Lessons Learned Research Articles

Building a Smart Campus Digital Twin: System, Analytics, and Lessons Learned From a Real-World Project

Building a Smart Campus Digital Twin: System, Analytics, and Lessons Learned From a Real-World Project

Treatment and Management of Acinetobacter Pneumonia: Lessons Learned from Recent World Event.

Acinetobacter pneumonia is a significant healthcare-associated infection that poses a considerable challenge to clinicians due to its multidrug-resistant nature. Recent world events, such as the COVID-19 pandemic, have highlighted the need for effective treatment and management strategies for Acinetobacter pneumonia. In this review, we discuss lessons learned from recent world events, particularly the COVID-19 pandemic, in the context of the treatment and management of Acinetobacter pneumonia. We performed an extensive literature review to uncover studies and information pertinent to the topic. The COVID-19 pandemic underscored the importance of infection control measures in healthcare settings, including proper hand hygiene, isolation protocols, and personal protective equipment use, to prevent the spread of multidrug-resistant pathogens like Acinetobacter. Additionally, the pandemic highlighted the crucial role of antimicrobial stewardship programs in optimizing antibiotic use and curbing the emergence of resistance. Advances in diagnostic techniques, such as rapid molecular testing, have also proven valuable in identifying Acinetobacter infections promptly. Furthermore, due to the limited availability of antibiotics for treating infections caused A. baumannii, alternative strategies are needed like the use of antimicrobial peptides, bacteriophages and their enzymes, nanoparticles, photodynamic and chelate therapy. Recent world events, particularly the COVID-19 pandemic, have provided valuable insights into the treatment and management of Acinetobacter pneumonia. These lessons emphasize the significance of infection control, antimicrobial stewardship, and early diagnostics in combating this challenging infection.

Direct MRI-guided In-Bore Targeted Biopsy of the Prostate: A Step-by-Step How To and Lessons Learned.

Multiparametric MRI-the most accurate imaging technique for detection of prostate cancer-has transformed the landscape of prostate cancer diagnosis by enabling targeted biopsies. In a targeted biopsy, tissue samples are obtained from suspicious regions identified at prebiopsy diagnostic MRI. The authors briefly compare the different strategies available for targeting an MRI-visible suspicious lesion, followed by a step-by-step description of the direct MRI-guided in-bore approach and an illustrated review of its application in challenging clinical scenarios. In this technique, direct visualization of the needle, needle guide, and needle trajectory during the procedure provides a precise and versatile strategy to accurately sample suspicious lesions, improving detection of clinically significant cancers. Published under a CC BY 4.0 license Test Your Knowledge questions for this article are available in the supplemental material.

Open RAN xApps Design and Evaluation: Lessons Learnt and Identified Challenges

Open RAN xApps Design and Evaluation: Lessons Learnt and Identified Challenges

DesignYOU! Code Camp: Lessons Learned for Engaging Underserved Youth

DesignYOU! Code Camp: Lessons Learned for Engaging Underserved Youth

PROFESSIONALISM TRUMPS PARTISANSHIP: LESSONS LEARNED ON HOW WE CONTINUALLY UPDATE OUR PRACTICE OF OBJECTIVITY AS ANALYSTS

On November 15, 2023, Dr. Barry Zulauf presented Professionalism Trumps Partisanship: Lessons Learned on How We Continually Update Our Practice of Objectivity as Analysts for this year’s West Coast Security Conference. The key points discussed were how legal standards for intelligence tradecraft were instituted in the following the 9/11 attacks and flawed WMD intelligence in Iraq; the enactment of the Intelligence Reform and Terrorism Prevention Act (IRTPA) to establish clear, unbiased standards and aid in objectivity; and recent attempts to politicize intelligence, particularly regarding foreign election interference.
 
 Received: 01-07-2024
 Revised: 01-26-2024

MARITIME SECURITY LESSONS LEARNED FROM INTERNATIONAL SECURITY INITIATIVES IN THE CARIBBEAN

On November 15th, 2023, Jason Kelshall, Regional Coordinator, SEACOP EU, presented Maritime Security Lessons Learned from International Security Initiatives in the Caribbean for this year’s West Coast Security Conference. The key points discussed were increasing illicit trade and its effects, rising crime and drug availability, and challenges in maritime and energy resource security.
 
 Received: 01-15-2024
 Revised: 01-26-2024

초등학교 영어교과서 아동문학 비교 분석

Objectives The purpose of this paper is to compare and analyze all the children's literature books on primary English textbooks that are currently used in primary school English classes in Korea, and to discuss their current status, problems, and improvements.
 Methods Five types of primary English textbooks for each of 3rd, 4th, 5th, and 6th grades were collected. Children's literature included in each English textbook was compared and analyzed by dividing it into four criteria: type, subject matter, degree of original content modification, and teaching method by referring to previous re-search and related theories. The teaching method was subdivided into language function and learning time for comparative analysis.
 Results As for the types of children's literature, ‘traditional literature’ was the mainstream in the 3rd & 4th grades while there were many ‘realistic literature books’ in the 5th & 6th grades. For the subject matter, the 3rd & 6th graders introduced ‘personal life’, the 4th graders introduced ‘public morality’, and the 5th graders introduced ‘cultural differences’ the most. In terms of the degree of adaptation of the original content of children's literature, 3rd, 4th, and 5th graders partially adapted the original children's literature work in the form of a script to review the learning goals and communication functions of the learned unit. Most of the 6th children's literature was newly created by the textbook writers so that students can review the lesson of the learned unit. The method of teaching children's literature focuses on speaking, listening, and some simple writing activities in the 3rd grade, and at-tempts were made to integrate speaking, listening, writing, and reading in the 4th, 5th, and 6th grades. Children's literature was organized so that most of the grades were simply taught as a single lesson.
 Conclusions Since the types of children's literature are limited to a few types in primary English textbooks, it is necessary to introduce more diverse types of children's literature. In addition, children's original literature was adapted so much to review the communication functions of learned lesson, depriving of students’ interest on the literature, so more careful consideration is needed when modifying children's literature. It is also needed to in-crease the lesson time of teaching children’s literature and to provide children's literature guidance with more di-verse and interesting activities.

Representative Public Health Surveys Pose Several Challenges: Lessons Learned Across 9 Communities During the COVID-19 Pandemic

Community surveillance surveys offer an opportunity to obtain important and timely public health information that may help local municipalities guide their response to public health threats. The objective of this paper is to present approaches, challenges, and solutions from SARS-CoV-2 surveillance surveys conducted in different settings by 2 research teams. For rapid assessment of a representative sample, a 2-stage cluster sampling design was developed by an interdisciplinary team of researchers at Oregon State University between April 2020 and June 2021 across 6 Oregon communities. In 2022, these methods were adapted for New York communities by a team of veterinary, medical, and public health practitioners. Partnerships were established with local medical facilities, health departments, COVID-19 testing sites, and health and public safety staff. Field staff were trained using online modules, field manuals describing survey methods and safety protocols, and in-person meetings with hands-on practice. Private and secure data integration systems and public awareness campaigns were implemented. Pilot surveys and field previews revealed challenges in survey processes that could be addressed before surveys proceeded. Strong leadership, robust trainings, and university-community partnerships proved critical to successful outcomes. Cultivating mutual trust and cooperation among stakeholders is essential to prepare for the next pandemic.

Increasing Vaccine Uptake Interventions: Lessons Learnt from South Asia

Background: Vaccinations are arguably the most effective tool for preventing infectious diseases and reducing mortality. Pakistan reports some of the highest numbers in the world for unvaccinated children. The low vaccine uptake is attributable to numerous factors, such as illiteracy, vaccine hesitancy, and lack of resources. Given these challenges, effective policymaking is crucial for improving uptake and reducing childhood mortality. This study aims to review the data on vaccine uptake interventions in South Asia and provide insight into their effectiveness and impactfulness in guiding future endeavors in the country. Objective: To assess various vaccine uptake interventions aimed at Pakistani and other South Asian communities. To compare their effects in terms of increased vaccine awareness and coverage and decrease in disease prevalence, especially of communicable diseases. Methodology: The study systematically assessed literature related to vaccine uptake interventions using the PubMed and Google Scholar electronic databases. Articles were systematically screened and checked for eligibility according to PRISMA guidelines. They were assessed for quality and risk of bias, and finally added to the review. Statistical analysis was performed for available data, odds ratio and % increase in outcome were calculated for interventions, and forest plot was plotted where possible. P-values were calculated to check for significance, and heterogeneity was assessed using chi-square, tau, and I² tests. Results: The search yielded a total of 434 results, and after screening and eligibility check, 14 remaining studies were included in the review. Interventions were classified as either educational, vaccine delivery based, incentive based, and reminder based interventions. 8 studies reported educational interventions. The highest vaccine coverage odds were reported for DPT-3 coverage (Andersson, 2009) as a result of Focused Group Discussion Intervention (OD 95% CI = 3.46 [2.62, 4.58] p<0.0001) and BCG vaccine (Anjum, 2004) with House-to-House health messages (OD 95% CI = 3.10 [1.55, 6.19, p<0.001), with more than three times odds of vaccination as compared to no intervention (Control). There were 4 studies in the Delivery-based intervention group and two each in incentive and reminder groups. Upon comparison, multifaceted interventions targeted at vaccine awareness and delivery show the greatest odds of increasing vaccine coverage. Conclusions: The current systematic review includes the first quantitative analysis of vaccine uptake interventions specific to the South-Asian population. The significance of multifaceted interventions targeting vaccine literacy and delivery is evident from the results and should be considered during state-level decision-making. Further research with better resources and broader scope should be conducted to gather critical evidence on the topic.

The effectiveness of cooperative learning model with inquiry approach for static fluid materials at SMA Negeri 1 Kabila, Indonesia

This research aims to engender effective learning devices using a cooperative learning model with an inquiry approach for static fluid materials. Developing learning devices using a cooperative learning model with an inquiry approach generated products of a lesson plan, learning material, student worksheet, and learning outcome test. The results of validation conducted by two validators exhibited that the learning devices were valid, and each product had a percentage of 85.01-100%. The limited group test, executed to identify 15 students’ responses to the learning devices, resulted in score percentages of 98.33% for the lesson plan, 98.52% for the learning material, 99.33% for the student worksheet, and 99.33% for the learning outcome test. Overall results indicated that the learning devices were very effective for learning. The effectiveness was implied by the mean assessment scores of responses given by eleventh graders from the Science 4 class as participants as follows: 95.83% for the cooperative learning model, 99.72% for the student worksheet, 98.77% for the learning material, and 97.78% for the evaluation tool. A similar analysis performed on eleventh graders from the Science 5 class generated score percentages of 95.83% for the cooperative learning model, 96.67% for the student worksheet, 94.75% for the learning material, and 94.72% for the evaluation tool. In terms of learning outcome tests, eleventh graders from the Science 4 and 5 classess acquired N-Gains of 0.760 and 0.783 (a high category), respectively.

182. Collecting Evaluation Data Remotely for Middle School Aged Children: Lessons Learned

182. Collecting Evaluation Data Remotely for Middle School Aged Children: Lessons Learned

Hospitals’ Collaborations Strengthen Pandemic Preparedness: Lessons Learnt from COVID-19

Background: The COVID-19 pandemic strained healthcare systems around the world. This study aims to understand the preparedness of private remote hospitals in Lebanon to respond to the pandemic and evaluate the impact of inter-hospital collaborations on the hospitals’ readiness. Methods: A multi-centered study was conducted between August 2020 and June 2021 in ten Lebanese private remote hospitals based on a mixed-methods embedded approach where the quantitative supported the qualitative. Through the AUB-USAID (American University of Beirut-United States Agency for International Development) COVID-19 project, these hospitals received personal protective equipment and medical equipment in addition to COVID-19-related training using the Train-the-Trainer model. The quantitative part used knowledge and evaluation questionnaires and a pre–post-intervention hospital preparedness checklist. The qualitative approach adopted semi-structured interviews with a purposive sample from key hospital personnel. Quantitative data were analyzed using SPSS version 27, and a p-value of <0.05 was considered to be statistically significant. For the qualitative data, a thematic analysis was performed by adopting the six-phase process described by Braun and Clarke. Results: Of the 393 healthcare workers who attended the training and completed the evaluation questionnaire, 326 completed the pre- and post-training knowledge questionnaire. A significant improvement was observed in mean knowledge scores following training for infection control, nursing, and polymerase chain reaction sampling staff (p-value < 0.001, p-value < 0.001, and p-value = 0.006, respectively), but not for housekeeping staff. More than 93% of the participants showed high trainer and content evaluation scores. As for the hospitals’ preparedness assessments, there was a clear improvement in the pre- and post-assessment scores for each hospital, and there was a significant difference in the mean of the total scores of partner hospitals pre- and post-USAID-AUB project (p-value = 0.005). These findings were supported by the qualitative analysis, where nine hospitals expressed the positive impact of the USAID-AUB intervention in improving their preparedness to respond to the COVID-19 pandemic at a critical time when it was highly needed. Despite the intervention, persistent challenges remained. Conclusions: A timely and proactive collaborative program between academic/tertiary care centers and remote community hospitals that includes sharing supplies and expertise is feasible and highly effective during public health emergencies.

Teachers’ perspectives of their development of culturally sustaining pedagogical practices: lessons for teacher learning

ABSTRACT This study explores factors that influence teachers’ development of culturally sustaining pedagogical practices. The research is guided by the question: How do teachers perceive their development of culturally sustaining pedagogical practices? Data collection occurred during the fall 2020 semester and involved five high school teachers. Given COVID-19 and the pervasiveness of online learning, interviews and observations occurred via Zoom. The data includes semi-structured interviews, fieldnotes, teaching artefacts, and questionnaires. This study found that all teachers employed dynamic support systems that significantly factored into their development as culturally sustaining educators. Due to the central role of communities of practice in participants’ development, a communities of practice model for culturally sustaining teacher development was created and illustrated in this paper. Social interaction played a significant role in developing educators’ critical stance towards teaching – demonstrating possibilities to productively relate culturally sustaining pedagogy and communities of practice for a critical communities of practice lens to teacher learning. This study suggests that a collective orientation should be central to the work of preservice and in-service teachers within teacher education programmes and PK-12 schools.

Clinical Implementation of an AI Early Warning System Algorithm: Lessons Learned.

The Deterioration Index (DI) is an automatic early warning system that utilizes a machine learning algorithm integrated into the electronic health record and was implemented to improve risk stratification of inpatients. Our pilot implementation showed superior diagnostic accuracy than standard care. A score >60 had a specificity of 88.5% and a sensitivity of 59.8% (PPV 0.1758, NPP 0.9817). However, acceptance in the clinical workflow was divided; nurses preferred standard care, while providers found it helpful.

CSPAP Implementation During Student Teaching: Lessons Learned From the Field

In the United States, less than half of adolescents meet national recommendations for daily physical activity (PA). Schools are an integral intervention point for achievement of national PA youth guidelines. To help schools achieve PA guidelines, multicomponent Comprehensive School Physical Activity Programs (CSPAP) were developed. Each CSPAP component works synergistically to help students achieve 60 min of PA per school day. Physical educators are expected to implement CSPAP components in their schools, but little is known about the preservice physical education teacher (PPET) perception of CSPAP training experiences in teacher education. The purpose of this research study was to understand PPET perceptions of implementing a component of CSPAP at the elementary and secondary level during a student teaching course. Undergraduate (n = 5) and graduate (n = 4) physical education majors enrolled in a semester of student teaching were recruited. Data collection encompassed individual semistructured interviews at three distinct phases (N = 25): (a) pre–student teaching, (b) between student teaching school placements, and (c) post–student teaching. Data coding first revealed codes, then categories, and eventually four themes emerged, each with its own subthemes: (a) preparedness, (b) perceived challenges, (c) implementation, and (d) moving forward. Findings indicate PPETs developed confidence, achieved personal growth and self-actualization, perceived career benefit, and gained a desire for implementing CSPAP in the future. Additionally, implementing CSPAP components during student teaching can increase confidence and desire to implement CSPAP in the future. Further research needs to explore if CSPAP experiences during preservice training influence in-service teachers’ CSPAP involvement.

Supplemental Material for A Graduate Training Protocol to Provide Evidence-Based Treatment for Substance Use and Co-Occurring Disorders in Rural Correctional Facilities: Process and Lessons Learned

Supplemental Material for A Graduate Training Protocol to Provide Evidence-Based Treatment for Substance Use and Co-Occurring Disorders in Rural Correctional Facilities: Process and Lessons Learned

Operational Challenges in Conducting a Subnational TB Prevalence Survey in India: Lessons Learned for Resource-Limited, High-Burden Settings.

Estimating the burden of TB at the subnational level is critical to planning and prioritizing resources for TB control activities according to the local epidemiological situation. We report the experiences and operational challenges of implementing a TB prevalence survey at the subnational level in India. Information was collected from research reports that gathered data from periodic meetings, informal discussions with study teams, letters of communication, and various site visit reports. During the implementation of the survey, several challenges were encountered, including frequent turnover in human resources, lack of survey participation and community engagement, breakdown of X-ray machines, laboratory issues that delayed sputum sample testing, delays in X-ray reading, and network and Internet connectivity issues that impeded data management. To help ensure the survey was implemented in a timely manner, we developed several solutions, including planning ahead to anticipate challenges, ensuring timely communication, having a high commitment from all stakeholders, having strong team motivation, providing repetitive hands-on training, and involving local leaders to increase community engagement. This experience may help future states and countries that plan to conduct TB prevalence surveys to address these anticipated challenges and develop alternative strategies well in advance.

Towards a Mechanistic Understanding of the Slagging Propensities of Petroleum Coke: Lessons Learned from Its Co-Combustion with Natural Gas in Oxygen-Enriched Atmospheres

A Computational Fluid Dynamic study was carried out to match the measured outer ash deposition rates associated with the combustion of petroleum coke (PC)–natural gas in AIR and O2/CO2 (70/30 vol%, OXY70). The fly ash PSD associated with high-fixed-carbon, non-porous fuel was estimated using a shrinking sphere burnout model and employed in conjunction with particle kinetic energy (PKE), particle viscosity (µP), and a critical Weber-number-based capture criterion. Deposition rate predictions were sensitive to the fly ash composition employed for estimating µP due to the significant enrichment of Fe in the deposits. Predictions were insensitive to the specific µP model formulation employed or whether the V2O5 in the ash was assumed to play the role of a glass former or a glass modifier. OXY70 scenario impaction rates were significantly lower than the measured deposition rates when the fly ash PSD associated with the AIR scenario was employed in the calculations. This necessitated an ad hoc modification of the OXY70 fly ash PSD to a coarser range to match the measurements and attributing it to agglomeration resulting from longer residence times and higher temperatures. This shift in PSD was in line with AIR and OXY70 fly ash PSD measurements reported previously.

Not One Step Back: Lessons Learned and Challenges in a Consolidate Agenda of Sexual and Reproductive Rights in the Inter-American Court of Human Rights

There have been advances in Latin America regarding the recognition of sexual and reproductive rights, especially in relation to disadvantaged groups such as women and LGBTI persons. In this sense, it is relevant to mention the recognition by the Inter-American System of the right to health as a true right. Nevertheless, there are still many challenges to be faced. In this paper, I will review the progress and challenges of the Inter American Court of Human Right in sexual and reproductive health rights, looking to offer a panoramic overview from a global south perspective by analyzing specific cases. I will then highlight some achievements and setbacks in this area, focus on the impact of these cases in the region and criticize some of the Court's limited responses.