Unique Resource Research Articles

Psychedelic Drug Microdosing Practices: A Qualitative Online Exploration.

"Microdosing," defined as the consumption of small, sub-hallucinogenic quantities of psychedelic drugs, has gained recent popularity. Microdosing is a relatively new concept, therefore no scientific recommendations exist on how to prepare and consume microdoses. Many consumers obtain microdosing information online. Few studies have investigated the content of this information; thus, the present study aimed to do so by collecting a large set of online microdosing information. A qualitative approach was taken to compile and characterize online microdosing information. Medical databases, video websites, online forums, drug-specific websites and forums, search engines, and social media websites were searched. A total of 174 unique resources were found, detailing the types of substances, preparation methods, doses, schedules, and safety strategies used by people who microdose. Future research is recommended to further explore how people prepare microdoses through in-person interviews and sample collection.

Samuel Browne’s late 17th century Indian herbarium: identifications and early modern taxonomic practice

ABSTRACT Samuel Browne (b.-? d. 21st December 1698) was a surgeon employed by the English East India Company (EIC) at Fort St. George, Madras (now Chennai) in India. In 1697, Browne sent a herbarium of 316 specimens collected in and around Chennai to the EIC. Many of those specimens were accompanied with vernacular names, descriptions and notes on their properties and uses. Browne’s specimens were studied by James Petiver who published descriptions with Browne as co-author. Those descriptions made reference to polynomial names in many other published works. In this paper we present a description of the Browne herbarium and identifications for all specimens, with 313 of the 316 specimens identified to species level. We also examine how knowledge from the specimens sent by Browne was integrated with existing knowledge in published works. We show that specimens with a medicinal or other use recorded by Browne were more extensively referenced to other literature than those with no use documented, likely reflecting the fact that plants with documented uses were more likely to have been studied previously. Contrary to our expectations, we found no difference in the extent of referencing to other works when comparing widespread species with species endemic to the Indian subcontinent. The ethnobotanical information recorded in Browne’s herbarium, used in conjunction with the identifications provided in this paper, provides a unique resource for understanding plants in 17th century Tamil Nadu and Andhra Pradesh.

Effect of Knowledge Management Practices on Organizational Performance in African SMEs

Abstract
 Purpose: The aim of the study was to investigate Effect of Knowledge Management Practices on Organizational Performance in African SMEs
 Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
 Findings: Knowledge Management (KM) practices have a positive impact on the performance of African Small and Medium-sized Enterprises (SMEs) by enhancing innovation, improving decision-making, and increasing customer satisfaction. However, challenges related to knowledge transfer and limited resources can hinder the full realization of KM benefits in these organizations. Cultivating a strong learning culture is crucial for continuous improvement. KM strategies must be adapted to the local context and cultural nuances of African countries to maximize their effectiveness.
 Unique Contribution to Theory, Practice and Policy: Resource-Based View (RBV) theory, social capital theory & dynamic capabilities theory may be used to anchor future studies on effect of knowledge management practices on organizational performance in African SMEs. SMEs in Africa should tailor their knowledge management practices to align with their unique organizational cultures, structures, and resource constraints. Governments in African countries should consider implementing policies that provide incentives, subsidies, or tax breaks to SMEs that adopt effective knowledge management practices.

Correlation between tumor size change and outcome in a rare cancer immunotherapy basket trial.

RECIST criteria for progressive disease, partial response, and complete response, reflecting +20%, -30%, and -100% tumor size changes, respectively, are critical outcome variables in oncology clinical trials. Herein, we evaluated post-immunotherapy tumor size change correlation with outcomes. We used a unique clinical trial data resource, a multicenter basket trial in patients with rare solid tumors treated with nivolumab (anti-PD-1) and ipilimumab (anti-CTLA-4) between 2017 and 2023 (National Cancer Institute/Southwest Oncology Group-sponsored DART trial [NCT02834013]) (open at 1083 sites at its peak). Outcome associations were evaluated by survival analysis techniques including Martingale residuals. In 638 evaluable patients, we found strong linear relationships between percent change in tumor measurement up to a 40%-50% increase and progression-free (PFS) and overall survival (OS) (both Cox regression P < .001; landmark analyses based on day 65). Pearson R correlation between survival estimates and tumor change category were -0.94, -0.89, and -0.89 (PFS) and -0.84, -0.90, and -0.90 (OS) for median, 6-month (PFS), and 1-year (OS) and for 1-year (PFS) and 2-year (OS) estimates. Percent change in tumor measurement per RECISTv1.1 (the sum of longest dimensions of target lesions) has a linear association with PFS and OS up to a 40% to 50% increase in tumor measurement in this cohort of patients with rare cancers who received combination immune checkpoint blockade. Quantitative first scan tumor measurement changes include important information to evaluate the potential efficacy of a therapy beyond the proportion of patients who achieve an objective response.

Research on the Development Bottlenecks and Countermeasures of Ethnic Traditional Sports Tourism Industry in Gannan Western China Autonomous Prefecture

Currently, with the gradual realization of the goals of China's rural revitalization strategy, the national traditional sports tourism industry has rapidly developed, becoming a new format driving the growth of the sports industry. Gannan Prefecture possesses abundant natural resources for sports tourism and unique cultural resources in sports tourism, indicating the potential value of developing the national traditional sports tourism industry. However, the development of this industry is constrained by seasonality, insufficient exploration and development, poor accessibility, inadequate supporting infrastructure and services, and a lack of skilled personnel. This paper proposes various reasonable measures to address the bottlenecks hindering the development of the national traditional sports tourism industry.

Forty-eight-year follow-up of a female worker exposed to highly enriched uranium via chronic and acute inhalation.

The United States Transuranium and Uranium Registries (USTUR) is a unique resource of data and materials for studying biokinetics of uranium in the human body. In this study, bioassay data and post-mortem organ activities from a female whole-body USTUR donor who was exposed to highly enriched uranium were analyzed using the IMBA Professional Plus® software to derive the best estimate of the total intake. The resulting radiation doses delivered to this individual's whole body and major target organs were calculated from estimated intake based on case-specific dose coefficients derived using the AIDE® software. Both intake and dose calculations were carried out using the biokinetic and dosimetric models recommended by the International Commission on Radiological Protection (ICRP) in its Occupational Intakes of Radionuclides publication series. Different exposure scenarios including chronic and acute inhalation intakes were tested. A combination of a chronic inhalation intake and two acute inhalation intakes appears to best describe the bioassay data. To fit this female individual's autopsy data, the transfer rate from the liver to the blood was increased by a factor of 8 and the transfer rate from the kidneys to the blood was decreased by a factor of 2.2. This resulted in the best fit to all data (p=0.519). The total intake was estimated to be 44.1kBq, and the committed effective dose was 211mSv with 96.8% contributed by 234U. 96.6% of the committed effective dose was contributed by the lungs. The remaining 3.4% of the committed effective dose was contributed by all systemic tissues and organs with the highest contribution (0.40%) from the red bone marrow. It is concluded that the current ICRP models, with the adjustment for smoking status, adequately describe uranium biokinetics for this individual except retention in the liver and kidneys. However, this study was based on a single case and may not be sufficient to identify any apparent sex-specific differences in uranium biokinetics.

Radio-Led Education: Fostering Awareness of Unique and Natural Resources in Bicol Region among Elementary and High School Students in Selected Schools of Tabaco City, Albay, Philippines

This study examined the effectiveness of radio-based instruction in enhancing students' knowledge of Bicol's unique and natural resources across different educational levels. The research encompasses elementary, junior high school (JHS), and senior high school (SHS) students, evaluating their pretest and posttest scores in response to radio programs on various environmental topics. The radio intervention significantly improved knowledge levels among elementary students, particularly in the tilapia topic, showcasing a 70.31% gain. For JHS students, notable progress was observed, with a remarkable 123.08% gain in invertebrates. SHS students also exhibited enhanced knowledge, achieving a 50.85% gain, emphasizing the positive impact of radio-based instruction on environmental education. While acknowledging contextual challenges and evolving technology trends, this study underscores the vital role of radio in fostering environmental awareness and positive conservation behaviors among students in the Bicol Region. The results suggest that radio programs are potent tools for promoting environmental education and empowering students to contribute actively to conservation efforts.

Too little, too late? Sociological reflections on religious responses to climate crisis

AbstractAre religious communities better advantaged to mobilize for social change than other institutions and communities and other social spaces? If so, how might they do so? What unique resources can religious communities offer to this effort? Even if there is no set formula to generate climate engagement, are there conditions we can recommend? As one of the few social spaces that might systematically compel collective moral engagement, religious communities and organizations hold the potential to play a key role in societal response. Religious teachings, leaders, and communities have provided individuals the moral conviction to do what is right and the courage to act when one is afraid, and they have offered a microcosm of social networks and social norms that supported social engagement. Not only do religious communities provide a rare space for moral vision and call to action, but in many cases religious communities have in fact mobilized significant social movement responses on other issues at both individual and community levels. In this essay, I apply a theory of socially organized denial to specific questions about climate inertia within religious communities posed in this special issue. I also unpack the question of “too little, too late,” pointing to the benefits of a suspension of doubt and engaging in ethics of responsibility in the unfolding present.

Empowering Former Women Migrant Workers: Enhancing Socio-Economic Opportunities and Inclusion for Sustainable Development

This research aims to design and implement participatory empowerment programs for former migrant workers, with a focus on non-formal socio-economic initiatives. Utilizing the Participatory Learning and Action (PLA) method in Cilacap Regency, Central Java Province, Indonesia, the study collected data through observations, dialogues, and Participatory Decision-Making (PDM). Purposive sampling involved selecting subjects from the village government, community leaders, and former women migrant workers belonging to entrepreneurial groups. The participatory analysis approach was used to identify, categorize, and prioritize essential and strategic initiatives. The research findings led to the development of non-formal education programs for former women migrant workers, aimed at fostering creativity and innovation in entrepreneurship, administrative management, digital accounting, product quality improvement, product innovation, labeling and packaging, and promotion management with digital marketing. Collaborative efforts between village and district governments, academics, and the community of former women migrant workers were emphasized in planning and implementing these creative socio-economic non-formal education programs. The programs were tailored to address the unique problems, needs, and local resources of the community of former women migrant workers, providing them with the knowledge, motivation, and skills to independently operate economic ventures and improve the well-being of their families.&#x0D; &#x0D; Received: 1 September 2023 / Accepted: 26 November 2023 / Published: 5 January 2024

Limitations of invasive snake control tools in the context of a new invasion on an island with abundant prey

In October 2020, a new population of invasive brown treesnakes (Boiga irregularis) was discovered on the 33-ha Cocos Island, 2.5 km off the south coast of Guam. Cocos Island is a unique conservation resource, providing refuge for many lizards and birds, including endangered species, which were extirpated from mainland Guam by invasive predators including brown treesnakes. We sought to evaluate the usefulness of toxic baiting with acetaminophen-treated carrion baits and cage trapping, common tools for the control of brown treesnakes on mainland Guam, as potential eradication tools on Cocos Island. We evaluated multiple bait types and bait presentations: on the ground, suspended in the canopy emulating aerial bait applications and in four plastic-tube bait station configurations intended to exclude non-target species. We monitored all baits with time-lapse cameras. Despite improved exclusion of non-targets by bait station design, most baits were quickly removed by non-target species, particularly coconut crabs (Birgus latro) and Mariana monitors (Varanus tsukamotoi). Monitoring of 1,250 baits available for 2,427 bait nights resulted in no observations of brown treesnakes taking any bait. Subsequently, we tested two trap types commonly used on Guam and compared trapping success with live versus dead mouse lures. In 10,553 trap nights using live and dead mouse lures, we only captured one brown treesnake, in a trap with a live mouse lure. These baiting and trapping rates are so low as to be ineffectual for all practical purposes. Concurrent visual searching and hand capture of brown treesnakes during initial rapid response efforts demonstrates that these low baiting and trapping success rates are not a result of low snake density. We make a case for our assumption that the ineffectiveness of these tools on Cocos Island is due to the context of extremely high abundance of preferred live prey, primarily large geckos and birds. Our results have profound conservation ramifications, because any future island invasions by brown treesnakes are likely to occur within similarly prey-rich environments where these baiting and trapping methods might be similarly ineffective.

Building a vertically integrated genomic learning health system: The biobank at the Colorado Center for Personalized Medicine

Precision medicine initiatives across the globe have led to a revolution of repositories linking large-scale genomic data with electronic health records, enabling genomic analyses across the entire phenome. Many of these initiatives focus solely on research insights, leading to limited direct benefit to patients. We describe the biobank at the Colorado Center for Personalized Medicine (CCPM Biobank) that was jointly developed by the University of Colorado Anschutz Medical Campus and UCHealth to serve as a unique, dual-purpose research and clinical resource accelerating personalized medicine. This living resource currently has more than 200,000 participants with ongoing recruitment. We highlight the clinical, laboratory, regulatory, and HIPAA-compliant informatics infrastructure along with our stakeholder engagement, consent, recontact, and participant engagement strategies. We characterize aspects of genetic and geographic diversity unique to the Rocky Mountain region, the primary catchment area for CCPM Biobank participants. We leverage linked health and demographic information of the CCPM Biobank participant population to demonstrate the utility of the CCPM Biobank to replicate complex trait associations in the first 33,674 genotyped individuals across multiple disease domains. Finally, we describe our current efforts toward return of clinical genetic test results, including high-impact pathogenic variants and pharmacogenetic information, and our broader goals as the CCPM Biobank continues to grow. Bringing clinical and research interests together fosters unique clinical and translational questions that can be addressed from the large EHR-linked CCPM Biobank resource within a HIPAA- and CLIA-certified environment.

The added value of partnerships in implementing the UN sustainable development goals

Partnerships have become a key tool in the implementation of the United Nations (UN) Sustainable Development Goals (SDGs). Partnerships can scale up the impact of initiatives by leveraging the strengths and reach of each involved partner. This allows for the replication and expansion of successful projects and programs. In the context of the UN SDGs, partnerships can play a key role in their effective implementation, due to their ability to bring together a variety of stakeholders from different sectors and with different levels of expertise and experience. By leveraging the skills, resources, and capacities of different stakeholders, partnerships can contribute to creating synergies that are essential for the successful implementation of the SDGs. Despite the role of partnerships and their potential value, there is a need for studies that can help understand their role and promote greater transparency and accountability in the implementation of the SDGs. Against this background, this article outlines the concept of partnerships and their values, followed by a description of the partnerships for sustainable development, concerning the implementation of the SDGs and its main features. Some examples of relevant partnerships are presented, outlining their scope and degree of success. Based on the experiences gathered specific suggestions on how to foster partnerships to foster the implementation of sustainable development are provided. It is crucial to define common objectives to ensure alignment and a strong foundation for collaboration, involving diverse stakeholders, including governments, businesses, non-governmental organizations (NGOs), academia, and local communities, thus bringing unique perspectives and resources. Open and transparent communication builds trust and encourages the sharing of ideas and challenges. Additionally, demonstrating the benefits for each partner, whether in reputation, market access, or cost reduction, motivates active engagement, establishes incentive structures, and allows to celebrate successes. Pooling resources, knowledge, and expertise enhances the effectiveness of sustainable development initiatives, encouraging long-term commitments and fostering adaptability in the face of complex challenges. These are specific strategies that highlight the relevance of these findings, in comparison to existing work. Partnerships have evolved into indispensable instruments for the realization of the UN SDGs. Their transformative potential is expected to grow as the future trend, driven by the ongoing need for collaborative solutions to global challenges, becoming instrumental in addressing pressing global issues such as climate change, public health crises, and economic inequalities. In the coming years, a surge in research and initiatives focusing on optimizing partnership models, governance structures, and monitoring mechanisms to enhance accountability and transparency, is anticipated. Furthermore, the integration of digital technologies and data-driven insights into partnership strategies may revolutionize their impact and efficiency. Overall, the evolution of partnerships as a vital force in global sustainability presents a promising future trend with broader applications and a crucial role in addressing multifaceted challenges beyond the SDGs, as demonstrated in this study.

Informal prenatal genetic screening education: What can you learn from Google and YouTube?

PurposeThe goal of this article is to explore what online education and decision support tools are freely available to patients about prenatal screening. MethodsWe (1) conducted an environmental scan using Google Trends to identify and evaluate prenatal screening search terms, (2) created a list of websites and YouTube videos that would be easily accessed by a searcher, and (3) characterized the information within those websites and videos, including an examination of their qualities as a decision support tool and a readability analysis. ResultsFifty websites, containing 62 unique educational resources, and 39 YouTube videos were analyzed. The websites were primarily educational, although the education was provided by a range of sources, including non-profit and for-profit organizations, universities, and governments (ie, public health departments). Readability scores of Patient Education Materials Assessment Tool for Printable Materials for the sites ranged from 50% to 92%, with a median score of 74%. Two of the websites we evaluated met all of the limited decision support standards we applied; 4 of the websites included patient stories or experiences, and 8 included some element of values clarification. Videos were more likely to include values clarification. ConclusionThe information available to patients online is variable. Although most is balanced and informative, much is difficult to read and missing key decision-making factors. Health care providers should work with patients to ensure they have basic comprehension of the prenatal genetic screening materials, possible result outcomes, and expected steps following a positive screening result.

Human Resources Planning in the Organization Goal Achievement at Achievers University Owo

Human resource planning is unique and greatest imperative human resource practice in an organization. Organizations depend on abundant of human resource planning to control their current position and future needs of manpower. The purpose of this research was to examine the human resources planning in Achieving Organizational Goals at Achievers University Owo by reviewing different literature on human resource planning. This research reviews the literature relating to human resource planning and it focuses on the objectives of human resource planning with focus on key structure that bring human resource planning and reputation of human resource planning to the organization, therefore, the research hired Logit Regression Technique with long likelihood (dichotomous variable) that age and educational level of employees determine organisation goals to be achieved. Ninety (90) questionnaires were served on Achievers University Staff to get data for the work (making the sample size). The findings depicts that impact of age and educational level of employee felt in line descriptive knowledge of human resources managers and key strategies decision making can predict how organisational goals wave with level of education put in place by employees that had been hired/employed/recruited into that organisation also, study has showed that Achievers University Owo, Ondo state, can harness more from the little human resources at her disposer by exposing deeper knowledge about the institution goals to employees and keying them along the system which will bring proper planning and long run achievement to the school and products coming out of it.

The Scottish Medical Imaging Archive: A Unique Resource for Imaging-related Research.

The Scottish Medical Imaging Archive: A Unique Resource for Imaging-related Research.

Water, Feeding Efficiencies, and Development of Dermestes maculatus DeGeer (1774)

Although dermestids have varying ecological roles, most Dermestes are generally associated with decomposition of dry animal tissues. However, Dermestes maculatus DeGeer (1774) can eat soft, hydrated tissues, so it is unclear if the apparent preference of Dermestes maculatus for dry tissue reflects physiological adaptation or competitive exclusion by blowflies and other invertebrate scavengers that arrive at carrion earlier and may have faster immature development rates. To address this question, we examined development of D. maculatus larvae on hydrated and dry food, and we determined development rates at a constant temperature of 25°C. Specifically, we conducted multiple replicated experiments in incubators. Initial experiments used with a factorial treatment arrangement of food type (wet versus dry) and larval density (1, 5, 10, 15, and 25 per 5 g of food) with 4 replications. Additionally, for dry food we determined growth, consumption, and conversion rates for 3-6 stage larvae, and consumption and conversion rates for adults. Hydrated food significantly reduced survivorship of D. maculatus larvae and adults (ca. 20% survivorship) as compared to dried food with survivorship rates of ca. 80-90%. Adults feeding on hydrated food were observed to void water, likely to overcome problems with osmotic regulation. Given dry food with little water and high conversion rates (much greater than 10%) in larvae, evidence indicated D. maculatus obtains most water metabolically and not through diet. These adaptations indicate that D. maculatus (and likely related species) have evolved physiologically to exploit dry carrion thereby avoiding competition with other carrion-feeding species. However, D. maculatus is not adapted for low humidity environments or to avoid extreme water loss, these adaptations allow use of a unique resource but do not represent adaption to xeric conditions generally. Moreover, the very adaptations that allow D. maculatus to survive on dry food, are potentially lethal when only hydrated food is available.

Human Resource Management Challenges In The Tourism Industry In Iraq

As Iraq aims to develop its tourism industry to support economic growth following the conflict, a key question arises regarding the workforce needed to enable sustainable sector expansion. This paper explores the unique human resource management (HRM) challenges tourism companies face in this fledgling context through a qualitative study. Semi-structured interviews with eight HR executives from major hospitality firms revealed four major problem themes: recruiting skilled talent, excessive turnover, safety and well-being risks, and inadequate training infrastructure. The findings align with strategic HRM theory in that shortfalls in acquiring, motivating, protecting, and developing human capital obstruct the achievement of organizational growth, productivity, service quality, and continuity goals. Practical implications point to increasing public and private investments in formal tourism education, safety standards, and company-level development programs as priority actions to remedy crippling HRM constraints for the emerging Iraqi tourism sector. The paper spotlights an underexplored yet critically important HRM context, providing empirical insights to inform policies and practices that can unlock the sector's potential.

주민 중심 지역문화축제와 주체성 변천과정 연구

In 2014, the Korean government and parliament enacted the Local Culture Promotion Act, creating a law to systematically promote local culture beyond the existing piecemeal laws on culture and arts. The purpose of the Act is to enhance the cultural enjoyment rights of local residents through voluntary cultural activities, thereby forming a modern community and creating added value for local competitiveness by using local culture as a resource.&#x0D; Even statutory cultural city policies based on the voluntary and original local culture of local residents have been introduced, but even now, there is a strong movement to try cultural policies and projects as economic value creation tools such as tourism and experience products from the perspective of individual leisure and welfare or art and industry. Either way, it is based on the premise that residents are passive and passive objects from the perspective of the administration or producers and suppliers, which misses the basic point that local culture is a way of life formed and shared by local members, and eventually turns into a state that claims to be a cultural city but goes against it. Not only does it not fulfill the purpose of the Local Culture Promotion Act and local self-governance, but it is also distorted into an adverse effect that harms the possibility that it could have been formed naturally due to unilateral and unreasonable intervention.&#x0D; In this study, we will analyze local cultural contents in the process of discovering and sharing local unique cultural resources with the community as a mediator as the main actors of local culture at the urban community level, and local festivals, which are the most commonly encountered, as a case study. Currently, most festivals are organized by a few people, such as the local government or an expert or agency working on their behalf, to mobilize residents to participate in the festival. In contrast to this phenomenon, this study examines the evolution of the Ulsan Residents' Representative Festival, which, until relatively recently, was organized by the residents themselves as a community feast. This study will shed light on how the festival, which was organized by the residents of Ulsan, a newly formed region in the modern era, was able to create regional harmony and unique values in the same context as the previous traditional festivals.&#x0D; This study examines the 57-year evolution of the newly created Ulsan Residents' Representative Festival in the modern era and the changes in the position of residents by system in relation to the management of the festival. By examining how residents have created a relationship with the new area, we hope to draw out what the changes in residents' identity and agency mean for Korean society and the festival today. A community and organization starts with one person, and the character of a community depends on what kind of people it consists of, so as part of communication and integration, we need to think together about how local festivals should be created and why and how residents should be reintroduced as subjects. This is because local cultural contents are rooted in local culture, and this uniqueness is accumulated and shared over time by voluntary actors.

TOWARDS THE DEVELOPMENT OF ECOTOURISM IN THE OULED-NAIL MOUNTAINS: A CASE STUDY OF THE DJELFA MUNICIPALITY IN ALGERIA

Algeria's tourism sector plays a critical role in its economy, especially as the country faces an economic crisis due to its reliance on fossil fuels. However, despite its potential, the tourism industry has remained limited to coastal and desert tourism in the north and south, respectively. Therefore, diversifying the tourism product by exploring inland regions is necessary to restore regional balance and create geographical homogeneity. Djelfa, a city located in the central highlands of the Atlas Mountains, offers unique natural resources and cultural heritage, making it an ideal destination for ecotourism. This study evaluates the potential of Djelfa for tourism planning purposes, using scientific documentation, field survey techniques, and analytical methods like SWOT analysis. In addition, a survey was conducted amongst tourists to collect their opinions on the city's attraction characteristics. The data was processed using principal component analysis (PCA) in SPSS software. The study emphasizes the importance of tourism planning in the area and proposes suitable tourism projects for ecotourism and investment in the Senelba forest site. These projects will positively influence the environment, local population, and lead to real development at the local and national levels while preserving the area's cultural and natural heritage.

Increased patient, public involvement in locality planning - the use of patient’s narratives to support service design and continuous improvement – An evaluation from the Northwest of England

People’s narratives on their experience of health and social care can be powerful drivers for change however, Ledema (2012) found that most patients and family members felt that the health service incident disclosure rarely met their needs and expectations (1). For people to feel confident in sharing the experiences they also need to be assured that the sharing of their stories will lead to change (2).&#x0D; Rochdale is a multi-ethnic (1 in 5 of the population coming from a black or minority background) locality within Greater Manchester. Around a quarter of local people have at least one or more long term conditions and a third of residents live within 10% of the most deprived neighbourhoods nationally (3). As part of the development of a system and place-based approach, Rochdale has developed system wide learning events. These events bring together partners from across NHS, local authorities, voluntary, community and faith sectors and communities. The uniqueness of these events is that they are led by a narrative of experience of services. A person, carer, or family who have had complex experience within services is invited and supported to share their story at a themed event. Then the patient’s story is contextualised within the wider system to provide an understanding of how services can support care, where gaps exist, where there are opportunities for integration, and where there are areas that require improvement. Linking the actualities of people's experience of service to the quality improvement programme is an important feature, as are the resulting action plans which are monitored and reported through the integrated boards. To ensure agreed on plans progress and as their impact on quality improvement is realised a co-production philosophy is adopted and the events are seen as a journey rather than one off event.&#x0D; Development of the evaluation approach has been used to grow and advance the events as this has enabled the impact of the events to be monitored and the events themselves to be modified and improved to ensure that they provide a unique and valuable resource in the boroughs journey to meaningful and impactful integration, which is based on peoples experience and centred on reducing the inequalities that people across the system.&#x0D; 1)Piper, D., Iedema, R., Gray, J., Verma, R., Holmes, L., &amp; Manning, N. (2012). Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: an evaluation study. Health services management research, 25(4), 162-172.&#x0D; 2)Hanna, E., &amp; Robert, G. (2021). Understanding amputation care in England and Scotland: a qualitative exploration of patient stories posted on an online patient feedback site. Disability and Rehabilitation, 1-9.&#x0D; 3)Rochdale Borough Council (2020) Co-operating for better health and well-being Rochdale Borough -Locality Plan 2020-2024 retrieved https://www.rochdale.gov.uk/downloads/file/879/rochdale-borough-locality-plan