Experienced Practitioners Research Articles

Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings: A Systematic Review.

Background: Telemedicine is viewed as a crucial tool for addressing the challenges of limited medical resources at health care facilities. However, its adoption in health care is not entirely realized due to perceived barriers. This systematic review outlines the critical facilitators and barriers that influence the implementation of telemedicine in the Indian health care system, observed at the infrastructural, sociocultural, regulatory, and financial levels, from the perspectives of health care providers, patients, patient caregivers, society, health organizations, and the government. Methods: This review complies with the current Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols 2015. A total of 2,706 peer-reviewed studies published from December 2016 to September 2023 in the PubMed, Cochrane, Scopus, Web of Science, CINAHL, MEDLINE, and PsycInfo databases were considered for the title and abstract screening, after which 334 articles were chosen for the full-text review. In the end, 46 studies were selected for data synthesis. Results: Analysis of the literature revealed key barriers such as data privacy and security concerns, doctor and patient resistance to information and communications technology (ICT), infrastructure issues, and ICT training gaps. Facilitators included reduced health care delivery costs, enhanced patient access to health care in remote areas, and shorter patient wait times. The real-world experiences of Indian telemedicine practitioners and pioneers are also explored to complement literature-based perspectives on telemedicine implementation. Both stress the need for reliable internet connectivity, technological adoption, comprehensive ICT training, positive sociocultural attitudes, stringent data privacy measures, and viable business models as crucial for effective telemedicine adoption, with experts emphasizing practical adaptability alongside the literature-recognized facilitators.

Friluftsliv literacy-a contribution to physical literacy for health throughout the life course.

This article illuminates and discusses the concept "friluftsliv literacy" in relation to physical literacy for health throughout the life course. A literal translation into English of "friluftsliv" would be "free-air life" - or "outdoor life." We obtained stories and interview data from older adult people who could help us by providing insights into friluftsliv literacy through a number of life phases. The research questions were: What can describe friluftsliv literacy from the perspective of experienced friluftsliv practitioners and generate understandings of friluftsliv literacy from childhood to old age, and how can friluftsliv literacy contribute to the conceptualization of physical literacy for health throughout the life course? We designed the study according to a constructionist research tradition and followed six analytical phases of reflexive thematic analysis of the interview data. We developed four themes from the data material and argue that friluftsliv literacy includes an existential phenomenological and idealist dimension in the way it offers a view on the active subject in friluftsliv through the various life phases and promotes nature experiences through the whole life. Moreover, friluftsliv literacy promotes "pure" friluftsliv experiences based on internal motivation and desire, voluntariness, and freedom. We also argue that throughout the life course friluftsliv literacy promotes important social values, especially within family contexts, social values that enhance the quality of life. Friluftsliv literacy also includes a pragmatic dimension and contributes to the conceptualization of physical literacy for health in the way that it promotes people learning to like friluftsliv at a young age, an attitude that can then be nurtured and maintained throughout one's entire life by practising friluftsliv and adapting to individual capacities and life phases.

Profiles, Perceptions, and Experiences of Video Game Translators

The nuances involved in game localization call for an expert workforce, well-versed in dealing with the challenges involved. Yet, the prospect of game localization is still a blue-water area of research and not much is known regarding the profiles and the current industry practices. Thus, the present study seeks to throw light on the profiles, perceptions, and experiences of game translators. A total of 125 game translators provided qualitative and quantitative data regarding the various aspects of the profession through a 25-item online questionnaire. The findings point to a relatively young, highly educated, and mostly self-employed workforce who undertake translation as their main source of income and have a strong gaming background. The strengths and the weaknesses of the current workflow practices are identified and discussed, and suggestions are made drawing on the perceptions and experiences of game translation practitioners.

Lockdown Drills and Young Children with Autism Spectrum Disorder: Practitioner Confidence, Experiences, and Perceptions.

Lockdown drill practice is part of the "new normal" in schools for young children with autism spectrum disorder (ASD) and educational practitioners in K-12 schools across the United States. These drills place a tremendous amount of responsibility on practitioners (i.e., teachers, paraprofessionals) that is beyond the scope of their training and typical requirements of their position in the classroom. Lockdown drills also require young children with ASD to engage in actions that are inherently hard for most young children but could be especially difficult for children with ASD who need individualized support to develop the executive function and self-regulation skills to participate in drills successfully. This study investigates practitioners' training experiences and perceptions of perceived confidence in teaching young children with ASD lockdown drills. Practitioner's self-efficacy was measured through survey analysis and their perceptions and experiences were investigated through individual interviews. Results indicated low rates of confidence to teach lockdown drills to young children with ASD and higher rates of confidence were correlated with more drill practice. Themes gleaned from interview data revealed varied training and practice experiences for children and practitioners, general characteristics of ASD that help or hinder children's participation, connections between these characteristics and aspects of lockdown drills that make them difficult to teach, and identification of practitioner responsibilities beyond following protocols.

AI co-pilot bronchoscope robot

The unequal distribution of medical resources and scarcity of experienced practitioners confine access to bronchoscopy primarily to well-equipped hospitals in developed regions, contributing to the unavailability of bronchoscopic services in underdeveloped areas. Here, we present an artificial intelligence (AI) co-pilot bronchoscope robot that empowers novice doctors to conduct lung examinations as safely and adeptly as experienced colleagues. The system features a user-friendly, plug-and-play catheter, devised for robot-assisted steering, facilitating access to bronchi beyond the fifth generation in average adult patients. Drawing upon historical bronchoscopic videos and expert imitation, our AI–human shared control algorithm enables novice doctors to achieve safe steering in the lung, mitigating misoperations. Both in vitro and in vivo results underscore that our system equips novice doctors with the skills to perform lung examinations as expertly as seasoned practitioners. This study offers innovative strategies to address the pressing issue of medical resource disparities through AI assistance.

Communities, connections, and careers: building personal and professional networks through community media work

ABSTRACT Community broadcasting is anecdotally considered a ‘training ground’ for the mainstream media. However, there is little empirical research that supports these claims around skill development and career outcomes. Similarly, while community broadcasting is broadly recognized as contributing to social cohesion, the focus of much of this research is on audiences rather than the experiences of community media practitioners. This article is based on a broader programme of research that interrogated the experiences of people with significant involvement in the Australian community broadcasting sector to examine the impact of community media participation on career pathways. Here we consider a key finding: working or volunteering in community radio plays an important role in developing robust and meaningful networks, connections, and relationships which are central to shaping personal and professional pathways. These findings draw on rhizome theory to highlight the importance of community broadcasting for building and maintaining diverse and enduring networks.

“Don’t Just Speak About It, Be About It”: Rebecca Busanich in Conversation With Shannon Baird on Choosing the Principled Path as a Practitioner

Case Studies in Sport and Exercise Psychology (CSSEP) is committed to showcasing the stories and experiences of practitioners and researchers in sport and exercise psychology, recognizing their importance and contribution to growth and development in our field. In line with this mission, several CSSEP Editorial Board members sought to interview practitioners in the field as a way to highlight their stories and experiences. Dr. Shannon Baird’s story demonstrates the importance of theory-driven knowledge in applied work, the power of passion and self-drive in forging a new path forward, and the relentless pursuit of a principled and purposeful career. In conversation with Dr. Rebecca Busanich, Dr. Baird describes her journey through mental performance consulting in the military and U.S. Special Forces.

Toward a responsible exit from the research field: lessons from transdisciplinary regional envisioning in a Japanese municipality

Abstract In transdisciplinary sustainability, scientists take responsibility for the long-term impact they have on practitioners in the research field and beyond. However, the duration of a career and amounts of funding are finite. One way out is to perform a responsible exit from the field. This study extracts lessons to realizing researchers’ responsible exit from their field through detailed description of the experiences of two researchers and a practitioner in collaboration in transdisciplinary research, weaving together the perspectives of all parties. The following lessons were extracted: (1) Imagining the extent of mutual understanding, (2) Production of knowledge entrusted to practitioners, and (3) Researchers’ acceptance of being unneeded. This study does not claim that these approaches are universally effective. We suggest that the reader transfer this case study and its approaches to his or her own case to seek better relationships. The validity of this qualitative study's suggestions should be tested by readers. Non-Technical Summary In the discipline of transdisciplinary sustainability, researchers must responsibly manage their impact on their partner practitioners. Balancing this with limited career durations and limited research funds is challenging. One potential solution involves responsibly exiting from the research field. This study investigates the experience of two researchers and a practitioner in collaborative transdisciplinary research. The lessons include acknowledging researchers’ amateurism, anticipating the challenges in achieving mutual understanding, and embracing researchers’ acceptance of feeling unneeded. The universality of these principles should be investigated in the future research. This research encourages readers to apply these principles to their own cases to develop better relationship between researchers and practitioners that leave no seeds of misfortune. Technical Summary In transdisciplinary sustainability, scientists take responsibility for the long-term impact they have on practitioners in the research field and broader communities. However, the duration of a career as a scientist and amounts of funding are finite. One way out is to responsibly exit from the field. This study extracts lessons to realizing researchers’ responsible exit from their field by providing a detailed account of the collaborative experiences of two researchers and a practitioner engaged in transdisciplinary research, weaving together the perspectives of all parties. The following lessons were extracted: acknowledging researchers’ amateurism, anticipating the challenges in achieving mutual understanding, and embracing researchers’ acceptance of feeling unneeded. This study does not claim that these principles are universally effective. We suggest that the reader transfer this case study and its approaches to his or her own case to seek better relationships. Social Media Summary In transdisciplinary sustainability, researchers must responsibly manage their impact on their research partner practitioners. Balancing this with limited career durations and funds is challenging. Researchers’ responsible exit from the research field is a possible solution. This research derives insight from researchers’ and a practitioner's experiences in collaborative transdisciplinary research. Lessons include acknowledging researchers’ amateurism, anticipating the challenges in achieving mutual understanding, and embracing researchers’ acceptance of feeling unneeded. However, these approaches might not be universal. Readers are encouraged to apply these lessons to their own case for better relationship building.

Interactive Nutrient Process (INP) in a Generative AI of a New Drug-6-Shogaol as a Potential Case.

The dynamically evolving science of pharmacology requires AI technology to advance a new path for drug development. The author proposes generative AI for future drugs, identifying suitable drug molecules, uncharacteristically to previous generations of medicines, incorporating the wisdom, experience, and intuit of traditional materia medica and the respective traditional medicine practitioners. This paper describes the guiding principles of the new drug development, springing from the tradition and practice of Tibetan medicine, defined as the Interactive Nutrient Process (INP). The INP provides traditional knowledge and practitioner's experience, contextualizing and teaching the new drug therapy. An illustrative example of the outcome of the INP is a potential small molecule drug, 6-Shogaol and related shogaol derivatives, from ginger roots (Zingiber officinalis fam. Zingiberaceae) evaluated clinically for 12 months for biological markers of iron homeostasis in patients with the myelodysplastic syndromes (MDS). The study's preliminary results indicate that 6-Shogaol and related shogaols may improve iron homeostasis in low-risk/intermediate-1 MDS patients without objective or subjective side effects.

Artificial Intelligence in Orthodontics: A Thorough Assessment of its Influence and Applications

Abstract “Artificial intelligence” (AI) is a broad term that describes how computers mimic human activities. What is commonly associated with AI usually corresponds to so-called “machine learning.” Specialized algorithms, using a variety of sample data, generate mathematical models that generalize certain patterns to predict decisions without explicit programming. AI has revolutionized medical technology by dealing with complex problems and handling large amounts of data. The integration of AI into orthodontic routines has gained attention, with promising approaches for diagnostics, therapy planning, and treatment outcome prognosis. AI algorithms can assist experienced and inexperienced practitioners in terms of time-saving, decision-making, and enhanced quality management. Examining the scientific foundation of AI solutions is crucial for comprehending their limitations and potential consequences.

Interventions to improve continence for children and young people with neurodisability: a national survey of practitioner and family perspectives and experiences

ObjectiveDescribe families’ experiences of interventions to improve continence in children and young people with neurodisability, and health professionals’ and school and social care staff’s perspectives regarding factors affecting intervention use.DesignFour...

Primary care nurse practitioners' perceptions and experiences communicating with adults about adverse childhood experiences.

Clinical communication focused on childhood adversity has not been well described in the extant literature. There is a wealth of knowledge about patient-centered communication, including patient-centered communication techniques involving the discussion of health risks in primary care. However, there remain gaps in our understanding of the role that communication plays in exploring adverse childhood experience (ACE) exposure among adults in the clinical context. To better understand factors that influence how nurse practitioners (NPs) communicate with adults about ACEs in the context of primary care while simultaneously exploring NPs' perceptions and experiences of their ability to communicate with adults about ACE exposure. Guided by the Patient-to-Provider Communication of Adverse Childhood Experiences in Primary Care (PPC-ACE) Model, an exploratory, qualitative, descriptive study was conducted among 15 US-based primary care NPs. Nurse practitioner's participated in semistructured interviews, which were recorded and transcribed. Transcripts were analyzed using inductive thematic analysis. Atlas.ti provided supplemental data visualization. Demographic data, practice characteristics, and baseline ACEs knowledge were collected by means of Qualtrics. Key themes described communication approaches and perceived barriers and facilitators to ACE-related conversations. Scope of practice, provider biases, diversity in practice models, and secondary trauma were factors NPs' perceived as positively or negatively influencing ACE-related communication in primary care. Outcomes from this study provided deeper insights into the various influencers of NP-perceived, ACE-related, patient-centered communication among adults in primary care. Findings will inform future research focused on ACE-related communication in primary care in the domains of NP education, practice, and health policy.

Evaluating the chewing efficiency of complete dentures using bilateral balanced occlusion and lingualized occlusion: A comparative study

Background -Dentistry plays one of the major role in the battlefield of medical sciences. It covers the major part of the human body which deals with the complex orofacial structures and associated complex stomatognathic system. The complex stomatognathic system has to be maintained in every pathological or abnormal condition like partial to complete edentulism. The maintainance of the stomatognathic system is significantly dependent on the branch of dentistry that deals with the part or complete replacement of lost or missing functional and complex structures known as prosthodontics. The occlusion serves the basic function of the complete denture prosthesis as one of the central goal of complete denture therapy is restoring occlusion. The occlusal scheme is still the topic of debate (that which occlusal scheme is best suited for the complete denture prosthesis), as no occlusal scheme has proved best in all cases. It is revealed that the choice of occlusal scheme used in complete denture prosthesis is primarily to the practitioners personal preference and experiences that varies from patient to patient. Aim -The purpose of this study was to evaluate the chewing efficiency of two different occlusal schemes i.e. conventional bilateral balanced occlusion and bilateral balanced lingualized occlusion in complete denture patients. Method- 20 edentulous patients aged between 40 - 70 years with a mean age value of 55 years attending among the out-patient department of Patna Dental College and Hospital Patna, were selected for the present study. A thorough screening of general and systemic health is carried out and found free of all major systemic diseases. After the selection of the patients it was decided that all the 20 patients were provided complete denture with conventional bilateral balanced occlusion and after 45 days of post insertion of the newly fabricated complete dentures, the patients were recalled and asked for the subjective qualities of the complete denture. Result -Confirming better chewing ability by BBLO than CBBO. Conclusion- The result of the present study concludes that the complete dentures with BBLO performed significantly better chewing ability than CBBO Since in the present study, all the test were carried out with same set of complete dentures by modifying CBBO to BBLO upon the same patient, which had not been taken into account by any of the previous studies. All the previous studies had used two different set of complete dentures with two different patients. Thus, this is a remarkable milestone in the present study providing a definite authenticity of the study.

Overcoming Barriers To Effective Design-Thinking Workshops

This study investigates the barriers in implementing design-thinking workshops aimed at facilitating digital transformation within organizations. Employing a qualitative approach with semi-structured interviews of experienced practitioners, the research identifies key barriers in pre-workshop preparations, during workshop facilitation and post-workshop implementation. Financial constraints, employee resistance due to a lack of perceived need, and discomfort with ambiguity are among the key challenges before the workshops. During execution, hierarchical dynamics, psychological barriers like fear of embarrassment, and cognitive barriers including limited creativity and imagination hinder effective participation. Additionally, post-workshop challenges primarily concern the lack of implementation due to resource constraints and unmet expectations. The study proposes strategies such as careful participant selection, fostering an open environment, and emphasizing post-workshop documentation to mitigate these issues. The role of coaches in balancing active facilitation and allowing participant ownership is underscored. These findings contribute to bridging the gap between the theoretical benefits of design thinking and the practical challenges of its implementation.

재난심리지원 실무자들의 인공지능 기반 재난심리지원 플랫폼 활용에 대한 제안

As the use of artificial intelligence(AI) technology in psychological interventions is graduallyexpanding with the increase of remote disaster psychological support, this study aimed toexplore the strengths and limitations of AI-based disaster psychological support platforms, theiralternatives, and development directions based on the experiences of disaster psychologicalsupport practitioners. To this end, an online survey was conducted with 282 practitioners whohad experience in remote disaster psychological support, and a qualitative content analysis wasconducted on the surveyed data. As a result, three categories including nine concepts werederived for 'strengths of disaster psychological support through AI-based platforms'; fivecategories including eight concepts were derived for 'limitations of disaster psychologicalsupport through AI-based platforms'; and 14 categories including 44 concepts were derived for'alternatives and platform development directions'. Based on this, we proposed the developmentdirection of an AI-based platform in the area of disaster psychological support, which requiresefficient and comprehensive resource linkage and case management.

Evaluating the Accuracy of Bonded Block Models for Prediction of Rockmass Analog Mechanical Behavior.

Large-scale rock formations, referred to as "rockmasses", consist of intact rock separated by pre-existing discontinuities (i.e., joints). The mechanical behavior of rockmasses is difficult to directly test in the laboratory due to the required specimen scale. Instead, Synthetic Rockmass Modeling (SRM) is often used to simulate field-scale rockmass behavior. SRM requires a calibrated discrete element model (DEM) of intact rock combined with a Discrete Fracture Network (DFN). While the SRM concept has been informally determined to provide reasonable results based on practitioner experience, detailed and peer-reviewed validation is lacking. The goal of this study was to evaluate the predictive capabilities of the SRM method. Previously available data on intact and rockmass analog laboratory specimens of Blanco Mera granite containing DFNs with two joint sets were used as a basis for the SRM created in this study. Specifically, the intact DEM was a Bonded Block Model (BBM), generated to match the grain structure and composition of Blanco Mera granite and the model's input parameters were calibrated so that the behavior of the BBM matched that of the intact laboratory specimens. The predictive capabilities of the model were evaluated by recreating the DFN from the jointed laboratory specimens within the intact BBM and comparing the behavior of the jointed models back to the jointed laboratory specimens, which has not been previously studied in the literature. The BBM was found capable of approximately predicting the behavior of rockmass analog specimens containing a pre-existing DFN without further calibration, which shows potential for the use of SRM in both industry and academia. Specifically, the BBM predicted the strength, dilatancy, and microfracturing behavior of the jointed laboratory specimens.

Collaboration in a Liminal Space: Pracademia

In the context of contemporary policy development in higher education, which focusses on student outcomes as a central measure of success, the recruitment of academic staff has diversified in response. The authors explore the insights, experience, knowledge, and skills that academics with either former or current practitioner experience (‘pracademics’ or second-career academics) can bring to this setting that can complement those of existing faculty. Drawing on findings from empirical, theoretical, and reflexive research, and experiences of developing associated research-informed communities of practice, the authors consider increasing debates around pracademia, the value of labels, the liminal spaces that pracademics occupy, and the potential roles of this group within wider policy agendas. In doing so, we outline the next stages for this research programme.

Healing experiences in Japanese rope bondage practice

The regular practice of Shibari, also referred to as Kinbaku, a Japanese rope bondage practice, appears to have an overall positive impact on people´s lives and their personal development by providing practitioners an explorative space to bring subconscious patterns into conscious awareness where healing is possible. The aim of this phenomenological study was to find common healing experiences among practitioners of Shibari. Within a framework of 10 semi-structured interviews, the study explored phenomenological experiences of individual practitioners. The following transpersonal topics surfaced dominantly throughout the interviews in reference to potential healing experiences: transformation and catharsis, embodiment and empowerment, communication and community; elucidating healing and transformative potential of Shibari practice. The study contributes to a growing field currently being explored by transpersonal psychologists and BDSM enthusiasts and promotes a more expansive way to look at these experiences as a path towards human wholeness and awareness within the practice and beyond.

TAʼLIMDA INNOVATSION TEXNOLOGIYALAR

This article discusses the priority tasks of transferring knowledge to a person in the process of innovative education, developing his skills and competencies, developing his worldview, meeting his needs, as well as discovering and developing additional abilities. The main attention is paid to such pedagogical aspects as the purpose of education (why teach and who to teach?); educational content (what to teach?); forms of educational organization (how to teach?); and educational methods and tools (on what basis of teaching?). At the same time, the meaning of such expressions as “interactive methods,” “innovative educational technologies,” “advanced pedagogical technologies,” “progressive pedagogical technology,” and “modern educational technologies,” which are widely used in the educational process, is explained, as well as the feasibility of using innovative pedagogical technologies in productive education. In addition, the importance of modern technologies in modern education, their role in students’ acquisition of knowledge, independent study of topics, analysis of situations, conclusions, and decision-making are discussed. Along with this, special attention is paid to state documents that clearly indicate the tasks for the implementation of educational goals. The opinions of famous theorists and experienced teaching practitioners about modern pedagogical technologies and teaching methods are compared and analyzed.

Workshop Membangun Perusahaan Perseorangan Untuk Usaha Bidang IT Untuk Mahasiswa Semester Akhir Universitas Bhayangkara Jakarta Raya

The community service activity entitled "Workshop on Building Individual Companies for Businesses in the IT Sector for Final Semester Students at Bhayangkara University, Jakarta Raya" is a real effort to increase the knowledge and skills of final semester students in planning and managing individual companies in the Information Technology (IT) sector. This workshop aims to provide practical guidance in starting an IT company, introduce the legal aspects of IT business, and invite students to apply their knowledge in real situations. This activity covers various relevant topics, such as business planning, IT product development, financial management, marketing strategy, and legal aspects related to IT business. In addition, the workshop also involved experienced IT practitioners and entrepreneurs as guest speakers, who provided invaluable practical insights. The results of this workshop reflect an increase in participants' understanding and skills in planning and starting an IT business. Participants have a better understanding of the process of registering a private company online via the AHU website and the importance of registering for a Kemenkumham permit. This workshop not only improves conceptual understanding, but also provides practical skills that can be applied in the real world. Thus, this workshop has a positive impact on the development of entrepreneurship among final semester students at Bhayangkara University, Jakarta Raya. Furthermore, sustainability evaluations and follow-up steps are needed to ensure that the knowledge and skills acquired remain sustainable and support students in their efforts to become entrepreneurs in the IT industry.