Paper-based Approach Research Articles

The Impact of Adopting Facebook on Developing Descriptive and Narrative Paragraph Writing Skills of ESL Young Adult Learners

Facebook, as one of the popular social media sites worldwide and in Sri Lanka, has been highlighted as a powerful influencer on language learning. While Sri Lanka is working to modernize its paper-based traditional education system and follow global trends of incorporating technology and social media into teaching methods, Facebook use by students for learning reasons is a rarely explored area. The current study's problem stems from students' poor performance in English writing assessments and decreased interest in paper-based education. The objective of this study was to see how using Facebook assisted tertiary-level ESL students build descriptive and narrative paragraph writing skills. The study used an intervention research approach, with data obtained through pre and post-tests. The study included 60 intermediate-level ESL students from the University of Kelaniya who studied in the first-year "English for Social Sciences" course. Participants were chosen after the pre-test, and the experimental group's 30 students were taught for six weeks through a closed Facebook group, whereas the control group's 30 students were taught using paper-based method in regular classes. The similar lessons on descriptive and narrative paragraph writing were delivered to the students on the Facebook group and for the controlled group employing the conventional paper-based approach. The findings demonstrated statistically significant differences between scores of the controlled group and the experimental group, in favour of the experimental group subjected to Facebook learning, proving that Facebook is a modern arena that should be promoted as an appealing online platform to refine students' language skills.

Comparison of the Response to an Electronic Versus a Traditional Informed Consent Procedure in Terms of Clinical Patient Characteristics: Observational Study.

Electronic informed consent (eIC) is increasingly used in clinical research due to several benefits including increased enrollment and improved efficiency. Within a learning health care system, a pilot was conducted with an eIC for linking data from electronic health records with national registries, general practitioners, and other hospitals. We evaluated the eIC pilot by comparing the response to the eIC with the former traditional paper-based informed consent (IC). We assessed whether the use of eIC resulted in a different study population by comparing the clinical patient characteristics between the response categories of the eIC and former face-to-face IC procedure. All patients with increased cardiovascular risk visiting the University Medical Center Utrecht, the Netherlands, were eligible for the learning health care system. From November 2021 to August 2022, an eIC was piloted at the cardiology outpatient clinic. Prior to the pilot, a traditional face-to-face paper-based IC approach was used. Responses (ie, consent, no consent, or nonresponse) were assessed and compared between the eIC and face-to-face IC cohorts. Clinical characteristics of consenting and nonresponding patients were compared between and within the eIC and the face-to-face cohorts using multivariable regression analyses. A total of 2254 patients were included in the face-to-face IC cohort and 885 patients in the eIC cohort. Full consent was more often obtained in the eIC than in the face-to-face cohort (415/885, 46.9% vs 876/2254, 38.9%, respectively). Apart from lower mean hemoglobin in the full consent group of the eIC cohort (8.5 vs 8.8; P=.0021), the characteristics of the full consenting patients did not differ between the eIC and face-to-face IC cohorts. In the eIC cohort, only age differed between the full consent and the nonresponse group (median 60 vs 56; P=.0002, respectively), whereas in the face-to-face IC cohort, the full consent group seemed healthier (ie, higher hemoglobin, lower glycated hemoglobin [HbA1c], lower C-reactive protein levels) than the nonresponse group. More patients provided full consent using an eIC. In addition, the study population remained broadly similar. The face-to-face IC approach seemed to result in a healthier study population (ie, full consenting patients) than the patients without IC, while in the eIC cohort, the characteristics between consent groups were comparable. Thus, an eIC may lead to a better representation of the target population, increasing the generalizability of results.

Multiplexed colorimetric assay of antioxidants in wines with paper-based sensors fabricated by pen plotting

This work reports the development of low-cost and rapid multiplexed colorimetric assay of antioxidants (total phenolics, antioxidant capacity, flavonoids and anthocyanins) in wines at daisy-shaped fluidic paper-based analytical devices (PADs). The desired fluidic patterns were formed on paper by pen drawing and colorimetric reagents were immobilized at the 6 peripheral test zones. The sample was added at the central sample zone, migrated to the test zones and reacted with the immobilized reagents producing characteristic colors that were captured and analyzed. The paper-based approach was applied to the analysis of several wine samples and the results were statistically correlated to standard solution-based colorimetric assays, indicating that it could be reliably used for ranking wines according to their antioxidants content. In addition, the paper-based analytical methodology is simple, instrument-free, portable, cost-effective, rapid and environment friendly.

Nursing Diagnosis Accuracy in Nursing Education: Clinical Decision Support System Compared With Paper-Based Documentation-A Before and After Study.

Computer-based technologies have been widely used in nursing education, although the best educational modality to improve documentation and nursing diagnostic accuracy using electronic health records is still under investigation. It is important to address this gap and seek an effective way to address increased accuracy around nursing diagnoses identification. Nursing diagnoses are judgments that represent a synthesis of data collected by the nurse and used to guide interventions and to achieve desirable patients' outcomes. This current investigation is aimed at comparing the nursing diagnostic accuracy, satisfaction, and usability of a computerized system versus a traditional paper-based approach. A total of 66 nursing students solved three validated clinical scenarios using the NANDA-International terminologies traditional paper-based approach and then the computer-based Clinical Decision Support System. Study findings indicated a significantly higher nursing diagnostic accuracy ( P < .001) in solving cancer and stroke clinical scenarios, whereas there was no significant difference in acute myocardial infarction scenario. The use of the electronic system increased the number of correct diagnostic indicators ( P < .05); however, the level of students' satisfaction was similar. The usability scores highlighted the need to make the electronic documentation systems more user-friendly.

The impact of electronic versus paper-based data capture on data collection logistics and on missing scores in thyroid cancer patients

PurposeThe purpose of this study was to investigate the impact of the type of data capture on the time and help needed for collecting patient-reported outcomes as well as on the proportion of missing scores.MethodsIn a multinational prospective study, thyroid cancer patients from 17 countries completed a validated questionnaire measuring quality of life. Electronic data capture was compared to the paper-based approach using multivariate logistic regression.ResultsA total of 437 patients were included, of whom 13% used electronic data capture. The relation between data capture and time needed was modified by the emotional functioning of the patients. Those with clinical impairments in that respect needed more time to complete the questionnaire when they used electronic data capture compared to paper and pencil (ORadj 24.0; p = 0.006). This was not the case when patients had sub-threshold emotional problems (ORadj 1.9; p = 0.48). The odds of having the researcher reading the questions out (instead of the patient doing this themselves) (ORadj 0.1; p = 0.01) and of needing any help (ORadj 0.1; p = 0.01) were lower when electronic data capture was used. The proportion of missing scores was equivalent in both groups (ORadj 0.4, p = 0.42).ConclusionsThe advantages of electronic data capture, such as real-time assessment and fewer data entry errors, may come at the price of more time required for data collection when the patients have mental health problems. As this is not uncommon in thyroid cancer, researchers need to choose the type of data capture wisely for their particular research question.

Augmented reality training for improved learnability

In the current era of Industry 4.0, many new technologies offer manufacturing industries to achieve high productivity. Augmented Reality (AR) is one of the emerging technologies that has been adopted in industries to aid users in acquiring complex skills and carrying out many complicated tasks such product assembly and maintenance. Nevertheless, most AR applications have been developed without clear understanding of how such technology can facilitate improved learnability in terms of knowledge reusability. This paper proposed an enhanced AR-based training system that provides multimodal information with a contextualized information to improve task comprehension and knowledge reusability compared with traditional AR that presents unimodal and decontextualized information. An empirical test was carried out to assess the task performance and the task learnability aspects of this enhanced AR compared to the traditional AR and the paper-based document. The experiment consisted of a training phase where participants carried out an electrical connection task of a sensor followed by a knowledge reuse phase where participants had to wire a second sensor using their previous training. A pre-test quiz was given before the experiment followed by the post-tests phase after the training. Post-tests consist of one post-test given directly after the experiment (short-term retention test) and a second post-test quiz given one week later (long-term retention test) to measure information retention. The results indicated that AR-based approaches could enhance knowledge acquisition by around 18 % for traditional AR and almost 25 % for enhanced AR as compared to paper-based approach. While all training systems achieved relatively equivalent well for short-term retention test, trainees who used the enhanced AR training systems statistically outperformed those in the paper-based group for long term retention test. Furthermore, there was a positive correlation between the score of short-term retention test and the score in the knowledge reusability which was also shown by the higher scores in knowledge reusability for the enhanced AR training system compared to the other two approaches. These findings are discussed in relation to the Industry 5.0′s human centric core value.

The Validity and Reliability of the Theory Behind BIM Adoption in The Facility Management Using PLS-SEM

The usage of Building Information Modelling (BIM) in the Facility Management (FM) sector will significantly speed up the design and construction phases. However, most facility managers continue to use the traditional paper-based approach to manage facility maintenance and operations, which includes designs and spreadsheets. The goal of this research is to pinpoint the factors that affect BIM's acceptability in the FM sector. Six factors, including organisational culture, individual competency, perceived usability, perceived ease of use, individual intention, and organisational aim in the context of facilities management services, were found. Prior to that, it is necessary to determine whether the theory supporting the adoption of BIM in facility management is valid and reliable. This study used an abductive methodology that blends qualitative and quantitative techniques. 30 respondents completed a set of questionnaires as part of the study's pilot test. Based on the findings of the pilot study, it can be demonstrated that the high degree of Cronbach's Alpha values is accepted, demonstrating the validity and reliability of the theory supporting the adoption of BIM in facility management and its high degree of internal consistency. This study demonstrates that there are important factors that affect how well BIM is received in the facilities management sector. All the six factors have a significant impact indicating that the theory underlying the adoption of BIM in facility management is valid and reliable and has a high degree of internal consistency.

Novel design of micropump based on multi-angle paper-based capillary approach for enhanced and well-controlled flow rates

Paper-capillary micropumps are advantageous as they are small in size, cost-effective, and easily disposable. However, capillary-based micropumps fabricated using the photolithography technique prevent exchanging of the pumping element. The liquid movement in paper-based micropumps is also difficult to control and manipulate as compared to non-paper-based micropumps. Therefore, in this study, the performance of a multi-angle paper-based capillary micropump that utilizes both hydrostatic and paper-capillary effects with a detachable paper matrix is presented. The design offers enhanced and controllable flow rates based on paper matrix types and platform inclination angles. In addition, the paper matrix pumping element does not involve in the analytical processes but rather only for fluid driving. Standalone operation shows a working range of flow rate comparable to some purely capillary- and hydrostatic-based micropumps reported in the literature. The proposed micropump shows that the flow rate is linearly increasing based on the types of capillary papers and platform inclination angles, giving a flow rate range of 2.3 μL/s ≤ [Formula: see text] ≤ 2.44 µL/s.

A way forward for a sustainable active packaging solution for prolonging the freshness and shelf life of Rosa hybrida L. cut flowers

The study aimed to develop a paper-based approach as part of anti-microbial packaging to extend the shelf life of fresh-cut roses. To achieve this, a synergistic solution was developed from a mixture of bay, fenugreek, and lemon extract. A 1:1:1 ratio with an additional 3 % sucrose. It was found effective against Pseudomonas fluorescens, Salmonella typhimurium, and Enterobacter cloacae, which are the primary microorganism responsible for the spoilage of rose flowers. GCMS analysis shows that the presence of eugenol, oleic acid, ascorbic acid, caryophyllene, á-bisabolene, methyl eugenol, á-curcumene, humulene, and allene compounds contributed to the anti-microbial and antioxidant properties of the active matrix. The developed active matrix was coated on a kraft paper called Freshness Keeper (FK). FK paper was subjected to various characterization techniques, such as SEM, FTIR, and GCMS. The study revealed that the mechanical and barrier properties of the paper remained largely unchanged, except for the % elongation break and water absorptiveness. These changes were observed following the paper's coating with the matrix. The results suggest that the coating has the potential to affect the physical properties of the paper. To assess its effectiveness on the vase life and physiochemical characteristics of Rosa hybrida L. cut flowers were tested. The control flowers (without FK) displayed signs of wilting, color change, and bacterial growth after 10–12 d of storage at 2–4 ℃ with 85 % relative humidity. In contrast, the FK-wrapped flowers showed similar signs after 18–20 d of storage, effectively enhancing shelf life by an additional 8–10 d. Furthermore, the FK maintained the freshness and diameter of the cut rose bunches, while simultaneously maintaining the petal moisture content, petal color, and sensory attributes and controlling ethylene production. These results suggest that extending the shelf life of fresh-cut roses can reduce postharvest losses and add value to the flower industries, both domestically and in export markets.

Disposable Microfluidic Paper-Based Device for On-Site Quantification of Urinary Creatinine

In this work, a new microfluidic paper-based analytical device (µPAD) was developed for on-hand creatinine quantification in urine samples. When compared to conventional methods, this innovative paper device is more accessible and portable, it provides low-cost analysis (cost of consumables of 40 cents), and it is applicable to non-invasive biological fluids. Furthermore, the paper-based approach is used within an environmentally friendly assembly with no need for wax printing and small amounts of reagents resulting in low waste production and easy disposal by incineration. Its assembly method includes cutting paper discs arranged into several reading units within a plastic pouch, enabling effective creatinine quantification with accuracy based on a vertical flow approach. The method is based on the colourimetric reaction between creatinine and alkaline picric acid, where the solution colour changes from yellow to orange/red. Under optimal conditions, the developed method allowed creatinine quantification in the dynamic range of 2.20–35.0 mg/dL, with a limit of detection (LOD) of 0.66 mg/dL and a limit of quantification (LOQ) of 2.20 mg/dL. The colour intensity developed was processed in ImageJ software, based on digital image scanning, performed in 20 min (up to 4 h) after the sample insertion. The device is stable for up to one week when stored in a vacuum at 4 °C. The method was validated by comparing the results with a batch-wise procedure, where there were no statistically significant differences between both methods.

Exploring gender-based effects of virtual laboratory against paper-based practices towards real chemistry practical in Tanzanian secondary schools

Gender inequality is strongly linked with poor performance in science and mathematics for female students in secondary schools owing to socio-economic and cultural issues as well as learning strategies. According to the Certificate of Secondary Education Examination results of 2021 in Tanzania, the failure rate for female students was higher than that for male students, and such failure in chemistry was associated with inadequate knowledge about the tested concepts, failure to identify the requirements of the respective questions and lack of adequate mathematical skills. Real practical sessions are integral parts of chemistry to enhance the learning environments for both female and male students. However, the real laboratory practices especially for chemistry are challenged with the costs of the construction of physical laboratory infrastructure and reagents, and the time-consuming and physical demands on personnel during real practical sessions. Thus, this study explores gender-based effects of the chemistry virtual laboratory against a paper-based approach towards a real chemistry practical in Tanzanian secondary schools. The results indicate that the combined exposures of virtual laboratory and paper-based practicals improve real practical performance for both female and male students. Moreover, the performance of real practical practices progressively improved for female students when they were first exposed to the virtual laboratory and then the paper-based practical. Such improvements can be associated with the virtual laboratory providing interactive learning environments which support female students to connect and engage.

Remote patient monitoring for management of diabetes mellitus in pregnancy is associated with improved maternal and neonatal outcomes

Diabetes is a common medical complication of pregnancy and its treatment is complex. Recent years have seen an increase in the application of mobile health tools and advanced technologies, such as remote patient monitoring (RPM), to try to improve care of diabetes in pregnancy. Previous studies of these technologies for the treatment of diabetes in pregnancy have been small and have not clearly shown clinical benefit from implementing their use. RPM allows clinicians to monitor patients' health data (such as glucose values) in near real-time, in between clinic visits, to make timely adjustments to care. Our objective was to determine if using RPM for management of diabetes in pregnancy leads to improvement in maternal and neonatal outcomes. This was a retrospective cohort study of pregnant patients with diabetes managed by the Maternal Fetal Medicine practice at one academic institution between October 2019 - April 2021. The practice transitioned from paper blood glucose logs to RPM in February 2020. RPM options included: 1) Device integration with Bluetooth glucometers that automatically upload measured glucose values to the patient's Epic MyChart application or 2) Manual entry where patients manually log glucose readings into their MyChart application. Values in the MyChart application directly transfer to the patient's Electronic Health Record for review and changes in management by clinicians. In total, 533 patients were studied. We compared 173 patients managed with paper logs to 360 patients managed with RPM (176 device integration and 184 manual entry). Our primary outcomes were composite maternal morbidity (which included third/fourth-degree laceration, chorioamnionitis, postpartum hemorrhage requiring transfusion, postpartum hysterectomy, wound infection or separation, venous thromboembolism, and maternal admission to ICU) and composite neonatal morbidity (which included umbilical cord pH <7.00, 5 min APGAR <7, respiratory morbidity, hyperbilirubinemia, meconium aspiration, intraventricular hemorrhage, necrotizing enterocolitis, sepsis, pneumonia, seizures, hypoxic ischemic encephalopathy, shoulder dystocia, trauma, brain or body cooling, and NICU admission). Secondary outcomes were measures of glycemic control, as well as the individual components of the primary composite outcomes. We also performed a secondary analysis comparing patients utilizing the two aforementioned RPM options. Chi square, Fisher's exact, 2-sample t, and Mann-Whitney tests were used to compare the groups. A result was considered statistically significant at p<0.05. Maternal baseline characteristics were not significantly different between the RPM and paper groups, aside from a slightly higher baseline rate of chronic hypertension in the RPM group (6.1 vs 1.2%). The primary outcome of composite maternal and composite neonatal morbidity was not significantly different between the groups. However, RPM patients submitted more values, were more likely to achieve glycemic control in target range (79.2% vs 52.0%, p<0.0001), and achieved target range sooner (median 3.3 vs 4.1 weeks, p 0.025) than patients managed with paper logs. This was achieved without increasing in-person visits. RPM patients had lower rates of preeclampsia (5.8% vs 15.0%, p 0.0006) and their infants had lower rates of neonatal hypoglycemia in the first 24 hours of life (29.8% vs 51.7%, p<0.0001). Remote patient monitoring for management of diabetes in pregnancy is superior to a traditional paper-based approach in achieving glycemic control and is associated with improved maternal and neonatal outcomes.

Optimized Home Rehabilitation Technology Reduces Upper Extremity Impairment Compared to a Conventional Home Exercise Program: A Randomized, Controlled, Single-Blind Trial in Subacute Stroke

Background Upper extremity (UE) stroke rehabilitation requires patients to perform exercises at home, yet patients show limited benefit from paper-based home exercise programs. Objective To compare the effectiveness of 2 home exercise programs for reducing UE impairment: a paper-based approach and a sensorized exercise system that incorporates recommended design features for home rehabilitation technology. Methods In this single-blind, randomized controlled trial, 27 participants in the subacute phase of stroke were assigned to the sensorized exercise (n = 14) or conventional therapy group (n = 13), though 2 participants in the conventional therapy group were lost to follow-up. Participants were instructed to perform self-guided movement training at home for at least 3 hours/week for 3 consecutive weeks. The sensorized exercise group used FitMi, a computer game with 2 puck-like sensors that encourages movement intensity and auto-progresses users through 40 exercises. The conventional group used a paper book of exercises. The primary outcome measure was the change in Upper Extremity Fugl–Meyer (UEFM) score from baseline to follow-up. Secondary measures included the Modified Ashworth Scale for spasticity (MAS) and the Visual Analog Pain (VAP) scale. Results Participants who used FitMi improved by an average of 8.0 ± 4.6 points on the UEFM scale compared to 3.0 ± 6.1 points for the conventional participants, a significant difference (t-test, P = .029). FitMi participants exhibited no significant changes in UE MAS or VAP scores. Conclusions A sensor-based exercise system incorporating a suite of recommended design features significantly and safely reduced UE impairment compared to a paper-based, home exercise program. Trial Registration: ClinicalTrials.gov Identifier: NCT03503617

Mixed Reality or Simply Mobile? A Case Study on Enabling Less Skilled Workers to Perform Routine Maintenance Tasks

The availability of skilled workers has become a severe issue for production companies in developed countries like Germany in recent years. Specialists for maintenance tasks are in strong demand and their workforce should be steered towards the most challenging tasks in maintenance. In this case study we analyze, whether less skilled or not specifically instructed workers can perform routine maintenance tasks without being directly supported by experts. In our setup ten participants try to handle a maintenance routine checklist in three different ways: paper-based printouts, on a mobile tablet, and with a Microsoft HoloLens 2 Mixed Reality (MR) device. The results show that workers fail to complete the task with a mere paper-based approach, but are able to succeed both with the mobile tablet and MR application. Quantitative time measurements and qualitative analyses indicate that the mobile tablet app was easier to learn, did not impair the worker as much as the HoloLens and worked more stable. However, the HoloLens solution showed advantages as hands-free and spatial guiding device, which could be important aspects when better MR hardware will be available and MR interaction principles become common knowledge.

Remote patient monitoring for diabetes management in pregnancy associated with improved maternal and neonatal outcomes

Remote Patient Monitoring (RPM) allows providers to monitor patients’ acute or chronic conditions, with near real-time data, in between clinic visits to make timely adjustments to care. Our objective was to determine if using RPM for outpatient management of diabetes in pregnancy leads to improvement in maternal and neonatal outcomes. This was a retrospective cohort study of pregnant patients with diabetes managed by the Maternal Fetal Medicine practice at one academic institution between October 2019 – April 2021. The practice transitioned from paper blood glucose logs to use of EHR-based RPM tools in January 2020. RPM options included: 1) Device integration with Bluetooth glucometers that automatically upload measured glucose values to the patient’s Epic MyChart app or 2) Manual entry where patients manually log glucose readings into their MyChart app. Values in the MyChart app directly transfer to the patient’s Electronic Health Record (Epic, Verona, WI) for review by providers. In total, 533 patients were studied. We compared 173 patients with paper logs to 360 patients managed with RPM (176 device integration and 184 manual entry). Data on maternal characteristics, measures of glycemic control, and maternal and neonatal outcomes were collected. Maternal baseline characteristics were not significantly different between the RPM and paper groups, including similar rates of gestational diabetes (94.7 vs 95.9%) and pre-gestational diabetes (5.3% vs 4.1%). RPM patients submitted more values, were more likely to achieve glycemic control in target range, and achieved target range sooner than patients managed with paper logs (Table 1). This was achieved without increasing in-person visits. RPM patients had lower rates of preeclampsia and their infants had lower rates of neonatal hypoglycemia in the first 24 hours of life (Figure 1). Remote patient monitoring for management of diabetes in pregnancy is superior to a traditional paper-based approach in achieving glycemic control and leads to improved maternal and neonatal outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)

Initial steps for integrating academic electronic health records into clinical curricula of physical and occupational therapy in the United States: a survey-based observational study.

Training programs must be designed to prepare physical and occupational therapy students to use electronic health records (EHRs) and interprofessional collaboration. This report aims to describe physical and occupational therapy students’ perceptions of integrating an academic EHR (AEHR) in their problem-based learning (PBL) curricula in the College of Health Professions, Sacred Heart University, Fairfield, Connecticut, the United States. A paper-based case approach to PBL was adapted by creating patient cases in an AEHR. Students were asked to complete chart reviews and review provider notes to enhance their learning. An online survey was conducted to determine their perceptions of using AEHR from May 2014 to August 2015. Eighty-five students completed the survey, and 88.1% felt that using an AEHR was needed, and 82.4% felt that the additional notes enhanced their understanding of the interdisciplinary team. However, 83.5% reported the AEHR system increased the time needed to extract meaningful information. Incorporating an AEHR into curricula is essential to ensure students are adequately prepared for future patient interactions.

Printed Multilayer Piezoelectric Transducers on Paper for Haptic Feedback and Dual Touch-Sound Sensation.

With a growing number of electronic devices surrounding our daily life, it becomes increasingly important to create solutions for clear and simple communication and interaction at the human machine interface (HMI). Haptic feedback solutions play an important role as they give a clear direct link and response to the user. This work demonstrates multifunctional haptic feedback devices based on fully printed piezoelectric transducers realized with functional polymers on thin paper substrate. The devices are flexible; lightweight and show very high out-of-plane deflection of 213 µm at a moderate driving voltage of 50 Vrms (root mean square) achieved by an innovative multilayer design with up to five individually controllable active layers. The device creates a very clear haptic sensation to the human skin with a blocking force of 0.6 N at the resonance frequency of 320 Hz, which is located in the most sensitive range of the human fingertip. Additionally the transducer generates audible information above two kilohertz with a remarkable high sound pressure level. Thus the paper-based approach can be used for interactive displays in combination with touch sensation; sound and color prints. The work gives insights into the manufacturing process; the electrical characteristics; and an in-depth analysis of the 3D deflection of the device under variable conditions

The Helping Everyone Achieve Long Term Health Passport: exploring potential use of the HEALTH Passport in primary and secondary schools.

Chronic disease is a significant burden on the global population. The Helping Everyone Achieve Long Term Health (HEALTH) Passport is a paper-based approach previously utilized to help adults modify clinical risk factors through lifestyle, which may be effective in improving the long-term health of school-age children. This study investigates the feasibility of in-school use by engaging trainee teachers in primary and secondary education. Two hundred and fifty six unique responses were collated to evaluate current teaching of the main health risk factors and HEALTH Passports specifically adapted for schools. Trainees attended workshops with pre- and post-questionnaires used to measure training efficacy and evaluate the Passports' suitability for in-school use. Narrative analysis of feedback was performed. Feedback received for both Passports was positive overall. Trainees highlighted the need for the Passports to be further age differentiated. Significantly increased confidence (P<0.01) in knowledge of exercise, type 2 diabetes, weight and blood pressure was shown. Confidence in smoking, drugs and alcohol knowledge was reduced highlighting the requirement for further teacher training. The HEALTH Passport has potential as an intervention to improve health literacy in school-age children. Age adaptation is needed with references to weight measures removed. Emotional well-being should be focused on, and data management stringently assessed for child protection.

Nurses' Acceptance of and Satisfaction With the Advanced Cardiac Life Support Electronic Information System in Emergency Departments and Critical Care Units.

Emergency and critical care nurses perform an important role in documenting the resuscitation process. However, paper-based recording is labor intensive and complex and may result in incorrect recording of important parameters, which suggests the need for an appropriate electronic information system for emergency care. This cross-sectional descriptive study explores emergency and critical care nurses' acceptance of, and satisfaction with, the newly developed advanced cardiac life support electronic information system and examines whether paper-based recording and electronic recording approaches differ in the completeness of resuscitation records. Data were collected through a self-designed structured questionnaire and a retrospective review of medical records. Data were analyzed by descriptive statistics, independent sample t test, and one-way analysis of variance. The results indicated that novice nurses were more satisfied with the electronic information system than others. Emergency care nurses were significantly more satisfied than medical and surgical ICU nurses. The electronic information system improved the completeness of resuscitation recording by 23.5%, compared with the paper-based recording approach. Emergency and critical care nurses have a moderate to high degree of acceptance of, and satisfaction with, electronic information systems.

The Identification, Development, and Evaluation of BIM-ARDM: A BIM-Based AR Defect Management System for Construction Inspections

This article presents our findings from a three-stage research project, which consists of the identification, development, and evaluation of a defect management Augmented Reality (AR) prototype that incorporates Building Information Modelling (BIM) technologies. Within the first stage, we conducted a workshop with four construction-industry representatives to capture their opinions and perceptions of the potentials and barriers associated with the integration of BIM and AR in the construction industry. The workshop findings led us to the second stage, which consisted of the development of an on-site BIM-based AR defect management (BIM-ARDM) system for construction inspections. Finally, a study was conducted to evaluate BIM-ARDM in comparison to the current paper-based defect management inspection approach employed on construction sites. The findings from the study revealed BIM-ARDM significantly outperformed current approaches in terms of usability, workload, performance, completion time, identifying defects, locating building elements, and assisting the user with the inspection task.