Practical Tool Research Articles

A multimedia tool for infection prevention and control practices in the intensive care unit: a participatory interventional before–after study

A multimedia tool for infection prevention and control practices in the intensive care unit: a participatory interventional before–after study

Self-Awareness Learning in Relation to Educational Development of Students in Public Elementary Schools

This study examined the relationship between self-awareness learning and the educational development of students in public elementary schools in the Panabo District, Division of Davao Del Norte. A non-experimental quantitative research design with a correlational method was employed, with 133 student respondents selected through universal sampling. Data analysis included the use of mean, Pearson's r, and regression analysis. Findings indicated that students sometimes manifested self-awareness, and their educational development was similarly moderate. Results showed a significant relationship between self-awareness learning and students' educational development, with specific domains of self-awareness significantly influencing educational outcomes. These findings suggest that enhancing self-awareness can be a valuable tool in educational practices. Teachers may benefit from attending seminars and professional development programs offered by DepEd to strengthen their instructional strategies. By building teaching capacity, educators can foster an environment that promotes students' self-awareness and supports comprehensive educational development.

From prevention to management: exploring AI’s role in metabolic syndrome management: a comprehensive review

BackgroundThis review aims to comprehensively explore the integration of artificial intelligence (AI) in the prevention, diagnosis, and treatment of metabolic syndrome (MetS). MetS is characterized by a cluster of conditions, posing a growing public health threat globally. Recognizing the limitations of traditional management approaches, we emphasize the potential of AI in transforming the management of MetS, focusing on recent advancements and applications in risk prediction and diagnosis.Body and conclusion.The integration of artificial intelligence in medicine is expanding, particularly in managing MetS, involving conditions like hypertension and dyslipidemia. Diagnosis and treatment challenges stem from addressing multiple conditions simultaneously. AI tools prove essential in monitoring indices such as blood pressure and glucose, and identifying trends for treatment adjustments. Lifestyle modifications are crucial, and AI can facilitate these changes through user-friendly interfaces and positive reinforcement. Standardization and successful implementation of AI tools in medical practices are necessary for revolutionizing MetS management, requiring focused future research efforts.

Electronic Documentation of Findings in Visual Impairment Counselling Using FIDUS Software

The increasing use of electronic documentation extends to consultation for the visually impaired. The aim of this project was to develop a set of forms and electronic patient records specifically for low vision care, giving equal consideration to ophthalmological, orthoptic, and optometric specialities, as well as teaching aspects. FIDUS software (FIDUS Arztservice Wente GmbH, Darmstadt, Germany) is a well-established tool in ophthalmology practices and clinics. The software was used as a basis to develop digital entry forms with features such as auto-fill, selection recommendations, and inventory management for visual aids. The aim of the project was to maximise clarity and ease of use while also saving time during consultation with visually impaired patients. This article presents the implementation of these criteria using the electronic FIDUS record card with the corresponding electronic forms for electronic patient records taken during consultation with visually impaired patients. The index card visualises the patient's most important data and findings at a glance. Specifically designed for low vision consultation, the examination form documents visual aids prescribed to the patient in detail while also saving time. Other forms enable direct printing of prescription recommendations, test reports, and certificates. Entry forms can also be printed out for conventional handwritten records. We have achieved an electronic patient record system specifically geared to ophthalmological and optical care requirements including local inventory for visually impaired patients. Determining the level of acceptance on the part of examiners, patients, and students and optimising the software will require follow-up studies.

BN SO50 - The Resurgence of Veress Needle Insufflation: An Evaluation of Efficacy and Safety of One Surgeon’s Practice

Abstract Background Veress needle insufflation has been established as a safe and effective method of establishing pneumoperitoneum for laparoscopic surgery, with comparable risk profile to open methods. However, the blind nature of the procedure with potential complications such as iatrogenic bowel and blood vessel injury has seen this technique fall out of fashion with general surgeons. This study reviews the safety and efficacy of a single surgeon’s practice using Veress needle insufflation for Laparoscopic surgical procedures. Method A retrospective analysis was conducted on minimally invasive procedures performed between January 2019 and June 2024. In our practice, a standard or bariatric Veress needle is placed in a small incision at Palmer’s point. A manometer test is performed with CO2 insufflation at a low flow rate and raising the abdominal wall. If a low pressure is established, then the flow is increased to achieve adequate pneumoperitoneum before introduction of a midline 5mm camera port. Primary outcomes of this study include rate of conversion to open techniques (either Hasson’s or open cut down) and any complications. Results Of the 702 cases reviewed, five patients (0.71%) required conversion to open insufflation techniques. Two (0.28%) had bleeding from the omentum, and one patient (0.14%) experienced inadvertent bowel insufflation which was managed conservatively with no long-term morbidity. Notably there were no port site hernias. Conclusion This study supports the continued use of the Veress needle as a safe and effective method of insufflation in laparoscopic surgery. It offers minimal incision size, easier access in high BMI patients, and an alternative when adhesions and scarring limit access. Furthermore, adopting this technique can be particularly useful for appropriate port placement in robotic surgery, making it a valuable tool for modern surgical practices.

Managing operational resilience during the implementation of digital transformation in healthcare organisational practices.

The aim of this study is to investigate ways in which healthcare organisations can successfully maintain operational resilience within intricate and varied engagements during digital transformation processes. The present research applied cultural-historical activity theory as the theoretical framework and the ethnographic account as an approach and strategy to interpret and understand theoperational resilience of digital transformation tools in daily practices. Fieldwork was based on the research technique of shadowing, whereby the researcher closely accompanied the participants to record their conduct, activities and exchanges. Research results propose that effective operational resilience management in the implementation of digital transformation projects is based on (1) identifying and interpreting internal contradictions in everyday interactions as opportunities for capability developments; (2) navigating through multiple sites in fast and improvised movements, which derives in distributed and emergent practices; (3) interplaying between dyadic interactions and networked dependencies, which is achieved through the articulation of varied interests and (4)implementing novel intermediary tools, roles and regulations that facilitate the reduction of disturbances. The propositions of the present study indicate that the management of operational resilience extends beyond conventional adaptive and socio-technical models in healthcare services. The study emphasises the significance of expressing and converting differing interests into mutual advantages. It additionally demonstrates the intricacy of this obstacle, as it entails navigating through uncertain information, concealed interpretations and conflicting interests.

FORMATIVE ASSESSMENT: STRATEGIES TO PROMOTE CONTINUOUS LEARNING

This research addressed the issue of the effectiveness of formative assessment in the teaching and learning process, with the aim of analyzing how this practice impacts student motivation and performance. The methodology used was a bibliographic review, in which articles, books and academic documents on the subject were examined. The results indicated that formative assessment, when applied appropriately, promoted significant learning, allowing students to become autonomous and engaged in their educational trajectories. In addition, the analysis revealed that educators' resistance and the lack of continuous training were barriers to the implementation of formative assessment. It was observed that teacher training and the use of digital technologies facilitated the application of this approach, providing dynamic monitoring of learning. The final considerations emphasized the importance of teacher training and the integration of technological tools in assessment practices. The research concluded that formative assessment is a strategy that contributes to improving the quality of education. However, the need for future research to deepen the discussion on formative assessment in different educational contexts was highlighted.

3D manipulation of small multicellular organisms in soft microtubes

Small multicellular organisms, such as C. elegans and zebrafish larvae, are essential models in biological research, but their 3D manipulation poses challenges due to their small size. Manual positioning is labor-intensive and imprecise. To address this, we developed a soft PDMS microtube that can be gently stretched and released, immobilizing organisms without anesthetization and damage. This tube enables easy rotation and adjustment of orientation, facilitating comprehensive imaging. Functionality testing showed effective immobilization as well as precise imaging and microinjection. Zebrafish larvae were successfully injected with fluorescein in the hindbrain without anesthesia. This technique offers a simple, efficient, and non-damaging method for 3D manipulation and imaging of small multicellular organisms and provides a versatile tool for biological research practices.

Using an Artist Representation Tally as a Tool of Reflective Practice

Using an Artist Representation Tally as a Tool of Reflective Practice

Generative Artificial Intelligence in Clinical Practice: Undergraduate Experience

The objective of this article is to assess the impact of generative artificial intelligence (AGI) as a learning tool in clinical practice, as perceived by clinical students of human medicine. To this end, six learning activities were devised and executed, employing diverse pedagogical approaches and AGI tools, with the objective of addressing various facets of clinical practice. These included the creation of explanatory material, literature analysis, the selection of clinical cases for publication, the development of self-assessment questions, the production of explanatory videos, and the creation of scientific posters. These activities were conducted during the clinical internships of the fifth year of the medical curriculum and were evaluated using both quantitative and qualitative methods. The findings indicated that the incorporation of GAI as a pedagogical instrument in the clinical training of medical students yielded a favorable influence on their motivation, self-assurance, satisfaction, competencies, and knowledge. The students identified GAI as a novel, applicable, useful, and transferable tool and expressed interest in continuing to use it in the future. However, the results also indicated that students encountered certain challenges and difficulties in utilizing GAI as a learning tool, including overconfidence, resistance, and a lack of understanding. In conclusion, this study provides empirical evidence on the use of GAI as a learning tool for undergraduate medical students' clinical practices, and contributes to the knowledge base regarding the possibilities and challenges of GAI application in higher education.

Empowering Communities to Act for a Change: A Review of the Community Empowerment Programs towards Sustainability and Resilience

At the global level, significant efforts have been made to address societal challenges and improve the lives of people and restore the planet’s ecosystems through sustainability and resilience programs. These programs, however, tend to be driven by governments, private sectors, and financial institutions, and therefore often lack a process of empowerment to ensure that the local communities can participate actively in co-designing and implementing these programs. More knowledge is needed on how to develop such programs and how the process of empowerment can be organized so that it supports in the long run sustainability transformation. Against this background, the paper explores the role of community empowerment programs as a critical tool for sustainability management strategies and practices. A semi-systematic review of 21 community empowerment programs for sustainability and resilience is conducted. The analysis reveals that the programs mostly aimed to address challenges such as the lack of education and capacity, limited access to basic services and resources, and poor governance and management. The programs initiators involve a diverse set of actors, especially through established partnerships and networks. Most of the programs address the specific needs of vulnerable or marginalized groups or communities. The structure of the programs typically follows a phased methodological approach, beginning with awareness-raising and problem identification, followed by capacity building that allows for making decisions collaboratively and for co-creating innovative solutions based on local knowledge and values. Also, monitoring and evaluation of transformative impact are mentioned as important structural elements. Specifically, the analysis highlights four main focus areas of empowerment: (1) capacity building, (2) self-reliance, control, ownership, responsibility, and independence, (3) participation, engagement, and collective action, and (4) integration of local knowledge and values. However, there is no one-size-fits-all approach to such programs. Instead, successful empowerment programs towards sustainability depend on a deep understanding of local contexts and the ability to tailor strategies to meet specific community needs. The review also identified knowledge gaps that require further investigation to enhance the effectiveness of empowerment programs for both people and nature.

High variability phonetic training facilitates perception-to-production transfer in Mandarin-speaking children with cochlear implants: An acoustic investigation.

This study primarily aimed to evaluate the effectiveness of high variability phonetic training (HVPT) for children with cochlear implants (CIs) via the cross-modal transfer of perceptual learning to lexical tone production, a scope that has been largely neglected by previous training research. Sixteen CI participants received a five-session HVPT within a period of three weeks, whereas another 16 CI children were recruited without receiving any formal training. Lexical tone production was assessed with a picture naming task before the provision (pretest) and immediately after (posttest) and ten weeks after (follow-up test) the completion of the training protocol. The production samples were coded and analyzed acoustically. Despite considerable distinctions from the typical baselines of normal-hearing peers, the trained CI children exhibited significant improvements in Mandarin tone production from pretest to posttest in pitch height of T1, pitch slope of T2, and pitch curvature of T3. Moreover, the training-induced acoustic changes in the concave characteristic of the T3 contour was retained ten weeks after training termination. This study represents an initial acoustic investigation on HVPT-induced benefits in lexical tone production for the pediatric CI population, which provides valuable insights into applying this perceptual training technique as a viable tool in clinical practices.

Examining The Integration Of ICT Tools In English Language Teaching: Comparative Analysis Of High School Teachers' Practices In India And Vietnam

This study explores the integration of Information and Communication Technology (ICT) tools in English language teaching practices of high school teachers in India and Vietnam. A survey with chart-based responses was distributed to 60 teachers(30 from each country) from nearby districts. The research investigates howteachers utilize ICT tools, their assessment practices, and perceived effects on student engagement and learning. The findings reveal that both countries employ ICT tools, with a focus on social media platforms, language learning applications, and online dictionaries. Vietnamese teachers demonstrated a slightly higher adoption rate, particularly for virtual reality (VR) and augmented reality (AR) technologies. While paper-based assessments remain prevalent, online tools like Google Forms and online assessment platforms are gaining traction. Teachers reported positive perceptions of ICT tools, believing they enhance student engagement and learning outcomes. However, challenges were identified, including limited access to technology resources and a lack of training on effective ICT integration. This study highlights the need for further research to directly measure the impact of ICT tools on student achievement. Additionally, it emphasizes the importance of addressing teacher training needs to unlock the full potential of ICT tools and create more engaging and effective English language learning experiences for students.

FBcastS: An Information System Leveraging the K-Maryblyt Forecasting Model

We have developed FBcastS (Fire Blight Forecasting System), a cloud-based information system that leverages the K-Maryblyt forecasting model. The FBcastS provides an optimal timing for spraying antibiotics to prevent flower infection caused by <i>Erwinia amylovora</i> and forecasts the onset of disease symptoms to assist in scheduling field scouting activities. FBcastS comprises four discrete subsystems tailored to specific functionalities: meteorological data acquisition and processing, execution of the K-Maryblyt model, distribution of web-based information, and dissemination of spray timing notifications. The meteorological data acquisition subsystem gathers both observed and forecasted weather data from 1,583 sites across South Korea, including 761 apple or pear orchards where automated weather stations are installed for fire blight forecast. This subsystem also performs post-processing tasks such as quality control and data conversion. The model execution subsystem operates the K-Maryblyt model and stores its results in a database. The web-based service subsystem offers an array of internet-based services, including weather monitoring, mobile services for forecasting fire blight infection and symptoms, and nationwide fire blight monitoring. The final subsystem issues timely notifications of fire blight spray timing alert to growers based on forecasts from the K-Maryblyt model, blossom status, pesticide types, and field conditions, following guidelines set by the Rural Development Administration. FBcastS epitomizes a smart agriculture internet of things (IoT) by utilizing densely collected data with a spatial resolution of approximately 4.25 km to improve the accuracy of fire blight forecasts. The system’s internet-based services ensure high accessibility and utility, making it a vital tool in data-driven smart agricultural practices.

INNOVATIONS IN DISTANCE EDUCATION PRACTICES: A COMPREHENSIVE REVIEW

This study reviewed recent technological advancements in distance education to evaluate their impact on learning experiences and outcomes. The research focused on innovations such as artificial intelligence (AI), virtual reality (VR), augmented reality (AR), learning management systems (LMS), and collaborative tools. Data were collected through a systematic review of peer-reviewed journal articles and scholarly sources, and thematic analysis was employed to identify critical patterns and impacts of these technologies. The findings revealed that AI-driven systems enhanced personalized learning by offering adaptive content and real-time feedback. VR and AR technologies created immersive and interactive learning environments, facilitating experiential learning. The evolution of LMS platforms improved course management and student tracking through advanced features and integration capabilities. Collaborative tools fostered peer interaction and teamwork in remote settings, supporting effective online learning communities. The study concluded that these technological innovations significantly transformed distance education, making it more engaging and efficient. Recommendations for future research included exploring the long-term effects of these technologies, their applications in various educational contexts, and the role of emerging tools in further enhancing distance education practices. KEYWORDS: distance education, technological advancements, artificial intelligence, virtual reality, augmented reality, learning management systems, collaborative tools

Adoption intention of farmers towards improved tools in paddy cultivation practices

Adoption intention of farmers towards improved tools in paddy cultivation practices

Mathematics Teachers’ Perceptions on the Use of Technological Tools in Teaching and Learning Practices in Selected Rwandan Secondary Schools

This article assessed one objective derived from an unpublished master's thesis with the title "Factors Constraining the Effective Application of Information and Communication Technology (ICT) in Teaching and Learning Mathematics: Case Study of Selected Secondary Schools in Rwanda." The objective of this study was to investigate how mathematics teachers perceive the use of technological tools in teaching and learning mathematics. Gregory's constructivist theory of perception served as the anchor for the research. A case study research design was adopted. The research focused on secondary school mathematics teachers in 10 selected Rwandan schools. Purposive sampling was employed to choose 20 mathematics teachers. Primary data was obtained through open-ended questionnaires along with semi-structured interviews, and thematic analysis was employed for data analysis. Study outcomes indicated that perceptions of mathematics teachers' of embracing technological tools are formed by their familiarity with technology, confidence in adopting it, and the help they get in incorporating it into their teaching procedures. The study concluded that teachers ought to participate in Continuous Professional Development (CPD) programs aimed at technological tools to enhance confidence and boost their integration into teaching. According to research, school leaders should ensure access to the most up-to-date technological resources and offer customized training to facilitate effective technology adoption in mathematics teaching. The study further suggested that Rwanda Basic Education Board (REB) and the National Examination and Schools Inspection Authority (NESA) should enforce extensive training programs, avail more resources in essential technological infrastructure, and boost research and best practices to encourage innovation. Additional research should broaden its context to include different perspectives, evaluate the long-term impact of technological tools on student outcomes, and assess the effectiveness of professional development programs.

Digital Reimbursement Systems in a Student-Run Clinic.

The increasing reliance on digital tools for standard healthcare practices in uninsured populations is poorly understood. This study aims to assess the impacts of a newly implemented digital reimbursement system at a student-run primary care clinic associated with an academic medical institution serving uninsured New York City residents. Pharmacy records of 94 unique patients receiving a total of 2770 reimbursements between October 17th, 2016, and May 18th, 2023, were analyzed. Patients were divided into two groups (in-person vs. digital) based on their reimbursement preferences type. Demographic analyses were performed in addition to assessing reimbursement volumes, number of refunds, and duration until receipt of payment for each group. The clinic's total monthly reimbursement volume, number of prescriptions, and number of patients for the period before introduction of digital refunds was compared to the period after. The mean age (in-person = 52.7 ± 14.7 years, digital = 54.9 ± 12.9 years) was not statistically different between the groups. Patients in the digital group requested on average more refunds (digital = 47 refunds, in-person = 14 refunds), received higher total reimbursement amount (digital = $1131.24, in-person = $289.36), and they were reimbursed faster (digital = 56 days, in-person = 62 days). Since the introduction of the digital reimbursement option, our three-month reimbursement volume more than doubled from $481 to $1298. The average number of monthly reimbursements increased from 27 to 45 refunds, and the number of monthly patients increased from 6 to 9 patients. In summary, digital reimbursement options can facilitate medication reimbursement among uninsured patients. These results suggest that digital reimbursement systems result in higher utilization, faster refunds, and larger total reimbursements amount for uninsured and underserved patients.

Framework for a Research-Based and Interdisciplinary Use of Sensors in Elementary Teacher Education.

Sensors should be integrated into teacher education, as they are essential tools in the digital practices needed for full participation in society. Electronic sensors can be used as laboratory/scientific tools, as everyday mobile learning tools, and as epistemic mediators in several scientific fields, as well as in interdisciplinary approaches. In this way, electronic sensors can play multiple roles in the main dimensions of teacher education. The aim of the research presented in this paper was to create a framework for the research-based and interdisciplinary use of sensors in elementary teacher education, based on the thematic analysis of seven case studies implemented in Portugal. The thematic categories used in the cross-case analysis were fundamental in revealing the different roles played by sensors in the different phases of the didactic sequences of the cases. Subsequently, the thematic analysis made it possible to identify patterns of affordances of sensors and to relate the multiple roles of electronic sensors to different areas of the Portuguese elementary teacher education model. The research synthesis made it possible to outline the framework perspectives. The resulting framework systematized and highlighted the affordances of sensors in pre-service and in-service elementary teacher education as scientific, epistemic, interdisciplinary, and didactic mediators. These affordances were revealed to be particularly important in data-driven inquiry problem-solving, pedagogical content knowledge, and professional knowledge development. The framework created can be expanded in future related research.

Bridging the gaps in service delivery: Using social audit as tool of social work practice – Insights from short-term training course

This article explores the learning experience from a comprehensive training program to enhance the understanding and competencies of social work professionals in social audit. The aim is to share the research team and participants’ experience with social work professionals working in the areas of community empowerment, governance, and advocacy globally.