Lack Of Preparation Research Articles

Healthcare Professional Communication on Sexual Health: A Report from the Italian Working Group on Adolescents and Young Adults with Cancer.

Sexual function is an important concern for adolescent and young adult (AYA) with cancer. The aim of this study was to explore the attitude of Italian health care professionals who deal with AYA patients with cancer toward sexual health communication. A 11-question survey was developed by the AIOM (Associazione Italiana di Oncologia Medica) and AIEOP (Associazione Italiana Ematologia Oncologia Pediatrica) AYA workgroup and sent to AIOM and AIEOP members. The sample comprised 360 respondents, 54.2% AIEOP and 45.8% AIOM members. Eighty percent were physicians, 14.5% nurses, 4.7% psychologists, and 0.8% other professionals. Medical oncologists are more used to investigate about AYA sexual health than pediatric oncologists (58.2% vs. 46.2%), even if pediatrics more frequently refer patients to specific and shared protocol (40% vs. 26.1%). Both AIOM and AIEOP participants mostly talk about sexual health only on request or occasionally (78.8% and 79%, respectively). Clinician-reported barriers to communication identified in this study are lack of preparation and embarrassment for both the categories, plus the presence/interference of parents for pediatrics and lack of time for medical oncologists. Overall, less than 5% of clinicians in our survey received specific training on potential sexual health issues in AYA patients with cancer and only 2% felt adequately prepared to speak about it. Sexual health is a key component of comprehensive care for AYA with cancer during treatments. This study highlighted the need of Italian providers for specific training and guidelines on sex-related health issues encountered by AYA patients.

THE STUDENTS AND TEACHER’S PERCEPTION OF ONLINE LEARNING OF ENGLISH CLASSES AFTER COVID-19 PANDEMIC AT SENIOR HIGH SCHOOL SURABAYA

Improving the students‟ English by mode of online learning is crucial especially during and after the pandemic Covid-19. This study aims at find out to find out about the students‟ perception towards the online learning and teaching at SMA Maryam Surabaya. Secondly, it also tries to provide the strategy how to improve the students‟ perception toward online learning and teaching at SMA Maryam Surabaya. This study is a qualitative study in which the researcher took the data from the questionnaires distributed to the respondents consisting of 60 students‟ of Maryam Senior High School in Surabaya. The questionnaires with 10 question concerning the students‟ perception. These responses were analyzed descriptively and then inferred for the conclusion. It was found that the lack of preparation and infrastructure during the pandemic negatively impacted student motivation, resulting in a majority perceiving online learning as less enjoyable. However, it is important to acknowledge that research findings may vary in different contexts. The e teachers of English at Junior High Schools should enhance their students‟ English learning by making them get used to using online mode with some variation and also good equipment in the schools.

PENGENALAN PROBIOTIK SEDERHANA UNTUK TERNAK AYAM KAMUPUNG DI DESA PERSIAPAN URSANA KECAMATAN INAMOSOL KABUPATEN SERAM BAGIAN BARAT

Ursana Village is one of the preparatory hamlets for division into a village in Inamosol District. The most commonly kept livestock are cattle and native chickens. Constraints from the development of this farm, namely the lack of readiness, knowledge and skills of breeders. The potential development of free-range chicken has not been maximized. This is due to the lack of knowledge and motivation of the community in handling chicken diseases. Chicken disease is one of the risks that needs to be watched out for and faced with its own challenges in farming activities. Probiotics can increase livestock production when given regularly. The purpose of PKM is the application of probiotics to native chickens in disease prevention. This activity includes a social approach with the village government to take inventory of free-range chicken breeders for counseling, distribution of brochures to breeders or counseling participants, and demonstrations of making probiotics. Community service activities carried out in the Ursana Preparation Village increased the knowledge and skills of farmers regarding disease recognition and the manufacture of simple probiotics

“If only we knew…”: An exploratory study of parents of adopted adolescents seeking residential treatment

Adopted children are overrepresented in higher levels of clinical care (e.g., residential treatment centers), yet little is known about adoptive parents’ experiences parenting children with serious emotional disturbance, and the precursors to and aftermath of choosing out-of-home care—particularly in families formed via domestic private adoption. The current exploratory study used focus groups (11 adoptive parents, 9 families) to examine parents’ experiences of parenting and navigating care for their children, with attention to how children’s challenges and placements impacted and were impacted by all family members. The findings underscore a variety of institutional challenges and barriers (e.g., lack of preparation by adoption agencies; inadequate mental health care services and insurance coverage) faced by adoptive families with a child with a severe emotional disturbance. The findings also highlight multifaceted strains to the family system associated with child mental health challenges, including strains on parents’ own well-being, their couple relationships, and sibling well-being. Implications for adoption agencies, family practitioners, school administrators, and researchers are discussed.

Learning Management Systems as a platform for information sharing during the COVID-19

Background: During the outbreak of the deadly respiratory coronavirus disease (COVID-19) in the 2019–2022 period, many South African institutions of higher learning adopted online learning management systems (LMS) to share information and salvage the academic project. This adoption was fraught with challenges including a lack or preparedness, resources and strategy on how to manage change. Objectives: The study examined the challenges faced while using an online LMS as an information sharing platform in academia, specifically in a rural-based university in South Africa during (COVID-19) lockdown period. In addition, the study also explored the state of readiness of the rural-based university to transition to an online LMS. Method: A quantitative research methodology was used to collect data through the administration of a survey to respondents from a rural-based university. The target population for the study was students and academic staff. Results: The study revealed that online learning management provided a collaborative knowledge and information sharing platform. This study established that LMS enabled the university to continue sharing knowledge and interact with their students, staff, and stakeholders to continue to facilitate teaching and learning. Internet connectivity, a lack of preparedness and data costs were cited as key challenges. Conclusion: This study highlighted how an online LMS was used as a collaborative and knowledge sharing platform during a global crisis. Contribution: The study contributes to information and knowledge sharing disciplines to create awareness to authorities on the importance of technology during a crisis.

Barriers to Effective Communication about Advance Care Planning and Palliative Care: A Qualitative Study.

The purpose of this study was to identify barriers to effective conversations about advance care planning (ACP) and palliative care reported by health care and community-based service providers in Massachusetts, USA. This qualitative research analyzed open-ended responses to two survey questions, inquiring about perceived barriers to having conversations about ACP and palliative care with patients and consumers. Data were collected between November 2017 and June 2019 from nine organizations in Massachusetts, including health care provider organizations, health insurers, community-based organizations, and a nursing education institution. Two researchers reviewed and coded the responses and identified common themes inductively. Across 142 responses, primary barriers to ACP included hesitation and lack of understanding and knowledge, discomfort and resistance among service providers, lack of staff knowledge, difficulties with follow-up, and differences in ACP policies across regions. Common barriers to palliative care were misconceptions about palliative care and lack of knowledge, service providers' lack of preparedness, and limited policy support and availability. Challenges relevant to both ACP and palliative care were fear and discomfort around serious illness discussions, lack of knowledge and awareness, discussions that occur too late, and cultural and language barriers. Health care practitioners and community-based professionals reported consumer-, service provider-, and system-level barriers to facilitating conversations about ACP and palliative care with patients experiencing serious illness. There is a need for more tools and support to strengthen service providers' ACP and palliative care competencies and to promote a structured approach to health care planning conversations.

Examining Responses to a Racist Event in a Sorority and Fraternity Life Community: A Case Study

Racism has been interwoven in implicit and explicit ways within historically white sorority and fraternity life (SFL) communities since their inception. However, few studies have provided insight to how practitioners address the realities of racism in SFL broadly, or specifically how SFL practitioners have attended to race-based incidents on their local campuses, the success of these initiatives, and to what degree their actions have been sustainable over time. This project sought to contribute insight to these dynamics by mobilizing a case study approach guided by an institutional response framework to focus on how a particular SFL community at Sunnydale University (a pseudonym) took steps following a racist event that occurred on their campus. Using data collected from five professionals and 19 students on campus, as well as from institutional documents, findings from this study revealed the following: the lack of preparedness and plan to address racist events, how they moved toward immediate and continued engagement in equity work, as well as the challenges with striving toward racial equity. We then provide implications for higher education professionals and future research.

Configuring lean manufacturing and supply chain risk management: a cluster analysis

Among many fallouts of the global pandemic, firms’ supply chains have been severely impacted at the global scale. Such global impact can be mainly attributed to companies’ current heavy focus on lean manufacturing, resulting in a lack of preparedness and flexibility, and therefore weakening their supply chain links. At the same time, firms face severe financial distress and constraints if their investments in future risks turn out to be of no value. Facing such dilemmas, many firms are unsure of how to appropriately configure lean and risk management at their operational and supply chain levels. This study aims to understand the various configurations of lean manufacturing and supply chain risk management. Also, this study pays attention to buffer capacity associated with lean and risk management. In a dataset collected from 198 US companies, cluster analyses discover the manufacturers’ configurations of the varying emphases on lean management and supply chain management. Our results indicate that firms achieve the highest levels of buffer capacity and firm performance if they implement lean practices and risk management at a higher level than others.

ELearning Gamification Prototype Development using User Centered Design Approach

Abstract eLearning is one of the tools used by the educational institution. Unfortunately, many eLearning systems were not fully utilized by the user. These problems occur because of a lack of interaction in the eLearning system, dulling the learning process. Another problem is the lack of preparation from the user. This research tried to tackle these problems using gamification. The gamification adopted in this prototype is Medals, Ratings, and Discussion. The development prototype development using User Centred Design to gather the requirements and system flows. The use of these elements is hoped to be able to elevate the eLearning adoptions. The results of this research are the prototype of the gamification features and the business process of discussion in the eLearning system
 

Aggretriever: A Simple Approach to Aggregate Textual Representations for Robust Dense Passage Retrieval

Abstract Pre-trained language models have been successful in many knowledge-intensive NLP tasks. However, recent work has shown that models such as BERT are not “structurally ready” to aggregate textual information into a [CLS] vector for dense passage retrieval (DPR). This “lack of readiness” results from the gap between language model pre-training and DPR fine-tuning. Previous solutions call for computationally expensive techniques such as hard negative mining, cross-encoder distillation, and further pre-training to learn a robust DPR model. In this work, we instead propose to fully exploit knowledge in a pre-trained language model for DPR by aggregating the contextualized token embeddings into a dense vector, which we call agg★. By concatenating vectors from the [CLS] token and agg★, our Aggretriever model substantially improves the effectiveness of dense retrieval models on both in-domain and zero-shot evaluations without introducing substantial training overhead. Code is available at https://github.com/castorini/dhr.

The Perception of Congregational Assemblies in Improving The Quality Of Christian Family Fellowship

The apostle Paul in most of his epistles wrote about teaching, nurturing or pastoralizing to members of the church in order to live as follows the will of God. It shows that in the time of the New Testament the apostles and other servants of God in building the congregation not only emphasized on the issue of numbers but also aggravated the problem of the quality of life of the congregation itself. This study aims to determine the perception of the congregational assembly in improving the quality of Christian family fellowship. This study was conducted at the evangelical christian church (GKI) klasis Sentani congregation Hermon Hollo Him Papua, using a qualitative method through the distribution of questionnaires to the congregational assembly. The results showed that the congregational assembly understood that teaching and guiding church members is an important task mandated (100%), must be done wholeheartedly (83%), and always guided by the Bible (61%). However, sometimes in its teaching the Congregational Assembly felt less certain that they were accepted by members of the congregation (61%), this was likely due to the congregation's lack of preparation and knowledge of how to properly teach and guide christian families (56%). The quality of christian family fellowship is judged by two things, namely having biblical knowledge of the christian family and having the example of Christ. Members of the congregation place Christ as the head of the family (100%), also knowing the basis for the formation of a christian family, even if they do not understand very well how to form a quality christian family fellowship (67%). The attitude shown in Christ's example is to make the Bible a guide for life (56%), active in participating in worship (39%%), active in spiritual activities (44%) and always having an attitude of mutual love for others (44%). Based on these results, it can be concluded that aspects of teaching and guidance for members of the congregation have been carried out by the congregational assembly, but still require good guidance for members of the congregation, especially the congregational assembly as the leader of the church so that the quality of christian family fellowship occurs better.

The effect of provisions on the mental health of young adult care leavers. A systematic review

PurposeCare leavers are identified as a vulnerable group within UK society and, unsurprisingly, are more susceptible to mental health problems. Research highlights inadequacies among UK Government provisions combined with poorer outcomes for care leavers. This paper aims to measure the effectiveness of provisions on mental health when transitioning from the care system to adulthood.Design/methodology/approachA systematic review was conducted to identify and highlight the inadequacies of provisions in place to aid a care leaver’s transition and the effects on their mental health. Of the 211 studies identified from the search, six studies met the eligibility criteria and were deemed eligible by the researcher for further exploration of themes.FindingsThe findings identified feeling isolated, training given to care professionals and caregivers, collaboration, lack of preparation and support and access and gaps in provisions as the five key themes. The overarching theme of interconnectedness and interplay between subthemes, mental health and a care leaver’s transition, is strongly presented throughout. Many participants within the individual studies reported negative findings illustrating the weaknesses of provisions and the negative effect on their mental health. Furthermore, the findings emphasise the unique nature of everyone’s experience transitioning out of the care system.Research limitations/implicationsA limitation of the review is the selection of key words, which may have restricted the results produced during the main search, subsequently affecting the amount of relevant data extracted and synthesised. Finally, less emphasis on grey literature and more on empirical studies reduces the probability of discovering null or negative findings, therefore increasing the chances of publication bias (Paez, 2017). A small number of eligible studies increase the risk of not making important comparisons, prompting a wider search to be conducted in the future. An unequal ratio between national and international research in the systematic review restricts fresh perspectives and strategies concerning the mental health of care leavers.Practical implicationsCare leavers are identified as a vulnerable group within society and, unsurprisingly, are more susceptible to mental health problems. The UK Government enforces national and local policies to support young adults leaving the care system and transitioning to independence. However, previous research highlights inadequacies among provisions, combined with poorer mental health outcomes for care leavers.Social implicationsFollowing on from gaps in the current findings, an investigation into regional disparities across provisions aimed at assisting care leavers transitioning to independence would produce useful information for the field and policymakers. Although current research addresses the essence of interplay between mental health and transitioning, further research is required to help build a supporting argument for adaptations and improvements in policies and practice.Originality/valueThis study supports the argument for an increase in attention from the UK Government and policymakers to improve the quality and quantity of support for a population often underserved and marginalised, especially in terms of reducing poorer mental health outcomes.

“Insufficient guidance and a lack of preparation”: Police academy training and the reality of police work

Police academy training is the foundation of police performance. In Australia, police academy programmes are usually delivered internally by police officers and are underpinned by traditional policing practices and acceptable methods of response deemed suitable. There is little research, however, which determines whether Australian police academies adequately prepare recruits to conduct police work or prime recruits for the reality of policing. Analysing data collected from 46 constables working in one of the largest Australian police organisations, this research offers original insight into a previously under-research area regarding the effectiveness of police academy training in preparing recruits for general-duties police work.

The Psychosocial Impact of Treating Patients with COVID-19 on Psychiatry Residents in a Community Hospital: a Qualitative Study.

The authors explored the experiences of psychiatry residents caring for patients during the COVID-19 pandemic on a medical unit. From June 2020 through December 2020, structured, individual interviews were conducted with psychiatry residents deployed to internal medicine wards in a community hospital to provide medical care to COVID-19 patients for greater than or equal to 1week. Interviews were recorded, transcribed verbatim, and analyzed using thematic analytical methods. Psychiatry residents (n = 16) were interviewed individually for approximately 45min each. During the interviews, many residents described emotions of fear, anxiety, uncertainty, lack of preparedness, and difficulty coping with high patient mortality rates. Many of the residents expressed concerns regarding insufficient personal protective equipment, with the subsequent worries of their own viral exposure and transmission to loved ones. Multiple residents expressed feeling ill-equipped to care for COVID-19 patients, in some cases stating that utilizing their expertise in mental health would have better addressed the mental health needs of colleagues and patients' families. Participants also described the benefits of processing emotions during supportive group sessions with their program director. The COVID-19 pandemic represents a public health crisis with potential negative impacts on patient care, professionalism, and physicians' well-being and safety. The psychiatry residents and fellows described the overwhelmingly negative impact on their training. The knowledge gained from this study will help establish the role of the psychiatrist not only in future crises but in healthcare as a whole.

Central Java Teachers’ Perspective on Science, Technology, Engineering and Mathematics (STEM) Learning

The purpose of this study is to investigate central java teachers’ perspective about STEM. Science, technology, engineering and mathematics or STEM recently has been becoming the most discussed in education practice. Integrating engineering and technology with science and mathematics will help teachers to deliver material using real world problem. Using project based learning to solve the problem can enhance students’ interest, collaboration, discipline, critical and creative thinking skills. In fact, survey research showed that 35 of 72 teachers in central java do not know about STEM and teachers that have implemented STEM in the class have difficulties while teaching it. The highest hurdles teachers met was time allocation. Indonesian curriculum has a lot of materials that should have delivered in a limited time makes teachers hard to implement STEM in the learning process. Followed by teachers’ difficulties to integrate between science, technology, engineering and math because there is no curriculum materials to guide them and other difficulties are school infrastructure, students motivation, and lack of preparation. Time allocation, school infrastructures, STEM integration, and preparation are the most hurdles that teacher met in the class.

Digital information security management policy in academic libraries: A systematic review (2010–2022)

Digital information security management (DISM) is considered an important tool to ensure the privacy and protection of data and resources in an electronic environment. The purpose of this research is to look into the applications of DISM policies in terms of practices and implementation in academic libraries. It also identifies the challenges faced by academic libraries in applying these DISM practices regarding policy. A systematic literature review was conducted to achieve the objectives of the study. The data were collected from well-known different databases, that is, Library Information Science and Technology Abstracts (LISTA), Library and Information Science Abstracts (LISA), IEEE Xplore, Emerald Insight, ACM Digital Library, Scopus, Sage journals, Taylor & Francis, ProQuest, Science Direct, Wiley Online Library, and Google Scholar. It followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to choose relevant articles with keyword searching. Some academic libraries have developed DISM policies on data protection, data backup, information security (IS) systems, the development of hardware and software, the training of library staff, data protection from malware and social engineering, and data security and privacy. A few libraries have developed a mechanism to protect and secure users’ sensitive data from hackers, viruses, malware and social engineering. Findings indicated that both organisations and users trust libraries due to their strict privacy and data security policies. However, some academic libraries did not adopt and implement DISM policies in their organisations, even though they had written DISM policies. Libraries have been facing issues with the DISM policy on data security and privacy, data backup, IS systems, hardware and software upgrades and technical support of library staff. They also face budgetary challenges and a lack of readiness among librarians to adopt emerging tools and technology such as DISM. Library professionals faced challenges in developing and implementing the DISM policy. For data security and privacy, stakeholders, administrators and library professionals must promote the DISM policy culture in academics. This study is beneficial for library professionals, policymakers, administrators and management to make DISM policies and implement them in their organisation or libraries to secure sensitive, personal data and resources. This article is the first review of DISM policy in academic libraries of its kind and would be useful for information professionals, stakeholders and administrators.

THE WHATSAPP APPLICATION USE AS A SUPPORT SERVICE IN DISTANCE EDUCATION: A CASE ANALYSIS

This study aims to reveal the strengths and limitations of the WhatsApp application as a support service in distance education, conducted through a learning management system during the Covid-19 pandemic, and make suggestions on improving its use in this capacity. Despite the lack of readiness on the part of the students and the lack of sufficient knowledge regarding distance education during the pandemic, many universities had to revert to emergency remote teaching. This situation necessitated the intensive use of various support services for the students to get the most out of their emergency remote teaching However, their lack of experience with distance education prevented them from using the support services offered by learning management systems. Due to the increasingly widespread use of mobile technologies, one of the support services used by course instructors became the WhatsApp application. The following research is a qualitative case study. The sample for the study was determined through purposive sampling. The data was analyzed using the content analysis method. Nvivo qualitative data analysis software was used to contribute to the detailed and versatile data analysis. The most important results of the study were that the application supported and strengthened distance learning by allowing instant communication, but that the absence of a moderator caused various limitations in this communication. In addition, it was concluded that incorporating natural language processing techniques into learning management systems and clearly stated rules by course instructors improved the use of such instant communication applications as a support service for distance education.

The influence of retirement goals and risk attitudes on Malaysian women’s retirement planning

The lack of retirement savings for the future lives of many individuals, and pre-retirees in particular, is an example of one of the most critical problems facing many emerging countries. Unfortunately, a lack of preparedness can have severe effects on Malaysian cultures, especially for women who are nearing retirement. The issues persist and, most likely, are becoming worse despite all the awareness campaigns that have been running for a while. In order to express fresh thoughts and suggest an extra approach or workable solution to supplement past research and conclusions, this study will analyse this dilemma from a women’s perspective of retirement planning. This study applies a quantitative approach, where primary data was acquired through online surveys of 443 workers in various locations in Malaysia. Validation of the measurement model in this study uses the structural equation model (SEM), which interprets that if the model fits, the strength of path estimates, validity, and reliability of the construct are estimated. The results of this study show that retirement goals affect an individual’s retirement planning, but risk perception does not affect an individual’s perspective on planning for a future retirement. This study also emphasises the significance of financial literacy in retirement planning, specifically how it will boost the confidence of these female workers as they approach retirement. These findings also have useful ramifications for financial planners and advisors, enabling them to better comprehend the variables influencing retirement saving behaviour.

The Impact of a National Cyberattack Affecting Clinical Trials: The Cancer Trials Ireland Experience.

Cyberattacks are increasing in health care and cause immediate disruption to patient care, have a lasting impact, and compromise scientific integrity of affected clinical trials. On the May 14, 2021, the Irish health service was the victim of a nationwide ransomware attack. Patient care was disrupted across 4,000 locations, including 18 cancer clinical trials units associated with Cancer Trials Ireland (CTI). This report analyses the impact of the cyberattack on the organization and proposes steps to mitigate the impact of future cyberattacks. A questionnaire was distributed to the units within the CTI group; this examined key performance indicators for a period of 4 weeks before, during, and after the attack, and was supplemented by minutes of weekly conference call with CTI units to facilitate information sharing, accelerate mitigation, and support affected units. A total of 10 responses were returned, from three private and seven public hospitals. The effect of the attack on referrals and enrollment to trials was marked, resulting in a drop of 85% in referrals and 55% in recruitment before recovery. Radiology, radiotherapy, and laboratory systems are heavily reliant on information technology systems. Access to all was affected. Lack of preparedness was highlighted as a significant issue. Of the sites surveyed, two had a preparedness plan in place before the attack, both of these being private institutions. Of the eight institutions where no plan was in place, three now have or are putting a plan in place, whereas no plan is in place at the five remaining sites. The cyberattack had a dramatic and sustained impact on trial conduct and accrual. Increased cybermaturity needs to be embedded in clinical trial logistics and the units conducting them.

Performance Anxiety during Exams: Predictors of Students’ Academic Failure

While the concept of student’s performance anxiety has received considerable attention in different branches of the social science literature, the factors of performance anxiety have been somewhat neglected, particularly with respect to the educational sector. Motivated by the need to further explore this concept, this paper empirically investigates the predictors of students’ academic failure and the mediating role of performance anxiety during exams. In the current research, researchers examined the effect of students' fear of results, lack of preparation, past experiences of failure, and cognitive inattention on academic failure via mediating role of performance anxiety between independent and outcome variables. The sample size consists of 502 students from renowned public universities in Pakistan. Data is collected from respondents using a self-administered questionnaire by utilizing a stratified sampling technique. The outcome of this study revealed that predictors have a direct and significant impact on the academic failure of students. The results of this study imply that students’ performance anxiety has a significant mediating role between predictors of students’ academic failure on academic failure. All in all, this research makes a unique contribution to university instructors since it gives information on the prospects for exam anxiety and helps them understand and sort out the issues that