Multidisciplinary Event Research Articles

TBD

TBD is a multidisciplinary theatre event presented in Vancouver, BC, in 2015 and 2016. The project uses the Tibetan Book of the Dead as a structural anchor and guide to the audience’s sensual and emotional experience, exploring notions of death and dying, living in the present moment, avoiding distraction, and non-attachment. The first iteration involved 50 audience members, the following year that number was expanded to 100. TBD spans twenty-one days, with each audience member receiving a different kind of engagement each day, primarily in the form of audio or video podcasts or text messages delivered to their smartphones. Their phones also carried a family-location app that allowed Radix performers to locate them in public. Other events included four site-specific performances on specific days, home visits, items dropped at their doorstep, or posters placed in their neighbourhood. After an introductory day at the local cemetery’s communal hall, the audience’s experience begins with a podcast asking them to imagine that they have died and that Radix performers will be acting like their guides through the afterlife to their possible rebirth. In this sense the title offers a double meaning, the acronym suggesting both “To Be Determined” and the Tibetan Book of the Dead. Many audience members expressed profound experiences over the course of the event, with equal enthusiasm shared by the performers who each had compelling stories about their interactions. The Radix Collective refers to TBD as “internal theatre” because participants framed their experiences through the unique lens of their own personal lives, without divulging what they were going through. The impact of the production varied for each audience member, depending on their point of view and willingness to engage with the work.

The Canadian Breast Cancer Symposium 2023 Meeting Report.

On 15-16 June 2023, healthcare professionals and breast cancer patients and advocates from across Canada met in Toronto, Ontario, for the 2023 Canadian Breast Cancer Symposium (CBSC.). The CBSC. is a national, multidisciplinary event that occurs every 2 years with the goal of developing a personalized approach to the management of breast cancer in Canada. Experts provided state-of-the-art information to help optimally manage breast cancer patients, including etiology, prevention, diagnosis, experimental biology, and therapy of breast cancer and premalignant breast disease. The symposium also had the objectives of increasing communication and collaboration among breast cancer healthcare providers nationwide and providing a comprehensive and real-life review of the many facets of breast cancer. The sessions covered the patient voice, the top breast cancer papers from different disciplines in 2022, artificial intelligence in breast cancer, systemic therapy updates, the management of central nervous system metastases, multidisciplinary management of ductal carcinoma in situ, special populations, optimization-based individual prognostic factors, toxicity management of novel therapeutics, survivorship, and updates in surgical oncology. The key takeaways of these sessions have been summarized in this conference report.

Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review

PurposeThis study examined the modifiable factors, including nurse-led multidisciplinary education and in/out-of-hospital rehabilitation, to predict cardiac events in patients with heart failure (HF) in South Korea. MethodsA retrospective review of the medical records was conducted using data of patients admitted for HF between June 2021 and April 2022. A total of 342 patients were included in this study. Information related to HF education, cardiac rehabilitation, and demographic and clinical characteristics were collected. Cardiac events, including emergency department visits, readmissions, and deaths, were defined as a composite of events. After adjusting for covariates, a multivariate Cox proportional hazard regression model was used to explore the association between modifiable factors and cardiac events in patients with HF. ResultsDuring the follow-up period (median, 823 days), 123 patients (36.0%) experienced at least one cardiac event. In the Cox regression model, patients who received nurse-led multidisciplinary HF education during hospitalization were less likely to experience cardiac events (hazard ratio: 0.487; 95% confidence interval [CI]:0.239-0.993). Additionally, high NT-pro BNP levels were associated with an increased risk of cardiac events. ConclusionThe education led by nurses on HF was a factor that reduced adverse prognoses in patients with HF. Our results highlight the importance of a nurse-led multidisciplinary approach during hospitalization.

European Cities of Sport as a Strategic Policy for Local Development of Sports: A Perspective from Sports Management in the Last Decade

Abstract European sports policies have focused on the implementation of public instruments and policy measures, aiming to encourage EU member states to promote and improve sports habits, while simultaneously tackling high levels of sedentary lifestyle among Europeans. Despite these efforts, data concerning the various measures is quite limited, making it impossible to assess the real impact on the population, particularly in the case of the European Cities of Sport. This award has been held since 2007 and has already distinguished 193 cities; however, current knowledge does not allow researchers to theorise about its multiple impacts as a strategic policy instrument for the local development of sport in Europe, thus constituting a gap within sports management research. In order to further this knowledge, we explored European reality over a decade (2013–2022), analysing nine awards of Portuguese cities. We employed qualitative methods for documentary analysis of public information and descriptive statistics for data analysis. The results show that over 2 600 multidisciplinary events were organised, among which 402 had an international character (15%), an average of 50 sports disciplines per edition, 359 events related to culture and education, and involved over 1 000 000 participants, with an overall investment of over €39 million. This research now allows a theoretical-scientific and operational referential pattern of key indicators to be established for future European ECS applications, while demonstrating an encouraging relationship, from a sports perspective and economically, between public investment made and estimated return, thus contributing to better political decisions and to the positive implications of increasing public investment in sport.

4th International Conference on Sustainable Futures: Environmental, Technological, Social and Economic Matters

This paper presents the preface of the proceedings for the 4th International Conference on Sustainable Futures: Environmental, Technological, Social, and Economic Matters (ICSF 2023), a multidisciplinary event that explores the challenges and opportunities of sustainability in various domains. The preface outlines the conference’s objectives, themes, workshops, and topics, as well as its contribution to advancing sustainable development and global dialogue. It also acknowledges the efforts and inputs of various stakeholders who have made the conference possible, especially in light of the pandemic situation. Furthermore, it thanks IOP Publishing for its support and flexibility in facilitating open access publishing. The paper concludes by looking forward to future editions of ICSF and the ongoing quest for a more sustainable and interconnected world. The paper invites readers to delve into the rich and diverse content that shapes this influential conference.

Organization of a sporting event based on the act of December 2nd, 2021 on support for the preparation of the 3rd European Games 2023

The management of a major sporting event is a multi-faceted issue that involves organizational, legal, social, economic and ethical layers. The article deals with a special sports event - the European Games. It is a multidisciplinary event that has the status of the so-called Continental Games. The competition offers the opportunity to obtain Olympic qualification in certain sports. It is the second such important sports event after EURO 2012 organized on Polish territory (Jankowski 2023). The issue of organizing a large-scale sports event will be presented from the perspective of applying the provisions of the Law of December 2, 2021 on Supporting the Preparation of the Third European Games in 2023. It should be borne in mind that this is a dedicated legal act established by the Polish legislator for the organization of this event. In the pages of this article, I will try to make a preliminary assessment of this document and encourage a broader discussion of the European Games initiative itself. The latter in the international literature is only the backdrop of broader considerations and has not lived to see a serious academic discussion as to its attractiveness and real impact on a given local community and regional development. The research methods used in this study are the dogmatic-egg method, requiring the author to examine the poor views of doctrine to date and analyze the legal regulations on which I have relied in describing the management of a mass sports event such as the European Games. It should be emphasized that this is the third such event in a row, which so far has been mainly organized in urban space-Baku 2015, Minsk 2019. For the first time, the event involves the entire region and tourism promotion that touches not only the main organizing city-Krakow, but also a region like Malopolska. In addition, this is the first time an event of this stature has been organized in a city that is not the capital of a country.

Selecting a PRO-CTCAE-based subset for patient-reported symptom monitoring in prostate cancer patients: a modified Delphi procedure

Clinician-based reporting of adverse events leads to underreporting and underestimation of the impact of adverse events on prostate cancer patients. Therefore, interest has grown in capturing adverse events directly from patients using the Patient-Reported Outcomes (PROs) version of the Common Terminology Criteria for Adverse Events (CTCAE). We aimed to develop a standardized PRO-CTCAE subset tailored to adverse event monitoring in prostate cancer patients. We used a mixed-method approach based on the 'phase I guideline for developing questionnaire modules' by the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life group, including a literature review, and interviews with patients (n= 30) and health care providers (HCPs, n= 16). A modified Delphi procedure was carried out to reach consensus on the final subset selected from the complete PRO-CTCAE item library. Fourteen multidisciplinary HCPs and 12 patients participated in the Delphi rounds. Ninety percent agreed on the final subset, consisting of: 'ability to achieve and maintain erection', 'decreased libido', 'inability to reach orgasm', 'urinary frequency', 'urinary urgency', 'urinary incontinence', 'painful urination', 'fecal incontinence', 'fatigue', 'hot flashes', 'feeling discouraged', 'sadness', and 'concentration'. From 16 articles identified in the literature review, the following adverse events for which no PRO-CTCAE items are available, were included to the recommendation section: 'nocturia', 'blood and/or mucus in stool', 'hemorrhoids', 'hematuria', 'cystitis', 'neuropathy', and 'proctitis'. The obtained PRO-CTCAE-subset can be used for multidisciplinary adverse event monitoring in prostate cancer care. The described method may guide development of future PRO-CTCAE subsets.

Evaluation of a Multidisciplinary Extracurricular Event Using Kolb’s Experiential Learning Theory: A Qualitative Study [Response to Letter

Evaluation of a Multidisciplinary Extracurricular Event Using Kolb’s Experiential Learning Theory: A Qualitative Study [Response to Letter

Guest Editorial

This Transactions on Microwave Theory and Techniques&’ Mini-Special Issue includes eight papers from the 2022 IEEE Radio and Wireless Week (RWW 2022) held in Las Vegas, NV, USA, January 16–19, 2022. The Radio and Wireless Week consists of five related conferences that focus on the intersection between wireless communication theory, systems, circuits, and device technologies: the Radio and Wireless Symposium (RWS), the Topical Conference on RF/Microwave Power Amplifiers for Radio and Wireless Applications (PAWR), the Topical Meetings on Silicon Monolithic Integrated Circuits in RF Systems (SiRF), the Topical Conference on Wireless Sensors and Sensor Networks (WiSNet), and the Space Hardware and Radio Conference (SHaRC). Radio and Wireless Week is thus a multidisciplinary event bringing together innovations that are happening across the broad wireless spectrum. A total of 185 papers were submitted to the RWW 2022 Technical Program Committee, of which 135 papers were accepted for presentation and publication online on the IEEE Xplore website. Together with the technical sessions, RWW 2022 successfully held seven workshops, a special focus session on massive MIMO beamforming technologies for 5G and beyond, a plenary presentation on topics related to artificial intelligence in circuit design and 6G, a dedicated track for the IEEE Distinguished Microwave Lecturers, and a demo track session to show the latest innovative wireless experimental achievements. For the second time, RWW had a live session on Distinguished Women in Microwaves bringing together a panel of women who have contributed to the microwave society for the last few years including high-quality talks in radio and wireless applications.

Evaluation of a Multidisciplinary Extracurricular Event Using Kolb's Experiential Learning Theory: A Qualitative Study.

Although health science programs run parallel to each other and comprise of shared core subjects between the different disciplines, students of the different disciplines rarely mix or interact with each other during their undergraduate studies. Extracurricular activities are a big part of university students' life, through which students have an opportunity to express themselves and enhance their soft skills in a safe and relaxed environment. Recently, King Saud University (KSU), Saudi Arabia, launched a multi-disciplinary event aimed at raising public's awareness of their rights and responsibilities in the healthcare system. Although the event was designed to educate the public about their rights and responsibilities in the healthcare system, it has proven to be a good opportunity to promote interprofessional education among participating students. This study aims to review and assess the impact of this multi-disciplinary public awareness event on the acquisition of core interprofessional competencies by participating students from the health sciences using Kolb's experiential learning theory as a framework. This qualitative study used semi-structured Zoom interviews in Nov 2020 with health science students who participated in the event. The research team used a pre-designed topic guide based on Kolb's experiential learning theory (KELT) for the interview questions. The interviews were recorded, transcribed, coded, and analysed using thematic analysis. Twenty-one students, representing four health science colleges at KSU participated in three focus groups. The main themes identified were participants' attitudes towards the event, the types of knowledge and skills acquired from the event, and how they practically applied the knowledge acquired. These themes were aligned to KELT as this study's framework. The event covered the most important concepts of interprofessional education and could be a potential tool to educate students from multiple disciplines.

An event and some tugs-of-war: the International Seminar on the Creation of New Towns, 1958

This article discusses the International Seminar on the “Creation of New Towns”, held in Rio de Janeiro, in 1958, promoted by the Instituto Brasileiro de Educação, Ciência e Cultura [Brazilian Institute of Education, Science and Culture], with the collaboration of the International Union of Architects, the Instituto de Arquitetos do Brasil [Brazilian Institute of Architects] and the Companhia Urbanizadora da Nova Capital [Urbanization Company of the New Capital]. Through this transnational, multidisciplinary and interinstitutional event, this article seeks to understand some of the disciplinary tensions in the dispute to legitimize the ways of thinking about and creating new cities, focusing on the strategies mobilized by architects and urban planners. The analysis is mainly based on official records of the seminar and on news items published by the daily press in Rio de Janeiro, which provide us with multiple versions of what took place.

Istanbul as a "City of Design"

Istanbul as a "City of Design"

The UK's largest multi-disciplinary event for the kidney community

The UK's largest multi-disciplinary event for the kidney community

International Conference on Advances in Physical, Chemical & Mathematical Sciences-2020

Post Graduate Teaching Departments of Physics, Chemistry, Mathematics, Statistics, Computer Sciences, and Department of Chemical Engg. LIT, of Rashtrasant Tukadoji Maharaj Nagpur University, have jointly organized an International Conference on Advances in Physical, Chemical & Mathematical Sciences (ICAPCM-2020) during February 13th - 16th, 2020. During this conference, more than one thousand registrations were registered from all across the globe. Participants from almost all the parts have gathered for this multidisciplinary mega event.

Mandated Reporter Training for Pediatric Nurse Practitioner Students Using Virtual Simulation and Community Collaboration: A Pilot Event

BackgroundChild maltreatment has significant impact on the health and wellness of children and is a public health concern. Healthcare professionals are legally obligated mandated reporters in many states but make up only a small number of positive child maltreatment reports even when direct patient contact occurs. MethodsEight pediatric nurse practitioner students, four standard patients (SP), four community volunteers, and three faculty participated in a virtual SP event simulation. Students prepared with assignments and interactive lectures on child abuse and mandated reporting. They were asked to discuss concerning findings with SPs and complete a simulated report or concern. Standardized, evidence based, debriefing practices were utilized following the simulation to increase retention. This was determined by institutional review board to be quality improvement. ResultsStudents, faculty, and community members reported positive learning experiences, and preparation for future clinical practice. Limitations included small class size, limited data collected due to timing and nature of the event. ConclusionsThe use of virtual simulation in child maltreatment and mandated reporting education is an effective method of preparation for clinical practice. Future research on effectiveness of training and expansion to multidisciplinary events could benefit future practice.

Multidisciplinary Kaizen Event to Improve Adherence to a Sepsis Clinical Care Guideline.

Since 2015, the Ann and Robert H. Lurie Children's Hospital Emergency Department (ED) has improved the recognition and treatment of pediatric sepsis and septic shock. Despite existing clinical care guidelines, the ED had not yet achieved the Surviving Sepsis Campaign timeliness goals for fluid and antibiotic administration. The team conducted a multidisciplinary Kaizen event to evaluate clinical workflows and identify opportunities to improve sepsis care adherence. Using rigorous quality improvement methodology, frontline providers mapped workflows to identify barriers and prioritize emerging solutions. Thirty-seven staff members across 17 disciplines participated. Nurses and physicians identified communication gaps at pathway initiation. Access to supplies, inadequate task delegation, and a lack of urgency for a subset of pathway patients delayed treatment. Prioritized interventions included scripted communication tools, a delineated response plan, and standardized reassessment processes. Revisions to the key driver diagram were made after the improvement event, guiding future plan-do-study-act cycles. Frontline provider participation in the Kaizen event uncovered barriers to care and identified the root causes of ineffective communication and system process inefficiencies. Engaging key stakeholders from multiple care areas in a candid context was a novel approach to process improvement within our department. The Kaizen methodology is fundamental to developing sustainable quality improvement practices, creating momentum for a continuous improvement culture to engrain quality improvement in practice. The success of Kaizen will shape the format of future ED improvement projects.

Overcoming Barriers to the Effective Management of Severe Asthma in Italy

IntroductionPeople with severe asthma (SA) often have poor disease control and quality of life, and are at high risk of exacerbations, lung function decline and asthma-related death. The present expert opinion article aimed to identify unmet needs in the management of SA in Italy, and propose possible solutions to address these needs.MethodsAt five multidisciplinary events in Italy, attendees identified factors that interfered with the effective management of SA and suggested how these barriers could be overcome. A core group of 12 Italian experts (pulmonologists, general practitioners, allergists, payers and patients) identified the main issues and proposed possible solutions based on the results from the meetings and relevant articles from the literature.Results and ConclusionsWe reviewed the gap between real-world practice and guidelines, oral corticosteroid overuse, SA-related mortality, and barriers to effective SA treatment. Common themes were lack of awareness about SA among both patients and clinicians, and lack of networking/information exchange between those involved in the treatment of SA. Participants agreed on the need to implement patient education and create multidisciplinary groups of specialists to improve SA management through multidisciplinary educational initiatives, meetings with local experts, development of a flow chart for referral/connection with local experts and specialized centers. Clinical instruments that might help specialists improve SA management included referral networks, integrated care pathways, phenotyping and treatment algorithms, exacerbation tracking, and examination of electronic medical records for patients with uncontrolled asthma. The following actions need to be implemented in Italy: i) maximize the use of advanced therapies, eg, biologics; ii) increase/improve education for physicians and patients; iii) improve multidisciplinary communication and care coordination; iv) introduce regional and local protocols for SA diagnosis and treatment; and v) change the structure of healthcare services to reduce specialist waiting times and facilitate access to biologic therapies.

A comparison of educational events for physicians and nurses in Australia sponsored by opioid manufacturers.

Educational activities for physicians sponsored by opioid manufacturers are implicated in the over- and mis-prescribing of opioids. However, the implications of promotion to nurses are poorly understood. Nurses play a key role in assessing pain, addressing the determinants of pain, and administering opioid medications. We sought to understand the nature and content of pain-related educational events sponsored by opioid manufacturers and to compare events targeting physicians and nurses. We conducted a cross sectional, descriptive analysis of pharmaceutical company reports detailing 116,845 sponsored educational events attended by health professionals from 2011 to 2015 in Australia. We included events that were sponsored by manufacturers of prescription opioid analgesics and were pain related. We compared event characteristics across three attendee groups: (a) physicians only; (b) at least one nurse in attendance; and (c) nurses only. We coded the unstructured data using iteratively generated keywords for variables related to location, format, and content focus. We identified 3,411 pain-related events sponsored by 3 companies: bioCSL/CSL (n = 15), Janssen (n = 134); and Mundipharma (n = 3,262). Pain-related events were most often multidisciplinary, including at least one nurse (1,964/3,411; 58%); 38% (1,281/3,411) included physicians only, and 5% (166/3,411) nurses only. The majority of events were held in clinical settings (61%) and 43% took the form of a journal club. Chronic pain was the most common event topic (26%) followed by cancer pain and palliative care (18%), and then generic or unspecified references to pain (15%); nearly a third (32%) of event descriptions contained insufficient information to determine the content focus. Nurse-only events were less frequently held in clinical settings (32%; p < .001) and more frequently were product launches (17%; p < .001) and a significantly larger proportion focused on cancer or palliative care (33%; p < .001), generic pain topics (27%; p < .001), and geriatrics (25%; p < .001) than physician-only or multidisciplinary events. Opioid promotion via sponsored educational events extends beyond physicians to multidisciplinary teams and specifically, nurses. Despite lack of evidence that opioids improve outcomes for long-term chronic non-cancer pain, hundreds of sponsored educational events focused on chronic pain. Regulators should consider the validity of distinguishing between pharmaceutical companies' "promotional" and "non-promotional" activities.

Caudal Duplication Syndrome Systematic Review-A Need for Better Multidisciplinary Surgical Approach and Follow-Up.

Background and Objectives: Caudal duplication syndrome is a rare association of anatomical anomalies describing duplication of the hindgut, spine, and uro-genital structures, leading to varied clinical presentations. The current literature focuses on case reports which describe the embryological etiology and anatomical spectrum of the condition giving little attention to the surgical preparation, the need for a well-structured follow-up program, or the transition into adult healthcare of these complex patients. No reviews have been published regarding this complex pathology. Materials and Methods: A review of caudal duplication syndrome cases was done to assess the range of the clinical malformations, timing, and types of surgical interventions. Inconsistencies in multidisciplinary care, follow-up, and risk events were described. Results: Hindgut duplication always involved the anorectal region. Anorectal malformations were evenly distributed as unilateral and bilateral. Colon duplication extended from the anal region to the transverse colon or ascending colon in most of the cases and less to terminal. In females, genital duplication was present in all cases. The follow-up period varied between 3 months and 12 years. In all adult females, the motive of presentation was related to pregnancy (complications after successful delivery, fertility evaluation) or late complications (fecalith obstruction of the end-to-side colon anastomosis, repeated UTIs with renal scarring). Conclusions: Complex malformations affecting multiple caudal organs may have a strong impact in many aspects of the long-term quality of life; therefore, patients with caudal duplication syndrome need increased awareness and joined multidisciplinary treatment.

EP35 What do patients with lupus know about cardiovascular risk: could dietary modification be a promising therapeutic?

Abstract Background Cardiovascular disease is the leading cause of mortality for patients with lupus. Understanding increased cardiovascular risk (CVR) in autoimmune diseases could improve CVR management in patients. The objective of a patient-focused event was to explore patient opinions about CVR and potential treatment options. A secondary objective was to learn about lupus patient experiences with diet including their opinion on considering diet as a therapeutic. Methods We hosted a patient event promoted through social media, relevant charities, hospitals and research groups. 13 patients with lupus and/or Sjögren’s syndrome attended and were asked about CVR using a questionnaire and round table discussion with researchers, clinicians and dietitians. In addition, a 15-question diet-based online survey was made publicly available for 3 weeks promoted through the same methods as the patient event. Results Sixty percent of patients were aware of the increased CVR associated with autoimmune rheumatic disease and 60% stated that their doctor had spoken to them about CVR. 73% thought that it was important for them to be aware of this increased CVR. When asked about medication to reduce CVR; no patients wanted to take a statin (lipid-lowering drug), however, 70% of patients would take statins if advised by their doctor. Conversely, respondents were more positive about using diet or taking a dietary supplement to reduce CVR; 71% would change their diet and 57% would take a supplement either on their own accord or on advice from health professionals. Some patients had already made changes to their diet to reduce their CVR, including reducing fat and increasing fruit and vegetable consumption. All attendees were prepared to participate in a clinical study using diet modification strategies, having vascular scans to assess atherosclerosis and provide blood samples for CVR research in lupus. An online survey was used to further assess lupus patient opinion on modifying their diet depending on their CVR. 284 responses were received over 3 weeks. Patients reported there was a lack of clinical counselling regarding diet with only 24% of patients stating that their doctor had spoken to them about diet. Despite this, 100% of patients stated that they would change their diet if they knew it would help their symptoms and 83% would take part in a diet-based clinical trial, supporting the results from the face-to-face patient event. Text analysis of patient research suggestions identified an interest in using diet to manage fatigue and disease activity. Conclusion This multidisciplinary event and online survey successfully gathered patient information regarding CVR and diet. The opinions and comments provided evidence that patients support further research in cardiovascular studies, a demand for increased CVR and dietary clinical counselling and a preference to changing their diet, whilst avoiding medication, to reduce their CVR. Disclosures G.A. Robinson None. E. Chocano Navarro None. K. Waddington None. T. Mcdonnell None. C. Wincup None. L. Martin-Gutierrez None. A. Maggio None. E. McLoughlin None. L. Rosser None. M. Naja None. D.A. Isenberg None. A.Z. Kalea None. C. Ciurtin None. I. Pineda-Torra None. E.C. Jury None.