Technical Team Research Articles

Operational challenges in the pre-intervention phase of a mental health trial in rural India: reflections from SMART Mental Health

BackgroundAvailability of mental health services in low- and middle-income countries is largely concentrated in tertiary care with limited resources and scarcity of trained professionals at the primary care level. SMART Mental Health is a strategy that combines a community anti-stigma campaign with a primary health care workforce strengthening initiative, using electronic decision support with the goal of better identifying and supporting people with common mental disorders in India.MethodsWe describe the challenges faced and lessons learnt during the pre-intervention phase of SMART Mental Health cluster Randomised Controlled Trial. Pre-intervention phase includes preliminary activities for setting-up the trial and research activities prior to delivery of the intervention. Field notes from project site visit, project team meetings and detailed follow-up discussions with members of the project team were used to document operational challenges and strategies adopted to overcome them. The socio-ecological model was used as the analytical framework to organise the findings.ResultsKey challenges included delays in government approvals, addressing community health worker needs, and building trust in the community. These were addressed through continuous communication, leveraging support of relevant stakeholders, and addressing concerns of community health workers and community. Issues related to use of digital platform for data collection were addressed by a dedicated technical support team. The COVID-19 pandemic and political unrest led to significant and unexpected challenges requiring important adaptations to successfully implement the project.ConclusionSetting up of this trial has posed challenges at a combination of community, health system and broader socio-political levels. Successful mitigating strategies to overcome these challenges must be innovative, timely and flexibly delivered according to local context. Systematic ongoing documentation of field-level challenges and subsequent adaptations can help optimise implementation processes and support high quality trials.Trial registration: The trial is registered with Clinical Trials Registry India (CTRI/2018/08/015355). Registered on 16th August 2018. http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=23254&EncHid=&userName=CTRI/2018/08/015355

The ArchTerr Project—A GIS-Based Integrated System for Cultural and Archaeological Heritage Protection (Pilot Phase Tested in Romania)

This paper presents the results of an experimental-demonstrative research project summarizing three integrated products: an interactive digital map; a reference and record keeping database system; and a set of procedures to enforce the unified application of archaeological heritage protection legislation in Romania. The web-based application constitutes a permanent working tool available to the Romanian Ministry of Culture territorial branch offices, and is freely accessible to specialists and other entities involved in the protection of archaeological heritage, and even to private investors interested in development on land areas having archaeological heritage. The application brings together the organization, systematization, and digitization of all available information about archaeological sites at the national level. This information is otherwise difficult to access because it is structured differently in terms of quantity and quality of data, and stored using different media and formats in several types of non-interconnected institutions. The ArchTerr application significantly reduces the time required to inform, verify, and communicate a decision regarding the presence or absence of archaeological heritage on a particular site. The application ensures the dynamic and automatic real-time bidirectional conversion of geospatial information (Stereo70 and WGS84), and access to unitary and level-structured information, and provides interoperability with other information systems. High-resolution maps allow the non-professional user/investor to access detailed geospatial information about a delimited area, in a timely manner and without the need for field travel, which is a unique feature not found in other European record systems concerning archeological sites. The functionalities of the application developed within the research project, the technical decisions taken, and their implementation method are generally valid. They can be applied in any geographical region because the open source maps used by the technical team cover the world map and the coordinate system used for representation is international. The testing and validation of these functionalities were undertaken using real archaeological data from Romania (data already included in the national heritage representing archaeological sites).

Strategic plan to achieve the SDGs in South Brazil: evidence from the Regional Development Council articulated with the 2030 Agenda

The Regional Development Councils (Coredes), created in 1994, have become spaces for discussion of public policies, promotion of governance, and citizen participation in the multiple areas in which the public power operates. In this task, the Councils assume the work of elaborating the strategic plans of regional development. The 28 Coredes of the state of Rio Grande do Sul, Brazil, promote this work responsibility and periodically carry out its evaluation and eventual correction every 10 years, financed by the state government. The last review process, which ended in July 2017, was a process carefully handled by a team of technicians from a university. Universities contribute as articulators to achieve Sustainable Development Goals. This study aims to analyze the methodologies used in this participatory process, the strategies defined, and the proposed projects linked to the 2030 Agenda by the United Nations. From the diagnosis, it was possible to identify the potentialities and challenges for Strategic Development Planning in the region. The following are themes of the Sustainable Development Goals: health, education, infrastructure, and production, among others.

Retribusi Izin Mendirikan Bangunan dan Permasalahannya Studi pada Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kota Medan

This study aims to determine the process of obtaining a Building Permit (IMB) and the administration of a Regional Levies Determination Letter (SKRD) which is often not paid by the applicant, resulting in a levy receivable at the Medan City Investment and One Stop Service Office. This study uses an exploratory qualitative analysis method. Qualitative data was obtained by means of interviews, observations and documentation studies and the validity and reliability of the data were determined by data triangulation, then the data obtained would be analyzed thematically and interpreted to draw conclusions. The results showed that the processing of the IMB issuance experienced a delay in the processing of files by the IMB technical team so that it had implications for the delay in the issuance of the IMB document. Another consequence that occurs is the loss of potential regional income from IMB retribution due to delays. Receivables due to levies occur because the applicant does not pay the IMB SKRD at the bank according to the stipulated time.
 Keywords: Building Permits, processing of regional levy determination letters, accounts receivable

Retribusi Izin Mendirikan Bangunan dan Permasalahannya Studi pada Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kota Medan

This study aims to determine the process of obtaining a Building Permit (IMB) and the administration of a Regional Levies Determination Letter (SKRD) which is often not paid by the applicant, resulting in a levy receivable at the Medan City Investment and One Stop Service Office. This study uses an exploratory qualitative analysis method. Qualitative data was obtained by means of interviews, observations and documentation studies and the validity and reliability of the data were determined by data triangulation, then the data obtained would be analyzed thematically and interpreted to draw conclusions. The results showed that the processing of the IMB issuance experienced a delay in the processing of files by the IMB technical team so that it had implications for the delay in the issuance of the IMB document. Another consequence that occurs is the loss of potential regional income from IMB retribution due to delays. Receivables due to levies occur because the applicant does not pay the IMB SKRD at the bank according to the stipulated time.
 Keywords: Building Permits, processing of regional levy determination letters, accounts receivable

Human-Centered Explainable Artificial Intelligence: Automotive Occupational Health Protection Profiles in Prevention Musculoskeletal Symptoms.

In automotive and industrial settings, occupational physicians are responsible for monitoring workers’ health protection profiles. Workers’ Functional Work Ability (FWA) status is used to create Occupational Health Protection Profiles (OHPP). This is a novel longitudinal study in comparison with previous research that has predominantly relied on the causality and explainability of human-understandable models for industrial technical teams like ergonomists. The application of artificial intelligence can support the decision-making to go from a worker’s Functional Work Ability to explanations by integrating explainability into medical (restriction) and support in contexts of individual, work-related, and organizational risk conditions. A sample of 7857 for the prognosis part of OHPP based on Functional Work Ability in the Portuguese language in the automotive industry was taken from 2019 to 2021. The most suitable regression models to predict the next medical appointment for the workers’ body parts protection were the models based on CatBoost regression, with an RMSLE of 0.84 and 1.23 weeks (mean error), respectively. CatBoost algorithm is also used to predict the next body part severity of OHPP. This information can help our understanding of potential risk factors for OHPP and identify warning signs of the early stages of musculoskeletal symptoms and work-related absenteeism.

GOALALERT: A novel real-time technical team alert approach using machine learning on an IoT-based system in sports

In team sports, the placement of the players before and during the competition/match is very important in terms of tactics. Wrong formation and tactics can directly cause losing the match. In certain parts of the match, the technical team can change the formation of the players according to the tactics. In addition to formation in soccer, there are internal and external parameters to be considered. By using all these parameters, some tactical inferences and predictions can be made during the match. In this paper, a model that provides information and alerts to the technical team about the occurrence of the goal by using machine learning methods on an IoT-based infrastructure is proposed. The data to be obtained from the players through the IoT system is obtained from the FM game because of the difficulty of wearable technologies and the absence of a similar data collection system today. A federated learning concept is used to support the security of data. The proposed model is tested in the data processing area of the IoT system using formation data and some other data, and different variants of discriminant analysis, k-nearest neighbor (KNN), naive bayes, support vector machine (SVM), decision tree and ensemble learning methods. In this concept, AdaBoost, which is one of the ensemble learning methods and optimized for the most suitable parameters, has the highest performance with 87.2%.

Treatment program for ex-jailed sex offenders in Uruguay: from knowledge to policy.

In this article, we discuss the process of implementing a pilot program of the treatment of sex offenders in Uruguay. We implemented an intervention-research based on the case study method delimited in terms of institutional and thematic scenarios; a national public institution whose main objective is the socio-labor and community inclusion of formerly incarcerated people. The data collection took place between February and October 2018, through group interviews with the technical team of the program and semi-structured interviews with the directorate. We present the analyzed theoretical and technical dimensions involved in the implementation of a community-based program for sexual offenders, according to two analytical lines: the specificity of the approach towards sexual offenders and the conceptions of the key institutional actors surrounding sexual violence.

Reformasi Birokrasi Di Badan Pusat Statistik Kota Palembang

This research is a policy study that discusses the efforts of the Central Statistics Agency for the City of Palembang in implementing bureaucratic reform. Based on the results of this study, the results of research and discussion show that this study aims to analyze the implementation of Presidential Regulation Number 81 of 2010 concerning Bureaucratic Reform at the Palembang City BPS Office, and to gain an understanding of the meaning of Bureaucratic Reform for Palembang City BPS office employees. This research method is qualitative. Primary data were collected through observation and interviews, while secondary data were obtained from documentation and literature studies that were relevant to the research object. The parameters measured are based on the implementation model of bureaucratic reform from aspects that include aspects of the institution (organization), management and human resources of the apparatus. In its implementation, it still encounters various kinds of obstacles, the main obstacles are the coordination of the Palembang City BPS Technical Team is still not at the Palembang City BPS itself but is in other agencies. The process of bureaucratic reform is certainly still far from what is expected by the community. BPS Palembang City is expected to be able to solve the problems that have caused the creation of an effective and efficient government. In the end, this research shows that the implementation of bureaucratic reform at BPS Palembang City requires a more effective and efficient control and incentive system.

A Brief Clinical Study: The Use of a Custom Guide for Scapula Free Flap Harvest and Mandibular Reconstruction.

Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains a relatively underused flap choice. This article examines the novel use of a custom guide for a scapula free flap in mandibular reconstruction following resection. A case file was created involving a consultant surgeon, KLS advisor, and technical team based in Belgium. A computed tomography scan of the mandible was sent electronically to render a 3-dimensional model. Custom cutting guides for resection and scapula graft harvest were fabricated. A custom plate for fixation was also developed. The scapula free flap was successfully placed using custom guides. In this case, the use of a custom guide enabled easier harvest, manipulation, and handling of the scapula free flap into the defect. The use of new technology and computer-generated guides represents a considerable shift forward into improving precision in complex surgical procedures and reducing intraoperative time. The use of a custom guide can provide an easier means to handle and manipulate one of the largest free flaps in surgery, the scapula free flap.

Implementation of a Military Emergency Department Influenza Vaccination Program: Lessons from Failure.

ABSTRACTIntroductionInfluenza infection in the United States results in hundreds of thousands of hospitalizations and 12,000 to 60,000 yearly deaths. Influenza season sees a sharp increase in emergency department (ED) patients nationwide, as primary care offices become overwhelmed. Because the ED is unique in its reach of underserved communities, ED vaccination programs can help maximize the number of people protected by vaccination. Influenza vaccination is one of the only vaccines that occurs yearly; therefore, successes with ED distribution of the influenza vaccine can potentially be translated into efforts of vaccinating the U.S. population more efficiently against other viral illnesses, such COVID-19. There has also not been a previous description in the literature of a vaccination program being used in a military setting. The original purpose of this study was to measure the effect of an ED vaccination program on our vaccine penetration and ED length of stay as well as to analyze the impact of provider education on vaccine uptake on vaccine refusal.MethodsThis was an observational, quality improvement project in the Wright-Patterson Medical Center Emergency Department evaluating an influenza vaccination program set to last from October 1, 2020 to April 1, 2021. Patients were to be surveyed to assess prior vaccination status, identify those at high risk for influenza complications, and to measure the effects of point-of-care education on vaccine acceptance. Separate measurements included average ED length of stay and the study’s impact on how quickly the base population could be vaccinated.ResultsThe effort was determined no longer feasible on November 20, 2020 because of the significant barriers. Although no data were gathered, we were able to glean important information that is vital in future efforts to implement ED-based vaccination programs. Reasons for program failure were multi-factorial, but were mainly attributed to rapid implementation, issues with Pyxis ordering and vaccine shipments, and vaccine storage capacity. The program also lacked a multidisciplinary implementation team of nurses and technicians, which could have better anticipated critical barriers.ConclusionInfluenza has caused multiple worldwide pandemics, contributed to countless deaths, and continues to be a challenge. ED-based influenza vaccination programs have been trialed to augment the primary care system in their effort to prevent deaths from influenza. The literature has shown that these programs are cost-effective and efficacious, but significant barriers have stunted their widespread utilization. Examining the rapid implementation and failure of this program highlights the importance of implementation models, process and barrier mapping, and proper operationalization. It is also the first such program that has been trialed in a military treatment facility. In consideration of the recent pandemic, successful ED-based vaccination programs can also offer a model for additional dissemination of other vaccines, such as the COVID-19 vaccine.

Assessment of nutrition knowledge and sources of nutrition information among middle- and long-distance elite athletes in North Rift region of Kenya

Diet influences athletes performance while the foods chosen in training and competition determines how well competitors prepare and compete. Competitors should know about their nourishing objectives and how they can choose an eating technique to meet those objectives. However, there exists paucity of literature expounding on that. Many athletes have limited knowledge on matters of nutrition, and their nutrition practices do not conform to athletes' requirements. The sources of nutrition information among this group are also conflicting. The purpose of this study was to assess the nutrition knowledge and sources of nutrition knowledge among middle (800m-2500km) and long-distance (≤3000km) elite athletes in North Rift Kenya. Using already trained research assistants, a total of 30 athletic camps in Uasin Gishu and Nandi counties were visited allowing a return of 374 questionnaires. Majority of the respondents were males at 74%, results on age revealed that 47 % were between 22-28 years old and most elite athletes (55%) had an experience of 3 years and below. About 62% participated in long-distance running and 72% had attained secondary school level of education. From the nutrition knowledge scores generated, most of the athletes had adequate nutrition knowledge (above 50 %). With regard to specific questions, 51.9% had no knowledge that iron supplements should only be taken when one has iron deficiency. About three quarters (75.4%) had the right knowledge that athletes should not train on an empty stomach. The internet was the major source of nutrition knowledge information and nutritionists were least consulted on matters sports nutrition. There were no differences in knowledge among the athletes at different age groups (p =.510). Therefore, it is recommended that nutrition professionals be incorporated as part of technical team so as to ensure increased awareness among the athletes. Key words: Knowledge, Performance, Sports, Nutrition, Elite, Middle and Long Distance Athlete

Care Recommendations for the Chronic Risk of COVID-19: Nursing Intervention for Behaviour Changes.

The COVID-19 pandemic is a challenge for health systems. The absence of prior evidence makes it difficult to disseminate consensual care recommendations. However, lifestyle adaptation is key to controlling the pandemic. In light of this, nursing has its own model and language that allow these recommendations to be combined from global and person-centred perspectives. The purpose of the study is to design a population-oriented care recommendation guide for COVID-19. The methodology uses a group of experts who provide classified recommendations according to Gordon’s functional patterns, after which a technical team unifies them and returns them for validation through the content validity index (CVI). The experts send 1178 records representing 624 recommendations, which are unified into 258. In total, 246 recommendations (95.35%) are validated, 170 (65.89%) obtain high validation with CVI > 0.80, and 12 (4.65%) are not validated by CVI < 0.50. The mean CVI per pattern is 0.84 (0.70–0.93). These recommendations provide a general framework from a nursing care perspective. Each professional can use this guide to adapt the recommendations to each individual or community and thus measure the health impact. In the future, this guideline could be updated as more evidence becomes available.

Investigation of IrO2 Stability As a Cell-Reversal Mitigation Catalyst in PEMFC Anodes

In the recent years, the use of fuel cells for the propulsion of passenger vehicles and heavy-duty vehicles has gained renewed interest as alternative to internal combustion engine-powered vehicles. Particularly for the latter, the long-term durability of proton-exchange-membrane fuel cells (PEMFCs) is still a concern, which in part is governed by the catalyst layer durability during system operating conditions.1 During the operation of a PEM fuel cell system, certain transient conditions can occur that can lead to rapid degradation of the catalyst layers. On one hand, the widely studied start-up/shut-down (SUSD) phenomenon leads to significant degradation of the cathode catalyst layer due to the exposure of the cathode electrode to high potentials (>>1.0 V vs the reversible hydrogen electrode potential (VRHE)) that results from a H2/air-front passing through the anode flow field.2 On the other hand, an intermittent under-supply of hydrogen to one or several cells of a PEMFC stack can lead to a so-called cell-reversal (CR) event, resulting in the oxidation of the carbon support of the anode catalyst and in the subsequent collapse of the anode catalyst layer structure. The latter can be mitigated by the addition of an anode co-catalyst that facilitates the oxygen evolution reaction (OER) at much lower potentials than the carbon-supported platinum catalyst (Pt/C) that serves as anode catalyst for the hydrogen oxidation reaction (HOR).3 However, as shown by our recent study, the stability of the anode co-catalyst for the OER during SUSD events must be considered.4 In the present study, we examine different accelerated stress tests (ASTs) for single-cell PEMFCs that are designed to assess the stability of an anode co-catalyst for the OER in a PEMFC that is subjected to cell-reversal and SUSD events. Thus, we evaluated the stability of an anode co-catalyst under four conditions: i) subjecting the cell to extended SUSD cycles; ii) a cell-reversal protocol where a constant current is being drawn when feeding N2/air to the anode/cathode until a given cut-off cell potential is reached; iii) a protocol where cell-reversal cycling is induced by switching the anode feed gas between hydrogen and nitrogen while applying a constant current and supplying air to the cathode (later on referred as CR cycling); and, iv) an anode potential cycling protocol where the anode is supplied with N2, and its potential is cycled potentiostatically to different upper potential limits, with the cathode purged with air and serving as a counter electrode. With these ASTs, we examine the effect of the different anode potential cycles during SUSD and CR transients in order to elucidate the dependence of the IrO2 dissolution rate on operating potential.The stability of the IrO2 based anode co-catalyst is investigated by electrochemical measurements (cyclic voltammetry and polarization curves) and additionally via ex-situ XPS analysis. For example, Figure 1 shows the ex-situ XPS analysis of pristine and aged membrane electrode assemblies (MEAs). The upper two panels show the XPS data in the Pt 4f (BE>67 eV) and the Ir 4f (BE<67 eV) regions of the pristine Pt/C anode with an IrO2-based anode co-catalyst (Figure 1a) as well as the pristine Pt/C cathode (Figure 1b). The lower two panels show the cathode XPS data of the MEAs after 500 SUSD cycles (Figure 1c) and after 500 CR cycles (Figure 1d). In the case of the SUSD degraded MEA, a higher amount of Ir is observed on the cathode when compared to the CR degraded MEA. The mechanistic implications of these data will be discussed. References USDRIVE Fuel Cell Technical Team Roadmap (2017): https://www.energy.gov/eere/vehicles/downloads/us-drive-fuel-cell-technical-team-roadmap (accessed on 28.10.2021).T. Mittermeier, A. Weiß , F.Hasché, G. Hübner, H. A. Gasteiger. Journal of The Electrochemical Society, 164 (2), F127-F137 (2016).T. R. Ralph, S. Hudson, and D. P. Wilkinson, ECS Transactions, 1 (8), 67-84 (2006).M. Fathi Tovini, A. M. Damjanović, H. A. El-Sayed, J. Speder, C. Eickes, J.-P. Suchsland, A. Ghielmi, and H. A. Gasteiger, Journal of The Electrochemical Society, 168 (6), 064521 (2021). Figure 1

(Invited, Digital Presentation) Accelerated Stress Test Development for PEM Water Electrolyzers

The use of clean hydrogen around the world is expected to significantly increase in the coming decades as various countries move towards their carbon neutral goals. The United States has committed significant funds ($9.5 Billion over the next 5 years) to the demonstration of a clean hydrogen infrastructure with electrolysis ($1 Billion in research over the next 5 years) being one of the key enabling technologies. Polymer electrolyte membrane water electrolyzers (PEMWE) for hydrogen production are expected to play a critical role in this transition to a hydrogen economy. The DOE has formed a consortium (H2NEW : Hydrogen from the next generation of electrolyzers of Water) to overcome technical barriers to affordable, reliable and efficient electrolyzer development. The consortium is working on various aspects of PEMWEs to improve their durability, decrease their cost, improve manufacturability and demonstrate economic feasibility. As part of this effort, the consortium is developing accelerated stress tests (ASTs) for PEMWEs. The DOE in collaboration with National Laboratories and the U.S. Drive Fuel Cell Technical team has developed a set of validated and widely accepted ASTs for fuel cells. While these fuel cell ASTs have spurred significant materials development over the past decade, there is no accepted set of ASTs for PEMWEs.This talk will summarize our recent learnings from the development of PEMFC ASTs and how these apply to PEMWEs. While several materials including the cathode catalyst, membrane, and cathode gas diffusion layer are similar between these two systems, there are significant differences in the operating conditions and materials used at the anode of the electrolyzer. The key to successful AST development is to ensure that the stressors accelerating the degradation mechanisms are relevant to the operating conditions encountered in the intended application. An AST working group (ASTWG) that includes various U.S. electrolyzer manufacturers has been established within the consortium to incorporate feedback from commercial electrolyzer systems. Literature reports have demonstrated that both potential cycling1 and transition through Ir/IrOx redox potential2 (during open circuit operation or shutdown of electrolyzer) can be detrimental to the anode catalyst. Membrane degradation occurs under electrolyzer conditions and is accelerated with increasing temperature and low current density operation.3 The effect of electrolyzer operating conditions on both membrane and anode catalyst durability will be discussed in this talk. The various stressors leading to increased degradation of both anode catalysts and membranes will be discussed and potential PEMWE ASTs will be proposed. Acknowledgement This research is supported by the U.S. Department of Energy (DOE) Hydrogen and Fuel Cell Technologies Office, through the H2NEW consortium.References M. Alia, S. Stariha, and R. L. Borup, J. Electrochem. Soc., 166, F1164–F1172 (2019). Weiß, A. Siebel, M. Bernt, T. H. Shen, V. Tileli and H. A. Gasteiger, Journal of The Electrochemical Society, 2019, 166, F487-F497 Marocco, K. Sundseth, T. Aarhaug, A. Lanzini, M. Santarelli, A. O. Barnett and M. Thomassen, Journal of Power Sources, 2021, 483, 229179.

Enter and Discuss Orders and Prescriptions (EPA 4): A Curriculum for Fourth-Year Medical Students.

Order entry, entrustable professional activity (EPA) 4, is one of several EPAs that residency program directors identify as a weakness for PGY 1 residents. A multispecialty survey of program directors indicated that only 69% of interns could be trusted to enter and discuss orders and prescriptions without supervision. To address this gap, we developed a formative workshop for fourth-year medical students. Prior to the start of their subinternships, 366 fourth-year medical students engaged in an order entry workshop. Students performed chart reviews on electronic standardized patients within an educational electronic health record (EHR), placed admission orders, customized order sets, responded to safety alerts, utilized decision support tools, and incorporated high-value care considerations. Students used expert-validated rubrics to assess the quality of their admission orders and participated in a facilitated group discussion on key learning points. Finally, students participated in order entry, with all orders requiring cosignature by a supervising physician, during their clinical rotations. Students reported their confidence with order entry before and after the workshop and after the clinical rotation. One hundred seventeen students completed the pre- and postworkshop surveys, and 99 went on to complete the postcourse evaluation. Students showed a statistically significant increase in their confidence level following the workshop. Order entry is a critical, complex skill that requires deliberate instruction. This curriculum, which leverages the features of an educational EHR, can facilitate instruction, practice, and confidence gains regarding order entry prior to further application of these skills in the clinical environment.

Impact of technical and physical performance on match outcome over five elite European soccer seasons.

The technical and physical performance, a key part of overall soccer performance, tend to evolve due to changes in game rules, playing styles, and training methodology. Nevertheless, little has been reported in the literature on how match performance has changed over time in elite championships and leagues. Thus, this study aimed to assess the impact of selected technical and physical team performance indicators on match outcome over five seasons in the Russian Premier League. Twenty-two technical and physical team performance variables, recorded with an optical tracking system, were examined in 1186 matches played in the Russian Premier League during the 2016-2017 to 2020-2021 seasons. For pooled data in all examined seasons, shots on target were higher in won vs. drawn and lost matches. Percentage of challenges won was higher in won vs. drawn and lost matches. Sprint distance, counterattacks, shots, interceptions, recoveries, crosses, and the percentage of successful tackles all showed small though significant differences between match outcomes. Slightly greater odds of a more favorable match outcome were involved by increases in all selected variables, except crosses, showing an opposite effect. In the 2020-2021 season, ball possession time reported a slightly higher impact on match outcome than in previous seasons. The present results show that some technical performance variables have a great effect on match outcome, while other technical indicators and physical metrics have a smaller though still potentially relevant impact. These effects do not substantially differ across the five examined seasons.

SCAI Guidelines for the Management of Patent Foramen Ovale.

Patent foramen ovale (PFO) is a vestigial congenital cardiovascular structure present in around 25% of adults. In most cases, PFO is entirely benign and requires no treatment. However, it may cause serious complications under certain circumstances. These evidence-based guidelines from the Society for Cardiovascular Angiography and Interventions (SCAI) aim to support patients, clinicians, and other stakeholders in decisions about management of PFO. SCAI convened a multidisciplinary guideline panel balanced to minimize potential bias from conflicts of interest. The Evidence Foundation, a registered 501(c)(3) nonprofit organization, provided methodological support for the guideline-development process. Following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, the guideline panel formulated and prioritized clinical questions in population, intervention, comparison, outcome (PICO) format. A separate technical review team of clinical and methodological experts conducted systematic reviews of the evidence, synthesized data, and graded the certainty of the evidence across outcomes. The guideline panel then reconvened to formulate recommendations and supporting remarks informed by the results of the technical review and additional contextual factors described in the GRADE evidence-to-decision framework. The panel agreed on 13 recommendations to address variations on 5 clinical scenarios. Key recommendations address patient selection for PFO closure in the prevention of recurrent PFO-associated stroke, including populations not commonly included in randomized studies, and scenarios where the PFO closure might serve a role in the prevention of other outcomes such as migraine headaches and decompression illness. The panel has also identified future research priorities to advance the field.

Collaborative Systems Thinking Culture: A Path to Success for Complex Projects

AbstractThe world is filled with hard and complex problems, oftentimes requiring involved solutions. In large organizations attempting to solve these types of problems, a mindset shift and key candidate methodologies centered on collaborative systems thinking culture (CSTC) can assist significantly. The paper explores the state of the practice, change involved with implementing systems thinking, impacts of a collaborative approach within an organization, as well as the seven phases that a reader can introduce into their organization to realize some of the benefits. The same approach was used to create this paper under collective authorship from Cohort 6 of the INCOSE Technical Leadership Institute (TLI); an international group of individuals collaborating exclusively through virtual platforms. From writing papers to executing large technical programs, the CSTC approach will prepare technical teams for tackling challenging problems in an inclusive way with the intent to finish projects on time while also cultivating healthy systems engineering habits and practices. This lessens the reliance on corporate engineering procedures to drive collaborative behavior by fiat. Finally, blending CSTC into the fabric and culture of an organization is emphasized as being needed for the full benefit. That benefit includes saving programs by moving to a CSTC.

Fault Detection System for GSS

Abstract: The efficiency of power systems is largely determined by the effectiveness of the inbuilt power equipment. Monitoring transmission parameters for faults and quick isolation of the system from faults helps to improve the efficiency of the power systems reliability. Current conventional method has its own limitations due to the reliance on technical team to carrying out visual inspection in order to identify any fault. The functions of the protective systems are to detect, then classify and finally determine the location of the faulty. This project presents some techniques that helps to find, determine and diagnosing faults in GSS. This project will review the type of fault that possibly occurs in an electric power system, the type of fault detection and location technique that are available together with the protection device that can be utilized in the power system to protect the equipment from electric fault.