Trainee Project Research Articles

420 Computable Phenotyping with “Big Data” as a Foundation for Artificial Intelligence Algorithm Construction: Puberty as a Transdisciplinary Case Example

OBJECTIVES/GOALS: Artificial intelligence (AI) depends on quality machine learning (ML) algorithms constructed with high-quality training data. This TL1 trainee project develops a disease-agnostic computable phenotype framework for ML algorithm construction, modeling male puberty as a case example. METHODS/STUDY POPULATION: A computable phenotype of male puberty was constructed to answer the question: “Does early pubertal timing increase the risk of developing type II diabetes (T2D) in males?” A computable phenotype of males < 18 years old was created in the TriNetX© Diamond Network utilizing Boolean operator data queries. TriNetX© contains patient electronic health record information (ICD-10 diagnoses, anthropometric measures). An exploratory analysis of patient counts reflecting various computable phenotypes allowed for outcome (T2D) comparison of males diagnosed with precocious puberty (E30.1, ICD code for early pubertal timing) to those without, controlling for body mass index (BMI). RESULTS/ANTICIPATED RESULTS: Subjects (n=12,996,132) displayed the following computable phenotype: Male, < 18 years old, without ever having a BMI documented >85th percentile. Males diagnosed with precocious puberty (E30.1) were 6.89 times more likely to develop T2D when aged 14-18 years old than those without (OR 6.89, 95% CI: 5.17-9.19, p<0.0001). Next steps involve training a ML model on each computable phenotype groupings’ health data, with anticipated results identifying underlying salient pathophysiologic variables. A generalized computable phenotype approach is further developed to: 1) explore clinical questions in large databases like TriNetX©, and 2) model disease development with AI/ML algorithm construction. DISCUSSION/SIGNIFICANCE: Computed phenotypes reveal males with precocious puberty may have increased T2D risk. Next steps utilize subject data to train an AI/ML algorithm, model development to identify salient pathophysiologic variables, and synthesize a generalized AI/ML developmental research framework for dissemination.

LMIC Research Centers' Experiences Hosting U.S. and LMIC Trainees: Evaluation of the Fogarty Global Health Fellows and Scholars Program, 2012 to 2020.

In this mixed-methods study, we explore themes that emerged from a survey assessing the programmatic experiences of mentors and administrators at institutions in low- and middle-income countries (LMICs) hosting trainees supported by the Fogarty International Center's Global Health Program for Fellows and Scholars. A total of 89 of 170 potential respondents representing 31 countries completed the survey (response rate, 52.4%). There was agreement among respondents that their institutions received sufficient funds to support trainees and had the capacity to manage operational and financial aspects of the program. A majority also agreed that both LMIC and U.S. trainees were beneficial to the host institutions, and that trainee projects were relevant to the needs of the host country. Respondents felt that program benefits to LMIC trainees could be improved by increasing the research consumables budget, increasing the flexibility of program timelines, and increasing engagement between LMIC and U.S. trainees and institutions. Respondents indicated that both U.S. and LMIC trainees behaved professionally (including demonstrating respectful and ethical behavior) and took appropriate initiative to conduct their research projects. Findings from this study will help inform innovations to similar training initiatives that will enhance sustainability and improve program performance, and will be responsive to local needs.

The effect of physical fitness training on the performance of youth volleyball project players: the case of ana Lemo woreda, Hadiya zone, Ethiopia

The main objective of the study was to examine the effect of physical fitness training on the performance of youth volleyball project players: the case of ana lemo woreda, Hadiya zone. census sampling technique was used to select 24 players aged 15 to 16 years from ana Lemo woreda volleyball project players. The article focused on selected physical fitness variables. Those subjects under this study took part in experimental design pre and post-test on both tests from March 01/03/2021 to May 01/05/2021, 2 days per week for 3 months and 40 minutes prerecession. The physical fitness variables selected for the study were: cardiorespiratory endurance (1.6km run in min test), muscular endurance (sit-ups reps/60seconds), muscular strength (modified push-ups reps/30 seconds), power (standing long jump in meter), and agility (4x10 m shuttle run in seconds). Data were analyzed by using SPSS paired-samples t-test with a pair-wise comparison of means at a 95% confidence interval. The results indicated that there were significant improvements in performance on selected physical fitness variables due to the effect of physical fitness training with active rest (p < 0.05). This study confirmed that physical fitness training with active rest was significant to improve the physical fitness variables. The main finding of the study was trainee project players have discovered positive outcomes towards physical fitness variables. The study also illustrates that the health and fitness level of participants can be improved as a result of the physical fitness training program.

Developing Manageable Individualised Formative Assessment of Translator Trainees Through Rubrics

For some time now I have implemented a manageable combined assessment approach emphasising competence and decision-making (Way 2008, 2009). To do this, we must be able to monitor trainees’ planning, monitoring, regulating, evaluating, recognition of flawed and successful processes and task variables during their assignments. The question is: How can translator trainers assess such a vast range of complex processes? One possible solution is through rubrics for each trainee project management role and for the final translation. In this proposal we attempt to counterbalance the multiple demands of trainee assessment, whilst also addressing the time constraints on trainers and the opinions of trainees. In our paper we will present the rationale for the rubrics (after the pilot trial February-June 2020), one rubric example, an example of the Support Sheets for trainees and the outline for a platform which, once constructed, will only require periodical updating by trainers.

Sustainable Renewable Energy System Installations through Qualified and Skilled Workforce: TRAINEE Approach

Renewable energy and use of renewable energy sources (RES) is seen as part of the appropriate response to the global concerns for energy efficiency and greener world leading to a rapid increase in demand for renewable energy specialists who are able to design, install and maintain such systems. There are very few initiatives for more systematic approach for designing educational programs and developing curricula for training for designers and installers of RES systems in buildings. This especially refers to developing separate occupational standards, recognized by the national qualification frameworks, which will ensure formal validation of developed qualifications. The aim of this paper is to provide a model for training courses for designers and installers of small-scale renewable energy systems in buildings. This model is based on the experience of TRAINEE project, which had the aim to implement training courses for designers and installers of RES systems in buildings.

Primary care collaborative practice in quality improvement: Description of an interprofessional curriculum

An innovative quality improvement (QI)-focused interprofessional training curriculum for pharmacy residents and other healthcare trainees is described. Effective interprofessional collaboration and the ability to carry out QI initiatives are important skills for all healthcare trainees to develop when they are in training. To cultivate those skills, in 2011 a Veterans Affairs medical center in Idaho implemented a unique yearlong interprofessional curriculum for healthcare trainees, including postgraduate year 1 (PGY1) and postgraduate year 2 (PGY2) pharmacy residents, physician trainees in internal medicine, nurses, and psychologists. The curriculum has both didactic and experiential components. After attending a series of 1-hour workshops early in the academic year, trainees are assigned to interprofessional teams and work for the remainder of the year to complete QI projects. Over 100 trainees have participated in the interprofessional QI curriculum, with the majority of trainee projects based in the primary care setting. Pharmacy residents were involved in 62% of the projects completed in the 6 academic years ending with the 2016-17 year. Establishing an interprofessional QI curriculum allowed pharmacy residents in PGY1 and PGY2 programs to collaborate with other members of the healthcare team. Benefits include QI skills development, a greater understanding of QI initiatives at the institution, stronger relationships with other healthcare trainees and mentors, and improvements to patient care and safety and facility performance.

Who makes European Cohesion Policy: a practitioners’ learning perspective

Through the European Social Fund (ESF), the European Union subsidizes social inclusion and occupational trainee projects. This policy instrument is formulated by European Union institutions and implemented by regions through a call for projects which requires innovative actions and a result-oriented strategy. It is a key vantage point to observe sub-national implementation of an European Union policy instrument in a sub-national practitioner’s perspective, a topic under-investigated in the literature. For a project to receive funding, sub-national practitioners must take the European Union requirements (accounting standards, evidence of innovation etc.) and their social needs into account. Against this backdrop, this research tackles an original question: how can local practitioners adapt their policy actions to fit with European Union requirements? Taking the region of Wallonia in Belgium as a case study, the ESF implementation is considered as a specific policy process in sub-national policy sectors. Adopting an in-depth qualitative perspective, this research contends that it depends on practitioners’ learning, practices and experience of past applications, their specific socio-economic context and income maximization.

Training in Infectious Disease Epidemiology through the Emerging Infections Program Sites.

One objective of the Emerging Infections Program (EIP) of the US Centers for Disease Control and Prevention is to provide training opportunities in infectious disease epidemiology. To determine the extent of training performed since the program's inception in 1995, we reviewed training efforts at the 10 EIP sites. By 2015, all sites hosted trainees (most were graduate public health students and physicians) who worked on a variety of infectious disease surveillance and epidemiologic projects. Trainee projects at all sites were used for graduate student theses or practicums. Numerous projects resulted in conference presentations and publications in peer-reviewed journals. Local public health and health care partners have also benefitted from EIP presentations and training. Consideration should be given to standardizing and documenting EIP training and to sharing useful training initiatives with other state and local health departments and academic institutions.

Assignment of trainees to software project requirements: A stable matching based approach

Greedy and optimization approaches used for assigning trainees to software project requirements can give rise to unstable pairs. The presence of unstable pairs can unnecessarily hamper both trainee and project requirement satisfaction. In this paper, we use the theory of stable matching to remove the unstable pairs. We propose an efficient method to predict preferences for both trainees and project requirements using the utility theory. Our computational experiments suggest that the stable matching approach performs better with average trainee and project requirement satisfaction in terms of the preference ranks of allocated choices. Compared to cost based optimization model, the proposed approach obtains significantly better trainee project match at the expense of small additional allocation cost.

Relendo a pintura contemporânea de Senise e Lambrecht: um caso escolar

This paper presents part of a monographic research and a theme development in a supervised trainee practice in High school. It presents the key topics about the contemporary painting, using as reference works of Daniel Senise and Karin Lambrecht. The paper also describes the approach used in the trainee project in which we tried to provide the students the oportunity to improve their knowledge about the contemporary art through a theorical and practical experience on the work of the previously mentioned artists.Key words: Contemporary paint, appropriation, art/education

Increasing leadership capacity for HIV/AIDS programmes by strengthening public health epidemiology and management training in Zimbabwe

BackgroundIncreased funding for global human immunodeficiency virus prevention and control in developing countries has created both a challenge and an opportunity for achieving long-term global health goals. This paper describes a programme in Zimbabwe aimed at responding more effectively to the HIV/AIDS epidemic by reinforcing a critical competence-based training institution and producing public health leaders.MethodsThe programme used new HIV/AIDS programme-specific funds to build on the assets of a local education institution to strengthen and expand the general public health leadership capacity in Zimbabwe, simultaneously ensuring that they were trained in HIV interventions.ResultsThe programme increased both numbers of graduates and retention of faculty. The expanded HIV/AIDS curriculum was associated with a substantial increase in trainee projects related to HIV. The increased number of public health professionals has led to a number of practically trained persons working in public health leadership positions in the ministry, including in HIV/AIDS programmes.ConclusionInvestment of a modest proportion of new HIV/AIDS resources in targeted public health leadership training programmes can assist in building capacity to lead and manage national HIV and other public health programmes.

Medical Students and Depression

In Reply: Dr. Hubbeling highlights the need to make a distinction between depressive diagnoses and their symptoms. The Center for Epidemiologic Studies Depression Scale (CES-D), which she discusses, is an excellent screening measure, assessing depressive symptoms developed in nonclinical populations. While it has been shown to predict major depression and dysthymic disorder, it is not a diagnostic measure. In our medical trainee project, we also administered the Primary Care Evaluation of Mental Disorders (PRIME-MD), a tool based on DSM-IV criteria. We found that 2.8% of medical students and 3.5% of residents met DSM-IV criteria for major depression (data unpublished), substantially fewer than identified as “probable depression” using the CES-D. Because the DSM-IV criteria (as Dr. Hubbeling points out) cast an overly wide net for diagnosing depression, we are all the more encouraged by the PRIME-MD finding, even though the PRIME-MD cannot substitute for a clinical interview. But no matter which screening measure is used, and even though not everyone reporting high levels of symptoms has a diagnosable depressive disorder, those individuals who do report high levels are suffering and may benefit from intervention. Given the symptom rates among medical trainees, we feel it is important to regularly screen for depression and to make mental health resources available. Drs. Dyrbye and Shanafelt also make good points about the need to identify suicidal ideation and to be aware of burnout among medical trainees. Collectively, this emphasizes the importance of students' maintaining their health and well-being in medical school. At our program, these are key domains of the educational program. Our medical student graduates must adopt strategies to cope with the risks, stresses, and forms of impairment encountered in medical training. There are also environmental factors that can improve well-being such as work hours, rotation schedules, and consistency between modeled behavior and trainee expectations. The roots of suicide are multifaceted. Depression is only one potential contributing factor. Physical, emotional, and financial stress; anxiety; burnout; relationship difficulties and the inability to balance personal and professional life; inability to meet patient expectations or deal with patient suffering and death; poor coping skills; and substance misuse are just some of the experiences that may play a stressing role in the lives of medical trainees. We encourage programs to take a comprehensive approach to fostering and promoting well-being among their medical trainees. Deborah Goebert, DrPH Associate professor and associate director of research, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii; ([email protected]). Junji Takeshita, MD Associate professor and associate chair of clinical services, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.

Problemy rozwoju postaw przedsiębiorczych u gimnazjalistów

Among other things education is understood as support of certain individual character traits, e.g. the qualities of a man with self-initiative. It doesn’t confine itself to any single action but this is a long process with which should already be started in the youngest years of the life. To obtain an effective support of the self-initiative at high schools trainees, the present general educational system needs either several organizational modifications or modifications of the teaching contents. These refer essentially:. -the teaching programs and their contents. - the principles and the form of the cooperation of the school with the local authority. --the permanent dilatation of the didactic-educational competences of the teachers in the context of further vocational educations. The specific training in a certain subject should be completed by interdisciplinary trainee projects. The further vocational education of the teachers should take into account the development of the ability to give structured lessons and to better combine the theoretical and practical contents with each other. Furthermore the teachers should be taught how to motivate the trainees for more ownly project drafts and their execution and how the representatives of local authorities should be included in the construction of additional contents of the teaching programs.

The trainee project: family-aided vocational rehabilitation of young people with schizophrenia.

This study explored the initial results of a family-aided vocational rehabilitation program for young people with schizophrenia in The Netherlands. Their parents act as 'job-finders" and traineeship providers. The traineeships obtained for the participants reflect their interests and capabilities, and the participants reported an increase in self-esteem. Some trainees entered paid employment within one year. The results suggest that family involvement, if it is tailored to individual possibilities and combined with key elements of the Individual Placement and Support model, can make a useful contribution to the vocational rehabilitation of young people with schizophrenia.

Machiavellian project managers: do they perform better?

This study looks at the value of political skill in the field of project management. Its aim is to look for a relationship between the political skill of the project manager and the outcome in the shape of personal rewards for him. Although the word ‘politics’ has unpleasant overtones for many people, if political skill is related to personal success, a trainee project manager would do well to overcome any distaste he feels and cultivate Machiavellian skills in parallel with his technical skills. Primary data was obtained from a population of project managers and a linear regression equation for the project manager's salary is developed. No support was found for a relationship between Machiavellianism and success in project management.

Practice morbidity and activity analysis with the aid of a computer. A trainee project.

In a five doctor group practice a system was devised for collecting information about morbidity and practice activity. A structured 'day sheet' was used to record the doctors' case load and this information was then transferred on to a computer file. The computer was programmed to produce monthly morbidity returns and practice activity analyses, printed out in a format that allowed easy comparison to existing published data.

THE GROWING INFLUENCE OF HEALTH PROBLEMS ON SCHOOL HEALTH EDUCATION*

Journal of School HealthVolume 41, Issue 3 p. 137-141 THE GROWING INFLUENCE OF HEALTH PROBLEMS ON SCHOOL HEALTH EDUCATION* LAURENCE B. CALLAN Ph.D., LAURENCE B. CALLAN Ph.D. Dr. Callan is acting assistant coordinator for training and Program Director for Administration, Institute for the Study of Mental Retardation, and lecturer and research associate, University of Michigan School of Public Health, Ann Arbor. He was formerly Program Director of Health Education Aide Trainee Project and lecturer on public health, University of California, Berkeley.Search for more papers by this author LAURENCE B. CALLAN Ph.D., LAURENCE B. CALLAN Ph.D. Dr. Callan is acting assistant coordinator for training and Program Director for Administration, Institute for the Study of Mental Retardation, and lecturer and research associate, University of Michigan School of Public Health, Ann Arbor. He was formerly Program Director of Health Education Aide Trainee Project and lecturer on public health, University of California, Berkeley.Search for more papers by this author First published: March 1971 https://doi.org/10.1111/j.1746-1561.1971.tb03686.xCitations: 1 * This paper presented to the Professional Preparation Committee, American School Health Association at the 98th Annual American Public Health Association Meeting October 1970, Houston, Texas. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume41, Issue3March 1971Pages 137-141 RelatedInformation

Health Education Aide Trainee Project

IN SEP'TEMBER 1967 the California division of the American Cancer Society (ACS) began a 2-year project on the use of indigenous i1onprofessional health aides. The HEAT (health education aide trainee) project was initiated to assess the role of these aides in local branches and to analyze the specific health education work they could perfotrm that could not be done as effectively by professional health workers or volunteers in a voluntary health agency. A project coordinator was retained from the, University of California School of Public Health to collect data on the use of indigenous nonprofessional aides in other programs and to discuss the implications of this project with workers in the participating ACS branches. After extensive screening by the health education director of the ACS branch, the project coordinator, and the executive director of each coopera,ting ACS branch, four aides-all women, 23, 33, 35, and 36 years old-were selected to work with certain ethnic minority populations in the San Francisco Bay Area communities. The aides were to determine the needs of the residents and help them modify their behavior concerning cancer; that is, seek early diagnosis and care of the disease. The use of nonprofessional aides in health programs is not new. American Indians have worked as health education aides on their reservations since the mid-1950's (1). Community health aides have been used in California since 1961, particularly in areas with large numbers of migrant agricultural workers (2,3). The Office of Economic Opportunity (OEO) has used community aides in urban health programs to improve communications with disadvantaged families. "They [the aides] possess the precious empathy too often missing among middle class health workers and can serve a vital function as a bridge between patients or potential patients in need of health services" (4).