Practical Recommendations For Implementation Research Articles

A study of the level of anxiety of future police officers

The article presents a study of situational and reactive anxiety of law enforcement cadets based on the Spielberg-Hanin test data. 60 male cadets aged 17-22 years engaged in martial arts and 60 students (of the same age) who do not engage in sports, who were included in the control group, took part in the research. The obtained results showed that 8% of the subjects of the group of future law enforcement officers had a high level of personal anxiety, 82% had an average level and 10% had a low level of situational anxiety. In the control group, in comparison with the cadets, 18% of those studied had a high level of situational anxiety. Among the cadets (future policemen) and the control group, the indicators of personal anxiety differ sufficiently according to the high-level limit indicators. Average indicators of personal anxiety in law enforcement cadets was 38.32±5.68, in the control group 28.45±4.76 (р≤0.05). Indicators of reactive anxiety: 21.65±3.28 and 26.94±3.55, respectively (р≤0.05). Practical recommendations for implementation in the educational and training process of law enforcement cadets and students have been developed.

Development of the tied butterfly shape for structural fuses

Recently, there has been research and interest in structural fuses as a way to concentrate seismic damage in replaceable elements and protect the rest of the structure from inelastic actions. However, there is no consensus on structural fuse shape, particularly for structural fuses consisting of a steel plate subjected to shear deformations, because studies with different objectives arrive at different shapes. For example, studies seeking to optimize the structural fuse shape to maximize fracture resistance often result in something that looks like the butterfly-shaped link, whereas other studies that optimize the form to maximize buckling resistance result in a shape with links that are tied together. In this study, a new structural fuse shape, named the tied butterfly shape, was developed to integrate the advantages of both the buckling-resistant configuration and the butterfly-shaped link. First, the concepts for the tied butterfly shape are presented along with plastic mechanism analysis to derive an equation for shear strength. Then, an experimental program is described including three tied butterfly shape structural fuses and one straight link structural fuse for comparison. Finite element models are then validated against the experimental results and a parametric computational study is presented that evaluates the effect of key design variables on the structural behavior of this tied butterfly shape. The experimental study revealed that the tied butterfly shape structural fuse was capable of maintaining stable hysteretic behavior up to a shear angle of 23% before fracture or buckling and that multiple tied butterfly shapes can be connected together. Based on the plastic mechanism analysis and parametric study, design equations and recommendations for implementation in practice are provided.

A sampling scheme for estimating the prevalence of a pandemic

The spread of COVID-19 makes it essential to investigate its prevalence. In such investigation research, as far as we know, the widely-used sampling methods didn’t use the information sufficiently about the numbers of the previously diagnosed cases, which provides a priori information about the true numbers of infections. This motivates us to develop a new, two-stage sampling method in this paper, which utilizes the information about the distributions of both population and diagnosed cases, to investigate the prevalence more efficiently. The global likelihood sampling, a robust and efficient sampler to draw samples from any probability density function, is used in our sampling strategy, and thus, our new method can automatically adapt to the complicated distributions of population and diagnosed cases. Moreover, the corresponding estimating method is simple, which facilitates the practical implementation. Some recommendations for practical implementation are given. Finally, several simulations and a practical example verify its efficiency.

Women teachers' attitudes and aspirations towards participation in school leadership positions

Globally, there is an augmentation of women's participation in leadership positions in various organizations, yet representation of women in the main decision-making body is still a problem and Bhutan is not an exception. In the context of the under representation of women in school leadership positions, the study was carried out to explore the attitudes and aspirations of women teachers towards school leadership positions in western Bhutan. The study employed a convergent mixed-method design to comprehend the problem of the research. The data was collected using survey questionnaires and Focus Group Discussions [FGD]. Descriptive statistics were employed to analyze the attitudes and aspirations of women teachers towards school leadership positions. The findings of the study revealed that women teachers have a positive attitude towards school leadership positions (Mean = 5.48, SD = 0.28). The qualitative findings also supported this positive predisposition. Most of FGD participants expressed confidence in their ability to be effective leaders. However, a significant proportion (42.3%) indicated a lack of aspiration for leadership roles. Additionally, the study identified barriers such as family responsibilities, societal stereotypes, and educational qualifications that hinder women's aspirations for leadership roles. Based on the findings of the study, recommendations for practical implementation and potential avenues for future research are put forward.

To the question of professional and moral criteria in the organization of the educational process

The publication is devoted to aspects of the development and understanding of professional and moral criteria in the organization of the educational process in the system of higher professional education in the Russian Federation. The crisis of the ethical component in the professional training of Russian students is argued , the importance of the development of professional ethics in the development of human potential in the interests of the Russian state and society is shown . A distinction is made between moral and professional criteria for the organization of the educational process . A system of professional and moral criteria in the educational process in the system of higher professional education , aspects of their assessment , as well as recommendations for implementation in practice are presented .

Role of Diet in Depression in Young People: Recommendations for Implementation in Practice

Childhood and adolescence are vulnerable periods for development of a depressive disorder, with potentially lifelong negative consequences. Research increasingly suggests that lifestyle practices, including diet, are an effective adjunct strategy for the management of poor mental health. Dietary improvements are now recommended as the first actionable step in the treatment of depression in adults. In young people, evidence is also suggestive of a link between diet and mental health. However, implementing dietary interventions in youth can be challenging owing to numerous barriers. This paper reviews the literature on the topic and proposes several strategies that could be used by mental health clinicians to address diet as part of their practice. [ Psychiatr Ann . 2022;52(2):56–61.]

Application of the Chow method for evaluation of morphometric parameters of the sunflower root system

When growing sunflower, great importance is provided to the issue of accumulation and preservation of moisture in deep soil horizons, which in turn affects the productivity of crops. In arid regions, providing plants with moisture is of particular importance. The technologies of conservation agriculture in relation to sunflower cultivation allow varying the depth of autumn tillage from 17 to 33 cm, which, in combination with the metered use of mineral fertilizers and considering the difference in moisture consumption for the growing season from a meter layer of soil, provide an increase in yield compared to the traditional main autumn tillage. Moreover, the ratio of income from the sale of sunflower seeds grown in an arid steppe to production costs depends on the combination of the depth of strip processing and the dose of fertilization. Wherein, in the main zones of commercial sunflower production, high yield increases are provided by the application of nitrogen-phosphorus fertilizers, which contribute to the intensive formation of underground vegetative organs, which has unlimited growth in length and positive geotropism. The article presents the results of the application of multivariate regression analysis to study the morphobiological features of formation of the root system of sunflower grown using Strip-Till technology on the experimental field of the Povolzhye Educational and Scientific Production Association of the Saratov State Agrarian University named after N.I. Vavilov. The results of the morphometric assessment indicate a better development of the root system of plants in the treated strips compared to traditional types of basic tillage. To determine the limits of applicability of the piecewise linear regression model and develop practical recommendations for implementation of resource-saving potential of the Strip-Till technology in the dry steppe zone of the South-East of Russia used a reliable and sensitive criterion based on the method of J. Chow.

Skills fOr Life Adjustment and Resilience Program

HintergrundNach Katastrophen, Traumata und anderen schweren Belastungen entwickelt ein Teil der Betroffenen eine psychische Erkrankung, während ein weiterer Teil anhaltende subklinische Belastungen zeigt, die das psychosoziale Funktionsniveau einschränken. Anhaltend subklinisch belastete Menschen erhalten jedoch selten psychosoziale Unterstützungsangebote.Ziel der ArbeitVorgestellt wird das Programm „Skills fOr Life Adjustment and Resilience“ (SOLAR), eine Kurzintervention für Menschen mit anhaltender subklinischer Belastung nach Katastrophen und anderen schweren Belastungen. Erste Ergebnisse einer Pilotstudie zur Zufriedenheit mit dem Programm bei Betroffenen werden berichtet.MethodenDas SOLAR-Programm wurde von einem internationalen Konsortium, zusammengesetzt aus Katastrophen- und Traumaexperten, entwickelt. Es beinhaltet 5 wöchentliche Gruppensitzungen, in denen verhaltenstherapeutische Elemente vermittelt werden. Im Rahmen der Pilotstudie nahmen 15 Teilnehmende im Präsenzformat und 15 Teilnehmende mithilfe einer Videokonferenzschaltung während der „Coronavirus Disease 2019“ (COVID-19) Pandemie am SOLAR Programm teil. Nach Abschluss beantworteten die Teilnehmenden den Fragebogen zur Messung der Patientenzufriedenheit (ZUF-8).ErgebnisseDie Teilnehmenden waren „weitgehend“ bis „sehr zufrieden“. In der Präsenzgruppe war die Zufriedenheit über alle Aspekte hinweg geringfügig stärker ausgeprägt als in der Onlinegruppe. Die TrainerInnen bewerteten das Programm als gut durchführbar.SchlussfolgerungDas SOLAR-Programm ist eine vielversprechende Kurzintervention bei anhaltender subklinischer Belastung nach schweren Belastungen, die im Präsenz- oder im videogestützten Format weiter auf seine Wirksamkeit erprobt werden sollte. Im Beitrag werden Praxisempfehlungen zur Durchführung gegeben.

Requirements for electronic laboratory reports according to the German guideline Rili-BAEK and ISO 15189

Abstract Objectives Legal regulations and guidelines such as the Guidelines of the German Medical Association for the Quality Assurance of Laboratory Medical Examinations (Rili-BAEK) and ISO 15189 apply to electronic laboratory reports. However, many laboratories struggle with practical implementation of these regulations and guidelines. Methods Laboratory and legal experts analyse the relevant guidelines and provide checklists and practical recommendations for implementation. Results Laboratories have less control over the display of electronic laboratory reports than over paper documents. However, an electronic report alone is legally sufficient and need not be accompanied by a paper copy. Rili-BAEK and ISO 15189 stipulate a set of minimum information in every report. The laboratory must verify that reports are transmitted and displayed correctly. To help laboratories do so, agreements between laboratories and the report recipients can clarify responsibilities. Conclusions Electronic laboratory reports can improve patient care, but laboratories need to verify their quality. Towards this end, Rili-BAEK and ISO 15189 set out helpful provisions.

Strategic Priorities of Municipal Development Based on Identifying the Interests of Stakeholders: Methodological Approaches and Practical Implementation

The formation of documents for strategic planning of socio-economic development is the most important task of regional and municipal governments. It can be stated that strategic planning processes have been launched throughout the country and the process of forming these documents is active at both the regional and municipal levels. However, the issues of determining, studying, and taking into account the views of interested parties when forming the goals and priorities of socio-economic development of administrative-territorial entities require methodological support and recommendations for practical implementation. In this article, an attempt is made to reveal methodological approaches and solve issues of practical implementation of identifying the interests of stakeholders on the example of a specific municipality.The proposed material is an example of determining and scientifically substantiating the strategic priorities of a municipality on identifying the interests of stakeholders.The study of the processes of formation and determination of strategic priorities for the development of a municipality based on the identification of the interests of all interested parties should become the task of further research.

The impact of globalization on the selected aspects of the regional marketing

Research background: In today’s globalized world, tourism is considered to be one of the fastest-growing sectors in the field of service. Tourism continuously adapts to various new activities, trends, markets and technologies. Tourism is affected by several factors - mainly globalization trends, consumers and economic gain. Regional development experts consider tourism as one of the tools that can support the quality of the environment and thus protect existing aboriginal cultures. Tourism itself is considered to be a global phenomenon currently being studied by experts from several scientific disciplines. Globalization plays an important role when traveling to world tourism destinations. With globalization coming to the forefront, people began to realize how small the world is. However, high demands on the environment, the constant use of non-renewable resources, the destruction of cultural values of society and other adverse effects of tourism are not signs of sustainability. Various international organizations are trying to solve these issues by creating specific programs aimed at promoting sustainable tourism. Purpose of the article: The main goal of our paper is to identify and analyse indicators of sustainable tourism, specifically in the Trenčín region in Slovakia. Methods: The main goal of the paper is to critically evaluate the results of the analysis and formulate recommendations for implementation in practice in the Trenčín region based on the available data. Findings & Value added: We consider regional development and its connected, sustainable tourism to be an essential topic. It is necessary for regions to become active in their future development, not only economically and socially, but also ecologically.

Improving precision and power in randomized trials for COVID-19 treatments using covariate adjustment, for binary, ordinal, and time-to-event outcomes.

Time is of the essence in evaluating potential drugs and biologics for the treatment and prevention of COVID‐19. There are currently 876 randomized clinical trials (phase 2 and 3) of treatments for COVID‐19 registered on clinicaltrials.gov. Covariate adjustment is a statistical analysis method with potential to improve precision and reduce the required sample size for a substantial number of these trials. Though covariate adjustment is recommended by the U.S. Food and Drug Administration and the European Medicines Agency, it is underutilized, especially for the types of outcomes (binary, ordinal, and time‐to‐event) that are common in COVID‐19 trials. To demonstrate the potential value added by covariate adjustment in this context, we simulated two‐arm, randomized trials comparing a hypothetical COVID‐19 treatment versus standard of care, where the primary outcome is binary, ordinal, or time‐to‐event. Our simulated distributions are derived from two sources: longitudinal data on over 500 patients hospitalized at Weill Cornell Medicine New York Presbyterian Hospital and a Centers for Disease Control and Prevention preliminary description of 2449 cases. In simulated trials with sample sizes ranging from 100 to 1000 participants, we found substantial precision gains from using covariate adjustment–equivalent to 4–18% reductions in the required sample size to achieve a desired power. This was the case for a variety of estimands (targets of inference). From these simulations, we conclude that covariate adjustment is a low‐risk, high‐reward approach to streamlining COVID‐19 treatment trials. We provide an R package and practical recommendations for implementation.

Chapter of Gastroenterologists professional guidance on risk mitigation for gastrointestinal endoscopy during COVID-19 pandemic in Singapore.

In this paper, we aimed to provide professional guidance to practising gastrointestinal (GI) endoscopists for the safe conduct of GI endoscopy procedures during the current coronavirus disease 2019 (COVID-19) pandemic and future outbreaks of similar severe respiratory tract infections in Singapore. It draws on the lessons learnt during the severe acute respiratory syndrome (SARS) epidemic and available published data concerning the COVID-19 pandemic. It addresses measures before, during and after endoscopy that must be considered for both non-infected and infected patients, and provides recommendations for practical implementation.

Fulfilling a new obligation: Teaching and learning of sustainable healthcare in the medical education curriculum

Aims: Leading the growing international recognition of the need for sustainability in healthcare delivery, the UK medical regulator has mandated that newly qualified doctors must be able to apply the principles of sustainable healthcare to medical practice. This original research investigates how best to incorporate this new learning into the medical curriculum.Methods: Data from multiple sources were triangulated to generate themes through grounded theory. Meetings were held with representatives of key stakeholder organizations, relevant documents were reviewed and semi-structured interviews were conducted with diverse medical educators who teach sustainable healthcare.Results: There is continual pressure on space in the curriculum, and faculty lack the knowledge to teach this emerging subject, which is also difficult to examine. Students increasingly demand that sustainability be addressed in their education and future careers. Many sources of support and learning resources are available.Conclusions: Practical recommendations for implementation in any medical school include: teaching sustainability as a cross-cutting theme rather than a topic, clinicians and students learning from each other in this developing field, and embedding into assessment the wider determinants of disease. Sustainable healthcare emphasizes prevention rather than late intervention, with benefits to the environment on which health depends, healthcare systems and patients.

Особенности управления персоналом в процессе слияния и поглощения предприятий

The research features personnel management in the process of mergers and acquisitions. The author analyzed the theoretical basis for personnel management in the process of integration and developed a number of practical recommendations. The analysis was based on the following methods: analytical, synthetic, inductive-probabilistic, statistical, and mathematical. The article deals with the theoretical aspects of transactions on the unification of enterprises. It describes the current state of the fast-developing Russian market of mergers and acquisitions, as well as the dynamics of transactions in terms of value and quantity. The study revealed the structure of transactions by sectors in 2017. It also included an analysis of foreign and domestic experience in the management of human resources in the process of merger or acquisition of enterprises. The author describes the main problems of personnel management in the process of unification of companies, as well as various existing methods of labor relations regulation in the process of integration. The conclusion features some recommendations for implementation in practice of the Russian companies.

Оптимізація тактики ведення вагітності та ранніх передчасних пологів у жінок після застосування допоміжних репродуктивних технологій

The objective: reduction of the frequency of perinatal complications in women with early preterm labor after the ART, based on the improvement and implementation of the algorithm for diagnostic and therapeutic and prophylactic measures. Materials and methods.We analyzed the course of 130 single-pregnancy pregnancy women with restored fertility after the use of therapeutic assisted reproductive technologies programs that ended with early premature births. The study of the subpopulation composition of lymphocytes and the content of activation markers of peripheral blood lymphocytes was performed using the method of quadratic color laser flow cytometry and a set of monoclonal antibodies. The concentration of cytokines IFN- γ, IL-4, IL-17A, IL-17F, IL-21 and IL-22 in serum of pregnant women was determined by solid-phase immunoassay analysis. The material for studying and analyzing the morpho-functional state of the fetoplacental complex was the results of pathomorphological study of the litter in all cases of early premature birth. By our own research, we established the frequency, structure and leading causes of early premature birth after assisted reproductive technologies, optimized the tactics of conducting induced pregnancies of high obstetric risk, formulated practical recommendations for implementation in practical medicine of Ukraine. Results. For introduction into practical medicine of Ukraine with the purpose of decreasing the frequency of perinatal complications and effective provision of obstetric and gynecological care, we recommend that the following provisions be included in the clinical protocol for the management of pregnancy of high obstetric risk in women after assisted reproductive technologies: 1. To predict the risk of early premature birth in women after ancillary reproductive technologies, the diagnostic algorithm should additionally include the definition of the main indicators of the serum cytokine profile: proinflammatory serum cytokines IFN- γ, IL-2, IL-12, IL-18; anti-inflammatory regulatory cytokine IL-10; quantitative indicators of NK cells with the phenotype CD3-CD16+CD56+, CD94+ lymphocytes and peripheral blood CD71 transferrin. 2. Use of medication correction – Micronized progesterone (200 mg/day). 3. At the gestational age of 28–33 weeks, with the premature rupture of the membranes optimal and effective is the expectant management of pregnancy for 5 days with subsequent delivery of women through the natural birth canal, which makes it possible to achieve the maximum possible degree of maturity of the fetus with a minimum risk of ascending infection in newborns. Conclusions. The effectiveness of our improved algorithm is a significant reduction in women after assisted reproductive technologies, early preterm labor (2.8 times), placental dysfunction (2.3 times), premature rupture of the membranes (in 2, 1 time), fetal distress (3,6 times), abdominal degeneration (2.9 times) and implementation of intraaminal infections (2.6 times; p<0.05). The total morbidity of newborns in the early neonatal period decreased 2.4 times, and perinatal losses were absent. Key words: assisted reproductive technologies, RPP, PRPO, markers of activation of lymphocytes, cytokines.

ICT Based HIL Validation of Voltage Control Coordination in Smart Grids Scenarios

This paper aims to validate the capability of renewable generation (ReGen) plants to provide online voltage control coordination ancillary service to the system operators in smart grids. Simulation studies about online coordination concepts from ReGen plants have already been identified in previous publications. However, here, the results are validated through a real-time Hardware-In-the-Loop framework using an exemplary benchmark grid area in Denmark as a base case that includes flexible renewable power plants providing voltage control functionality. The provision of voltage control support from ReGen plants is verified on a large-scale power system against the baseline scenario, considering the hierarchical industrial controller platforms used nowadays in power plants. Moreover, the verification of online voltage control support is carried out by taking into account a communication network as well as the associated data traffic patterns obtained from a real network. Based on the sets of recordings, guidelines and recommendations for practical implementation of the developed control algorithms for targeted ancillary service are made. This provides a deep insight for stakeholders, i.e., wind turbine and photo-voltaic system manufacturers and system operators, regarding the existing boundaries for current technologies and requirements for accommodating the new ancillary services in industrial application.

Give the Neurological Impress Method Another Chance for One-to-One Fluency Interventions

Students who do not show growth from whole class (Tier 1) and small group (Tier 2) reading fluency interventions, may require one-on-one interventions that are designed to support the development of fluent oral reading. The authors of this article reintroduce the Neurological Impress Method (NIM) and provide a research-based protocol and practical recommendations for implementation. Existing research on the NIM provides evidence for giving it another chance for one-on-one reading fluency interventions.

Validation by citizens of the Catalan model of advance care planning

Introduction : Although in our cultural context death and end of life are still taboos, clinical approaches based on shared decision-making and person-centered care are emerging. Advance care planning (ACP) is a core example of these new approaches that mainly rely on knowledge and respect for the autonomy of patients. Respect for autonomy involves the active participation of the person in the caring process, being essential for professionals to apply the person-centered model to know in advance the values and preferences of patients and their families regarding their health problems and the way decisions will be taken, mainly in situations of advanced disease or when the patient can not decide for him o herself. These arguments justify the need to develop an ACP model to suit individual needs and, at the same time, to integrate the social and health components of each clinical stage. The basis of ACP is the recognition and respect for the autonomy of the other, encouraging the participation of persons in the management of their own existence and the creation of their own life plan. In this context, we still don’t have enough information about Catalan population`s experience and perspective on ACP. Objectives : Identify the perspectives, values and experiences of citizens related to ACP. Integrate the inputs from citizenship in order to validate both the conceptual framework as well as the practical guide of the Catalan model of ACP. Provide practical recommendations for the implementation of the ACP model in real practice. Object population : Persons older than 18 years living in Catalonia, of both genders, from rural and urban areas, with an appropriate distribution regarding levels of education and health status (healthy, non complex chronicity, complex chronicity, advanced disease and caregivers) that agreed to participate. A theoretical sampling seeking the maximum discoursing variability was selected. Recruitment of participants was from January to December 2015. Involved interested main ones : Catalan Ministry of Health, citizenship, patients, caregivers, social and health professionals. Method : Design: socio-constructivist qualitative study Data collection: eight focus groups from eight to twelve participants. Data analysis: successive readings of transcriptions (systematic, literal and anonymous), followed by a discourse analysis: formulation of pre-analytic intuitions, discoursing positions and fractions, textual overall interpretation (symbolic configurations), internalistic analysis searching the semantic attractors and the associative chains (semantic configurations). Aids to the research : Formal research grant from the College of Nurses of Barcelona. Impact : This qualitative approach is useful to provide: - Generation of new knowledge about citizenship’s position. - Integration of groups’ contributions on the conceptual framework. - Practical recommendations for implementation, adapted to the continuum of chronicity. - Encouragement of good practices in the clinical management of advanced disease and palliative needs, improving the experience of care for patients and their families. Conclusions : Although the complete results of the qualitative analysis will be available in April 2015, preliminary information shows its feasibility to identify the perspectives, values and experiences of the citizenship regarding ACP process and use them in the validation of both the ACP Catalan model’s conceptual frame as well as its practical guide. As a consequence, we’ll be able to compile useful recommendations for ACP implementation as a paradigmatic example of integrated person-centered good practices and of the collaborative work between patients and professionals.

Emergency radiology and mass casualty incidents-report of a mass casualty incident at a level 1 trauma center.

The aims of this article are to describe the events of a recent mass casualty incident (MCI) at our level 1 trauma center and to describe the radiology response to the event. We also describe the findings and recommendations of our radiology department after-action review. An MCI activation was triggered after an amphibious military vehicle, repurposed for tourist activities, carrying 37 passengers, collided with a charter bus carrying 45 passengers on a busy highway bridge in Seattle, WA, USA. There were 4 deaths at the scene, and 51 patients were transferred to local hospitals following prehospital scene triage. Nineteen patients were transferred to our level 1 trauma center. Eighteen casualties arrived within 72 min. Sixteen arrived within 1 h of the first patient arrival, and 1 casualty was transferred 3 h later having initially been assessed at another hospital. Eighteen casualties (94.7 %) underwent diagnostic imaging in the emergency department. Of these 18 casualties, 15 had a trauma series (portable chest x-ray and x-ray of pelvis). Whole-body trauma computed tomography scans (WBCT) were performed on 15 casualties (78.9 %), 12 were immediate and performed during the initial active phase of the MCI, and 3 WBCTs were delayed. The initial 12 WBCTs were completed in 101 min. The mean number of radiographic studies performed per patient was 3 (range 1-8), and the total number of injuries detected was 88. The surge in imaging requirements during an MCI can be significant and exceed normal operating capacity. This report of our radiology experience during a recent MCI and subsequent after-action review serves to provide an example of how radiology capacity and workflow functioned during an MCI, in order to provide emergency radiologists and response planners with practical recommendations for implementation in the event of a future MCI.