High Level Of Comfort Research Articles

Comfort Need of Hospitalised Patients With Covid-19 During Isolation Precaution: A Qualitative Study.

This study aimed to explore the experiences of hospitalised patients with Covid-19 in terms of the meeting of their comfort needs and the source of discomfort during isolation precautions. Qualitative descriptive phenomenological approach was applied in this study. There were 16 hospitalised patients with Covid-19 and 11 nurses who were thoroughly interviewed. Content analysis was conducted to examine the data of the interviews and then managed using Atlas ti-9 software. Five central themes were identified that describe the comfort needs and the source of discomfort, as follows: (1) nursing professionalism; (2) physical discomfort; (3) psychological responses; (4) poor sleep quality; and (5) spiritual adaptations. The study promoted further explanation about comfort need in patients with Covid-19 in isolation room. This study also highlighted that nursing care played a pivotal part in assisting patients to reach their highest comfort level.

TRANSFORMATION OF DIGITAL INNOVATION IN EDUCATION IN THE POST-COVID ERA: AN EXPLORATION CENTERED ON DRONES AND VIRTUAL REALITY

The relevance of this study is underscored by the significant shifts in traditional methods of teaching software disciplines in the post-COVID era. The widespread adoption of remote learning and integrating innovative technologies have necessitated re-evaluating educational practices. This study aims to explore the impact of modern innovative technologies on the effectiveness of education and the quality of learning in the post-COVID period. The primary method employed in this study was a survey, through which questions related to the use of drones and virtual reality (VR) technologies in the educational process were posed to students and educators. The results obtained during this study indicate a high level of acceptance by modern students and their educators of the role of drones and VR technologies in the educational environment of contemporary educational institutions. Participants in the surveys positively assessed the transformation trends of innovative technologies in the educational environment, which applies to almost all groups of students and educators without exception, regardless of their specialties. Respondents highlighted multiple positive effects of integrating drones and VR technologies into the educational space of educational institutions, including a high level of comfort when using these technical devices, improvement in the perception of educational material, and enhancement of the quality of mastering software disciplines. Both educators and students positively view the emerging prospects of practical use of drones and VR technologies in educational institutions' educational space, particularly in the post-COVID period and beyond.

Characterizing hospitalists’ comfort and familiarity with LGBTQ clinical topics

ABSTRACT Objectives Evidence has shown that lesbian, gay, bisexual, queer (LGBQ) and transgender patients (LGBTQ) experience disparities in health care delivery and clinical outcomes. As the predominant U.S. inpatient provider workforce, this paper’s objective was to understand hospitalists’ comfort with LGBTQ health. Methods A 58-question anonymous online survey was distributed in 2019 to practicing hospitalists through the Society of Hospital Medicine regarding their experiences in caring for hospitalized LGBTQ patients. Results Two hundred and eighteen hospitalist providers completed the entire survey. While hospitalists reported high levels of comfort in caring for these populations (LGBQ: 90.6%, Transgender: 77.8%), they acknowledged feeling less confident in their clinical competence (LGBQ: 71.6%, Transgender: 51.2%). Hospitalist providers who were themselves LGBQ reported more comfort with most aspects of LGBQ patient clinical care than heterosexual respondents (p < 0.05 for 4 of 6 comfort variables). Seventy-four percent of hospitalists wanted training to advance their knowledge and skills in working with LGBTQ patients. Conclusions Hospitalist clinicians are regularly exposed to LGBTQ patients yet their comfort and expertise in caring for this vulnerable population is highly variable. Educational interventions that include reflective practice may serve to optimize hospitalists’ ability to more confidently and competently serve LGBTQ patients.

Acoustical properties of the new sandwich structures for aircraft cabin interiors with integrated vacuum insulation

AbstractAny modern passenger aircraft must provide a high level of comfort for passengers who spend considerable time inside the cabin. The cabin's climate and interior noise levels contribute to this comfort. Vacuum insulation panels (VIP) have been explored as insulation materials to improve these factors due to their extremely low thermal conductivity. When integrating VIPs into the aircraft cabin's interior, it was discovered that the thermal conductivity of the entire sandwich structure was 3–6 times lower than conventional structures. This finding has generated much interest in using VIPs for aircraft cabin insulation. This article delves into the acoustic properties of these new structures featuring integrated VIPs. Tests were carried out to analyze the sound insulation capabilities of these structures. The results showed that the new interior structures exhibited promising acoustic properties.

Is My Doctor Human? Acceptance of AI among Patients with Breast Cancer.

Artificial intelligence (AI) is becoming increasingly important in society, and medicine can benefit from its advantages. What scenario can we envision when AI becomes as powerful and accurate as human physicians? How will the traditional patient-doctor relationship be affected by AI? Will patients come to trust and accept AI-assisted healthcare as much as their human counterparts? Our research team has been working on applications of AI in plastic surgery for more than 4 years. Between 2020 and 2024, AI algorithms were developed by the authors and applied on patients for symmetry evaluation after breast cancer surgery. Patients were aware of being evaluated with images for AI model training and assessment. Feedback was reported, and a survey was carried out among patients who underwent evaluation by our team. Among patients with breast cancer who underwent surgical reconstruction, 65% of patients reported very high levels of comfort with AI, given that it was mediated by a human doctor. Patients stated that nondoctor-mediated AI in medicine would greatly reduce trust. The influence of AI on the patient-doctor relationship is an important aspect that will greatly affect medicine. In this preliminary work, patients showed high levels of trust and comfort with the use of AI in healthcare, despite stating that they knew little about AI. Patients insisted that the mediation of a human doctor is key for acceptance. Currently, little is known about the acceptance of AI in medical roles among patients.

Determination of Comfort Levels and Spiritual Care Needs of Gynecologic Cancer Patients with Abdominal Drains: A Cross-Sectional Descriptive Study in Turkey.

This study was conducted to determine the comfort levels and spiritual care needs of gynecologic cancer patients with abdominal drains. The study was conducted with 61 gynecologic cancer patients with abdominal drains at the gynecologic oncology surgery clinic of a state hospital in Turkey. Data were collected using the "Participant Information Form," "Perianesthesia Comfort Questionnaire (PCQ)", and "Spiritual Care Needs Inventory". Kolmogorov-Smirnov test and Mann-Whitney U test were used to analyze the data. It was found that the postoperative comfort of the patients in this study was above a moderate level. Patients who did not need spiritual care, did not fulfil religious rituals regularly and did not receive social support had a high level of comfort in the early postoperative period. Patients with gynecologic cancer were found to have high spiritual care needs. Patients without chronic diseases, possessing a single abdominal drain, familiar with the concept of spiritual care, expressing a need for spiritual care, engaging in regular religious rituals, and enjoying social support were identified as having elevated spiritual care needs. Within the framework of holistic nursing care provided to gynecologic cancer patients with abdominal drains, the results reveal the necessity of spiritual care and the importance of comfort.

Remote control of the technical condition of metro trains using seismological tools

As urban road congestion increases and people shift to using the subway, the safety of under-ground transportation becomes a priority. Therefore, it is necessary to establish a monitoring sys-tem for subway trains to detect malfunctions that occur during operation. The article proposes an engineering seismology method for remote monitoring of the technical condition of metro trains based on the analysis of micro seismic vibrations. This method allows remote control of the dynamic parameters of each train and their deviations from the norm. The authors demonstrate how a seismic recorder placed in a building adjacent to a metro station can be used to monitor changes in the amplitude-frequency spectrum of vibro seismic recordings. It is used to determine the arrival and departure times of trains, and it is shown that observations are best made for departures due to their more pronounced signal amplitude. The recorded signal of a metro train should fall within a certain frequency range, which is determined based on its average values, and any deviation of the observed signal spectrum from this norm indicates changes in the train's condition. The proposed approach not only helps improve passenger safety, but also reduces the risk of emergencies associated with technical malfunctions of rolling stock. In the future, it is possible to develop software equipped with a database of statistical data, which will allow even more efficient control of metro operations and prompt response to any deviations, thus ensuring a high level of safety and comfort for passengers.

Market-Driven Resilience in Luxury Transportation

As demand for premium private transportation grows, fuelled by rising purchasing power and a preference for luxury, transportation companies are increasingly offering high-end services. This study focuses on the luxury tourism bus Omah Sultan by Juragan 99 Trans in Malang, East Java, Indonesia, and explores its market resilience. Conducted over a year, the research uses qualitative methods, including observations, interviews with three managers, and feedback from 112 users. The study examines key aspects such as service quality, facilities, safety, innovation, pricing, brand image, and uniqueness. Results indicate that users appreciate the luxurious amenities, advanced technology (including a unique self-cleaning toilet), and the high level of safety and comfort provided. The bus's competitive pricing and strong brand reputation also contribute to its popularity. Since its launch in July 2021, the rental price has increased from 9 million to 14 million rupiah per day by May 2024, yet demand remains robust, with 42 out of 112 respondents being repeat customers. This research underscores the importance of continuous innovation and high-quality service in maintaining a competitive edge in the luxury transportation market.

Understanding Clinician Knowledge, Attitudes, and Practices Relating to Nonpharmaceutical Fentanyl and Harm Reduction.

Nonpharmaceutical fentanyl (NPF) is driving the national epidemic of opioid overdose deaths. Clinicians can play a role in fostering awareness of this growing risk and delivering interventions to reduce mortality. However, there is limited research assessing clinician knowledge, attitudes, and practices relating to NPF and harm reduction strategies. A 34-question survey was designed to assess knowledge, attitudes, and practices related to NPF and harm reduction strategies of adult and pediatric hospital-based and emergency clinicians at a single academic medical center. Results were summarized using descriptive statistics. Chi square and Fishers exact tests were used to compare groups. There were 136 survey responses. The majority (88%) of respondents correctly answered a question on NPF potency. Most respondents were aware that NPF exposure was very (84%) or somewhat likely (10%) for someone using illicit opioids and very (44%) or somewhat likely (46%) for nonopioid drugs. Respondents viewed overdose prevention as highly important for patients using illicit opioids (93%) and nonopioid drugs (86%) but few (21%) were very/extremely familiar with overdose prevention strategies and just over half (57%) were comfortable/very comfortable counseling about overdose prevention. There was wide variability in utilization of harm reduction/treatment strategies (7.3% frequently providing fentanyl test kits to 70% frequently prescribing naloxone). Higher levels of comfort and familiarity with overdose prevention were associated with more frequent counseling on harm reduction strategies. Pediatric-only clinicians had less familiarity (5% very/extremely familiar) and comfort (35% comfortable/very comfortable) with overdose prevention, and limited use of harm reduction strategies (0%-31% using each strategy frequently). While clinicians had knowledge and awareness of NPF and rated overdose prevention as highly important, utilization of harm reduction and treatment strategies was variable. This study highlights opportunities for education and system-based support to improve clinician-driven harm reduction practices for patients at risk of overdose.

The First Years of Practice of Young Spine Surgeons in Latin America

To describe the experiences and current situation of AO Spine Fellows in Latin America, as well as the concerns of junior spine surgeons in their first three years of practice. A multiple-choice questionnaire was sent to AO Spine Associate Fellows who completed their studies within the past five years. This survey aimed to gather information on their professional activities during the initial three years of practice following their fellowship. By comparing the responses and activities undertaken by surgeons on a country-by-country basis, it will be possible to describe and analyze the local and regional outcomes in Latin America. The countries with the highest participation in the AO Spine Fellowship program are currently Argentina (30.7%), Brazil, and Colombia (28.21%). Participants aged 36 to 45 are the age group with the highest engagement (30.7%). Among program participants, 75% are orthopedists. Other notable findings include that 95% of respondents have greater experience and feel more comfortable working in degenerative spine pathology. Currently, junior fellows in the AO Spine program report a high level of comfort with the initiative. However, our study reveals valuable insights that can contribute to its improvement. It is worth noting that there is a clear preference for the standard posterior approach persists. Nevertheless, there is a growing interest among junior surgeons in endoscopic and minimally invasive techniques. This study serves as a gateway to essential data for future studies and the enhancement of the Fellowship education program in Latin America.

Aplikasi Absensi Berbasis Android Pada Sekolah Boarding Sebagai Transformasi Digital Bidang Pendidikan

Boarding schools require students and staff to reside on campus for a set period, necessitating high levels of security and comfort to optimize educational outcomes through effective human resource management. Managing staff and student attendance is crucial in these settings, exemplified by the manual attendance system at Insan Cendikia Magnet School in Bogor. However, manual systems often suffer from inefficiencies, inaccuracies leading to data errors, fraud, and real-time monitoring challenges. To address these issues, this study developed a digital attendance system using FlutterFlow, employing barcode scanning for both academic and non-academic staff. Implementation of this system improved digital attendance processes, with testing confirming its reliable performance. The system effectively met user needs and conditions, integrating attendance data with real-time reporting features. These accessible reports facilitate evaluation and decision-making regarding staff attendance.

Implementation of an interprofessional model for the management of postpartum hypertension.

In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Postpartum hypertension (PPHTN) poses increased risks, including of stroke. Timely assessment and management by clinicians is imperative but challenging. Team-based care involving pharmacists has shown promise in improving blood pressure control, yet its application in PPHTN management remains unexplored. The objective of this study was to determine the impact and feasibility of an interprofessional model for PPHTN management. This initiative implemented a novel interprofessional model at a safety-net hospital to address previous workflow limitations. Ambulatory care pharmacists collaborated with an obstetric nurse (OBRN) and a maternal fetal medicine specialist to manage high-risk patients with PPHTN utilizing electronic consults (e-consults). Data collection and symptom assessment were completed by an OBRN via telemedicine appointments. Pharmacists employed a collaborative practice agreement based on a preestablished algorithm to initiate medications. Data on patient demographics, consult volume, prescriptions, and pharmacist comfort were collected during the first quarter of full integration. Pharmacists completed 55 e-consults and generated 54 prescriptions. The average time spent per chart review was 12.5 minutes, and the average time to completion of e-consults was 54 minutes. Forty-five unique patients received care, who were primarily non-English-speaking and non-Hispanic Black patients. Pharmacists reported moderate to high comfort levels in managing PPHTN based on the algorithm and provided feedback leading to workflow adjustments. Integration of pharmacists into PPHTN care enables prompt medication initiation and titration. This innovative model, involving remote blood pressure monitoring, telemedicine visits with an OBRN, and e-consults completed by pharmacists, ensures delivery of timely and equitable care and improved access across a diverse population.

Clinician Perspectives on Suicide Safety Planning and Its Implementation

Objective The safety planning intervention is an evidence-based practice shown to reduce suicide risk, but implementation of high-quality safety planning has proven challenging. We aimed to understand clinician perspectives on the safety planning intervention to inform future implementation efforts. Method This cross-sectional survey of clinicians who care for patients at risk of suicide in an academic medical center asked about comfort levels and fidelity to components of the safety planning intervention and assessed implementation barriers and facilitators. We used exploratory data analysis and regression analysis to explore clinician perspectives and assess the relationship between formal training and implementation. Results Ninety-two clinicians responded to the survey. Two-thirds of participants (64.9%) endorsed using all six core elements of the safety planning intervention. Participants who reported receiving formal training in safety planning were significantly more likely to report being comfortable completing a safety plan (p < .001); those with higher levels of comfort were significantly more likely to endorse using all of the core elements of the safety planning intervention (p < .001). Conclusions Training in the evidence-based safety planning intervention is associated with clinician comfort and awareness of the core elements of the intervention. Our results suggest that there are gaps in clinician training and that formal safety planning intervention training could have a positive effect on clinician comfort and treatment fidelity.

FEATURES OF THE DESIGN OF CHILDREN'S PLAYGROUNDS IN THE STRUCTURE OF RESIDENTIAL COMPLEXES

In the context of urbanization, the origins and main stages of the formation of children's gaming platforms, starting from the mid-nineteenth century to the present day, have been investigated, and the key significance of the game as a systemic factor has been established. Their development. In current minds, starting from the 80s of the 20th century, and the decline of normative influences, a wide variety of children's play areas have been recorded, not only in the courtyard middle of residential complexes, but also in the structure of towns and admixtures of the landscape river activity, and on the days and on the internet 'eras of richly functional huge complexes. The children's play area is examined as a “design space” in the open architectural space of the courtyard of a residential complex or landscape-recreational design. It is clear that the children of the gaming “design spaces” in their own micro-level add not only functional diversity to the vast spaces, but also, with their exclusive design solutions, become their own tractors of the gentleman's life. The main features of “design spaces” have been identified, which may include rich functionality, ergonomics (compactness and proportionality), a high level of comfort (physiological, emotional-psychological) , aesthetic) and technical equipment, obviously, interactivity and intelligence in the design space, the ability to respond to There are different types of drivers and they change depending on the situation and safety. A number of principles have been proposed - complexity, hierarchy, exclusive design, which revolve around such valuable imperatives as the creation of a safe environment for development; directness to maximize the child's potential in the process of play; organization of space that inspires creativity and exudes artistic and functional comfort. Keywords: design, children's playground, residential complexes, urban environment.

Public perceptions of artificial intelligence in healthcare: ethical concerns and opportunities for patient-centered care

BackgroundIn an effort to improve the quality of medical care, the philosophy of patient-centered care has become integrated into almost every aspect of the medical community. Despite its widespread acceptance, among patients and practitioners, there are concerns that rapid advancements in artificial intelligence may threaten elements of patient-centered care, such as personal relationships with care providers and patient-driven choices. This study explores the extent to which patients are confident in and comfortable with the use of these technologies when it comes to their own individual care and identifies areas that may align with or threaten elements of patient-centered care.MethodsAn exploratory, mixed-method approach was used to analyze survey data from 600 US-based adults in the State of Florida. The survey was administered through a leading market research provider (August 10–21, 2023), and responses were collected to be representative of the state’s population based on age, gender, race/ethnicity, and political affiliation.ResultsRespondents were more comfortable with the use of AI in health-related tasks that were not associated with doctor-patient relationships, such as scheduling patient appointments or follow-ups (84.2%). Fear of losing the ‘human touch’ associated with doctors was a common theme within qualitative coding, suggesting a potential conflict between the implementation of AI and patient-centered care. In addition, decision self-efficacy was associated with higher levels of comfort with AI, but there were also concerns about losing decision-making control, workforce changes, and cost concerns. A small majority of participants mentioned that AI could be useful for doctors and lead to more equitable care but only when used within limits.ConclusionThe application of AI in medical care is rapidly advancing, but oversight, regulation, and guidance addressing critical aspects of patient-centered care are lacking. While there is no evidence that AI will undermine patient-physician relationships at this time, there is concern on the part of patients regarding the application of AI within medical care and specifically as it relates to their interaction with physicians. Medical guidance on incorporating AI while adhering to the principles of patient-centered care is needed to clarify how AI will augment medical care.

Healthcare chaplains' perspectives on working with culturally diverse patients and families.

Considering the ethnic, racial, and cultural diversity in the U.S., we aim to explore the experiences of healthcare chaplains as they provide culturally sensitive care to diverse patients and their families. This is a qualitative study. Individual interviews were conducted with 14 healthcare chaplains recruited from 3 U.S. chaplaincy organizations. Thematic analysis with constant comparison yielded 6 themes in the chaplains' experiences: (1) the diverse roles of chaplains; (2) their high levels of comfort in working with diverse populations, attributed to cultural sensitivity and humility training; (3) cues for trust-building; (4) common topics of diversity, equity, and inclusion discussed; (5) gaps in chaplaincy training; and (6) the importance of collaboration and negotiation with healthcare professionals to accommodate cultural needs. This research highlights the valuable role of chaplains in providing culturally sensitive care and suggests areas for improving chaplaincy training and education to better serve diverse patient populations.

Labor Relations Issues and Governance in the Platform Economy: A Case Study of 'Online Ride-Hailing Drivers'

With the rapid development of the times, new economic forms emerge endlessly, and more and more people are seeking work and rewards through the platform economy. The concept of "ride-hailing" has quickly entered people's sight due to its speed and high comfort level. However, due to the imperfections of the platform economy and the virtual nature of the internet, issues faced by "ride-hailing drivers" continue to emerge: lack of signed labor contracts, difficulty in guaranteeing rest time, inadequate labor laws, etc., naturally causing certain negative impacts on the new economic industry. In this article, we will discuss the issues of labor relations under the platform economy from the perspective of "ride-hailing drivers" and propose reasonable governance measures.

Defining a public health approach to substance use: Perspectives from professionals and practitioners across Canada

BackgroundWhile increasingly referenced in the literature and policy discussions, a “public health approach” (PHA) to substance use has been inconsistently defined or remained undefined. As part of a larger project on building the capacity to implement a PHA to substance use, we aimed to understand how professionals and practitioners across Canada who work with or whose work directly impacts the lives of people who use substances conceptualize a PHA. MethodsWe conducted a cross-sectional national online survey of public health professionals, public safety professionals, health and social service providers, and other relevant professionals and practitioners. The survey contained closed- and open-ended questions designed to gauge familiarity and comfort with application of a PHA to substance use, and perspectives on an organizational definition of such an approach. Survey recruitment was active between May and July 2021. Data analysis included descriptive statistics and thematic analysis. ResultsA total of 1041 surveys were completed. Most respondents (76 %) reported having heard of a PHA to substance use, as it was defined. Over half (54 %) indicated a high level of comfort with applying such an approach within their work. In relation to defining a PHA to substance use, the following thematic suggestions emerged from respondent's open-ended answers: explicitly recognize people with lived/living experience of substance use; incorporate trauma-informed understanding and acknowledge the varied underlying reasons for substance use; decolonize approaches to substance use and empower communities; and consider a more critical appraisal of a PHA and the terminology in its definition. ConclusionEmpirically unpacking multi-stakeholder understandings of a PHA to substance use can help to inform a more cohesive definition and build the consensus needed for more effective, coordinated, and community-led responses to substance use. Future work, especially qualitative research, will provide richer and more practical understandings of a PHA to substance use.

The impact of varied correlated color temperatures on visual comfort in museum exhibitions: integrating physiological and subjective assessments

ABSTRACT Correlated Color Temperature (CCT) significantly influences mood, comfort, and potentially overall health. However, its impact on visitors’ visual experience in museum design remains insufficiently explored. This study aims to investigate the effects of different CCT settings (3000 K, 4500 K, 6000 K) on visual comfort within a simulated museum space. Using 3D modeling and physiological recordings, 200 participants assessed visual comfort. Consistent findings support that a CCT of 4500 K provides the highest comfort level, aligning with the observed trend in eye gaze duration. Pupil diameter variability indicates that greater comfort is associated with higher CCT values. While differences in heart rate variability (HRV) were not statistically significant, there is a tendency for HRV to increase with longer fixation durations. These findings challenge literature advocating for lower CCT values in museum lighting, emphasizing the need to balance conservation and visitor experience. This study provides empirical evidence supporting the optimization of visual comfort in museum lighting design through a CCT value of 4500 K, offering valuable insights for practitioners. However, limitations include potential scene disturbance and the simulated environment. Future studies should diversify samples and explore a broader range of CCT values.

Advancing Sustainable Building Practices: Intelligent Methods for Enhancing Heating and Cooling Energy Efficiency

Our work is dedicated to enhancing sustainability through improved energy efficiency in buildings, with a specific focus on heating and cooling control and the optimization of thermal comfort of occupants. With an energy consumption of more than 60% in buildings, HVAC systems are the biggest energy users. By integrating advanced technology, data algorithms, and digital twins, our study aims to optimize energy performance effectively. We have developed a Neural Network-based Model Predictive Control (NNMPC) to achieve this goal. Leveraging technologies such as MQTT communication, Wi-Fi modules, and field-programmable gate arrays will enhance scalability and flexibility. Our findings demonstrate the efficacy of the NNMPC system deployed on the PYNQ board for reducing sensible thermal energy usage for both cooling and heating purposes. Compared to traditional On/Off control systems, the NNMPC achieved an impressive 40.8% reduction in heating energy consumption and a 37.8% decrease in cooling energy consumption in 2006. In comparison to the On/Off technique, the NNMPC demonstrated a 25.6% reduction in annual heating energy consumption and a 28.8% drop in annual cooling energy consumption in the simulated year of 2017. We observed that, across all strategies and platforms, there were no instances where the Predicted Mean Vote (PMV) fell below −0.5. However, a significant proportion of PMV values (ranging from 65% to 83%) were observed between −0.5 and 0.5, signifying a high level of occupant comfort. Additionally, for PMV values between 0.5 and 1.0, percentages ranged from 16% to 33% for both years. Importantly, the NNMPC exhibited notable efficiency in maintaining occupants’ comfort within this range, requiring less energy while ensuring highly satisfactory environments.