Text Boxes Research Articles

Barriers to accessing and continuing mental health treatment among individuals with dissociative symptoms

ABSTRACT Background Dissociative disorders (DDs) are characterized by interruptions of identity, thought, memory, emotion, perception, and consciousness. Patients with DDs are at high risk for engaging in dangerous behaviours, such as self-harm and suicidal acts; yet, only between 28% and 48% of individuals with DDs receive mental health treatment. Patients that do pursue treatment are often misdiagnosed, repeatedly hospitalized, and experience disbelief from providers about their trauma history and dissociative symptoms. Lack of dissociation-specific treatment can result in poor quality of life, severe symptoms requiring utilization of hospitalization and intensive outpatient treatment, and high rates of disability. Objective Given the extensive and debilitating symptoms experienced by individuals with DDs and the infrequent utilization of treatment, the current study explored barriers to accessing and continuing mental health treatment for individuals with dissociative symptoms and DDs. Method A total of 276 participants with self-reported dissociative symptoms were recruited via online social media platforms. Participants completed a survey which featured 35 possible barriers to accessing treatment and 45 possible reasons for discontinuing treatment, along with open text boxes for adding barriers/reasons that were not listed. Results Results showed 97% of participants experienced one or more barriers to accessing treatment (M = 9 barriers) and 92% stopped treatment with a provider due to at least one of the reasons captured in the survey (e.g. limited insurance coverage, poor therapeutic alliance, disbelief from providers, etc.; M = 7 barriers). Conclusions The most frequently endorsed barriers were structural barriers, such as those related to finances, insurance, and lack of provider availability. It is imperative more service providers are trained to treat dissociation and that insurers and health care systems recognize the need for specialized, dissociation-focused treatment.

Conditionality of COVID-19 vaccine acceptance in European countries

The COVID-19 vaccine rollout has offered a powerful preventive measure to help control SARS-CoV-2 transmission. Nevertheless, long-standing public hesitation around vaccines heightened concerns that vaccine coverage would not achieve desired public health impacts, particularly in light of more contagious variants. This cross-sectional survey was conducted online just before the European vaccine rollout in December 2020 among 7000 respondents (aged 18–65) in Belgium, France, Germany, Italy, Spain, Sweden, and Ukraine. The survey included open text boxes for fuller explanation of responses. Overall, 56.9% of respondents would accept a COVID-19 vaccine, 19.0% would not, and 24.1% did not know or preferred not to say. By country, between 44% (France) and 66% (Italy) of respondents would accept a COVID-19 vaccine. Respondents expressed conditionality in open responses, voicing concerns about vaccine safety and mistrust of authorities. We highlight lessons learned about the dynamism of vaccine conditionality and persistence of safety concerns.

Evaluation of a stewardship program of antifungal use at a Brazilian tertiary care hospital

IntroductionStewardship programs have been developed to optimize the use of antibiotics, but programs focusing on antifungal agents are less frequent. ObjectiveTo evaluate the quality of antifungal prescriptions in a tertiary care hospital, and to test if a simple educational activity could improve the quality of prescriptions. MethodsThe study comprised three phases: 1) Retrospective audit of all antifungal prescriptions in a 6-month period, applying a score based on six parameters: indication, drug, dosage, route of administration, microbiologic adequacy after results of cultures, switching to an oral agent, and duration of treatment; 2) Creation of text boxes in the electronic medical records with information about antifungal agents, shown during prescription; 3) Retrospective audit of all antifungal prescriptions in a 6-month period, applying the same 6-parameters score, and comparison between the two periods. ResultsAmong 333 prescriptions, fluconazole was the most frequently (80.5%) prescribed agent. Hematology (26.7%), Infectious Diseases Department (22.8%), Internal Medicine (15.9%) and Intensive Care Unit (14.4%) were the units with most antifungal prescriptions. The median score for the 333 prescriptions was 8.0 (range 0 – 10), and 72.7% of prescriptions were considered inappropriate. The median and mean scores in the first and second audit were 8.0 and 6.9, and 8.0 and 7.9, respectively (p<0.001). All items that comprised the score improved from the first to the second audit. Likewise, there was a reduction of inappropriate prescriptions (80.2% in the first audit vs. 64.6% in the second audit, p=0.001). ConclusionsA large proportion of inappropriate prescriptions was observed, which improved with the implementation of simple educational activities.

Image Processing Test Bench for Robot Vision Using C#

Purpose: Nowadays, image processing is a well-known technological term. In some of the industries, it has practical needs. It is an essential tool for the process and robotic industry. Various popular frameworks and libraries are available to process the image. The OpenCV is one of the best and popular libraries for image processing. It was originally written in C++ by Intel. Now various wrappers are available to implement into the different programming languages. The OpenCvSharp is the wrapper of OpenCV. Those who are familiar with C# can use it. The new researcher who wants to integrate image processing into their project takes some time for setup, function writing, and integration. Here we created a test bench application for Image processing demonstration. It has been made with some usual function to process the image. It was created using visual studio 2022 and OpenCvSharp wrapper in C# language. The researcher can learn about various image processing algorithms without writing any code or giving little bits of effort. The complete project is available on GitHub. Anyone can download, experiment, and integrate into their project without any issue. Design/Methodology/Approach: We created a GUI (Graphical User Interface) based C# application. Using Nuget Package manager, installed two OpenCV wrapper packages. To invoke several functions, we add some buttons, and for changing the method’s parameter, we integrate some text boxes. We created some abstraction layers Between the OpenCvSharp wrapper and GUI. We made our custom module as portable as possible so that our researchers could easily incorporate it into their project. Findings/result: This unique image processing test bench is designed for new researchers trying to integrate image processing capability into their research work. It can take still images or moving images through the connected webcam, automatically sending the various commands and promptly observing the result. Originality/Value: This test bench has been arranged uniquely for the researcher. It might have some value to their research work. The unique feature like automatic trigger can help them send the series of commands without repeatedly typing or pressing the button to see the result. Paper Type: Experiment-based Research

Dana M. Harris. An Introduction to Biblical Greek Grammar: Elementary Syntax and Linguistics.

Dana M. Harris. <i>An Introduction to Biblical Greek Grammar: Elementary Syntax and Linguistics</i>.

Terminal++ for Robot Researcher Using C#

Purpose: Sometimes our robot researcher needs a terminal program to exchange the data with the robot or automation device. Nevertheless, the readily available terminal program lacks some functionality that is most relevant to the researcher. We feel that a featured rich terminal program can handle lots of communication overhead for the researcher and relieve them from repetitive and time-consuming tasks. In mind for this, we researched and developed a utility program. We added extra features like automatic send, change dynamic data, etc., so our robot researcher can test the system communication better. In this paper, we demonstrated the utility program in detail. It is built using C#, which is under the Microsoft dot net framework. The code is uploaded to GitHub. Anyone can download and use it. It can be customized for their need. All used classes are available in .cs format. Design/Methodology/Approach: This is the software utility program built by the dot net framework of Microsoft visual studio. It has a graphical user interface (GUI) and some object classes. It has a serial and ethernet interface to test the channel. Once the medium is selected, the application will send whatever is written in the input text box. The Data sending may be an automatic or manual process. In manual mode, after typing the command, we need to press the “Enter” key to send the data. In automatic mode, it will send automatically within the preset interval. The transmit and receive content is displayed inside the list box. Findings/results: sometimes, our project goes into a critical phase. We need to have good tools to overcome the situation immediately. This is a helpful tool to trace the communication-related issue. Using this tool, we can observe the outgoing and incoming data traffic. The robot researcher can use it for their communication-related debug purposes. Originality/Value: Using this terminal program, our robot researcher will get lots of benefits where readily available utility programs cannot provide them. It has some unique features like automatic sending, changing dynamic content, etc. It has a serial and ethernet interface channel so that most of the device communication can be debugged through this interface software. It is entirely free and open source. Anyone can download and use it for personal as well as commercial purposes. Paper Type: Experiment-based Research.

Research on Methods of English Text Detection and Recognition Based on Neural Network Detection Model

With the rapid development of computer science, a large number of images and an explosive amount of information make it difficult to filter and effectively extract information. This article focuses on the inability of effective detection and recognition of English text content to conduct research, which is useful for improving the application of intelligent analysis significance. This paper studies how to improve the neural network model to improve the efficiency of image text detection and recognition under complex background. The main research work is as follows: (1) An improved CTPN multidirectional text detection algorithm is proposed, and the algorithm is applied to the multidirectional text detection and recognition system. It uses the multiangle rotation of the image to be detected, then fuses the candidate text boxes detected by the CTPN network, and uses the fusion strategy to find the best area of the text. This algorithm solves the problem that the CTPN network can only detect the text in the approximate horizontal direction. (2) An improved CRNN text recognition algorithm is proposed. The algorithm is based on CRNN and combines traditional text features and depth features at the same time, making it possible to recognize occluded text. The algorithm was tested on the IC13 and SVT data sets. Compared with the CRNN algorithm, the recognition accuracy has been improved, and the detection and recognition accuracy has increased by 0.065. This paper verifies the effectiveness of the improved algorithm model on multiple data sets, which can effectively detect various English texts, and greatly improves the detection and recognition performance of the original algorithm.

Examining the Cold War in the 1980s with Comic Books

The role of literacy in social studies education has been greatly elevated over the last decade. The National Council for the Social Studies (NCSS) models through the indicators of its C3 Framework how to strengthen K-12 students’ disciplinary thinking, literacy, and argumentation skills in the four core social studies disciplines: civics, history, geography, and economics. One resource that social studies teachers can use to address the indicators within the C3 Framework is comic books. Comic books employ both visual and textual modalities to convey meaning, through text boxes, people’s facial expressions, and imagery to capture the author’s arguments. The various modes of communication utilized in comic books allow students to construct meaning. In this article, we discuss how to use two comic books, Batman: Ten Nights of the Beast, and Suicide Squad: Trial by Fire, to teach about the Cold War in the 1980s. We start by giving a brief historical overview of the Cold War in the 1980s. Then, the focus of the article shifts to provide an examination of the potential benefits of utilizing comic books. This section also discusses how popular culture reflects the issues, values, and beliefs of an historical era. Two activities are given that scaffold how high school social studies teachers can employ these comic books to analyze important components of the Cold War in the 1980s. The steps and resources needed to implement our activities are provided.

Review: Verde, by Federico Rios Escobar

Review: <i>Verde</i>, by Federico Rios Escobar

A multicomponent intervention to optimise nurse–patient communication in the intensive care unit: A mixed-methods acceptability and feasibility study

BackgroundMechanically ventilated patients in intensive care units may experience communication challenges owing to intubation, which affects nurse–patient communication. Several strategies may optimise communication, but only one previous study has tested a multicomponent intervention. Implementing such an intervention can be challenging because communication strategies may be set aside by lifesaving care tasks and procedures. In a previous study, we designed a communication intervention based on pre-existing clinical methods and evidence-based approaches. The present study evaluated the intervention to determine if it was necessary to adjust its components and the implementation strategy. ObjectivesThe objective of this study was to evaluate the feasibility and assess nurses’ acceptability of a patient-centred, multicomponent communication intervention prototype in an intensive care unit. MethodsThe overall frame was the Medical Research Council's framework for developing complex interventions. Indicators of feasibility and acceptability were used for the evaluation. A mixed-methods design was applied including a survey with open-ended text boxes and qualitative observations as data sources. Quantitative data were analysed descriptively, and qualitative data were explored using content analysis. Data were compiled and displayed in a side-by-side comparison. The data were collected between September 2020 and March 2021. Nurses from four intensive care units at a university hospital in Denmark participated in the study. All nurses who were on active duty during the implementation of the intervention were enrolled for the survey and participant observations. ResultsOverall, the results provided insight into the feasibility based on fidelity and context as well as nurses’ acceptability based on adherence, appropriateness, convenience, and effectiveness. Qualitative and quantitative results yielded partially contrasting findings but highlighted how the intervention may be optimised to enhance fit with clinical practice and overcome implementation challenges. ConclusionThe intervention was feasible and acceptable. However, implementation needs to be repeated to allow nurses to fully understand and use the intervention.

249 A SURVEY OF IRISH DOCTORS VIEWS ON FLEXIBLE TRAINING

Abstract Background We aimed to establish the views of non consultant hospital doctors working in Ireland on the options available for ‘Flexible Training’ or ‘Less-Than-Full-Time-Training’. Our population is ageing rapidly, and an expanding workforce will be required. Difficulties with doctor retention and recruitment are growing challenges in Ireland. Methods An anonymised survey of 9 questions was carried out using Survey Monkey®. Question format included multiple choice, yes/no or a free text box. This was disseminated via the Royal College of Physicians of Ireland to 1,557 trainees of the Institute of Medicine, the national postgraduate body for medical specialties. It was also circulated to members of the Irish Medical Organisation, the national medical organisation, and to approximately 200 doctors across two hospitals on social media. Results There were 674 (84.3%) respondents in training- 46.3% BST, 53.7% HST; and 125 (15.6%) non-training respondents. Doctors overwhelmingly felt trainees should have access to flexible training (n = 849, 99.41%), with 82.39% reporting they would apply (n = 702). Most (92.5%) felt that 16 WTE positions was inadequate (n = 789). Reasons chosen for not applying for flexible training included- 36.1% (n = 169) felt it could impact their career, 25.4% (n = 119) identified they did not meet the criteria, 14.32% (n = 67) reported no interest, while 24.1% (n = 113) gave ‘other’ reasons including lengthy training, salary impacts, and not having a requirement for flexible training. When asked about suggestions for improving flexible training, 19.7% chose ‘offer more places’, 6.7%-‘remove eligibility criteria’, 19.6% -‘offer job sharing options’, 9.5%- ‘allow more flexible training years’, 17.7% -‘regional based training’, 22.5% -‘all of the above’, 4.9%—‘other’. Conclusion Our survey suggests non consultant hospital doctors in Ireland strongly desire an expansion of current flexible training options. This is essential to ensure Ireland is an attractive place for doctors to work, to support their health and wellbeing, and to ensure an adequate workforce to care for an ageing population.

How does the optometry profession move up a gear to tackle the problem of climate change?

How does the optometry profession move up a gear to tackle the problem of climate change?

Factors affecting general practitioners' choice of drug therapy: A study in primary healthcare in Iceland

This study aimed to analyse several factors that influence the decision-making of primary care physicians in Iceland in their choice of drug therapy for their patients. Also, to find which factors can act as a hindrance in making the best choices. Finally, to analyse which elements could be most important in facilitating decisions. A questionnaire was sent by e-mail to physicians working in primary care in Iceland. The questionnaire comprised closed questions, open text boxes, and ranking questions. The data was processed and analysed using Microsoft Excel. The total number of primary care physicians who responded to the questionnaire was 93, a response rate of 40.7% of all the primary care physicians. The results reveal that physicians working in primary care consider clinical guidelines, the Icelandic National Formulary, and personal experience to be the most important factors when choosing a medication. Primary care physicians strongly agree that the lack of drug interaction software connected to medical records is a shortcoming. The most important factors that need improvement to facilitate primary care physicians' decision-making are drug formularies and interaction software. The results suggest some factors that support physicians in primary care in making decisions when choosing drug therapy, such as a drug formulary, drug interaction software, information about patients' drug therapy, variable length in face-to-face consultations, evidence based information on new drugs, and counselling provided by clinical pharmacists.

Water Overlapping Area for The Arrangement of Field’s Sprinkler Irrigation

The design and arrangement of sprinkler irrigation systems are presented and discussed in this paper. The design is based on a rotating sprinkler system to irrigate the field. Information is provided concerning the components of irrigation systems and the characteristics of the system that affect water application efficiency. The mathematical model is developed to account for water overlapping area throughout a fixed sprinkler system and to evaluate the number of sprinkler irrigation for the whole field using water projection profiles from the experimental data analysis. As a result, a set of recommendations for the design of sprinkler irrigation system management are obtained. Finally, this problem is alleviated using the Maplet interface. By simply typing information in the text boxes and using drop-down menus in Maplet windows, the characteristic of sprinkler irrigation systems can be studied with relative ease.

99 Perfecting the Proforma – A Full-Cycle Audit on The Quality of Documentation of The Hand Trauma Proforma At the Regional Plastic Surgery Department

Abstract Aim We aimed to assess the quality of record-keeping of the departments hand trauma proforma, identify areas of improvement, and to implement and assess the quality of an updated proforma. Method Data from 101 parameters was collected for 20 patients undergoing surgery for an upper limb injury in November 2019. An updated proforma was implemented and a further 20 patients were analysed in February 2020. All fields were compared between two audit cycles and comments were collected. Results The overall completion rate increased. Documentation of the responsible consultant increased to 100%, along with an increase in documenting of hobbies and injury mechanism. X-ray findings (55% to 85%) and antibiotic plan (35% to 80%) increased. Implementation of a free text box resulted in written descriptions of injury to compliment sketches. In the operation note, documentation of anaesthetic type used increased, along with tourniquet use and time. There was clearer documentation of the injury, findings, and procedure, with greater use of diagrams to illustrate the repair. There was a drop in the recording of post-op plans (100% to 85%), post-op antibiotics (90% to 75%), and follow-up plan (95% to 60%). Clinicians commented to increase the size of the free-text box and hand diagram on the operative page to facilitate easier drawings. Conclusions The Hand Trauma Proforma has made good progress from its original version but requires further adjustments to ensure complete data input. It sets a high standard for data collection and presents itself as a useful tool for units across the United Kingdom.

Written News Search Engines and Retrieval Systems of the Databases of Spanish Digital Newspapers

ABSTRACTIn light of the dearth of empirical studies of the quality of the databases of Spanish digital newspapers, this paper delves into the issue. Accordingly, the databases of 55 Spanish digital general newspapers were examined for the purpose of determining the quality of their retrospective written news search engines and retrieval systems. The results indicate the following: (1) the vast majority of the databases analysed employ search models based exclusively on a calendar or text box, thus hindering the selective retrieval of information; (b) a large proportion of these databases do not allow users to employ several fields in order to filter and narrow down their searches; and (3) all the online news databases lack search guides and controlled vocabularies or thesauruses. From these finding it is possible to infer that the majority of the databases of the Spanish digital press are, as a rule, rudimentary and inefficient.

Patient and Provider Feedback for Radiology Reports: Implementation of a Quality Improvement Project in a Multi-Institutional Setting

Radiology does not routinely solicit feedback on radiology reports. The aim of the study is to report the feasibility and initial results of a multi-institutional quality improvement project implementing patient and provider feedback for radiology reports.A HIPAA-compliant, institutional review board-waived quality improvement effort at two institutions obtaining patient and provider feedback for radiology reports was implemented from January 2018 to May 2020.A two-question survey (quantitative review and open text box feedback) was embedded into the electronic health records for patients and providers. Text-based feedback was evaluated, and patterns of feedback were categorized: thoroughness of reports, error in reports, timeliness of reports, access to reports, desire for patient summary, and desire for key images. We performed the χ2 test for categorical variables. P < .05 was considered significant.Of 367 responses, patients provided 219 of 367 (60%), and providers provided 148 of 367 (40%) of the feedback. A higher proportion of patients reported satisfaction with reports (76% versus 65%, P = .023) and provided more feedback compared with providers (71% versus 50%, P < .0001). Both patients and providers commented on the thoroughness of reports (12% of patients versus 9% of providers) and errors in reports (8% of patients and 9% of providers). Patients disproportionately commented on timeliness of reports (11%) and access to the reports (6%) compared with providers (3% each). In addition, 7% of patients expressed a desire for patient summaries.Report-specific patient and provider feedback demonstrate the feasibility of embedding surveys into electronic medical records. Up to 9% of the feedback addressed an error in reports.

Women\u2019s attitudes, beliefs and values about tests, and management for hypertensive disorders of pregnancy

BackgroundAdvances in research suggest the possibility of improving routine clinical care for preeclampsia using screening (predictive) and diagnostic tests. The views of women should be incorporated into the way in which such tests are used. Therefore, we explored the views of women with experience of preeclampsia and other hypertensive disorders in pregnancy (HDPs) about predictive and diagnostic tests, treatment risks, and expectant management.MethodEight hundred and seven women with experience of preeclampsia or other HDPs completed an online questionnaire. These women were participants in the Preeclampsia Registry (USA). The questionnaire contained 22 items to elicit women’s views about predictive tests (n = 8); diagnostic tests (n = 5); treatment risks (n = 7), and expectant management (n = 2). An optional text box allowed participants to add qualitative open-ended comments. Levels of agreement with the statements were reported descriptively for the sample as a whole, and a preliminary investigation of the role of lived experience in shaping women’s views was conducted by comparing subgroups within the sample based on time of HDP delivery (preterm/term). The qualitative data provided in the optional text box was analysed using inductive thematic analysis to examine participants’ responses.ResultsWomen generally favored predictive and diagnostic testing, although not because they would opt for termination of pregnancy. Participants generally disagreed that taking daily low-dose aspirin (LDA) would make them nervous, with disagreement significantly higher in the preterm delivery subgroup. A high proportion of participants, especially in the preterm delivery subgroup, would take LDA throughout pregnancy. The majority of participants would be more worried about the possibility of preeclampsia than about the risks of treatments to their health (60%), and that proportion was significantly higher in the preterm delivery subgroup. There were no differences between subgroups in the views expressed about expectant management, although opinion was divided in both groups. Overall, most participants opted to put the baby’s interests first.ConclusionWomen with experience of hypertensive disorders were enthusiastic about improved predictive and diagnostic tests. However, varied views about treatment options and expectant management suggest the need for a shared decision-making tool to enable healthcare professionals to support pregnant women’s decision-making to maximize the utility of these tests and interventions.

The Bridge’s Advance Directive Initiative for Adults With Serious Mental Illness

The Bridge’s Advance Directive Initiative for Adults With Serious Mental Illness

The Effectiveness of Graphic Organizer As A Media in Teaching Students’ Writing Project

&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; A Graphic Organizer (GO) is quite a creative media expresses the text concepts. It is an instructional tool that can help students to organize, structured the information and concepts to relate with the other concepts. Graphic organizers display information, structure, and key conceptual relationships using visual and spatial arrangements or maps. Graphic organizers often involve lines, arrows, text boxes or bubbles, pictures, and other visual depictions to represent ideas, facts, and concepts. The implementation of Graphic Organizer is aimed at increasing the students’ ability in writing narrative text for grade ninth at SMPN 1 Merlung. The previous learning used students’ task learning as method in learning writing which unmatched with the needs of students in facing challenging of writing text. The research was conducted to the ninth graders of SMPN 1 Merlung with total 62 students by giving treatment in control and experimental group. The data were the students’ writing in the pre-test and post-test.&#x0D; To count the data, the researcher used t-test and SPSS. Based on the counting, it was found that the value of t-test at the degree of freedom 60 and the level of significance 0.05 was 7.012 which is value of t-test is higher than value of t-table (7.012&gt; 2.000). It means that the Null Hypothesis is rejected and the alternative hypothesis is accepted. Thus, it proved that there is effect of using graphic organizer on students’ writing project. Since the graphic organizer media had significant effect to the students’ writing abilities, so this media can be used as one of the alternative technique for English teacher in teaching writing narrative text.&#x0D; &#x0D; &#x0D; &#x0D;