Specific Support Research Articles

Surrounding Rock Deformation Mechanism and Control Technology for the Roadway in the Fault-Disturbed Zone under Special-Shaped Coal Pillars

In order to explore the impact of residual special-shaped coal pillars and fault disturbances on the lower layered roadway, this study takes the short-distance coal seam mining in Luwa Coal Mine as the engineering background to explore the surrounding rock deformation mechanism along the mining roadway in the fault-disturbed zone under special-shaped coal pillars, it presents the roadway surrounding rock control technology and it conducts on-site industrial test verification. The study shows that the abutment pressures on the floor of special-shaped coal pillars are distributed as “three peaks and two ridges”. The part beneath coal pillars is mainly disturbed by vertical stresses, while the part below the coal pillar edge is co-affected by vertical stresses and shearing stresses, generating a stress concentration coefficient ranging from 1.26 to 1.38 in the lower coal seam. According to the superposed effects of special-shaped coal pillars and fault disturbance on the mining roadway, the mining roadway is divided into the lower section of goaf, the section crossing the coal pillar edge, the lower section of coal pillars, and the section obliquely crossing the coal pillar edge. According to the above sections, the segmental control strategies of “improving stress distribution on surrounding rock + reinforcing support on special sections” are proposed. A joint control technology of large-diameter drilling hole pressure relief and special section anchor cable reinforcement support was adopted to carry out on-site industrial testing and monitoring. Overall, the convergence rate on the roadway surrounding rock is controlled within 5%, and the deformation of roadway surrounding rock is under effective control.

Principles of legal policy in the field of treatment of prisoners of war

This article analyzes the principles of legal policy in the field of treatment of prisoners of war. It is motivated that the actualization of the issue of the status of prisoners of war is due to the following circumstances: the presence of a state of war on the territory of Ukraine and an increase in the number of prisoners of war on both sides; the absence of a real mechanism to guarantee the proper treatment of prisoners of war, the weakness of international institutions in this area; normative legal acts were adopted after the Second World War in the conditions of the information society, globalization and changes in the life of society in all spheres, therefore a modern update of the norms and their clarification and the development of an effective policy in this area are necessary.
 It was established that a significant breakthrough in the direction of humanizing social development was the adoption of norms of international law, in particular, those related to the rules of treatment of prisoners of war. Formally, there is a model for protecting and ensuring the humane situation of this group of participants in the armed conflict. However, it is necessary to state a significant, even colossal problem: the declarativeness of international obligations, the ineffectiveness of international institutions and the lack of real influence on the party that holds prisoners of war. In this context, we should talk about updating the international norms of international humanitarian law in general, as well as prisoners of war in particular.
 The author points out the lack of a clear legal agreement on the concept of «prisoner of war» and the generally significant political nature of the issue.
 Within the scope of the represented scientific research, the essential principles (main principles) of the legal policy of democratic states in the field of treatment of prisoners of war are defined. They are grouped into two categories - general (prohibition of ill-treatment, humane treatment, right to dignity, preservation of personal belongings and documents, right to contact with family and protection agencies, right to return home) and special (rehabilitation and special state support prisoners of war after returning from captivity; support for families of prisoners of war).

Window into the mind: Advanced handheld spectroscopic eye-safe technology for point-of-care neurodiagnostic.

Traumatic brain injury (TBI), a major cause of morbidity and mortality worldwide, is hard to diagnose at the point of care with patients often exhibiting no clinical symptoms. There is an urgent need for rapid point-of-care diagnostics to enable timely intervention. We have developed a technology for rapid acquisition of molecular fingerprints of TBI biochemistry to safely measure proxies for cerebral injury through the eye, providing a path toward noninvasive point-of-care neurodiagnostics using simultaneous Raman spectroscopy and fundus imaging of the neuroretina. Detection of endogenous neuromarkers in porcine eyes' posterior revealed enhancement of high-wave number bands, clearly distinguishing TBI and healthy cohorts, classified via artificial neural network algorithm for automated data interpretation. Clinically, translating into reduced specialist support, this markedly improves the speed of diagnosis. Designed as a hand-held cost-effective technology, it can allow clinicians to rapidly assess TBI at the point of care and identify long-term changes in brain biochemistry in acute or chronic neurodiseases.

Improving frequency and appropriateness of direct oral anticoagulant (DOAC) prescribing for af through integrated pharmacy-led care

Abstract Background Anticoagulants for stroke-risk reduction in atrial fibrillation (AF) are underutilised and international literature shows 10-25% of patients on a direct oral anticoagulant (DOAC) for AF are prescribed an inappropriate dose, increasing the risk of stroke and bleeding. NHS England targets are for 90% high-risk AF patients to be prescribed anticoagulation by 2029. Purpose A new pharmacy-led integrated care model was developed to improve the frequency and quality of prescribing and monitoring of DOACs for AF in line with national guidance. This abstract describes the results when this model of care was rolled out across a large UK city. Methods The integrated model of care was designed to provide a multi-pronged approach and empower primary care pharmacy teams to prescribe and manage DOACs for AF. The model includes an education and training programme, a weekly specialist-run virtual clinical discussion service, a 48-hour turn around advice and guidance service and a clinical tool that identifies and makes recommendations for patients on an unlicensed dose of a DOAC. Results 16,594 patients are included on the city’s AF register. From April-November 2022, an additional 1,339 (8%) patients were anticoagulated. An increase from 76.3% to 84.3% of patients on the AF register. Dosing as per manufacturers Summary of Product Characteristics (SmPC) improved for all DOACs. In April 2022 an incorrect dose was prescribed for 10%, 15% and 12% of patients respectively on apixaban, edoxaban and rivaroxaban. In November 2022 incorrect dosing reduced across the board to 7%, 8% and 7% of patients respectively. 914 patients prescribed an inappropriate dose had their dose adjusted to meet SmPC recommendations based on relevant characteristics (renal function, age, weight, serum creatinine, interacting medicines). Monitoring according to local guidelines also increased. Experience of staff was overwhelmingly positive and demonstrated growth in knowledge, skills, and activity amongst primary care pharmacy teams. Rapid access to specialist support allowed patients to be managed close to home. Conclusions This integrated care model improves frequency and appropriateness of DOAC prescribing for patients with AF. The model results in incorrect dosing lower than any described in international literature. The service model is sustainable and scalable, grows cross-sector clinical leadership and develops relationships between primary and secondary care. The next steps are to roll this model out across a large region.

An After-Hours Virtual Care Service for Children With Medical Complexity and New Medical Technology: Mixed Methods Feasibility Study.

Family caregivers (FCs) of children with medical complexity require specialized support to promote the safe management of new medical technologies (eg, gastrostomy tubes) during hospital-to-home transitions. With limited after-hours services available to families in home and community care, medical device complications that arise often lead to increased FC stress and unplanned emergency department (ED) visits. To improve FC experiences, enable safer patient discharge, and reduce after-hours ED visits, this study explores the feasibility of piloting a 24/7 virtual care service (Connected Care Live) with families to provide real-time support by clinicians expert in the use of pediatric home care technologies. This study aims to establish the economic, operational, and technical feasibility of piloting the expansion of an existing nurse-led after-hours virtual care service offered to home and community care providers to FCs of children with newly inserted medical devices after hospital discharge at Toronto's Hospital for Sick Children (SickKids). This exploratory study, conducted from October 2020 to August 2021, used mixed data sources to inform service expansion feasibility. Semistructured interviews were conducted with FCs, nurses, and hospital leadership to assess the risks, benefits, and technical and operational requirements for sustainable and cost-effective future service operations. Time and travel savings were estimated using ED visit data in SickKids' electronic medical records (Epic) with a chief complaint of "medical device problems," after-hours medical device inquiries from clinician emails and voicemails, and existing service operational data. A total of 30 stakeholders were interviewed and voiced the need for the proposed service. Safer and more timely management of medical device complications, improved caregiver and provider experiences, and strengthened partnerships were identified as expected benefits, while service demand, nursing practice, and privacy and security were identified as potential risks. A total of 47 inquiries were recorded over 2 weeks from March 26, 2021, to April 8, 2021, with 51% (24/47) assessed as manageable via service expansion. This study forecasted annual time and travel savings of 558 hours for SickKids and 904 hours and 22,740 km for families. Minimal technical and operational requirements were needed to support service expansion by leveraging an existing platform and clinical staff. Of the 212 ED visits related to "medical device problems" over 6 months from September 1, 2020, to February 28, 2021, enteral feeding tubes accounted for nearly two-thirds (n=137, 64.6%), with 41.6% (57/137) assessed as virtually manageable. Our findings indicate that it is feasible to pilot the expansion of Connected Care Live to FCs of children with newly inserted enteral feeding tubes. This nurse-led virtual caregiver service is a promising tool to promote safe hospital-to-home transitions, improve FC experiences, and reduce after-hours ED visits.

Multi-infection screening for migrant patients in UK primary care: Challenges and opportunities

BackgroundMigrants in Europe face a disproportionate burden of undiagnosed infection, including tuberculosis, blood-borne viruses, and parasitic infections and many belong to an under-immunised group. The European Centre for Disease Control (ECDC) has called for innovative strategies to deliver integrated multi-disease screening to migrants within primary care, yet this is poorly implemented in the UK. We did an in-depth qualitative study to understand current practice, barriers and solutions to infectious disease screening in primary care, and to seek feedback on a collaboratively developed digitalised integrated clinical decision-making tool called Health Catch UP!, which supports multi-infection screening for migrant patients. MethodsTwo-phase qualitative study of UK primary healthcare professionals, in-depth semi-structured telephone-interviews were conducted. In Phase A, we conducted interviews with clinical staff (general practitioners (GPs), nurses, health-care-assistants (HCAs)); these informed data collection and analysis for phase B (administrative staff). Data were analysed iteratively, using thematic analysis. ResultsIn phase A, 48 clinicians were recruited (25 GPs, 15 nurses, seven HCAs, one pharmacist) and 16 administrative staff (11 Practice-Managers, five receptionists) in phase B. Respondents were positive about primary care's ability to effectively deliver infectious disease screening. However, we found current infectious disease screening lacks a standardised approach and many practices have no system for screening meaning migrant patients are not always receiving evidence-based care (i.e., NICE/ECDC/UKHSA screening guidelines). Barriers to screening were reported at patient, staff, and system-levels. Respondents reported poor implementation of existing screening initiatives (e.g., regional latent TB screening) citing overly complex pathways that required extensive administrative/clinical time and lacked financial/expert support. Solutions included patient/staff infectious disease champions, targeted training and specialist support, simplified care pathways for screening and management of positive results, and financial incentivisation. Participants responded positively to Health Catch-UP!, stating it would systematically integrate data and support clinical decision-making, increase knowledge, reduce missed screening opportunities, and normalisation of primary care-based infectious disease screening for migrants. ConclusionsOur results suggest that implementation of infectious disease screening in migrant populations is not comprehensively done in UK primary care. Primary health care professionals support the concept of innovative digital tools like Health Catch-UP! and that they could significantly improve disease detection and effective implementation of screening guidance but that they require robust testing and resourcing.

Flock: Towards Multitasking Virtual Machines for Function-as-a-Service

FaaS, or function as a service, promises unprecedented cost-efficiency and elasticity thanks to its on-demand and fine-grained execution nature. However, modern FaaS platforms mainly adopt virtual machines (VMs) or containers as a computing abstraction, which incurs costs like high startup latency, large memory footprint, and high communication overhead. Multi-tasking virtual machines (MVMs), which allow co-executing multiple functions in the same managed language runtime, are appealing for FaaS due to their lightweight nature. Unfortunately, existing MVMs are not designed for FaaS. The proposed abstraction of MVMs does not provide specialized support for fine-grained, latency-sensitive functions and their chain-like execution patterns. Meanwhile, the underlying runtime still contains many global modules and lacks essential support for function-level resource accounting and isolation. To this end, this work proposes <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Flock</i> , a retrofitted MVM for FaaS execution, which provides FaaS-aware abstractions named <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">funclets</i> and enhanced runtime support for isolation. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Flock</i> is implemented atop the HotSpot JVM of OpenJDK 8. Performance evaluation shows that <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Flock</i> results in up to three orders of magnitude performance improvement over state-of-the-art FaaS platforms like OpenWhisk while providing sufficient isolation support for FaaS functions.

제4차 산업혁명 시대의 교사 역량에 대한 특수교사의 중요도와 실행도 분석

Purpose: The purpose of this study was to analyze the importance and implementation of special education teachers on teacher competency in the era of the 4th Industrial Revolution.&#x0D; Method: The subjects of this study are 108 special teachers (special schools, special classes in elementary, middle and high schools, and special education support centers) in the Jeollabuk-do.&#x0D; Results: First, teacher competencies required in the era of the 4th Industrial Revolution include intelligent information competency, convergent and integrated reconstruction competency, collaboration and communication competency, community competency, and emotional competency. As a result of investigation about the difference between the importance level and the performance level for each sub-area recognized by special teachers, the importance level was higher than the performance level in all sub-areas. Second, in the metric aspects of the sub-areas of the teacher competency required in the era of the 4th Industrial Revolution recognized by special education teachers, the competencies with high future usefulness and readiness were collaboration and communication competency, intelligent information competency, and emotional competency. Competencies with low future usefulness and readiness were convergent and integrated reconstruction capabilities and community capabilities.&#x0D; Conclusion: The results of this study provide a suggestion on teacher training and supporting plans to strengthen the competency that special education teachers should have in the field of special education in the era of the 4th industrial revolution.

IDENTIFICATION OF PHYSIOLOGICAL AND PSYCHOLOGICAL CHANGES DURING MENOPAUSE IN BIREUEN DISTRICT, ACEH PROVINCE

Background: Menopause is a physiological condition in women where the end of the reproductive period due to the cessation of the menstrual cycle for 12 consecutive months naturally. During menopause, the production of the hormones oestrogen and progesterone by the ovaries decreases and stops, thus causing changes in the hormonal system in the body that can affect physiological changes in the body as well as psychological changes and will have an impact on the woman's next life. Method: This study aims to identify physiological and psychological changes experienced by women during menopause. The research method is descriptive survey research, the population is all menopausal women who live in Bireuen Regency. The sampling technique used random sampling which was taken based on the Slovin formula totalling 392 respondents. The research instrument was a questionnaire distributed to respondents from 11 August to 05 September 2023 during the Elderly Posyandu at the Puskesmas. Data processing and analysis were carried out univariately for each variable of physiological changes and psychological changes using descriptive static tests. Result: The results of the study for physiological changes showed that the majority of respondents experienced difficulty sleeping, visual disturbances, had heart disease, did not experience respiratory problems, experienced changes in appetite, did not experience urinary disorders, experienced skin changes, experienced joint pain, experienced heat on the face. In psychological changes, they experience mood swings, feel tired and lack of enthusiasm and experience memory impairment. Conclusion: It is suggested that it is necessary to provide special support and attention to women in menopause so that they can go through menopause comfortably and happily so that it will reduce the level of dependence on others.

Mental health and service use of parents with and without borderline intellectual functioning.

People with borderline intellectual functioning (BIF) encounter greater social adversities than the general population and have an increased prevalence of mental illness. However, little is known about the socio-demographic characteristics and mental health of parents with BIF. A secondary data analysis of the Adult Psychiatric Morbidity Survey 2014 was conducted. Logistic regression models were fitted to compare differences in socio-demographic, mental health and service-use characteristics between parents and non-parents with and without BIF, and to investigate if the relationship between parent status and mental health outcomes was modified by BIF status, sex, and employment. Data from 6872 participants was analyzed; 69.1% were parents. BIF parents had higher odds of common mental disorder, severe mental illness, post-traumatic stress disorder, self-harm/suicide and were more likely to see their General Practitioner (GP) and to receive mental health treatment than non-BIF parents. BIF parents did not have a higher prevalence of mental health problems than BIF non-parents. Being a parent, after adjusting for BIF status and other confounders, was associated with increased odds of having a common mental disorder, visits to see a GP and treatment for mental health. Female parents had higher odds of treatment for mental health problems. Being a parent is associated with elevated rates of common mental disorders. There is a higher burden of mental health problems and service use in people with BIF. A greater provision of specialist support services including ascertainment is indicated for this group.

Five years after the Earthquake and nuclear accident: Loss and its psychological effect

Abstract Background On March 11, 2011, the Great East Japan Earthquake hit Tohoku. The Fukushima nuclear power plant accident forced many people to relocate, leaving their hometowns. This study focused on the sense of loss and its psychological effect on the people of Fukushima five years after the earthquake and nuclear accident. Methods Quantitative and qualitative analysis from a questionnaire survey including the IES-R scale and open-ended questions. Results 1021 people participated in this study. At the time of the survey, 490 people relocated within Fukushima prefecture and 531 people left. During the nuclear accident, 632 participants were close to the nuclear power plant; 407 participants reported actual nuclear accident experiences such as exposure to blast ashes, seeing the explosion, hearing explosive sounds and escaping. People lost family members (n = 112) and homes (n = 338) due to the tsunami and earthquake; 439 lost jobs after the earthquake and 410 had economic difficulties; 736 reported their sadness over losing hometowns; 391 people showed IES-R scores over 25, suggesting potential PTSD (Post Traumatic Syndrome). From a multivariate analysis, psychological distress was significantly affected by nuclear accident experience (OR = 1.43, p = 0.04), lost jobs (n = 1.57, p = 0.01), economic difficulty (OR = 1.68, p &amp;lt; 0.01), hometown loss (OR = 1.58, p &amp;lt; 0.05), feeling difficulty living (OR = 3.84, p &amp;lt; 0.01) and social isolation (OR = 1.74, p &amp;lt; 0.01). For hometown loss, significant factors were lost houses (n = 596, p &amp;lt; 0.01), friends (n = 590, p &amp;lt; 0.05), life (n = 421, p &amp;lt; 0.01), family relationships (n = 377, p &amp;lt; 0.01), community (n = 403, p &amp;lt; 0.01) and futures (n = 310, p &amp;lt; 0.01). From qualitative analysis,”I relocated with the children, leaving behind my husband which I regret (a mother with children)” and others. Discussion and conclusions After natural disasters, nuclear accidents and wars, people suddenly lose their special monitoring and support are necessary for affected people. Key messages • Many people still suffer from PTSD after the Nuclear Power Plant accident after 5 years. • Many people suffer from a variety of loss such as loss of hometown, friends, family and others due to migration from Fukushima.

P042 Lean Six Sigma Approach to Improve Non-Invasive Ventilation Patient Care

Abstract Introduction A lean six-sigma (LSS) approach to clinical redesign looks at aspects of patient flow, value to consumer and process inefficiencies. We used LSS quality management approach for clinical redesign of our non-invasive ventilation patient care. Current recommendations suggest that patients using non-invasive ventilation (NIV) require therapy for a minimum of 4 hours per night for optimal health benefits, with less than this amount defined as low adherence. This information is collated for each patient at each clinic visit. The aims of this study were to improve the identification of patients on non-invasive ventilation that are poorly adherent to paediatric specialist support, decrease the time taken for entry of NIV adherence data for all patients and evaluate process/es for scalability for future growth. Methods A LSS approach was used with identification of variation, waste and patient flow concerns in diagnostic stage. Rapid improvement events, diagnostic and solution design workshops were conducted to determine root cause, key issues and possible solutions. A preferred solution was adopted through team collaboration. Results A diagnostic stage identified two key areas: a 45% increase in telehealth and 162 man-hours of manual data entry for patient care. The solution initiated was to extract NIV machine data remotely and automate data collection. Discussion Healthcare is well suited to using the lean six-sigma approach to facilitate team collaboration in all aspects of clinical redesign of a healthcare pathway. Automating aspects of patient care may improve patient health and staff satisfaction.

"You Feel Like You Did Something So Wrong": Women's Experiences of a Loved One's Child Sexual Abuse Material Offending.

This article examines the experiences of female partners and relatives of child sexual abuse material offenders and the (il)legibility of their experiences within prevailing theoretical frameworks and policy responses to violence against women. Drawing on survey and interview data with clients of a specialist support agency, we situate the lack of understanding and support available to these women within the systematic depoliticization of child sexual abuse. The article traces how women developed their own social critique of child sexual exploitation as a form of gendered violence and called for a feminist reengagement with the politics of child sexual abuse.

Factors influencing support provision to the family caregivers of elderly patients with cancer: A qualitative study

PurposeFamily caregivers (FCs) play a significant role in providing care to elderly patients with cancer (PWC). Meanwhile, they face a wide range of challenges and are considered hidden patients who require special attention and support. Nonetheless, they do not receive adequate support. This study aimed at exploring the factors influencing support provision to the FCs of elderly PWC. MethodThis descriptive qualitative study was conducted in 2020–2022. Thirty-one FCs and family members of elderly PWC and healthcare providers were purposefully recruited from various healthcare centers in Tehran, Iran. Data were collected through semi-structured interviews and analyzed using Graneheim and Lundman's conventional content analysis approach. Trustworthiness was ensured through Lincoln and Guba's criteria. ResultsFactors influencing support provision to the FCs of elderly PWC came into three main categories, namely the potential for supporting elderly PWC and FCs, complexity of family and social support, and support-related challenges of the healthcare system. ConclusionsIdentifying the factors influencing support provision to the FCs of elderly PWC can assist healthcare policymakers and authorities in developing more effective strategies to support these groups.

Usefulness of the multidimensional Edmonton Frail Scale to assess physical limitations in frailty syndrome in patients with reduced ejection fraction related heart failure

Introduction: According to the Heart Failure Association of the European Society of Cardiology, the frailty syndrome is: "a multidimensional dynamic condition, independent of age, that renders a patient with heart failure vulnerable to stressors”. The Association recommends that all patients with heart failure should be routinely assessed for the risk of developing or suffering from frailty. This is due to the fact that frailty syndrome has an adverse effect on the prognosis, treatment options and quality of life of patients with heart failure. Factors that may determine the presence of frailty include: clinical factors (e.g. the presence of additional comorbidities), physical-functional, cognitive-psychological and social limitations. A number of scales are available to assess the frailty syndrome. To date, none have been validated in patients with heart failure. The Edmonton Frailty Scale (EFS) is a multidimensional scale that takes into account four factors identified as having a significant impact on the occurrence of frailty in heart failure. The physical factors included in the scale are functional capacity, assessed by the Timed Up and Go test (TUG), and functional independence, defined by a question about the degree of independence in performing selected activities of daily living.Aim of the study: The aim of this study is to assess the physical limitations included in the Edmonton Scale in a group of heart failure patients with reduced ejection fraction.Materials and methods: The study included 106 patients diagnosed with heart failure with reduced ejection fraction (HFrEF &lt; 40%). The mean age of the patients was 62.6 9.7 years. Men comprised 84% of the study population. Frailty was measured using the EFS on the day before discharge or on the day of hospital discharge. Patients were assigned to one of the following groups on the basis of their Edmonton Score: non-frail, pre-frail and frail.Results: A predisposition to frailty was diagnosed in 44.3% of patients, while frailty was diagnosed in 12.3% of patients. Physical factors assessed by the EFS scale may significantly influence the diagnosis of pre-frail and frail (p &lt; 0.0001). Among the components of functional independence, the activities that require special support for pre-frail and frail patients are: meal preparation, transportation and housekeeping. The results of the may significantly influence the diagnosis of frailty and susceptibility to frailty in patients with heart failure (p &lt; 0.0001).Conclusions: Physical limitations assessed by the Edmonton Scale play an important role in the identification of pre-frailty and frailty in patients with heart failure. Pre-frail and frail patients report difficulties with activities of daily living, with housekeeping, transportation and meal preparation as being the most difficult in both groups. The result of the Timed Up and Go test may have a considerable impact on the diagnosis of frailty and susceptibility to frailty in patients with heart failure.

Peculiarities and causes of difficulties in learning educational material among schoolchildren and ways to overcome them

The aim of the study is to evaluate the efficiency of using the neuropsychological approach to solve the learning difficulties of schoolchildren. An empirical study summarized the evaluation of the correction program carried out using neuropsychological games and exercises with one hundred students in the second grade of the elementary school. The following evaluation strategies were used to assess the effectiveness of the programme: Schulte tables, the fourth extra technique and "memorization of two sets of words. The results obtained can be presented as follows: (1) The studied indicators of attention such as work efficiency and mental stability improved among students, only the criterion of the degree of workability remained without significant improvements but at the same time within the normative values. (2) Analyzing the mental processes of students, we can see a significant increase in the number of children who have improved such indicators of thinking as generalization and synthesis due to corrective exercises. (3) The study of memory processes showed that the number of students who experienced special correctional exercises was higher than words at the very beginning without special psychological support. This study concludes that the general solution to learning problems and the compensation of deficiencies in the development of various cognitive processes are the objective advantages of organised corrective neuropsychological sessions with students. This experiment may provide a plan for further research and adoption of the help for schoolchildren in practice.

Placement breakdown in Flemish family foster care for unaccompanied refugee minors. Experiences of non-kinship foster parents

This qualitative study using semi-structured interviews with twelve foster parents who took care of unaccompanied refugee minors (URM; mainly Afghan boys aged 15 to 16 years old) examines two research questions: “How do non-kinship foster parents of Caucasian ethnicity experience placement breakdown of unaccompanied children?”, and “What could have prevented placement breakdown?” Foster parents perceived breakdown as a failure and reported a major emotional impact on themselves, their children and on their family life. Although most of them thought breakdown could not have been avoided, three factors were reported: not assigning a study grant if the youngster is going to live independently, more psychological support for the URM, and connections to potential individuals or support systems who share the youths’ culture and traditions and who support the placement. All foster parents described multiple and various difficulties related to the care system, the URM and the social context that troubled the foster placement. Based on the experiences of foster parents several implications for practice and policy were formulated such as a better preparation, training and matching of the foster family and the URM, care planning that includes the needs of foster carers, their biological children and the URM for specialized support and adapted care; facilitating fellow contacts for foster parents and URM; organizing specialized training for foster care workers, and developing a post-intervention program for foster families who experienced breakdown.

Development of the Role of Higher Education Libraries in Realizing Entrepreneurial University at Sebelas Maret University

This research examines how the development of the role of higher education libraries in realizing Entrepreneurial University at Sebelas Maret University, including creating a dedicated entrepreneurship information center and providing specialized training and support services. This study uses a qualitative method with a descriptive approach, data analysis using the Miles and Huberman approach. Data obtained through observation, interviews and documentation. The research subjects consisted of library leaders, librarians, students and library staff. The study found that developing the role of higher education libraries in realizing entrepreneurial universities through 3 activities, namely entrepreneurial information literacy, coaching clinics and best practices. Information literacy activities in the field of entrepreneurship include: entrepreneurship seminars and workshops. Coaching clinic activities, namely direct dialogue with sources of entrepreneurship practitioners. Meanwhile, best practice is manifested through contests for proposals for entrepreneurial ideas and their implementation. College Libraries are transformed by providing maker space (entrepreneur corner) where students gather to interact and discuss to generate ideas and solve various problems related to entrepreneurship.

Mobilisasi Oleh Elit Tradisional Pada Pemilihan Kepala Daerah Tahun 2018 Di Kabupaten Kerinci

Elections are held periodically, namely once every five years, with the aim of a constitutional change of power as regulated in the 1945 Constitution (UUD 1945). General elections are held in the form of presidential elections, regional head elections and legislative elections. At this time political parties are no longer the only force in political contestation. Elections that take place at the local election level still often encounter interference from elites, especially traditional elites, such as the regional elections that occurred in Kerinci Regency, where one of the elite's roles is as a force in mobilizing the masses. Many candidates use traditional culture to get more supporters in the election. Through its mass power, it can be used as an effective political machine in political contestation. This confirms that political mobilization is the key to winning election contestations. In analyzing mass mobilization by traditional elites, researchers use mobilization theory according to Stefano Bartolini and elite theory from Pareto and Mosca because mobilization in politics is a series of processes carried out by traditional elites in recruiting participants to obtain special support in an election. This research uses a qualitative approach with an instrumental case study method. The research results show that mass mobilization was commanded by traditional elites, such as the Depati and Ninik Mamak of Kerinci Regency, who directed and ordered the community and their nephews to choose certain agreed candidate pairs. The order was issued by Depati Ninik Mamak in a joint meeting to decide on support for candidate pair Adirozal-Ami Taher, so that the results of the meeting resulted in a joint agreement to win the pair Adirozal-Ami Taher.

A nurse-led model: developing a one-stop clinic for patients with congenital heart disease

Background/Aims Congenital heart disease refers to a range of problems related to the heart that are present at birth. Clinical nurse specialists play a crucial role in providing specialised knowledge, expertise, support and advice to patients with congenital heart disease. This study aimed to explore the experiences and feedback of adults with congenital heart disease who attended a nurse-led one-stop clinic. Methods Data were collected via a questionnaire comprised of both open-ended and closed questions. The questions covered patients' demographic characteristics and their experiences before and during the appointment. Of the 144 patients scheduled to attend the one-stop clinic, 124 attended and a total of 91 responded to the questionnaire. Results All participants reported having a positive experience of the nurse-led one-stop clinic, including additional benefits of acquiring knowledge and feeling empowered in managing their disease. All of the participants felt that it was beneficial for them to have all their tests conducted on the same day, although a substantial proportion would prefer their care to be provided locally. Conclusions Specialised life-long follow up is essential for people with congenital heart disease. A nurse-led one-stop-clinic model of care can reduce travel requirements, enhance patients' understanding of their condition and promote patient engagement.