Pilot Survey Research Articles

Exploring the Feasibility and Utility of Entrustable Professional Activities in Resident Assessment and Feedback: A Pilot Survey Study

Exploring the Feasibility and Utility of Entrustable Professional Activities in Resident Assessment and Feedback: A Pilot Survey Study

Female Genital Mutilation Knowledge, Experience and Training Needs of Healthcare Professionals: Preliminary Results from a National Pilot Survey in Italy

Female Genital Mutilation Knowledge, Experience and Training Needs of Healthcare Professionals: Preliminary Results from a National Pilot Survey in Italy

Development of an Electronic Health Record Self-Referral Tool for Lung Cancer Screening: One-Group Posttest Study.

Approximately 14 million individuals in the United States are eligible for lung cancer screening (LCS), but only 5.8% completed screening in 2021. Given the low uptake despite the potential great health benefit of LCS, interventions aimed at increasing uptake are warranted. The use of a patient-facing electronic health record (EHR) patient portal direct messaging tool offers a new opportunity to both engage eligible patients in preventative screening and provide a unique referral pathway for tobacco treatment. This study sought to develop and pilot an EHR patient-facing self-referral tool for an established LCS program in an academic medical center. Guided by constructs of the Health Belief Model associated with LCS uptake (eg, knowledge and self-efficacy), formative development of an EHR-delivered engagement message, infographic, and self-referring survey was conducted. The survey submits eligible self-reported patient information to a scheduler for the LCS program. The materials were pretested using an interviewer-administered mixed methods survey captured through venue-day-time sampling in 5 network-affiliated pulmonology clinics. Materials were then integrated into the secure patient messaging feature in the EHR system. Next, a one-group posttest quality improvement pilot test was conducted. A total of 17 individuals presenting for lung screening shared-decision visits completed the pretest survey. More than half were newly referred for LCS (n=10, 60%), and the remaining were returning patients. When asked if they would use a self-referring tool through their EHR messaging portal, 94% (n=16) reported yes. In it, 15 participants provided oral feedback that led to refinement in the tool and infographic prior to pilot-testing. When the initial application of the tool was sent to a convenience sample of 150 random patients, 13% (n=20) opened the self-referring survey. Of the 20 who completed the pilot survey, 45% (n=9) were eligible for LCS based on self-reported smoking data. A total of 3 self-referring individuals scheduled an LCS. Pretest and initial application data suggest this tool is a positive stimulus to trigger the decision-making process to engage in a self-referral process to LCS among eligible patients. This self-referral tool may increase the number of patients engaging in LCS and could also be used to aid in self-referral to other preventative health screenings. This tool has implications for clinical practice. Tobacco treatment clinical services or health care systems should consider using EHR messaging for LCS self-referral. This approach may be cost-effective to improve LCS engagement and uptake. Additional referral pathways could be built into this EHR tool to not only refer patients who currently smoke to LCS but also simultaneously trigger a referral to clinical tobacco treatment.

A Pilot Survey Study of Anterior Cruciate Ligament Injuries in Female University Athletes.

Introduction Female sports players are at increased risk of soft tissue knee injuries (STKIs) compared to their male counterparts. Injury prevention programs effectively reduce the incidence of anterior cruciate ligament (ACL) knee injuries. This pilot study, therefore, aimed to examine the prevalence, type, and management of STKIswithin a population of female university sports players at the University of Cambridge. Additionally, this study aimed to examine the perceived risk of ACL injuries and knowledge of long-term complications, alongside participation and attitudes towards injury prevention programs. Methodology A survey was distributed to women's university sports teams at the University of Cambridge. Information was gathered on participant demographics and sporting history. Relevant medical history, including joint laxity, connective tissue disorders, and previous knee injuries, was also collected. Participant involvement in and attitudes towards injury prevention programs were evaluated. Results Data from eighty-five participants (n = 85) were collected, all of whom were female. Forty-two percent of participants had sustained a previous knee injury, of which the majority (44%) were ACL injuries. In the ACL-injured group, 38% (n=6) had undergone ACL reconstructive surgery, 44% (n=7) had received only physiotherapy, and 19% (n=3) had received no form of treatment. Only 44% of these participants sustaining an ACL injury reported a return to the same level of post-injury sport. Seventy-two percent of respondents felt they were at increased risk of ACL injury compared to males. Most participants (87%) did not follow an injury prevention program, but 95% expressed a willingness to enroll in one. Conclusions This pilot study indicates that most knee injuries in female university athletes in this cohort at Cambridge University are ACL injuries, with a considerable number being managed conservatively. The low rate of return to pre-injury sporting levels highlights the significant impact of ACL injuries on athletic careers. This study demonstrates results similar to previous studies on the broader population. However, due to the pilot nature of the research and limited statistical power, the results should be interpreted with caution before transposing to the wider population. Further investigation is required into why many of these ACL-injured female athletes were managed conservatively and whether this finding is mirrored in their male counterparts. Despite recognizing their higher risk than males, participants displayed low engagement in injury prevention programs, indicating a gap between awareness and action. The willingness to participate in prevention programs suggests the potential for improved engagement through targeted interventions. Future research should focus on identifying and addressing specific barriers to participation in injury prevention programs and exploring the reasons behind the preference for conservative management of ACL injuries. Additionally, expanding the sample size and including a more diverse athletic population would enhance the generalizability of the findings.

A tool to assist rheumatologists to engage their lupus patients: the Purple Butterfly.

Translating the highly technical medical jargon of SLE into understandable concepts for patients, their families and individuals without expertise in SLE is a serious challenge. To facilitate communication and enable self-management in SLE, we aimed to create an innovative visual tool, the Purple Butterfly. We selected clinically representative criteria for SLE and transposed them as graphical features in an attractive and meaningful visual. We developed a script in R programming language that automatically transposes clinical data into this visualization. We asked SLE patients from a local cohort about the relevance, usefulness and acceptability of this visual tool in an online pilot survey. The innovative Purple Butterfly features 11 key clinical criteria: age; sex; organ damage; disease activity; comorbidities; use of antimalarials, prednisone, immunosuppressants and biologics; and patient-reported physical and mental health-related quality of life. Each Purple Butterfly provides the health portrait of one SLE patient at one medical visit, and the automatic compilation of the butterflies can illustrate a patient's clinical journey over time. All survey participants agreed that they would like to use the Purple Butterfly to visualize the course of their SLE over time, and 9 of 10 agreed it should be used during their medical consultations. The Purple Butterfly nurtures effective doctor-patient communication by providing concise visual summaries of lupus patients' health conditions. We believe the Purple Butterfly has the potential to empower patients to take charge of their condition, enhance healthcare coordination and raise awareness about SLE.

Development and validation of the puppy blues scale measuring temporary affective disturbance resembling baby blues

It has been described that many puppy owners experience a state called puppy blues involving stress, worry, anxiety, strain, frustration, or regret. While puppy blues is a commonly used term among dog owners, the term is nearly nonexistent in scientific literature. In turn, analogous phenomenon, postpartum affective disturbance of infant caregivers, is well described in the literature. This study aimed to develop and validate the first questionnaire to evaluate puppy blues. The methodology involved generating scale items based on a qualitative review of 135 pilot survey responses from people who had experienced distress during the puppy period, conducting exploratory factor analysis for the final scale items from a dataset of 1801 answers from Finnish dog owners (92% women), and collecting test-retest data from 265 individuals to assess the consistency of the measurement of items and factor structure across time. In addition, we collected an independent sample of 326 owners of 1–2-year-old dogs who answered the survey both regarding puppy period and current moment. The results indicate that the scale is a valid and reliable tool for measuring dog owners’ negative experiences and feelings related to puppyhood. We discovered three factors that describe different aspects of puppy blues: Frustration, Anxiety, and Weariness, which accounted for a significant proportion of the variance in puppy blues. The study demonstrated good internal consistency and consistency across two independent samples for the three identified factors. The test-retest reliability of the factors was good. Responses for the current timeframe compared to puppyhood experiences revealed significantly lower current scores across all factors for the current period, validating that the scale captures distress during puppyhood that diminishes over time. Interestingly, we found a fading affect bias where recollections of the experiences in the puppy period became more positive with time. Our findings shed light on the characteristics of puppy blues and provide a useful retrospective tool for measuring it.

Measuring Potential People’s Acceptance of Mobility as a Service: Evidence from Pilot Surveys

Measuring Potential People’s Acceptance of Mobility as a Service: Evidence from Pilot Surveys

A Pilot Survey of Pediatric Occupational and Physical Therapy Providers’ Confidence, Attitudes, Barriers, and Education Regarding Trauma-Informed Care

Aim Trauma-informed care (TIC) is a strengths-based organizational approach which recognizes the prevalence and impact of trauma on an individual’s neurological, sensorimotor, and emotional responses and development. There is limited research on pediatric occupational therapy providers’ (OTPs) and physical therapy providers’ (PTPs) perceptions on incorporating TIC into their practice. This pilot study aims to describe the confidence, attitudes, barriers, and education of pediatric OTPs and PTPs regarding TIC. Method OTPs and PTPs (n = 87) working in pediatric settings in the U.S. completed an electronic survey regarding their perceptions of TIC. Results OTPs reported higher confidence in TIC compared to PTPs. Most participants reported favorable attitudes toward TIC, yet no statistical significance was identified between the two professions’ overall attitudes toward TIC. Collectively, participants reported lack of time and training as barriers. There was a statistically significant difference between how the two professions rated competency, training, and concern over clients’ retraumatization. There was significant association between years of professional experience and TIC education. Conclusion Preliminary findings indicate an overall agreement of OTPs and PTPs with principles of TIC and common barriers to TIC practice. There are implications to further integrate opportunities for TIC training into foundational education and professional practice.

On the problem of improving methods for recruiting potential bone marrow donors in the Russian population

BACKGROUND: To achieve the number of potential bone marrow donors in Russian registries to a level sufficient for effective selection of recipients in need of transplantation, it is important to find the most effective ways to recruit Russians as potential bone marrow donors. AIM: To identify areas for improving methods of recruiting potential bone marrow donors in the Russian population. MATERIAL AND METHODS: An electronic survey was conducted: the questionnaire included 27 questions, the respondents were participants in the register of potential bone marrow donors of the Vasya Perevoshchikov National Register of Bone Marrow Donors Charitable Foundation, expert validation and a preliminary pilot survey were used. The focus was on factors that determine the population’s readiness to donate, preferred methods of donating biomaterial and territorial accessibility of recruitment centers, opportunities and obstacles to recruiting bone marrow donors. 6,314 people took part in the survey. The work used frequency analysis methods and the Pearson χ2 statistical criterion; the data was processed in the SPSS Statistics program. RESULTS: The most common channels of information about bone marrow donation in the process of involving potential registry participants were mass media (33.6%), social media (18.9%) and the social environment (18.4%). Among the respondents, 30% had experience in human blood donation. The social environment of donors included people who had experience in donating blood: among those surveyed, 48.5% indicated that their relatives served as blood donors; 67.7% noted that their friends were blood donors. For 40% of the registry participants, the method of submitting biospecimens was important. The majority (87%) of respondents indicated that submitting biospecimens at medical centers was the most convenient mechanism for joining the registry. CONCLUSION: The media serve as an effective channel for informing the population; the role of new social media (Internet resources, social networks) is increasing. A significant factor in involvement in the register is the social environment, including people who have experience in donating blood.

Partnership working to drive person-centred change: a case study

This article puts the stroke survivor's voice at the centre of improvement, by highlighting the development, challenges and rollout of the patient-reported experience measures pilot survey created by the NHS England and the Stroke Association. The aim of this pilot survey was to test the feasibility, methodology and acceptability of a national survey of patient experience across the whole stroke pathway.

How aware are we about doping in sports? : A cross-sectional pilot survey of doctors

BackgroundDoctors lack the required anti-doping knowledge. The aim of this single-centre pilot study is to survey the awareness level of doctors about anti-doping regulations and their opinion with reasons on inclusion of sports pharmacology/anti-doping aspects in undergraduate medical curriculum. MethodsAfter ethical clearance, a cross-sectional online pilot survey was done among medical doctors on anti-doping aspects, general awareness, practical applications and opinion on inclusion of doping in sports as a competency under undergraduate medical curriculum. Responses were categorized and analysed. The significance was set at 0.05. Results80 doctors including 53 medicine and allied residents, 16 surgery and allied residents and 11 medical doctors took part in the study. 94% doctors understood about doping, 53% were aware about anti-doping organisation, 37% on regulations and 64% were right on prohibited list substances. 80% drugs of abuse mentioned clustered under only four categories (S1, S2, S5 and S6) of the World anti-doping agency (WADA) prohibited list. Practical sports specific anti-doping knowledge in weight cutting (97%), retroactive therapeutic use exemption of medical emergency management (0%), anti-asthmatic medication use (59%) and alcohol use (41%) were significant. Internet (67%) and newspaper (20%) were the main source of information. 73% doctors recommended inclusion of doping in sports in MBBS competency-based medical education (CBME) curriculum. ConclusionAnti-doping specific awareness and knowledge was found lacking among doctors. 73% doctors favour inclusion of doping in sport as a competency in the undergraduate medical curriculum to aid in better clinical practice and athlete counselling.

Current practices and perceptions of misoprostol use for cervical preparation prior to outpatient hysteroscopy: a nationwide survey among gynecologists in Spain.

Although misoprostol has been used as a potential option for cervical priming prior to hysteroscopy, the available scientific evidence regarding its use is not always conclusive. The purpose of this article is to assess the different practices and criteria applied for the use of misoprostol use for cervical preparation in outpatient hysteroscopy without anesthesia among gynecologists across Spain, exploring the need for the corresponding evidence-based guidelines. We carried out a cross-sectional study in which a two-step approach survey was conducted. Firstly, an online pilot survey was conducted with a limited sample of 10 professionals from 10 centers to identify initial patterns and gather feedback. Subsequently, a comprehensive online survey was carried out over a larger sample of respondents. The comprehensive survey covered aspects of misoprostol usage, including dosage, timing, indications, safety concerns, and overall perception. The survey design allowed for a thorough examination of existing practices and provided valuable insights to help address the disparities noted in misoprostol use for cervical preparation in outpatient hysteroscopies. Through the comprehensive online survey, we received response of 102 gynecologists from 54 centers across Spain. The overall results show a considerable variation in misoprostol use prior to hysteroscopy, with 21.57% of respondents not using misoprostol in any case, while a substantial majority (78.43%) use it selectively (68.83%) or consistently (9.8%). When asked about the type of patients, the vast majority (72.55%) use it in postmenopausal nulliparous patients, while its was used considerably less in premenopausal nulliparous patients (35.29%), postmenopausal multiparous patients (22.55%), and premenopausal multiparous patients (3.92%), whereas some choose not to use it in any patients (26.47%). Furthermore, 89.22% of respondents felt that there is a lack of clear criteria on misoprostol use, while 79.41% believed that it is necessary to establish such criteria. There was a diverse landscape of misoprostol use which underscores the complexity and individual approach to cervical preparation for an outpatient hysteroscopy. Indeed, the findings regarding its application, notably more prevalent among postmenopausal patients, contravene the prevailing body of published evidence. Moreover, a considerable proportion of respondents expressed the need for clear criteria, which emphasizes the importance of evidence-based protocols to guide the optimal use of misoprostol.

Prospects for the Formation of Russian-Centric Model of Higher Education

Russian higher education, experiencing the influence of both objective processes (transition to the information society and knowledge economy, globalization, internationalization, increasing environmental ventures, changes in the geopolitical situation) and internal transformations (change of political guidelines, exit from the Bologna system, return to value-based educational paradigm) is being modified again today. The article is devoted to the study of the prospects for the formation of a new Russian-centric model as the basis for transforming Russia into a new global educational center based on an effective balance of traditional and innovative educational technologies, repositioning Russia in the global context, including in the educational sphere, the development of new formats of international cooperation in the field of education with the predominance of Russian educational practices. The paper presents the results of a study of current scientific and expert discourse on the state of Russian higher education, identifying the drivers of the formation of a Russian-centric educational model. The article summarizes the nature and types of educational technologies used in modern domestic higher education, assesses the quality of teaching in modern Russian universities, as well as the need for foreign citizens to obtain higher education in the Russian Federation based on pilot surveys of Russian and foreign students conducted by the author. Conclusions are drawn about the positive prospects for creating a Russian-centric model based on the high standards of Russian higher education, the fundamental traditions of teaching in Russian higher education, taking into account the introduction of the latest educational innovations, as well as the high demand from foreign students and applicants for obtaining Russian universities’ diplomas.

Depicting oncologists' perceptions and knowledge of global disparities in conflicts of interest reporting: The ONCOTRUST-1 study.

9002 Background: Conflicts of interest (COI) between oncologists and the pharmaceutical industry might considerably influence how the presentation of the research results is delivered, impacting treatment decisions, and policy-making.While there are regulations on reporting COI in high-income countries (HICs), little is known about their reporting in low- and middle-income countries (LMICs).ONCOlogy TRansparency Under Scrutiny and Tracking (ONCOTRUST-1) is a pilot global survey to explore the knowledge and perceptions of oncologists regarding COI. Methods: We designed an online 27-question-based survey in English language to explore the perceptions and knowledge of oncologists regarding COI, with an emphasis on LMICs.Illustrative examples of COI were proposed, based on definitions from the American Society of Clinical Oncology (ASCO) and published literature. Descriptive statistics and the CROSS guidelines were used to report the findings. Results: ONCOTRUST-1 surveyed 200 oncologists, 70.9% of them practicing in LMICs. Median age of the respondents was 36 (range: 26-84) years; 47.5% of them were women. The median number of years of clinical practice was 9 (range: 1-51). 40.5% of respondents reported weekly visits by pharmaceutical representatives to their institutions. Regarding oncologists’ perceptions of COI that require disclosure, direct financial benefits, such as honoraria ranked highest (58.5%), followed by gifts from pharmaceutical representatives (50%) and support for attending conferences (44.5%). In contrast, personal or institutional research funding, sample drugs, consulting or advisory board, expert testimony, and food and beverage funded by pharmaceutical industry were less frequently considered as COI. Moreover, only 24% of surveyed oncologists could correctly categorize all situations representing a COI. Regarding support received from industry, 51.5% of respondents acknowledged trips to conferences as the most common form of support, followed by sample drugs (20.5%). Despite recognizing these interactions, 15% of respondents admitted feeling pressured to prescribe specific drugs due to their COI. Regarding COI reporting, a notable portion of participants indicated they report COI in their presentations (59%) or when publishing their research (30%). The presence of local regulations to manage COI were reported by 35.5% of respondents. The majority advocated for clearer policies and regulations (65%), training and education (63.5%), and an open COI database (55%) to improve COI reporting in oncology. Conclusions: These findings underscore the importance of clear guidelines, education, and transparency in reporting COI in oncology. This hypothesis-generating pilot survey provided the rationale for ONCOTRUST-2 study which will compare perceptions of COI among oncologists in LMICs and HICs.

Dostoevsky in the Perception of a Bearer of Another Culture: Interpretative Constants. Article 1. Prolegomena

The article attempts to systematize the material related to the reception of Fedor M. Dostoevsky’s works by foreign speakers, examines reinterpretations, secondary texts of various types devoted to the writer’s creative works – philological studies, feature films, TV series, theatrical productions, comics, computer games, textbooks of the Russian language for foreigners, the results of pilot surveys, etc. Theoretical substantiations of the problem of understanding and perception of a literary text by a bearer of a different culture are given, the key concepts of which are “the presumption of incomplete understanding” and “the presumption of a negative assessment”. In order to generalize the material the term “interpretative constant” is introduced. Interpretative constants are generalized statements expressed in a concise form such as “The study of a man is the main theme of Dostoevsky’s works”; “God-seeking is the main theme of his works”; “The main force of evil is a woman”; “He loved death, suffering more than life”; “Suffering in the Russian world unites people”; “All the actions of the heroes are conditioned by libido”, etc. Generally, the method of identifying the interpretative constants and their interpretation is indicated. Interpretative constants have the predictive effect, their classification allows us to determine possible trends in the development of Dostoevistics, both foreign and domestic. It is assumed that the specification of the material presented in the publication will be carried out in the subsequent articles of the cycle.

Fundamental LCZ Mapping with ArcGIS-Based Spatial and Correlational Analyses to Study the Impacts of Infrastructural Area- Maximum Volume (A-MV) Attributes on OTC – An Urban Aw Summer Case

The aim of this study is to map the study location stretches into 100mx100m local climate zones (LCZs) on the basis of primary observations and secondary photographic data for spatial analysis of various urban infrastructural elements (grey(G)-built structures, blue(B)-water bodies and green (Gr)-natural vegetation) and impact assessment of their estimated area (EA) and maximum volume (EMV)) on the air temperature (Ta) that characterizes the outdoor thermal comfort (OTC). Climate Modification by Urban Infrastructure, Fundamental Concepts of Urban Infrastructure Mensuration Parameters, Fundamental Concepts of Urban Grey Blue Green Infrastructure (UGBGI) and Concepts Of OTC, Koppen Classification and LCZs are the linked areas. Study locations are based on socio-economic and geophysical attributes. Initial 200 pilot survey responses regarding thermal sensation votes and other subjective details were used. Preferred values of Physiological Equivalent Temperature (PET) and optimum Ta have been used. After the mapping in ArcGIS and polygonal delineation of the areas, EA values were compiled in tabular format. Based on primary measurements and secondary studies, a maximum height (hmax) value was assigned to each sub-category for EMV evaluation. Statistically, the EA and estimated perimeter (EP) values were analyzed using QQ, scatter plots, histogram and generate near table tools in ArcGIS. EA and EMV values were correlated with mean Ta values by linear regression. The R-square values generated gave a clear idea about the extent of their impacts on Ta. From the established relationships and preferred PET and optimum Ta values, optimum EA, EMV and hmax values of the broader categories(G,B,Gr) required for preferred OTC levels were finally evaluated.

A pilot survey on knowledge, attitudes, and practices of smallholder dairy owners towards the importance of colostrum feeding to newborn calf in Humbo District of Wolaita Zone, Southern Ethiopia

BackgroundColostrum is the secretion produced by the mammary gland of mammals and it is passively transferred immunity that protects neonates from infectious diseases.MethodsA cross-sectional study was conducted from December 2021 to June 2022 to assess the community’s knowledge, attitude, and practice of smallholder dairy owners towards the importance of colostrum feeding to newborn calves in Humbo districts. A structured questionnaire was provided for 400 randomly selected smallholder dairy owners for face-to-face interviews.ResultsThe results showed that females (21.6%), college and university levels (20.2%), farmers (15.4%), and single individuals (17.6%) had better knowledge compared to the respective status of respondents on colostrum feeding practices. Also, there was an association between sex, occupation, marital status, and knowledge of colostrum-feeding practices. Similarly, 32.5% of respondents with an elementary background practice the separation of calves from the dam soon after birth to prevent transmission of infection. There was an association between the educational background of the respondents and the perception of the respondents regarding colostrum feeding to newborn calves. Nearly, 30% of respondents had an elementary education background waiting for their calf to get up on its own and suckle from their dam. Likewise, 26.1%, 31.5%, and 23.8% of illiterate, elementary, college, and university graduate respondents, respectively, provide calves with 10 to 12% of their birth weight as colostrum within the first 8 h of calf’s life. Besides, the majority of the respondents (27.5%) believed that colostrum was the best food for calves’ growth, and the level of circulating antibodies in the calf's blood has a direct influence on its disease resistance.ConclusionThe study revealed that smallholder dairy owners have different perceptions concerning knowledge, practice, and attitude on the importance and time of feeding colostrum to neonates during the early life of postpartum. Thus, awareness creation and training programs should be provided for smallholder dairy farmers as well as the use of colostrum feeding, and its role in the prevention of neonatal and preweaning calf mortality and morbidity.

A cross-sectional survey of clinical trials knowledge, participation, and perspectives in an underserved community of Washington, DC.

The inclusion of participants from underrepresented and underserved groups is lagging in dermatology clinical trials. Through dissemination of a pilot survey at a community skin health fair, knowledge, participation, and perspectives of clinical trials were evaluated in an urban, medically underserved community in Washington, DC. Clinical trial-related questions were derived from the Health Information National Trends Survey 5 Cycle 4. This cross-sectional survey analyzed responses from 39/55 attendees (71% response rate). Most respondents were female (23/37 [62.2%]), between the ages of 25 and 54 (19/38, [50.0%]), and self-identified as non-white (35/39 [89.7%]) with a majority self-identifying as Black (16/31 [41%]). Most respondents self-reported knowing "little" to "nothing" about clinical trials (26/35 [74.3%]), and even more were unaware of the federal resource clinicaltrials.gov (30/37 [81.1%]). Few respondents discussed clinical trials as a treatment option with their healthcare provider (8/35 [22.9%]), yet having a discussion was significantly correlated with clinical trial participation (p = 0.0302). Self-reported level of knowledge was not significantly associated with participation in a clinical trial (p = 0.3035). Healthcare providers were the preferred first source of clinical trial information, followed by an internet search. Respondents rarely cited mistrust or skepticism as a barrier to participation (2/34 [5.9%]). Subjective positive healthcare experiences were significantly correlated to positive expectations with clinical trial participation (p = 0.0242). The findings of this study suggest the essential role healthcare providers, including dermatologists, play in clinical trial education and recruitment of underrepresented populations, and that patient mistrust may be present but is a rarely cited barrier to clinical trial participation.

Этика – война – медицина: научный портрет проблемы в современных публикациях

Background: The search for the meaning of war, the justification of violence, the acceptance of guilt and other moral problems worried Russian thinkers of the 19th century. Russian religious philosophy considers morally justified only war in defense of the highest spiritual shrines, which I.A. Ilyin, N.A. Berdyaev, L.P. Karsavin, A.A. Kersnovsky and others call the defense of the home-land, life and peace. Aim: To assess research interest in the problems of ethics of war, ethics of military medicine, biomedical ethics in the intellectual field of open databases of scientific publications and offer a predictive plot of this scientific direction. Materials and methods: A comparative analysis of open databases of scientific publications RSCI, NEB, CyberLeninka was carried out. The study of literature sources in the problem field under consideration made it possible to determine the directions of the research search using vectors – keywords "ethics", "war", "military medicine". Publications from the open CyberLeninka data-base were used and analyzed as a model scientific network database. Quantitative (number of publications) and qualitative (annota-tions) indicators were studied. To identify attitudes towards the ethical problems of war, a sociological survey of medical university students was conducted, N = 154, average age of respondents (19.2 ± 1.9) years. Standards of confidentiality and autonomy were respected for respondents. Results: An analysis of the distribution of scientific publications by area of the international OECD classifier demonstrates the in-terest of researchers in the problem field of "Philosophy, ethics, religious studies" in 2020–2024. In all search options (using the key-words "War and Ethics", "War and Medicine", "Military Medicine") there are a larger number of publications in this area than in other social or sociological sciences. In the search query "war and ethics", there were 2 times more such publications than others. A pilot sur-vey of future doctors confirms the interdisciplinary connection between the ethics of war and medicine. Conclusion: The study demonstrates modern scientific interest in the ethics of war when studying problems related to war and mili-tary medicine. It would be of interest to conduct a more detailed study of the relationship between the ethics of war and medical ethics (bio-ethics) as an element of the ethical training of future doctors for professional activities in extreme conditions of peace and war.

Designing, piloting and evaluating (through a matched pre- and post-implementation survey) a targeted e-learning resource on antimicrobial resistance for public health professionals.

Antimicrobial resistance (AMR) is a significant global public health threat and key priority for the public health, especially health protection, workforce to lead by example. There is a paucity of learning resources on this for public health professionals (PHPs) in the UK. This project aimed to develop and disseminate a tailored interactive learning resource and evaluate impact on self-reported intention to change behaviour. Learning objectives were agreed, content developed by the multi-disciplinary team and piloted by PHPs in 2022 alongside a matched pre- and post-implementation evaluation survey. Questions were mapped to the capability-opportunity-motivation-behaviour change model. Before and after responses were calculated to compare change in self-reported knowledge, understanding and behaviour. Significance of change in binary responses was estimated. The resource was delivered using an interactive, user-friendly and cost-free internal platform. Thirty-one PHPs completed the pilot e-learning and survey. Perceived and actual knowledge increased in parallel. Actual knowledge on AMR burden increased from 6.45 to 35.48% (P = 0.004). Self-reported confidence to explain AMR to others improved by 0.71 (95% CI; 0.38-1.04: P = 0.0001) Likert points on a five-point scale. Motivation to advocate for antimicrobial stewardship (AMS) in day-to-day work, improved by 0.71 (95% CI; 0.34-1.08: P < 0.00001) Likert points. Case scenarios were well-received as an effective way to apply theory to practice. Ensuring a well-informed and confident public health workforce is vital for reducing the AMR threat and advocating for AMS with the public and partner organizations. This targeted e-learning module is an effective additional learning medium in contributing to PHPs knowledge, understanding and self-reported intention to change behaviours.