Mobility Training Research Articles

Intraday Variation of Ankle Dorsiflexion in Short-Track Speed Skaters.

Optimal ankle dorsiflexion range of motion plays a vital role in attaining the essential crouched posture necessary for excelling in speed skating. The purpose of this study was to determine how the ankle dorsiflexion angle evolves throughout a day of training and to identify the factors that influence this angle. Thirty short-track speed skaters, from 2 teams, participated in this study. The maximum ankle dorsiflexion angle was obtained in a lunge position facing a wall, using a digital inclinometer. All measures were obtained 3 times per side, 6 times per day, on 2 training days separated by at least a week. We conducted multiple tests to study the impact of repetition, day, side, team level, sex, and moment on the ankle dorsiflexion angle. The 3 times repeated measures and the 2days of training did not have a significant influence on the results. There was a statistically significant difference between the first time point of the day and the 5 other time points for both ankles. Moreover, the influence of sex and team level was not statistically significant. The results indicate that there are significant changes in ankle dorsiflexion range of motion but only after the first warm-up of the day. Such findings could enable team staff to enhance athletes' precompetition preparation and tailor ankle mobility training regimens more effectively.

Can acute mobilization and oscillation training profit on the joint position sense and strength of the rotator cuff muscles in young tennis players?

The rotator cuff is a group of muscles and tendons that act to stabilize the human shoulder and allow for its extensive range of motion. This study aimed to compare the immediate effect and durability of mobilization and oscillation dumbbell (OD) training on the Joint Position Sense (JPS) and strength of rotator cuff muscles in young tennis players. Twenty-six tennis players were divided into two experimental groups. G1 only performed mobilization techniques while G2 only performed OD training, before, after and after one week of the protocols, the strength and JPS of the shoulder joint were measured with an isokinetic dynamometer. Repeated analysis of variance (RMANOVA) and Bonferroni post hoc test were used to examine the differences between the groups. The analysis of covariance was used to examine the differences between the groups. In general, the results showed a significant effect of both mobilization techniques and OD training programs on the JPS and internal and external rotation strength of young tennis players, but only one difference was observed between the two in external rotation for the eccentric/concentric action at 120°/sec (p=0009; ƞ2p= 0.32). Moreover, the main findings showed that mobilization techniques and OD improved internal and external rotations after the protocol and after one week when compared with baseline for the concentric/concentric and eccentric/concentric at 60°/sec and 120°/sec (p < 0.05) with only one exception for the internal rotation concentric/concentric at 120°/sec for both groups (p > 0.05). Based on this, it seems that in healthy tennis players, both one-session mobilization techniques and OD training can be used to improve JPS and strength. Keywords: Shoulder, Isokinetic, Torque, Resistance, Rotator cuff.

THE EXPERIMENTAL COMBAT UNIT COMBAT DETERMINATION WHEN PERFORMING THE MISSION IN THE WEAPONS AND MILITARY EQUIPMENT TESTING AND CERTIFICATION CONTEXT

The article analyses the fact of the first combat robots’ application in a real battle in Iraq. In addition, it was found that modern combat robotic platforms from Ukrainian manufacturers can carry out reconnaissance, surveillance, and target detection missions already today, as well as providing fire support and security of the military on the front lines. It has been studied that deterring aggression and finding ways to confront the enemy was at the head of all transformations. Obviously, it became clear that the use of robotic complexes and systems is properly reflected in the approach of our victory. The need for high-quality training of an experimental combat unit (combat units, groups of scientific and technical support, representatives of manufacturers of robotic complexes (systems)) was substantiated. Such training is carried out both in peacetime and wartime. This is a planned, systematic training of the formation’s personnel, units, and subunits, carried out by commanders, staffs and units of educational work. It provides activities, the most important of which are: tasks and requirements definition; the educational process development; program development; comprehensive provision planning and control methods organization. The composition and duties of the experimental combat unit have been determined. We emphasize the need to create a modular mobile training and testing complex to unify such training. We conducted an analysis of the combat unit training by the sample’s manufacturer according to its own training programs, that are approved by the head of the enterprise and agreed by the military administration body, in whose interests it is planned to supply armament and military equipment. The stages of preparation and the procedure of combat coordination of an experimental combat unit are proposed. It is proposed to carry out the preparation and the tests themselves in 2 stages. The first stage is carried out at the training ground of a designated military unit. The second stage is carried out in combat conditions (in the areas of hostilities). Also, the main key points of each stage are defined. The usefulness of this article’s material lies in the fact that, based on the analysis of the programs and methods of the manufacturers, we make our proposal regarding the order of organization and the procedure of the preparation itself.

Challenges encountered by Students With Visual Impairment in Accessing Orientation and Mobility Training

Challenges encountered by Students With Visual Impairment in Accessing Orientation and Mobility Training

Healthcare professionals' willingness to utilize a mobile health application for adverse drug reaction reporting in a limited resource setting: An input for digital health, 2023

BackgroundAdverse drug reactions (ADRs) are a significant public health concern, particularly in limited resource settings where underreporting is prevalent due to various challenges. Mobile health applications (mHealth apps) offer a promising solution to enhance pharmacovigilance by facilitating easier and more efficient ADR reporting. However, despite the increasing availability and use of mHealth apps, there is a lack of evidence on healthcare professionals' willingness to adopt them for ADR reporting in resource-constrained environments. Therefore, this study aimed to assess the willingness of healthcare professionals in Ethiopia to utilize mobile health applications for adverse drug reaction reporting and identify associated factors. MethodsWe carried out a cross-sectional study involving 422 healthcare professionals working in institutional settings. We gathered data through a pretested questionnaire that participants completed themselves. We inputted the data using Epi Data V.4.6 and analyzed it using SPSS V.26. Our analysis involved conducting multivariable logistic regression to identify the factors influencing the likelihood of healthcare professionals using mobile applications to report adverse drug reactions. ResultsThe study involved 389 healthcare professionals. Approximately 301 (77.4 %) of them expressed willingness to utilize mobile applications for reporting adverse drug reactions. The willingness to utilize mobile applications was significantly associated with the type of mobile phone (smart: AOR 3.56; 95 % CI 2.15–5.67), basic computer training (AOR 4.43; 95 % CI 2.27–8.64), mobile health-related training (AOR 1.96; 95 % CI 1.01–3.79), attitude (AOR 4.01; 95 % CI 2.19–7.35), perceived ease of use (AOR 2.91; 95 % CI 1.59–5.23), and perceived usefulness (AOR 2.10; 95 % CI 1.15–3.85). ConclusionsOverall, there was a high proportion of healthcare professionals willing to use mobile devices for reporting drug adverse reactions. Their willingness correlated with factors such as the type of mobile phone, perceived ease of use, attitude, training, and perceived usefulness of mobile applications. With the increasing use of smartphones, motivation among healthcare professionals is rising. Basic computer and mHealth-related training are crucial for enhancing the acceptability of such applications and should be incorporated into future implementations. Taking these factors into account could offer insights into the design and implementation of mobile applications for adverse drug reactions in Ethiopia.

Postoperative Rehabilitation Program for Increasing Muscle Mass in Patients With Hip Fracture: A Retrospective Study.

Hip fractures are most likely to occur in older people, and after hip surgery muscle mass and the ability to perform activities of daily living often decline. In this study, we conducted inpatient rehabilitation after surgery for hip fracture and measured changes in muscle mass and physical performance. We retrospectively analyzed patients aged 65 years or older who underwent surgery (prosthetic replacement or internal fixation) and inpatient rehabilitation for hip fracture at our hospital between August and December 2020. The training included a joint range of motion exercise, muscle-strengthening exercise, gait training, early mobilization training, and neuromuscular electrical stimulation. We measured the following factors after one and six weeks postoperatively: muscle mass, body weight, fat mass, grip strength, bilateral knee extension strength, ability to walk, and ability to perform activities of daily living. Seventeen patients were included. Median age was 84 years (interquartile range, 72-90). Lower limbs skeletal muscle mass increased(median 4.8 kg to 4.9 kg, p = 0.045), while upper limbs skeletal muscle mass and body weight decreased(median 1.2 kg to 1.1 kg, p = 0.0027), (median 46.8 kg to 45.5 kg, p = 0.0039), respectively. Total skeletal muscle mass and fat mass remained unchanged. Grip strength was maintained, and knee extension muscle strength on the healthy and affected sides increased (healthy side median 10.7 kgf to 13.7 kgf, p = 0.019; affected side median 5.5 kgf to 9.5 kgf, p < 0.001). All patients exhibited improved ability to perform activities of daily living; however, 52.9% of patients regained their pre-injury walking ability. Our rehabilitation program increased lower limbskeletal muscle mass in patients with hip fractures.

Using mobile technology acceptance model to explore the satisfaction and continuous use of live streaming for training

ABSTRACT During the digital era and especially the COVID-19 pandemic, live streaming emerged as a vital component of mobile learning and training. This study sought to determine whether the social presence and interactivity experienced by learners using live digital platforms could enhance their learning outcomes, satisfaction, and propensity for ongoing use.Leveraging the mobile technology acceptance model as its research framework, this study integrated interactivity and social presence as external variables. The aim was to uncover how these variables impact user satisfaction and continued use, while also exploring the mediating role of learning effectiveness in driving continued use. A live streaming system designed for mobile training was tested among 67 employees in a pilot study. The results demonstrated that:(1)Ease of use positively impacted perceptions of mobile usefulness.(2)Mobile usefulness, interactivity, and social presence had a positive effect on satisfaction, yet ease of use didn't significantly influence satisfaction.(3)Interactivity enhanced social presence.(4)Satisfaction was a key driver of continued use, with learning effectiveness acting as a partial mediator between them. The findings from this research can guide businesses looking to utilize live streaming for training purposes and serve as a reference for academic research in similar areas.

A Novel Approach to Safe Patient Handling and Mobility Training in Physical Therapist Education

Background: Safe patient handling and mobility (SPHM) training is prevalent in health care education and practice. However, there is limited evidence of this training in physical therapist education programs. Purpose: To determine if a single training session with a mobile laboratory equipped with SPHM equipment increases the knowledge of SPHM principles and techniques and is valuable to students prior to their first clinical experience. Methods: Training included a 1-hour lecture on SPHM principles, research, and techniques, followed by two 50-minute SPHM practice stations. One session was conducted using a mobile laboratory. Students completed a pretest/posttest measuring knowledge of SPHM principles. Students completed a survey regarding the perception and placement of SPHM training within the curriculum. Results: A total of 129 students in a physical therapist education program were invited to participate; 59 from first-year cohorts and 70 from second- and third-year cohorts. Eighty-seven students volunteered to participate, including all 59 students from the first-year cohorts receiving training as the experimental group, and 28 from the other cohorts receiving no training as the control group. Seventy students met the criteria for survey data analysis; 42 experimental and 28 control. Of those who received training, 90.5% reported that SPHM training improved their confidence prior to their inpatient clinical experience; 85.5% in the control group would have felt more confident being placed in an inpatient facility if they received SPHM training, and 85.7% of the experimental group and 89.3% of controls agreed that SPHM training should be performed prior to the first clinical experience. A paired t test showed that first-year students reported a statistically significant increase in knowledge of SPHM principles (P &lt; .001). Conclusions: Physical therapist education programs should consider SPHM training prior to students’ first clinical experience to increase student confidence in inpatient settings.

Mood, Cognitive Function, and Plasma Kynurenine Metabolites Responses Following Severe Changes in Physical Activity.

To monitor changes in mood, cognitive function, brain electrical activity, and circulating kynurenine pathway metabolites in response to a 3-wk severe physical activity (PA) restriction, followed by 3 wk of resumed activity adding resistance and high-intensity interval exercise training. Twenty healthy participants (14 males, 6 females; 25.4 ± 5.2 yr) underwent 3 wk of limited PA using forearm crutches with one leg suspended (INACT) and then 3 wk of resumed activity plus supervised resistance and high-intensity interval training sessions (ACT, three to six sessions per week). At baseline, after INACT, and then after ACT, venous blood was sampled for analysis of major kynurenine pathway metabolites, a short version of the International Physical Activity Questionnaire, Hospital Anxiety and Depression Scale (HADS) and Profile of Mood States (POMS) questionnaires were completed, and cognitive tests with electroencephalography were performed. During INACT, the depression score on the HADS scale tended to increase (3.5 to 6.8; P = 0.065), whereas it was reduced with ACT compared with after INACT (2.8; P = 0.022). On the POMS scale, depression, fatigue, and confusion increased within INACT ( P < 0.05). Notably, subjects exhibited considerable variability, and those experiencing depression symptoms recorded by the HADS scale ( n = 4) displayed distinct mood disturbances on POMS. All HADS and POMS scores were fully restored to baseline with ACT. Neither INACT nor ACT induced significant changes in cognition, brain electrical activity, or kynurenine pathway metabolites ( P > 0.05). Although young healthy individuals with 3 wk of severely restricted PA do not undergo changes in circulating kynurenine pathway metabolites, cognitive performance, and brain electrical activity, their mood response is quite variable, and depression develops in some. Three weeks of resuming mobility plus exercise training reversed the mood profile.

Feasibility of telerehabilitation to address the orientation and mobility needs of individuals with visual impairment: perspectives of current guide dog users

Orientation and Mobility (O&M) training, including guide dog services, is crucial for individuals with low vision and blindness to attain independent travel. While teleassistance has proven effective for navigation and communication, telerehabilitation in O&M remains unexplored. Objective To assess guide dog users’ perspectives on the feasibility of telerehabilitation for their O&M needs. Method An online survey gathered insights from 56 guide dog (GD) users (Mean age = 59, Mean GD used = 4, Mean duration of use = 22 years). Thirteen GD users further participated in interviews or focus groups to explore survey responses. Data were analyzed using content analysis. Findings Most (40) were blind, and 16 had low vision, with intermediate (25) and advanced (25) communication technology proficiency. Most GD users (46) underwent residential training, and 10 received one-on-one visits. Qualitative analysis revealed acceptance of telerehabilitation services, citing accessibility as an advantage. However, GD users expressed concerns about safety, potential loss of behavioral observation, and social contact loss. Success depended on the type of technology, service type, and personal attributes. Conclusion While feasible, telerehabilitation services may not be universally suitable for all training stages. Flexibility and applicability in service design are necessary to accommodate individual preferences and experience levels.

Mobile application-based phonetic training facilitates Chinese-English learners’ learning of L2

BackgroundNumerous studies have claimed that high variability phonetic training (HVPT) has significant efficacy in improving learners’ phonological decoding ability. Although mobile learning (ML) based HVPT program integrated with sound instructional design also demonstrated the effectiveness, its reliability and validity need to be further verified. AimsThis study evaluated the training's efficacy in improving Chinese learners' perception and production of English words by comparing learners' brain activation changes and network connectivity changes because of the training. SamplesParticipants were 40 undergraduate students. MethodsThis study developed a Wechat application to implement a self-regulated high-variability-phonetic-training (HVPT) for 20 university students; employed a modified phonics screening test (MPST) as a benchmark test to assess learners’ phonetic decoding ability before and after the training; designed a quasi-experiment (control/experimental design) for 40 participants; most importantly, this study used a functional near infrared spectroscopy (fNIRS) device to monitor brain activation and networks synchronisation for participants in both groups before and after training. ResultsThe results showed that learners' performance on 5-phoneme pseudowords was significantly improved. The training inhibited learners’ right fusiform gyrus. A significant correlation was observed between enhanced RMTG and increased testing scores. ConclusionThe transfer effect of Mobile MVPT on long pseudowords is significant, suggesting its efficacy in helping learners apply the phonetic patterns perceived from the training to segmentally analyse new difficult words.

Increasing the level of communicative competence and group interaction of athletes based on the im-plementation of mobile training plans

The purpose of this work is to study the impact of using mobile training plans and measuring the physical abilities of athletes on their communicative competence and group interaction during mixed training. The biopsychosocial concept of a person, the unity of the physical and mental components of its personality formed the basis for the research methodology. The researchers divided a sample of respondents into two groups: an experimental and a control one of the non-team sports. The experimental group used training plans shared by the members using mobile devices and providing their teachers with access. The control group followed the traditional curriculum without the use of mobile technologies. They also assessed the level of interaction twice using valid psychodiagnostic techniques. They also rate the interaction level twice using the valid psychodiagnostic techniques. The results of our research prove the greater effectiveness of mobile joint training plans compared to traditional ones. The importance of developing the psychological qualities of athleticism in athletes, improving communicative competence and group interaction to increase the effectiveness of sports training and the possibility of using artificial intelligence technology for this are shown, which can be considered as a promising direction for our further research. Keywords: communicative competence; group interaction; joint training; mobile learning plans; non-team sports; psychological qualities of athletes

LEGAL INSTITUTE OF MOBILIZATION AND SOCIAL RESPONSIBILITY: THEORETICAL AND LEGAL ASPECTS OF INTERACTION AND MUTUAL INFLUENCE

Introduction. The article is devoted to the legal aspects of mobilization and social (civic) responsibility, their features and manifestations during the period of martial law. The interrelationship between them and the manifestations of the processes associated with them is also analyzed. In addition, it is emphasized that mobilization and civic responsibility are one of the key components of successful defense of the Motherland. Summary of the main results of the study. Mobilization processes and subsequent military service during martial law are regulated by the legislation of Ukraine, in particular, Constitution of Ukraine, the laws «On military duty and military service», «On mobilization training and mobilization», «On the defense of Ukraine», «On the legal regime of martial law», «On the number of the Armed Forces of Ukraine», the Regulation on the completion of military service by citizens of Ukraine in the Armed Forces of Ukraine, approved by the Decree of the President of Ukraine dated 10.12.2008 № 1153/2008. Approaches to the definition of the concept of «mobilization» from the perspective of legislation and from the point of view of scientists have been analyzed. The definition of the concept of «martial law» and the number of possible numbers in the usual regime and in a special state have been determined. It is noted that the constitutional obligation applies to all citizens of Ukraine, both men and women. At the same time, the percentage ratio of the number of representatives of the female and male sexes is demonstrated with the help of a diagram. The diagram also shows the change in the number of the Armed Forces of Ukraine before and after the full-scale invasion of the russian rederation into the territory of our Motherland. The concept of «civic responsibility», as a form of social responsibility, is defined, which is considered by scientists in different ways, but directly relates to the personality of a citizen. Next, the relationship between civic responsibility and mobilization, how they influence each other, is considered. It was determined that the formation of civic responsibility among representatives of the country's population affects the desire for voluntary military service during the mobilization period, and later – for contractual military service. In addition, the author's opinion regarding the expression of the fact of the formation of civil responsibility of the population during their stay in the rear was presented. Conclusions. Reasoned conclusions based on the presented material about the specifics of the definitions of the concepts «mobilization» and «civic responsibility»; on the specifics of the fulfillment of the constitutional duty to protect the Motherland by the citizens of the country, the total number of the Armed Forces of Ukraine, which increased by 2.7 times during the full-scale invasion of the Russian Federation on the territory of Ukraine, which is a reason to claim that the citizens of Ukraine have developed civic responsibility and joined the ranks of the Armed Forces of Ukraine and other military formations not only as a fulfillment of a constitutional duty. In addition, the author emphasizes that the formation of this type of responsibility consists not only in readiness to protect the Motherland, but also in other aspects, in particular, volunteering, helping and supporting military personnel and their families, participation in events, observance of public order, especially during the wartime period state.

Effect of Maitland mobilization versus deep cervical flexors muscles training on proprioception in adults with chronic mechanical neck pain: a randomized controlled trial

ObjectiveTo examine the effect of adding Maitland mobilization (MM) versus deep cervical flexors muscles training (DCFMT) to conventional physical therapy (CPT) on proprioception in adults with chronic mechanical neck pain (CMNP).Materials and methodsA randomized controlled study was carried out at the outpatient clinics of physical therapy at Cairo and Suez universities. Sixty participants (27 males, 33 females) with CMNP were randomized into 3 equivalent groups. Group I received MM plus CPT, group II received DCFMT in addition to CPT, and group III received CPT only. All individuals were given three sessions a week for 4 weeks. The primary outcomes were proprioception (CROM), and pain (VAS). The secondary outcomes were cranio-vertebral angle (CVA), and upper cervical angle (C0–C2). Outcomes were evaluated at baseline and following 4 weeks of treatment.ResultsFollowing 4 weeks of treatment, the DCFMT group showed statistically significant improvement to the MM group as well as the CPT group in all outcome measures (p > 0.05). Also, the MM group was remarkably better than the CPT group in all measured outcomes (p > 0.05). The mean signed difference (M±SD) post-treatment within the group of VAS were 6.87 ± 1.26, 7.15 ± 1.38, and 7.20 ± 1.39 cm for MM, DCFMT, and CPT groups respectively. The (M±SD) of CVA were 42.61 ± 4.36, 42.24 ± 3.64, and 42.32 ± 4.81 degrees for MM, DCFMT, and CPT groups respectively. The (M±SD) of C0–C2 were 24.25 ± 2.98, 23.37 ± 1.94, and 24.95 ± 3.01 degrees for MM, DCFMT, and CPT groups respectively. The (M±SD) of flexion JPE to target were 3.62 ± 0.91, 2.86 ± 0.77, and 4.35 ± 0.91 degrees for MM, DCFMT, and CPT groups respectively. The (M±SD) of flexion JPE to neutral were 3.96 ± 0.78, 2.66 ± 1.03, and 5.23 ± 1.52 degrees for MM, DCFMT, and CPT groups respectively.ConclusionAdding MM and DCFMT to CPT revealed significant enhancement, favoring DCFMT, on proprioception, pain, cranio-vertebral angle (CVA), upper cervical angle (C0–C2), and intensity than CPT alone in adults with CMNP.Trial registrationPan African Clinical Trails Registry with a registration No. PACTR202211651838599 on the 3rd of November 2022.

Improved tomato leaf disease classification through adaptive ensemble models with exponential moving average fusion and enhanced weighted gradient optimization.

Tomato is one of the most popular and most important food crops consumed globally. The quality and quantity of yield by tomato plants are affected by the impact made by various kinds of diseases. Therefore, it is essential to identify these diseases early so that it is possible to reduce the occurrences and effect of the diseases on tomato plants to improve the overall crop yield and to support the farmers. In the past, many research works have been carried out by applying the machine learning techniques to segment and classify the tomato leaf images. However, the existing machine learning-based classifiers are not able to detect the new types of diseases more accurately. On the other hand, deep learning-based classifiers with the support of swarm intelligence-based optimization techniques are able to enhance the classification accuracy, leading to the more effective and accurate detection of leaf diseases. This research paper proposes a new method for the accurate classification of tomato leaf diseases by harnessing the power of an ensemble model in a sample dataset of tomato plants, containing images pertaining to nine different types of leaf diseases. This research introduces an ensemble model with an exponential moving average function with temporal constraints and an enhanced weighted gradient optimizer that is integrated into fine-tuned Visual Geometry Group-16 (VGG-16) and Neural Architecture Search Network (NASNet) mobile training methods for providing improved learning and classification accuracy. The dataset used for the research consists of 10,000 tomato leaf images categorized into nine classes for training and validating the model and an additional 1,000 images reserved for testing the model. The results have been analyzed thoroughly and benchmarked with existing performance metrics, thus proving that the proposed approach gives better performance in terms of accuracy, loss, precision, recall, receiver operating characteristic curve, and F1-score with values of 98.7%, 4%, 97.9%, 98.6%, 99.97%, and 98.7%, respectively.

Theoretical and Legal Principles of Interaction between Public Authorities and the Public Under the Legal Regime of Martial Law

The concept of civil society became relevant again at the end of the twentieth century due to the development of democratization, digitalization, and globalization. Today, the issue of public participation in addressing issues of public importance is increasingly associated with electronic petitions, public consultations and discussions, public expertise, etc. The problem of interaction between public authorities and the public in the field of regional planning requires a broad interdisciplinary understanding not only at the level of infrastructure projects, but also in the field of mobilization training and mobilization, identification and solution of humanitarian problems of the population in the de-occupied territories under martial law. Along with public authorities and the public, the world of technology and artificial intelligence is gaining more and more independence, which is becoming more and more independent of the regulatory and coordinating influence of a person, organization, or state from the platform of interaction, the object of influence. At the same time, social networks are reaching an increasing number of people and are being monetized, which necessitates a more comprehensive, strategic vision of the interaction of public authorities with social networks. For the sake of better understanding of the theoretical and legal framework for interaction between public authorities and the public under martial law, an attempt was made to comprehend the problems that occurred in the field of public relations under study before the introduction of martial law in Ukraine, and which also emerged as a new challenge during the period under study, generating the relevant social transformations.

Методика розрахунку потреби у підвищенні кваліфікації фахівців державного органу з питань організації та ведення військового обліку громадян України

The article addresses the issue of improving the scientific and methodological apparatus necessary for making appropriate calculations of the need for advanced training of persons responsible for organizing military registration of conscripts, persons liable for military service, and reservists in public authorities. The article aims to substantiate the methodology for calculating the need for advanced training of specialists in the mobilization work of the state agency responsible for organizing and maintaining military registration of conscripts, persons liable for military service, and reservists. The research resulted in: the analysis of the latest research and publications on personnel planning and the development of methods for its implementation, as well as publications on the professional development of civil servants; the analysis of the existing methodology for identifying and analyzing the professional training needs of civil servants; the development of a methodology for calculating the need for advanced training of persons responsible for organizing the military registration of conscripts, persons liable for military service and reservists, in particular, the identification of stages, methods, general structure, and mathematical model of the methodology; two variants of solving the calculation problem on the basis of the developed methodology with the help of information technologies; suggestions regarding the further directions of scientific research to develop recommendations for improving the organizational and legal mechanism for determining the need for advanced training of civil servants responsible for organizing military registration of conscripts, persons liable for military service, and reservists in public authorities, as well as to develop proposals for improving the particular software of the human resource management information system in public authorities (HRMIS). The article outlines the necessary scientific and methodological apparatus, including a methodology for calculating the need for advanced training of civil servants responsible for organizing the military registration of conscripts, persons liable for military service, and reservists in public authorities. Keywords: Mobilization, mobilization training, military registration, public authorities, civil service, civil servants, and professional training.

Feasibility of Combining Functional Mobilisation with Resistance and Endurance Training for Mechanically Ventilated Patients in Intensive Care Unit Setting-A Pilot Study.

Background: Intensive-care-acquired weakness resulting in functional impairment is common in critical care survivors. This study aims to evaluate the feasibility of a combined early functional training with endurance and resistance training and its effect on the functional outcome. Methods: It is a pilot study performed in a 39-bed Medical and Surgical Intensive Care Unit (ICU). Patients who were premorbidly independent and were mechanically ventilated for ≥24 h were recruited to receive functional mobilisation (sit out of bed, ambulation), endurance (bed cycling), and resistance training (selected upper and lower limb muscle training using weights). The primary outcomes were feasibility of training, muscle strength, handgrip strength, quadricep strength, and Functional Status Score-Intensive Care Unit (FSS-ICU) collected at the first assessment in the ICU, at the ICU discharge, and at hospital discharge. Secondary outcomes were functional capacity (6-Minute Walk Distance) and quality of life measures, EQ-5D, at hospital discharge and at 3 months. Results: Out of the 11 patients, 6 (54.54%) patients achieved level 2 functional mobilisation, 2 (18.18%) patients achieved level 2 resistance training, and 1 (9.09%) patient achieved level 2 endurance training. There were no significant differences in the medical research council (MRC) score, quadricep strength, and handgrip strength between the first assessment in the ICU, at the ICU discharge, and at hospital discharge. However, there was a significant difference in FSS_ICU (p < 0.008) from the first assessment in the ICU up to hospital discharge. EQ-5D visual analogue scale also showed a change of 8.5% at 3-month follow-up. 6MWD showed significant difference (p < 0.043) at 3-month follow-up compared to that at hospital discharge. Conclusions: The study found low compliance to resistance and endurance training in patients with mechanical ventilation. However, functional mobilisation in terms of sit out of bed was possible in more than half of the recruited patients.

On-demand mobile hypertension training for primary health care workers in Nigeria: a pilot study

BackgroundOnly one out of every ten Nigerian adults with hypertension has their blood pressure controlled. Health worker training is essential to improve hypertension diagnosis and treatment. In-person training has limitations that mobile, on-demand training might address. This pilot study evaluated a self-paced, case-based, mobile-optimized online training to diagnose and manage hypertension for Nigerian health workers.MethodsTwelve hypertension training modules were developed, based on World Health Organization and Nigerian guidelines. After review by local academic and government partners, the course was piloted by Nigerian health workers at government-owned primary health centers. Primary care physician, nurse, and community health worker participants completed the course on their own smartphones. Before and after the course, hypertension knowledge was evaluated with multiple-choice questions. Learners provided feedback by responding to questions on a Likert scale.ResultsOut of 748 users who sampled the course, 574 enrolled, of whom 431 (75%) completed the course. The average pre-test score of completers was 65.4%, which increased to 78.2% on the post-test (P < 0.001, paired t-test). Health workers who were not part of existing hypertension control programs had lower pre-test scores and larger score gains. Most participants (96.1%) agreed that the training was applicable to their work, and nearly all (99.8%) agreed that they enjoyed the training.ConclusionsAn on-demand mobile digital hypertension training increases knowledge of hypertension management among Nigerian health workers. If offered at scale, such courses can be a tool to build health workforce capacity through initial and refresher training on current clinical guidelines in hypertension and other chronic diseases in Nigeria as well as other countries.

Mobility and strength training with and without protein supplements for pre-frail or frail older adults with low protein intake: the Maximising Mobility and Strength Training (MMoST) feasibility randomised controlled trial protocol.

Background Frailty is a common syndrome affecting older people and puts them at risk of hospitalisation, needing care or death. First signs of frailty include reduced muscle strength and mobility decline. A key cause of mobility decline as we age is sarcopenia (age related reduction in muscle strength and mass). Poor nutrition contributes to sarcopenia. A shortfall in protein is associated with reduced muscle mass and strength. This may be due to inadequate intake but also because older people have higher protein needs, especially those with multimorbidity. We need to develop effective treatment to reduce or slow the onset of frailty and mobility decline. Exercise is a recommended treatment. Protein supplements to address the shortfall in protein have the potential to enhance the benefit of regular exercise in frail or pre-frail older adults. This has yet to be definitively demonstrated. Aim To establish the feasibility of conducting an RCT evaluating mobility and strength training with or without protein supplements for people over 60 years old who are frail or pre-frail with a low protein intake. Methods A multicentre, parallel, 2-group, feasibility RCT. Participants (recruitment target = 50) with problems walking, low protein intake and classified as frail or pre-frail will be recruited from four NHS Physiotherapy community services. Participants will be randomised (secure computer-generated: 1:1) to receive 24 weeks of mobility and strength training (delivered in 16 group sessions plus home exercises) or 24 weeks of mobility and strength training with daily protein supplements. Primary feasibility objectives are to estimate 1) ability to screen and recruit eligible participants, 2) intervention fidelity, adherence, and tolerance and 3) retention of participants at follow up. Secondary objectives are to 1) test data collection procedures, 2) assess data completeness and 3) confirm sample size calculation for a definitive RCT. Registration ISRCTN Registry (ISRCTN30405954; 18/10/2022).