Unified Messaging Research Articles

Accelerating the pace of elder justice policy to meet the needs of a growing aging population.

Policy measures designed to address elder abuse, neglect, and exploitation date back to decades, including the Older Americans Act of 1965. Over the years, various legislative actions have aimed to address elder mistreatment, culminating in the Elder Justice Act of 2010. Despite these efforts, policy changes lag behind need, and government funding appropriation is woefully inadequate. On November 29, 2023, the National Collaboratory to Address Elder Mistreatment convened 76 experts from research, clinical practice, policymaking, federal and state agencies, and national organizations to develop strategies for accelerating policy action to address elder mistreatment. Key themes from the convening included the need for a unified and stronger infrastructure and messaging, the importance of data-driven policy and evidence-informed prevention and intervention practices, and expanding strategic engagements. Participants emphasized the need for a holistic and long-term approach, leveraging data to demonstrate outcomes, and building coalitions across related fields to address elder mistreatment. Action steps were identified for both national and state/local levels, focused on enhancing data-informed elder mistreatment prevention, intervention, and response programs. The broad cross-sector participation in the convening and the findings underscored the urgency of and potential for advancing elder justice policy. By leveraging existing initiatives, utilizing data emerging particularly in the past 5 years, building on decades of advocacy, and fostering new collaborations, there is a significant opportunity to improve prevention, intervention, and response to elder mistreatment.

Change starts at home: summary of the 2023 inaugural Small Animal Antimicrobial Stewardship Workshop for US Veterinary Schools.

Small animal antimicrobial stewardship (AS) is emerging as a priority area in the global battle against antimicrobial resistance. Veterinary practices have limited support for implementation of AS programs, and even within veterinary schools, efforts are largely siloed and often limited in scope. Increased collaboration is needed to support and unify AS and infection prevention and control efforts, and to identify priorities for continued research. To address this, a 2-day in-person small animal AS workshop was held in August 2023. Delegates representing 23 US veterinary schools and 4 corporations/government agencies gathered for a series of lightning talks and focused group discussions in 3 domains: implementation of clinical AS programs, research opportunities and needs, and education. The workshop's goal was to identify and propose solutions for AS challenges. Meeting discussion identified a lack of resources and training as the greatest barriers to hospital AS program advancement and suggested creating standards for AS programs and a road map to support program development. Assessing antimicrobial treatment effects and performing studies to establish necessary treatment durations were considered the highest research priorities. Integrated educational practices were recommended to support unified messaging of AS concepts between preclinical and clinical training. The development of strategies to implement these suggestions was delegated to working groups with a goal to continue meeting biennially as a large group. Sharing news of these efforts is considered integral to heightening awareness and promoting implementation of AS practices moving forward in academic, specialty, and primary care settings.

Rapid Lifestyle Recommendations to Improve Urologic, Heart and Overall Health.

This literature review is intended to highlight recent correlations between urologic, heart and overall health by emphasizing healthy eating patterns, physical activity, alcohol minimization and tobacco elimination, healthy sleep, weight, cholesterol, blood sugar, blood pressure management, and mental health awareness. Meta-analyses, systematic reviews, and clinical studies espouse a unified message for prevention, reducing the risk of disease recurrence, progression, complementing conventional medical intervention efficacy, and mitigating treatment side effects. Limiting or eliminating alcohol consumption could be considered an independent recommendation and adding a mental health and miscellaneous (genetic risk and lifestyle, planetary health, HPV or other vaccination awareness, spirituality, etc.) category could allow for individualized educational opportunities, synergism appreciation, and self-improvement. Urologic healthcare professionals have the potential to strengthen the collective public health goal of improving the quality and quantity of the lives of patients able to adhere to these heart healthy recommendations.

A Patient Interview-Based Needs Assessment and Evaluation of Experiences with Periviable Pregnancies.

Given the complex ethical and emotional nature of births during the periviable period for both health care providers and families, this investigation sought to identify strategies for improved counseling of pregnant patients facing preterm birth at the cusp of viability at a tertiary care center in Hawai'i. As part of a larger quality improvement project on periviability counseling, 10 patients were interviewed during either individual or small focus groups using a progression of hypothetical scenarios. Interviews were analyzed independently by 3 investigators to identify themes of patient experience and potential areas for improvement when counseling patients who are carrying periviable pregnancies. Several common themes emerged from the interviews. Patients expressed the desire for more information throughout the process delivered in a jargon-free manner with unified messaging from the medical teams, and emotional support. These findings add to a limited body of literature which addresses patient perceptions of interactions with health care providers in the face of uncertainty, particularly in a Pacific Islander population. The authors recommend increasing provider training and developing a more structured process to counsel pregnant women facing periviable pregnancy loss to improve the patient experience.

سید ریجھ علی شاھ کی شاعری میں قرآنی آیات کے استعمال کا تجزیہ

Syed Reejh Ali Shah stands out as one of Sindh's distinguished poets, embodying all the quintessential elements of poetic artistry within his works. His verses are not only profound but also meticulously crafted, often interwoven with Quranic excerpts. Shah's poetry conveys messages of peace, interlacing Prophetic teachings and Islamic narratives akin to precious pearls. Encountering Syed Reejh Ali Shah's compositions evokes a sensation akin to delving into the interpretations of the Holy Quran or its translations, fostering a profound sense of tranquility. Particularly, the younger generation is encouraged to explore his poetry to illuminate their paths. This article delves into an analysis of the Quranic verses elegantly embedded within Syed's poetic tapestry. Each verse is seamlessly integrated with its Arabic rendition, accompanied by translations in Urdu or Arabic, showcasing Shah's adeptness in Arabic, Urdu, and Sindhi languages.
 Syed Reejh Ali Shah's persona and poetic legacy draw parallels with Shah Abdul Latif's essence and literary oeuvre/work, as both luminaries ardently strive to impart a unified message. Their writings intricately weave themes of monotheism, prophet hood, the poignant narrative of Karbala, and Quranic allusions. While Shah's poetry boasts multifaceted dimensions warranting discourse, this article meticulously scrutinizes the Quranic verses meticulously enshrined within his verses, focusing solely on those instances where Quranic references are intertwined."

Hegemony of Western Images in the Aesthetic Representation of Food Advertising in Indonesia

Hegemony of Western Images in the Aesthetic Representation of Food Advertising in Indonesia

About Free economic zones

The article explores the concept of a free economic zone. It is determined that the concept of a free economic zone is not formally updated, but in a collective understanding it is actively used by many specialists in practical circulation. The authors give arguments about the functioning of a free economic zone in Russia and analyze the general position of such zones in the world. The experience and practice of the functioning of free economic zones in the country are diligently monitored, but the main monitoring is concentrated at the Ministry of Economic Development of Russia, whose reports provide positive indicators. The article discusses a cross–section of reporting data reflecting only the functionality of territorial development zones, territories of advanced socio–economic development, special economic zones. Based on a sample of reporting data and discussion of the opinions of various experts, the authors present possible variations of the expansion of the types of free economic zones. In particular, it is proposed to consider options related to meeting the needs of socially low7income citizens, pensioners and other categories of persons in need of assistance and support from the state and society. Thus, it is essential to update the concept of «free economic zone» at the legislative level and to form a unified legal message of the types of such zones.

CONTEMPORARY INTERPRETATION OF RELIGIOUS MODERATION IN THE QUR'AN: THOUGHT ANALYSIS QURAISH SHIHAB AND ITS RELEVANCE IN THE INDONESIAN CONTEXT

Tafsir al-Misbah succeeded in combining the presentation of the surahs of the Koran with the al-adabi al-ijtima'i style with the correlative tahlili method. That is, Tafsir al-Misbah, even though it has an adabi al-ijtima'i pattern (a socio-community cultural style), does not leave a unified message in every surah of the Qur'an. The Quraish Shihab style of thought and its distinctive tendencies have sufficiently colored the discourse on al-Qur'an studies in Indonesia. This study attempts to describe the concept of wasathiyah Quraish Shihab from his works. This study uses a qualitative approach to the type of library research. The primary data is Quraish Shihab's book on Moderate Islam. In the thought of religious moderation, Quraish Shihab, namely the middle position makes humans not take sides to the left and to the right. Second, the understanding of ummatan wasathon in the concept of wasathiyyah with a middle meaning in the view of God and the world. Wasathiyah also contains the main principles of fairness, balance and tolerance. Islam as a religion with the highest number of adherents requires its adherents to have tolerance in society, protect minorities, and give freedom to the majority to worship as they believe. The Qur'an has explained the need to have a tolerant attitude in several of its verses, which later these verses were understood in various ways by mufassir, one of whom was Quraish Shihab.

Gendered identities in portuguese anti-austerity mobilisation

The austerity policies implemented following the financial crisis of 2008 in Portugal led to high contention in the public sphere. New, mostly young, and urban social movements took central stage in organising it, often articulated with traditional actors (labour unions or left-wing political parties). These movements presented a very unified image and message to the public, the media, and the institutions whose policies they opposed, based on a shared interpretation of social justice. These coalitions included feminist and LGBTQIA+ organisations, with a story of past activism which is said to have been pushed aside so they could cooperate in the priority anti-austerity arena. This paper questions whether these identities were indeed side-lined, relying on content analysis of materials made available online by those organisations to argue that feminist and LGBTQIA+ protesters framed their mobilisation through a gendered interpretation of the events and consequences of austerity, closely related to their previous values, beliefs, and incentives to participate in social activism.

Building Bridges Instead of Putting Up Walls: Connecting the “Teams” to Improve Soccer Players’ Support

The increase in the economic value of soccer occurred in parallel with an increase in competing demands. Therefore, clubs and federations evolved to greater specialization (e.g., state-of-the-art facilities and high-profile expertise staff) to support players’ performance and health. Currently, player preparation is far from exclusively club or national team centered, and the lack of control in each player’s environment can be more prevalent than expected. For example, an elite group of professional players faces disruptions in the season club-oriented planification due to involvement in national teams. Moreover, as elite players’ financial resources grow, it is common for them to employ specialized personal staff (e.g., strength and conditioning, nutritionist, and sports psychologist) to assist in their preparation, resulting in complex three-fold relationships (i.e., club, player’s staff, national team). Although efforts have been made to improve communication with and transition from the club to the national team supervision, this new reality (club-players’ staff) may generate serious compound role-related problems and difficulties in monitoring load and training adaptation and having a unified message. Therefore, efforts must be implemented to ensure a more informed management of the players’ performance environment, where the existence and impact of these various personal staff are considered to avoid a long-term non-zero sum for all intervening parties. If left unchecked, current professional thinking may collide or overlap, potentially triggering conflict escalation and impairing athletic performance or health, especially if effective communication routes are not adequately established. Moreover, diluted personal responsibility regarding performance may ensue, resulting in decreased productivity from all involved, which may cause more harm than benefits for the player’s overall health and performance. This emerging reality calls for developing a joint working framework (i.e., between the player’s personalized support team and the clubs’ team) and better managing of a player-centered process.

Signed Laplacian Graph Neural Networks

This paper studies learning meaningful node representations for signed graphs, where both positive and negative links exist. This problem has been widely studied by meticulously designing expressive signed graph neural networks, as well as capturing the structural information of the signed graph through traditional structure decomposition methods, e.g., spectral graph theory. In this paper, we propose a novel signed graph representation learning framework, called Signed Laplacian Graph Neural Network (SLGNN), which combines the advantages of both. Specifically, based on spectral graph theory and graph signal processing, we first design different low-pass and high-pass graph convolution filters to extract low-frequency and high-frequency information on positive and negative links, respectively, and then combine them into a unified message passing framework. To effectively model signed graphs, we further propose a self-gating mechanism to estimate the impacts of low-frequency and high-frequency information during message passing. We mathematically establish the relationship between the aggregation process in SLGNN and signed Laplacian regularization in signed graphs, and theoretically analyze the expressiveness of SLGNN. Experimental results demonstrate that SLGNN outperforms various competitive baselines and achieves state-of-the-art performance.

284 Effect of <20-minutes of Cool Running Water < 3hours on Burn Patient Outcomes: A Systematic Review

Abstract Introduction Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries. Methods This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken. Methodological quality of studies was assessed by using Downs and Black Checklist. Results Of 323 records, seven studies were included, with a combined study population of 11,383 patients. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between ‘fair’ and ‘good’. Approximately half of the study population (n=5782 [50.8%]) received 20 minutes of CRW within three hours of injury. Patients who received 20 minutes of CRW, within three hours of injury, had significantly decreased odds of requiring skin grafting or other surgical intervention when compared to patients who did not receive 20 minutes of CRW within three hours of injury. Conclusions There is considerable evidence demonstrating the association between the application of 20 minutes of CRW within the first three hours of injury and improved outcomes for patients with burn injury. Burns first aid guidelines and recommendations vary widely globally. Burn care organisations should reach international consensus about burns first aid best practice and provide clear, simple, and unified messaging. Burn care organisations should also engage in cross-sector collaborations with relevant jurisdictional EMS organisations to translate burns first aid evidence into pre-hospital practice. Applicability of Research to Practice Applying CRW after burn injury is a relatively simple procedure that can be performed at the scene by conscious patients, bystanders, firefighters, and other EMS responders. Data from the ABA burn repository shows that burn injuries in the United States (US) mostly occur in the home and most are < 10% total body surface area (TBSA). Therefore, for US EMS responders responding to the burn injured, CRW is accessible in most situations, when injuries occur in the home and the medical urgency to transfer most patients with non-severe injuries (< 10%TBSA) is not time critical. These contextual conditions of responding to most people with burn injuries, uniquely places US EMS responders in a window of opportunity to provide CRW at the scene, that can significantly reduce the burden of injury for patients.

From the Rocky Coast and Across the Mountaintops: Maine's Collaborative Early Intervention Program for Children Who Are D/deaf or Hard of Hearing

Purpose: The purpose of this article is to share the old and new process of early intervention services in Maine for children who are D/deaf or hard of hearing (DHH), the Exploring Language and Communication Opportunities (ELCO) process and resources available to families of children who are DHH living in Maine. Conclusions: Prior to 2016, families in Maine with children who are DHH were referred to multiple agencies for services, causing confusion and increased stress. In addition, when gathering information to better support their child, families were receiving conflicting information across their service providers. With a new referral process and ELCO, a unified message related to communication and language opportunities is shared, as well as the resources available in the community.

Patient, family and professional suggestions for pandemic-related surgical backlog recovery: a qualitative study.

Surgical shutdowns related to the COVID-19 pandemic have resulted in prolonged wait times for nonemergency surgery. We aimed to understand informational needs and generate suggestions on management of the surgical backlog in the context of the ongoing COVID-19 pandemic through focus groups with key stakeholders. We performed a qualitative study with focus groups held between Sept. 29 and Nov. 30, 2021, in Ontario, with patients who underwent or were awaiting surgery during the pandemic and their family members, and health care leaders with experience or influence overseeing the delivery of surgical services. We conducted the focus groups virtually; focus groups for patients and family members were conducted separately from health care leaders to ensure participants could speak freely about their experiences. Our goal was to elicit information on the impact of communication about the surgical backlog, how this communication may be improved, and to generate and prioritize suggestions to address the backlog. Data were mapped onto 2 complementary frameworks that categorized approaches to reduction in wait times and strategies to improve health care delivery. A total of 11 patients and family members and 20 health care leaders (7 nursing surgical directors, 10 surgeons and 3 administrators) participated in 7 focus groups (2 patient and family, and 5 health care leader). Participants reported receiving conflicting information about the surgical backlog. Suggestions for communication about the backlog included unified messaging from a single source with clear language to educate the public. Participants prioritized the following suggestions for surgical recovery: increase supply through focusing on system efficiencies and maintaining or increasing health care personnel; incorporate patient-centred outcomes into triage definitions; and refine strategies for performance management to understand and measure inequities between surgeons and centres, and consider the impact of funding incentives on "nonpriority" procedures. Patients and their families and health care leaders experienced a lack of communication about the surgical backlog and suggested this information should come from a single source; key suggestions to manage the surgical backlog included a focus on system efficiencies, incorporation of patient-centred outcomes into triage definitions, and improving the measurement of wait times to monitor health system performance. The suggestions generated in this study that may be used to address surgical backlog recovery in the Canadian setting.

A Republic in the Ranks: Loyalty and Dissent in the Army of the Potomac

A Republic in the Ranks: Loyalty and Dissent in the Army of the Potomac

A cross-sectional study exploring the Covid-19 vaccination landscape in Malta through social media: An insight into experiences, attitudes, and perspectives.

Covid-19 vaccines were disseminated across Europe from the end of 2020. Malta had one of the fastest vaccination rollouts in Europe and by March 2022 most adults had their booster dose. The aim was to investigate adult's perspectives, experiences, and attitudes regarding vaccination in Malta. An anonymous online survey targeting adult social media users living in Malta was disseminated through social media, with a snowball technique. Demographic information, vaccination uptake, side-effects, perceptions, and experiences were gathered through quantitative and qualitative means. Participants were sub-grouped according to their vaccination status and descriptive analysis through frequency was performed. χ 2/Fisher test testing followed by logistic regressions were performed to assess the vaccination perspectives according to vaccination status. Out of 611 participants 79.87% had the booster, 4.91% had two doses awaiting booster, 6.55% refused booster while, 8.67% refused any dose. Booster sub-group when compared to vaccine hesitant sub-group exhibited an association with the perception for the need to "continue wearing masks, maintaining physical distance and hand washing following vaccination" (odds ratio [OR]: 5.97 confidence interval [CI] 95%: 1.09-32.36 p = 0.04). Those waiting for the booster dose when compared to those refusing booster, exhibited an association with the perspective that "COVID-19 vaccine is the solution to returning to normality" (OR: 5.00 CI 95%: 1.12-22.35 p = 0.04). The commonest reason for inoculation was to protect against severe disease (63.08% CI 95%: 58.91-67.07). More pronounced booster adverse effects raised concern about future booster doses uptake. Unwillingness among anti-booster and vaccine hesitant arose among high socioeconomic background participants, with concern for vaccine safety and adverse effects. Vaccine hesitancy is low yet, vaccination unwillingness even among highly educated may act as a barrier to control the pandemic. Clear, transparent public health communication which targets concerns is crucial, with unified messages from governing bodies optimizing population safety.

Political opposition and voter mobilization in an authoritarian state: The case of parliamentary elections in Iran

ABSTRACT Most autocratic leaders have confidence they can control election results by holding unfair and unfree competitive elections. They have many tools at their disposal to ensure they do not lose elections. Although electoral fraud and ballot box stuffing can secure an easy win, such tools may trigger mass protests and jeopardize the existence of the nondemocratic state. Nondemocratic leaders abuse the electoral system to prevent coordination among opponents and the masses. From changing election rules and banning political parties to eliminating effective candidates, the ‘menu of manipulation’ that nondemocratic leaders employ blocks creation of a focal point for collective action among the opposition. Moreover, the opposition rarely has an opportunity to solve collective action problems and deliver a unified message for change. When the opposition does capitalize on this opportunity, a segment of the electorate that opposes the nondemocratic leader responds to the opposition’s mobilization efforts. Based on original data gathered at the district level between 2000 and 2016, this study offers an original investigation into Iranian legislative elections. I argue that when opponents of an autocratic leader provide a unified request for change in the status quo, there is a surge in voter turnout.

Jeffrey Pulse. Figuring Resurrection: Joseph as a Death and Resurrection Figure in the Old Testament and Second Temple Judaism

Jeffrey Pulse. <i>Figuring Resurrection: Joseph as a Death and Resurrection Figure in the Old Testament and Second Temple Judaism</i>

Dismantling Structural Barriers: Resident Clinics Refocused on Equity.

Disparities in health by race, ethnicity, and socioeconomic status within obstetrics and gynecology are well described and prompt evaluation for structural barriers. Academic medicine has a historical role in caring for marginalized populations, with medical trainees often serving as first-line clinicians for outpatient care. The ubiquitous approach of concentrating care of marginalized patients within resident and trainee clinics raises ethical questions regarding equity and sends a clear message of value that is internalized by learners and patients. A path forward is elimination of the structural inequities caused by maintenance of clinics stratified by training level, thereby creating an integrated patient pool for trainees and attending physicians alike. In this model, demographic and insurance information is blinded and patient triage is guided by clinical acuity and patient preference alone. To address structural inequities in our health care delivery system, we implemented changes in our department. Our goals were to improve access and patient experience and to send a unified message to our patients, learners, and faculty-our clinical staff, across all training levels, are committed to giving the highest standard of care to all people, regardless of insurance status or ability to pay. Academic medical centers must look internally for structural barriers that contribute to health care disparities within obstetrics and gynecology as we aim to make progress toward equity.

Building Function Recognition Using the Semi-Supervised Classification

The functional classification of buildings is important for creating and managing urban zones and assisting government departments. Building function recognition is incredibly valuable for wide applications ranging from the determination of energy demand. By aiming at the topic of urban function classification, a semi-supervised graph structure network combined unified message passing model was introduced. The data of this model include spatial location distribution of buildings, building characteristics and the information mined from points of interesting (POIs). In order to extract the context information, each building was regarded as a graph node. Building characteristics and corresponding POIs information were embedded to mine the building function by the graph convolutional neural network. When training the model, several node labels in the graph were masked, and then these labels were predicted by the trained model so that this work could take full advantage of the node label and the feature information of all nodes in both the training and prediction stages. Quasi-experiments proved that the proposed method for building function classification using multi-source data enables the model to capture more meaningful information with limited labels, and it achieves better function classification results.