Journal articles on the topic 'Community conference procedure'
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Gomilko, Olga. "Freedom and Progress in Postsocialist Challenges: Basees’ reflection (April 13-15, 2018, Cambridge)." Filosofiya osvity. Philosophy of Education 22, no. 1 (June 12, 2018): 270–82. http://dx.doi.org/10.31874/2309-1606-2018-22-1-270-282.
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Feeling united with academic community reflects in increased responsibility for one’s own quality of work. This is the quality of carrying yearly BASEES Conferences in Cambridge that impresses participants coming from the academic environments in which procedure and scope of events are not really respected. Therefore, learning from this kind of experience is always useful. The most inspiring thing is hope that conferences of such a level someday will become a routine for Ukrainian scholars as well. The more so, because our post-Socialist experience is interesting in itself for our foreign colleagues, since the way which the scientific rationality makes under conditions of overcoming totalitarian repression and aiming at democratic freedom is currently important not for Ukrainians only. Under current conditions, the part of rationality in the dimension of freedom obtains a universal meaning, making the need of reconsidering the phenomena of freedom even more rapid. This article is intended to present to Ukrainian academic community some theoretical and organizational achievements of this year’s BASEES Conference and to engage Ukrainian scholars more actively to participate in international academic events and considering the ways of implementing the experience received into their activities home. This year the conference was dedicated to the fifty years of the Prague Spring. The experience of the Prague Spring in the reflections of the BASEES conference proves the relevance of the issues of freedom and the need to rethink the key concept of modern thinking – progress. The critique of progress that puts under the question the significance of the concept itself for contemporary socio-philosophical discourse is, in the main, directed against progressism as a modern mechanistic version of progress. The revealing of the complex and ambiguous forms of progress in contemporary epoch tends to accept rather than reject the progress.
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van Calster, Geert. "Amsterdam, the Intergovernmental Conference and Greening the EU Treaty." European Energy and Environmental Law Review 7, Issue 1 (January 1, 1998): 12–25. http://dx.doi.org/10.54648/eelr1998003.
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The environment was not high on the IGC agenda. The environmental improvements of the Amsterdam Treaty are nevertheless remarkable. Sustainable development has been made a Union objective, together with the principle of a high level of environmental protection; the provisions of Article 100A (the environmental guarantee) have been clarified; the integration principle has been strengthened; all EC environmental legislation will now be drafted following the improved co-decision procedure; the horizontal principles of subsidiarity and proportionality will have to be tailored to environmental policy; the case for making the Union more transparent and the declaration on the improvement of Community legislation could benefit environmental policy; and finally, the uncertainty surrounding the "right to protection of the environment" prevented its inclusion in the Treaty. The changes made in Amsterdam with respect to environmental policy are more than merely cosmetic.
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Nosotti, Mario, Andrea Droghetti, Luca Luzzi, Piergiorgio Solli, and Roberto Crisci. "First Italian Consensus Conference on VATS Lobectomy for NSCLC." Tumori Journal 103, no. 2 (December 19, 2016): 124–35. http://dx.doi.org/10.5301/tj.5000578.
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Purpose Video-assisted thoracoscopic surgery (VATS) lobectomy has become an accepted procedure for the treatment of selected cases of lung cancer. The aim of this project was to establish national practical recommendations for the management of patients suitable for VATS lobectomy. Methods The Scientific Committee of the VATS Lobectomy Group (a branch of the Italian Society of Thoracic Surgery) identified the consensus conference as an appropriate tool for a national debate. The consensus conference was organized following indications of the Italian Department of Health: a panel of experts reviewed the literature, the jury board revised the experts’ reports, and the national conference discussed and voted on statements. The strength of recommendation for a statement was classified as weak, fair, or high when the total score ranged between 51% and 67%, 68% and 84%, or 85% and 100%, respectively. Results Eighty-six Italian thoracic surgeons attended the 1st Italian Consensus Conference on VATS lobectomy in Giulianova, Italy, on October 29-30, 2015. Thirty-three topics were discussed: indications, surgical strategy, perioperative management, and training were the main topics. Consensus was reached on 24 statements that were consequently recommended. Conclusions The Italian Consensus Conference is the first attempt to discuss VATS lobectomy-related issues in a national scientific community. Such experience determined an improvement in epistemic knowledge among the Italian thoracic surgeons and could be a suggestion for other national communities.
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Law, Ho. "The Transpersonal power of stories: Creating a community of narrative practice." Transpersonal Psychology Review 19, no. 2 (2017): 3–11. http://dx.doi.org/10.53841/bpstran.2017.19.2.3.
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This paper describes the principles and procedure of ‘definitional ceremony’; a narrative method employed to create a community of narrative practice. It argues that the transformative power of these practices can be regarded as transpersonal. Additionally, such an approach can be rapidly implemented across groups and entire communities. Therefore, building communities of narrative practice is more efficient and effective than traditional care model and one-to-one psychological interventions. The paper argues that it is an appropriate approach to a crisis situation – such as the aftermath of the Grenfell fire – where rapid community intervention is needed. (This paper is written in preparation for the workshop in collaboration with Cruse Bereavement Care UK at the BPS East of England Branch 1st Annual Conference: Applying psychology in the Eastern region: From theory to practice, at Anglia Ruskin University, Cambridge on 8 September 2017. The workshop offers an opportunity to train more psychologists, counsellors, social workers, community leaders and trainers who may not be familiar in this approach thereby widening access to psychological interventions.)
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Türk, Alexander. "The Concept of the “Legislative” Act in the Constitutional Treaty." German Law Journal 6, no. 11 (November 1, 2005): 1555–70. http://dx.doi.org/10.1017/s2071832200014504.
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The constitutionalism of the Community legal order as an evolutionary process of transforming an international organisation into a constitutional legal order has found its latest expression in the Treaty Establishing a Constitution for Europe. This document evokes the language of the constitutional state when it refers to “this Constitution” in Article I-1 and expresses its gratitude to the “European Convention for having prepared the draft of this Constitution on behalf of the citizens and States of Europe.” However, ambiguity is not far behind. The length of the document resembles a carefully drafted prenuptial agreement rather than a constitutional text. Moreover, the reference to the Constitution cannot disguise the fact that it has been adopted as an international treaty in the usual procedure of an Intergovernmental Conference and will have to be ratified by each and every Member State to enter into force.
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Baird, Courtney E., Maryam Guiahi, Scott Chudnoff, Nilsa Loyo-Berrios, Stephanie Garcia, Mary Jung, Laura Elisabeth Gressler, et al. "Building Blocks for the Long-acting and Permanent Contraceptives Coordinated Registry Network." BMJ Surgery, Interventions, & Health Technologies 4, Suppl 1 (November 2022): e000075. http://dx.doi.org/10.1136/bmjsit-2020-000075.
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ObjectivesA multistakeholder expert group under the Women’s Health Technology Coordinated Registry Network (WHT-CRN) was organized to develop the foundation for national infrastructure capturing the performance of long-acting and permanent contraceptives. The group, consisting of representatives from professional societies, the US Food and Drug Administration, academia, industry and the patient community, was assembled to discuss the role and feasibility of the CRN and to identify the core data elements needed to assess contraceptive medical product technologies.DesignWe applied a Delphi survey method approach to achieve consensus on a core minimum data set for the future CRN. A series of surveys were sent to the panel and answered by each expert anonymously and individually. Results from the surveys were collected, collated and analyzed by a study design team from Weill Cornell Medicine. After the first survey, questions for subsequent surveys were based on the analysis process and conference call discussions with group members. This process was repeated two times over a 6-month time period until consensus was achieved.ResultsTwenty-three experts participated in the Delphi process. Participation rates in the first and second round of the Delphi survey were 83% and 100%, respectively. The working group reached final consensus on 121 core data elements capturing reproductive/gynecological history, surgical history, general medical history, encounter information, long-acting/permanent contraceptive index procedures and follow-up, procedures performed in conjunction with the index procedure, product removal, medications, complications related to the long-acting and/or permanent contraceptive procedure, pregnancy and evaluation of safety and effectiveness outcomes.ConclusionsThe WHT-CRN expert group produced a consensus-based core set of data elements that allow the study of current and future contraceptives. These data elements influence patient and provider decisions about treatments and include important outcomes related to safety and effectiveness of these medical devices, which may benefit other women’s health stakeholders.
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Condorelli, Luigi. "La Commission internationale humanitaire d'établissement des faits : un outil obsolète ou un moyen utile de mise en œuvre du droit international humanitaire?" International Review of the Red Cross 83, no. 842 (June 2001): 393–406. http://dx.doi.org/10.1017/s1560775500105735.
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Abstract The International Fact-Finding Commission mentioned by Article 90 of Additional Protocol I is the only new measure introduced by the Diplomatic Conference of 1914-1911 intended to strengthen implementation of international humanitarian law. (The word ‘humanitarian’ was added to the title by the Commission itself, in order to better express the Commission's limited jurisdiction.) The Commission was established and its rules of procedure were adopted, but never since 1977 has any party to an armed conflict or any other State ever asked the Commission to exercise its activity in a concrete situation. The author (a member of the Commission) examines the reasons of this apparent failure and suggests new ways of understanding Article 90. He has no doubts about the Commission's usefulness, and he calls upon States and the other members of the international community – in particular the United Nations – to accept the Commission as a tool for strengthening respect for international humanitarian law.
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Purnama Sari, Siti. "PATTERNS OF COMMUNICATION BETWEEN CHILDREN AND PARENTS (CASE STUDY OF BROKEN HOME FAMILIES IN PENGGALANGAN VILLAGE COMMUNITY, TEBING SYAHBANDAR DISTRICT)." International Journal of Economic, Business, Accounting, Agriculture Management and Sharia Administration (IJEBAS) 2, no. 2 (April 26, 2022): 155–68. http://dx.doi.org/10.54443/ijebas.v2i2.183.
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Indication representation is the transaction of communication delivery nailed into a single credible insigne that contains meaning, from missing stimuli to ever -changing individual behaviors. Included in the poor families for this generalization, the researcher wants to introduce the Pattern of Interpersonal Communication between Children and Parents (Case Study of Broken Home Family in Penggalangan Village Community of Tebing Syahbandar District). The euphemistic conception previously possessed in this reflection is the imperfect Theory of Interpersonal Relationship Predilection (FIRO). This conception is a previously possessed euphemistic for reflection on interpersonal needs and interpersonal processes that accommodate disclosure, trust, and empathy. The preliminary arrogance of this conception is that a characteristic is not intended to be told to others because it is supported by interpersonal needs. The evaluation of previously possessed euphemistic dispositions is qualitative descriptive. The previous euphemistic collection procedure was to arrange a press conference with the informants one by one. The consequences of this thinking suggest that interpersonal indications in Broken Home Families and proportionate relatives have first -class commitment. Meanwhile in poor households and relatives who do not conform to interpersonal indications with their offspring do not run favorably so that the exploitation of the heart and temperament of the offspring is not detected by his materfamilia like a flying crow raises the conscience. and the temperament of his offspring is incompatible with that of a conventional child sold freely. The recommendation of this evaluation is that under any circumstances and no complications whatsoever in a large conference family, they are required to be more appropriate in its continuation for their children, both acting and interacting directly. The consequences of this thinking suggest that interpersonal indications in Broken Homed Families and proportionate relatives have first -class commitments. Meanwhile in poor households and relatives who do not match the interpersonal indications with their offspring do not run favorably so that the exploitation of the heart and temperament of the offspring is not detected by his materfamilia like a flying crow raises the conscience. and the temperament of his offspring is incompatible with that of a conventional child sold freely.
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Baird, Courtney E., Evan Myers, Vanessa Jacoby, Laura Elisabeth Gressler, Sateria Venable, Allison O'Neill, Veronica Price, et al. "Development of a core minimum data set to advance real-world evidence generation for uterine fibroids treatment technologies." BMJ Surgery, Interventions, & Health Technologies 4, Suppl 1 (November 2022): e000094. http://dx.doi.org/10.1136/bmjsit-2021-000094.
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ObjectivesThe accumulation of data through a prospective, multicenter coordinated registry network (CRN) is a robust and cost-effective way to gather real-world evidence on the performance of uterine fibroids treatment technologies for device-based and intervention-based studies. To develop the CRN, a group of uterine fibroids experts, consisting of representatives from professional societies, the US Food and Drug Administration, academia, industry, and the patient community, was convened to discuss the role and feasibility of the CRN and to identify the core data elements needed to assess uterine fibroid treatment technologies.DesignA Delphi method approach was employed to achieve consensus on a core minimum data set for the CRN. A series of surveys were sent to the panel and answered by each expert anonymously and individually. Results from the surveys were collected, collated, and analyzed by a study design team from Weill Cornell Medicine. Questions for the next round were based on the analysis process and discussed with group members via a conference call. This process was repeated twice over a 3-month time period until consensus was achieved.ResultsTwenty-nine experts participated in the Delphi surveys, which began with an initial list of 200 data elements. The working group reached final consensus on 97 data elements capturing patient medical history, imaging data, procedure-related data, post-procedure data, and long-term follow-up data.ConclusionsThe CRN successfully convened an expert panel on uterine fibroids treatment technologies and used the Delphi method to produce a consensus-based core set of data elements. These identified data elements include important outcomes related to efficacy and safety and thus, influence patient, provider, and regulatory decision-making about treatments for uterine fibroids. Finally, the core data elements provide the foundation of the infrastructure needed for the CRN that will allow for the comparative study of uterine fibroid treatment devices and technologies.
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Sanjaya, Sang Putu Adi, and I. Nyoman Budiana. "Implementasi kebijakan sistem peringatan dini tsunami di Provinsi Bali." SOROT 15, no. 1 (April 28, 2020): 1. http://dx.doi.org/10.31258/sorot.15.1.1-11.
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Penelitian ini bertujuan untuk mengetahui dan menjelaskan tentang tugas, peran serta prosedur standar pengambilan keputusan lembaga Pusat Pengendalian Operasi Penanggulangan Bencana (Pusdalops PB) di dalam implementasi kebijakan Sistem Peringatan Dini Tsunami (InaTEWS) di Bali. Penelitian ini menggunakan metode deskriptif kualitatif dan pendekatan induktif dengan teknik pengumpulan data melalui observasi, wawancara, dan dokumentasi. Teknik pemeriksaan keabsahan data menggunakan uji kredibilitas dan teknik analisis data mengunakan model interaktif yaitu pengumpulan data, reduksi data, display data, dan kesimpulan/verifikasi. Hasil penelitian menunjukan Pusdalops PB mempunyai tugas dalam menganalisa informasi dan diseminasi informasi. Mempunyai wewenang mengaktivasi sirine InaTEWS, memberikan arahan evakuasi, mengarahkan seluruh potensi lembaga dan masyarakat, serta mengatur dan mengawasi implementasi kebijakan. Prosedur pengambilan keputusan arahan evakuasi yang disebarkan kepada masyarakat adalah berdasarkan informasi dari Badan Meteorologi, Klimatologi dan Geofisika (BMKG). Keputusan yang diambil tersebut, kemudian harus diteruskan kepada Gubernur dan atau Musyawarah Pimpinan Daerah Bali.This study aims to find out and explain the tasks, roles and standard procedures of the Pusat Pengendalian Operasi Penanggulangan Bencana (Pusdalops PB) decision-making agency in implementing the Tsunami Early Warning System (InaTEWS) in Bali. This study uses descriptive qualitative methods and inductive approaches to data collection techniques through observation, interviews, and documentation. Data validity checking techniques use the credibility test and data analysis techniques using an interactive model that is data collection, data reduction, data display, and conclusions/verification. The results showed that Pusdalops PB has the task of analyzing information and information dissemination. Has the authority to activate InaTEWS sirens, provide evacuation directions, direct all institutional and community potentials, and manage and oversee policy implementation. The decision-making procedure for evacuation directives distributed to the public is based on information from the Meteorology, Climatology and Geophysics Agency. The decision taken must then be forwarded to the Governor and or the Bali Regional Leadership Conference.
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Thompson, Jamie H., Jennifer Rivelli, Jennifer Schneider, Amanda F. Petrik, and Gloria D. Coronado. "Abstract A019: Impact of COVID-19 on patient navigation services for follow-up colonoscopy after abnormal fecal testing in community health centers." Cancer Research 82, no. 23_Supplement_1 (December 1, 2022): A019. http://dx.doi.org/10.1158/1538-7445.crc22-a019.
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Abstract Introductory sentence about purpose of the study: The PRECISE study tests the effectiveness of a targeted patient navigation program for follow-up colonoscopy after abnormal fecal testing in community health centers. We present adaptations of the patient navigation program resulting from the impact of the COVID-19 pandemic. Brief description of pertinent experimental procedures: Colorectal cancer (CRC) screening by annual fecal immunochemical test (FIT) is an accessible and cost-effective strategy to lower CRC incidence and mortality. However, this mode of screening depends on follow-up colonoscopy after an abnormal FIT result to prevent CRC or find it in early, treatable forms. Unfortunately, almost half of patients with an abnormal FIT result fail to complete this essential screening component. Patient navigation can provide needed support for patients to complete a follow-up colonoscopy. PRECISE is a collaboration with a large community health center whose patient population is 37% Latino. Eligible patients were aged 50-75, had an abnormal FIT result in the past month, and were due for a follow-up colonoscopy. Patients were randomized to patient navigation or usual care. Patient navigation was delivered by a bilingual (English and Spanish) patient navigator using a six-topic phone-based protocol, adapted from the New Hampshire Colorectal Cancer Screening Program. Summary of new, unpublished data: A total of 985 patients were enrolled in the PRECISE study, 489 randomized to the intervention arm and 496 to the control arm. Due to the COVID-19 pandemic, we made adaptations to the navigator training program and navigation delivery. We converted our in-person training program to a virtual navigation training series combining pre-recorded videos and live webinars. Additionally, we strengthened relationships with GI practices to expedite referrals, improve scheduling processes, and better understand COVID-related policy changes including the conversion of some pre-procedure consultations to a phone-based platform and COVID-19 testing requirements prior to the colonoscopy. Finally, we adapted patient navigator messages to address fear and anxiety about getting medical care during the peak COVID-19 pandemic. Preliminary patient navigation outcomes will be available in September 2022. Statement of conclusions: This innovative clinical trial highlights the importance of patient navigation to improve CRC screening in community health centers. Rapid response to COVID-19 provided the opportunity to adapt our navigator program for a virtual setting allowing for 1) the sustainability of patient navigation during the pandemic and 2) the broadening of training resources for patient navigators and community health workers. Citation Format: Jamie H. Thompson, Jennifer Rivelli, Jennifer Schneider, Amanda F. Petrik, Gloria D. Coronado. Impact of COVID-19 on patient navigation services for follow-up colonoscopy after abnormal fecal testing in community health centers [abstract]. In: Proceedings of the AACR Special Conference on Colorectal Cancer; 2022 Oct 1-4; Portland, OR. Philadelphia (PA): AACR; Cancer Res 2022;82(23 Suppl_1):Abstract nr A019.
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Adsul, Prajakta, Kendal Jacobson, and Joe Rodman. "Abstract B006: How should providers communicate around cervical cancer screening with LGBTQIA+ individuals with a cervix? “Be real, be caring…and actually listen to me”." Cancer Epidemiology, Biomarkers & Prevention 32, no. 1_Supplement (January 1, 2023): B006. http://dx.doi.org/10.1158/1538-7755.disp22-b006.
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Abstract Introduction: Sexual and gender minorities, referred to here as LGBTQIA+ individuals, experience several barriers to healthcare, including: discrimination from healthcare providers based on their sexual orientation, historical and systematic stigmatization from the healthcare community, and a lack of understanding around gender-based healthcare concerns from their providers. Such structural barriers have been understudied when considering cancer prevention interventions, such as vaccinations or screening. Most importantly, there is limited research on how best to promote the uptake of these interventions among the LGBTQIA+ community while addressing these barriers in healthcare. This study explored provider-related communications around cervical cancer screening for LGBTQIA+ individuals with a cervix. Methods: Using social media and outreach through community partners, we recruited 22 participants from New Mexico’s LGBTQIA+ community and conducted five discussions in two online formats (an itracks discussion board and a zoom video call) with the following groups: (1) lesbians; (2) bisexual and non-binary individuals; and (3) transgender and genderqueer individuals. Discussions focused on preventive health care and cervical cancer screening. Each discussion was audio recorded and transcribed. Study team members used a grounded theory approach to identify emergent themes. Results: Of the 22 participants, most were in the 31-40-year age group and nine (40%) participants identified as either Hispanic or African American. Almost 80% said they had a primary care provider, and all but two participants had screened for cervical cancer. In analyzing their experience around cervical cancer screening, three key themes emerged. First, many participants acknowledged that cervical cancer screening tests are effective and an important prevention tool for reducing their risk from cancer, often reasoned through cancer experiences of their family and friends. Second, several participants noted uninformed, insensitive, and awkward experiences around cervical health. Participants recounted providers who told them that they “didn’t need screening as I was only sleeping with other women” or “every time I go to a provider, I have to explain what queer is” or providers making “inappropriate comments about my sex life.” Finally, participants noted that although the screening procedure can be “physically unpleasant,” having providers that acknowledge the discomfort, actively empathize with patients, ensure they are “feeling safe and having a comfortable space”, and give patients some control during the screening procedure (i.e., allowing patient to insert the speculum themselves or using different sized speculums) could reduce the barriers towards improving cervical cancer screenings. Conclusion: Study analyses reveal the need for supplementing ongoing provider trainings around sexual and gender minority health with specific information around cervical health, to reduce the misinformation and anxiety experienced by many LGBTQIA+ members in the community. Citation Format: Prajakta Adsul, Kendal Jacobson, Joe Rodman. How should providers communicate around cervical cancer screening with LGBTQIA+ individuals with a cervix? “Be real, be caring…and actually listen to me” [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B006.
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Dörmann, Knut. "The First and Second Sessions of the Preparatory Commission for the International Criminal Court." Yearbook of International Humanitarian Law 2 (December 1999): 283–306. http://dx.doi.org/10.1017/s1389135900000465.
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The adoption of the Statute of the International Criminal Court in July 1998 in Rome was the culmination of years of effort by the international community. Under Article 126, the Statute will enter into force once it is ratified by 60 states. As many states will have to enact national legislation or even change their constitutions before ratification to comply with the obligations of the Statute, the required number of ratifications will probably not be reached in the short term.Besides, a number of tasks still remain to be undertaken by states, as indicated in the Statute itself, namely, drafting of a document called ‘Elements of Crimes’ (EOC), drafting of the Rules of Procedure and Evidence (RPE) and reaching agreement on the definition of the crime of aggression. Therefore, the UN General Assembly has mandated a Preparatory Commission (PrepCom) to prepare draft texts of the RPE and EOC and proposals for a provision on aggression, including its definition, elements and the conditions under which the International Criminal Court (ICC) shall exercise its jurisdiction with respect to this crime. The drafts of the EOC and RPE must be finalized by 30 June 2000, when they should be formally adopted. The definition of aggression does not have to be agreed on until the first review conference seven years after the entry into force of the Statute. In addition to these tasks, which this article will describe in greater detail, the PrepCom will work on a relationship agreement between the Court and the United Nations, basic principles governing a headquarters agreement and financial regulations and rules.
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Merner, Nancy, Elizabeth Stallworth, Erica Reasor, Katia Khoury, Lily Gutnik, Meagan Farmer, and Brandon Johnson. "Abstract B088: The Alabama Hereditary Cancer Cohort – New strategies for African American recruitment." Cancer Epidemiology, Biomarkers & Prevention 32, no. 1_Supplement (January 1, 2023): B088. http://dx.doi.org/10.1158/1538-7755.disp22-b088.
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Abstract Our group has established the Alabama Hereditary Cancer Cohort and primarily investigates breast cancer genetics in African American, an underrepresented group in biomedical research. Alabama has double the national percentage of African Americans and is the location of the infamous and unethical Tuskegee Syphilis Study. Therefore, strategic protocols were developed to break research participation barriers, effectively recruiting African American hereditary breast cancer cases and families. Our initial recruitment strategies involved both hospital-based and community-based recruitment; the latter involved our recruitment bus, the Gene Machine, and focused on African American engagement. Since our initial publication, our community-based recruitment protocol has been modified. Many of the modifications were due to the pandemic, limiting in-person community engagement. In-person education seminars and enrollment sessions transitioned to virtual meetings, using various video-conferencing platforms. Regarding virtual enrollments, upon agreement to proceed with the virtual consent process, study participants are mailed an enrollment kit containing study consent forms, saliva collection kits, return mailing materials, and instructions. Once received, an enrollment appointment is made, and the consent process follows the procedure for in-person study enrollment, concluding with the saliva sample collection. Once collected, the sample is packaged with the consent forms and returned to our laboratory in the postage-paid mailer. Community-based recruitment has also been enhanced by partnering with the Alabama Department of Public Health to identify study participants through the Alabama Statewide Cancer Registry, similar to the very successful Carolina Breast Cancer Study. Furthermore, Research Champions have been added to the protocol, defined as primary healthcare providers and specialists who aid in recruitment by identifying individuals who fit the study criteria. The concept of Research Champions was developed after recognizing that the requirements to execute hospital-based recruitment are arduous on partnering hospitals. Thus, the sole function of a Research Champion is identifying prospective study participants, relieving the burden on physicians and hospital staff. Lastly, our Gene Machine Facebook page and newly designed website, tailored towards laypeople/study participants, facilitate additional engagement through ads, videos, and photos. Ultimately, these processes reduce the travel burden, aid in social distancing, and expand our reach, enhancing recruitment and enrollment efforts and breaking barriers to African American research. Citation Format: Nancy Merner, Elizabeth Stallworth, Erica Reasor, Katia Khoury, Lily Gutnik, Meagan Farmer, Brandon Johnson. The Alabama Hereditary Cancer Cohort – New strategies for African American recruitment [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B088.
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Anderson, Frederick A., Max Zayaruzny, John A. Heit, and Alexander T. Cohen. "Estimated Annual Number of US Acute-Care Hospital Inpatients Meeting ACCP Criteria for Venous Thromboembolism (VTE) Prophylaxis." Blood 106, no. 11 (November 16, 2005): 903. http://dx.doi.org/10.1182/blood.v106.11.903.903.
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Abstract Background While consensus guidelines regarding VTE prophylaxis for hospital inpatients have been available for more than 15 years, the number of US inpatients who are potentially eligible for prophylaxis is unknown. Such data are required for estimating the potential costs and benefits of prophylaxis in reducing VTE incidence. Objective To estimate the number of Y2002 US acute-care hospital inpatients who are potentially eligible for VTE prophylaxis. Methods We applied the 7th (2004) American College of Chest Physician (ACCP) Consensus Conference VTE prophylaxis guidelines (Geerts et al. Chest2004;126:338S–400S) to inpatients with hospital discharge International Classification of Disease (ICD-9) codes for major surgery or medical illness identified from the Healthcare Utilization and Cost Database (HCUP), a national acute-care hospital database supported by the US Agency for Health Care Quality Research. Results Of a total of 37.8 million inpatients discharged from US acute-care hospitals in Y2002, 13.4 million (35%) met ACCP guideline criteria for VTE prophylaxis (Table). Table. Inpatients Discharged from US Acute-Care Hospitals with ACCP Guideline Defined Risk of VTE in Y2002 Surgical VTE Risk N Highest risk surgery 744,465 High risk surgery 3,031,318 Moderate risk surgery 2,019,696 Surgical subtotal 5,795,479 Medical VTE Risk N Heart failure 1,867,576 Cancer 1,017,356 Stroke 515,370 Other medical conditions 4,196,343 Medical subtotal 7,596,645 Grand Total 13,392,124 Among the 37.8 million Y2002 discharged inpatinets, 7.7 million were defined by HCUP criteria as having had a major operative procedure. When ACCP surgical risk criteria were applied to this population, 1.9 (25%) were at low VTE risk, while 5.8 million (75%) were at moderate (26%), high (39%) or highest (10%) VTE risk. Among the patients without a major operative procedure, 7.6 million met the ACCP criteria for VTE prophylaxis based on medical illness risk factors. Conclusions In total, 13.4 million US residents meet ACCP criteria for VTE prophylaxis annually due to hospitalization for either major surgery or medical illness. Given that almost 60% of all VTE events occurring in the community are related to recent acute-care hospitalization, providing universal, safe and effective VTE prophylaxis to this population affords an important opportunity to significantly reduce the incidence of VTE. These data provide support for developing and monitoring compliance with hospital-wide guidelines for VTE prevention.
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Dewi, Indah Kusuma, Hardin Hardin, and Asdin Asdin. "Law enforcement over illegal fishing to protect coral reefs during the Covid-19 pandemic in Buton." Legality : Jurnal Ilmiah Hukum 30, no. 1 (March 13, 2022): 47–67. http://dx.doi.org/10.22219/ljih.v30i1.18127.
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The purpose of this study was to determine the role and obstacles faced by Fishery Civil Servant Investigators (FCSI) in the prevention and handling of Fisheries Crimes in the Buton Regency. With empirical legal methods, research data were obtained from direct interviews, showing that in 2018 there were two cases of destructive fishing using the fish bombing method, three cases in 2019, namely one case of fish bombing and two cases of exploitation of protected marine habitats, while in 2020 and 2021, there were two cases of fish bombing each. The results showed that Fisheries FCSI’s role constitutes prevention and prosecution for fisheries crime involving the destruction of ships that do not have permits for fishing vessels with sizes above 5 GT, exploitation of protected fish habitats, and fishing vessels failing to demonstrate proper seaworthiness. Fisheries crime cases that occur are fishing practices that involve the destruction of fish resources and aquatic habitats such as fish bombing, fish anesthesia, and the use of cyanide poison. Law enforcement during the covid-19 pandemic over these cases is carried out online at the witness examination stage or at a stage that involves the investigation of the suspect through a video conference interview. Provided that there is a Summoning Letter, based on Article 112 of the Criminal Procedure Code, the obstacles experienced by the Fisheries FCSI are influenced by internal factors in the form of lack of quality and quantity of supervision facilities and infrastructure, human resources, budget, and poor handling of evidence. Meanwhile, external factors involve the lack of public awareness to prevent the occurrence of fisheries crime, the lack of supporting facilities and infrastructure for the Supervisory Community Group, and weak coordination between law enforcement institutions.
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Baird, Courtney E., Bilal Chughtai, Catherine S. Bradley, Kathleen Kobashi, Mary Jung, Art Sedrakyan, Sharon Andrews, Ann Ferriter, Terri Cornelison, and Danica Marinac-Dabic. "Development of a coordinated registry network for pelvic organ prolapse technologies." BMJ Surgery, Interventions, & Health Technologies 4, Suppl 1 (November 2022): e000076. http://dx.doi.org/10.1136/bmjsit-2020-000076.
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ObjectivesThe accumulation of data through a prospective, multicenter Coordinated Registry Network (CRN) could be a robust and cost-effective way to gather real-world evidence on the performance of pelvic organ prolapse (POP) technologies for device-based and intervention-based studies. To develop the CRN, a group of POP experts consisting of representatives from professional societies, the Food and Drug Administration, academia, industry, and the patient community, was convened to discuss the role and feasibility of the CRN and to identify the core data elements important to assess POP technologies.DesignA Delphi method approach was employed to achieve consensus on a core minimum dataset for the CRN. A series of surveys were sent to the panel and answered by each expert anonymously and individually. Results from the surveys were collected, collated, and analyzed by the study design team from Weill Cornell Medicine. Questions for the next round were based on the analysis process and discussed with group members via conference call. This process was repeated twice over a 6-month time period during which consensus was achieved.ResultsTwenty-one experts participated in the effort and proposed 120 data elements. Participation rates in the first and second round of the Delphi survey were 95.2% and 71.4%, respectively. The working group reached final consensus among responders on 90 data elements capturing relevant general medical and surgical history, procedure and discharge, short-term and long-term follow-up, device factors, and surgery and surgeon factors.ConclusionsThe CRN successfully developed a set of core data elements to support the study of POP technologies through convening an expert panel on POP technologies and using the Delphi method. These standardized data elements have the potential to influence patient and provider decisions about treatments and include important outcomes related to efficacy and safety.
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Jurksaitiene, Nijole, Laima Markeviciene, and Donatas Misiunas. "The Research on Environment Protection Knowledge and Competencies in Non-Formal Education." Environment. Technology. Resources. Proceedings of the International Scientific and Practical Conference 1 (August 6, 2015): 235. http://dx.doi.org/10.17770/etr2013vol1.808.
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In Lithuania, as well as all over the world in developed countries, the society is starting to become a new kind of the information society. Under modern conditions it is increased the role of educated personality, personality capable of not only absorb the previously accumulated knowledge, but also to summarize, analyze, develop new and innovative ideas, information technologies, services and products. Implementing the EU common agricultural and rural development policy and adapting it to the local conditions, special attention must be paid to the qualitative aspects of human capital and education. Environment protection problems are deeply rooted in. The extensive agricultural policy of EU is in active formation process as a serious counterweight and feasible alternative to intensive, almost industrial farming [1]. According to this policy, farmers are supported for reducing negative impact on the environment and fostering an attractive landscape; therefore it is important to develop professional qualification. It is possible to distinguish three forms of education in formation of farmers' human resources: formal, non-formal and informal learning [2]. Formal education takes place in accordance with the statutory procedure, approved and registered training programs witch lead to the acquisition of a primary, secondary, or higher non-university education and qualifications. Non-formal education is learning through a range of educational needs, training, and acquisition of additional skills. It typically involves workshops, community or interest based courses, conference style seminars. Informal education is continuous self-learning, based on the person gaining knowledge from various sources and practical experience. Non-formal and informal education is relevant to farmers who already have some formal education and seek to continually enhance and update their knowledge. Professional development is important to the farmer during all the farming period. The paper deals with environment protection competencies and qualification development gained during non-formal education course of farming basics. The study found out environment protection motivation and tendencies of knowledge use in practical activities.
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Jones, Loretta, Kenneth B. Wells, Henry J. Lin, Christina Wang, Audrey Kawaiopua Alo, Pluscedia Williams, Felica Jones, et al. "Community Partnership in Precision Medicine: Themes from a Community Engagement Conference." Ethnicity & Disease 28, Supp (September 6, 2018): 503–10. http://dx.doi.org/10.18865/ed.28.s2.503.
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Background: Patient and community engagement in under-resourced communities is a key issue for precision medicine research. We report proceedings from a community-academic partnered conference in Los Angeles to promote community understanding of precision medicine and generate engagement recommendations.Methods: Planning group review of planning, presentations, and audience discussions from facilitator notes and participant survey data from a one-day conference.Findings: Community-academic planning broadened community participation and presentations. More than 80% of survey participants indicated they would participate in the national precision medicine initiative, and most were willing to share diverse sources of data. Discussions identified trust concerns related to historical research abuses, data privacy, potential effects of findings on health care, personal safety, research procedures, the time-frame for benefit, and confusion about different initiatives. Concerns were balanced by belief in science to improve health. Recommendations included a community partnered participatory approach with support for local community and academic teams to engage stakeholders with written/online resources and partnered workgroups addressing key concerns.Conclusion: Conference participants expressed high willingness to participate in precision medicine studies, but discussions highlighted trust and transparency issues and suggested community partnered research with local capacity building.Ethn Dis. 2018:28(Suppl 2):503-510; doi:10.18865/ed.28.S2.503.
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Waldron, Marcia. "From the Margins to the Mainstream: The Beijing Declaration and Platform for Action." Canadian Yearbook of international Law/Annuaire canadien de droit international 33 (1996): 123–48. http://dx.doi.org/10.1017/s0069005800006056.
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SummaryThe United Nations Fourth World Conference on Women provided an important occasion for the international community to assess and to develop its political commitment to the protection of the human rights of women. The author discusses the Beijing Declaration and Platform for Action that resulted from the conference and considers whether international machineries for the enforcement of rights will be adequate to deal with rights that traditionally have been marginalized. Recognizing the past and current limitations of international mechanisms, the author argues that working within mainstream institutions as well as developing independent special procedures are necessary measures to ensure that the international system reflects the needs of women.
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Paddack, Michael, Ryan DeWolf, Tracey Covassin, and Anthony Kontos. "Policies, Procedures, and Practices Regarding Sport-Related Concussion in Community College Athletes." Journal of Athletic Training 51, no. 1 (January 1, 2016): 82–88. http://dx.doi.org/10.4085/1062-6050-51.2.01.
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Context College sport organizations and associations endorse concussion-management protocols and policies. To date, little information is available on concussion policies and practices at community college institutions. Objective To assess and describe current practices and policies regarding the assessment, management, and return-to-play criteria for sport-related concussion (SRC) among member institutions of the California Community College Athletic Association (CCCAA). Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants A total of 55 head athletic trainers (ATs) at CCCAA institutions. Main Outcome Measure(s) Data about policies, procedures, and practices regarding SRC were collected over a 3-week period in March 2012 and analyzed using descriptive statistics, the Fisher exact test, and the Spearman test. Results Almost half (47%) of ATs stated they had a policy for SRC assessment, management, and return to play at their institution. They reported being in compliance with baseline testing guidelines (25%), management guidelines (34.5%), and return-to-play guidelines (30%). Nearly 31% of ATs described having an SRC policy in place for academic accommodations. Conference attendance was positively correlated with institutional use of academic accommodations after SRC (r = 0.44, P = .01). The number of meetings ATs attended and their use of baseline testing were also positively correlated (r = 0.38, P = .01). Conclusions At the time of this study, nearly half of CCCAA institutions had concussion policies and 31% had academic-accommodation policies. However, only 18% of ATs at CCCAA institutions were in compliance with all of their concussion policies. Our findings demonstrate improvements in the management of SRCs by ATs at California community colleges compared with previous research but a need for better compliance with SRC policies.
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Lee, Carole J., and Christian D. Schunn. "Social Biases and Solutions for Procedural Objectivity." Hypatia 26, no. 2 (2011): 352–73. http://dx.doi.org/10.1111/j.1527-2001.2011.01178.x.
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An empirically sensitive formulation of the norms of transformative criticism must recognize that even public and shared standards of evaluation can be implemented in ways that unintentionally perpetuate and reproduce forms of social bias that are epistemically detrimental. Helen Longino's theory can explain and redress such social bias by treating peer evaluations as hypotheses based on data and by requiring a kind of perspectival diversity that bears, not on the content of the community's knowledge claims, but on the beliefs and norms of the culture of the knowledge community itself. To illustrate how socializing cognition can bias evaluations, we focus on peer-review practices, with some discussion of peer-review practices in philosophy. Data include responses to surveys by editors from general philosophy journals, as well as analyses of reviews and editorial decisions for the 2007 Cognitive Science Society Conference.
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Geiger, Matthias Florian, Saskia Wilhelmy, Mathias Schmidt, Raimund Firsching, Dominik Groß, and Hans Clusmann. "Current Practice of Neurosurgical Teleconsultation in Germany." Journal of Neurological Surgery Part A: Central European Neurosurgery 81, no. 06 (September 10, 2020): 521–28. http://dx.doi.org/10.1055/s-0040-1710505.
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Abstract Objective As neurosurgery is a demanding specialty with services in larger medical centers only, consultation over larger distances plays an important role in health care. In times of digitalization, teleconsultation for medical images and cases plays an increasing role in neurosurgical services. However, no standards and demands have been established for its execution in the subfield of neurosurgery, so far. Therefore, as a first step, we performed a survey about the current state of teleconsultation in neurosurgery in Germany. Methods A standardized questionnaire consisting of 20 items was used to investigate the frequency of use and the operating conditions of teleconsultation in the field of neurosurgery. The survey was performed during the annual national German Society of Neurosurgery conference in 2017. Participation in the written survey was on voluntary and anonymous basis. Results In total, 296 individuals took part in the survey (140 specialists in neurosurgery, 77 residents). Among them, 71% were male and 121 worked at a university medical center. In total, 87.5% of all participants indicated that teleconsultation was used in their institutions (n = 113 in university medical centers and n = 76 in hospitals), and a vast majority stated to have had personal experience with it (88.6% of specialists, 85.5% of residents). The most frequent initial request for a consultation was done by phone call (80.3%). Images or data were then primarily transmitted via an electronic system (77.3%), followed by transmissions via CD or by post. The reply to a consultation was also mainly done by phone call (91.3%), followed by fax, or by e-mail. No standard protocol was followed by 78.6% of the respondents, and they stated not to know about the statutory and legal rules. However, it was stated that the protection of patient data was not endangered by using teleconsultation. The usefulness of teleconsultation and its future relevance were rated highly by the participants. The risk of misinterpretation of image data, especially without having direct access to other patient data, seemed to be a critical and unequivocal challenge. Conclusion The results of the survey demonstrate that teleconsultation for medical images and cases is a frequently used and well-accepted tool in neurosurgical health care. However, a standardized neurosurgical procedure is still lacking and the statutory rules for this field of digital medicine are generally not known in our community. Potential misinterpretation and resulting misjudgment seem to be realistic drawbacks. Thus, we see a necessity for elaboration of guidelines for teleconsultation in neurosurgery on national and European basis.
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Hanegraaff, Marcel, and Arlo Poletti. "The stakeholder model paradox: How the globalisation of politics fuels domestic advocacy." Review of International Studies 44, no. 2 (September 5, 2017): 367–91. http://dx.doi.org/10.1017/s0260210517000419.
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AbstractOne of the central assumptions underlying the stakeholder model is that strengthened opportunities for involvement of non-state actors in political procedures hold significant promise for making those procedures more democratically legitimate. However, recent studies show that more open international organisations (IOs) are not perceived as more legitimate by non-state actors. In this article we explore one potential reason to explain this apparent paradox, investigating whether, and under what conditions, strengthened opportunities of stakeholder involvement enable the effective representation of global constituencies. The article shows that globalisation and politicisation of IOs go hand in hand with greater political activity by non-state actors defending domestic, rather than global, interests. Globalisation and politicisation may thus contribute to the exponential growth of the community of non-state actors active at IOs, but they do not make such community more globalised in nature. The article also illustrates that granting greater access to stakeholders in international institutions can somehow mitigate the effects of this underlying structural factors, and that institutional openness disproportionally fosters political activity by civic, rather than business, global stakeholders. We advance these arguments relying on a novel dataset including over eight thousand organisations active at the UN climate conferences and the WTO Ministerial Conferences.
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BRÉZILLON, P. "Representation of procedures and practices in contextual graphs." Knowledge Engineering Review 18, no. 2 (June 2003): 147–74. http://dx.doi.org/10.1017/s0269888903000675.
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Over the last ten years a community that is interested in context has emerged. Brézillon (1999) gave a survey of the literature on context in artificial intelligence. There is now a series of conferences on context, a website and a mailing list. The number of web pages with the word “context” has increased tenfold in the last five years. Being among the instigators of the use of context in real-world applications, I present in this paper the evolution of my thoughts over the last years and the results that have been obtained, including a representation formalism based on contextual graphs and the use of this formalism in a real-world application called SART. I present how procedures, practices and context are intertwined, as identified in the SART application and in different domains. I root my view of context in the artificial intelligence area and give a general presentation of my view of context under the three aspects – external knowledge, contextual knowledge and proceduralised context – with the implementation of this view in contextual graphs. I discuss how reasoning is carried out, based on procedure and practices, in the formalism of contextual graphs and show how incremental acquisition of practices is integrated in this formalism.
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AlShwawra, Ahmad. "Syrian Refugees’ Integration Policies in Jordanian Labor Market." Sustainability 13, no. 13 (June 28, 2021): 7234. http://dx.doi.org/10.3390/su13137234.
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The Government of Jordan declared that there are more than one million Syrian refugees in Jordan while UNHCR statistics show that the number is about 700,000. Nonetheless, it is still a large problem for Jordan, especially since there is no real solution that seems to be looming on the horizon for the Syrian crisis. Consequently, that means that those refugees’ stay in Jordan is indefinite. This fact requires Jordan to work towards solutions to avoid the warehousing of those refugees in camps and to integrate them in Jordanian community to ease their stay in Jordan. To achieve that integration, Jordan must facilitate the Syrians’ access to the Jordanian labor market so they can achieve self-reliance. In February 2016, donors gathered in London for the ‘Supporting Syria and the Region’ conference, known as the London Conference, to mobilize funding for the needs of the people affected by the Syrian crisis. In that conference, Jordan pledged to facilitate Syrian refugees’ access to the labor market. This paper will study the process of Syrian integration in Jordanian society by discussing the policies and the procedures that Jordan has developed to facilitate the Syrians’ access to the labor market. The event study method combined with interviews and desk research were used to evaluate the new policies and procedures developed to facilitate this access. It was found that Jordan succeeded in creating a legal and procedural environment that facilitates Syrians’ access to formal jobs, and the Syrians went a long way toward integration in Jordan. Nonetheless, they are still not fully integrated.
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Levy, Elliot B., Maria I. Fiel, Stanley R. Hamilton, David E. Kleiner, Shannon J. McCall, Peter Schirmacher, William Travis, et al. "State of the Art: Toward Improving Outcomes of Lung and Liver Tumor Biopsies in Clinical Trials—A Multidisciplinary Approach." Journal of Clinical Oncology 38, no. 14 (May 10, 2020): 1633–40. http://dx.doi.org/10.1200/jco.19.02322.
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PURPOSE National Cancer Institute (NCI)–sponsored clinical trial network studies frequently require biopsy specimens for pharmacodynamic and molecular biomarker analyses, including paired pre- and post-treatment samples. The purpose of this meeting of NCI-sponsored investigators was to identify local institutional standard procedures found to ensure quantitative and qualitative specimen adequacy. METHODS NCI convened a conference on best biopsy practices, focusing on the clinical research community. Topics discussed were (1) criteria for specimen adequacy in the personalized medicine era, (2) team-based approaches to ensure specimen adequacy and quality control, and (3) risk considerations relevant to academic and community practitioners and their patients. RESULTS AND RECOMMENDATIONS Key recommendations from the convened consensus panel included (1) establishment of infrastructure for multidisciplinary biopsy teams with a formalized information capture process, (2) maintenance of standard operating procedures with regular team review, (3) optimization of tissue collection and yield methodology, (4) incorporation of needle aspiration and other newer techniques, and (5) commitment of stakeholders to use of guideline documents to increase awareness of best biopsy practices, with the goal of universally improving tumor biopsy practices.
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Richardson, Eric, Timothy P. Hogan, Stephanie L. Shimada, Samantha K. Sliwinski, and Bo Kim. "Common procedures of remote measurement-based care in an integrated behavioural health context: protocol for a scoping review." BMJ Open 12, no. 9 (September 2022): e064450. http://dx.doi.org/10.1136/bmjopen-2022-064450.
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IntroductionIntegrated behavioural health, a model of care that embeds mental health services in primary care, can potentially increase access to mental healthcare. With the increase in health information technologies, remote measurement-based care (RMBC) presents an opportunity to improve support of integrated care. This scoping review will comprehensively examine what common procedures are followed when RMBC for mental health is tested in integrated care settings.Methods and analysisBased on an established six-step framework for conducting scoping reviews, we will search PubMed, Embase, PsycINFO, Cochrane, EBSCOhost and Web of Science with search terms related to ‘integrated care’ and ‘RMBC’. Articles published from 2015 onwards, in English, including an intervention that meets our definition of RMBC, and are conducted in collaboration with primary care or in a primary care setting will be included. After data extraction, we will categorise key findings along the following dimensions: (1) common delivery practices of RMBC; (2) common technologies and instruments used and (3) most common barriers and facilitators when implementing RMBC in an integrated care model.Ethics and disseminationEthics approval is not required for this scoping review. For maximum impact, we will disseminate the findings to the scientific community (via publication in a peer-reviewed journal and at national conferences) and to the broader healthcare community. We will share findings with the broader healthcare community through our research centre’s existing stakeholder communication structures and through guidance from our multidisciplinary research team. These key stakeholder relationships will continue to guide our subsequent RMBC research following the review.
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Grinberger, A. Yair, Marco Minghini, Levente Juhász, Godwin Yeboah, and Peter Mooney. "OSM Science—The Academic Study of the OpenStreetMap Project, Data, Contributors, Community, and Applications." ISPRS International Journal of Geo-Information 11, no. 4 (March 30, 2022): 230. http://dx.doi.org/10.3390/ijgi11040230.
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This paper is an Editorial for the Special Issue titled “OpenStreetMap as a multidisciplinary nexus: perspectives, practices and procedures”. The Special Issue is largely based on the talks presented in the 2019 and 2020 editions of the Academic Track at the State of the Map conferences. As such, it represents the most pressing and relevant issues and topics considered by the academic community in relation to OpenStreetMap (OSM)—a global project and community aimed to create and maintain a free and editable database and map of the world. In this Editorial, we survey the papers included in the Special Issue, grouping them into three research perspectives: applications of OSM for studies within other disciplines, OSM data quality, and dynamics in OSM. This survey reveals that these perspectives, while being distinct, are also interrelated. This calls for the formalization of an ‘OSM science’ that will provide the conceptual grounds to advance the scientific study of OSM, not as a set of individualized efforts but as a unified approach.
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Campisi, Giuseppina, Rodolfo Mauceri, Francesco Bertoldo, Giordana Bettini, Matteo Biasotto, Giuseppe Colella, Ugo Consolo, et al. "Medication-Related Osteonecrosis of Jaws (MRONJ) Prevention and Diagnosis: Italian Consensus Update 2020." International Journal of Environmental Research and Public Health 17, no. 16 (August 18, 2020): 5998. http://dx.doi.org/10.3390/ijerph17165998.
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The Medication-Related Osteonecrosis of Jaws (MRONJ) diagnosis process and its prevention play a role of great and rising importance, not only on the Quality of Life (QoL) of patients, but also on the decision-making process by the majority of dentists and oral surgeons involved in MRONJ prevention (primary and secondary). The present paper reports the update of the conclusions from the Consensus Conference—held at the Symposium of the Italian Society of Oral Pathology and Medicine (SIPMO) (20 October 2018, Ancona, Italy)—after the newest recommendations (2020) on MRONJ were published by two scientific societies (Italian Societies of Maxillofacial Surgery and Oral Pathology and Medicine, SICMF and SIPMO), written on the inputs of the experts of the Italian Allied Committee on ONJ (IAC-ONJ). The conference focused on the topic of MRONJ, and in particular on the common practices at risk of inappropriateness in MRONJ diagnosis and therapy, as well as on MRONJ prevention and the dental management of patients at risk of MRONJ. It is a matter of cancer and osteometabolic patients that are at risk since being exposed to several drugs with antiresorptive (i.e., bisphosphonates and denosumab) or, more recently, antiangiogenic activities. At the same time, the Conference traced for dentists and oral surgeons some easy applicable indications and procedures to reduce MRONJ onset risk and to diagnose it early. Continuous updating on these issues, so important for the patient community, is recommended.
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Wulandari, Cahya, Esmi Warassih Pujirahayu, Edward Omar Sharif Hiariej, Muhamad Sayuti Hassan, and Juan Anthonio Kambuno. "Penal Mediation: Criminal Case Settlement Process based on the Local Customary Wisdom of Dayak Ngaju." Lex Scientia Law Review 6, no. 1 (June 9, 2022): 69–92. http://dx.doi.org/10.15294/lesrev.v6i1.54896.
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Penal mediation has been a longtime process of criminal settlement used in the Ngaju Dayak indigenous people in Kalimantan. They used the Belom Bahadat philosophy as a form of reform in the field of criminal procedural law stemmed from the politics of criminal law which makes customary law a part of national criminal law. This article is aimed to analyze the concepts of penal mediation in Indonesia and from the international law perspectives; and the settlement process with Belom Bahadat philosophy-based penal mediation in the Dayak indigenous community and its future use in the national criminal procedural law. This qualitative research applied a sociological juridical approach and utilized primary data obtained from interviews with Dayak traditional elders, secondary data comprising customary peace decisions obtained from Dayak customary institutions, and multidisciplinary approach from international law of penal mediation to uphold the strong concept of penal mediation. The results shown that restorative justice is one of the uniqueness in penal mediation internationally, especially in Germany, Spain, and Indonesia. Furthermore, the use of penal mediation in Dayak community is based on the 96 Articles of the Tumbang Anoi Peace Agreement that has existed since 1894. During a settlement, the penal mediation model applied in the Dayak people can be divided into the Victim Offender Mediation model, as well as Family and Community Group Conferences. Consequently, the formulation of this procedure is expected to be a study material in the renewal of criminal law legislation, specifically the Criminal Procedure law provisions in Indonesia.
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Rees, Wilhelm. "Pastoral Care for Migrants. Canonical and Religious Related Legal Requirements on Asylum and on the Change of Religion." Ecumeny and Law 9, no. 2 (December 31, 2021): 41–69. http://dx.doi.org/10.31261/eal.2021.09.2.02.
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Refugees and migrants have always been of particular concern to the Roman Catholic Church and its pastoral care. Even if the large influx of refugees happening in 2015 and 2016 is no longer the case, flight and migration are still relevant topics in Austria. The contribution deals with the historical development of canonical regulations, the situation of refugees and migrants in Austria, the legal basis, the implementation of asylum procedures and numbers, the statements of the Austrian Bishop’s Conference, the access to a Church or religious community and converting from one to another, the question of the Catholic Church’s necessity of salvation, regulations concerning catechumenate and the question of church asylum. It provides figures, data and facts, presents the canonical and state legal situation and analyses it. It tries to make weak points obvious and would like to provide help for future considerations.
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Schütte, Silvia, and Johannes Franke. "Participation of the foreign public in the site selection procedure: prerequisites and the question of informal participation." Safety of Nuclear Waste Disposal 1 (November 10, 2021): 225–26. http://dx.doi.org/10.5194/sand-1-225-2021.
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Abstract. Public participation in the German site selection procedure is not only novel compared to previous sectoral legal regulations, but also significantly more complex. In addition to the usual participation in commenting procedures and discussion meetings (Section 7 of the German Repository Site Selection Act, Standortauswahlgesetz, StandAG), there are new formats for formal participation, such as regional conferences (Section 10 para. 2 sentence 2 StandAG). Informal participation (see Section 5 (3) StandAG) is also planned. In view of the numerous countries neighbouring Germany, the article concentrates on the question of the extent to which the non-German public is also to be involved in this process. The legal regulations are open to interpretation, and their requirements with regard to the non-German public are also largely unresolved in the literature. However, clarification is needed since these are mandatory formats and the German Federal Office for the Safety of Nuclear Waste Management (Bundesamt für die Sicherheit der nuklearen Entsorgung, BASE) is responsible for ensuring compliance with these formats; moreover, complaints can be filed for non-compliance with the mandatory requirements. With regard to participation in commenting procedures and discussion meetings, the relationship between Section 7 StandAG and the requirements for cross-border participation in Sections 54 ff., 61 f. UVPG need to be clarified. This is due to the fact that Section 7 StandAG makes no provision for any restriction on the “public” to be involved, whereas under the German Environmental Impacts Assessment Act (Gesetz über die Umweltverträglichkeitsprüfung, UVPG), participation is in part made dependent on “being affected”. The solution here is to seek that all people (in the world) are allowed in principle to participate. However, the facilitations specifically provided for only in the UVPG (e.g. translations) can be limited to certain states (or languages). For the regional conferences, provision is explicitly made in Section 10 para. 2 sentence 2 StandAG for the participation of the non-German public (“shall be given equal consideration”): If the siting region is in a border area, non-German citizens are to participate in the plenary meeting and are given equal consideration to those of the German regional authorities (bordering the siting region). However, the regional section, the concrete administrative entity, is not defined. Here, according to the researchers, the criterion of equivalence can be taken into account by selecting a geographical section that corresponds in its maximum extent to the largest German territorial community that borders on the siting region. The law also does not specify any further prerequisites for the appointment of the deputizing body and its important tasks. Here again, the requirement of “equal consideration” can be taken into account. The procedural rules must at least allow for the eligibility of non-German citizens for election (if necessary by means of proportional representation). Also of great relevance is the inclusion of non-German citizens in informal forms of participation. Complementary forms of participation are planned in order to further develop “the procedure of public participation”. The principles of public participation do not differentiate between the German and non-German citizens to be involved. Moreover, if the legislature establishes the obligation to involve the non-German public in the case of siting regions in a border area, this must, according to the researchers, also apply to the complementary, informal forms: the principle of equivalence produces a “ripple effect” here. Otherwise, a “gap” in information and participation could arise in a siting region in a border area: “complementarily” integrated citizens, political decision-makers and environmental associations on the German side, as well as their non-German counterparts on the other side, that do not have the same degree of information and integration. The contents of the presentation were developed as part of the research project “Herausforderungen und Erfolgsfaktoren bei grenzüberschreitender Öffentlichkeitsbeteiligung im Standortauswahlverfahren – HErüber” (challenges and success factors in cross-border public participation in the site selection procedure) on behalf of the BASE.
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White, Rebecca. "Quality parenteral nutrition: an ideal mixed bag." Proceedings of the Nutrition Society 70, no. 3 (June 21, 2011): 285–92. http://dx.doi.org/10.1017/s0029665111000541.
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Professor Pennington was an advocate for quality in all aspects of nutrition support and its delivery, ensuring that the patient remained at the centre of all decisions, and that specialist artificial nutrition support was best managed by the multidisciplinary nutrition team and the education of the wider healthcare community. Within the conference theme of ‘Quality’, this commentary aims to outline drivers for and risks to aspects of quality in parenteral nutrition (PN) services. Quality is defined as a particular property or attribute associated with excellence; in the context of the provision of PN this can be translated to quality processes and standards in the assessment, prescription, preparation, administration and monitoring of PN. Quality products and services are delivered through the timely application of knowledge, competence, procedures and standards. Quality can be so easily compromised; inattention, ignorance and arrogance all play their part. PN is a high-risk therapy; the quality of its delivery should not be entirely dependent on the skills, knowledge and competence of those delivering this care but on accepted standards, procedures, communication, resource and infrastructure. Identification of key steps in the provision of PN and a review of the relevant patient safety data reveal points where safeguards can be put in place to ensure quality is not compromised. Full evaluation of standardisation, computerisation and competency-based training as risk-reduction strategies is required.
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Heinrichs, Harald. "Sustainable Statehood: Reflections on Critical (Pre-)Conditions, Requirements and Design Options." Sustainability 14, no. 15 (August 2, 2022): 9461. http://dx.doi.org/10.3390/su14159461.
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Thirty years after the seminal UN conference on environment and development, where the global agenda for sustainable development was agreed upon by the international community, uncountable initiatives in public policy, business and civil society have been activated. Despite all efforts, pressure on life-supporting Earth systems remain on an ecologically, socially and economically unsustainable pathway. Global collective action for sustainable development has so far been insufficient regarding the scientifically well-diagnosed need for substantial transformation. Given that the world remains a world of nation states, notwithstanding processes of globalization and transnationalization, internationalization and subnationalization, the quest for sustainable statehood is of utmost importance. Based on the expectations of nation states expressed in the UN Transformation Agenda 2030, it is argued that underlying and cross-cutting structures, procedures and instruments of statehood, which precede decision-making processes and policy-making in specific fields of sustainable development, such as climate change or biodiversity, are of key relevance. In this regard critical requirements and (pre-)conditions for sustainable statehood are discussed and design options for sustainable statehood in the Anthropocene are proposed.
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Williams, D. A. "NASA’S PLANETARY GEOLOGIC MAPPING PROGRAM: OVERVIEW." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLI-B4 (June 14, 2016): 519–20. http://dx.doi.org/10.5194/isprs-archives-xli-b4-519-2016.
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NASA’s Planetary Science Division supports the geologic mapping of planetary surfaces through a distinct organizational structure and a series of research and analysis (R&A) funding programs. Cartography and geologic mapping issues for NASA’s planetary science programs are overseen by the Mapping and Planetary Spatial Infrastructure Team (MAPSIT), which is an assessment group for cartography similar to the Mars Exploration Program Assessment Group (MEPAG) for Mars exploration. MAPSIT’s Steering Committee includes specialists in geological mapping, who make up the Geologic Mapping Subcommittee (GEMS). I am the GEMS Chair, and with a group of 3-4 community mappers we advise the U.S. Geological Survey Planetary Geologic Mapping Coordinator (Dr. James Skinner) and develop policy and procedures to aid the planetary geologic mapping community. GEMS meets twice a year, at the Annual Lunar and Planetary Science Conference in March, and at the Annual Planetary Mappers’ Meeting in June (attendance is required by all NASA-funded geologic mappers). Funding programs under NASA’s current R&A structure to propose geological mapping projects include Mars Data Analysis (Mars), Lunar Data Analysis (Moon), Discovery Data Analysis (Mercury, Vesta, Ceres), Cassini Data Analysis (Saturn moons), Solar System Workings (Venus or Jupiter moons), and the Planetary Data Archiving, Restoration, and Tools (PDART) program. Current NASA policy requires all funded geologic mapping projects to be done digitally using Geographic Information Systems (GIS) software. In this presentation we will discuss details on how geologic mapping is done consistent with current NASA policy and USGS guidelines.
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Tice, Alan Douglas, Mitsumasa Kishimoto, Chuong Hoang Dinh, Geoffrey Tak-Kin Lam, and Michelle Marineau. "Knowledge of Severe Acute Respiratory Syndrome among Community Physicians, Nurses, and Emergency Medical Responders." Prehospital and Disaster Medicine 21, no. 3 (June 2006): 183–89. http://dx.doi.org/10.1017/s1049023x00003654.
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AbstractIntroduction:The preparedness levels of front-line clinicians including physicians, nurses, emergency medical responders (EMRs), and other medical staff working in clinics, offices and ambulatory care centers must be assessed, so these personnel are able to deal with communicable and potentially lethal diseases, such as severe acute respiratory syndrome (SARS). In order to determine the knowledge of these clinicians, a survey of their understanding of SARS and their use of educational resources was administered.Methods:A questionnaire was distributed to physicians, nurses, and EMRs attending conferences on SARS in the summer of 2003. Questions related to information sources, knowledge of SARS, and plans implemented in their workplace to deal with it. Statistical analysis was performed using the Statistical Package for the Social Sciences (10.1 Program, SPSS Inc., Chicago, Illinois).Results:A total of 201 community healthcare providers (HCPs) participated in the study. A total of 51% of the participants correctly identified the incubation period of SARS; 48% correctly identified the symptoms of SARS; and 60% knew the recommended infection control precautions to take for families. There was little difference in knowledge among the physicians, nurses, and EMRs evaluated. Media outlets such as newspapers, journals, television, and radio were reported as the main sources of information on SARS. However, there appears to be a growing use of the Internet, which correlated best with the correct answers on symptoms of SARS. Fewer than one-third of respondents were aware of a protocol for SARS in their workplace. A total of 60% reported that N-95 masks were available in their workplace.Conclusion:These findings suggest the need for more effective means of education and training for front-line clinicians, as well as the institution of policies and procedures in medical offices, clinics, and emergency services in the community.
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Hakimian, Ari, Axel Joob, Jennifer Aversano, Michael Vercillo, Michael Oconnor, and Yangyang Liu. "Community-based lung cancer screening program: A five-year comprehensive review." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e13080-e13080. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e13080.
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e13080 Background: Low-dose chest CT for lung cancer screening has been shown to have a significant impact on the early diagnosis of lung cancer. Initial trials have shown an approximate 20% decrease in overall lung cancer mortality (NLST, 2011). This study incorporates all patients who were evaluated by the Center for Thoracic Disease in a community-based lung cancer screening program from 2013 to 2018. Over the course of the study, thoracic surgeons have evaluated these patients with subsequent interval-based scans to monitor the progression of suspicious nodules. Methods: Eligibility criteria for the program included patients within the age range of 55-80, with a > 30 pack year smoking history, and that were current smokers or quit tobacco less than 15 years ago. Individuals between 50-55 years old were also included if they had > 20 pack year smoking history and at least one additional lung cancer risk factor. All patients included in this analysis completed an initial lung cancer screening consultation and recommended follow-up evaluations with thoracic surgeons from March 2013 to December 2018. All patients with suggestive abnormalities were discussed at a multidisciplinary conference prior to embarking on any invasive procedures. Patient data was collected on REDCap. Descriptive statistics for all continuous (mean ± SD) and categorical [N (%)] variables were calculated on patients. Results: 470 patients were included in the final analysis. The majority of the patients were males (56.4%), mean age was 64 years old (range: 50-81), and 55.3% were current smokers. The average smoking history was 42.3 pack years. 223 (47.6%) patients had a family history of cancer and 70 (14.5%) patients had a personal history of cancer. 25 patients (5.3%) had a diagnosis of primary lung cancer, among whom, 16 patients (64%) had early stage lung cancer (stage 1 and stage 2), 5 patients (20%) had stage 3, and 4 patients (16%) had stage 4 lung cancer. The cancer distribution included 17 adenocarcinomas (68%), 3 squamous cell carcinomas (12%), 3 small cell cancers (12%), 1 large cell cancer (4%) and 1 carcinoid tumor (4%). Conclusions: This study has demonstrated the value of enrolling patients in a community-based lung cancer screening program. Our results have reiterated the prevalence of discovering early staged lung cancer in high risk patients. This comprehensive five-year review indicates the importance of physician coordinated follow-up and evaluation in lung cancer screening patients.
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Kingdon, David. "The Care Programme Approach: comment on ‘Time for frank talking’." Psychiatric Bulletin 21, no. 7 (July 1997): 430–31. http://dx.doi.org/10.1192/pb.21.7.430.
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After seven years of circulars, monitoring, conferences and discussion, frank talking about the CPA may still be welcome, but proposals to CPA coordinators and members of community mental health teams (CMHTs) to revise the procedures implemented by trusts are less likely to be. The previous paper (Burns & Leibowitz) identified a number of difficulties that have accompanied the implementation of the Care Programme Approach, particularly confusion related to care and case management. The CPA was introduced in response to the Spokes Inquiry (Spokes, 1988) as a therapeutic strategy to ensure that a coordinated safety-net of care for people with severe mental illness (SMI) was put in place in every district. Identification of those with SMI means that the approach includes all those accepted by mental health services; those with SMI need a coordinated multidisciplinary response. The CPA Audit Tool developed by the College Research Unit for the National Health Service Executive (NHSE) and disseminated to all districts in 1995/96 may be valuable in reassessing CPA implementation.
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Gautom, Priyanka, Jamie H. Thompson, Cheryl A. Johnson, Jennifer S. Rivelli, and Gloria D. Coronado. "Abstract A102: Developing faith-based messaging and materials for colorectal cancer screening: Application of boot camp translation within the African Methodist Episcopal Church." Cancer Epidemiology, Biomarkers & Prevention 32, no. 1_Supplement (January 1, 2023): A102. http://dx.doi.org/10.1158/1538-7755.disp22-a102.
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Abstract Introductory sentences: We use boot camp translation (BCT), a validated community based participatory strategy, to elicit input from African Methodist Episcopal (AME) congregants, leadership, and healthcare systems in Atlanta, Georgia to create culturally appropriate and locally relevant colorectal cancer (CRC) faith-based screening messages and materials for AME church communities. Brief description of pertinent experimental procedures: In the United States, CRC is the third-leading cause of cancer death and disproportionately impacts African Americans, highlighting the need for timely screening within this community. African American adults have higher annual rates of new CRC cases and are diagnosed with CRC at younger ages when compared to White adults. Regular CRC screening is pertinent to increasing the chance of early diagnosis and survival, however, African Americans are less likely to get screened for CRC than Whites. Church-based educational programs have been successful in promoting cancer screening, including CRC screening, in various racial and ethnic groups. Churches can serve as key partners in delivering health information as they are among the most trusted institutions within the African American community. As part of a collaboration among the American Cancer Society, the Centers for Disease Control and Prevention, AME churches and Atlanta-based healthcare systems, we will apply BCT to develop and disseminate messaging to promote CRC screening within the AME community. The BCT session aims are twofold: 1) to identify the role of the church in bringing CRC information to the AME community and 2) to define the content and format of effective faith-based CRC messages tailored for the AME community. Summary of new, unpublished data: The BCT workshops will occur in July 2022.Statement of conclusions: We anticipate preliminary findings and materials to be ready by September 2022. Citation Format: Priyanka Gautom, Jamie H. Thompson, Cheryl A. Johnson, Jennifer S. Rivelli, Gloria D. Coronado. Developing faith-based messaging and materials for colorectal cancer screening: Application of boot camp translation within the African Methodist Episcopal Church [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr A102.
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Santoso, Purwoko Haryadi, Edi Istiyono, Haryanto, and Wahyu Hidayatulloh. "Thematic Analysis of Indonesian Physics Education Research Literature Using Machine Learning." Data 7, no. 11 (October 28, 2022): 147. http://dx.doi.org/10.3390/data7110147.
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Abundant physics education research (PER) literature has been disseminated through academic publications. Over the years, the growing body of literature challenges Indonesian PER scholars to understand how the research community has progressed and possible future work that should be encouraged. Nevertheless, the previous traditional method of thematic analysis possesses limitations when the amount of PER literature exponentially increases. In order to deal with this plethora of publications, one of the machine learning (ML) algorithms from natural language processing (NLP) studies was employed in this paper to automate a thematic analysis of Indonesian PER literature that still needs to be explored within the community. One of the well-known NLP algorithms, latent Dirichlet allocation (LDA), was used in this study to extract Indonesian PER topics and their evolution between 2014 and 2021. A total of 852 papers (~4 to 8 pages each) were collectively downloaded from five international conference proceedings organized, peer reviewed, and published by Indonesian PER researchers. Before their topics were modeled through the LDA algorithm, our data corpus was preprocessed through several common procedures of established NLP studies. The findings revealed that LDA had thematically quantified Indonesian PER topics and described their distinct development over a certain period. The identified topics from this study recommended that the Indonesian PER community establish robust development in eight distinct topics to the present. Here, we commenced with an initial interest focusing on research on physics laboratories and followed the research-based instruction in late 2015. For the past few years, the Indonesian PER scholars have mostly studied 21st century skills which have given way to a focus on developing relevant educational technologies and promoting the interdisciplinary aspects of physics education. We suggest an open room for Indonesian PER scholars to address the qualitative aspects of physics teaching and learning that is still scant within the literature.
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Hawley-Hague, Helen, Carlo Tacconi, Sabato Mellone, Ellen Martinez, Angela Easdon, Fan Bella Yang, Ting-Li Su, et al. "Can smartphone technology be used to support an effective home exercise intervention to prevent falls amongst community dwelling older adults?: the TOGETHER feasibility RCT study protocol." BMJ Open 9, no. 9 (September 2019): e028100. http://dx.doi.org/10.1136/bmjopen-2018-028100.
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IntroductionFalls have major implications for quality of life, independence and cost to the health service. Strength and balance training has been found to be effective in reducing the rate/risk of falls, as long as there is adequate fidelity to the evidence-based programme. Health services are often unable to deliver the evidence-based dose of exercise and older adults do not always sufficiently adhere to their programme to gain full outcomes. Smartphone technology based on behaviour-change theory has been used to support healthy lifestyles, but not falls prevention exercise. This feasibility trial will explore whether smartphone technology can support patients to better adhere to an evidence-based rehabilitation programme and test study procedures/outcome measures.Methods and analysisA two-arm, pragmatic feasibility randomised controlled trial will be conducted with health services in Manchester, UK. Seventy-two patients aged 50+years eligible for a falls rehabilitation exercise programme from two community services will receive: (1) standard service with a smartphone for outcome measurement only or (2) standard service plus a smartphone including the motivational smartphone app. The primary outcome is feasibility of the intervention, study design and procedures. The secondary outcome is to compare standard outcome measures for falls, function and adherence to instrumented versions collected using smartphone. Outcome measures collected include balance, function, falls, strength, fear of falling, health-related quality of life, resource use and adherence. Outcomes are measured at baseline, 3 and 6-month post-randomisation. Interviews/focus groups with health professionals and participants further explore feasibility of the technology and trial procedures. Primarily analyses will be descriptive.Ethics and disseminationThe study protocol is approved by North West Greater Manchester East Research Ethics Committee (Rec ref:18/NW/0457, 9/07/2018). User groups and patient representatives were consulted to inform trial design, and are involved in study recruitment. Results will be reported at conferences and in peer-reviewed publications. A dissemination event will be held in Manchester to present the results of the trial. The protocol adheres to the recommended Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) checklist.Trial registration numberISRCTN12830220; Pre-results.
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Huang, Chaohsing, Chipang Lu, and Yishan Chen. "Involving Community Volunteers in Recording Deterioration of Buildings After Disaster." Asian Education Studies 3, no. 3 (June 28, 2018): 27. http://dx.doi.org/10.20849/aes.v3i3.435.
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On 6 February 2016, an earthquake with a moment magnitude of 6.4 struck southern Taiwan, impacting Meinong District of Kaohsiung. The earthquake caused widespread damage as well as psychological pressure on residents of the area. In Tainan city, there were as many as 5387 requests for building inspections, among them 579 were labeled red (with damage in main structures or tilted that can endanger life) or yellow (with damage of non-main structure). As large number of buildings were damaged, and residents anxious about their safety and possible loss of their properties, technicians from neighboring cities rushed in and sacrificed their time and energy but they barely met the expectations of these affected people.This report will introduce an experimental project operated in Yujin District, one of the earthquake-affected area, by a team of faculties and graduate students of architecture and community work professions from National Chen Kung University and Chang Jung Christian University. The project, with a series of workshops, aims to facilitate community volunteers with basic skills of portraying and recording deteriorations of a building. As the professional technicians may not be able to reach the damaged area immediately after a serious disaster, the project expects to build up a team that is able to collect basic information of affected buildings so that the professionals can prioritize their inspection tasks.Due to previous collaboration in community development projects, the team were welcomed by local credit union and they worked with its volunteer group which is one of the major voluntary forces in the region. For the workshops, we simplified the procedures of recoding a deteriorated building, tested and received feedback from the community beforehand so that it will be feasible for lay people to use. Each workshop ended with a new homework for next session so that the learning experience can keep building up. Each workshop was also followed by a team meeting to review the achievements of the workshop and to revise the original design for the next session. Two ‘LINE’ groups were formed. One was for the project team and the other for all the participants. The LINE group of the team involved leaders from the credit union to make the project transparent to community. The participants’ LINE group became handy for homework submission. The LINE app is a good venue for all members to communicate between workshop sessions. An evaluation form was filled by participants at the end of each workshop. In-depth interviews and focus group involving participants as well as university team will be conducted after all workshops came to an end. By the time of conference, this report will present the design and the practice of the serial workshops, the feedback from the participants, and the reflection and lessons learned from the university team.
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Silier, Colen Cooper Gore, Justina Greschik, Susanne Gesell, Veit Grote, and Annette F. Jansson. "Chronic non-bacterial osteitis from the patient perspective: a health services research through data collected from patient conferences." BMJ Open 7, no. 12 (December 2017): e017599. http://dx.doi.org/10.1136/bmjopen-2017-017599.
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ObjectiveAlthough chronic non-bacterial osteitis (CNO) is an ever-increasingly recognised illness in the paediatric community and the adult healthcare community, a study to assess diagnosing, treatment and the psychosocial aspect of CNO from a large population pool was not available. We aimed to investigate CNO from the patient perspective.DesignHealth services research, patient survey.SettingLudwig-Maximilians-University (LMU) Pediatric Rheumatology Department CNO Conferences held in June 2013 and June 2015.ParticipantsUsing a patient survey developed by the LMU Pediatric Rheumatology Department, 105 patients from ages 5 to 63 years were assessed regarding CNO to include epidemiological data, medical history and treatment, initial symptoms, diagnostic procedures, current symptoms, associated diseases, current treating physicians, absences in school and work due to illness and the impact of illness on patient, family and friends.ResultsActive CNO was reported in 90% of patients present, with 73% being women and 27% being men. An overwhelming majority (70%) reported being diagnosed within 18 months of onset of symptoms; however, the initial diagnoses were wide-ranged to include malignancies in 36% to bacterial osteomyelitis in 30%, where the majority were treated with an antibiotic and/or were biopsied. When asked about the psychosocial aspect of this illness, 83% reported that non-bacterial osteitis (NBO) negatively impacted the family, 79% reported that NBO has negatively affected either school or work and 56% reported a negative impact on friendships.ConclusionDelay of diagnosis, living with differential diagnoses like malignancies and finding specialists for medical care are a few examples of what leads patients into searching for more information. The negative impact on daily life including family relationships, friendships and work/school highlights a need for better psychosocial support such as guidance counselling or psychological support due to three-quarters of patients receiving no such said support.
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Okonov, Baatr A. "Репрессии против комсомола Калмыкии во 2-й половине 1930-х гг." Монголоведение (Монгол судлал) 12, no. 3 (November 5, 2020): 384–97. http://dx.doi.org/10.22162/2500-1523-2020-3-384-397.
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Introduction. The paper deals with repressions against Kalmykia’s Komsomol in the late 1930. It examines archival materials of the Kalmyk ASSR, and explores a definitely troubled period in the development of the regional organization of All-Union Leninist Young Communist League. From the earliest days Komsomol communities had been regularly cleansed. In official discourse, such measures were interpreted as essentials aimed to exclude unreliable individuals, improve community cohesion, and facilitate further Socialist construction activities. According to documents issued by the 4th Plenary Assembly of Komsomol Central Committee and 14th Kalmyk Oblast Komsomol Conference, those were Komsomol executives and activists who were actually repressed. Goals. The article aims to analyze the repressive procedures initiated. Materials and Methods. Considered are unpublished documents held by National Archive of Kalmykia (Collection П-22 — archives of Kalmyk Oblast Komsomol Committee), and some other published materials. The work employs the chronological and problem-chronological research methods that proved instrumental in identifying features specific for repressive measures against local Komsomol members. Results and Conclusions. The 1930s political repressions against Komsomol in Kalmykia were directly related to ones against party-state and economic executives of the region. Admitting to ‘have participated in a bourgeois-nationalist organization’, Communist and Komsomol executives gave rise to further mass and dramatic cleanses.
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Mee, Harry, Clare Clement, Fahim Anwar, Gemma Whiting, Ivan Timofeev, Adel Helmy, Peter John Hutchinson, and Angelos G. Kolias. "Exploring the experiences and challenges for patients undergoing cranioplasty: a mixed-methods study protocol." BMJ Open 12, no. 4 (April 2022): e048072. http://dx.doi.org/10.1136/bmjopen-2020-048072.
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IntroductionCranioplasty is a widely practised neurosurgical procedure aimed at reconstructing a skull defect, but its impact on a patient’s rehabilitation following a traumatic brain injury (TBI) or stroke could be better understood. In addition, there are many issues that a TBI patient or the patient who had a stroke and their families may have to adapt to. Insight into some of the potential social barriers, including issues related to social engagement and cosmetic considerations, would be beneficial. Currently, little is known about how this procedure impacts a patient’s recovery, the patient’s perceptions of rehabilitation precranioplasty and postcranioplasty and the broader issues of cosmesis and social reintegration. This study hopes to understand some of these issues and therefore help inform clinicians of some of the difficulties and perceptions that patients and their relatives may have.Methods and analysisA mixed-methods study. Data will be collected through focus groups with healthcare professionals (HCPs) and semi-structured interviews with patients and their relatives, field notes, a researcher diary and a patient questionnaire. Different perspectives will be brought together through method triangulation. Patient and relative data will be analysed using interpretive phenomenological analysis, and HCPs data will be analysed thematically using deductive and inductive coding.Ethics and disseminationEthical approval has been obtained from the Wales REC 7 ethics committee (Rec ref: 19/WA/0315). There is limited literature regarding a patient’s perception of the cranioplasty process, the potential impact on rehabilitation and how this may impact their reintegration into the community. The results of this study will be presented at national brain injury conferences and published in peer-reviewed, national and international journals.
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Ofstead, Cori L., Brandy L. Buro, Krystina M. Hopkins, John E. Eiland, Harry P. Wetzler, and David R. Lichtenstein. "Duodenoscope-associated infection prevention: A call for evidence-based decision making." Endoscopy International Open 08, no. 12 (November 17, 2020): E1769—E1781. http://dx.doi.org/10.1055/a-1264-7173.
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Abstract Background Recent outbreaks of duodenoscope-associated multidrug-resistant organisms (MDROs) have brought attention to the infection risk from procedures performed with duodenoscopes. Prior to these MDRO outbreaks, procedures with duodenoscopes were considered safe and low risk for exogenous infection transmission, provided they were performed in strict accordance with manufacturer instructions for use and multisociety reprocessing guidelines. The attention and efforts of the scientific community, regulatory agencies, and the device industry have deepened our understanding of factors responsible for suboptimal outcomes. These include instrument design, reprocessing practices, and surveillance strategies for detecting patient and instrument colonization. Various investigations have made it clear that current reprocessing methods fail to consistently deliver a pathogen-free instrument. The magnitude of infection transmission has been underreported due to several factors. These include the types of organisms responsible for infection, clinical signs presenting in sites distant from ERCP inoculation, and long latency from the time of acquisition to infection. Healthcare providers remain hampered by the ill-defined infectious risk innate to the current instrument design, contradictory information and guidance, and limited evidence-based interventions or reprocessing modifications that reduce risk. Therefore, the objectives of this narrative review included identifying outbreaks described in the peer-reviewed literature and comparing the findings with infections reported elsewhere. Search strategies included accessing peer-reviewed articles, governmental databases, abstracts for scientific conferences, and media reports describing outbreaks. This review summarizes current knowledge, highlights gaps in traditional sources of evidence, and explores opportunities to improve our understanding of actual risk and evidence-based approaches to mitigate risk.
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Taljaard, Monica, Meltem Tuna, Carol Bennett, Richard Perez, Laura Rosella, Jack V. Tu, Claudia Sanmartin, et al. "Cardiovascular Disease Population Risk Tool (CVDPoRT): predictive algorithm for assessing CVD risk in the community setting. A study protocol." BMJ Open 4, no. 10 (October 2014): e006701. http://dx.doi.org/10.1136/bmjopen-2014-006701.
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IntroductionRecent publications have called for substantial improvements in the design, conduct, analysis and reporting of prediction models. Publication of study protocols, with prespecification of key aspects of the analysis plan, can help to improve transparency, increase quality and protect against increased type I error. Valid population-based risk algorithms are essential for population health planning and policy decision-making. The purpose of this study is to develop, evaluate and apply cardiovascular disease (CVD) risk algorithms for the population setting.Methods and analysisThe Ontario sample of the Canadian Community Health Survey (2001, 2003, 2005; 77 251 respondents) will be used to assess risk factors focusing on health behaviours (physical activity, diet, smoking and alcohol use). Incident CVD outcomes will be assessed through linkage to administrative healthcare databases (619 886 person-years of follow-up until 31 December 2011). Sociodemographic factors (age, sex, immigrant status, education) and mediating factors such as presence of diabetes and hypertension will be included as predictors. Algorithms will be developed using competing risks survival analysis. The analysis plan adheres to published recommendations for the development of valid prediction models to limit the risk of overfitting and improve the quality of predictions. Key considerations are fully prespecifying the predictor variables; appropriate handling of missing data; use of flexible functions for continuous predictors; and avoiding data-driven variable selection procedures. The 2007 and 2009 surveys (approximately 50 000 respondents) will be used for validation. Calibration will be assessed overall and in predefined subgroups of importance to clinicians and policymakers.Ethics and disseminationThis study has been approved by the Ottawa Health Science Network Research Ethics Board. The findings will be disseminated through professional and scientific conferences, and in peer-reviewed journals. The algorithm will be accessible electronically for population and individual uses.Trial registration numberClinicalTrials.gov NCT02267447.
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São Paulo, Eduardo de. "Preliminary studies on affirmative action in a brazilian university." RAM. Revista de Administração Mackenzie 11, no. 3 (June 2010): 27–45. http://dx.doi.org/10.1590/s1678-69712010000300004.
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As a signatory to Durban III World Conference against Racism, Discrimination, Xenophobia and other forms of Intolerance, Brazil has committed itself to the enforcement of mechanisms to promote social equity. As a consequence, governmental programs have been implemented, aiming at the inclusion of Afro-descendents in higher education. Actually, the quantity of such students in the academy is minimal and does not relate to what can be observed in the general population. As an example of such endeavor, Universidade de Brasília (UnB) has started an Affirmative Action program in order to include a contingent of 20% of its freshman students as representatives of racial underprivileged groups. This policy started in August 2004. The present study aimed to investigate the perceptions of students and general public to this policy. An instrument, based partially on McConahay's (1986) Modern Racism scale, was administered to a sample of 316 students. A factor analysis (AF) extracted five factors, corresponding to 48% of the total variance explained. An Analysis of Variance (Anova) was performed to better understand the results, concerning both age and gender of the subjects. Results show that, although students demonstrated interest in the implementing of Affirmative Action programs, and are aware of the relevance of such procedures to the cultural and social structure of the community, they do not agree with their reasons or measures taken, or to the existence of the problem itself.
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Kelway, Paul, B. Louise Chilvers, Adam Grogan, Charlie Hebert, Hugo Nijkamp, and Michael Ziccardi. "Impact and Implications of an International Oiled Wildlife Response Preparedness Project." International Oil Spill Conference Proceedings 2017, no. 1 (May 1, 2017): 1669–88. http://dx.doi.org/10.7901/2169-3358-2017.1.1669.
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ABSTRACT 2017-133 December 2016 marked the conclusion of a two-year global oiled wildlife response preparedness project, funded by the International Association of Oil & Gas Producers/IPIECA Oil Spill Response-Joint Industry Project (IOGP/IPIECA OSR-JIP). This project brought together leading oiled wildlife response organizations from seven countries to design a preparedness and response system that would support the mobilization and integration of tier 3 (international) wildlife response resources if activated by the oil industry or other stakeholders. The project outcomes include written standards and procedures that represent a further step towards integration of oiled wildlife preparedness and response as an oil industry standard worldwide, and allow for the foundations of a global approach to be built upon good practice as defined by the international oiled wildlife response community. 2017 sees the system entering a second (beta) phase with a further funding commitment being provided by the oil industry via Oil Spill Response Limited (OSRL). Building on the introduction and overview to this project as presented at the International Oil Spill Conference in 2014 (Kelway et al., 2014), this paper will explore key outcomes and assess the project’s impact and implications, particularly in relation to the present and future role of multi-stakeholder collaboration in the advancement of global oiled wildlife response preparedness.