Individual Plans Research Articles

Effectiveness of the socioecological informed contextual treatment summary and care plan (TSSCP-P, Brazil) for breast cancer survivors: a randomized, controlled study

ObjectiveThis study aimed to evaluate the impact of an intervention using the Treatment Summary and Survivorship Care Plan (TSSCP-P) on self-efficacy and quality of life (QoL) in breast cancer survivors.MethodA clinical study, randomized and controlled, conducted to assess self-efficacy and QOL in breast cancer survivors. The participants were randomly assigned to either an intervention group or a control group. The intervention group received individualized nursing consultations guided by the TSSCP-P, while the control group received standard care. Self-efficacy and QoL were assessed at three evaluation moments using validated scales: Functional Assessment of Cancer Therapy-Breast Plus Anm Morbidity (FACT B + 4) and Perceived General Self-Efficacy Scale. Statistical analyses, including regression analysis and hypothesis tests, were conducted to examine the effects of the intervention on self-efficacy and QoL.ResultsFemale breast cancer survivors (N = 101) were recruited. The intervention group demonstrated a significant improvement in self-efficacy over time compared to the control group (p = 0.01). However, no significant differences were observed in the overall QoL scores between the two groups. Subscale analysis revealed a significant improvement in physical well-being for the intervention group (p = 0.04), while emotional well-being showed a non-significant improvement (p = 0.07). The study suggests that individualized care plans and support strategies, such as the TSSCP-P, can positively influence breast cancer survivors’ self-efficacy and certain aspects of their QoL.ConclusionThese findings highlight the potential benefits of the TSSCP-P intervention in enhancing self-efficacy among breast cancer survivors. However, further research is needed to explore its impact on overall QoL and its effectiveness across different stages of breast cancer, as well as with longer follow-up periods.Clinical trial registration numberBrazilian Registry of Clinical Trials (ReBEC- RBR-2m7qkjy; UTN code: U1111-1257–3560), registered in April 19th, 2022.

MODELS OF PROFESSIONAL DEVELOPMENT FOR BIOLOGY TEACHERS IN THE CONTEXT OF SOCIAL CHANGES

This article aims to explore the impact of social changes on the professional development of biology teachers. The purpose of the study is the analysis of modern challenges in the field of education and the development of a model of professional growth of a biology teacher. The following methods are employed in the study: analysis and synthesis of literature on the research topic to determine the current state of the investigated problem, systematic analysis, and synthesis of obtained information to identify the main models of professional development for biology teachers. The regulatory framework ensuring conditions for the professional development of teachers has been analyzed. Modern economic and technological changes, socio-cultural and political transformations, dynamics of interethnic and cultural relations in Ukraine, high population mobility, and migration processes affect the education system and the professional development of teachers. In the scientific discourse, among effective models of professional development for teachers, scholars distinguish: concepts of teaching and development of teachers' professional abilities based on knowledge (knowledge for practice, knowledge in practice, personal knowledge); models of professional development for educators (training model, award-bearing model, deficit model, cascading model, standards-based model, coaching/mentoring model, community of practice model, action research model, transformational model); competency, cognitive, human-centered models; models of applied science, craftsmanship, reflective, apprentice-expert model, rationalist model, case studies model, cascading. The author proposes an original model of professional development, which involves six stages: analysis of contemporary challenges, professional training based on teachers' needs, creation of an individual development plan, integration of innovative technologies into professional activities, self-evaluation, and the establishment and support of professional communities. The main research results indicate the need to reconsider traditional approaches to teaching biology and emphasize the use of modern technologies in the professional development of teachers for successful implementation of changes in the educational environment.

Dementia Care Nurses in the networked care of people with dementia: a qualitative evaluation study

Dementia Care Nurses in the networked care of people with dementia: A qualitative evaluation study Abstract: Background: To coordinate networked dementia care counselling concepts with case management (CM) structures are recommended. This approach has been explored and evaluated within the Dementia Care Nurse project in Saxony-Anhalt. Studies on the implementation of CM are mostly limited to cooperation between case managers and medical and nursing professional groups. Networking processes with all stakeholders involved in dementia care have hardly been described so far. Objective: The aim was to describe the experienced collaboration with Dementia Care Nurses (DCNs) from the perspective of the participating cooperation partners and to derive approaches for the continuation of the DCNs in routine care. Method: Eight semi-structured interviews were conducted with cooperation partners from the health and social care sector who participated in the DCN project. The interviews were analysed for content. Results: The interviews were evaluated by content analysis. Results: Overall, the interviewed cooperation partners rated the collaboration with the DCNs in the project as positive, especially the proactive approach and the continuous support of people with dementia. The continuation in routine care depends on the institutional location and the qualification of the DCNs. Conclusion: The commitment of DCNs enables a more demand-oriented involvement of relevant stakeholders in the individual planning of dementia care.

КОГНИТИВНЫЙ НЕОАССОЦИАНИЗМ:РОЛЬ ОТРИЦАТЕЛЬНЫХ ЭМОЦИЙ

The relevance of the topic “Cognitive neo-associationism: the role of negative emotions” is that, despite the time, the question of aggression and the way to calm down still stands and has not been completely resolved due to the fact that it is impossible to completely select an individual plan for combating aggression. Methods with elements of art, relaxation exercises and even sports were used as the main solutions to the problem. In the aspect of cognitive assessment, basic and suprabasic emotions are considered. If basic emotions are triggered by innate triggers, then supra-basic ones are triggered by those acquired during the life of a particular person. Superbasic or socialized emotions most often have a cognitive nature of origin and their appearance in the psyche. Such emotions are conscious in nature, since they appear upon the fact of a cognitive assessment of the stimulus; in turn, the appearance of basic emotions based on innate stimuli is most often not realized by a person. The purpose of the study was to overcome constructs in the scientific literature about the dominance of cognitive mechanisms of the origin of emotions. The object of the study was emotions and the nature of their origin. The subject of the study was a critique of the cognitive approach to the origin of emotions and the substantiation of the importance of the biological approach, where an important role is given to the innate and genetic mechanisms of the appearance of emotions. The methodological basis of the study was the analysis of scientific research on the problem of the nature and appearance of basic emotions in the psyche.

Problems and Prospects of Social Insurance in India

The fair transfer of the risk of loss from one entity to another in exchange for a payment, known as a premium, is what is meant by insurance (NCAER). A type of risk management called insurance is used to protect or hedge against the possibility of an unforeseen and contingent loss. In the economy, the insurance industry serves as a risk manager, investment activity booster, financial market stabilizer, mobilizer of funds, and financial middleman. According to the Financial Stability Forum, insurance services are categorized into three major categories: social insurance, non-social insurance and reinsurance. The social insurance sector helps in providing risk cover, investment and tax planning for individuals; the non-social insurance industry provides a risk cover for assets. Under reinsurance, developing countries often find themselves in the position of being buyers of reinsurance (UNCTAD 2007). The development of the social insurance market is playing an increasingly substantial role within the insurance industry due to the existence of insurance-growth relationship with the increased share of the insurance sector in the financial sector (Beck and Webb, 2003). Social insurance is civilization’s partial solution to the problems that caused by death; which eliminates 'risk', substituting certainty for uncertainty and comes to the timely aid of the family in the unfortunate event of death of breadwinner. In short, social insurance is concerned with two hazards that stand across the life-path of every person: firstly, that of dying prematurely is leaving a dependent family to fend for itself, and secondly, that of living till old age without visible means of supports (LIC, website). A well-developed social insurance sector is a boon for economic development as it provides long term funds for infrastructure development at the same time strengthening the risk taking ability of a country. Social insurers are custodians and managers of substantial investments of individuals; and policy holders need to be confident that their insurer will be able to meet its promised liabilities in the event that claims are made under a policy Regulatory authorities therefore seek to ensure that the financial soundness and performance of social insurance companies is in sound condition. Insurance is a big opportunity in a country like India with a large population and 2 untapped potential. In this current scenario of growing customer base, one of the principal concerns underlying the regulation of the insurance companies is the need to protect the interest of and secure fair treatment to policyholders (Charumathi, 2011) The risk absorption role of insurers promotes financial stability in the financial markets and provides a “sense of peace” to economic entities. The business world without insurance is unsustainable since risky business may not have the capacity to retain all kinds of risks in this ever changing and uncertain global economy (Ahmed et al., 2010). Insurance companies’ ability to continue to cover risk in the economy hinges on their capacity to create profit or value for their shareholders. The economic significance and recently increasing importance of the insurance industry for financial stability requires for adoption of risk-based supervisions of its undertakings. The Insurance Regulatory and Development Authority (IRDA), the regulatory body of the Indian insurance industry, has therefore intensified its supervision, on-site examinations and off-site surveillances. All of these regulatory measures are to ensure that the financial performance of insurance companies is in sound condition. Insurers’ financial performance is influenced by both internal and external factors. Whereas internal factors focus on an insurer’s-specific characteristics, the external factors concern both industry features and macroeconomic variables. The performance of insurance companies can also be appraised at the micro, meso and macro levels of the economy. The micro level refers to how firm-specific factors such as size, capital, efficiency, age, and ownership structure affect financial performance. The meso and macro levels refer to the influence of support-institutions and macroeconomic factors respectively. At the micro level, profit is the essential pre-requisite for the survival, growth and competitiveness of insurance firms and the cheapest source of funds (Buyinza et al., 2010). Without profits no insurer can attract outside capital to meet its set objectives in this ever changing and competitive globalized environment.

Long-Term Mortality Predictors Using a Machine-Learning Approach in Patients With Chronic Limb-Threatening Ischemia After Peripheral Vascular Intervention.

Patients with chronic limb-threatening ischemia (CLTI) face a high long-term mortality risk. Identifying novel mortality predictors and risk profiles would enable individual health care plan design and improved survival. We aimed to leverage a random survival forest machine-learning algorithm to identify long-term all-cause mortality predictors in patients with CLTI undergoing peripheral vascular intervention. Patients with CLTI undergoing peripheral vascular intervention from 2017 to 2018 were derived from the Medicare-linked VQI (Vascular Quality Initiative) registry. We constructed a random survival forest to rank 66 preprocedural variables according to their relative importance and mean minimal depth for 3-year all-cause mortality. A random survival forest of 2000 trees was built using a training sample (80% of the cohort). Accuracy was assessed in a testing sample (20%) using continuous ranked probability score, Harrell C-index, and out-of-bag error rate. A total of 10 114 patients were included (mean±SD age, 72.0±11.0 years; 59% men). The 3-year mortality rate was 39.1%, with a median survival of 1.4 years (interquartile range, 0.7-2.0 years). The most predictive variables were chronic kidney disease, age, congestive heart failure, dementia, arrhythmias, requiring assisted care, living at home, and body mass index. A total of 41 variables spanning all domains of the biopsychosocial model were ranked as mortality predictors. The accuracy of the model was excellent (continuous ranked probability score, 0.172; Harrell C-index, 0.70; out-of-bag error rate, 29.7%). Our random survival forest accurately predicts long-term CLTI mortality, which is driven by demographic, functional, behavioral, and medical comorbidities. Broadening frameworks of risk and refining health care plans to include multidimensional risk factors could improve individualized care for CLTI.

A Clinical Focus on Shared Decision Making in Clinical Practice When Providing Dysarthria and Dysphagia Services to Individuals With Amyotrophic Lateral Sclerosis

Purpose: Traditional health care decision-making models center on clinicians making decisions for patients/caregivers based on the best available research evidence. However, this diminishes patient/caregiver involvement in their care and hinders the ability to align care plans with patient values and preferences. Shared decision making is a potentially beneficial process to implement with individuals with amyotrophic lateral sclerosis (ALS) to provide more holistic, patient-centered dysarthria and dysphagia treatment. Shared decision making promotes active involvement by patients/caregivers by informing them of potential treatment options, understanding their values and preferences, and aligning their desires with treatment options to determine the most optimal individualized care plan. Conclusions: The benefits and barriers to incorporating shared decision making within ALS multidisciplinary clinics are discussed in this clinical focus article. Furthermore, a fictional case study example of how to apply shared decision making to dysarthria and dysphagia management of individuals with ALS is provided.

Occupational therapy and chronic pain - the didactic experience at academic pain league at the University of São Paulo medical school

Occupational Therapy interventions for people with chronic pain focus on promoting independence/autonomy and rescuing meaningful activities (interrupted after the limitations brought about by illness). Various strategies can be used, such as: guidance on energy conservation and joint protection techniques, prescription and/or manufacture of positioning devices, prescription and/or manufacture of assistive technology equipment, development of creative and expressive activities, training activities of daily living, environmental assessment, guidance for family members and caregivers. This article aims to present the implementation of the Occupational Therapy Service at the FMUSP Pain League, developed since 2023. The work focused on implementing Occupational Therapy as one of the professions that make up the FMUSP Pain League, on a permanent and continuous basis; and, in addition, allow undergraduates teaching opportunities (theoretical and practical) related to the multidisciplinary care of people with chronic pain, as well as promoting research actions in the area of ​​Occupational Therapy and Chronic Pain. In OT, a student and the supervising teacher work, together with the multidisciplinary team. Activities are weekly and take place at night. Remote and in-service supervision is carried out. The implementation took place in 3 stages. In the first stage, we sought to understand the dynamics of the league, as well as characterize the patients and their specific demands, through participant observation. The second stage was structured around the specific OT intervention; evaluations of league users were carried out, with the application of evaluation and recording instruments. The third stage focused on monitoring patients and families, with new assessments carried out when necessary. Interventions follows through individual plan care, family guidance, development of educational material, prescription and/or production of assistive technology devices. The service uses a specific evolution form and the data feeds into a service database. We consider that the results obtained are satisfactory, as theoretical and practical learning was possible for the participating student. Currently, Occupational Therapy is already part of the League's routine activities, with participation in the Introductory Course, in the Board of Directors and in planning activities for 2024.

Исследование направленности личности как компонента персонифицированного субъекта деятельности

The study of problems of personalised education is becoming particularly important. Modern psychological and pedagogical practice requires scientific substantiation, empirical verification and development of the content of such a category as personification. The study considers orientation as a component of personification. An empirical study on the study of orientation as a component of a personalised subject of activity was conducted on the basis of the Federal State Educational Institution of Higher Education “Russian State Vocational Pedagogical University” in Ekaterinburg. The following psychodiagnostics methods were used to study such components of orientation as motivation, value orientations and self-determination of students. Understanding the orientation structure allows for a more accurate and in-depth study of students' preferences, interests and needs, which in turn helps to create individual educational plans that will meet the specific needs of each student. The conducted empirical research confirms that there are significant relationships between the components of orientation as part of personification, which are important to take into account in the process of self-actualisation and self-realisation of students.

A Study of Financial Planning on Young Individuals in Delhi NCR

This research paper investigates the significance of financial planning for young individuals in achieving long-term financial security and stability. With the increasing complexity of the financial landscape and the challenges posed by economic uncertainties, effective financial planning is indispensable for the younger generation. The paper examines various strategies and tools available for young individuals to manage their finances prudently, including budgeting, saving, investing, and debt management. Additionally, it explores the role of financial education and literacy in empowering young people to make informed decisions about their finances. Through a comprehensive review of existing literature and case studies, this paper highlights the importance of early financial planning in building wealth, mitigating risks, and achieving financial goals. Furthermore, it discusses the potential barriers and challenges faced by young individuals in implementing financial plans, such as student loans, low income, and lack of knowledge. Finally, the paper offers practical recommendations and actionable insights for young individuals to enhance their financial well-being and lay a strong foundation for a secure financial future. Monetary items function as a venture route, providing the financial supporters with the predefined monetary security and upholding the monetary items' gamble return profile. In the past traditionally, In India, banks (credit and store accounts), the Life Insurance Corporation (LIC), and the Post Office (repeating shop, National Saving Certificate, Kisan Vikas Patra) all displayed financial products. However, in recent times, as the financial services sector has advanced, new financial products have been introduced, including common stocks, shares, subordinates, annuity plans, children's education plans, life and non-extra security plans (Unit Linked Investment Plans, or ULIPs), common assets, and shares. Each person behaves differently when contributing, therefore each has a different predisposition towards speculation. A private person's investment behavior is influenced by his own circumstances. With the presumption of producing yields people invest in a few financial goods with the hope of earning sizable returns over time and with varying degrees of risk. The goal of the current analysis is to examine how salaried individuals speculate about financial goods that are supported by various segment elements.

Perspectives of Medical Students and Developers Regarding Virtual Reality, Augmented Reality, Mixed Reality, and 3D Printing Technologies: Survey Study

Background Emerging technologies, such as virtual reality (VR), augmented reality (AR), mixed reality (MR), and 3D printing (3DP), have transformative potential in education and health care. However, complete integration has not yet been achieved, and routine use is limited. There may exist gaps in the perspectives of these technologies between users and developers, and improvement may be necessary in developing such technologies. Objective The purpose of this study was to investigate the gaps in perspectives between medical students and developers in medical education regarding satisfaction and anticipated future use of VR, AR, MR, and 3DP technologies, as well as developers’ perspectives on their advantages and current challenges. Methods This retrospective survey study was conducted during a 4-hour elective course over a period of 4 weeks. In this course, computed tomography scans of congenital heart disease patients, medical image processing software, head-mounted displays, and a virtual table were used. Student pre- and postsurveys and the developer survey included demographic and other characteristics, satisfaction, and anticipated future use of VR, AR, MR, and 3DP technologies. The advantages and current challenges of these technologies were only assessed in the developer survey. Results The study enrolled 41 participants, including 15 first-year medical students and 26 software and content developers. Students were more satisfied than developers across AR, VR, and 3DP in terms of overall satisfaction (VR and AR: P<.001; 3DP: P=.002), esthetics (VR: all P<.001; AR: vividness, P=.006 and design, P<.001; 3DP: vividness, P=.001 and design, P=.002), and continuous use intention (VR: repetition, P=.04 and continuous use, P=.02). Particularly in VR, satisfaction with reality was higher among students than among developers (real world, P=.006). Developers anticipated future use of MR for educating medical students and residents, individual and collaborative surgical planning, and performing surgery on patients. In contrast, students anticipated future use of VR primarily for student education, 3DP for resident education and individual surgical planning, and AR for collaborative surgical planning and performing surgery on patients. Developers perceived the inherent capabilities of VR, AR, and MR technologies as strengths, with hardware performance identified as a drawback. For 3DP, the possibility of customized product manufacturing was seen as an advantage, while cost was seen as a disadvantage. Conclusions This study elucidated the different perspectives between medical students and developers regarding 3D technologies, highlighting the discrepancy in potential applications and challenges within the medical field. These findings will guide the integration of 3D technologies in education and health care to fulfill the needs and goals of both medical students and developers.

LIVED EXPERIENCES OF RECEIVING TEACHERS IN HANDLING BEHAVIORAL ISSUES OF STUDENTS WITH SPECIAL NEEDS

This qualitative phenomenological study provides a comprehensive exploration of the challenges, strategies; coping mechanisms, and insights experienced by receiving teachers in addressing behavioral issues among students with special needs in inclusive education settings. Through in-depth focus group discussions with five receiving teachers from Island Garden City of Samal, Davao Del Norte, the study exposes the real struggle and complexities of managing diverse behavioral concerns. The thematic analysis uncovers the intricate web of both academic obstacles and behavioral manifestations, prompting the development and implementation of tailored strategies, including individualized behavior plans and collaborative problem-solving approaches. Moreover, the study highlights the vital role of coping mechanisms, such as seeking support from colleagues and prioritizing self-care practices amidst the demanding educational landscape. The insights gleaned from teachers lived experiences underscore the transformative potential of empathy, adaptability, and inclusive teaching methodologies. Ultimately, the research advocates for targeted professional development initiatives and collaborative support networks to empower receiving teachers to effectively navigate the unique challenges presented by students with special needs, especially students with behavioral issues. By promoting inclusive and supportive learning environments, this study contributes significantly to the enhancement of special education practices and resources. KEYWORDS: Special Education, Behavioral Issues, Receiving teachers, research, teaching, Inclusive Education, and special education practices.

Evaluation of a miniature mass spectrometer based point-of-care-test method for direct analysis of amlodipine and benazepril in whole blood

A miniature mass spectrometer (mMS) based point-of-care testing (POCT) method was evaluated for on-site detecting the hypertension drugs, amlodipine and benazepril. The instrument parameters, including voltage, ISO1, ISO2, and CID, were optimized, under which the target compounds could be well detected in MS2. When these two drugs were injected simultaneously, the mutual ionization inhibition and mutual reduction between amlodipine and benazepril were evaluated. This phenomenon was severe on the precursor ions but had a small impact on the product ions, thus making this POCT method suitable for analysis using product ions. Finally, the method was validated and applied. The blood samples from patients were tested one hour after oral administration of the drugs (20 mg), and the benazepril was quantitatively analyzed using a standard curve, with detected concentrations ranging from 190.6 to 210 μg L−1 and a relative standard deviation (RSD) of 8.6 %. In summary, amlodipine has low sensitivity and can only be detected at higher concentrations, while benazepril has high sensitivity, good linearity, and even meets semi-quantitative requirements. The research results of this study are of great clinical significance for monitoring blood drug concentrations during hypertension medication, predicting drug efficacy, and customizing individualized medication plans.

Abstract PO1-11-01: Effectiveness of Susan G. Komen’s national telehealth patient navigation model in reaching underserved populations and reducing cancer-related distress

Abstract Background: Despite its effectiveness in reducing breast cancer inequities, patient navigation (PN) is not accessible to all patients across the United States. To improve access, Susan G. Komen established a telehealth PN model, scaled to deliver PN services equitably across the country. Methods: Patients are referred to Komen patient navigators through Komen’s Helpline. Navigators conduct an initial distress screening and barrier assessment and create an individualized care plan. This information, recommended interventions, and other health data are documented, 62 days. Navigators communicate via the patient’s preferred method: phone, email, text, or video. A patient satisfaction survey is administered 30 days after the start of navigation. Results: From April 1, 2022, to March 31, 2023, 1,092 individuals were navigated. Navigation was provided throughout the continuum of care, including screening and diagnosis through treatment. Of the 3,064 barriers identified by patients, 63% were economic, 20% related to emotional health, 11% indicated lack of access to care and 6% related to care management. Eleven percent of individuals selected Spanish as their preferred language, 84% had a household income at or below 200% of the Federal Poverty Level and 24% were uninsured. Navigated individuals identified as: 46% Black or African American, 37% white or Caucasian, 20% Hispanic or Latino, 2% Asian, and 14% preferred not to answer. The average patient age was 54 years old, ranging from 20 to 101 years old. 588 patients identified as being diagnosed with breast cancer, with 69% diagnosed as early stage (Stage 0-III), 22% as metastatic (Stage IV), and 8% undesignated. Distress screening is administered, within the domains established by the National Comprehensive Cancer Network, at intake, major transitions in care and end of navigation. Average distress across all domains was 6.1 on an 11-point scale at first observation (a score of 10 indicating the highest level of distress). Financial distress was the highest average (7.5) followed by emotional distress (6.6). During navigation enrollment, financial distress decreased 14% and emotional distress decreased 14%. Survey respondents reported: the Komen navigation program helped them: follow their treatment plan (91%), will help them continue their care (92%), feel more prepared to talk with their care team (91%), to be able to get care faster (88%), and improve their quality of life (91%). Conclusion: Distress screening was developed for a clinical setting with in-network medical and mental health providers. This program’s demonstrates distress screening can be adapted for use in a non-clinical, virtual setting. Socioeconomic, survey, and distress data indicate Komen’s model succeeded in reaching people that research shows have numerous barriers to breast health services and cancer care, and overcome the most common barriers, thus improving access to timely, high-quality care. Opportunities for program improvement include: -To improve support for those experiencing high emotional distress, additional training in emotional support is being incorporated into onboarding and Komen’s Navigation Training Program. - Research shows that navigation is most effective when delivered by someone who shares a lived experience, so the diversity of navigators is important. More bilingual navigators have been added to the program to better serve the Spanish-speaking population. - To improve support of those living with metastatic breast cancer seeking navigation support, Komen has launched a research study to identify the unique needs of patients living with MBC, and use this information to enhance navigation services. Citation Format: Julie McMahon, Shelby Lautner, Mandy Spadine, Toni Lee, Janet Okamoto. Effectiveness of Susan G. Komen’s national telehealth patient navigation model in reaching underserved populations and reducing cancer-related distress [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO1-11-01.

Digitalization and Retirement Contribution Behavior: Evidence from Administrative Data

Abstract Retirement savings decisions are increasingly mediated by digital technologies that promise to help individuals plan adequately for their retirement. We exploit a natural experiment to show that introducing a digital pension application increases the probability of making a voluntary retirement contribution by 1.8 percentage points, from an average pretreatment contribution rate of 2.8%. Men and higher-income earners are more likely to respond to the app introduction. We then leverage a field experiment to show that using the app affects contribution behavior mainly through reducing the “hassle” costs of making contributions, rather than by providing information on the associated tax savings.

Establishing the SHort course In transFerable skills Training (SHIFT) Program

While Ph.D. programs prepare graduate students to perform biomedical research, a defined systematic training program for transferable skills is generally lacking. When provided, this training is often informal, unstructured, or inconsistent. Therefore, there is a need to provide critical skills in marketing, relationship building, project management, and budgeting to prepare trainees to navigate into a productive, engaging, and rewarding biomedical research career. To address this gap in training, the graduate school at Meharry Medical College has developed the SH ort Course I n trans F erable skills T raining (SHIFT) Program, a one-year professional development program accessible to graduate students in the Southeast United States. The SHIFT Program has been launched to equip trainees with skills essential for success in all biomedical science careers. PhD Students between years one and two in their graduate program will be taught the primary constituents of career management through the use of four training modules. In Module I, students will complete self-assessments and be assigned to a small peer-mentoring team of six students with two mentors. Module II will consist of a 5-day workshop that encompasses instruction on the transferable skills identified as essential for career success. Module III will entail monthly interactive discussions over a 6-month period involving case study review and mentor-guided discussions to further reinforce skills learned. In Module IV, students will compile the information learned from Modules I-III to develop an Individual Development Plan that incorporates 3-5 specific, measurable, attainable, relevant, and time-based (SMART) career goals. Collectively, the SHIFT Program will allow participants to train, practice, and refresh skills, empowering them to navigate career transitions and obtain success in the career of their choice. NIH GM151274 and VA I01BX000505. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

The Exploration of Youth School Refusal Problem: Causes, Intervention, and Case Study from Ecological Perspective

兒童青少年拒學問題一直以來都是複雜和難解的課題。研究者基於生態系統觀點探討拒學原因與介入方法，並認為若能分別主要與次要影響因素，先針對主要影響因素進行介入，將更能在有限的時間和資源內改善出席率，故提出三個層次的原因與介入模式。此模式中不同層次差別在主要影響因素的數量不同，層次一包含兩個因素的相互影響，如：個人與家庭。層次二包含三個因素的相互影響，如：個人、家庭與學校。層次三包含四個因素的相互影響。原因部分，個人因素包含身體狀況、心理狀況和特質；家庭因素包含五點，即家長特質與身心健康、家庭功能與動力、家庭期待與參與度...等；學校因素包含六點，即轉換學校、學校氛圍、管教與出席...等；社會因素包含五點，即經濟拉力、文化價值觀、政策或法規...等。介入部分，個人因素包含醫療介入、提升行為技巧、增進認知技巧、提供專業資源；家庭因素包含五點，即進行意外或風險管理訓練、提供諮詢或家訪、提供認知訓練...等；學校因素包含七點，即辨識和轉介高風險學生、推動反霸凌政策、鼓勵學習社群與生涯活動...等；社會因素包含社區資源、警政與司法、社會機構與媒體、教育、諮商與醫療。最後提出中年級拒學案例說明如何改善拒學。Problematic school refusal in youth has long been a complex and vexatious issue. This article reviews the literature that affect school refusal based on ecological perspective. It is believed that if we can differentiate between primary and secondary influencing factors and first intervene with the primary influencing factors, we can better improve school attendance within limited time and resources. Furthermore, a three-level model that emphasizes on comprehensive causes and user-friendly systematic intervention recommendations is proposed. Level one includes the interaction of two factors, such as the individual and the family. Level two includes the interaction of three factors, namely the individual, family, and school. Level three includes the interaction of four factors. Among the causes, personal factors can be addressed through physical condition, mental condition and trait. Family factors include five points, such as parents’ trait, mental and physical health, family function and family dynamic, family expectations and involvement... etc... School factors include six points, namely transferring schools, school atmosphere, discipline and attendance policies...etc.. Social factors include five points, such as economic pressures, cultural values, policies or regulations...etc.. Regarding interventions, personal factors can be addressed through medical treatment, enhancing behavioral skills, increasing cognitive skills, and providing professional resources. Family factors include five points, namely conducting accident or risk training, consultation and home visits, providing cognitive training...etc.. School factors include seven points, such as identifying and referring high-risk students, promoting an anti-bullying policy, encouraging learning groups and career activities...etc... Social factors include community resources, policing and Justice, social organizations and media, education, counseling and medical services. In the end, there is a case example of a fourth-grade child, explains how to address school refusal.

THE ROLE OF SELF-EDUCATION IN THE DEVELOPMENT OF SOCIAL SKILLS OF FUTURE SOCIAL WORKERS

The article reveals the essence of self-education and its importance in the development of social skills in future social workers. We interpret the «soft skills» of the future social worker as his universal, super-professional skills (general competences), which provide him with harmonious adaptation in society and successful career growth. It was determined that the development of the «soft skills» of the future social worker involves an integrative qualitative change in the following components: social-communicative and cognitive skills, personality traits and qualities, and his emotional intelligence.We consider the self-education of the future social worker as an educational activity managed by him, the final result of which is the qualitative transformation of his personality, which involves the acquisition of a new system of knowledge and the development of his abilities in the spectrum of achieving professional and social competence.It has been proven that the way to the systematic and planned development of «soft skills» in future social workers lies in the plane of their continuous self-education. It was concluded that self-education is correlated with the development of social skills «soft skills» in future social workers. The more active self-education, the more effective social skills. At the same time, well-developed social skills are an important condition for effective self-education. An important task of the institution of higher education is to help the future social worker learn to independently develop an individual plan of his own self-education and at the same time construct a personal portfolio of social skills development.

Estimation of IT-project efforts for information system creation in the conditions of re-use of its functions

The object of this study is the process of estimation and control of an IT project. During the study, the problem of increasing the accuracy of estimating the efforts of an IT project to build an information system (IS) was solved. Research in this area is aimed at simplifying the original assessment methods or at applying elements of artificial intelligence to these methods. The task of the impact of the features of IS development methodology on effort assessment remains unexplored. During the study, the method of functional point analysis was modified. The proposed modification makes it possible to increase the accuracy of estimating efforts to build an IS under the conditions of re-using its individual functions. These conditions allow the construction of new system functions by reusing a previously developed function of the same system. The developed method was tested during the evaluation of efforts of an IT project to form the functional task "Forming and executing an individual plan for a research and teaching staff member of the department." The option of re-using one of the functions of a task during the construction of two other functions of the same task is considered. For this option, the estimate was 72 function points (the estimate using the standard method was 144 function points). The use of the results allows us to increase the accuracy in assessing the efforts of IT projects to construct IS under the conditions of applying the methodology of reuse of previously developed system elements. This, in turn, makes it possible to improve the accuracy of estimating time costs, personnel requirements, and financial costs for the implementation of IT projects for constructing IS. The results obtained are used to solve the task of estimating efforts during the planning of IT projects for developing information systems and their software

Motion-Inclusive Treatment Planning to Assess Normal Tissue Dose for Central Lung Stereotactic Body Radiation Therapy

PurposeFor lung SBRT, 4DCT is often used to delineate target volumes, whereas organs at risk (OARs) are typically outlined on either average intensity projection (AIP) or mid-ventilation (MidV = 30% phase) images. AIP has been widely adopted as it represents a true average, but image blurring often precludes accurate contouring of critical structures such as central airways. Here we compare AIP vs MidV planning for centrally located tumors via respiratory motion-inclusive (RMI) plans to better evaluate dose delivered throughout the breathing cycle. MethodsIndependently contoured and optimized AIP and MidV plans were created for 16 treatments and rigidly copied to each of the 10 breathing phase-specific CT image sets. Resulting dose distributions were deformably registered back to the MidV image set (used as reference due to clearer depiction of anatomy compared to motion-blurred AIP) and averaged to create RMI plans. Doses to central OARs were compared between plans. ResultsMean absolute dose differences were low for all comparisons (range 0.01 – 2.87 Gy), however, individual plans exhibited differences > 20 Gy. Dose differences >5 Gy were observed most often for plan comparisons involving AIP-based plans (MidV vs AIP 23, AIP RMI vs AIP 12, MidV RMI vs AIP RMI 7, and MidV RMI vs MidV 8 times). Inclusion of respiratory motion reduced large dose differences. Standard OAR thresholds were exceeded up to five times for each plan comparison scenario and always involved PBT D4cc tolerance dose. AIP-based contours were larger by on average 3-15%. ConclusionLarge dose differences were observed when plans with AIP-based contours were compared with MidV-based contours indicating that observed dose differences were likely due to contoured volume differences rather than the effect of motion. Because of blurring with AIP images, MidV RMI-based planning may offer a more accurate method to determine dose to critical OARs in the presence of respiratory motion.