support. Two applicants felt pressured to attend the SL to remain competitive to the program. Majority of applicants agreed that they achieved a better “feel” for the program culture and the larger institution, resident camaraderie, and the surrounding city from this in-person SL encounter, compared to virtual interview alone (18, 94%). ConclusionThese in-person second look opportunities were well-attended, well-received, and offered insights and experiences to RO resident applicants in the setting of exclusively virtual interviews. The cost of attendance may be a limiting factor when applicants are deciding to attend in-person SLs. Caution is needed to ensure applicants do not feel obligated to attend and SLs are not used as a platform for inappropriate post interview communication.

National needs assessment of emergency medicine faculty regarding scholarly activity practices and support.

We aimed to assess the attitudes and perceptions of scholarly activity (SA) practices among emergency medicine (EM) physicians who are engaged in training residents. This study examined the belief and need for modern-day SA, potential barriers, and department resources provided. We conducted a descriptive cross-sectional survey study of EM physicians across the United States identified from the American College of Emergency Physicians and American College of Osteopathic Physicians directories. The survey consisted of 18 items regarding demographics, attitude toward SA, department support, and questions regarding residency programs. A total of 660 survey recipients completed the survey out of a possible pool of 4296 individuals (15% response rate), of which 530 (80%) indicated they were core faculty. Of core faculty, 428 (80.8%) were part of an allopathic program, whereas 102 (19.2%) were part of an osteopathic program. Department support was provided for protected time (385; 58.3%), research staff (346; 52.4%), Institutional Review Board preparation (240; 36.4%), and biostatistics (314; 47.6%). Of all the institutional roles, the largest percentage (82/125, 65.6%) of chair/vice chair/associate chairs strongly agreed or agreed (score of 5 or 4 of 5) with the statement, "Overall, I am satisfied with the scholarly support provided by my department." There was no difference in agreement with this statement between respondents in an allopathic versus osteopathic program (210/428, 49.1% allopathic; 45/102, 44.1% osteopathic). There is a need for increased departmental support for SA. To optimally implement the Accreditation Council for Graduate Medical Education (ACGME) SA requirements into strategy and action, the ACGME should consider providing EM residency programs with an outline of best SA practices to foster a uniform consensus across academic institutions.

Decision and economic evaluation of abortion availability in the United States military

BackgroundActive-duty service women rely on the civilian sector for most abortion care due to limits on federal funding for abortion. Abortion is now banned in many states with large military presences. The Department of Defense has implemented policies to assist active-duty service women in accessing abortion, but there is debate to reverse this support. ObjectiveOur goal was to compare the cost-effectiveness and incidence of adverse maternal and neonatal outcomes of a hypothetical cohort of active-duty service women living in abortion-restricted states comparing restricted abortion access (abortion not available cohort) to abortion available with Department of Defense travel support (abortion available cohort). Study DesignWe developed a decision tree model to compare abortion not available and abortion available cohorts for active-duty service women living in abortion-restricted states. Our cohorts were subdivided into normal pregnancies and those with a major fetal anomaly. Cost estimates, probabilities, and disability weights of various health conditions associated with abortion and pregnancy were obtained and derived from the literature. Effectiveness was expressed in disability-adjusted life years and the willingness to pay threshold was set to $100,000 per disability-adjusted life year gained or averted. We completed probabilistic sensitivity analyses with 10,000 simulations to test the robustness of our results. Secondary outcomes included numbers of stillbirths, neonatal deaths, neonatal intensive care unit admissions, maternal deaths, severe maternal morbidities, and first and second trimester abortions. ResultsThe abortion not available cohort had a higher annual cost to the military ($299.1 million, 95% CI 239.2 – 386.6, vs. $226.0 million, 95% CI 181.9 – 288.5) and was associated with 203 more disability-adjusted life years compared to the abortion available cohort. The incremental cost effectiveness ratio was dominant for abortion available. Abortion not available resulted in an annual additional 7 stillbirths, 1 neonatal death, 112 neonatal intensive care unit admissions, 0.016 maternal deaths, 24 severe maternal morbidities, 27 less second trimester abortions, and 602 less first trimester abortions. Probabilistic sensitivity analysis revealed that the chance of the abortion available cohort being the more cost-effective strategy was greater than 95%. ConclusionLimiting active-duty service women’s access to abortion care increases costs to the military, even with costs of travel support, and increases adverse maternal and neonatal outcomes. This analysis provides important information for policymakers about economic and health burdens associated with barriers to abortion care in the military.

Probing Interfacial Degradation in Solid-State Batteries Using Machine Learning Force Fields

Solid-state batteries (SSBs) are next-generation energy storage technologies with improved safety and potentially higher energy densities compared to conventional Li-ion batteries, which is enabled by using fast ion-conducting solid electrolytes (SEs). However, practical applications of SSBs are hindered by the electro-chemo-mechanical instabilities at interfaces within the SEs (grain boundaries (GBs)) and between SEs and the electrodes, which deteriorates Li transport and the chemical and mechanical integrity of the cell. To mitigate, fundamental understanding of the intrinsic physico-chemical properties at interfaces is required. To this end, we directly probe atomic structures of the interfaces and GBs by performing large-scale atomistic simulations, enabled by validated machine-learning force fields (MLFFs) and resolve the structure-property relationship at complex interfaces that governs Li-ion transport and stability of SSBs.In this talk, we will discuss the characteristics of garnet Li7La3Zr2O12 (LLZO) SE/LiCoO2 (LCO) cathode interfaces as well as the internal interfaces within the LLZO (GBs). It is observed from our simulations that the propensities for interfacial degradation strongly depend on the surface chemistry of LLZO and LCO. Doping LLZO is found to have a segregation effect at the LLZL GBs, here we will discuss its implication towards secondary phase formation and Li transport kinetics. At last, we will address the impact of interfaces on micro-crack propagation behavior in the LLZO-LCO system. In summary, our results reveal how atomic details of the dynamically evolving interfaces dictate the performance of SSBs, and provide guidance for processing and interface design to achieve desired performance .This work was performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under contract number DEAC52-07NA27344. Authors acknowledge funding support from the Vehicle Technologies Office, Office of Energy Efficiency and Renewable Energy, U.S. Department of Energy and computational resource support from the Innovative and Novel Computational Impact on Theory and Experiment (INCITE) program. This research used resources of the Argonne Leadership Computing Facility, which is a DOE Office of Science User Facility supported under Contract DE-AC02-06CH11357.

(Invited) Nanowire Catalysts and Adsorbents

The unique properties of nanowire materials like fast charge transport, short diffusion length, controlled surface sites and single crystal nature make them ideal for designing high performance catalysts, adsorbents and electrocatalysts by design. To realize any of these applications, one would need either large quantities of nanowire powders or nanowire arrays on large areas. In this presentation, we will highlight our group’s efforts with scalable methods for continuous manufacturing of nanowire powders and arrays for oxides1 and III-nitride materials.2 The process for producing metal oxide nanowires has been scaled up to ton-scale. The resulting nanowire powders can be used to formulate unique catalyst and adsorbent products.Zinc oxide nanowires alloyed with catalytically active metals and have been formulated into ultra-deep desulfurization catalytic adsorbents.3,4 These materials exhibited ultra-deep desulfurization with sulfur removal down to 1 ppm or below for liquid hydrocarbons (diesel, gasoline and naphthalene) and to less than 1 ppb for natural gas. The desulfurization mechanism does not involve formation of H2S species unlike that typically observed with hydro-desulfurization process involving sulfided catalysts.Titania nanowires supported with nickel and molybdenum clusters have also shown to exhibit high activity and durability as hydro-desulfurization catalysts for removal of sulfur from hydrocarbons by forming H2S.5 The synergistic activity with MoS2 and titania are expected to contribute to enhanced activity with desulfurization.Alloying of nanowires with other elements is also studied to produce compound and alloyed nanowires. Fundamental studies have shown that alloying process occurs at much lower temperatures than decomposition temperatures for precursors used. Alloying studies have clearly shown that the solubility in nanowires to be much more than that expected for bulk materials systems. This presentation will provide several examples in which nanowires were alloyed with elements at compositions more than that expected for thermodynamic solubility.In the case of CO2 sorbents, alkali metal oxide nanowires have shown high capacity for CO2 sorption as high as 75% by wt. The alkali metal oxide nanowires have been alloyed with alkali hydroxides to produce alkali metal oxide compound nanowires. These solid sorbents showed selective CO2 sorption from a variety of streams including air, exhausts containing CO2 at various concentrations. Nanowire geometry for these nanowires allow for non-sinterability, and smaller length scales for rapid diffusion of alkali ions allow for fast kinetics and regenerability. 6,7 Acknowledgements: Authors also acknowledge contributions from Drs. Juan He, Sivakumar Vasireddy, Vivekanand Kumar, Veerendra Atla and Tu Nguyen. Partial support from National Science Foundation (NSF) and US Department of Energy (DOE) EPSCOR programs and full support from NSF and DOE SBIR programs and Kentucky Cabinet for Economic Development for Advanced Energy Materials, LLC are highly appreciated.

Facilitators, barriers, and changes in POCUS use: longitudinal follow-up after participation in a national point-of-care ultrasound training course in Japan

BackgroundPOCUS training courses are effective at improving knowledge and skills, but few studies have followed learners longitudinally post-course to understand facilitators, barriers, and changes in POCUS use in clinical practice. We conducted a prospective observational study of physicians who attended 11 standardized POCUS training courses between 2017 and 2019 in Japan. Physicians who attended a standardized POCUS course were surveyed about their current frequency of POCUS use of the heart, lung, abdomen, and lower extremity veins, and perceived barriers and facilitators to POCUS use in clinical practice.ResultsData were analyzed from 112 completed surveys (response rate = 20%). A majority of responding physicians were faculty (77%) in internal medicine (69%) affiliated with community hospitals (55%). The mean delay between course attendance and survey response was 50.3 months. A significant increase in POCUS use from < 1 to ≥ 1 time per week was seen for all organ systems after 50 months post-course (p < 0.01). Approximately half of course participants reported an increase in the frequency of cardiac (61%), lung (53%), vascular (44%), and abdominal (50%) ultrasound use. General facilitators of POCUS use were easy access to ultrasound machines (63%), having a colleague with whom to learn POCUS (47%), and adequate departmental support (46%). General barriers included lack of opportunities for POCUS training (47%), poor access to ultrasound machines (38%), and limited time for POCUS training (33%). In the group with increased POCUS usage, specific facilitators reported were enhanced POCUS knowledge, improved image acquisition skills, and greater self-confidence in performing POCUS. Conversely, the group without increased POCUS usage reported lack of supervising physicians, low confidence, and insufficient training opportunities as specific barriers.ConclusionsApproximately half of physicians reported an increase in cardiac, lung, vascular, and abdominal POCUS use > 4 years after attending a POCUS training course. In addition to improving access to ultrasound machines and training opportunities, a supportive local clinical environment, including colleagues to share experiences in learning POCUS and local experts to supervise scanning, is important to foster ongoing POCUS practice and implementation into clinical practice.

ICU nurses' practice and intention to implement early mobilization: A multi-centre cross-sectional survey.

Early mobilization (EM) is acknowledged for its safety and benefits in the recovery of critically ill patients, yet its implementation in intensive care units (ICU) remains inconsistently aligned with established guidelines. This discrepancy highlights a gap between theoretical endorsement and practical application. While barriers to EM have been extensively studied, the intentions and perceived practices of ICU nurses towards EM, especially in certain geographical regions, have not been adequately understood. The objective of this study is to assess the perceptions, actual practices and intentions of ICU nurses regarding the implementation of EM for patients in the ICU setting. A cross-sectional, multi-centre, survey-based study. The study collected data through an electronic questionnaire from 227 ICU nurses across eight hospitals in Beijing, China, concerning their experiences, practices and intentions related to EM. The survey response rate was 50% (114 of 227), indicating a moderate level of engagement by the target population. Among the surveyed participants, 68.7% (n = 156) reported having experience with EM for critically ill patients. Of these experienced nurses, 49.3% (n = 77) indicated they carried out EM less frequently than once per week, while only 29.5% (n = 46) reported dedicating more than 20 min to EM activities per patient. Only 24.2% (n = 55) of participants confirmed the presence of specific EM guidelines in their workplace. Notably, guideline adherence could be influenced by the patient's condition severity, which may affect how these protocols are applied. Notably, the approach and frequency of EM practices showed significant variation across different ICUs. A substantial majority (75%, n = 170) of participants expressed a strong intention towards implementing EM, correlating significantly with factors such as having a higher education level (bachelor's degree or higher), receiving departmental support, encountering fewer perceived barriers, and belonging to specific departments like respiratory (SICU) and surgery (RICU). The EM guidelines mentioned by participants were primarily focused on specific protocols and guidance, highlighting the emphasis on structured approaches to EM in their clinical settings. Despite the recognized experience with EM among ICU nurses, there is a notable divergence between their practices and the recommendations outlined in EM guidelines. This study underscores the need for the establishment of clear, actionable guidelines, alongside the provision of targeted educational programmes and robust support systems, to foster the consistent and effective implementation of EM in ICU settings. This study underscores the clinical relevance of EM in ICU settings, advocating for the development of precise EM guidelines to improve patient outcomes.

Our undergraduate program for physiology research, UPRIME (Undergraduate Physiology In Medicine and Education) will continue and further encourage and foster our majors in Human Physiology to enter careers in the health professions and physiology research

We previously announced and reported on our undergraduate summer research program, UPRIME, funded by an American Heart Association Grant with departmental support, has been successful in the fostering of junior and senior undergraduates (UPRIME Scholars) for the health professions and research. UPRIME is a 13-week summer program that provides opportunities for biomedical research, educational support and career advising. Our hope is that this holistic approach builds a space for inclusive excellence in which UPRIME scholars can acquire the tools needed for success. During the past three years, we have selected UPRIME Scholars based on the strength of their applications. We have matched the research interests of the students with our departmental strengths and met with the scholars weekly to foster a peer-based community and augment their research efforts with scientific seminars and discussions. Additionally, our UPRIME Scholars were supported to present their work at local and national level meetings. Our companion program, INPUT (INtegrative Biology &amp; Physiology Undergraduate Training) which is designed for freshmen and sophomores with strong interest in physiology, is also part of our department’s commitment to inclusive excellence. Here, we are updating the statuses of previous and current UPRIME Scholars. Previous UPRIME Scholars have graduated and entered either professional schools (including medical and dental) or continue to work in our research labs. In addition, our most recent 2023 UPRIME Scholars that will graduate between 2023 and 2024 are currently still working in their mentors’ labs. Our department will continue to support UPRIME. In addition, we are committed to expanding our program to the regional and national levels. We seek highly motivated applicants from around the nation to apply to UPRIME for the opportunity to gain meaningful experiences in physiology research. American Heart Association. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

СОВЕРШЕНСТВОВАНИЕ КЛИНИКО-ЛАБОРАТОРНОЙ ДИАГНОСТИЧЕСКОЙ СИСТЕМЫ В РАМКАХ МЕДИЦИНСКИХ РЕАБИЛИТАЦИОННЫХ МЕРОПРИЯТИЙ ДЛЯ ЛИЦ ОПАСНЫХ ПРОФЕССИЙ

Annotation. Risky professions are associated with working conditions in which production factors cause a threat to the life of an employee and a high risk of injury. Employees of law enforcement agencies (armed forces, law enforcement agencies, Ministry of Emergency Situations) are included in the list of dangerous professions. Their work is associated with the presence of threats to life and health, psychological and physical overstrain, overwork, suddenness of events with a shortage of time, information overload, etc. Their adaptive mechanisms are often deformed. Among them, one of the most vulnerable is the endocrine system. In order to fully implement all measures for the provision of medical care and rehabilitation of persons performing official tasks in conditions adversely affecting their health, special medical and psychological programs have been developed and are successfully functioning in law enforcement agencies. They include a variety of aspects, among which the leading ones are assessment, consideration of the psychophysiological condition, its pharmacological and non-drug correction by various methods. Modern realities dictate the need for continuous improvement of this system. The proposed model implies the improvement of the laboratory level of endocrinological care in law enforcement agencies within the framework of general medical preventive and rehabilitation measures. It includes several stages (preventive, curative and informational-analytical), which, in turn, are divided into blocks. Each of them serves as an integral part of medical support in the system of rehabilitation measures for persons of dangerous professions, forming a whole multi-level dynamic process. It is emphasized that the organization of comprehensive rehabilitation measures in relation to employees of law enforcement agencies exposed to various occupational risks, in addition to traditional medical and psychological support of activities, should include a mandatory laboratory endocrinological link as an integral part of the general system of departmental medical support.

Why so few Ps become As: The character, choices and challenges of South Africa’s most talented young researchers

In this research article, we examine why so few of the most promising young scientists in South Africa, those who obtain a P or ‘prestigious’ rating from the South African National Research Foundation, go on to obtain an A rating, i.e. become leading international scholars in their fields. Drawing on in-depth interviews with 36 P-rated scientists in the period 1983 to 2022, we found that personal characteristics (such as work ethic), the right international networks, and strong departmental support are among the key factors that explain the research accomplishments of highly successful achievers.

Emphasizing the Importance of Social Comparison: A Multilevel Analysis of Safety Compliance

Safety compliance is a vital aspect of minimizing organizational risk of injury. However, much of the current scholarship neglects social processes that have important implications for the efficacy of efforts to increase compliance. Leveraging theories of social comparison and social reciprocation as a foundation, the present study investigated the compliance of others as a moderator for the relationship between supervisor safety priority and individual compliance, safety communication and individual compliance, and perceived departmental support and individual compliance. Utilizing unique data from U.S. Navy personnel (N = 8,331), we took a multilevel approach by examining three levels (individual, department, and ship) and found support for our hypotheses at the individual level. Further, when examining the compliance of others within their department assignments, we found that department compliance of others strengthens the relationship between supervisor safety priority and individual safety compliance. Providing a unique contribution to safety science, our findings emphasize the importance of cultivating normative perceptions, considering multilevel factors, and stressing compliance with safety protocols.

Barriers to Office Hysteroscopy in Fellowship Education and Practice

Study objectivesTo identify the top 3 perceived barriers to performing office hysteroscopy by MIGS faculty and fellows and identify opportunities for education on this key topic that will be most effective in fellowship training and MIGS practice. DesignCross-sectional survey study targeted at all AAGL-accredited FMIGS fellows, program directors, and associate program directors in February-April 2022. The survey was designed by faculty who have extensive experience in office hysteroscopy procedures. Additionally, a literature search was performed to aid with question design. Setting, patients and interventionsThis was a RedCap electronic survey administered through the FMIGS listserv. No additional follow-up was performed after survey completion. The 15-minute survey was sent to 60 program directors, 92 assistant program directors, and 158 fellows, including the incoming class of 2024 and the 2022 fellowship graduates. Measurements and main results93 responses were received. 67% of respondents performed office hysteroscopy (OH) but 73% of those performed 5 procedures or less per month. The majority of participants controlled pain with NSAIDs +/- paracervical block. The most common perceived barrier to performing OH was concern over pain management. Other commonly cited concerns were equipment costs, sterilization costs, and office staff training. 37-44% of respondents also cited lack of departmental support and insufficient clinic time, respectively, as barriers. 56% indicated they are interested in educational materials on OH. ConclusionOur study suggests general interest in, but low volume of OH amongst MIGS fellows and faculty. The most common perceived barrier was concern regarding pain management. This has been well studied in the literature and likely presents an area for greater education to improve OH utilization. We also uncovered concerns regarding systemic barriers, such as equipment costs, departmental support, and clinic structure. This is an area for further research and advocacy efforts to address barriers to OH on a system level.

Attitudes to the Implementation of Speech and Language Therapist Led Low Risk Two Week Wait Clinic in the UK: A Survey Exploration Using Normalization Process Theory.

The aim of this study was to identify the factors which might shape the implementation of speech and language therapist led low risk 2 week wait clinic (SLTLR-2WW). An online survey was designed, piloted, and disseminated through UK speech and language professional groups. The survey asked questions about, the skills of, and equipment available, to SLT respondents. Using a modified NoMAD instrument (based on Normalization Process Theory) the survey explored attitudes to the prospect of the development of the SLTLR-2WW clinical model in the UK. Responses were tallied and calculated as percentage of responses. The free text question responses were analyzed using a qualitative content approach, responses were coded and grouped into categories and mapped onto the Normalization Process Theory domains by the two authors. There were 129 responses to the survey questions from SLTs from all regions of the UK and 72 respondents supplied free text comments for analysis. The collected responses indicate there is enthusiasm for the potential development of SLTLR-2WW clinics. The survey demonstrates that there are disparities in terms of resource availability, departmental, management and clinical support, around the UK. There is limited but successful experience of SLTLR-2WW in the UK but the survey responses indicate there is potential for expanding the scope of practice for SLTs into the delivery of clinical care for patients referred as suspected cancer with hoarseness and swallowing issues. The responses to the NoMAD derived questions and free text analysis identify some factors which could impede the development of this new service model include, resistance, lack of training, supervision, and support from colleagues and management.

Facilitators and Barriers to the Adoption of Holistic Practices for Inclusive Recruitment in Graduate Medical Education.

A diverse physician workforce ensures equitable care. The holistic review of residency applications is one strategy to enhance physician diversity; however, little is known about current adoption and the factors that facilitate/impede the adoption of holistic recruitment practices (HRPs) by graduate medical education (GME) residency, and fellowship program directors (PDs). To describe the current state and explore, the barriers/facilitators to the adoption of HRPs at our institution. We disseminated information about HRP within our program between 2021 and 2022. In May 2022, a survey of 73 GME PDs assessed current recruitment practices and self-reported barriers to holistic recruitment. Holistic Recruitment Scores (HRSs) reflecting the adoption of best practices were tabulated for each program and compared to identify predictors of adoption. 73/80 (92%) of PDs completed the survey. Programs whose PDs had higher academic rank, total number of trainees, and female trainees in the past 3 years had higher HRSs. Program size was directly correlated with HRS. Most (93%) PDs felt their current efforts were aligned to increase diversity and 58% felt there were no barriers to the adoption of holistic review. The most reported barriers were lack of time and knowledge/expertise in diversity, equity, and inclusion (DEI), both reported by 16 out of 73 PDs (22%). While most PDs implemented some HRP, institutional and departmental support of program directors through the commitment of resources (eg, staffing help and subject matter experts/coaches hiring) are crucial to overcome barriers.

“Value-Conditioned Interest”: Secularity, Institutional Support, and the Sociology of Religion in Graduate Departments

ABSTRACT Although religion once played a central role in sociological inquiry, today it has fallen from prominence and now occupies a marginal space in the field. Sociologists of religion suggest that this neglect can be explained by the unusual irreligiosity of academia. However, some are hopeful that changes to graduate training and other institutional interventions can overcome this propensity and encourage more sociological engagement with religion, one of the most influential forces in contemporary society. Drawing on a new dataset of 473 sociology graduate students in the top 25 departments in the United States, we assess how personal secularity and departmental support for religious inquiry predict sociological engagement with religion. Personal secularity is a strong predictor of the decision to study religion and of the overall perception of the relevance of religion in contemporary society. Coming from a department where religion is discussed and faculty pursue research on religion predicts the perception of religion’s relevance for the secular majority. Our findings contribute to the understanding of sociological knowledge creation and how individual and institutional proclivities – together – shape what we deem important enough to study.

Dactyloscopic accounting in Ukraine: legal regulation and development trends

In the process of performing their duties, employees of the National Police of Ukraine are constantly faced with the task of identifying a person based on biometric data. One of the types of such identification is identification by fingerprints. According to the current legislation, the National Police fills and maintains up-to-date registers and data bases (banks) that are part of the unified information system of the Ministry of Internal Affairs of Ukraine, including collecting biometric data of individuals through fingerprinting.&#x0D; Automated dactyloscopic identification systems are also used in expert services. In addition, information on the biometric characteristics of a person is also contained in the State Migration Service of Ukraine, which is a subdivision of the system of the Ministry of Internal Affairs of Ukraine. It ensures maintenance of the Unified State Demographic Register, where biometric data (parameters) of a person are recorded. The latter means digitized fingerprints, digitized face image.&#x0D; Thus, pretrial investigation bodies within the framework of criminal proceedings in order to obtain information about the biometric parameters of a person can turn to specialists not only of the Expert Service of the Ministry of Internal Affairs of Ukraine, but also to the Department of Information and Analytical Support of the National Police of Ukraine, the State Migration Service of Ukraine.&#x0D; The Criminal Procedure Code of Ukraine defines only the procedure for taking biological samples from a person for examination as part of criminal proceedings. The rules of collection, accumulation, storage, use and destruction of biometric data are disclosed only in secondary legal acts, which have many contradictions among themselves. Unfortunately, in our country there are cases when the information contained in the information and search systems of the Ministry of Internal Affairs of Ukraine is not deleted in a timely manner, which violates the rights and freedoms of citizens.&#x0D; Therefore, the legal regulation of the collection of biometric data is extremely important and relevant, as many issues remain unsettled at the legislative level.&#x0D; Today, the current system of automated dactyloscopic records of the Ministry of Internal Affairs of Ukraine needs technical improvement and legal regulation of data collection with respect for the protection of human rights and fundamental freedoms. The authors propose to resolve the issue of legal support for dactyloscopic registration and other biometric data by adopting a law on biometric registration, which would define its types, the order of formation and use. Researchers consider it necessary to implement multimodal biometric technologies that can search for several biometric parameters with the possibility of combining them.

A National Study of Expedited Partner Therapy Use in Emergency Departments: A Survey of Medical Director Knowledge, Attitudes, and Practices.

Emergency departments (EDs) are the primary source of health care for many patients diagnosed with sexually transmitted infections (STIs). Expedited partner therapy (EPT), treating the partner of patients with STIs, is an evidence-based practice for patients who might not otherwise seek care. Little is known about the use of EPT in the ED. In a national survey, we describe ED medical directors' knowledge, attitudes, and practices of EPT. A cross-sectional survey of medical directors from academic EDs was conducted from July to September 2020 using the Academy of Academic Administrators of Emergency Medicine Benchmarking Group. Primary outcomes were EPT awareness, support, and use. The survey also examined barriers and facilitators. Forty-eight of 70 medical directors (69%) responded. Seventy-three percent were aware of EPT, but fewer knew how to prescribe it (38%), and only 19% of EDs had implemented EPT. Seventy-nine percent supported EPT and were more likely to if they were aware of EPT (89% vs. 54%; P = 0.01). Of nonimplementers, 41% thought EPT was feasible, and 56% thought departmental support would be likely. Emergency department directors were most concerned about legal liability, but a large proportion (44%) viewed preventing sequelae of untreated STIs as "extremely important." Emergency department medical directors expressed strong support for EPT and reasonable levels of feasibility for implementation but low utilization. Our findings highlight the need to identify mechanisms for EPT implementation in EDs.

COVID-19’s meso-scale impacts: exploring the perspectives of geoscience department chairs in California

Across the landscape of higher education, the COVID-19 pandemic has caused fundamental changes at a variety of scales. To understand which aspects of higher education instruction at the departmental (meso-scale) level were most and least impacted by the COVID-19 pandemic, chairs of geoscience departments at public higher education institutions in California (n = 38) were surveyed on the pandemic’s impacts on teaching in their departments, and whether those changes persisted beyond Spring 2022. The shift to online teaching was the pandemic’s primary impact. The findings indicate that this shift was followed by significant direct and indirect impacts on a variety of departmental and instructional aspects, including assessment methods, course offerings, course structure and organization, enrollment, recruitment and outreach, and student learning, in both positive and negative ways. Conversely, the pandemic had relatively little impact on degree structure and course content. Key pedagogical changes include the increased use of Learning Management Systems (LMSs), non-exam assessment methods, and online and hybrid modalities. The results highlight the need for departmental and institutional support to mitigate negative effects on geoscience in-lab and in-field classes, equity and achievement gaps, graduate student needs, recruitment and outreach efforts, and department chair stress, mental health, and burnout. Continued health and resilience in geoscience departments requires that the pandemic’s negative impacts be identified, studied, and addressed by departments, institutions, and professional organizations. Analyzing effects at the meso-scale is an important part of a multi-faceted, multi-scalar assessment of the pandemic’s impacts on geoscience education.

Lean Six Sigma for Visibility Improvement: Case Study at Department of Social Support

This paper addresses quality management in the public sector, namely the application of Lean Six Sigma (LSS) methods to increase the visibility of the flow of procedures in the administration of public institutions. Visibility of administrative procedures flow helps the citizen to better understand how an administrative process begins, how it develops, who is involved, how long it lasts and when it ends. In order to achieve the intended result of this study, public institutions at the local level, respectively municipality and the center for social issues, are observed. The current state of visibility of the procedures has been identified, defects are listed, measured, the causes of the defects are learned, the action plan has been proposed and the change of the situation has been verified. The methodology applied in this study is based on the LSS - DMADV technique (Define, Measure, Analyse, Design, and Verify). Thanks to DMADV methodology, a practical solution has been proposed that improves the visibility of procedures in the municipal administration. The public sector should consider investing in the application of LSS methods in order to increase creativity among employees for the quality flow of information by making them clear, cheep, simple and fast for citizens.

Development, Implementation, and Provider Perception of Standardized Critical Event Debriefing in a Pediatric Emergency Department.

Hot debriefings are communications among team members occurring shortly after an event. They have been shown to improve team performance and communication. Best practice guidelines encourage hot debriefings, but these are often not routinely performed. We aim to describe the development and implementation of a multidisciplinary hot debriefing process in our pediatric emergency department (ED), and its impact on hot debriefing completion and provider perceptions. An internal tool and protocol for hot debriefings were developed by integrating responses from a survey of those who work in the ED at our institution and previously published debriefing tools. Charge nurses and pediatric emergency medicine physicians were trained to lead hot debriefings. Surveys on the perception of hot debriefings were administered before and 6 months postimplementation.Twelve-month baseline data were established by asking physicians who cared for patients who died in the ED or within 48 hours of admission to recall debrief completion. Debriefs were then prospectively tracked for 6 months postimplementation. Debrief completion for patient deaths in the ED or within 48 hours of admission increased from 23% (5/22) to 75% (12/16) ( P < 0.001). When assessing just those deaths within the ED, this number increased from 31% (5/16) to 85% (11/13) ( P < 0.001).There were 98 responses to a baseline survey (response rate, 60.5%). Most who were surveyed felt that debriefs rarely occurred, preferred hot debriefings to cold debriefings, and felt that more hot debriefings should occur. Perceived barriers included lack of time, interest, protocol, trained facilitators, departmental support, and inability to gather the team.There were 88 responses to a postintervention survey (response rate, 56.8%), 50 of which had participated in a debrief and were included in analysis. Those surveyed felt that debriefs occurred more often and were more often valuable. Most perceived that barriers were significantly reduced. Most respondents felt that hot debriefs helped address systems issues and improved performance. Implementation of a protocol for physician or charge nurse-led hot debriefings in our pediatric ED resulted in increased completion, perceived barrier reduction, and a uniform approach to address identified issues. Pediatric EDs should consider adoption of a hot debriefing protocol given these benefits.