The adoption of the “Strategy for the Development of Education in the Russian Federation for the Period up to 2036 with a Perspective until 2040” raises the issues of appropriate development of personal and professional qualities of educators so that they are the subjects of the implementation of the planned strategy, and not formal executors. The article discusses the relationship between the processes of self-education and upbringing and lifelong learning through non-formal and informal education. The relevance of the work is related to the ongoing development of a strategy for the development of education in our country, which is focused on improving the system of academic (formal) education, while most of the professional competencies a person receives in the process of subsequent self-education and self-development throughout life. The purpose of the work is to consider the role of non-formal education and upbringing of the country population in the context of the adoption of the Strategy for the development of education in our country. It is based on the idea to construct formation of conformal education as a synthesis of academic and non-formal education (self-education). The novelty lies in the discussion of possible directions of self-education throughout life with periodic certification by authorized bodies and the need to resist negative ideologies and concepts in the process of educating new generations of students. With this in mind, a number of concepts and ideological provisions related to the formation of a patriotic and socially responsible personality are considered. A conformal cycle of lifelong knowledge renovation is presented, combining informal self-education and advanced training in academic educational institutions. The principle of education by means of the discipline taught is considered as the basic basis of interdisciplinary communication.

Interdisciplinary Communication to Prevent Toileting-Related Falls.

ABSTRACT This research explores how to bring higher degree research (HDR) students into virtual production (VP) spaces conceiving original material for a doctoral thesis by creative practice in hybrid documentary filmmaking. As VP production methods are more common in tertiary screen production education, there is a need to develop supports that assist non-cognate HDR students without technical background to navigate these complex environments. Despite increased investments in VP infrastructure at many universities, there is scant research on pedagogical strategies and interdisciplinary collaboration approaches to facilitate HDR engagement. Using a case study of Iron Swan, which deploys in-camera visual effects (ICVFX) at the Queensland University of Technology (QUT) Virtual Production Studio to recreate the conflict in the Ukraine, we reflect critically on the lived experiences of a HDR filmmaker and her academic collaborators. We follow a combined participatory action research (PAR) and creative practice research (CPR) methodology to investigate the technical, logistical, and pedagogical challenges of the project and elucidate broader implications for curriculum design, mentorship, and inclusive practice. Our findings suggest that collaborative VP experiences can foster creative innovation and skill development for doctoral and undergraduate students alike, but not without structured support, interdisciplinary communication and close attention to workflow design.

This integrative review aimed to identify the most frequently used NANDA-I nursing diagnoses in perioperative care to support their inclusion in structured perioperative care pathways. A systematic search of MEDLINE and CINAHL databases was conducted, and eight studies meeting the inclusion criteria were analyzed. Diagnoses were extracted and categorized according to perioperative phases (preoperative, intraoperative, and postoperative) and NANDA-I domains and classes. The intraoperative phase showed the highest concentration of nursing diagnoses, reflecting the critical role of nurses in patient safety and monitoring during surgery. The most recurrent diagnoses belonged to the Safety and Protection domain, including Risk for infection, Risk for aspiration, Impaired tissue integrity, and Risk for perioperative positioning injury. Other relevant diagnoses involved respiratory function, pain management, hypothermia, anxiety, and deficient knowledge. The findings highlight the central role of NANDA-I diagnoses in guiding clinical reasoning and intervention planning in perioperative nursing. Integrating standardized nursing diagnoses into perioperative care pathways may enhance patient safety, interdisciplinary communication, and the quality of nursing documentation, while strengthening the application of the nursing process in clinical practice.

Qualifying variants (QVs) are genomic alterations selected by defined criteria within analysis pipelines. Although crucial for both research and clinical diagnostics, QVs are often seen as simple filters rather than dynamic elements that influence the entire workflow. In practice these rules are embedded within pipelines, which hinders transparency, audit, and reuse across tools. A unified, portable specification for QV criteria is needed. Our aim is to embed the concept of a "QV" into the genomic analysis vernacular, moving beyond its treatment as a single filtering step. By decoupling QV criteria from pipeline variables and code, the framework enables clearer discussion, application, and reuse. It provides a flexible reference model for integrating QVs into analysis pipelines, improving reproducibility, interpretability, and interdisciplinary communication. Validation across diverse applications confirmed that QV based workflows match conventional methods while offering greater clarity and scalability. The source code and data are accessible at the Zenodo repository https://doi.org/10.5281/zenodo.17414191. Manuscript files are available at https://github.com/DylanLawless/qvApp2025lawless. The QV framework is available under the MIT licence, and the dataset will be maintained for at least two years following publication.

BackgroundUtilization of extracorporeal membrane oxygenation (ECMO) has expanded substantially, yet structured training for surgical residents remain limited. We established a dedicated ECMO/mechanical circulatory support (MCS) fellowship for general surgery residents on dedicated academic time and evaluated its feasibility, educational impact, and association with institutional outcomes.MethodsA single-center retrospective review was performed comparing ECMO activity and outcomes before and after fellowship implementation. . Institutional outcomes were compared across pre-fellowship and fellowship eras. Fellows' clinical involvement was quantified through procedural logs and self-reported comfort levels. A multidisciplinary survey assessed perceptions of workflow, communication, and education using 5-point Likert scales and free-text feedback.ResultsTwo fellows completed the program during the study period. Since initiation, annual ECMO runs increased from 59 to 119 (+101%), with total ECMO hours rising 59%. The proportion of patients successfully weaned from ECMO improved significantly in 2025 compared with 2024 (59% vs 41%, χ2 = 6.12, p = 0.013), with a corresponding decline in on-support mortality (22% vs 37%). Two fellows matriculated, each participating in approximately 75 cannulations annually and reporting independent cannulation competency by year-end. Of approximately 70 eligible stakeholders, 30 responded (42%), with most agreeing the fellowship improved ECMO care (90%) and ICU-surgical communication (90%), though fewer endorsed reduced workload (43%). Open-ended feedback emphasized enhanced teamwork and continuity of care.ConclusionsEarly implementation of a dedicated ECMO/MCS fellowship for surgical residents was feasible and associated with increased program volume, improved interdisciplinary communication, and robust trainee experience. Early results suggest potential educational and institutional benefits, warranting longer-term evaluation.

Background/Objectives: Postoperative Delirium (POD) is a frequent complication in older patients undergoing elective surgery. Although multicomponent interventions are effective, deficits in interdisciplinary communication and intersectoral collaboration persist. This study developed and evaluated the “Geriatric Delirium Pass (GeDePa)”, a paper-based tool to systematically document risk factors for POD across care settings. Methods: A multi-method design was applied, comprising (i) a structured literature review, (ii) semi-structured expert interviews, and (iii) a standardized online survey utilizing the RAND/UCLA Appropriateness Method (RAM). A total of 21 healthcare professionals (general practitioners, geriatricians, anaesthetists, surgeons, and nurses) were recruited from Salzburg, Austria, and South Tyrol, Italy (2023–2024). Results: Healthcare professionals confirmed the GeDePa’s practical applicability for early POD risk detection across care settings. The expert rating using the RAM Disagreement Index (DI) method deemed all 45 risk factors as sufficiently relevant and, with the exemption of two risk factors (alcohol use, intraoperative complications), feasible. A detailed analysis provided a more differentiated picture, with full consensus reached for only 18 items. Several factors with uncertain consensus (e.g., cognitive impairment and polypharmacy) were retained based on strong evidence in the literature. Others were excluded despite high ratings if they were considered redundant or impractical (e.g., detailed intraoperative complications). In total, 38 of the 45 risk factors were retained. Conclusions: The GeDePa is a feasible and relevant tool for structured delirium risk assessment and enhancing interdisciplinary communication between primary and hospital care. The finalized German and Italian versions are now available and will undergo further testing and implementation in clinical practice.

Universities play a crucial role in educating and training veterinarians, and their fostering of learning among the next generation of students is widely regarded as key to bringing about the cultural change required to realise a transition towards a ‘One Health’ approach to managing human, animal, and environmental health and underpin widespread adoption of antimicrobial stewardship practices. In Africa, there is a paucity of studies that have explored how veterinary training curricula are influencing veterinary medicine students’ perceptions of ‘One Health’ and the importance of antimicrobial stewardship. This study takes Ethiopia as a case study and explores how veterinary medicine students’ training influences perceptions regarding the benefits of taking a ‘One Health’ approach to managing public health risks and adhering to rational antimicrobial prescription practices and drug use. Data for this study were collected through an online questionnaire survey administered to 154 veterinary students at universities across Ethiopia. We found that the veterinary students were interested in receiving training related to the ‘One Health’ concept and indicated that such training would increase the likelihood that, upon graduation, they would be competent practitioners who could collaborate with other health sectors practitioners in addressing public health challenges. The students perceived a gap in the veterinary training curricula regarding rational antimicrobial prescribing and drug use; this is a concern given that antimicrobial resistance is an emerging problem in Ethiopia and worldwide. The results of this study underscore that veterinary training curricula play a key role in shaping students’ mindsets and practice, and that the provision of information, interdisciplinary and transdisciplinary practical training, and mentorship is key to fostering the learning required to ensure that students are holistic practitioners with the knowledge and capacity to implement at ‘One Health’ approach and antimicrobial stewardship in the future careers. The results highlight the imperative and opportunity for higher education institutions, particularly universities, and policymakers to ensure that national veterinary curricula are cognisant of and aligned with emerging approaches—such as the One Health approach, which advocates for interdisciplinary and multidisciplinary collaboration and communication - to managing the risks posed by infectious diseases to public health.

Purpose: This study protocol provides an overview of research that aims to integrate social workers into general practice teams to improve care coordination and reduce the burden of psychosocial issues presented to General Practitioners (GPs). Design/Methodology/Approach: This proof-of-concept study will be conducted in five overlapping phases to implement and evaluate three different models of social worker integration into general practice teams. The first phase will involve developing partnerships, contractual arrangements, co-design workshops, and an advisory group to establish the project. Phases two and three will focus on implementing the three models. The final phase is the evaluation and dissemination phase. Data collection will include co-design workshops, Qualtrics data capture surveys completed by social workers, wellness assessment surveys, patient feedback forms, and a stakeholder feedback survey. Data analysis will involve thematic and statistical analysis. Discussion: As an emerging area of practice for social work, the implementation of social work practice in general practice needs to be carefully planned and scaffolded. The findings of the evaluation of the models will show how they can address identified needs for primary health care and patient care in the primary health care setting. Co-designing the models at the implementation stage will ensure practice staff buy-in and provide a way to address anticipated challenges, such as referral pathways, role clarification, and resource availability. Originality/Value: This project will contribute to existing knowledge by testing the feasibility and effectiveness of different models of social worker integration into general practice teams in the Australian context, which is a major focus of the national ten-year primary health care plan and Strengthening Medicare reforms. The project will also identify the conditions and factors that influence the implementation and outcomes of social worker integration, such as role clarity, interdisciplinary communication, formal structures and processes, risk management, and funding.

Innovative Learning in Anatomy Education: Assessing the Impact of Low-Cost 3D Deep Learning Anatomical Models in Museum-Based Instruction.

ABSTRACTCough syncope, an infrequent condition causing sudden transient unconsciousness from coughing, elevates hospitalized patients' fall risk with severe complications. A 59‐year‐old male admitted for pneumonia and suspected cough syncope fell post‐cough in the restroom, resulting in subarachnoid hemorrhage. Root cause analysis revealed that there are systemic gaps in clinical nursing: lack of targeted nursing protocols, training, educational materials, poor medical and nursing staff communication, and suboptimal environment. Interventions included developing nursing guidelines, enhancing staff training, creating multi‐format health education, optimizing interdisciplinary communication via a mobile system, and improving environmental safety. Subsequent 22 patients had no falls, with 100% nurse competency and reduced hospitalization duration. This highlights the value of root cause analysis in mitigating fall risks for such patients, while multi‐center research and long‐term follow‐up are needed.

This qualitative study explored nurses' experiences of facing death while caring for bedridden patients in palliative and long-term care settings. Nurses are the primary witnesses to the final phase of life, where technical competence and emotional endurance coexist. Understanding how nurses perceive death and how knowledge, time, and communication affect their caregiving can provide insights into improving end-of-life nursing practices. The study was conducted with 70 primary nurse-caregivers of bedridden patients who were hospitalized in the palliative clinic of a university and an educational research hospital in Istanbul between April and August 2024. The research data were obtained through face-to-face interviews using a semi-structured interview form. The interviews were recorded on a voice recorder. The data obtained from the interviews were analysed thematically. Three main themes were identified: Deficits in Knowledge and Education, Time Management, and Communication and Coordination. Nurses expressed uncertainty and emotional tension when providing care for dying patients. Inadequate end-of-life education heightened their fear of making mistakes. Heavy workload and limited time constrained emotional presence at the bedside. Fragmented communication among healthcare professionals increased feelings of isolation and moral distress. Across these themes, nurses experienced a silent but persistent awareness of death that shaped their professional identity and coping strategies. Nurses caring for bedridden patients constantly face death, balancing medical duties with human vulnerability. Including death education, emotional support, and effective interdisciplinary communication in nursing practice can improve nurses' resilience and the quality of end-of-life care.

The application of Artificial Intelligence (AI) in the sphere of journalism represents a revolutionary change in how news is created, processed, disseminated and consumed. The paper critically considers the new mutual dependence of the technologies of AI and journalism as well as discusses the possible ethical, functional, and social implications. With the use of automated content generation, recommendation engines, data mining and interactivity tools in newsrooms, the transparency, editorial freedom and information integrity are questioned. AI is bringing about effective processes and new ways of telling stories but also, it may magnify effects of algorithmic bias; may reduce influence of human control over the news; and, may endanger journalism. The review assesses some of the structural changes that have emerged as a result of AI, including labor relations, changes in the system of gate keeping, and decentralized power between journalists, the platforms, and technology providers. The research finds problems in the use of proprietary AI systems, lack of transparency of the algorithm, and the under-representation of smaller media organizations through existing literature and analysis of the case. It also identifies new research and policy and practice directions and requires for ethical principles, regulation and careful design of journalistic involvement of AI. This review enhances the discussion by putting together ethical, institutional, and newsroom-labor points of view into a single framework for analyzing AI-driven journalism. The paper proposes a balanced use of AI that is more preoccupied with human controls, transparency and the democratic aspect of journalism. With AI impacting the media ecosystem, interdisciplinary communication is needed to ensure that the future of journalism is responsible, inclusive, and focused on the greater goods.

Heritage communication in the hospitality sector plays a crucial role in preserving cultural identity while enhancing destination branding. Despite the growing popularity of heritage tourism, research on heritage-based public relations (PR) strategies in Southeast Asia—particularly in postcolonial settings like Indonesia—remains limited. This study investigates how five historic hotels in East Java communicate their cultural and historical narratives through PR strategies that connect with both domestic and international visitors. Adopting a qualitative multi-case study, the research combines in-depth interviews, participant observation, and document analysis. The findings highlight three distinctive narrative orientations—nationalist, local-cultural, and colonial-aesthetic—delivered through PR models ranging from traditional information dissemination to participatory engagement. Digital storytelling emerges as a central mechanism for amplifying heritage branding and shaping public perception. This study positions heritage PR as an interdisciplinary field bridging communication, tourism, and cultural preservation, while offering practical insights for hotels to strengthen storytelling practices and collaborate more closely with local communities.

Prenatal cell-free DNA (cfDNA) screening has transformed the prenatal aneuploidy testing landscape testing since its clinical introduction in 2011. Leveraging placentally derived cfDNA fragments as fetal indicators in maternal plasma, cfDNA screening enables highly sensitive aneuploidy detection, most notably for trisomies 21, 18, and 13. With its superior performance compared to traditional screening approaches, cfDNA screening has been rapidly adopted into routine obstetric care worldwide. This review provides an overview of central laboratory foundations of prenatal cfDNA screening based on our in-house developed test experience and includes preanalytical, analytical, and postanalytical considerations. Key topics include specimen handling, quality management practices, an overview of assay platforms, and bioinformatic processing. We explore test performance characteristics such as sensitivity, specificity, and positive predictive value (PPV), as well as factors influencing test accuracy. We discuss critical topics such as interpreting discordant results, the significance of low fetal fraction, and the challenges of confined placental mosaicism and maternal health conditions, including malignancy. Additionally, we consider cfDNA screening expansion to genome-wide analysis with associated interpretive complexities. Prenatal cfDNA screening has quickly become a cornerstone of modern prenatal care. Accurate test performance requires rigorous assay validation, quality assurance, and clear interdisciplinary communication. Understanding laboratory methods and limitations underlying tests is essential for accurate interpretation and appropriate clinical integration. This review highlights the rapid evolution of testing and its profound impact on prenatal screening. As adoption expands and clinical guidelines evolve, the laboratory role in ensuring analytical quality and accurate result interpretation is critical.

Objective: Postdischarge transitions from the hospital to home in older (≥65 years) colorectal surgery patients have a high risk of medication errors, complications, and worsening of existing conditions. Up to 14% are readmitted within 30 days, costing ~$180 million annually. The anticipated 50% increase in colorectal cancer surgeries in older adults by 2040 necessitates an improvement in care transitions and outcomes. Methods: We conducted semi-structured qualitative interviews with 10 surgeons from 8 US health systems to inform the design of a multicomponent care transition model. We selected participants through stratified purposive sampling based on experience with older surgical patients and/or leadership roles. Consolidated Criteria for Reporting Qualitative Studies guidelines were followed, and a detailed line-by-line editing and organizing style was used to analyze transcripts. Results: The interviews identified challenges in care transitions and potential solutions, and 4 themes emerged: (1) Discharge planning should start before surgery and incorporate preoperative geriatrics evaluation and planning; (2) Coordinated communication and collaboration among multidisciplinary care teams are necessary but often lacking; (3) Educating older surgical patients and their care partners and involving them in care decisions is needed for successful management of care responsibilities after discharge; and (4) The complex and fragmented healthcare system creates care challenges postdischarge. Conclusions: Discharge planning that begins preoperatively, integrates geriatrics domains, ensures timely and coordinated interdisciplinary communication postdischarge, and emphasizes patient and family education is essential to improve care transitions in older colorectal surgery patients. A multilevel care transition model incorporating these elements may enhance outcomes and reduce readmissions.

English, as a source language for Artificial Intelligence terminology, significantly contributes to the creation of new metaphorical terms, whose examination is critical for the advancement of specialized lexicons and the education in linguistic disciplines. This study scrutinizes metaphorical terms in English AI terminology, focusing on population algorithms. It examines terms borrowed from biology, physics, sociology and other scientific domains to articulate algorithms based on the principles of collective behavior, evolution, and social interaction. The goal is to identify metaphorical transfer patterns and their cognitive-communicative effects. Employing conceptual metaphor theory (Lakoff Johnson), frame theory (Minsky), and sociocognitive theory of terminology (Temmerman), the study analyzes 1,540 terms from academic sources and specialized glossaries, with special attention to 85 (5.5% of the overall dataset) population-related metaphors. The research reveals how these terms adapt from their original domains to AI. The analysis indicates that EVOLUTION, LIVING NATURE, INANIMATE NATURE, and SOCIETY are the primary sources of metaphorical expansion in AI terminology. The findings demonstrate that metaphors function as effective tools for knowledge organization, facilitating interdisciplinary communication and predicting algorithmic behavior.

This case report described the entire process of a 72-year-old Chinese woman undergoing resection of a giant thyroid tumor. The novelty of this case report lies in its emphasis on the crucial role of anesthetic management for giant thyroid tumors, particularly in patients with concurrent cardiac comorbidities. We present a 72-year-old Chinese female with a giant thyroid tumor caused respiratory compromise due to tracheal compression, complicated by atrial septal defect. She required general anesthesia for tumor resection. A multidisciplinary team developed critical contingency strategies: (1) awake endotracheal intubation under direct laryngoscopy, (2) a remimazolam/sufentanil combination for procedural tolerance, (3) improved tracheal catheter preparation, and (4) surgical tracheostomy readiness. Anesthesia maintenance was achieved with sevoflurane, supplemented by sufentanil and remifentanil for multimodal analgesia and vecuronium/mivacurium neuromuscular blockade. Successful tumor resection achieved complete decompression, with no postoperative complications documented during 30-day follow-up. This case demonstrates that meticulous interdisciplinary communication and structured perioperative protocols form the cornerstone of safe anesthesia practice for patients with dual pathology of airway compromise and cardiac comorbidities, providing crucial insights for managing such complex clinical scenarios.

Mental health (MH) conditions place a significant disease burden on the UK. Pharmacists are healthcare professionals and may contribute to addressing this burden; however, the evidence regarding their specific role in MH care in the UK is sparse. The objective of this review was to assess the evidence regarding pharmacists' roles in managing common MH conditions within UK primary and secondary care settings. A scoping review was conducted following the Arksey and O'Malley framework and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. PubMed, Scopus, PsycINFO, Web of Science, and the Web of Science (Core collection) databases for English-language studies published between 2004 and 2024 were accessed. Eligible studies were UK-based and reported pharmacists' involvement in MH care. Data were charted and synthesized into descriptive themes. Fourteen studies highlighted pharmacists' multifaceted roles in MH care across primary and secondary care settings. Key domains included prescribing and deprescribing, medicines management, patient education, team collaboration, and specialized services such as assessments, referrals, and social prescribing. Pharmacist involvement improved medication optimization, patient understanding, and interdisciplinary communication, though gaps in MH training and role standardization were noted. Pharmacists play diverse roles in supporting MH services through medicines optimization, prescribing support, and multidisciplinary collaboration, and have positive impacts on adherence and medicines management, but limited evidence on effectiveness. Strengthening pharmacist integration, workforce training, and evaluation of scalable interventions is essential to enhance their contribution to MH care in the UK.

In industrial product development, effective collaboration among designers, engineers, and marketers is crucial, yet is frequently challenged by fundamentally divergent mental models of how a product should function, appear, and succeed in the market. Each discipline interprets and communicates design intent through distinct visual and cognitive frameworks, including conceptual sketches, technical schematics, customer journey maps, and market flows. This article investigates how these disciplinary perspectives manifest in visual thinking practices and how shared diagramming tools function as mediators or points of friction within multidisciplinary teams. The study maps the interplay between mental models and representational practices by drawing on literature from design cognition, visual semiotics, systems thinking, and empirical observations from collaborative design settings. It further explores how misalignments impact decision-making, innovation, and project coherence. The findings contribute to a deeper understanding of visual mediation as a critical factor in collaborative product development and propose strategies for aligning cognitive and visual frameworks to improve interdisciplinary communication and design outcomes.