Dissemination Of Programs Research Articles

249 (PB237): The bromodomain and extraterminal domain family proteins, BRD2, BRD3 and BRD4, are enrolled in H19-dependent transcriptional regulation of cell adhesion molecules and modulate metastatic dissemination program in prostate cancer

249 (PB237): The bromodomain and extraterminal domain family proteins, BRD2, BRD3 and BRD4, are enrolled in H19-dependent transcriptional regulation of cell adhesion molecules and modulate metastatic dissemination program in prostate cancer

The Realities of Caring for a Person with a Mental Disorder in Rural and Remote Capricorn District of South Africa: A Qualitative Study.

In rural African communities, family caregivers shoulder the responsibility of caring for loved ones with mental disorders, often without professional support. This qualitative explorative study, conducted in Limpopo Province, South Africa, aimed to explore the realities of caring for a family member with a mental disorder in rural and remote Capricorn District, in order to uncover insights that can inform support systems, the academic community, interventions, and policies. Non-probability purposive sampling was used to ensure the reproducibility and validity of the results by focusing on participants who are actively involved in caregiving, living in the rural and remote of Capricorn District, in order to provide a comprehensive understanding of their experiences, and this resulted in 15 participants (13 females, 2 males). Data saturation determined the sample size, with data collected through in-depth interviews and analyzed using Tesch's open-coding method. The findings revealed that cultural and spiritual beliefs strengthen caregivers, who exhibit resilience and resourcefulness, yet face financial strain, career setbacks, social isolation, and health declines. The study underscores the critical role of healthcare professionals in recognizing and addressing the challenges faced by family caregivers, while also advocating for the academic community to prioritize the development and dissemination of educational programs focused on safe and ethical coping strategies for caregivers and for policymakers to develop comprehensive mental health services that are accessible and culturally sensitive to rural and remote communities. This is essential because the well-being of caregivers directly influences the rehabilitation and community integration outcomes for individuals with mental disorders.

Facilitators, barriers, and enablers of social workers’ utilization of an evidence-based parenting program: An exploratory mixed-method study

Social workers play a vital role in both the child welfare systems and the dissemination of evidence-based parenting programs aimed at reducing child maltreatment rates at scale. However, notable knowledge gap remains on factors influencing social workers’ program delivery. Using the Triple P – Positive Parenting Program as an example, the present study aims to investigate the facilitators (what aided the implementation), barriers (what hindered the implementation), and enablers (what changes would help implementation) of social workers’ implementation of an evidence-based parenting program. An international sample of 301 social workers trained in Triple P between 2012 and 2020 from six countries were included (i.e., U.S., Canada, Australia, New Zealand, UK, Denmark). A mixed-method approach was used which combined item-level regression analyses with quantitative and thematic analysis with qualitative data. Organizational/team/peer support and program resources were identified as strong themes in both quantitative and qualitative analyses. Engaging disadvantaged parents and online delivery were identified as a significant challenge for social workers in qualitative analysis. The findings of this study contribute to a better understanding of the factors influencing social workers’ implementation of parenting programs. Implications of the present findings were discussed.

Reducing asthma attacks in disadvantaged school children with asthma: study protocol for a type 2 hybrid implementation-effectiveness trial (Better Asthma Control for Kids, BACK)

BackgroundAsthma is a leading cause of children’s hospitalizations, emergency department visits, and missed school days. Our school-based asthma intervention has reduced asthma exacerbations for children experiencing health disparities in the Denver Metropolitan Area, due partly to addressing care coordination for asthma and social determinants of health (SDOH), such as access to healthcare and medications. Limited dissemination of school-based asthma programs has occurred in other metropolitan and rural areas of Colorado. We formed and engaged community advisory boards in socioeconomically diverse regions of Colorado to develop two implementation strategy packages for delivering our school-based asthma intervention — now termed “Better Asthma Control for Kids (BACK)" — with tailoring to regional priorities, needs and resources.MethodsIn this proposed type 2 hybrid implementation-effectiveness trial, where the primary goal is equitable reach to families to reduce asthma disparities, we will compare two different packages of implementation strategies to deliver BACK across four Colorado regions. The two implementation packages to be compared are: 1) standard set of implementation strategies including Tailor and Adapt to context, Facilitation and Training termed, BACK-Standard (BACK-S); 2) BACK-S plus an enhanced implementation strategy, that incorporates network weaving with community partners and consumer engagement with school families, termed BACK-Enhanced (BACK-E). Our evaluation will be guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, including its Pragmatic Robust Implementation Sustainability Model (PRISM) determinants of implementation outcomes. Our central hypothesis is that our BACK-E implementation strategy will have significantly greater reach to eligible children/families than BACK-S (primary outcome) and that both BACK-E and BACK-S groups will have significantly reduced asthma exacerbation rates (“attacks”) and improved asthma control as compared to usual care.DiscussionWe expect both the BACK-S and BACK-E strategy packages will accelerate dissemination of our BACK program across the state – the comparative impact of BACK-S vs. BACK-E on reach and other RE-AIM outcomes may inform strategy selection for scaling BACK and other effective school-based programs to address chronic illness disparities.Trial registrationClinicaltrials.gov identifier: NCT06003569, registered on August 22, 2023, https://classic.clinicaltrials.gov/ct2/show/NCT06003569.

Policy and perspective on outpatient programs for autologous hematopoietic cell transplantation and immune-effector cell therapy administration.

High-dose chemotherapy with autologous hematopoietic cell transplantation (AutoHCT) has long been an integral treatment modality for multiple myeloma and non-Hodgkin lymphoma. Over the past 25 years, numerous institutions have shifted this practice from requiring hospitalization to one that can be performed in an ambulatory setting, resulting in cost savings and improved quality of life for patients. The recent advent immune-effector cell (IEC) therapies and expansion of their indications is changing the treatment landscape for hematologic and non-hematologic malignancies. However, current financial models and reimbursement structures threaten the viability and sustainability of this treatment modality should it continue to require inpatient administration and management. This threat is leading institutions to develop outpatient IEC programs based off the outpatient AutoHCT templates. Integral to the success of both is a cohesive program with outpatient-specific standard operating protocols, highly-trained providers and staff with expertise specific in these treatment modalities, evidenced-based supportive care and prophylaxis plans, extensive caregiver vetting and education, and the infrastructure to support all individuals involved. In this policy and practice review we provide an overview of the guidelines and published academic experiences, give a perspective-based description of the roles and responsibilities of the individuals involved in this process at our institution, and highlight actionable recommendations that could allow for the dissemination and implementation of outpatient AutoHCT and IEC programs more broadly.

Evaluation of Tobacco Tax Funding to Eradicate Illicit Cigarettes in Indonesia: A Qualitative Approach.

The illicit cigarette trade endangers public health because it increases access to cheaper tobacco products, hence fueling the tobacco epidemic and undermining tobacco control policies. The objective of this study was to evaluate the execution of an illicit cigarette eradication program under the jurisdiction of the local government in Indonesia. We sought to provide insights into the effectiveness of current policies and their impact on the illicit cigarette trade in line with the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) protocol to eliminate illicit trade in tobacco products. We conducted semistructured interviews with key policy-makers and semistructured FGDs with consumers and small- to medium-scale cigarette manufacturers at the district level. We indentified Pasuruan and Kudus as the districts or cities with the highest proportion of DBH CHT, and Jepara and Malang as a district with a highest illicit cigarette incident. We used reflective thematic analysis to identify the important opportunities and challenges facing illicit cigarette eradication programs in the three districts. We identified four opportunities and four challenges related to illicit cigarette eradication program implementation under the local government. The opportunities for illicit cigarette eradication lie in strong central government regulatory and multisectoral authority support, consumer awareness, and local governments' commitment to tobacco supply chain control. The key challenges facing illicit cigarette eradication include ineffective public dissemination programs, rapidly changing regulatory designs, consumers' preferences for illicit products, and a lack of industrial involvement in tobacco supply chain control programs. In addition to significant budget allocation and increasing consumer awareness, local programs to eradicate illicit cigarette production require considerable evaluation to rethink the program's design and external stakeholders' engagement within the local government's scope.

Estimating the Effects of Cancer Screening in Clinical Practice Settings: The Role of Selective Uptake and Suboptimal Adherence along the Cancer Screening Continuum.

Randomized controlled trials (RCT) are the gold standard in determining efficacy of cancer screening tests. Yet, systematic differences between RCT and the general populations eligible for screening raise concerns about the generalizability and relevance of RCT findings to guide the development and dissemination of cancer screening programs. Observational studies from clinical practice settings have documented selective uptake in screening-i.e., variation across subgroups regarding who is screened and not screened-as well as suboptimal adherence to screening recommendations, including follow-up of positive findings with subsequent imaging studies and diagnostic invasive procedures. When the effectiveness of a screening intervention varies across subgroups, and there is selective uptake and suboptimal adherence to screening in clinical practice relative to that in the RCT, the effects of screening reported in RCTs are not expected to generalize to clinical practice settings. Understanding the impacts of selective uptake and suboptimal adherence on estimates of the effectiveness of cancer screening in clinical practice will generate evidence that can be used to inform future screening recommendations and enhance shared decision-making tools.

Northeast Bank of Brazil's Role in Promoting Entrepreneurial Innovation in Family Farming through Renewable Energy Financing

Objective: This study aims to analyze the influence of Banco do Nordeste (Northeast Bank of Brazil) in promoting innovative entrepreneurship in family farming through its renewable energy financing policies. Method: A quantitative research methodology was employed, involving a survey of 164 family farmers located in the rural areas of Rio Grande do Norte. The collected data were subjected to confirmatory factor analysis (CFA) and multiple linear regression (MLR) to assess the relationships between entrepreneurial innovation, renewable energy adoption, and competitive advantage in family farming. Results: The findings demonstrate that innovative entrepreneurship facilitated by Banco do Nordeste's financing policies significantly contributes to 59.5% of the development in family farming. Furthermore, renewable energy adoption is shown to have a considerable influence, accounting for 39.3% of the entrepreneurial innovation by lowering operational costs and minimizing environmental impacts. These results underscore the critical role of Banco do Nordeste in supporting regional development and encouraging sustainable practices among family farmers. Conclusions: The study concludes that Banco do Nordeste’s renewable energy financing policies are instrumental in fostering entrepreneurial innovation and promoting the sustainable development of family farming. This emphasizes the need for increased awareness and dissemination of such financing programs to enhance their effectiveness. Additionally, the development of a framework for analyzing entrepreneurial innovation in family farming offers a valuable resource for future research and policy development.

Impact of Financial Literacy of MSE’s on The Use of Financial Products

Objective – The purpose of this study is to find the impact of financial literacy of micro and small enterprises on financial products. Methodology/Technique – Data was collected through the distribution of questionnaires. The method used was data analysis using multiple regression analysis technique. The sample of this study was 70 small and micro enterprises in Sumba Island, East Nusa Tenggara. Findings – The findings reveal a positive correlation between financial literacy and financial products. Novelty – Improving financial literacy among SMEs will lead to increased use of financial products. The significance of this study is to implement information dissemination and training programs to improve financial literacy and promote the adoption of financial products among SMEs in Sumba Island. Type of Paper: Empirical JEL Classification: G02, G32, G39. Keywords: Inclusion, Financial Literacy, Financial Knowledge, Financial Behavior, Financial Attitude Reference to this paper should be made as follows: Amtiran, P.Y; Anabuni, A.U.T; Yuni, E; Balle, M.Y; Maima, J. (2024). Impact of Financial Literacy of MSE’s on The Use of Financial Products, J. Fin. Bank. Review, 9(1), 38 – 48. https://doi.org/10.35609/jfbr.2024.9.1(2)

Use of technology in the dissemination of diabetes promotion and prevention programmes

Diabetes mellitus, a common endocrine pathology in these times of the 21st century, where many people of different etiological groups present it due to different risk factors. This pathology changes the life of the person, even more, if they do not carry out an adequate management of diabetes mellitus, because in the long term it increases the risks of presenting other chronic pathologies that can complicate the state of health and the prognosis of the individual's life. For this literature review research project: "Use of technology in the dissemination of diabetes promotion and prevention programmes" with the general objective: To promote the use of technology in the dissemination of diabetes promotion and prevention programmes; a qualitative and analytical approach was used, using databases such as google scholar, elsevier, pubmed, Taylor & Francis, Scielo, etc. At the end of the research it was concluded that the application of technology in programmes for the promotion and prevention of Type 2 Diabetes Mellitus has had a positive impact on its use, allowing a greater possibility for the population to take part in the programmes and reduce their risk of developing Type 2 Diabetes Mellitus.

Major Problems in Clinical Psychological Science and How to Address them. Introducing a Multimodal Dynamical Network Approach

Abstract Background Despite impressive dissemination programs of best-practice therapies, clinical psychology faces obstacles in developing more efficacious treatments for mental disorders. In contrast to other medical disciplines, psychotherapy has made only slow progress in improving treatment outcomes. Improvements in the classification of mental disorders could enhance the tailoring of treatments to improve effectiveness. We introduce a multimodal dynamical network approach, to address some of the challenges faced by clinical research. These challenges include the absence of a comprehensive meta-theory, comorbidity, substantial diagnostic heterogeneity, violations of ergodicity assumptions, and a limited understanding of causal processes. Methods Through the application of multimodal dynamical network analysis, we describe how to advance clinical research by addressing central problems in the field. By utilizing dynamic network analysis techniques (e.g., Group Iterative Multiple Model Estimation, multivariate Granger causality), multimodal measurements (i.e., psychological, psychopathological, and neurobiological data), intensive longitudinal data collection (e.g., Ecological Momentary Assessment), and causal inference methods (e.g., GIMME), our approach could improve the comprehension and treatment of mental disorders. Under the umbrella of the systems approach and utilizing e.g., graph theory and control theory, we aim to integrate data from longitudinal, multimodal measurements. Results The multimodal dynamical network approach enables a comprehensive understanding of mental disorders as dynamic networks of interconnected symptoms. It dismantles artificial diagnostic boundaries, facilitating a transdiagnostic view of psychopathology. The integration of longitudinal data and causal inference techniques enhances our ability to identify influential nodes, prioritize interventions, and predict the impact of therapeutic strategies. Conclusion The proposed approach could improve psychological treatment by providing individualized models of psychopathology and by suggesting individual treatment angles.

Advancing minimally invasive hepato-pancreato-biliary surgery: ensuring safety with implementation.

Although minimally invasive hepato-pancreato-biliary (MIS HPB) surgery can be performed with good outcomes, there are currently no standardized requirements for centers or surgeons who wish to implement MIS HPB surgery. The aim of this study was to create a consensus statement regarding safe dissemination and implementation of MIS HPB surgical programs. Sixteen key questions regarding safety in MIS HPB surgery were generated after a focused literature search and iterative review by three field experts. Participants for the working group were then selected using sequential purposive sampling and snowball techniques. Review of the 16 questions took place over a single 2-h meeting. The senior author facilitated the session, and a modified nominal group technique was used. Twenty three surgeons were in attendance. All participants agreed or strongly agreed that formal guidelines should exist for both institutions and individual surgeons interested in implementing MIS HPB surgery and that routine monitoring and reporting of institutional and surgeon technical outcomes should be performed. Regarding volume cutoffs, most participants (91%) agreed or strongly agreed that a minimum annual institutional volume cutoff for complex MIS HPB surgery, such as major hepatectomy or pancreaticoduodenectomy, should exist. A smaller proportion (74%) agreed or strongly agreed that a minimum annual surgeon volume requirement should exist. The majority of participants agreed or strongly agreed that surgeons were responsible for defining (100%) and enforcing (78%) guidelines to ensure the overall safety of MIS HPB programs. Finally, formal MIS HPB training, minimum case volume requirements, institutional support and infrastructure, and mandatory collection of outcomes data were all recognized as important aspects of safe implementation of MIS HPB surgery. Safe implementation of MIS HPB surgery requires a thoughtful process that incorporates structured training, sufficient volume and expertise, a proper institutional ecosystem, and monitoring of outcomes.

THE IMPLEMENTATION OF HOUSEHOLD-BASED SURVEYS: BASIS FOR AN ENHANCED INTERVENTION SCHEME

This study evaluates the implementation of a household-based survey conducted by the Philippine Statistics Authority (PSA) and its manifestation to respondents, serving as a basis for an enhanced survey program. Three hundred (300) households were surveyed via random sampling from the six (6) selected barangays in the Municipality of Santa Cruz, Laguna Province. Demographic characteristics of respondents provided insights into survey findings and implications. Results indicate a high level of implementation, as demonstrated by mean scores in critical indicators such as interviewer/enumerator duties, survey characteristics, and perception of the survey. Challenges persist in communication and information dissemination, yet overall implementation still needs to be higher. The study reveals significant relationships between socio-demographic profile variables and implementation variables, with the location of respondents influencing survey experiences. Age, sex, education, income, and occupation significantly correlate with survey aspects. Strong statistical correlations are observed between implementation and manifestation variables, emphasizing their influence on survey outcomes. The findings reject the hypothesis of no significant relationship between the household survey and its manifestation, providing valuable insights into survey dynamics. KEYWORDS: Household-based survey, Survey program, Implementation, Communication and information dissemination, Survey Experiences, Manifestation, Survey Outcome, Survey dynamics

Best practices for the dissemination and implementation of neuromuscular training injury prevention warm-ups in youth team sport: a systematic review

ObjectiveTo evaluate best practices for neuromuscular training (NMT) injury prevention warm-up programme dissemination and implementation (D&I) in youth team sports, including characteristics, contextual predictors and D&I strategy effectiveness.DesignSystematic review.Data sourcesSeven...

International Experience of Implementing Cognitive Remediation for People With Psychotic Disorders.

Cognitive remediation (CR) is an effective therapy for the cognitive impact of mental illness, especially schizophrenia. Global efforts are being made to implement CR into routine mental health services with the aim of improving functional outcomes for the population of people recovering from mental illness. Implementation and dissemination of CR in heterogeneous settings require knowledge gleaned from formal implementation research and pragmatic experiential learning. This article describes cross-cultural approaches to CR implementation, focusing on initiatives in France, the United States, Australia, and Japan. Key leaders in the implementation of CR in France, the United States, Australia, and Japan were asked to describe the implementation and dissemination process in their settings with respect to the categories of context, implementation, outcomes, facilitators, and barriers. All 4 sites noted the role of collaboration to leverage the implementation of CR into mental health rehabilitation services. In France, high-level, government organizational backing enhanced the dissemination of CR. Academic and clinical service partnerships in the United States facilitated the dissemination of programs. The advocacy from service users, families, and carers can aid implementation. The support from international experts in the field can assist in initiating programs but maintenance and dissemination require ongoing training and supervision of staff. CR is an effective intervention for the cognitive impact of schizophrenia. Programs can be implemented in diverse settings globally. Adaptations of CR centering upon the core components of effective CR therapy enhance outcomes and enable programs to integrate into diverse settings.

An Equity-Focused Assessment of Evidence-Based Parenting Intervention Research

Evidence-based parenting interventions (EBPI) support children and families to promote resilience, address emotional and behavioral concerns, and prevent or address issues related to child maltreatment. Critiques of EBPIs include concerns about their relevance and effectiveness for diverse populations when they are implemented at population scale. Research methods that center racial equity and include community-based participatory approaches have the potential to address some of these concerns. The purpose of the present review was to document the extent to which methods associated with promoting racial equity in research have been used in studies that contribute to the evidence base for programs that meet evidentiary standards for a clearinghouse that was developed to support the Family First Prevention Services Act in the United States. We developed a coding system largely based on the Culturally Responsive Evaluation model. A sample of 47 papers that are part of the evidence base for ten in-home parent skill-based programs were reviewed and coded. Only three of 28 possible codes were observed to occur in over half of the studies (including race/ethnicity demographic characteristics, conducting measure reliability for the study sample, and including information on socioeconomic status). Although the overall presence of equity-informed methods was low, a positive trend was observed over time. This review highlights ways in which rigorous research can incorporate racial equity into the planning, design, execution, and interpretation and dissemination of programs of study. We posit that doing so improves the external validity of studies while maintaining high-quality research that can contribute to an evidence base.

Prevention of eating disorders: 2023 in review

ABSTRACT This review of 16 prevention-related publications in Eating Disorders during 2022 is framed by three models: (1) Mental Health Intervention Spectrum: health promotion → types of prevention → case identification/referral → treatment; (2) the prevention cycle: rationale and theory, shaped by critical reviews → clarifying risk and protective factors → program innovation and feasibility studies → efficacy and effectiveness research → program dissemination; and (3) definitions of and links between disordered eating (DE) and eating disorders (EDs). Seven articles fell into the category of prevention rationale (including screening studies) and relevant reviews, while nine articles addressed correlates of/risk factors (RFs) for various aspects of DE and EDs. One implication of the 16 articles reviewed is that RF research toward construction of selective and indicated prevention programs for an expanding array of diverse at-risk groups needs to address, from a nuanced, intersectional framework, a broad range of factors beyond negative body image and internalization of beauty ideals. Another implication is that, to expand and improve current and forthcoming prevention programs, and to shape effective advocacy for prevention-oriented social policy, the field in general and Eating Disorders in particular need more scholarship in the form of critical reviews and meta-analyses; protective factor research; prevention program development and multi-stage evaluation; and case studies of multi-step activism at the local, state (province, region), and national levels.

조선족 학교 학생들의 이중 언어 태도 조사 연구

By examining the complex aspects of language use and attitudes among Korean-Chinese students living in Heilongjiang Province in China, this study aims to analyze the bilingual patterns of Korean-Chinese students from various angles and provide an in-depth understanding of their language usage patterns, attitudes toward language, and how bilingual skills are formed and developed in socio-cultural contexts. In this paper, based on the national public language supply policy at Heilongjiang Korean-Chinese School, a field survey and survey were conducted on students from Heilongjiang Province Korean-Chinese School to accurately grasp the status and attitude of bilingualism in Chinese and Korean. For the conduct of the study, first of all, the survey method and the subject of the survey were confirmed as students of 32 Korean-Chinese schools in Heilongjiang Province. Next, the pattern of bilingualism in Korean and Chinese was analyzed through a survey on language attitude, language status cause, language and character use, and language relationship. Next, the problems of bilingualism were confronted, and a strategy for optimizing bilingualism according to the cause was devised. The results of the survey showed that Korean-Chinese school students were deeply interested in Chinese and Chinese culture. In other words, it was premised that they should be able to accurately recognize the superiority of China's bilingual policy and speak both Korean and standard Chinese, which are the native languages of the Korean people, but it showed the reality that the Korean language ability was weakening day by day compared to Chinese. Therefore, in this paper, the optimization strategies for bilingualism were divided into five categories: language dissemination and education programs, socio-cultural environment encouraging language use, the development of bilingual education programs, home and community support for language use, and policy support for language preservation. Therefore, the Heilongjiang provincial government, schools, and parents should set up an environment where Korean language education can develop soundly through policies and measures to promote full promotion and distribution by developing Korean and Chinese in a balanced manner.

Outcomes of a Formal Hematopoietic Cell Transplantation Survivorship Program on Screening for Late Effects

Allogeneic hematopoietic cell transplantation (HCT) survivors may benefit from routine screening for post-transplant complications. However, the impact of formal survivorship efforts to promote screening adherence is uncertain. The effect of a formal HCT survivorship program to promote screening adherence was evaluated. We conducted a retrospective analysis of an academic formal HCT survivorship program with primary and specialty consult components. We included patients who underwent allogeneic HCT and were alive and relapse-free 1-year post-HCT. We excluded patients who died <2-year post-HCT or transferred care. We measured screening adherence to cardiovascular, pulmonary, ocular, secondary cancer, and endocrine evaluations. The primary outcome was proportion of patients completing ≥1 evaluation per screening domain prior to 2-year post-HCT. We examined screening adherence during 3 time periods: presurvivorship (2012 to 2014) and 2 postsurvivorship (2016 to 2018 and 2019 to 2021) using multivariate logistic and Cox proportional hazards regression. Four hundred ten patients (2012 to 2014: n = 136, 2016 to 2018: n = 153, 2019 to 2021: n = 121) were included. Compared to the presurvivorship period (16.9%), patients in 2016 to 2018 (47.7%, odds ratio [OR] = 4.9, P < .0001) and 2019 to 2021 (34.7%, OR = 2.7, P = .001) were more likely to complete ≥1 evaluation per screening domain. Except for pulmonary function tests in 2019 to 2021, median time to completion of survivorship evaluations was shorter in the survivorship periods compared to presurvivorship. Patients who completed a formal HCT survivorship consult in 2016 to 2018 and 2019 to 2021 were more likely to complete ≥1 evaluation per screening domain (OR = 5.1, P = .0004). Survivorship consult had similar effect on the primary screening outcome in 2016 to 2018 and 2019 to 2021 (consult × time interaction OR: 2.5, P = .2). However, patients who received a consult in 2019 to 2021 were more likely to complete all screenings (consult × time interaction: OR = 5.7, P = .03). Our HCT survivorship program with primary and specialty components improved screening adherence. Additional studies are needed to evaluate efficacy, dissemination, and implementation of formal HCT survivorship programs.

Genetic analysis of test-day milk yield in sheep recorded at two governmental breeding and multiplication centers in Ethiopia

ABSTRACT One aim was to compare four classes of ewes for test-day milk yield (TDMY). The classes are the local Menz breed, the Awassi breed, and their main crossbreds (50 and 75%). Another aim was to estimate variance components to facilitate the prediction of breeding values and their accuracy. A total of 1040 TDMY records of 211 ewes were used. A univariate repeatability model with Legendre polynomial coefficients were used to model lactation curves. The 100% Awassi ewes produced significantly (p < 0.05) more milk than the other studied ewe groups within 120 Days in milk (DIM). The Local ewes produced significantly less than the other groups. Estimates of heritability (h 2) and repeatability (r) of TDMY were 0.10 ± 0.08 and 0.15 ± 0.03, respectively. The genetic variance indicated for TDMY could give a genetic gain in the dissemination program if recorded for all ewes at the two centres.