Expert Position Research Articles

Discursive Construction of Climate Change Knowledge in Lake Chilwa Basin, Malawi

ABSTRACT This paper examines the discursive construction of climate change in Lake Chilwa Basin, Malawi, through a qualitative analysis of key informant interviews, focus group discussions, and radio programs. Its objective is to analyse how science-driven discourse merges with local knowledge to communicate climate change. The study reveals dominant narratives by experts, who often employ fear-based massaging to communicate the urgency of climate change. Climate change is infused with scientific and apocalyptic imageries, used as persuasive tools. Experts position local communities as culpable for environmental degradation, framing their practices such as deforestation, as significant contributors to climate change. This study has shown that although communities are exposed to climate change discourse through their participation in projects, communities engage in counter-hegemonic discourse, offering alternative perspectives that draw on their local knowledge and experiences. This underscores the tension between expert-driven narratives and local-lived experiences. These findings highlight the contested nature of climate change, where perspectives of the local communities are often marginalized. However, the counter-hegemonic discourse of local people represents attempts to assert their voice and challenge power dynamics. This study highlights the complementary role of science and culture in creating meaning. It challenges the idea that climate change can only be understood as a scientific phenomenon.

Italian Society of Interventional Cardiology (SICI-GISE) Position paper: Integrated management and transcatheter interventions for acute pulmonary embolism

Pulmonary embolism (PE) is commonly treated primarily with pharmacological therapy, while advanced reperfusion therapies (transcatheter or surgical) are considered only in cases of contraindications or failure of standard therapies. Treatment algorithms vary depending on the patient's risk, with patients at intermediate or high risk potentially requiring evaluation for such advanced reperfusion therapies. Critical scenarios, such as contraindications to systemic thrombolysis or failure of pharmacological protocols, necessitate the activation of a multidisciplinary pulmonary embolism response team (PERT) and prompt therapeutic escalation. Integrated in-hospital pathways and the extension of PERT at the provincial/regional level are recommended to improve access to advanced therapies and promote uniform management of PE. Larger randomized clinical trials are needed to assess the efficacy of transcatheter therapies compared to current standards. In conclusion, a multidisciplinary and standardized approach, supported by evidence-based guidelines, is essential to optimize PE management and improve clinical outcomes. The Italian Society of Interventional Cardiology (SICI-GISE) aims to promote such standardization nationally with this expert position paper, ensuring appropriateness and equity of care for patients, as well as fostering further scientific research and education.

Numerical method for forming an alternative opinion in coalitions of highly qualified specialists using relative usefulness indicator

Subject of research: the formation of an alternative opinion in coalitions of highly qualified specialists. Purpose of research: development of a numerical method for the formation of an alternative opinion in coalitions of highly qualified specialists using a relative utility indicator and its subsequent implementation in the form of a computer program. Methods of research: survey, formalization, system analysis, correlation analysis, Hamming criterion, natural experiment, object-oriented programming. Main results of research: 1. The approach proposed by the author, based on combining methods of mathematical statistics and taking into account the individual competencies of experts, provides new opportunities for the formation of an alternative opinion in coalitions of experts and allows for increased efficiency in decision-making. 2. Verification of the developed numerical method was carried out using the example of a survey of police officers regarding violators of security systems in the field of critical information infrastructure. 3. A computer program has been developed that implements the created method. 4. The study revealed that the relative usefulness indicator of the j-th expert provides an opportunity to form alternative expert positions that have a reliable generalized opinion. 5. The practical significance of the work lies in the development of a computer program that can be used to conduct expert surveys and obtain reliable expert assessments based on them.

IN REGARDS TO IMPROVEMENT OF PAYMENT PROCEDURE FOR FORENSIC EXPERTISE IN CIVIL AND ARBITRATION PROCEDURES

The purpose of the research. The article deals with the actual problem of payment for expertise in civil and arbitration proceedings. Legal norms in terms of payment for expertise, their transformation, and influence on the legal position of a forensic expert are analysed. The purpose of the study is to identify the existing gaps of legal regulation affecting the mechanism of payment for expertise, as well as the author's proposals for their settlement by making appropriate changes in the legislation. This is necessary to improve the mechanism of payment for expertise in civil and arbitration proceedings. Results. As a result of the conducted research, the author concludes that recent changes in the civil procedural legislation, in terms of assigning a forensic examination only after depositing money to the court deposit, if there are no grounds to assign it at the expense of the budget, have significantly improved the position of the expert, but still a number of issues remain unresolved. Expert organizations often face the problem of receiving money from the court deposit without a reason and sufficient grounds for such delay. The author concludes that the problem of payment for expert examinations in civil and arbitration proceedings should be approached in a differentiated manner, supplementing the legislation with special mechanisms dedicated to the payment of remuneration to the expert.

The Legal Position of Digital Forensic Experts in the Settlement of Information Technology Crime Cases

The Legal Position of Digital Forensic Experts in the Settlement of Information Technology Crime Cases

Russia as an Object of Scientific Studies in Kyrgyzstan

The object of the study is scientific social and humanitarian publications devoted to Russia of Kyrgyzstan scientists. These are works in five disciplines: “Russian language and literature”, “political science”, “history”, “economics” and “law”. The purpose of the work is to identify the degree of study and the specificity of research on Russia in Kyrgyzstan in studies on Russian philology, history and political science, and analysis of expert-analytical and scientific-educational materials on economic and legal aspects of research.Of greatest interest to Kyrgyz researchers is Russian language, which is explained by the status and role of the Russian language in the Kyrgyz Republic and its dominant position in the capital, Bishkek, where all major universities of the republic dealing with Russian topics are located. In the sphere of the other four disciplines, the interests of researchers are limited to historical, political and economic relationships between the two states. The study showed that, in general, the ideological positions of local experts are manifested in a positive or neutral attitude towards Russia, despite individual (single) works that contain a negative interpretation of Kyrgyz-Russian relations.

Definition and management of right ventricular injury in adult patients receiving extracorporeal membrane oxygenation for respiratory support using the Delphi method: a PRORVnet study. Expert position statements.

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is an integral part of the management algorithm of patients with severe respiratory failure refractory to evidence-based conventional treatments. Right ventricular injury (RVI) pertaining to abnormalities in the dimensions and/or function of the right ventricle (RV) in the context of VV-ECMO significantly influences mortality. However, in the absence of a universally accepted RVI definition and evidence-based guidance for the management of RVI in this very high-risk patient cohort, variations in clinical practice continue to exist. Following a systematic search of the literature, an international Steering Committee consisting of eight healthcare professionals involved in the management of patients receiving ECMO identified domains and knowledge gaps pertaining to RVI definition and management where the evidence is limited or ambiguous. Using a Delphi process, an international panel of 52 Experts developed Expert position statements in those areas. The process also conferred RV-centric overarching open questions for future research. Consensus was defined as achieved when 70% or more of the Experts agreed or disagreed on a Likert-scale statement or when 80% or more of the Experts agreed on a particular option in multiple-choice questions. The Delphi process was conducted through four rounds and consensus was achieved on 31 (89%) of 35 statements from which 24 Expert position statements were derived. Expert position statements provided recommendations for RVI nomenclature in the setting of VV-ECMO, a multi-modal diagnostic approach to RVI, the timing and parameters of diagnostic echocardiography, and VV-ECMO settings during RVI assessment and management. Consensus was not reached on RV-protective driving pressure thresholds or the effect of prone positioning on patient-centric outcomes. The proposed definition of RVI in the context of VV-ECMO needs to be validated through a systematic aggregation of data across studies. Until further evidence emerges, the Expert position statements can guide informed decision-making in the management of these patients.

Adult provider role in transition of care for young adult pediatric recipients of liver transplant: An expert position statement.

Health care transition (HCT) is the process of changing from a pediatric to an adult model of care. Young adult pediatric recipients of liver transplant transferring from pediatric to adult health care services are highly vulnerable and subject to poor long-term outcomes. Barriers to successful transition are multifaceted. A comprehensive HCT program should be initiated early in pediatrics and continued throughout young adulthood, even after transfer of care has been completed. It is critical that pediatric and adult liver transplant providers establish a partnership to optimize care for these patients. Adult providers must recognize the importance of HCT and the need to continue the transition process following transfer. While this continued focus on HCT is essential, current literature has primarily offered guidance for pediatric providers. This position paper outlines a framework with a sample set of tools for the implementation of a standardized, multidisciplinary approach to HCT for adult transplant providers utilizing "The Six Core Elements of HCT." To implement more effective strategies and work to improve long-term outcomes for young adult patients undergoing liver transplant, HCT must be mandated as a routine part of posttransplant care. Increased advocacy efforts with the additional backing and support of governing organizations are required to help facilitate these practices.

Discursive positioning in heritage – second language learner interaction: A case study of the dynamic construction of linguistic expertise

Drawing on positioning and sociocultural theories, this study examines heritage language (HL) and second language (L2) learners’ negotiation of linguistic expertise in mixed interactions. Through a case study of four interactions between the same HL learner and three different L2 classmates, it investigates how learners’ positioning regarding linguistic expertise shifts across interlocutors and time, shaping language learning. Data was collected at four different stages of a 10-week high-intermediate Spanish course, as learners completed four collaborative writing tasks. Posttests, a pretest, and two questionnaires were also administered. The analysis of discursive positioning showed how the HL learner initially enacted the linguistic expert position associated with his heritage status. As experiences accumulated and pre-established conceptions of expertise were contested, the HL learner came to occupy more of a peer position. The sociocultural analysis of language-related episodes confirmed that this shift resulted in more balanced interactions and enhanced opportunities for HL development.

The ‘Media Party’

Far-right media networks regularly engage in media criticism to undermine the legitimacy of mainstream news. These media critiques work to challenge the authority and power of mainstream news while establishing far-right media as journalistically superior. While constructive media criticism is necessary within any society, far-right news tends to frame mainstream media as an elitist and exclusionary institution that purposefully spreads misinformation to its users. In Canada, numerous far-right media sites have emerged over the past decade but have been relatively under-examined within the literature. In this context, my paper analyzes the types of critiques Canadian far-right media use to question the legitimacy of mainstream Canadian news. The study uses qualitative analysis to examine 65 articles published by two Canadian far-right media outlets, Rebel News and True North. Guided by previous literature surrounding far-right media critiques, I identify four commonly used critiques that the Canadian far-right media employ; the Media Party position, the Disinformation position, the Citizen/Taxpayer position, and the Expert position. Through my analysis, I argue that Canadian far-right media employs these specific strategies of criticism to present their discourse as authoritative over legacy media in Canada.

Quality of life measurement in assessing treatment effectiveness in urticaria: European experts position statement.

In this study, the European Academy of Dermatology and Venereology (EADV) Task Forces on Quality of Life and Patient-Oriented Outcomes and Urticaria and Angioedema has examined the Health-Related Quality of Life (HRQoL) measurement in the treatment of urticaria. The Dermatology Life Quality Index was the most frequently used HRQoL instrument in clinical trials on urticaria. Many reports of clinical trials of urticaria gave no exact numeric results related to HRQoL changes, making clear conclusions and comparisons with other studies impossible. The interpretation of HRQoL impairment data is more difficult when assessed by instruments without severity stratification systems. The minimal clinically significant difference (MCID) is a more clinically oriented and relevant parameter than depending on statistically significant changes in HRQoL scores. Therefore, using HRQoL instruments with established MCID data in clinical trials and clinical practice is preferred.

Postures d’étayage en classes de langues à Ngaoundéré : ajustement et dynamique d’apprentissage

To promote language learning in the classroom, teachers rely on their epistemic and didactic skills to adopt supportive postures that are beneficial to their students. The aim of this study is to analyze the supportive postures of a number of teachers, the adjustment methods they adopt to deal with unforeseen circumstances and the possible consequences for the learning activity. Based on lessons observed in a French, National Cultures and National Languages classes in a General Secondary School in Ngaoundéré, this study will analyze the support postures deployed in sequences where the teacher is in a position of expertise on the epistemic and didactic level and those observed where his mastery of the content taught seems lacking. As the present work is based solely on lessons observations, it twill be essentially qualitative.

Investigating Spatial Criteria for the Urban Landscape Assessment of Mass Housing Heritage: The Case of the Central Zone of New Belgrade

This study addressed problems related to the protection, reconstruction, and revitalisation of modern heritage, particularly the regeneration of mass housing estates built after WWII and facing the contemporary perils of urban decay and deterioration. It presented interdisciplinary research investigating the possibility of extending and complementing the heritage assessment methodology and broadening the scope of the criteria by including mass housing landscape values. Starting with a close reading of the key theoretical positions embedded in the conceptualisation and construction of New Belgrade, we investigated a set of holistic and time-based criteria, followed by contemporary methodologies for landscape quality assessment. The investigation was based on an urban landscape approach to heritage assessment and focuses on the Central Zone of New Belgrade, declared a heritage site in 2021. The interaction of the theoretical underpinnings of modern architecture and urban planning with urban landscape discourse, coupled with historically and theoretically relevant knowledge and data, resulted in an investigation of landscape-based criteria for further mass housing assessment. Finally, we presented the findings of the landscape quality assessment of the transformations of the Central Zone. This perspective could be used to extend the possibilities of this approach in order to (1) tackle the “thickness” of temporality related to (urban) landscapes; (2) rethink and redefine the applied heritage assessment approach; (3) open the assessment procedure to a wider range of stakeholders, particularly nonexperts and the local community; and (4) re-actualise the position and role of experts in the sense of communicating knowledge in a completely new context.

Building a framework to decolonize global emergency medicine.

Global emergency medicine (GEM) is situated at the intersection of global health and emergency medicine (EM), which is built upon a history of colonial systems and institutions that continue to reinforce inequities between high-income countries (HICs) and low- and middle-income countries (LMICs) today. These power imbalances yield disparities in GEM practice, research, and education. The Global Emergency Medicine Academy (GEMA) of the Society for Academic Emergency Medicine formed the Decolonizing GEM Working Group in 2020, which now includes over 100 worldwide members. The mission is to address colonial legacies in GEM and catalyze sustainable changes and recommendations toward decolonization at individual and institutional levels. To develop recommendations to decolonize GEM, the group conducted a nonsystematic review of existing literature on decolonizing global health, followed by in-depth discussions between academics from LMICs and HICs to explore implications and challenges specific to GEM. We then synthesized actionable solutions to provide recommendations on decolonizing GEM. Despite the rapidly expanding body of literature on decolonizing global health, there is little guidance specific to the relatively new field of GEM. By applying decolonizing principles to GEM, we suggest key priorities for improving equity in academic GEM: (1) reframing partnerships to place LMIC academics in positions of expertise and power, (2) redirecting research funding toward LMIC-driven projects and investigators, (3) creating more equitable practices in establishing authorship, and (4) upholding principles of decolonization in the education of EM trainees from LMICs and HICs. Understanding the colonial roots of GEM will allow us to look more critically at current health disparities and identify inequitable institutionalized practices within our profession that continue to uphold these misguided concepts. A decolonized future of GEM depends on our recognition and rectification of colonial-era practices that shape structural determinants of health care delivery and scientific advancement.

Commentary on Diagnostics and treatment of BRCA-associated cancers with olaparib — expert position statement

Commentary on Diagnostics and treatment of BRCA-associated cancers with olaparib — expert position statement

Diagnostics and treatment of BRCA-associated cancers with olaparib — expert position statement

Diagnostics and treatment of BRCA-associated cancers with olaparib — expert position statement

Physical activity should be the primary intervention for individuals living with chronic pain A position paper from the European Pain Federation (EFIC) 'On the Move' Task Force.

There is clear evidence demonstrating the benefits of physical activity (PA) on pain and overall health, however, PA is challenging for many individuals living with chronic pain. Even non-exercise specialists can (cost) effectively promote PA, but many health professionals report a number of barriers in providing guidance on PA, suggesting that it is not consistently promoted. This expert position paper summarizes the evidence and provides five recommendations for health professionals to assess, advise and support individuals living with any chronic pain condition with a long life expectancy in adopting and sustaining physically active lifestyles. This position paper was prepared by the 'On The Move' Task Force of the European Pain Federation EFIC. Final recommendations were endorsed by the European Pain Forum, Pain Alliance Europe and the Executive Board of EFIC. We recommend that all health professionals (1) Take a history of the persons' PA levels, and put PA on the agenda, (2) Advise that PA is important and safe for individuals living with chronic pain, (3) Deliver a brief PA intervention and support individuals living with chronic pain in becoming physically active, (4) Discuss acceptable levels of PA-related soreness and pain and (5) Provide ongoing support in staying physically active. Physical activity is safe and offers several advantages, including general health benefits, low risk of side effects, low cost and not requiring access to healthcare. Adoption of these recommendations can improve the quality of care and life of individuals living with chronic pain and reduce their overall health risks.

2023 Cardiac Society of Australia and New Zealand Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation

Catheter ablation for atrial fibrillation (AF) has increased exponentially in many developed countries, including Australia and New Zealand. This Expert Position Statement on Catheter and Surgical Ablation for Atrial Fibrillation from the Cardiac Society of Australia and New Zealand (CSANZ) recognises healthcare factors, expertise and expenditure relevant to the Australian and New Zealand healthcare environments including considerations of potential implications for First Nations Peoples. The statement is cognisant of international advice but tailored to local conditions and populations, and is intended to be used by electrophysiologists, cardiologists and general physicians across all disciplines caring for patients with AF. They are also intended to provide guidance to healthcare facilities seeking to establish or maintain catheter ablation for AF.

Особенности применения принципа добросовестности в российском гражданском праве

This article is devoted to the consideration of the meaning and role of the good faith principle in Russian civil law. The good faith principle is one of the well-known and widely used principles in civil law of Russia. In the text, the positions of scientists and law enforcement practice using the good faith principle are considered, the approaches developed by domestic and foreign legal doctrine in relation to it are analyzed, the legal essence of the good faith principle is examined, and a theoretical and practical analysis of this legal concept is carried out. A small comparative legal analysis on this issue is also carried out. The author's contribution to legal research on the good faith principle in law is the systematization of the theoretical positions of legal experts on this topic, and in the course of it, the positions of scientists from different countries are explored. This study uses such scientific methods as analysis and synthesis, formal legal and comparative legal method. Based on the results of the study, conclusions are drawn regarding the essence and purpose of good faith as a civil law principle, a legal concept and the corresponding evaluation category. Also, a number of recommendations for law enforcement are given.

Post-COVID-19 syndrome in everyday clinical practice: interdisciplinary expert position statement endorsed by the Polish Society of Civilization Diseases.

Post-COVID-19 syndrome, also known as long COVID-19 syndrome, is a complex set of symptoms that persist for weeks or months after recovery from an acute phase of COVID-19. These symptoms can affect various body systems, including the respiratory, nervous, cardiovascular, and digestive systems. The most common complaints are fatigue, shortness of breath, joint pain, taste and smell disorders, as well as problems with memory and concentration. Pathogenesis of post-COVID-19 syndrome is complicated and not fully understood, but it is likely related to an overactive immune system, disturbances in the intestinal microbiome, and cell and tissue damage caused by the virus. Incorporating a multidisciplinary approach to treating and rehabilitating patients and further research into this syndrome's underlying mechanisms and therapy are crucial for understanding and effectively treating this complex and multifaceted condition.