Examples Of Successful Integration Research Articles

Advancing patient-centered research practices in a pragmatic patient-level randomized clinical trial: A thematic analysis of stakeholder engagement in Emergency Medicine Palliative Care Access (EMPallA)

BackgroundInvolving patient and community stakeholders in clinical trials adds value by ensuring research prioritizes patient goals both in conduct of the study and application of the research. The use of stakeholder committees and their impact on the conduct of a multicenter clinical trial have been underreported clinically and academically. The aim of this study is to describe how Study Advisory Committee (SAC) recommendations were implemented throughout the Emergency Medicine Palliative Care Access (EMPallA) trial. EMPallA is a multi-center, pragmatic two-arm randomized controlled trial (RCT) comparing the effectiveness of nurse-led telephonic case management and specialty, outpatient palliative care of older adults with advanced illness.MethodsA SAC consisting of 18 individuals, including patients with palliative care experience, members of healthcare organizations, and payers was convened for the EMPallA trial. The SAC engaged in community-based participatory research and assisted in all aspects from study design to dissemination. The SAC met with the research team quarterly and annually from project inception to dissemination. Using meeting notes and recordings we completed a qualitative thematic analysis using an iterative process to develop themes and subthemes to summarize SAC recommendations throughout the project’s duration.ResultsThe SAC convened 16 times between 2017 and 2020. Over the course of the project, the SAC provided 41 unique recommendations. Twenty-six of the 41 (63%) recommendations were adapted into formal Institutional Review Board (IRB) study modifications. Recommendations were coded into four major themes: Scientific, Pragmatic, Resource and Dissemination. A majority of the recommendations were related to either the Scientific (46%) or Pragmatic (29%) themes. Recommendations were not mutually exclusive across three study phases: Preparatory, execution and translational. A vast majority (94%) of the recommendations made were related to the execution phase. Major IRB study modifications were made based on their recommendations including data collection of novel dependent variables and expanding recruitment to Spanish-speaking patients.ConclusionsOur study provides an example of successful integration of a SAC in the conduct of a pragmatic, multi-center RCT. Future trials should engage with SACs in all study phases to ensure trials are relevant, inclusive, patient-focused, and attentive to gaps between health care and patient and family needs.Trial Registration: Clinicaltrials.gov Identifier: NCT03325985, 10/30/2017.

Superfrontiers of Crop Production: Artificial Intelligence in Formation the Grain Production Ecosystem

The paper presents a study dedicated to analyzing the role of crop production superfrontiers in forming the agricultural production ecosystem, with a focus on the grain sector. Special attention is given to the superfrontier - data intelligence analytics as an effective tool for optimizing grain production. The authors consider specific examples of successful integration of intelligent analytical methods into practice, identifying their positive impact on improving production efficiency, including cost reduction and business process management enhancement. Among the main barriers to the implementation and use of intelligent technologies and systems, the lack of a unified methodology for collecting and preparing data for training and configuring intelligent grain production systems as a whole is noted. It is shown that artificial intelligence forms the basis of modern monitoring systems, permeating the ecosystem at all levels (supply, production, sales). Considering these features, the article presents a fundamental scheme for organizing the grain production ecosystem.

Photobiomodulation of Acupoints on Standardized Therapeutic Protocols: An Example of Successful Integration between Eastern and Western Medicine

Photobiomodulation of Acupoints on Standardized Therapeutic Protocols: An Example of Successful Integration between Eastern and Western Medicine

The Launch of the iCoDE Standard Project.

The first meeting of the Integration of Continuous Glucose Monitor Data into the Electronic Health Record (iCoDE) project, organized by Diabetes Technology Society, took place virtually on January 27, 2022. Clinicians, government officials, data aggregators, attorneys, and standards experts spoke in panels and breakout groups. Three themes were covered: 1) why digital health data integration into the electronic health record (EHR) is needed, 2) what integrated continuously monitored glucose data will look like, and 3) how this process can be achieved in a way that will satisfy clinicians, healthcare organizations, and regulatory experts. The meeting themes were addressed within eight sessions: 1) What Do Inpatient Clinicians Want to See With Integration of CGM Data into the EHR?, 2) What Do Outpatient Clinicians Want to See With Integration of CGM Data into the EHR?, 3) Why Are Data Standards and Guidances Useful?, 4) What Value Can Data Integration Services Add?, 5) What Are Examples of Successful Integration?, 6) Which Privacy, Security, and Regulatory Issues Must Be Addressed to Integrate CGM Data into the EHR?, 7) Breakout Group Discussions, and 8) Presentation of Breakout Group Ideas. Creation of data standards and workflow guidance are necessary components of the Integration of Continuous Glucose Monitor Data into the Electronic Health Record (iCoDE) standard project. This meeting, which launched iCoDE, will be followed by a set of working group meetings intended to create the needed standard.

Design, delivery, and determinants of uptake: findings from a food hygiene behavior change intervention in rural Bangladesh

BackgroundMicrobial food contamination, although a known contributor to diarrheal disease and highly prevalent in low-income settings, has received relatively little attention in nutrition programs. Therefore, to address the critical pathway from food contamination to infection to child undernutrition, we adapted and integrated an innovative food hygiene intervention into a large-scale nutrition-sensitive agriculture trial in rural Bangladesh. In this article, we describe the intervention, analyze participation and uptake of the promoted food hygiene behaviors among intervention households, and examine the underlying determinants of behavior adoption.MethodsThe food hygiene intervention employed emotional drivers, engaging group activities, and household visits to improve six feeding and food hygiene behaviors. The program centered on an ‘ideal family’ competition. Households’ attendance in each food hygiene session was documented. Uptake of promoted behaviors was assessed by project staff on seven ‘ideal family’ indicators using direct observations of practices and spot checks of household hygiene conditions during household visits. We used descriptive analysis and mixed-effect logistic regression to examine changes in household food hygiene practices and to identify determinants of uptake.ResultsParticipation in the food hygiene intervention was high with more than 75% attendance at each session. Hygiene behavior practices increased from pre-intervention with success varying by behavior. Safe storage and fresh preparation or reheating of leftover foods were frequently practiced, while handwashing and cleaning of utensils was practiced by fewer participants. In total, 496 of 1275 participating households (39%) adopted at least 5 of 7 selected practices in all three assessment rounds and were awarded ‘ideal family’ titles at the end of the intervention. Being an ‘ideal family’ winner was associated with high participation in intervention activities [adjusted odds ratio (AOR): 11.4, 95% CI: 5.2–24.9], highest household wealth [AOR: 2.3, 95% CI: 1.4–3.6] and secondary education of participating women [AOR: 2.2, 95% CI: 1.4–3.4].ConclusionThis intervention is an example of successful integration of a behavior change food hygiene component into an existing large-scale trial and achieved satisfactory coverage. Future analysis will show if the intervention was able to sustain improved behaviors over time and decrease food contamination and infection.

Improving the system of technical and professional education during the years of independence of Kazakhstan

  This article reviews the main dimensions of modernization of the technical specialists training system over the years of Kazakhstan’s independence. The actual and statistical data are given, reflecting the functioning of the system of vocational educa- tion and training (VET) and indicating an increase in the number of qualified specialists in various sectors of the national economy of the Republic of Kazakhstan in the 60-80s. Emphasis is placed on state programs within the framework of which the development of technical education has been carried out over the past 10 years. It is the «Серпін – 2050» «Мәңгілік ел жастары – индустрияға» program, and the Program for the Development of Productive Employment and Mass Entrepreneurship «Еңбек», that demonstrated their high performance, manifested in the growth in the number of applicants to technical and vocational education organizations. Special attention is devoted to the issue of dual education system, as a guarantee of successful student adaptation in the framework of their working career. It is noted how this problem is solved in present-day developments using the accumulated experience of previous years. The function of the Higher Technical College of the city of Kokshetau shall be given as an example of successful integration of education and production. Based on this article, we can conclude that the modernization of the system of vocational education and training is the key to training effective and competitive specialists. Key words: Economics, Technical Staff, VTC (Vocational Training College), College, VET System (Vo- cational Education And Training), Institutes of Higher Education, Dual Education System.

Merging genotyping-by-sequencing data from two ex situ collections provides insights on the pea evolutionary history.

Pea (Pisum sativum L. subsp. sativum) is one of the oldest domesticated species and a widely cultivated legume. In this study, we combined next generation sequencing (NGS) data referring to two genotyping-by-sequencing (GBS) libraries, each one prepared from a different Pisum germplasm collection. The selection of single nucleotide polymorphism (SNP) loci called in both germplasm collections caused some loss of information; however, this did not prevent the obtainment of one of the largest datasets ever used to explore pea biodiversity, consisting of 652 accessions and 22 127 markers. The analysis of population structure reflected genetic variation based on geographic patterns and allowed the definition of a model for the expansion of pea cultivation from the domestication centre to other regions of the world. In genetically distinct populations, the average decay of linkage disequilibrium (LD) ranged from a few bases to hundreds of kilobases, thus indicating different evolutionary histories leading to their diversification. Genome-wide scans resulted in the identification of putative selective sweeps associated with domestication and breeding, including genes known to regulate shoot branching, cotyledon colour and resistance to lodging, and the correct mapping of two Mendelian genes. In addition to providing information of major interest for fundamental and applied research on pea, our work describes the first successful example of integration of different GBS datasets generated from ex situ collections – a process of potential interest for a variety of purposes, including conservation genetics, genome-wide association studies, and breeding.

Codeforces as an Educational Platform for Learning Programming in Digitalization

Digitalization imposes ways of development and influences the process of Codeforces development. Codeforces’ infrastructure provides a solid open ecosystem for building a programming learning process. Functionality covers the entire process, from the Polygon system for devising problems to mashup contests and private groups on Codeforces. A beta test of the educational subsystem with a pilot educational course was launched. The paper describes all the aspects and relationships of the ecosystem, typical flows of use, examples of successful integration into educational processes in the age of digitalization.

Patient reported outcomes: integration into clinical practices.

Patient-centered care is a growing focus of research and modern surgical practice. To this end, there has been an ever-increasing utilization of patient reported outcomes (PRO) and health-related quality of life metrics (HR-QOL) in thoracic surgery research. Here we describe reasons and methods for integration of PRO measurement into routine thoracic surgical practice, commonly utilized PRO measurement instruments, and several examples of successful integration.

Innovation and Industry 4.0 as a part of small state diplomacy

Innovation and Industry 4.0 are topical issues in the era of globalization in many countries around the world. The article focuses on the international practice of small states and the role of innovation as a topic of their foreign policy and diplomacy. The article aims to evaluate the position of the innovation theme in the portfolio of typical issues of diplomatic practice. The aim is to find out to what extent the attention is paid to innovation concerning the country’s economic diplomacy and what the prospects for further development are. In the first part, the text will focus on the theoretical definition of the theme of innovation and its anchoring in the diplomacy of small states. The second part introduces the situation from the practice of small states in a broader perspective and brings examples of successful integration of the innovation theme into the strategic plans of small states. The third part maps the contemporary trends and the presence of innovation diplomacy in Czech practice. Attention will be paid mainly to the national level, both from a strategic and instrumental point of view. Using a comparison of successful examples from abroad with the current situation in Czechia, it is possible to identify critical elements that can contribute to a better understanding of the topic by contemporary Czech practice.

IT innovation to improve participation in cervical screening with CervicalCheck, the National Cervical Screening Programme

Introduction: CervicalCheck - The National Cervical Screening Programme offers regular free smear tests to 1.2 million women aged 25-60 years. For the programme to be successful at least 80% of the population should be up to date with their cervical screening. To maximise participation among eligible women and among ‘harder-to-reach’ women, direct programme entry was introduced in year three of the programme. An online eligibility tool was also introduced to make it easier for women to register and participate in CervicalCheck. This tool can be accessed both by women and smear takers. Using the woman’s PPS number and date of birth, the tool confirms the woman’s details including the due date of her next smear test. Consequently this tool integrates service access and subsequent delivery of screening between the national programme, smeartakers and clients themselves Theory/Methods: Access to Google Analytics for the CervicalCheck website was obtained and analyses were performed to determine the activity on the eligibility tool webpage during 2015. Results: In 2015, there were 909,637 unique visits to the CervicalCheck website, with 197,811 visits to the eligibility tool. This resulted in 37,272 new registrations to the programme (conversion rate 7.5%). Discussions: Participation in cervical screening reduces the incidence of and mortality from cervical cancer. This innovative IT tool enables women to access their own healthcare record and empowers women to take charge of their own health. The tool is an example of successful integration of access between all parties in the screening process and in addition it provides a link between women and a national health service. Conclusions: This successful IT tool was developed to support CervicalCheck to achieve population coverage of 80%, which has the potential to reduce the incidence and mortality rates of cervical cancer in Ireland. CervicalCheck will continue to actively monitor the impact of new technology and develop further to improve access to the programme. Limitations: Access to Google analytics only became available in 2015. This represents a lost opportunity to analyse activity on the CervicalCheck website from the beginning of the programme (2008). Other innovations need to be explored to facilitate women who may not benefit from the online IT tool, particularly women in older age groups. Lessons learned: A lesson learned was the importance of the location of the self-check eligibility tool on the CervicalCheck webpage. When the tool was first introduced to the webpage it was not located in a prominent position where it could be easily found and usage of the tool was lower than expected. This was rectified by moving the tool to the CervicalCheck homepage where it is instantly visible to users. Suggestions for future research: This work provides baseline data on the usage of the CervicalCheck eligibility tool and an opportunity to analyse its future usage. One avenue for future research is to evaluate the effect of this tool on actual subsequent screening.

A child with Down syndrome - Challenge for families, kindergartens and schools

Every day, the number of children born with disabilities is increasing. One of the many disabilities is Down's syndrome, which occurs on average in one of 650 infants. For a child born with this disability, it is much more difficult to normally grow, develop and function in everyday life. In the past, children born with Down syndrome were neglected, and their education was not paid almost any attention. Today, there are significant changes in social awareness related to rights and needs of children with Down syndrome. Early intervention programs that are being developed in order to mitigate problems of children with disabilities are becoming much better, and the number of therapeutic methods is increasing. There are a number of institutions and organizations which provide assistance and support to the parents of children with Down syndrome. To encourage their overalldevelopment and enable easier and more efficient functioning in society, children with Down syndrome are being integrated into pre-school and school facilities. The aim of this work is to further sensitize the public to problems and needs of this very vulnerable population of children and show examples of successful integration of children with Down syndrome in kindergarten and elementary schools.Keywords: a child with Down syndrome; family; school; educator; teacher; early intervention programs

Complementarity between medical geneticists and genetic counsellors: its added value in genetic services in Europe.

Clinical genetic services have progressed significantly the last few decades. This has led to the need for non-medical health-care professionals working as genetic counsellors in Europe and worldwide. However, there is no unified approach to genetic counsellors' role in health-care services in Europe, as in most countries the profession is still emerging and the educational backgrounds diverge noticeably, within and between countries. This qualitative study aims to describe the potential added value of genetic counsellors in clinical genetics teams and to explore their tasks and responsibilities in different European countries. A total of 143 participants providing genetic counselling in Europe at the time of the survey responded. The results show differences in activities of genetic counsellors, although there is a wide range of roles, which are similar. The ability to establish a quality relationship with consultands was frequently mentioned as one of the strengths of genetic counsellors, as well as a patient-centred approach. It is believed that genetic counsellors add a more holistic approach of psychosocial and familial dimensions of genetic concerns to the multidisciplinary teams. This study provides examples of successful integration of genetic counsellors in teams, as complementariness with medical geneticist became clear in several cases. Although the added value of genetic counsellors was manifested, professional recognition of genetic counsellors across Europe is still needed in order to support the quality of patients care and safety of practice.

Integrating cognitive (neuro)science using mechanisms

In this paper, an account of theoretical integration in cognitive (neuro)science from the mechanistic perspective is defended. It is argued that mechanistic patterns of integration can be better understood in terms of constraints on representations of mechanisms, not just on the space of possible mechanisms, as previous accounts of integration had it. This way, integration can be analyzed in more detail with the help of constraint- satisfaction account of coherence between scientific represen-tations. In particular, the account has resources to talk of idealizations and research heuristics employed by researchers to combine separate results and theoretical frameworks. The account is subsequently applied to an example of successful integration in the research on hippocampus and memory, and to a failure of integration in the research on mirror neurons as purportedly explanatory of sexual orientation.

Russian Integration with Belarus Is the Supertask

The current relationship between Russia and Belarus is the most successful example of integration in the interests of both states among the post-Soviet countries. Despite the Union State's somewhat amorphous nature, our countries’ rapprochement in the various areas of economics, politics, culture, and management has not stalled. In this article, A.E. Lokot’, mayor of Novosibirsk, former State Duma deputy and member of the Union State parliament responds to questions from EKO.

Embedded integration of palliative care in an academic outpatient cancer center.

158 Background: Palliative care is no longer reserved for ICUs and inpatient settings, since it can be delivered at any age and any stage regardless of goals of care. Oncologists are beginning to embrace more upstream palliative care but translating that to the long term setting has unique difficulties. Outpatient palliative care is a vital component to quality oncology care, but few examples of successful integration have been demonstrated. Methods: Data was collected from the palliative care clinic at the University of Kansas Medical Center Westwood Cancer Center. Descriptive analysis of the initial and current programs as well as successful outreach and education projects will be discussed. Quantitative analysis of number of initial and follow-up outpatient visits, cancer type, referring service and referring physician are all included. Hospice utilization was also recorded as well as length of time from initial consult to either death, discharge or calendar date June 30, 2015. Results: Since the pilot clinical program of outpatient palliative care in 2012 with two half day clinic sessions focused on BMT patients, the program has expanded to 5 half-day sessions and includes medical oncology, surgical oncology and gynecologic oncology. Referrals to palliative care have grown consistently covering multiple cancer diagnosis and including the entire oncology staff instead of a few champions. Increase in outpatient utilization has also spurred more early and appropriate inpatient palliative care utilization. Staff have moved from crisis-only use of outpatient palliative care to a co-management model. Conclusions: Outpatient palliative care can be successfully integrated into an NCI academic medical center oncology practice. (Note: More detailed data will be presented at the conference on all of the trends mentioned above.)

Implementing evidence-based physical activity interventions for people with mental illness: an Australian perspective.

Physical activity (PA) and exercise is increasingly being recognised as an efficacious component of treatment for various mental disorders. The association between PA and cardiometabolic disease is well established, as is the strong link between mental illness, sedentary behaviour and poor cardiometabolic health. Examples of successful integration of clinical PA programs within mental health treatment facilities are increasing. The aim of this review was to summarise the evidence regarding PA and mental illness, and to present examples of clinical exercise programs within Australian mental health facilities. A narrative synthesis of systematic reviews and clinical trials was conducted. Evidence supporting the inclusion of PA programs as an adjunct to treatment for various conditions was presented; including depression, schizophrenia, anxiety disorders, post-traumatic stress disorder and substance abuse. In light of the available evidence, the inclusion of clinical PA programs within mental health treatment, facilitated by dedicated clinicians (exercise physiologists / physiotherapists) was justified. PA is a feasible, effective and acceptable adjunct to usual care for a variety of mental disorders. There is a clear need for greater investment in initiatives aiming to increase PA among people experiencing mental illness, given the benefits to both mental and physical health outcomes.

The process analysis of a successful example of integration between different fields(<Special feature>The 11th information professional symposium: INFOPRO2014)

The process analysis of a successful example of integration between different fields(<Special feature>The 11th information professional symposium: INFOPRO2014)

Integrating cleaner production into sustainability strategies: an introduction to this special volume

This special volume of the Journal of Cleaner Production is built primarily upon articles submitted for the 4th International Workshop Advances in Cleaner Production held in São Paulo, Brazil, in 2013. The 54 articles underscore the urgent need for changing from unsustainable production and societal patterns to sustainable ones. They provide many new approaches to help industries, governments and society to speed up the transition to sustainable patterns. The authors focus on defining and solving problems with special emphasis upon sustainability strategies: raw material replacement, renewable energy, technological developments, product, and policy changes. The central roles of improved corporate management for sustainable societal transitions are explored, with an emphasis upon stakeholder empowerment in promoting implementation of new cleaner technologies within companies, industrial sectors, supply chains and countries. Some authors improved assessment tools for environmental accounting at the biospheric scale. Some authors underscored the need for cooperation among governments, industrial sectors and companies to accelerate the integration of Cleaner Production into policies and practice. Multiple examples of successful integration of CP in national and local policy structures, exemplified how focused work in key industrial sectors is delivering multiplier benefits within and among companies and in the community, at large. The authors documented numerous benefits of holistic integration of local, regional, national and global efforts to accelerate the transition to sustainable development and societal well-being.

The Importance of Bridging

In this article, I will discuss the importance of the fundamental aspect of “bridging” in the wider context of language teaching. I will use “bridging” particularly in terms of cultural differences and underline the pivotal role of specific techniques, in a language class as well as in a pedagogy class or seminar, to help finding common ground between groups of people with different backgrounds. In this sense, I will highlight the beneficial role that multicultural native speakers play in language departments, as examples of successful integration in another culture, as “bridges” between two cultures who physically embody the joining of two or more backgrounds and effectively erase the distance between the two, and as travellers who have geographically bridged the distance between two countries. Drawing from my experience both as a multicultural native speaker and as an instructor in a language class, I will illustrate a few examples of in-class strategies aimed at promoting multiculturality, ranging from simple vocabulary presentations to role playing and target language discussion groups focusing on controversial differences between the countries, and discuss the importance of the mediating role of multicultural instructors. Finally, I will argue that multilingual and multicultural native speakers are key players of globalization, and are able, in class, to transmit with their own physicality the very condition of our globalized society, which rests on the ability to bridge cultural gaps and accept a less determined, more fluid identity.