Solid Partnership Research Articles

Nociplastic pain and associated functional disorders: Update, diagnostic tools, and communication strategies for the general practitioner

Nociplastic pain and associated non-pain symptoms are frequent health issues in primary care. Professionals may feel apprehensive about their management and face challenges due to the complexity and chronicity of the somatopsychic conditions. A thorough understanding of nociplastic mechanisms, associated clinical elements, and the biopsychosocial model are necessary for individualized evaluation, identifying affected patients, selecting dedicated treatments to desensitize the central nervous system, and building a solid partnership between the patient and the clinician.

Graduate Study with Online Education in the Post-Pandemic Era: An Experiential Case Study

It is important for the human resources industry to have the ability to overcome existing industrial challenges as well as to prepare for the coming challenges impacted by the changing strategic environment. This includes but is not limited to Industry 4.0, VUCA & BANI World, the COVID-19 pandemic, Society 5.0 and changing geopolitics. To be able to deal with more complex problems requires Higher-Order Thinking Skills (HOTS). Therefore, improving HOTS, especially in the human resources industry, requires a solid partnership between industry and academia. The academic partnership will be meaningful in improving HOTS’s ability through a tailored master’s program known as a multi-disciplinary master’s program (MDMP). MDMP improve the HOTS of industry human resources by combining the strengths of academics and industry. This is an action research developed together between industry and academia and performed in several academic projects towards a master’s degree in various fields. It was concluded, based on the results, that MDMP showed promising results toward the improvement of industry human resources, especially in the ability of HOTS.
 Keywords: higher-order thinking skills, academic-industry partnership, multi disciplinary master’s program

Analysis of The Digital Printing Business Network of Business Entities Own Cicangkang Hilir Village

BUMDes (Village-Owned Enterprises) is an economic institution that regulates rural resources. Each village has the potential for both natural resources and human resources that need to be developed by BUMDes. One of the village potentials that needs to be maximized is graphic design services. One form of graphic design service is the Digital Printing business. Maximizing village potential can be done by establishing an extensive business network, so that any work that comes from the village quickly spreads and looks attractive to the general public. Therefore, this research tries to explore the application of the Digital Printing business in Cicangkang Hilir Village, starting from the application of business networks, production processes, marketing strategies, to the influence on the income of BUMDes Cicangkang Hilir. This research uses several concepts such as business networks, production, marketing strategies, and distribution channels. This research uses a qualitative descriptive research approach. The BUMdes studied in this research is called SERUMPUN, which has several Digital Printing products. SERUMPUN Has a business network, namely the Cicangkang Hilir Village Government and raw material suppliers. The production flow carried out by SERUMPUN is design selection, print production and finishing. SERUMPUN divides marketing segmentation based on geographic, demographic and psychographic segmentation. The marketing targets of cognate are local businesses, creative businesses, creative individuals, community organizations, community-based entrepreneurs, individuals who care about the environment, event markets, and weddings. SERUMPUN positions itself as a printing service business that shows creativity, innovation and social responsibility. SERUMPUN uses distribution channels, namely physical locations/printing outlets, Whatsapp, and digital payments. The presence of an extensive business network in the local area means SERUMPUN is able to develop a distribution network efficiently to connect their work to various sales points or strategic locations that have many customers. The presence of SERUMPUN turned out to be quite influential in increasing the income of BUMDes Cicangkang Hilir. A solid partnership network allows SERUMPUN to receive business promotion support from the government, and the opportunity to implement joint projects that have a broad impact on society.

Examining the Relationship Between Demographic Profile, Level of Preparedness, and Competencies among Senior High School TVL First Batch Graduates of Selected Public Schools of the Division of Puerto Princesa

This study described the demographic profile, level of preparedness, level of competencies and the problems encountered by the first-batch graduates of the Technical Vocational-Livelihood Track students during SY 2016-2017 from the selected public senior high schools in Puerto Princesa City. Frequency, percentage, weighted mean, analysis of variance, and Pearson-r correlation were employed to analyze the data collected. Analyzed data revealed that majority of the respondents are 24 years old, male, single, and SHS TVL Strand Electrical Installation and Maintenance graduates. Most respondents were graduates with a Bachelor of Science in Criminology and working in private sectors on a contractual basis, earning a monthly income of PHP 9,999.00 and below. Additionally, SHS TVL first batch graduates are always prepared in the majority of indicators of Tertiary education, Middle-level skills development except for Entrepreneurship, and Employment with “somewhat prepared” as the result. In line with the level of competence, the graduates are entirely competent in the majority of indicators of Learning and Innovation Skills, Communication Skills, and Information, Media and Technology Skills except for Life and Career Skills which is Fairly Competent. The SHSTVL first-batch graduates agree that the SHS Program was effectively implemented, has helped graduates acquire the competencies expected of them to learn. Results further revealed that there is no significant difference between the age, sex, civil status and SHS TVL strand and the level of preparedness of the SHS TVL first-batch graduates and between the age, sex, civil status and SHS TVL strand and the level of preparedness of the SHS TVL first-batch graduates. However, there is a significant difference between the level of preparedness of the SHS TVL first-batch graduates and their degree, work and monthly income, albeit no significant relationship between the level of preparedness and level of competencies of SHS TVL first-batch graduates and their age, sex, civil status, SHS TVL strand, degree, work, and monthly income. Among the identified solutions include strengthening of DepEd”s Work Immersion Program of Senior High School and establishing solid partnership with companies and agencies where the SHS graduates can be accommodated for employment.

Industrial Partnership and Local Wisdom in the Rattan Furniture Industry: An Anthropological Perspective in Maintaining Cultural Heritage and Innovation

This research aims to the partnership between the rattan furniture industry and local wisdom from an anthropological perspective has become an important part of the cultural heritage of certain communities, and illustrates the close relationship between humans and nature and traditions that continue to be preserved from generation to generation. With the development of technology and globalization, challenges arise in maintaining cultural authenticity while still innovating to meet changing market demands. The stage is to explore how a solid partnership between the rattan furniture industry and the local community can be the key to maintaining and appreciating local wisdom. Anthropology as a scientific approach will assist in understanding the important role of culture and traditional values in the production process and design of rattan furniture. This research is a relevant and meaningful forum for discussing how the rattan furniture industry can collaborate with anthropology-based local communities. By applying an anthropological perspective in an industrial context, a deeper understanding of the role of rattan furniture as part of cultural heritage and local identity will be obtained. Descriptions of creative and innovative ways to integrate traditional values and local wisdom in the rattan furniture production process will have an impact on sustainable and mutually beneficial partnerships between industry and local communities will be discussed to maintain and appreciate knowledge and skills that have been passed down from generation to generation. The role of the rattan furniture industry is expected to be able to adapt to the challenges of globalization, while still maintaining the authenticity of their products and supporting cultural sustainability in the context of implementing local values, the design and marketing of rattan furniture products in the global market will be an important focus point. By analyzing the impact of globalization and technology on the rattan furniture industry, it is hoped that it will encourage active participation and collaboration from industry players, academics and local communities in maintaining cultural wealth and creativity in the rattan furniture sector

A Synopsis of music based interventions in MusicMedicine: Definitions, standards, research, applications, with special emphasis on anxiety, pain and stress

MusicMedicine describes the use of medicofunctional music, today called music-based interventions, promoting therapeutic benefits in medical settings based on scientific evidence. In prevention, therapy, rehabilitation, health promotion, performance enhancement, behavioral management and many other settings its benefits may at the same time contribute to cost containment. Established standards in education, research, and application secure reliability, validity and reproducibility of methods, concepts, results and therapeutic effects. Such standards include definition of intervening variables such as the musical stimuli used, as well as contributing or interfering variables, such as specific clinical settings or sociocultural background. Wherever possible, studies and therapeutic regimes should include music therapists. Traditionally, educated doctors know much about medicine, and might be fond of music, but usually have no music therapeutic expertise. At the same time, research in MusicMedicine demands interdisciplinary and multimodal approaches using mixed-methods design with thorough biostatistical design and analysis. Since 1982, MusicMedicine as inaugurated by the International Society for Music in Medicine ISMM e.V. has bridged together music therapy and traditional medical science orientations, leading towards a solid partnership that is influencing today’s practice of integrative medicine. Publications of studies about music-based medical interventions should preferably include an audio-file of the music used in the conducted session.

Industrial Partnership and Local Wisdom in the Rattan Furniture Industry: An Anthropological Perspective in Maintaining Cultural Heritage and Innovation

This research aims to the partnership between the rattan furniture industry and local wisdom from an anthropological perspective has become an important part of the cultural heritage of certain communities, and illustrates the close relationship between humans and nature and traditions that continue to be preserved from generation to generation. With the development of technology and globalization, challenges arise in maintaining cultural authenticity while still innovating to meet changing market demands. The stage is to explore how a solid partnership between the rattan furniture industry and the local community can be the key to maintaining and appreciating local wisdom. Anthropology as a scientific approach will assist in understanding the important role of culture and traditional values in rattan furniture's production process and design. This research is a relevant and meaningful forum for discussing how the rattan furniture industry can collaborate with anthropology-based local communities. By applying an anthropological perspective in an industrial context, a deeper understanding of the role of rattan furniture as part of cultural heritage and local identity will be obtained. Descriptions of creative and innovative ways to integrate traditional values and local wisdom in the rattan furniture production process will have an impact on sustainable and mutually beneficial partnerships between industry and local communities will be discussed to maintain and appreciate knowledge and skills that have been passed down from generation to generation. The role of the rattan furniture industry is expected to be able to adapt to the challenges of globalization, while still maintaining the authenticity of their products and supporting cultural sustainability in the context of implementing local values, the design and marketing of rattan furniture products in the global market will be an important focus point. By analyzing the impact of globalization and technology on the rattan furniture industry, it is hoped that it will encourage active participation and collaboration from industry players, academics and local communities in maintaining cultural wealth and creativity in the rattan furniture sector.

Advocating for a patient- and family centered care approach to management of short bowel syndrome.

Patient- and family centered care (PFCC) is a model of providing healthcare that incorporates the preferences, needs, and values of the patient and their family and is built on a solid partnership between the healthcare team and patient/family. This partnership is critical in short bowel syndrome (SBS) management since the condition is rare, chronic, involves a heterogenous population, and calls for a personalized approach to care. Institutions can facilitate the practice of PFCC by supporting a teamwork approach to care, which, in the case of SBS, ideally involves a comprehensive intestinal rehabilitation program consisting of qualified healthcare practitioners who are supported with the necessary resources and budget. Clinicians can engage in a range of processes to center patients and families in the management of SBS, including fostering whole-person care, building partnerships with patients and families, cultivating communication, and providing information effectively. Empowering patients to self-manage important aspects of their condition is an important component of PFCC and can enhance coping to chronic disease. Therapy nonadherence represents a breakdown in the PFCC approach to care, especially when nonadherence is sustained, and the healthcare provider is intentionally misled. An individualized approach to care that incorporates patient/family priorities should ultimately enhance therapy adherence. Lastly, patients/families should play a central role in determining meaningful outcomes as it relates to PFCC and shaping the research that affects them. This review highlights needs and priorities of patients with SBS and their families and suggests ways to address gaps in existing care to improve outcomes.

Building a Strong Partnership with International Partner Institutions

The three stages for building a solid partnership between international partner universities are collaboration management, development program, and strengthening. Collaboration management is needed to tie the partnership between universities. Since the partner universities may have different time zones and cultures, good collaboration is needed. The partnership can be secured by developing programs for its effective implementation. The program can be academic such as student exchange, joint degree, faculty exchange, joint research and publication, international conference, and visiting scholars programs. To have a solid partnership, each university must run the program together. Programs with three or more partners can form a consortium. The consortium in turn can help each university strengthen its collaboration, increase the university ranking, and develop more benefit programs.
 Keywords: collaboration management, development program, solid partnerships

Towards integrative, patient-centred clinical research

What does clinical research in Switzerland need in order to increase its benefit to patients and society? What changes are necessary? This year, the Swiss Academy of Medical Sciences (SAMS) published its White Paper: Clinical Research, which formulates seven goals that bring together clinical research stakeholders around a shared vision. This vision – to strengthen the impact of clinical research – is based on a solid partnership with patients and the public.

L’infrastruttura di digitalizzazione della Veneranda Biblioteca Ambrosiana

At the core of the digital library of the Veneranda Biblioteca Ambrosiana exists the essential infrastructure of the digitalization laboratory: even before the development of the digital library itself, it was necessary to prepare an adequate supply chain that takes into account both the logistical aspects and the technical problems relating to the management of workloads. All this is based on a solid partnership with the Catholic University of the Sacred Heart of Milan and the University of Notre Dame (Indiana, USA) which, since the end of 2018, has provided the means to the Veneranda Biblioteca Ambrosiana to equip itself with the necessary technologies in order to prepare the technical steps necessary for the development of the complex digitization project dedicated to the precious manuscripts. Recently, the digitization laboratory has received a substantial update of its production capacities with the installation of a second Zeutschel OS 14000 A1 scanner.

Frailty as a predictive factor for survival after liver transplantation, especially for patients with MELD\u226415\u2014a prospective study

IntroductionFrailty has been discussed as a predictor of morbidity and mortality for liver cirrhosis. The aim of our study is to evaluate the role of frailty in liver transplantation, particularly for patients with MELD scores < 15.MethodsAll patients listed for liver transplantation between September 2015 and November 2018 were prospectively included in the study. Frailty was assessed by Fried’s frailty classification. Pre-, intra-, and postoperative data were prospectively recorded. Univariate and multivariate regression analyses were performed. The ethical approval of the institutional board review was obtained for the study.ResultsThere were 114 patients included in the study, and their median MELD score was 16. Of these, 86 patients were defined as frail (75.4%). A total of 62 patients (54.4%) underwent liver transplantation, 11 (17.7%) died postoperatively, and 24 patients (21.0%) died while on the waitlist. All postoperative mortality cases were frail, and only 3 patients (12.5%) were non-frail in the waitlist mortality group. There were 14 patients who had MELD scores of <15 (58.3%). The overall survival of non-frail patients was significantly better than that of frail patients. The multivariate regression analyses identified frailty criteria, including unintended weight loss and low hand grip strength, and platelet count and being married or living in a solid partnership were prognostic factors for survival in all patients.ConclusionThe addition of frailty assessment can be beneficial for predicting mortality after liver transplantation, especially in patients with low MELD score. Frail patients on the waitlist have significant risk for mortality even with low MELD score.

Rare genital malformations in women\u2019s health research: sociodemographic, regional, and disease-related characteristics of patients with Mayer-Rokitansky-K\xfcster-Hauser syndrome

BackgroundThe Mayer-Rokitansky-Küster-Hauser syndrome, MRKHS, is a rare (orphan) disease characterized by the aplasia or hypoplasia of the uterus and the vagina. In women's health research, little is known as to how much care provision for patients with MRKHS takes into account their socio-demographic together with their clinical characteristics. This work examines the patients’ socio-demographic characteristics, highlighting issues of inappropriate and deficient provision of care.MethodsThe study was carried out as part of the larger TransCareO project and included a group of N=129 MRKHS patients who underwent surgery between 2008 and 2012. Using a specially developed questionnaire, we analyzed MRKHS patients’ data found both in the clinical documentation of the Department for Women's Health, University Hospital of Tübingen and the patient surveys of the Center for Rare Genital Malformations (CRGM/ ZSGF). Patients who took part in interviews were compared with non-respondents.ResultsPatient respondents and non-respondents did not differ as to the parameters of interest. In most cases, primary amenorrhea was reported as an admission reason. In 24% of patients, a medical intervention (hymenal incision or hormone treatment) already occurred before admission to the Center in Tübingen and proper diagnosis of MRKHS. About one third received in advance inappropriate treatment. During the therapy, more than half of the patients were in a solid partnership. 10% of the family anamneses documented the occurrence of urogenital malformations.ConclusionsCare provision for MRKHS patients is largely characterized by delayed proper diagnosis and in part, by inappropriate treatment attempts; there are also indications of regional differences. Anamnestic clues such as an asymptomatic amenorrhea or renal abnormalities of unclear origin still fail to result early enough in referral to a center on the basis of suspected MRKHS diagnosis. Urogenital malformations in the family are more common in patients than in the general population. For patients, a wide range of burdens are associated with the diagnosis. Abnormalities compared to their female peers occur, for instance, in the partnership status: MRKHS patients have more rarely a partner.

Psychosocial and socioeconomically aspects of mothers having a child with cleft lip and/or palate (CL/P): a pilot-study during the first year of life.

BackgroundThe emotional impact on parents at the birth of their new-born with cleft lip and/or palate (CL/P) can be traumatic for parents, especially mothers, and affect the sensitive early parent-child relationship. Unlike many other congenital malformations facial deformities are visible to all. The uncommon facial appearance creates feelings and reactions in the mother, families and other people. Only few studies deal with this psychosocial burden of these mothers. Material and MethodsThis pilot-study deals with mothers’ early experiences (n=84) having a child with CL/P. Mothers were asked to complete a questionnaire at diagnosis, birth and after lip surgery. The questions were focused on the social background of the mother (educational degree, marital status, lifestyle and prenatal care), the medical information at diagnosis and the following reaction. The surveys were administrated from 01/2014 – 12/2016. Results84 mothers of affected children (CL/P) replied the completed questionnaire (84/103, 81.5%). At diagnosis 65 mothers (77%) lived in a solid partnership and 44% worked full-time (40h). The diagnosis caused fear among the mothers (60.7%, p≤0.01), despair (27.4%, p≤0.01), grief (17.9%, p≤0.01) and guilt (16.7%, p≤0.01). Despite the emotional stress after the diagnosis only 5 mothers asked for psychological support (6.0%). The medical information by the gynecologist (41.6%) or maxillofacial surgeon (32.2%) was rated as “good” (n=26) or “very good” (n=26) in 60.2%. A lack of medical information and care was rated with “insufficient” (11.9%) or “poor” (14.3%). ConclusionsThere are only few studies about mothers’ early feelings and emotions having a child with a CL/P. We found high parental stress, physical and emotional strain among the mothers after diagnosis, mostly caused due to insufficient information’s. This stress was not correlated with the educational level and CLP appearance showed no relation about the socioeconomic status. Key words:Cleft lip/palate, mother’s emotional experience, psychosocial aspects

Dementia and patient safety in the community: a qualitative study of family carers\u2019 protective practices and implications for services

BackgroundDementia is a cause of disability and dependency associated with high demands for health services and expected to have a significant impact on resources. Care policies worldwide increasingly rely on family caregivers to contribute to service delivery for older people, and the general direction of health care policy internationally is to provide care in the community, meaning most people will receive services there. Patient safety in primary care is therefore important for future care, but not yet investigated sufficiently when services are carried out in patients’ homes. In particular, we know little about how family carers experience patient safety of older people with dementia in the community.MethodsThis was an explorative study, with qualitative in-depth interviews of 23 family carers of older people with suspected or diagnosed dementia. Family carers participated after receiving information primarily through health professionals working in dementia care. A semi-structured topic guide was used in a flexible way to capture participants’ experiences. A four-step inductive analysis of the transcripts was informed by hermeneutic-phenomenological analysis.ResultsThe ways our participants sought to address risk and safety issues can be understood to constitute protective practices that aimed to prevent or reduce the risk of harm and/or alleviate damage from harm that occurs. The protective practices relate to four areas: physical harm, economic harm, emotional harm, and relational harm. The protective practices are interlinked, and family carers sometimes prioritize one over another, and as they form part of family practice, they are not always visible to service providers. As a result, the practices may complicate interactions with health professionals and even inadvertently conceal symptoms or care needs.ConclusionsWhen family caregivers prevent harm and meet needs, some needs may be concealed or invisible to health professionals. To recognize all needs and provide effective, safe and person-centered care, health professionals need to recognize these preventive practices and seek to build a solid partnership with family carers.

Risks of aneuploidy induction from chemical exposure: Twenty years of collaborative research in Europe from basic science to regulatory implications.

Although Theodor Boveri linked abnormal chromosome numbers and disease more than a century ago, an in-depth understanding of the impact of mitotic and meiotic chromosome segregation errors on cell proliferation and diseases is still lacking. This review reflects on the efforts and results of a large European research network that, from the 1980's until 2004, focused on protection against aneuploidy-inducing factors and tackled the following problems: 1) the origin and consequences of chromosome imbalance in somatic and germ cells; 2) aneuploidy as a result of environmental factors; 3) dose-effect relationships; 4) the need for validated assays to identify aneugenic factors and classify them according to their modes of action; 5) the need for reliable, quantitative data suitable for regulating exposure and preventing aneuploidy induction; 6) the need for mechanistic insight into the consequences of aneuploidy for human health. This activity brought together a consortium of experts from basic science and applied genetic toxicology to prepare the basis for defining guidelines and to encourage regulatory activities for the prevention of induced aneuploidy. Major strengths of the EU research programmes on aneuploidy were having a valuable scientific approach based on well-selected compounds and accurate methods that allow the determination of precise dose-effect relationships, reproducibility and inter-laboratory comparisons. The work was conducted by experienced scientists stimulated by a fascination with the complex scientific issues surrounding aneuploidy; a key strength was asking the right questions at the right time. The strength of the data permitted evaluation at the regulatory level. Finally, the entire enterprise benefited from a solid partnership under the lead of an inspired and stimulating coordinator. The research programme elucidated the major modes of action of aneugens, developed scientifically sound assays to assess aneugens in different tissues, and achieved the international validation of relevant assays with the goal of protecting human populations from aneugenic chemicals. The role of aneuploidy in tumorigenesis will require additional research, and the study of effects of exposure to multiple agents should become a priority. It is hoped that these reflections will stimulate the implementation of aneuploidy testing in national and OECD guidelines.

School-to-work transition for youth with severe physical disabilities: Stakeholder perspectives.

Multiple challenges await people with severe physical disability when they are preparing to enter the labour market at the end of the school period. This study aims to better understand the multiple factors that influence the course of disabled youth transitioning into the workforce by gathering perceptions from stakeholders. Methods The study used a qualitative descriptive design with an interpretative description approach to analyze the experiences reported by six school staff, six parents, and three employers. Significant facilitators to the workforce transition were the active involvement of the school's staff in multiplying outreach activities between the various external partners. Significant obstacles include the level of help required to complete day-to-day activities at work and student lack of work experience. Government cutbacks were unanimously identified as the prominent obstacle. The results presented in this study indicate that a successful school to work transition program is dependent on many factors. These factors include the characteristics of the targeted population, the level of involvement from key stakeholders, the willingness of employers to hire this population, as well as program objectives deviating from paid employment. Further development opportunities have proven to be helpful, such as the development of a solid partnership and collaboration between all stakeholders.

Pertinence et faisabilité d’un repérage précoce des troubles psychotiques en institut thérapeutique, éducatif et pédagogique (ITEP) : une enquête nationale

BackgroundA national survey was conducted among physicians working in Therapeutic, Educational and Pedagogical Institutes (Instituts Thérapeutiques, Éducatifs et Pédagogiques, ITEP) in order to make an inventory of the knowledge of the concept of “subjects at high risk of psychotic transition” and question the relevance of early detection within these institutions. MethodAn electronic questionnaire, specifically created for the survey, was sent by e-mail to all physicians working in ITEP. It consists of 41 questions, divided into 6 sections, of which 28 must have an answer. ResultsPhysicians are in favor of early detection of psychotic disorders in ITEP (82.6%), but few believe it should be systematic (11.6%). The proposed model and its detection tools are still not very well known (15.9% of physicians). The obstacles to its implementation are theoretical and related to the lack of medical time, as 45.6% of practitioners work one day or less per week in ITEP. The implementation of such a model depends, according to the practitioners interviewed, on a solid partnership with the health sector. ConclusionThe vulnerability of ITEP population makes it necessary to think about the prevention and the detection of mental pathologies. Information and training for medical, paramedical and educational teams is relevant, and the use of an early identification tool can make it easier to target at-risk adolescents requiring more care, adapted treatment and relay follow-up.

Study on Cooperative Mechanism of Prefabricated Producers Based on Evolutionary Game Theory

Good cooperation mechanism is an important guarantee for the advancement of industrialization construction. To strengthen the partnership between producers, we analyze the behavior evolution trend of both parties using an evolutionary game theory. Based on the original model, the mechanism of coordination and cooperation between prefabricated producers is explained under the condition of punishment and incentive. The results indicate that stable evolutionary strategies exist under both cooperation and noncooperation, and the evolutionary results are influenced by the initial proportion of both decision‐making processes. The government can support the production enterprises to establish a solid partnership through effective punishment and incentive mechanisms to reduce the initial cost in the supply chain of prefabricated construction, resulting in a win‐win situation.

Cambodia and Russia: Six Decades of Solid and Dynamic Partnership

Cambodia and Russia: Six Decades of Solid and Dynamic Partnership