Opinions Of Members Research Articles

How to approach and take care of minor adolescents whose situations raise ethical dilemmas? a position paper of the European academy of pediatrics.

In the care of adolescents, health care providers often face situations raising ethical concerns or dilemmas, such as refusal of a treatment or hospitalization, or request of confidentiality while engaging in risky behaviors or facing unplanned pregnancy. This position paper provides concrete avenues as how to assess the adolescent's capacity for autonomous decision making, e.g. the patient's competence in a specific situation, and how to elicit informed choice or consent. To do so, professionals need to be sensitized and trained as how to assess the cognitive and socio-psychological development of the young patient. Another challenge for the health professionals is to balance the needs to support patient's autonomy while offering secure guidance and protection if needed. To optimize such a process, they establish a climate of trust and empathy that will allow the patient to participate freely in the decision. In addition, especially when the decisions have potentially important consequences on the health and life, the professionals include, with the adolescent's permission, parents, caregivers or other significant adults, as well as they may request the opinion of other members of the health care team or expert colleagues such as ethicists.

OCCUPATIONAL PRESSURES AND THEIR RELATIONSHIP TO MARITAL ADJUSTMENT AMONG WORKING WOMEN A STUDY TO SURVEY THE OPINIONS OF A SAMPLE OF NURSES AND DOCTORS IN MSALLATA CITY

The problem of this work is to answer the following question: What are the professional pressures and their relationship to the marital compatibility of working women in a sample of female doctors and nurses in the central hospital in Msallata? This study aims to identify professional pressures and their relationship to marital compatibility among a sample of female doctors and nurses in the central hospital in the city of Msallata. In this study, the descriptive analytical approach aims to describe the phenomenon and then analyze it based on the information collected about the phenomenon. This study has reached the following results: Where the value of the correlation coefficient was (-0.654), and it resulted in an effect of pressures related to the nature of work and its percentage was (42.8%). And it resulted in an effect of stress related to multiple roles and its percentage is (62.1%). The study also showed that there is a statistically significant inverse relationship between professional pressure and marital compatibility, where the value of the correlation coefficient was (-0.803), and it resulted in an effect of occupational pressure and its percentage is (64.4%). The study also showed that occupational pressures sometimes exist among female doctors and nurses, and the study also showed that harmonic is always present among female doctors and nurses, while the study showed the presence of statistically significant differences in the opinions of sample members about occupational pressures in favor of female doctors, and the presence of statistically significant differences In the opinions of the respondents, the occupational pressures according to age, and the presence of statistically significant differences in the opinions of the respondents, the occupational pressures according to the number of children. In the opinions of the respondents about marital compatibility according to age, and there are statistically significant differences in the opinions of the respondents about marital compatibility according to the number of children

Leading the transformation: agile success factors in an Irish manufacturing company

Purpose – This study aims to assess the challenges and critical success factors for agile transformation in an Irish manufacturing organisation. Design/methodology – Mixed-methods approaches were used to collect data for this study. A quantitative survey utilising the novel Kano model and qualitative analysis using semi-structured interviews with middle and senior managers were employed as part of a case study. Findings – Critical success factors are identified, analysed and prioritised based on the opinions of members of the organisation studied. The conclusions of this study show that factors such as people, culture, and leadership are critical to agile transformation. The most important components, in particular, are team empowerment, team flexibility, competency development, and creating and communicating a vision. Research limitations/implications – This research focuses on a single-site case study capturing context-specific data from an organisation that recently embarked on an agile transformation. Originality/value – This study bridges the gap between academia and practice by providing valuable insights to guide leaders in their journey to agile transformation. The findings provide new knowledge to leaders and academics concerning the most critical factors for a successful transformation.

Achieving consensus on psychosocial and physical rehabilitation management for people living with kidney disease.

People living with chronic kidney disease (CKD) need to be able to live well with their condition. The provision of psychosocial interventions (psychological, psychiatric and social care) and physical rehabilitation management is variable across England, as well as the rest of the UK. There is a need for clear recommendations for standards of psychosocial and physical rehabilitation care for people living with CKD, and guidance for the commissioning and measurement of these services. The National Health Service (NHS) England Renal Services Transformation Programme (RSTP) supported a programme of work and modified Delphi process to address the management of psychosocial and physical rehabilitation care as part of a larger body of work to formulate a comprehensive commissioning toolkit for renal care services across England. We sought to achieve expert consensus regarding the psychosocial and physical rehabilitation management of people living with CKD in England and the rest of the UK. A Delphi consensus method was used to gather and refine expert opinions of senior members of the kidney multi-disciplinary team (MDT) and other key stakeholders in the UK. An agreement was sought on 16 statements reflecting aspects of psychosocial and physical rehabilitation management for people living with CKD. Twenty-six expert practitioners and other key stakeholders, including lived experience representatives, participated in the process. The consensus (>80% affirmative votes) amongst the respondents for all 16 statements was high. Nine recommendation statements were discussed and refined further to be included in the final iteration of the 'Systems' section of the NHS England RSTP commissioning toolkit. These priority recommendations reflect pragmatic solutions that can be implemented in renal care and include recommendations for a holistic wellbeing assessment for all people living with CKD who are approaching dialysis, or who are at listing for kidney transplantation, which includes the use of validated measurement tools to assess the need for further intervention in psychosocial and physical rehabilitation management. It is recommended that the scores from these measurement tools be included in the NHS England Renal Data Dashboard. There was also a recommendation for referral as appropriate to NHS Talking Therapies, psychology, counselling or psychotherapy, social work or liaison psychiatry for those with identified psychosocial needs. The use of digital resources was recommended to be used in addition to face-to-face care to provide physical rehabilitation, and all healthcare professionals should be educated to recognize psychosocial and physical rehabilitation needs and refer/sign-post people with CKD to appropriate services. There was high consensus amongst senior members of the kidney MDT and other key stakeholders, including those with lived experience, in the UK on all aspects of the psychosocial and physical rehabilitation management of people living with CKD. The results of this process will be used by NHS England to inform the 'Systems' section of the commissioning toolkit and data dashboard and to inform the National Standards of Care for people living with CKD.

A fuzzy AHP study of barriers for circularity in the wine sector in Bulgaria

PurposeIdentifying the barriers that hinder the circularity in the wine industry in Bulgaria and proposing a preliminary circular economy (CE) index for ranking in order of importance the barriers for providing a suitable and replicable model through the contextualization of the study applied at the territorial level.Design/methodology/approachThe article adopts a Fuzzy AHP methodology based on 6 main barriers and 19 sub-barriers to find the weights of the barriers and rank them. The study was conducted in Bulgaria, and it consists of a questionnaire with pairwise comparisons to ask for expert opinions of members of the Executive Board of the National Association of Bulgarian Vinegrowers and additional members of the regional vine and winegrowing chambers.FindingsThe study identifies training and education and environmental barriers as the most important among the main barriers whereas, economic barriers are assessed as low impact. Considering the sub-barriers, lack of consumer awareness and interest, unclear taxation for CE, lack of knowledge about environmental emissions (carbon, water etc.) within the supply chains, and lack of digital trends are determined as the most significant sub-barriers.Research limitations/implicationsThe preliminary CE index can be practically used and tested, when necessary, by each winemaker according to their understanding and opinion of CE barriers and sub-barriers. The ranking within the CE index can lead winemakers also to decisions related to the company's social policy.Originality/valueThe study uses the Fuzzy AHP methodology with expert opinions to analyze and weigh the main barriers to achieving CE at the micro-level.

Online education for prosthetics and orthotics students in the era of COVID-19 pandemic in Iran: challenges, opportunities, and recommendations

IntroductionWith the advent of the COVID-19 pandemic, many higher education programs in Iran, including prosthetics and orthotics (P&O), had to shift to the online environment all at once. This unanticipated transition was challenging for the educational system. However, online education is superior in some aspects to conventional methods, and this situation may offer opportunities. This study was carried out from September 2021 to March 2022 to investigate the challenges and opportunities of online education in the P&O sector in Iran based on the opinions of students and faculty members. Relevant recommendations will also be discussed.MethodsIn this qualitative study, semi-structured interviews were conducted in both oral and written formats. Purposive and snowball sampling techniques were used to recruit undergraduate and postgraduate P&O students, as well as P&O faculty members, for this qualitative study. The data gathered from interviews with study participants were analyzed by thematic analysis.ResultsBased on the data analysis, many sub-themes of the three main themes were recognized: (1) challenges: technical, socioeconomic, environmental distractors, supervision and evaluation, workload, digital competence, interactions, motivation, sessions-related issues, class time, hands-on and clinical training; (2) opportunities: technological innovations, infrastructure development, flexible learning environment, student-centered learning, availability of contents, time and cost saving, high concentration, more self-confidence; (3) recommendations: technical infrastructure, team dynamics, hybrid courses, time management, awareness.ConclusionOnline education of P&O during the era of the COVID-19 pandemic was accompanied by a series of challenges. Technical issues and the gravity of hands-on training in this field were significant challenges. This era, however, provided the opportunity to facilitate the establishment of needed infrastructure and support technological innovations for online education. Considering hybrid (mixed online and on-site) courses was recommended to improve the quality of learning.

The Views of the Faculty on the Effectiveness of Teacher Education Programs in Developing Lifelong Learning Competence

The purpose of this research is to analyze the views of faculty members on the success of teacher education programs in developing lifelong learning competence. A review of the literature was conducted to gather information on the opinions of faculty members and to identify the key factors that they believe contribute to the success of teacher education programs in this regard. The results of the literature review suggest that the views of faculty members on the success of teacher education programs in developing lifelong learning competence are mixed. Some faculty members believe that these programs are successful in preparing students for a lifetime of learning, while others believe that there is room for improvement. Faculty members who believe that teacher education programs are successful in developing lifelong learning competence often point to the use of hands-on, practical experiences, the incorporation of technology, and opportunities for professional development as key factors in this success. Those who believe that there is room for improvement recommend incorporating more hands-on, practical experiences, providing opportunities for professional development, and incorporating technology in new and innovative ways. In conclusion, the views of faculty members on the success of teacher education programs in developing lifelong learning competence are diverse and complex. Further research is needed to determine the most effective ways to prepare students for a lifetime of learning and to assess the success of teacher education programs in this regard.

Facebook moms help! What to buy for teething? The impact of social proof on consumer decisions of young mothers

Young mothers often look for solutions to problems related to childcare in groups associating other mothers on Facebook. One can find there not only numerous advice on, among others, nutrition, care or even treatment of infants, but also learn about various consumer trends. The aim of the article is to determine the role of social proof on groups of young mothers on Facebook in making consumer decisions. The research method used was the content analysis on a selected Polish group for young mothers on Facebook. It was hypothesized that social proof on Facebook groups is important in making consumer decisions of young mothers regarding their children. This applies to all products intended for young children, from care products, food products, toys, accessories for children, to medicinal products. Young mothers are often influenced by the prevailing trends and opinions of other members of the group for young mothers, who may be real mothers or – which one may not be aware of - representatives of various brands.

Who are the members of the accreditation commissions? Portrait, requests and expectations

Primary accreditation of specialists plays a key role in the growth of young doctors. The members of the accreditation subcommittees (ASC) occupy an important place in the process of primary accreditation. The purpose of this pilot single-center prospective research with anonymous questionnaires was to study aspects of the work and training of ASC members in order to develop a reasonable design of a multicenter research to study the “portrait” of an ASC member in order to subsequently form a request for the members preparation of subcommittees and develop practical recommendations for effective interaction between the accreditation site and ASC members. The questionnaires of 27 members of the subcommittees were analyzed. The pilot study reviewed the duration of participation in the work of the ASC, ways of preparing for work as experts and readiness to undergo additional training, satisfaction with the training of accredited medical students. In addition, opinions were taken into account on the quality and the need to correct the passports of stations of an Objective Structured Clinical Examination (OSCE), optimize the work schedule during the period of accreditation of specialists, as well as proposals for improving, increasing the efficiency and coordination of the work of the ASC with accreditation sites. The pilot project aroused serious interest among the participants of the XI Congress of the Russian Society for Simulation Education in Medicine (ROSOMED) and the international conference 2022 in Moscow. The reason is this study showed the importance of taking into account the opinions of members of the ASC, as direct participants in the accreditation process, which makes it possible to develop the design of a multicenter international study, the data of which will make it possible to offer evidence-based recommendations to improve the interaction between participants in the accreditation process in medicine and improve its quality in the Russian Federation, with a possible broadcast on the territory of the interested countries participating in the study.

COVID-19 Vaccine Booster Hesitancy in Malaysia: A Web-Based Cross-Sectional Study

Vaccination is a key public health strategy that is known to be effective in mitigating the risk of infection and severe disease. However, in the context of the COVID-19 pandemic, the percentage (<50%) of Malaysians who have received a booster for the COVID-19 vaccine has remained stagnant over a year. This study aimed to determine the prevalence of and the factors associated with hesitancy toward the second dose of booster for the COVID-19 vaccine. A web-based cross-sectional study was conducted from August to November 2022. The Oxford Vaccine Hesitancy Scale was used to assess the hesitancy toward the second dose of booster for the COVID-19 vaccine. Simple and multiple factors logistic regressions were used to determine the predictors of hesitancy. A p-value less than 0.05 was considered to be statistically significant. Data from 798 respondents were included in the analysis. The prevalence of hesitancy toward the second booster of the COVID-19 vaccine was 26.7%. The predictors of second-booster hesitancy were older age (AOR = 1.040, 95 CI = 1.022, 1.058), having received the third dose (first booster) because of instruction by the government (AOR = 2.125, 95% CI = 1.380, 3.274), concern about serious long term side effects of the vaccine (AOR = 4.010, 95% CI = 2.218, 7.250), and opinions of close friends and immediate family members that the booster is harmful (AOR = 2.201, 95% CI = 1.280, 3.785). Conversely, factors that appear to reduce vaccine booster hesitancy were acceptance of the third dose due to the high number of cases and the increasing rate of infection (AOR = 0.548, 95% CI = 0.317, 0.947), the belief that the vaccine will decrease the risk of getting the infection (AOR = 0.491, 95% CI = 0.277, 0.870), and opinions of close friends and immediate family members that the booster is helpful (AOR = 0.479, 95% CI = 0.273, 0.840). In conclusion, more than one-fifth of Malaysians were hesitant to take the second booster of the COVID-19 vaccine. This suggests that appropriate steps that increase vaccine acceptance, taking into consideration the findings of the present study, are needed to address this issue and to foster more positive attitudes toward vaccination. The survey was available in three main languages but limited to people with internet access; hence, it would likely be biased toward younger adults and social media users and exclude those with limited or no internet access, in particular older people. Therefore, the results are not representative of the Malaysian population at large and caution should be exercised when interpreting the findings.

A survey of the opinions of faculty members in the College of Basic Education on the use of the electronic education management system (Moodle) to face the repercussions of Corona virus

A survey of the opinions of faculty members in the College of Basic Education on the use of the electronic education management system (Moodle) to face the repercussions of Corona virus

The Perception of Surgery Program Directors of Residency Applicants From Longitudinal Integrated Curriculum Medical Schools: A Survey of the Association of Program Directors in Surgery Members.

Research statement This study explores whether longitudinal integrated clerkship (LIC) students are competitive general surgery applicants and if they are perceived as adequately prepared for general surgery residency compared to traditional block rotation (BR) students. Background/relevance of the study There is increasing interest in LIC models of clinical education versus BR models. LIC students have been shown to perform similarly on examinations to BR students. However, while LICs seem well suited for students pursuing primary care specialties, little is known about how this approach impacts clinical education for surgery. Design and methods An electronic survey was prepared and approved by the Association of Program Directors in Surgery (APDS) and our university's institutional review board (IRB). Ten multiple-choice questions were administered along with an option for narrative comments. Surveys were sent over a one-month period to members of APDS Listserv. Returned emails were de-identified, and the results were tabulated. Results From 43 responses, the majority identified as program directors (PDs) (65%) and reported being somewhat familiar or very familiar with LICs (90%). When asked about the statement "LIC students are prepared for surgical residency," 22% "disagreed" or "strongly disagreed."When asked"How would you rank a LIC prospective applicant in comparison to a BR student?"35% responded that they would rank the LIC student lower or not at all. Of the respondents, 47% reported that they have current residents who were LIC students. Most of these residents (65%)are graded as "average"for current performance. Conclusions The results suggest that medical students who are trained using LICs may be disadvantaged when applying to general surgery residencies. Interpretation is limited by the small number of respondents, and it only reflects the opinions of active APDS Listserv members. Further study is needed to confirm these findings and elucidate the basis of perceived deficiencies in LICs. Students from these schools should be advised to obtain additional surgery experience.

When teams disagree: Investigating the incidence and causes of dissent occurring in cancer multidisciplinary team meetings.

Multidisciplinary teams (MDT) are commonly involved in the care of patients with cancer. How frequently dissent occurs within MDT has not been studied. This study aimed to determine how frequently dissent was documented in cancer MDT meetings at our institution, the reasons for this, and the opinions of MDT members on how dissent should be documented and communicated. A retrospective review of records from cancer MDT meetings at our institution from 2016 to 2020 was performed to identify cases where dissent was documented and the reasons for this. MDT members were invited to complete an online survey assessing their perceptions of how frequently dissent occurred, how comfortable they felt voicing dissenting opinions, and their opinions on how dissent should be documented and communicated. Dissent was recorded in 30 of 7737 MDT case discussions (0.39%). The incidence of dissent varied from 0 to 1.2% between cancer streams. The most common reason for dissent involved the role of surgery. 27% of survey respondents felt either very or somewhat uncomfortable voicing dissenting opinions. Only 3% felt that dissent should not be documented, and none that it should not be communicated in some way, although there were wide ranging of views on how this should occur. Dissent was rarely documented within cancer MDT meetings at our institution, likely due to underreporting. Measuring the incidence of dissent within an MDT may be a useful performance metric. MDT should develop policies for how dissent should be managed, documented, and communicated.

Pelatihan Membuat Soal Matematika Secara Daring Menggunakan Aplikasi Kahoot

In the world of education, it is currently commonly known as learning media that can be used as teaching aids for teachers to make it easier for students to understand the material being taught. Learning media can clarify the presentation of messages and information from teachers to students so that they can facilitate and improve learning processes and outcomes. Learning media can also overcome the limitations of the senses, space and time. One form of media is Kahoot. Kahoot is a game-based learning platform that uses educational technology in schools and other educational institutions. Kahoot is in the form of a multiple choice quiz game application or a survey of opinions and opinions of students or members of public institutions conducted online via a browser. learning through Kahoot is very easy to implement. Kahoot can be played through different browsers to browsers installed on student gadgets. The Kahoot application is very interesting, because the teacher can create quizzes by inserting pictures or videos in the problem so that it can attract students' attention. Kahoot is because the question is equipped with an image or video. Even using short expressions, accompanied by music that is appropriate for their age. Not only that, kahoot can be a form of online interactive media.

Is there a need for a technical certification system for gynecological robotic surgery? Questionnaire survey of members of the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy

The Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy (JSGOE) introduced a system for the certification of laparoscopic surgeons in 2002 and a system for the certification of facilities in 2014. We examined the opinions of the members of the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy (JSGOE) regarding the necessity of a certification training system and a technical certification system for robotic surgery skills in Japan. Members of the JSGOE were surveyed with two questionnaires. Overall, 870 and 519 participants responded to the first and second questionnaires, respectively. Half of the respondents indicated that both systems were necessary. The breakdown by age and qualifications showed that this was especially true for the younger generation and respondents with more experience with robotic surgery. Overall, 40% of the respondents judged that a certification system for robotic surgery alone (with or without certification in laparoscopic surgery but with a requirement of experience in laparoscopic surgery) would be necessary. The opinions of the JSGOE members on making a certification system for robotic surgery were split into two clear-cut camps. Thus, we must further seek the extent of public demand for using a public survey so that a final decision can be made on whether to establish this system.

Opinions of Faculty Members on the Assistant Physicians’ Use of Leave of Absence After Night Shift: A Survey Study

Opinions of Faculty Members on the Assistant Physicians’ Use of Leave of Absence After Night Shift: A Survey Study

The Historical Background and Development of Catholic Charismatic Renewal Movement in Kenya: A Case of Catholic Diocese of Meru

The emergence and widespread of the Catholic Charismatic Renewal Movement (CCRM) is clad with opportunities and challenges, attracting admirers and facing resistance from parish priests accusing them of defiance, divisions, confusion, and suspicion among the faithful. This article is an extraction of Mutua’s thesis (2023). The article sought to survey the historical development and characteristics of the CCRM in the Catholic Diocese of Meru (CDM).The study employed the Rational Choice Theory. This theory argues that religion and its systems compensate humans while human beings themselves are viewed as actors who act rationally as they make their best choices they calculate costs and gained benefits. A descriptive survey design was used whereby opinions of the CCRM members across the CDM were sought on its origins. A sample size was 352. Comprising of CCRM members and leaders. Priest and a bishop were used in data collection. The findings revealed that CCRM started in the CDM in 1996 and since then it has continued to spread and grow. Further, the findings indicated that despite facing initial resistance. The hierarchy of the Church across the CDM has embraced the movement in a bid to counter pressure and break away to other Charismatic/Pentecostal churches.

The Role of Distance Learning in Educational Achievement of Zarqa University Students during the Coronavirus Pandemic

This study aimed to investigate the role of distance learning in educational achievement of Zarqa University students during the Coronavirus pandemic. The population of the study consisted of all male and female students at Zarqa University in Jordan. The sample included (120) students representing the population. The study adopted the analytical descriptive approach, and data was collected through questionnaire. Findings of the study included the following: the total score of the questionnaire, from the perspectives of sample members, was rated high; the lack of statistically significant differences at the significance level of (0.05) among the opinions of sample members on the axes of the questionnaire as a whole, as regards the variables of gender and educational level. Recommendations of the study include the following: seeking to exchange international experiences through distance learning media; the necessity of increasing students' desire and motivation for distance learning; and working in spreading technical culture to help establish an electronic community capable of keeping in pace with the developments of the present time.

Transition to Distance Education during Covid-19 Pandemic: Opinions of Faculty Members and Pre-service Teachers in an English Language Teaching Department in Turkey

The purpose of the present study was to investigate the views of instructors and teacher candidates related to synchronous education during the pandemic at a state university in the department of English Language Teaching. The participants included 9 instructors, and 22 pre-service English teachers. Qualitative methods were adopted in this study: semi-structured interviews and an open-ended survey were used to collect data. Interviews with instructors revealed that drawbacks to synchronous distance education were more prevalent. Similarly, open-ended surveys administered to teacher candidates demonstrated that the participants were not satisfied with synchronous distance education even though they reported several advantages of it. Finally, implications were mentioned based on the results.

Flexible and Precariat Form of Employment Policies at Higher Education in Turkey

&lt;p style="text-align: justify;"&gt;The main objective of current study was to determine the opinions of adjunct faculty members regarding the flexible and precariat form of employment policies at universities in Turkey. The research was conducted qualitatively. The participants were 16 adjunct faculty members who were chosen with purposive sampling method. An interview technique was implemented in order to obtain data, and content analysis method was used to analyze the data. Results revealed that this form of employment policy causes organizational, academic and personal problems. As for organizational problems, it causes to prioritize financial points of views rather than academic expectations. Regarding personal problems, adjunct faculty members are underpaid, overworked, ignored regarding their professional development. Also academic and scientific knowledge production are ignored. Students do dot respect adjunct faculty members. It is recommended that this kind of employment policy should be reconsidered and full-time employment should be preferred.&lt;/p&gt;