Planning Team Research Articles

Anesthetic Management of Cesarean Delivery for a Parturient With Dextro-Transposition of the Great Arteries Post-Senning Procedure: A Case Report

The Senning procedure is a palliation technique for addressing dextro-transposition of the great arteries; deoxygenated blood is redirected to the left ventricle, making the right ventricle the systemic ventricle. The physiologic increase in cardiac output during pregnancy may place additional stress on the right ventricle and given the existence of atrial scar tissue, trigger arrythmias. Because the technique was gradually abandoned starting in the 1970s, few remaining patients of child-bearing age remain. We emphasize here the importance of interdisciplinary team planning for delivery. Preparation for possible arrhythmia and potential decompensation in right ventricular function are essential.

Pedagogical responsiveness: Focus on the Ukuqonda institute’s mode of engagement in mathematics

This paper was prompted by mathematics teachers’ challenges in implementing the proposed framework that centres on teaching for understanding, as opposed to teaching aimed at producing marks as evidence of achievement. Teaching for understanding in mathematics, among other factors, requires the creation of engaging and inclusive learning environments underpinned by teachers’ pedagogical responsiveness to the diverse needs of learners. We investigated pedagogical responsiveness, focusing on the Ukuqonda Institute’s mode of engagement in mathematics. We specifically pursued two research questions: 1) What are the key elements of the Ukuqonda Institute’s mode of engagement in mathematics? and 2) What characterised the pedagogical responsiveness of mathematics educators at the Ukuqonda Institute? We adopted collaborative autoethnography and used two data sets generated from audio recordings captured by the authors. We employed narrative analysis and organised the findings using the characteristics of pedagogical responsiveness as heuristic devices. The findings show that the participants’ pedagogical responsiveness was stimulated by the iterative process of team planning, deliberate implementation, and reflection. The prevalent characteristics were learner interactions, learner focus, inclusivity, dialogue and relationality, knowledge work, social justice, and equity. We recommend that similar studies be conducted targeting pedagogical responsiveness with a focus on other mathematical themes. Furthermore, this study suggests that, to remain pedagogically responsive, there should be constructive alignment among the types of tasks, questions, classroom interactions, and targeted content that underpin mathematics teaching and learning across different educational levels.

Project Time Management and Performance of Kenya Towns Water Supply and Sanitation Programme at Central Rift Water Works Development Agency.

The general objective of the study was to examine the influence of Project time management on the performance of Kenya Towns Water Supply and Sanitation Projects at Central Rift Water Works Development Agency specifically the study. The study was anchored by pickle jar theory, theory of constraints, theory of effective project implementation and communication theory. A descriptive survey design was used in this research. The study targeted project managers, consultants, coordinators, engineers, contractors, community representatives, and representatives from the Ministry of Water and Irrigation in three projects under the Kenya Towns Water Supply and Sanitation Programme, carried out by the Central Rift Valley Water Works Development Agency. The counties involved are Narok and Nyandarua. A sample size of 83 respondents was used. The participants in the study were chosen using a simple random selection method. Data was collected using a questionnaire and interview schedule. The analysis was both qualitative and quantitative. Quantitative data collected was analysed using Statistical Package for Social Sciences version 25. The study analysed both descriptive and inferential statistics. Thematic analysis was used to analyse qualitative data collected from the interview schedule. The analysis revealed a Pearson correlation of (r=0.512, p<0.05). This indicated a moderate positive and significant relationship between project time planning and the performance of Kenya Towns Water Supply and Sanitation Projects. The also showed a Pearson correlation of (r= 0.553 p<0.005) which indicates a positive and significant relationship, suggesting that effective prioritization of time-related tasks plays a crucial role in enhancing project performance. Additionally, the correlation analysis for time tracking yielded a Pearson correlation of (r=0.390 p<0.005). This suggests a moderate positive and statistically significant relationship between time tracking and project performance. Lastly, the study revealed the impact of project team communication on performance, finding a Pearson correlation of (r= 0.672 p<0.005). This indicated a strong positive and significant relationship, suggesting that effective communication among project teams significantly enhances performance outcomes. The findings indicated that 45.1% of the variation in the performance of the project could be explained by the independent variables studied, while 54.9% of the variation is attributed to other factors not covered in this study. The study concluded that project time planning, time prioritization, time tracking, and project team communication had an effect performance of Kenya Towns Water Supply and Sanitation Projects at Central Rift Water Works. The study recommends implementing structured time planning methods, enhancing time tracking, and fostering effective communication within teams to improve project performance. Future research should explore stakeholder engagement and the role of emerging technologies in water project management

Penyusunan rencana kontinjensi epidemi penyakit menular disebabkan oleh virus di Kota Banda Aceh [Development of contingency plan for infectious disease epidemics caused by viruses in Banda Aceh City

Contingency Plan for Outbreak/Epidemic Disaster in Banda Aceh City is a document that contains the process of identifying and preparing future plans based on potential disaster conditions. The purpose of making a Contingency Plan document that becomes a reference in the disaster outbreak/epidemic of Infectious Diseases Caused by Viruses in the City of Banda Aceh. Method The preparation process involved all disaster management institutions and actors, both government and non-government. The scope of activities carried out are: Technical Team Meeting, Public Seminar, and Plan Finalization. The results obtained by the issuance of the Banda Aceh Mayor's Regulation for the Contingency Plan for the epidemic of infectious diseases caused by viruses in the city of Banda Aceh which is regulated in a Banda Aceh Mayor's Regulation No. 68 of 2021 concerning the Contingency Plan for the Epidemic of Infectious Diseases Caused by Viruses in the City of Banda Aceh. In conclusion, Banda Aceh City has realized preparedness for the threat of epidemics of diseases caused by viruses by involving multi-sectors. To improve the function and sustainability of the document, data updates and projections of resource needs are needed to support the implementation/activation of the contingency plan that has been prepared.

Influences of Specialist Palliative Care Team Input, Advance Care Planning, Non-Invasive Ventilation and Gastrostomy Status on Unscheduled Hospital Admissions and Place of Death for People with Motor Neuron Disease: A Retrospective Cohort Analysis.

Motor neuron disease is a rapidly progressing neurological condition. People with life-limiting conditions generally prefer to die at home and avoid hospital admissions, with Specialist Palliative Care Team involvement often pivotal. Our aim was to investigate the role of advance care planning, Specialist Palliative Care Team input and other relevant variables on place of death and unscheduled hospital admissions in a Scottish population of people with motor neuron disease. Methods: National CARE-MND audit data, primary and secondary care data, and local Palliative Care records were interrogated. Chi-square, point-biserial correlation and binary logistic regression analysed associations (p < 0.05 statistically significant). Participants (188) were deceased, having a verified motor neuron disease diagnosis between 2015-2017, diagnosis occurring ≥28 days before death. Results: Advance care planning and Specialist Palliative Care Team input of ≥28 days were associated with increased odds of dying outside hospital (BLR:OR 3.937, CI 1.558-9.948, p = 0.004 and OR 2.657, CI 1.135-6.222, p = 0.024 respectively). Non-invasive ventilation decreased the odds of dying outside hospital (BLR:OR 0.311, CI 0.124-0.781, p = 0.013). Having a gastrostomy increased odds of ≥1 admissions in the last year of life (BLR:OR 5.142, CI 1.715-15.417, p = 0.003). Statistical significance was retained with removal of gastrostomy-related complications. Conclusion: Early Specialist Palliative Care input and advance care planning may increase the likelihood of death outside of hospital for persons with motor neuron disease. Further research is warranted into barriers of facilitating death outside of hospital with home non-invasive ventilation use and the association between gastrostomy status and unscheduled admissions.

Abstract B095: Evaluating the research experiences and outcomes of pre-pilot and pilot awardees of a U54 regional cancer partnership: Success, challenges, and solutions

Abstract Purpose: The Synergistic Partnership for Enhancing Equity in Cancer Health (SPEECH) is a regional, comprehensive cancer health disparity initiative jointly led by Temple University/Fox Chase Cancer Center and Hunter College (TUFCCC/HC). This partnership is supported by a U54 grant from the National Cancer Institute. In this study, we present the successes of the Pre-Pilot and Pilot Projects funded by the U54 Partnership Matched Fund. Additionally, we discuss the challenges encountered in the award process and propose solutions to enhance this process for current and future recipients. Background: One of the key components of SPEECH - the Synergistic Partnership for Enhancing Equity in Cancer Health - is to provide rigorous and robust multidisciplinary cancer disparities research education experiences and mentorship to graduate, post-doctoral, and junior faculty trainees in cancer and cancer health disparities research. So far, through the SPEECH U54 Partnership Matched Fund provided by the Partnership institutions, SPEECH has successfully funded a total of 63 studies, including 35 pre- pilot and 28 pilot projects. Methods: The Planning and Evaluation Core (PEC) team conducted virtual face-to-face interviews and surveys with open-ended questions with 8 awardees. We also connected video testimonials from the awardees. The main goal was to understand the awardees' experiences in applying for, implementing, and evaluating their projects funded under the U54 Partnership. Results: Preliminary results showed five areas of successes, including improved research skills, advanced career in cancer health disparities research, expanded professional network, foster a sense of belonging and scientific identity, and facilitating scientific collaboration and integration across disciplines and institutions. Specifically, awardees mentioned gaining experience with the grant writing process and transitioning to an independent investigator, encompassing tasks such as data collection and manuscript development, and research dissemination, which helped to expand their professional portfolio. Awardees also highlighted receiving mentorship that championed for career advancement and opportunities for professional awards. We also identified four main areas for improvement in the solicitation and implementation process of the awards. These include improving the comprehensibility of the application process, timelines, budget, and other outputs. We also identified the opportunity to augment the networking channels for mentors and collaborators of the SPEECH partnership. Conclusion: As we continue our interviews and surveys with additional awardees, we will analyze the qualitative data collected to identify how to improve the award mechanism for current and future cohorts. We plan to help facilitate the proper improvements and continue to re-evaluate the award process. Citation Format: Jade A. Truehart, Elisabeth Russell McKenzie, Cicely Johnson, Grace X Ma, SJ Dodd, Lin Zhu. Evaluating the research experiences and outcomes of pre-pilot and pilot awardees of a U54 regional cancer partnership: Success, challenges, and solutions [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B095.

Multidisciplinary team approach in management of anterior spinal dysraphism with unusual presentation: case series and surgical approach

ObjectivesTo report our experience with three cases of anterior lumbosacral meningocele with our multidisciplinary team plan and perioperative management and surgical approach for each case.BackgroundAnterior meningocele is a rare congenital form of spinal dysraphism that involves protrusion of the theca anteriorly into the retroperitoneal and presacral space through an anterior defect.MethodThree cases with anterior meningocele at different spinal levels (lumbar and sacral) were operated at Neurosurgery Department at Assiut University hospital from June to November 2020 with multidisciplinary management plans that were tailored separately for each case.ConclusionAnterior meningocele is a rare form of spinal dysraphism and a challenging congenital anomaly that requires proper diagnosis and selection of surgical approach. Our case series outlines the importance of multidisciplinary team approach for tailoring perioperative management and surgical approach with intraoperative important steps.

ThP1.4 - Evidence-Based Perioperative Improvements in Microvascular Breast Free Flap Reconstruction: An Audit-Centric Evaluation &amp; Retrospective Cohort Study

Abstract Aim This audit aimed to evaluate and improve the results of microvascular breast free flap reconstruction by implementing an enhanced perioperative care approach. Method All microvascular breast free flap reconstructions between June to August 2023 were included. Additionally, a three year retrospective review was conducted in adherence to ABS and the BAPRAS guidelines. Our team plans to introduce an evidenced-based modified Enhanced Recovery After Surgery (ERAS) protocol via MDT collaboration with a focus on pre-operative and post-operative care to improve postoperative outcomes. Results During June – August 2023, 22 flaps were performed with an average length of stay (LOS) of 5.47 days (target &amp;lt;3d). There were no unplanned readmissions, an 18% return to theatre (RTT) rate and a total complication rate of 18%. Over the past three years, out of 323 flaps, there was a 13% RTT rate with no unplanned readmissions. Suggested modifications to reduce length of stay include pre-surgical counselling and nutritional loading. Post-operatively, using a multi-modal opioid sparing analgesia (MOSA) regime, along with laxatives, early mobilisation and feeding has proven to enhance recovery. Pre-admission patient optimisation, VTE and perioperative antibiotic prophylaxis have been shown to reduce rates of flap failures and post-operative complications. Effective wound care, post-discharge support and physiotherapy are also crucial in accelerating recovery and preventing readmissions. Conclusion Implementing these ERAS modification to our current protocol is predicted to significantly improve post-operative recovery, thus improving surgical outcomes. This underscores the potential for continual improvement in patient care through an efficient evidence-based perioperative pathway.

A qualitative exploration to inform an oral health training for disability care workers in Burkina Faso.

To explore enablers and barriers to the creation of an oral health training for care workers at specialized centres for children with disabilities in Ouagadougou. This was a formative study informed by the Theoretical Domains Framework using qualitative methods. Qualitative observations and 14 semi-structured interviews were conducted with care workers from six specialized centres for disability. Carer workers emphasized that a successful oral health training must account for available resources and competencies in each specific centre. Part of the training must be dedicated to oral hygiene targeted for people with disabilities and provide knowledge about risk factor management. Care workers must be empowered through the training with practical skills and tools to manage regular toothbrushing and identify oral health needs of their dependents. This study gathered valuable and unique perspectives about the roles of care workers of children with disabilities in Ouagadougou and underscores the need for improving access to oral health and care services for children with disabilities in low-resourced settings. Teams planning oral health promotion activities in low resourced settings for vulnerable population groups can benefit from the methodology and results of this research for ensuring their interventions are appropriate and relevant. This is a unique field study conducted in a scarcely researched area of caregiving practices for children with disabilities in a low-income country, Burkina Faso. Results from the disability centre observations and interviews with local caregivers are of great value to any team planning health projects in similar low-resourced settings. Psychiatric and mental health nursing practices are highly context-dependent, thus using proposed qualitative methods can help to ensure that planned interventions are appropriate and relevant. There was no patient contribution in this study.

Peningkatan Kapasitas Bisnis AgroEcofarm pada Kelompok P4S Tani Makmur Jaya

Gogodeso Village consists of settlements, moorland, people's plantations, rice fields with a village area of 383 Ha. In general, livelihoods are identified into several sectors, namely agriculture (mostly), services/trade, industry and others. One of the farmer empowerment programs is the Tani Makmur Jaya Self-Help Agricultural and Rural Training Center (P4S). In its activities, P4S consistently and routinely develops organic farming, one of which is making organic fertilizer and carrying out healthy cultivation practices. However, they experienced problems with production, management and human resources and marketing. The implementation methods used are: (1) Planning (2) Administrative preparation and team coordination (3) Socialization of Organic Fertilizer (4) Training in Making Organic Fertilizer (5) Management and marketing training (6) Mentoring (7) Supervising related production activities and post-production (8) Evaluation (9) Program sustainability. Community-based empowerment activities in increasing the capacity of AgroEcofarm-based businesses at P4S Tani Makmur Jaya can run smoothly, including the transfer of organic fertilizer technology, transfer of business management and human resources and transfer of marketing branding. In making fertilizer, production can be increased by 2000 bottles of POC/year and 2000 sacks/year of solid organic fertilizer respectively. Apart from that, there are new brands for P4S fertilizer, namely POC Orchomi and Biokosh for solid organic fertilizer.

Implementation of the TALK© clinical self-debriefing tool in operating theatres: a single-centre interventional study

BackgroundDebriefing in operating theatre environments leads to benefits in mortality, efficiency, productivity, and safety culture; however, it is still not regularly performed. TALK© is a simple and widely applicable team self-debriefing method to collaboratively learn and improve. MethodsAn interventional study introducing TALK© for voluntary clinical debriefing was carried out in operating theatre environments in a UK National Health Service hospital over 18 months. It explored compliance with the Five Steps to Safer Surgery and changes in behaviour in surgical teams regarding consideration and completion of debriefing. ResultsTeam briefing and compliance with the WHO surgical safety checklist were performed consistently (>95% and >98%, respectively) throughout the study, which included 460 surgical lists. Consideration of debriefing increased at all data collection periods after intervention, from 35.6% to 60.3–97.4% (P≤0.003). Performance of debriefing, which was 23.3% at baseline, reached 39% at 6 months (P=0.039). Team planning of actions for improvement during debriefing also increased (P<0.001). A decline in performance of debriefing and subsequent improvement actions was observed after 6 months, albeit rates were above baseline at 18 months. The most reported reason not to carry out a debriefing was ‘lack of issues’. After implementation, nurses and allied healthcare professionals increased their contribution to initiating and leading debriefing. Reported barriers were <18% at baseline, and decreased after intervention. ConclusionsA simple intervention introducing TALK© for voluntary debriefing in theatres prompted significant changes in team behaviour and sustained growth regarding consideration and performance of debriefing, especially in the first 6 months.

Adaptive virtual team planning and coordination: a mathematical programming approach

Purpose The rise of remote work increasingly requires organizations to coordinate a single large, consolidated talent pool into ad-hoc, short-term project teams on demand. This problem involves many simultaneous considerations including project revenues and rejection costs, conflicting projects and roles, worker assignment costs, worker utilization preferences and limits, worker reassignment costs, and arbitrary role start and end times. Moreover, plans must be continuously updated in response to changing circumstances. This paper addresses the problem of dynamic virtual team planning and coordination. Design/methodology/approach We show this problem is NP-hard and provide a dynamic mixed integer linear programming (MILP) formulation for both optimal initial plan generation as well as continuous plan adjustment and re-optimization. We utilized a factorial experiment design to generate benchmark problems spanning a wide range of characteristics and conducted extensive computational experimentation using a common MILP solver. Findings Exactly optimal solutions to large, realistically sized problems were consistently obtained in short amounts of time. All observed solution times were sufficient to support the operational decision-making requirements of real-world virtual team coordination, demonstrating the viability of this approach. Practical implications The approach developed in this research can enable organizations to optimally coordinate virtual teams on a large scale and continually adjust plans in response to changing circumstances, all in an automated manner. Originality/value This paper addresses a new and complex problem of increasing importance to organizations due to the rise in remote work. We provide a problem formulation and exact approach for optimally solving both the planning and re-planning aspects of this problem.

PKM Penggunaan Teknologi Augmented Reality Pelajaran Biologi Untuk Meningkatkan Pemahaman Siswa SMA

Biology is a science that studies everything about everyday life, such as living things, health, the environment, and biology can also be used to solve problems that occur in everyday life. One of the things that is discussed in biology is viruses. A virus is a living creature with parasitic properties, which means that the life of this living creature depends on other living creatures by infecting the cells of other living creatures. Studying biology at high school level is considered quite important because it is considered to be an opportunity for students to get to know themselves, the environment and the living creatures around them. Based on interviews conducted with Mr. Tisnawan as one of the biology subject teachers at SMA Negeri 8 Denpasar, the results showed that there are challenges in studying the structure and shape of viruses which can influence students' interest in learning, such as the abstract shape of viruses, lack of variation in learning media, and limited equipment and practical space such as microscopes and others. Therefore, the service team plans to introduce teachers and students to the use of Augmented Reality in learning media where the topic used is the structure and shape of viruses in class X high school material. Assistance to teachers and students in using Augmented Reality applications needs to be provided so that teachers and students can use them well. Apart from that, this assistance is also expected to increase teachers' digital literacy in using technology in learning.

A proposed quality control process for front-end planning to minimize risk of field change orders in underground electrical construction

Controlling capital costs and cost overruns due to construction field change orders (FCOs) is essential for the electric power industry to provide affordable energy services. Conversion from overhead to underground systems due to security and climate change factors will increase the risk of FCOs due to site conditions. The failure in collaboration by front-end planning (FEP) teams can increase risk of FCOs due to missing scopes, errors in design, lack of existing field condition evaluation, constraints on the project schedule, or unexpected field conditions, among other causes. This study involved development of a quality control process that enables members of the FEP team to vote their confidence levels about risk control of FCOs before proceeding to final design. The proposed process utilized Analytical Hierarchy Process (AHP) methodologies to distribute the weights of stakeholder votes based on responsibilities for each category of FCOs to obtain an integrated metric of FEP team confidence. Data from an operational electric power utility was used to provide a case scenario approach and to illustrate the method. Three actual projects were analyzed to assess how well the process would have worked for them. The novelty of the proposed model is to enhance the effectiveness of collaborative working relationships across teams during the FEP process and to provide a quality control metric to capture risk of FCOs in the early phase to minimize cost overruns in the project execution phase.

Exemple d’une équipe territoriale de niveau 3 (« recours ») dans le TDAH : l’Équipe de Coordination Lyonnaise des troubles de l’Attention et de l’Hyperactivité (ECLAH)

BackgroundAttention Deficit Hyperactivity Disorder (ADHD) affects 6% of children and 3% of adults, representing approximately 481,600 youths and 240,800 adults in the Auvergne-Rhône-Alpes region. Despite its prevalence, the French national strategy for neurodevelopmental disorders (2023–2027) highlights the lack of dedicated healthcare pathways for ADHD and the challenges in accessing diagnosis, treatment, and psychosocial rehabilitation. In Auvergne-Rhône-Alpes, the discordance between the significant public health issue posed by ADHD and the local healthcare resources has often led to misdirection and congestion of specialized hospital teams. This situation persists despite the well-documented medical and societal complications of untreated ADHD. At the Vinatier Hospital in Lyon, several specialized teams offer expertise in ADHD for children and adults, but there was no specific team dedicated to ADHD until recently. The Lyon ADHD Coordination Team (ECLAH)Formed in November 2023 at the initiative of professionals from the Vinatier Hospital, ECLAH is a multidisciplinary team comprising psychologists, neuropsychologists, psychiatrists, child psychiatrists, addiction specialists, pharmacists, project managers, and clinical research associates. ECLAH aims to meet the national strategy's requirements for ADHD in the Auvergne-Rhône-Alpes region by coordinating care networks, providing information, training, care, and conducting research in the field of ADHD. ECLAH functions as a resource team, complementing existing structures without replacing them, and focuses on specialization and expertise in ADHD to enhance ongoing efforts. Training MissionThe team contributes to the “Inter-University Diploma in ADHD across all ages” (DIU). The training “ADHD: From Screening to Support” equips healthcare professionals with the knowledge and tools necessary for ADHD diagnosis and treatment. The “DIVA Adult 5.0: Diagnostic Goal!” training focuses on diagnostic reasoning and interviewing techniques for ADHD evaluation. These programs adhere to current scientific data and ADHD guidelines from recognized scientific societies, with a Qualiopi® certification pending for continuous medical education validation. Following training, professionals receive implementation support through multidisciplinary guidance meetings. Coordination and Information MissionECLAH is organizing a care network for ADHD in Auvergne-Rhône-Alpes, collaborating with general practitioners, health and educational institutions, medico-social establishments, penitentiary care, expert centers, and patient associations. The team provides information and guidance to institutions and professionals seeking ADHD-related resources either directly or through its developing website. The team maintains adherence to scientific data and best practice recommendations (RBPP) in the region, fostering expertise through awareness, training, tele-expertise, and multidisciplinary concertation meetings. ECLAH also coordinates with national ADHD organizations, contributing to the harmonization of practices and the development of ADHD guidelines. Care MissionECLAH offers third-line or “recourse” consultations for children and adults with complex cases requiring diagnostic or therapeutic support. These consultations, often involving differential diagnoses and comorbidity assessments, are conducted in partnership with specialized units such as the Center for the Evaluation of Language, Learning, and Attention Disorders (CETESLA) for child psychiatry and the University Addiction Service of Lyon (SUAL) for adults. ECLAH also provides psychoeducation and therapeutic education groups for individuals with complex ADHD or contraindications to medication. A support group for caregivers is planned, leveraging the “BREF” psychoeducation program. Research MissionECLAH engages in medical research, focusing on ADHD characteristics in women by hormonal status, the cessation of methylphenidate treatment in adolescents, links between asthma and ADHD, and screening for ADHD in high-level young athletes. ConclusionECLAH is a third-level territorial team supporting professionals and their ADHD patients in Auvergne-Rhône-Alpes. By coordinating the regional care network, ECLAH enhances the existing care structures, ensuring access to reliable ADHD information and treatment pathways. The team plans to introduce a psychoeducation group for families and prioritize ADHD detection in penitentiary settings for both adults and youths.

Using Wargaming to Model Cyber Defense Decision-Making: Observation-Based Research in Locked Shields

Defensive Cyber Operations (DCO) in complex environments, such as cyber wargames, require in-depth cybersecurity knowledge and the ability to make quick decisions. In a typical DCO, execution rarely follows a pre-planned path because of extensive adversary influence, challenging an already complex decision-making environment. Decision-making models have been extensively studied from perspectives of military operations and business management, but they are not sufficiently researched in the context of cyber. This paper responds to this need by examining the decision-making models of DCO leaders in a live-fire wargame environment. This study was conducted by observing leaders of cyber operations during the world's largest live-fire cyber exercise, NATO Locked Shield 2023. In this exercise, the blue teams plan and execute their defensive cyber operation in a realistic operational environment, while the red team conducts attacks against the defended environment. The large-scale, wargaming-style environment of Locked Shield is one of the best environments for modelling DCO decision-making models; in this exercise, the DCO is broad and multi-faceted, a perspective which cannot be achieved in a typical capture-the-flag competition or a single security incident. DCO leaders must be able to manage two distinct decision-making processes with different sets of required skills to be successful in the mission. While the primary process relates to the execution and evolution of the pre-designed plan with traditional operational leadership skills, the secondary process deals with unplanned and deliberately caused cyber-related events that require a deep understanding of cybersecurity. In this respect, the main contribution of this research is the constructed decision-making model of the DCO leader. This model is based on observations collected and presented in the context of multiple well-known decision-making frameworks. This model can be further used to train future DCO leaders and assess artificial intelligence's usability to support and automate decision-making in such operations.

A Red Team automated testing modeling and online planning method for post-penetration

Post-penetration red team automation testing effectively addresses the pain points of traditional manual red teams, including manpower, time costs, and the high level of professional knowledge required, thereby improving the efficiency and effectiveness of red team penetration testing. However, introducing automation technology into the red team testing domain still faces numerous technical challenges. These challenges include accurately simulating real attack environments, coordinating complex attack actions, and effectively resolving uncertainties during the attack process. These challenges remain critical issues that require urgent solutions. In this context, we propose a post-penetration-oriented automated red team penetration test modeling and planning approach. The objective of this approach is to automatically generate attack paths, coordinate attack behaviors, and adjust attack behaviors based on feedback, enabling attacks on real target networks through corresponding operations. We conducted analysis and performance testing on our solution, comparing it with other available planners. Our experimental results demonstrate the effectiveness of the proposed planner in achieving automated penetration testing. Compared to other available planners, ours can generate valid attack paths more quickly and exhibits excellent performance in planning effectiveness and quality. Furthermore, our planner possesses wide applicability across various penetration testing scenarios.

SOSIALISASI LITERASI DAN LEMBAGA KEUANGAN SYARIAH PADA MASYARAKAT DESA SUKABUNGAH

This community service activity aims to educate the public about sharia finance. The main target of this sharia financial literacy socialization activity is the community in Sukabungah Village, Bojongmangu District, Bekasi Regency. The activities were carried out in the form of seminars by the community service implementation team at Islamic University 45 Bekasi. from the results of observations and interviews, the existence of Bank Emok (Lentenir) in Sukabungah Village still exists today, this is proven by the fact that 60% of the community is ensnared by loan sharks and even online loans (pinjol) this occurs because of the lack of understanding of the people of Sukabungah Village regarding sharia finance. . Therefore, in Community Service activities, the service team plans to carry out outreach through seminars related to sharia finance. After holding sharia finance socialization activities through seminars, the Sukabungah village community gained new knowledge about sharia finance, thereby increasing knowledge and information about sharia finance, managing and managing finances well and being aware of the negative effects of using loan sharks and interest-bearing loans.

Edukasi Mengenai Pemanfaatan Minyak Jelantah Menjadi Sabun Cuci Piring di Kelurahan Joyosuran Surakarta

Cooking oil that has been heated three times is very dangerous for human health if reused, but if it is thrown away directly it can pollute the environment, such as blockages in sewer pipes, pollution of clean water, river pollution and soil pollution. This community service activity aims to increase motivation and equip residents, especially housewives, in processing cooking oil waste, which was previously liquid waste that could pollute the environment. This service activity includes several stages, namely the service team planning, coordinating with the PKK Chair in Joyusuran Village, socializing and the process of making soap products from used cooking oil. This activity simulates processing used cooking oil into solid laundry soap as an environmentally friendly product and can reduce environmental pollution due to disposal of used cooking oil.

Developing a Dyslexia Diagnostic Team: A Feasibility Project

Purpose: Dyslexia, a neurobiological phonological processing deficit, can be identified early; however, there is a substantial variation between and within states regarding who makes this diagnosis and when. Dyslexia evaluations are often challenging to obtain and very expensive for families who need to seek them outside of the school setting. The purpose of this study was to determine the feasibility of developing a free dyslexia diagnostic team within our university speech and hearing clinic. Method: We developed a team of academic and clinical faculty and students at the doctoral, master's, and undergraduate levels. We developed a 6-hr (1 day) testing battery and recruited families via social media. Children needed to be between the ages of 8 and 11 years and reported to have classroom difficulty related to word reading and/or spelling. Results: We were able to create a strong and successful team, testing battery, and recruitment plan. Master's students were interested in the opportunity and families drove between 246 and 453 miles to participate. We allocated enough time in our summer schedule for all parties. However, we have concerns about the sustainability of this program, especially during the academic year. Conclusions: Broadly, this dyslexia diagnostic team is a feasible endeavor. There was internal and external community interest. We identified small and solvable barriers related to debriefing and test interpretation. We also identified larger issues related to funding, faculty availability, and student support.