Fact Sheet Research Articles

Tobacco Free Advent Calendar: Evaluating innovative strategies in Public Health digital campaigns

Abstract Introduction Two editions, 2022 and 2023, of the Tobacco Free Advent Calendar (TFAC) built a large network of Organizations, Universities, Institutions, individual experts and medical students across Europe, coordinated by ENSPNext (European Network for Smoking and Tobacco Prevention Youth Group), to advocate for Youth and for Public Health. This study has 2 objectives: 1. Monitor the performance of TFAC 2023 vs TFAC 2022 for 31 days 2. Evaluate improvements in reach and engagement made for TFAC 2023. Methods For 24 days, TFAC 2023 featured thematic messages, embedded fact sheets, quizzes, videos and call-to-action buttons. New content was accessible daily starting on the first day of advent, ending on Christmas. TFAC was available in English and Armenian. AI was used to assist for various tasks and challenges during development and research. Comparative and Time Series Analysis were conducted in Excel and IBM SPSS26. Results TFAC 2023 was accessed 3764 times (8.8% increase), the doors were opened 1506 times (3.9% decrease), Call to action buttons were clicked 261 times (169% increase). For english version a strong variation in reach was observed, but not in engagement which remained relatively constant. In Armenian version both reach and engagement varied in 2023 vs 2022. A seasonal component was identified for both versions, particularly an increase at weekends and a decrease on weekdays. Similar to 2022, the reach and engagement were higher at the start and lower as time passed, although in 2023 the reach and engagement remained higher and more constant over time. Completion rates of interactive materials ranged between 21.4% to 100% in the English version and from 7.1% to 100% in the Armenian version. No interactive material remained unanswered. Conclusions Decrease of translations didn’t lower the reach and engagement of TFAC. Engagement with TFAC 2023 was higher, possibly due to the implication of students organizations and collaboration with influencers. Key messages • Targeted dissemination increased the reach and engagement of TFAC 2023 versus TFAC 2022. • Members of the target group should be recruited for being members in the projects affecting them to increase engagement and impact of the campaign.

ASSESSMENT OF THE THICKNESS OF THE SKIN-FAT LAYER IN SCHOOLCHILDREN OF DIFFERENT AGE GROUPS

The rise in overweight and obesity among school-age children is currently one of the most serious public health problems. With the progress of science and medicine, obesity and the development of various problems caused by it are widespread among schoolchildren and adults in general. In this sense, as a serious problem of medical science, it is alarming and relevant (Calonje Eduardo et. al, 2020). Obesity, as one of the diseases of civilization, is the result of hypodynamia, a disturbance of fat metabolism in the body, which leads to excess weight gain. ("Obesity and overweight Fact sheet N°311".WHO. January 2015. Retrieved 2 February 2016). In this sense, it is important to take into account the age period, and the deviations observed during normal development because each age period has its characteristics of fat metabolism. It has been shown that female schoolchildren of middle school age have a higher rate of obesity, which is not only determined by gender but also by age and body composition or somatotype. Middle and high-school-aged female schoolchildren have a peripheral type of obesity, that is, fat is predominantly stored in the subcutaneous tissue of the thighs, abdomen, and buttocks. It has been shown that there is a clear correlation between fat metabolism and somatotype in middle and high school children. The results of the study suggest that physical activity should be part of a comprehensive weight loss therapy program and weight control strategy since it promotes excess weight loss and its sustainable maintenance, for which it is important to regularly monitor indicators of subcutaneous fat thickness and the relative content of adipose tissue throughout the body․

8046 Milk Provision as a Potential Intervention to Improve Iodine Status in a Pregnant Cohort in Northern Ireland (NI), UK: A Randomised Controlled Trial

Abstract Disclosure: L.R. Kayes: None. K.R. Mullan: None. J.V. Woodside: None. Iodine deficiency is the leading cause of reversible mental retardation worldwide. During pregnancy there is ∼50% increase in iodine requirement for foetal neurodevelopment. The most recently studied cohorts of pregnant women across Ireland and UK consistently demonstrated mild iodine deficiency (target median urinary iodine concentration (mUIC) ≥150 µg/L). A recent study in NI has shown that women of child-bearing age provided with three litres of cow’s milk per week had improved iodine status. We wished to explore whether a similar milk intervention might improve iodine status during pregnancy. Pregnant women were recruited at their first antenatal appointment, and all were provided with the British Dietetic Association’s iodine food fact sheet. Participants were randomised to either milk intervention, (four litres/week milk delivered weekly free of charge), or no milk delivery (control group). Patients were stratified based on use of an iodine-containing multivitamin prior to randomisation. Urine was collected at recruitment, after 12-week intervention period, in the third trimester and 6-12 weeks postnatally along with an infant urine sample when possible. A total of 55 urine samples were collected from infants. A total of 118 women were recruited. Participants had a mean age of 32 years, (range 21 - 45) with a mean BMI of 27.5 kg/m2. Mean gestational age was 12 weeks (IQR 12-13 weeks). The mUIC in the whole group women was 53.2 µg/L in the first trimester. In the control group the mUIC at the first study visit (n=59) was 93.4 µg/L (22% achieving iodine sufficiency); at the second visit (n=38), the mUIC was 158.7 µg/L with 34% achieving sufficiency. In the milk group the mUIC at the first study visit (n=59) was 82.0 µg/L with 10% achieving sufficiency (no statistical significance between groups, p=0.08); at the second visit (n=43), mUIC was 154.7 µg/L with 37% achieving sufficiency (no statistical difference between groups p=0.78). The mean change in UIC between the first and second trimesters was 44.5 and 88.1 µg/L in the control and milk arms respectively (p=0.27). In this cohort, 71.4% of women reported taking an iodine-containing multivitamin in the first trimester of pregnancy with no difference between group randomised to milk intervention (p=0.95). In the infants, mUIC was 124.1 µg/L with no statistically difference in the proportion reaching iodine sufficiency according to maternal randomisation (p=0.64) or maternal use of an iodine-containing multivitamin (p=0.95). In this cohort, there was no significant improvement in mUIC in those receiving a milk intervention. Presentation: 6/1/2024

8046 Milk Provision as a Potential Intervention to Improve Iodine Status in a Pregnant Cohort in Northern Ireland (NI), UK: A Randomised Controlled Trial

Abstract Disclosure: L.R. Kayes: None. K.R. Mullan: None. J.V. Woodside: None. Iodine deficiency is the leading cause of reversible mental retardation worldwide. During pregnancy there is ∼50% increase in iodine requirement for foetal neurodevelopment. The most recently studied cohorts of pregnant women across Ireland and UK consistently demonstrated mild iodine deficiency (target median urinary iodine concentration (mUIC) ≥150 µg/L). A recent study in NI has shown that women of child-bearing age provided with three litres of cow’s milk per week had improved iodine status. We wished to explore whether a similar milk intervention might improve iodine status during pregnancy. Pregnant women were recruited at their first antenatal appointment, and all were provided with the British Dietetic Association’s iodine food fact sheet. Participants were randomised to either milk intervention, (four litres/week milk delivered weekly free of charge), or no milk delivery (control group). Patients were stratified based on use of an iodine-containing multivitamin prior to randomisation. Urine was collected at recruitment, after 12-week intervention period, in the third trimester and 6-12 weeks postnatally along with an infant urine sample when possible. A total of 55 urine samples were collected from infants. A total of 118 women were recruited. Participants had a mean age of 32 years, (range 21 - 45) with a mean BMI of 27.5 kg/m2. Mean gestational age was 12 weeks (IQR 12-13 weeks). The mUIC in the whole group women was 53.2 µg/L in the first trimester. In the control group the mUIC at the first study visit (n=59) was 93.4 µg/L (22% achieving iodine sufficiency); at the second visit (n=38), the mUIC was 158.7 µg/L with 34% achieving sufficiency. In the milk group the mUIC at the first study visit (n=59) was 82.0 µg/L with 10% achieving sufficiency (no statistical significance between groups, p=0.08); at the second visit (n=43), mUIC was 154.7 µg/L with 37% achieving sufficiency (no statistical difference between groups p=0.78). The mean change in UIC between the first and second trimesters was 44.5 and 88.1 µg/L in the control and milk arms respectively (p=0.27). In this cohort, 71.4% of women reported taking an iodine-containing multivitamin in the first trimester of pregnancy with no difference between group randomised to milk intervention (p=0.95). In the infants, mUIC was 124.1 µg/L with no statistically difference in the proportion reaching iodine sufficiency according to maternal randomisation (p=0.64) or maternal use of an iodine-containing multivitamin (p=0.95). In this cohort, there was no significant improvement in mUIC in those receiving a milk intervention. Presentation: 6/1/2024

Development of the World Federation of Hemophilia Shared Decision-Making Tool.

The use of shared decision-making (SDM) in clinical settings is becoming more prevalent. The evolving and increasingly complex treatment landscape of haemophilia management has augmented the need and desire for SDM between patients and their healthcare team. SDM tools have been used in other chronic conditions and can be an effective form of education for patients and clinicians. The World Federation of Hemophilia (WFH) partnered with people with haemophilia (PWH), patient advocacy groups, and healthcare practitioners to form an expert working group to develop an educational tool for PWH and their caregivers. The primary objectives included educating PWH on the available prophylactic treatments and facilitating discussion between PWH and their healthcare team. The tool was proposed and developed by the expert working group, workshopped at conference round tables, and evaluated in two focus groups. The interactive WFH SDM Tool guides users through the SDM treatment journey and provides an opportunity for reflection on current disease impact and treatment preferences, educational fact sheets and videos, and a comparison between treatment classes. Two forms of the SDM Tool are available: an online platform with a summary page that may be printed and shared and a printable workbook. All evidence in the tool is based on the prescribing information or phase III clinical trial publications. The Tool will be updated twice each year. The WFH SDM Tool is the first available resource that translates published guidance on SDM in haemophilia into a practical, user-friendly tool aimed at facilitating patient-centred treatment decisions.

White House Releases Healthcare Cybersecurity Fact Sheet

White House Releases Healthcare Cybersecurity Fact Sheet

Digitising Kew's Herbarium: Do We Have a Protocol for That?

How do you get 8.5 million plant and fungal collections imaged, transcribed and online for global consumption? Digitisation staff at the Royal Botanic Gardens, Kew are currently seeking to answer this question to make the vast herbarium and fungarium collections freely available. Two years into the project and with 3.4 million collections fully digitised (as of July 2024), we reflect here on the trials and challenges faced by one team in particular, the digitisation team’s curator-botanists in the herbarium. Kew Gardens is thought to host the world’s oldest purpose-built herbarium. The plant collections housed within, comprise one of the largest collections in the world—collections that underpin much of Kew’s scientific research. Along with Kew's Fungarium, Kew's Herbarium collections include over 95% of known vascular plant genera and 60% of described fungi, representing data collected from more than 260 years of exploration and observation. Earlier projects have ensured the digitisation of all 330,000 type specimens and smaller, limited, family or area projects, with images and data being made available via platforms such as Global Biodiversity Information Facility (GBIF) and Global Plants on JSTOR (Journal Storage). The current digitisation project, running from 2022–26, ambitiously aims to create a complete catalogue of all remaining collections at Kew. Specimen data transcriptions and high-resolution images will be freely available online via the new Kew Data Portal, accessible externally to researchers around the globe. The strength of this project lies in the dedicated teams of specialists involved, including imaging experts, data managers, quality assurance specialists, and curators of the herbarium and fungarium. Staff in the role of curator-botanist (digitisation), a role created at the start of the project, function as a buffer between the high throughput image capturers and the curator-botanists (collections) and researchers looking to work on the collections whilst the project is ongoing. They have become experts in multi-tasking and problem solving and have developed processes and workflows to respond to the needs of all involved. Scrutinising every herbarium folder, some that may have remained closed for years, has brought delights and complications at every turn. At the same time, workspaces have had to be found for numerous imaging stations within the herbarium wings, allowing the imaging team to meet their targets, whilst being ever aware of the need for work space in the collections. Visitors have not been prevented from coming to Kew during the digitisation project, and the work of Kew’s own researchers and curators does not simply stop. It is important to leave space available for study and curation, and microscopes accessible around the collections to ensure research can continue. The curator-botanists in the digitisation team assist heavily in the logistics planning and keep communications among all parties flowing. Aside from the technical details, which naturally come to the fore in such a project (camera specifications, data cleaning, transcription criteria etc.), the very basics of herbaria and curation, first needed to be addressed. Examples of the challenges met, and the solutions put forward include: Query: What is a standard herbarium sheet? Solution: ‘Anatomy of a specimen’ fact sheet produced with explanations of commonly found elements of a collection along with frequently encountered Latin phrases and abbreviations. Query: Shouldn’t this be recurated? Solution: Achievable recurations pre-imaging were assessed and tackled with herbarium curators; bigger tasks were logged for later attention. Anomalies identified during imaging would remain in situ so as not to affect later processes (transcription, quality assurance). Query: Is a spider a pest? Solution: No…well, not usually. An identification sheet for common herbarium pests was produced with information on spiders and other non-pest herbarium visitors. Query: Is Sellotape archival? Solution: No, just no. A system for reporting and removing specimens in need of repair or remounting has been implemented. Query: What is a standard herbarium sheet? Solution: ‘Anatomy of a specimen’ fact sheet produced with explanations of commonly found elements of a collection along with frequently encountered Latin phrases and abbreviations. Query: Shouldn’t this be recurated? Solution: Achievable recurations pre-imaging were assessed and tackled with herbarium curators; bigger tasks were logged for later attention. Anomalies identified during imaging would remain in situ so as not to affect later processes (transcription, quality assurance). Query: Is a spider a pest? Solution: No…well, not usually. An identification sheet for common herbarium pests was produced with information on spiders and other non-pest herbarium visitors. Query: Is Sellotape archival? Solution: No, just no. A system for reporting and removing specimens in need of repair or remounting has been implemented. The team set up regular ‘exceptions’ lectures and refreshers to deal with these and many other queries as they arose. In presenting these and other matters we hope to share lessons learnt and gain further insight into how other institutes have or will undertake such projects.

Abstract B099: Addressing cancer disparities in the United States-Affiliated Pacific Island jurisdictions: Insights from the Scaling What Works program

Abstract Purpose The Scaling What Works (SWW) program aimed to build the capacity of National Comprehensive Cancer Control Program (NCCCP) recipients to scale three CDC-identified cancer control projects through training, mentorship, and technical assistance (TA). The SWW program held a Symposium to provide in-person training on adapting, implementing, evaluating, sustaining, and scaling the three projects. We recruited 100% of US-Affiliated Pacific Island (USAPI) NCCCP programs (n=6), who made up approximately 26% of all programs that attended the Symposium (n=23). The USAPI jurisdictions face high cancer burden due, in part, to the United States nuclear legacy, the effects of climate change, limited medical infrastructure, and lack of culturally competent, centralized care across the almost 4,000 miles that the USAPI spans. Through the SWW program, USAPI recipients are supported in their ongoing efforts to mitigate cancer disparities affecting their communities. MethodsWe applied community-based participatory research methods and health equity principles to ensure the SWW program was relevant and responsive to the USAPI recipients’ contexts and needs. We created a SWW subcommittee to learn about and advocate for the specific needs of the USAPI. The committee spoke with ten clinicians and researchers with experience working in the USAPI, across four informal meetings, to understand the unique cancer prevention and control context of each USAPI jurisdiction. The committee reviewed USAPI cancer plans and extracted data related to SWW activities, including cancer prevention priorities, community partners, demographic characteristics, and healthcare infrastructure. Data were added to a matrix, coded, and summarized by subcommittee team members to develop a USAPI fact sheet. We shared the fact sheet with SWW Symposium facilitators and mentors to provide them with the necessary information to support the USAPI programs. Findings We identified components critical to providing effective training and TA that will support USAPI-led work to address disparities in cancer prevention and control. These components include 1) acknowledging the current and historical power dynamics that establish the USAPI cancer prevention and control program space, 2) adjusting generalized training content to each jurisdiction’s unique context and cancer prevention goals, 3) adapting communication strategies to USAPI programs’ preferences and time zones, 4) facilitating networking opportunities both between NCCCP USAPI jurisdictions and across all NCCCP recipients to build a SWW community of practice, and 5) establishing a sustained, bidirectional partnership between USAPI program leaders and the SWW team to collaborate on future cancer prevention and control projects and to provide training and TA, as needed. ConclusionsThe lessons learned from SWW regarding health equity and capacity-building can inform the efforts of researchers, evaluators, and training and TA providers working with USAPI jurisdictions, states, and territories engaged in cancer prevention and control work. Citation Format: Amy L. Tran, Mary Wangen, Renée M. Ferrari, Jingle Xu, Alison T. Brenner, Stephanie B. Wheeler, Rebecca J. Lee, Elizabeth A. Rohan, Angela R. Moore, Shixiu Wang, Alyssa LaMonica, Mary Puckett, Amy L. Thompson, CK Smith, Katie Jones, Malesa Pereira, Rogelio Robles-Morales, Lori A. Crane, Courtney N. Petagna, Thuy T. Vu, Betsy C Risendal, Rachel Hirschey. Addressing cancer disparities in the United States-Affiliated Pacific Island jurisdictions: Insights from the Scaling What Works program [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B099.

Abstract B078: Tailoring human papillomavirus (HPV) vaccine outreach for rural and Hispanic communities in Washington state: A modified Boot Camp Translation approach

Abstract Introductory sentences indicating the purposes of the study: Using a modified version of Boot Camp Translation (BCT), a validated community participatory approach, we co-created locally relevant and culturally appropriate human papillomavirus (HPV) vaccination materials and messages for parents and caregivers of HPV vaccine-eligible children in Washington state. Brief description of pertinent experimental procedures: The HPV vaccine, recommended for children starting at age 9, reduces the risk of HPV infection and HPV-related cancers. However, HPV vaccine rates are significantly lower in rural regions compared to urban areas. In partnership with Kaiser Permanente Center for Health Research, the Huntsman Cancer Institute, and Sea Mar Community Health Centers, a large federally qualified health center in Washington state, we used a modified BCT approach to elicit input from parents and caregivers of HPV-vaccine eligible children to develop materials and messages that motivate parents to vaccinate their children. Eligible participants were parents or caregivers of children between the ages of 9-15 who had at least one vaccination, spoke English or Spanish, and were able to participate in the entire BCT process. Two BCT sessions were conducted (one in English and one in Spanish), both consisting of three meetings over a four-month period. The sessions included a five-hour in-person meeting in Aberdeen, Washington (English) and Bellingham, Washington (Spanish), and two one-hour follow-up virtual calls for each language. The in-person meetings included HPV vaccine education by Sea Mar providers and an expert in HPV research, discussions on HPV knowledge, perceptions, and barriers to vaccination, and small group discussions to generate HPV messages and materials. The follow-up calls gathered feedback on drafted materials and messages. Summary of the new unpublished data: Eight parents or caregivers participated in the English session and nine participated in the Spanish session. Key themes identified to incorporate in messages and materials included: stressing the benefits of vaccination, highlighting research on the vaccine’s safety and efficacy, including statistics and images of both girls and boys, reporting local statistics, spelling out HPV in materials, and emphasizing the words “prevent” and “protection” from cancers/infections later in a child’s life. The preferred materials and dissemination methods included: fact sheets and brochures (available in the clinic, mailed home, or in school nurses’ offices), posters (displayed in the clinic lobby and exam rooms), and animated videos (played on the clinic lobby TV and texted to parents’ phones). Participants also requested live phone calls from Sea Mar to discuss the importance of the vaccine and assist with vaccine scheduling. Final materials will be showcased.Statement of conclusions: We used a modified BCT approach to incorporate participant feedback to develop HPV vaccine messages and materials and identified preferred dissemination channels for rural communities in Washington state. Citation Format: Priyanka Gautom, Jamie H. Thompson, Jennifer S. Rivelli, Ludy Villegas, Anna C. Edelmann, Katherine Vaughn, Becca Slagle, Stephen Gubler, Kaila Christini, Amanda F. Petrik, Gloria D. Coronado, Deanna Kepka. Tailoring human papillomavirus (HPV) vaccine outreach for rural and Hispanic communities in Washington state: A modified Boot Camp Translation approach [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B078.

Abstract B091: Listen, Empower, Co-Create: Conducting listening sessions to create tailored messages about colorectal health for American Indian communities

Abstract Background We conducted Listening Sessions using a modified version of boot camp translation (BCT), a validated community engaged approach, to engage American Indian community members in the Great Plains and the Pacific Northwest to develop culturally and locally relevant colorectal cancer (CRC) screening messages and materials. Methods CRC is one of the leading causes of cancer death in the US and disproportionally affects American Indian adults. Routine CRC screening leads to earlier diagnosis and prolonged survival from the disease. In partnership with Great Plains Tribal Leaders Health Board (GPTLHB), South Puget Intertribal Planning Agency (SPIPA), and National Association of Chronic Disease Directors, we used a modified BCT approach to obtain feedback from tribal communities to create CRC screening messages and materials. To make the BCT process more meaningful for our partner communities, we reframed the BCT sessions by referring to them as Listening Sessions. The Listening Session engagement process was designed to help community leaders and champions learn about local barriers and gaps in care (listen), share health information in a collaborative way (empower), and develop messages and materials that resonate with and motivate community members to take control of their health (co-create). Eligible tribal community members from GPTLHB and SPIPA were between the ages of 45-75 and able to participate in three Listening Session meetings (one five-hour in-person meeting including expert presentations, brainstorming opportunities, and interactive small group sessions, and two follow-up virtual sessions (one-hour each) to refine messages and materials). Results Common Themes. Both groups emphasized the importance of using a multigenerational approach by including grandchildren and Elders in the messages and materials. Additionally, they highlighted the need for materials to be relatable and culturally relevant by incorporating local cultural imagery and traditions and multigenerational family support .Differing Themes. The GPTLHB findings focused specifically on including Lakota words to reinforce cultural identity, using visuals for colon health education, and incorporating details about healing traditions. The SPIPA findings recommended highlighting intertribal milestones like the canoe journey and incorporating water as a symbol of spiritual healing. Materials and Dissemination Methods. Preferred materials and channels for dissemination were: 1) fact sheets, posters, and visual stories to be distributed in-clinic or at community events, 2) animated videos for CRC screening education to be shown in clinic, 3) live action videos with community member CRC stories to be shown in clinic. Final materials will be available here: www.KPCHR-engage.org Conclusion We conducted Listening Sessions to incorporate participant feedback to develop CRC screening messages and materials and identified preferred dissemination channels for tribal communities in the Great Plains and Pacific Northwest. Citation Format: Jamie Thompson, Jennifer Rivelli, Priyanka Gautom, LaToya Brave Heart, Jamie Nikander, Lorrie Graaf, Gloria Coronado. Listen, Empower, Co-Create: Conducting listening sessions to create tailored messages about colorectal health for American Indian communities [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B091.

Kommunikation bei Demenz

A scoping review investigated the effectiveness of different communicative interventions for patients with dementia. It demonstrated that communication between caregivers and dementia patients is improved by music, multisensory stimulation, and communication training. As a result agitation, mania, fear, anger and corrective touching are reduced, and fluency, spontaneous speech, eye contact, smiling and affective touching are enhanced. The recommendations, summarized in a fact sheet, also contribute to improved therapeutic decision making with bystanders and oral health of people with dementia.

The development and evaluation of a fact sheet resource for women managing menopausal-related cognitive complaints.

Cognitive symptoms are frequently reported by women during the menopause transition years. The aim of this research was to codesign and evaluate a fact sheet resource to help women understand and manage cognitive symptoms that may occur during menopause. This study adopted a codesign approach involving women during the menopause transition years as well as professionals to develop and evaluate a fact sheet, with a focus on acceptability and safety. Four phases (discover, define, develop, deliver) were conducted to develop, refine, and evaluate the fact sheet using a mixed-methods approach of focus groups, interviews, and surveys. The discover phase identified a need for online educational resources for women in premenopause, perimenopause, and postmenopause to learn about menopause-related topics. The define and develop phases, relying on focus group sessions with perimenopausal and postmenopausal women, revealed common themes related to the experience of cognitive symptoms and a desire for management tips to optimize cognitive functioning. Structured interviews with professionals highlighted a desire for more concrete examples of cognitive symptoms. The results of the deliver phase found strong acceptability for the fact sheet, alongside requests for additional information on menopausal hormone therapy from premenopausal, perimenopausal, and postmenopausal women. The study reported a wide range of cognitive symptoms among women during the menopause transition years. This study showed broad agreement on the fact sheet's acceptability and safety in addressing menopausal cognitive symptoms. Feedback on menopausal hormone therapy and management tips underscores the demand for more research on effective interventions.

REDUCTION OF FOOD COSTS AND WASTE IN PRE-PREPARATION OF MEALS BY IMPLEMENTING TECHNICAL TOKENS IN A FORTALEZA-CEARÁ FOOD AND NUTRITION UNIT

The Food and Nutrition (HFS) is a unit which develops activities related to food and nutrition, providing safe meals. To reduce waste, it can be used to produce sheet (FTP) that it is an effective tool for the control of production of foodstuffs both in financial as well as nutrition. This work aims to standardize and reduce waste in the pre-preparation and cost of preparations by deploying factsheets on a Power Unit Nutrition business in Fortaleza-Ceará. This is an observational study, prospective, descriptive quantitative, with six days of execution. The fact sheets were made of five (5) dishes present in the unit in which menu was composed of entrance, main dishes, base plate, trim and desserts. Among the FC obtained in this study there was a significant variation in the results available in the literature, making it possible to compare the losses, evaluation of raw materials, storage, receipt and hand labor used. With the reduction of factors, therefore there was a reduction in the cost of the preparation of the meals, as FC interfere with cost values, the sales price is an important factor in determining the profit of the company. Based on the data presented, it is concluded that this data sheet is a very important tool for the units of food and nutrition, it provides a reduction in waste and cost of preparations, and contribute to the choice of supplier, upon receipt, storage , handling, assisting in the planning of purchasing, control production costs and providing a standard and quality of meals.

OCR still intent on combating national origin discrimination

The Office for Civil Rights has become relentless in addressing discrimination based on national origin/shared ancestry — most often involving Jewish, Muslim, Arab, and Palestinian individuals as of late. Campus Legal Advisor, a sister publication to Campus Security Report, has previously written about OCR's heightened activity in this area, with numerous investigations, fact sheets, and “Dear Colleague Letters” calling on colleges and universities to eliminate hostile environments related to harassment based on national origin/shared ancestry and to fulfill their legal obligations under Title VI. (See bit.ly/465FTac and bit.ly/48gwhdu.)

A Study on Mutual Fund Investors Awareness Regarding Factsheet of the Scheme

Mutual fund is an investment tool, getting popular day by day. Indian Mutual fund industry manage Rs. 64.71 trillion in July 2024 an increase of about 40% from July 2023. Individual investors hold 61.0% of overall Assets under Management in July 2024. Fact sheet of scheme depict performance of mutual fund scheme. Awareness of individual investors regarding contents of fact sheets is highly desirable and this awareness level is found out in a small group for getting information and suggesting appropriate action. Key Words: Mutual fund, Investors, Awareness, Factsheet

Step by Step Calculation of the Penman-Monteith Evapotranspiration (FAO-56 Method)

AE459, a 12-page fact sheet by Lincoln Zotarelli, Michael D. Dukes, Consuelo C. Romero, Kati W. Migliaccio, and Kelly T. Morgan, provides a step-by-step calculation of the reference evapotranspiration (FAO-56 method) for a given location from the available weather data. Includes references. Published by the UF Department of Agricultural and Biological Engineering, February 2010.

Degenerative Cervical Myelopathy Awareness in Primary Care: UK National Cross-Sectional Survey of General Practitioners.

Degenerative cervical myelopathy (DCM) is a progressive neurological condition, characterized by spinal cord injury secondary to degenerative changes in the spine. Misdiagnosis in primary care forms part of a complex picture leading to an average diagnostic delay of 2 years. This leads to potentially preventable and permanent disability. A lack of awareness secondary to deficits in postgraduate education may contribute to these delays. This study aims to assess the awareness of DCM in the setting of general practice. General practitioners completed a quantitative web-based cross-sectional questionnaire. The 17-item questionnaire captured data regarding demographics, subjective awareness, and objective knowledge. The questionnaire was disseminated via professional networks, including via practice managers and senior practice partners. Incentivization was provided via a bespoke DCM fact sheet for those that completed the survey. A total of 54 general practitioners representing all 4 UK nations responded to the survey. General practitioners most commonly self-assessed that they had "limited awareness" of DCM (n=24, 51%). General practitioners felt most commonly "moderately able" to recognize a case of DCM (n=21, 46%). In total, 13% (n=6) of respondents reported that they would not be at all able to recognize a patient with DCM. Respondents most commonly reported that they were "moderately confident" in their ability to triage a patient with DCM (n=19, 41%). A quarter of respondents reported no prior introduction to DCM throughout their medical training (n=13, 25%). The mean score for knowledge-based questions was 42.6% (SD 3.96%) with the lowest performance observed in patient demographic and clinical recognition items. General practitioners lack confidence in the recognition and management of DCM. These findings are consistent with the diagnostic delays previously described in the literature at the primary care level. Further work to develop and implement educational interventions to general practitioner practices is a crucial step to improving patient outcomes in DCM.

Resources to Support Canadian Nurses to Deliver Virtual Care: Environmental Scan.

Regulatory and professional nursing associations have an important role in ensuring that nurses provide safe, competent, and ethical care and are capable of adapting to emerging phenomena that influence society and population health needs. Telehealth and more recently virtual care are 2 digital health modalities that have gained momentum during the COVID-19 pandemic. Telehealth refers to telecommunications and digital communication technologies used to deliver health care, support health care provider and patient education, and facilitate self-care. Virtual care facilitates the delivery of health care services via any remote communication between patients and health care providers and among health care providers, either synchronously or asynchronously, through information and communication technologies. Despite nurses' adaptability to delivering virtual care, many have also reported challenges. This study aims to describe resources about virtual care, digital health, and nursing informatics (ie, practice guidelines and fact sheets) available to Canadian nurses through their regulatory and professional associations. An environmental scan was conducted between March and July 2023. The websites of nursing regulatory bodies across 13 Canadian provinces and territories and relevant nursing and a few nonnursing professional associations were searched. Data were extracted from the websites of these organizations to map out educational materials, training opportunities, and guidelines made available for nurses to learn and adapt to the ongoing digitalization of the health care system. Information from each source was summarized and analyzed using an inductive content analysis approach to identify categories and themes. The Virtual Health Competency Framework was applied to support the analysis process. Seven themes were identified: (1) types of resources available about virtual care, (2) terminologies used in virtual care resources, (3) currency of virtual care resources identified, (4) requirements for providing virtual care between provinces, (5) resources through professional nursing associations and other relevant organizations, (6) regulatory guidance versus competency in virtual care, and (7) resources about digital health and nursing informatics. Results also revealed that practice guidance for delivering telehealth existed before the COVID-19 pandemic, but it was further expanded during the pandemic. Differences were noted across available resources with respect to terms used (eg, telenursing, telehealth, or virtual care), types of documents (eg, guideline vs fact sheet), and the depth of information shared. Only 2 associations provided comprehensive telenursing practice guidelines. Resources relative to digital health and nursing informatics exist, but variations between provinces were also noted. The use of telehealth and virtual care services is becoming mainstream in Canadian health care. Despite variations across jurisdictions, the existing nursing practice guidance resources for delivering telehealth and virtual care are substantial and can serve as a beginning step for developing a standardized set of practice requirements or competencies to inform nursing practice and the education of future nurses.

OCR still intent on combating national origin discrimination

The Office for Civil Rights has become relentless in addressing discrimination based on national origin/shared ancestry — most often involving Jewish, Muslim, Arab, and Palestinian individuals as of late. Campus Legal Advisor has previously written about OCR's heightened activity in this area, with numerous investigations, fact sheets, and “Dear Colleague Letters” calling on colleges and universities to eliminate hostile environments related to harassment based on national origin/shared ancestry and to fulfill their legal obligations under Title VI. (See bit.ly/465FTac and bit.ly/48gwhdu.)

A Novel Electrochemical Method to Detect HIV in Saliva

Human Immunodeficiency Virus (HIV) is a global epidemic that causes acquired immunodeficiency syndrome (AIDS) with time. Approximately 14% (one in seven) of HIV-infected people do not know their HIV status till 2022 [1]. These people have a higher chance of spreading HIV without knowing its consequences. So, there is an unmet need for more HIV testing techniques to isolate and identify all HIV-infected people as soon as after their infection. Till now, there are no available techniques to detect HIV in saliva due to HIV’s low concentrations and the inhibition properties of saliva. We developed a nickel-based electrochemical method to detect HIV in saliva for the first time. This method does not require any biorecognition element for the detection, thus making it label-free. The difference in current responses during the chronoamperometry helps to distinguish HIV from saliva. It happens due to the blocking of the formation of NiOOH in the presence of HIV on the nickel surface. This method has high sensitivity and exhibits a linear current trend with increasing concentrations of HIV culture fluid. Also, it has a lower detection limit of around 50 copies/mL and a high selectivity of HIV over Epstein-Barr Virus (EBV), which is the most common co-infection for HIV patients. Also, the most common route to transmit EBV is through saliva. So, this novel method will create a new opportunity for the commercialization of non-invasive HIV testing techniques that minimize the spreading rate of HIV by fastening HIV testing.[1] “Global HIV & AIDS statistics — Fact sheet.” Accessed: Nov. 26, 2023. [Online]. Available: https://www.unaids.org/en/resources/fact-sheet