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PurposeThe purpose of this paper was to determine the profile of dairy product consumers in the organic market.Design/methodology/approachThe study was based on a survey questionnaire developed by the author and administered to a total of 1,108 respondents. The statistical analysis (including descriptive statistics, the analysis of the discriminative function and the Chi2 test was performed with the use of Statistica 13.1 PL. The respondents' gender was the factor behind the differences in how they behaved.FindingsThe consumers indicated the channels they rely upon to find information on organic dairy products;in addition to trusting the opinions of their family members and experts, they also use web platforms. Further, they specified their preferred locations for buying favorite products during the pandemic: specialized organic food shops, large distribution chains and online stores.Practical implicationsThese outcomes will help in identifying target consumer segments and information channels for specific information and advertising messages. They also form an important resource for developing some potential strategies which the supply chain stakeholders could implement to promote organic consumption of dairy products.Originality/valueThis study identifies consumers' preferred dairy products;motives for purchasing organic dairy products;barriers that consumers believe exist in the market;sources of knowledge about products purchased by consumers;and consumers' preferred channels for purchasing organic dairy products. To the best of the author's knowledge, this is the first study of dairy product consumers in the organic market in Poland.
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Objectives: Extracorporeal membrane oxygenation (ECMO) is a complex life support modality. To appropriately educate ECMO clinicians, a comprehensive program is required. However, there is no universal ECMO education (EE) program exclusively for intensive care unit Registered Nurses (RNs). Moreover, with the recent Coronavirus Disease 2019 (COVID-19) pandemic, the existing nursing shortage and the ability of ECMO programs to maintain an established EE program worsened. This continuous quality improvement (CQI) aims to reestablish the quality of an EE program at a large academic medical center at one of the past pandemic epicenters. Method(s): A CQI process with the Plan-Do-Study-Act (PDSA) cycle and Ishikawa diagram for root cause analysis (RCA), intervention implementation from July 2022 to June 2023 Results: The RCA revealed intrahospital pandemicrelated restrictions for employee gathering, EE instructor unavailability, increased nursing turnover, increased nursing shortage, and incomplete recordkeeping of ECMO educational activity (EEA) RN attendance as dominant factors disrupting the established EE processes. Six interventions were implemented, with one added in later: 1. Schedule 1 Certification Lecture Day/Quarter (Q), 1 Re-Certification Lecture/Q, and 1 Circuit Skills Class/ month, and 1 Simulation Lab/month 2. Reserve an education room for all EE activities, as COVID-19 policies allow 3. Increase the number of EE instructors 4. Increase Nursing Leadership-ECMO Manager collaboration for optimal RN signup 5. Optimize EEA schedule to help balance RN staffing needs 6. Develop a Master ECMO Folder in Google Drive and maintain updated attendance Five interventions showed positive preliminary results, whereas it was too soon for any conclusion for one (Table 1). Conclusion(s): While preliminary, the achieved results justify that restoring the quality of an ECMO education program after the negative impact of the recent pandemic is possible. However, final results are necessary to infer the effectiveness of each intervention. (Figure Presented).
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Introduction: There is a distinct unmet need in structured, curriculum based, unbiased education in neuromodulation. Current teaching is through sporadic industry workshops, cadaver courses and peer proctorship. The COVID pandemic has created a unique opportunity where online platforms have enabled education to be delivered remotely in both synchronous and asynchronously. The William Harvey Research Institute, Queen Mary University, London, UK have initiated University based accreditation- Post Graduate Certificate in neuromodulation (PGCert) that provides candidate a qualification in one academic year through part-time study. Method(s): The program underwent rigorous staged university approval process (figure 1). To ensure market feasibility, two short proof of concept CPD programs "Executive Education in Neuromodulation (EEPIN)" were delivered in 2021. These courses attracted 87 candidates across Australia, Singapore, India, Germany, Poland, Czech Republic, Ireland, and UK. The faculty includes key opinion leaders that will deliver the program ensuring the candidates gain academic background and specialist skills to understand safe practice of neuromodulation. The PGCert advisory board has been established to ensure strict governance in terms of content and unbiased delivery confirming ACCME guidance. In order to obtain PGCert, candidates are required to complete 4 x 15 credit modules (60 credits). The four modules include Anatomy & Neurophysiology;Patient care and Procedurals skills;Devices and available technology;Intrathecal drug delivery for cancer and non-cancer pain. The modular nature of the program is designed to provide cumulative knowledge, from basic science to clinical application in line with the best available evidence. The modules comprise nine lectures, spreading over three consecutive days, followed by a written assignment with 40 direct contact hours in each module. The webpage can be accessed at Results: The anonymous data from EEPIN reported on Likert scale 1-5: Objectives defined 30.6% - 4 and 69.4% -5;Relevance of topics 10.2%- 4 and 89.8% -5;Content of presentations 22.4%- 4 and 77.6% -5;Organization 24.5% -4 and 69.4% -5;Candidate faculty interaction 14.3% -4 and 81.6% -5. 97% of the EEPIN candidates recommended the program to others whilst 81.8% expressed their strong interest to enroll for university-based post graduate qualification if offered. Conclusion(s): This PGcert Neuromodulation is a unique, university accredited program that provides qualification in neuromodulation with access to a flexible online e-learning platform to discuss and exchange ideas, share knowledge in candidate's own time. This will support the ongoing need for formal curriculum-based education in neuromodulation. Disclosure: Kavita Poply, PHD: None, Phillippe Rigoard: None, Jan Kallewaard, MD/PhD: None, FRANK J.P.M. HUYGEN, MD PhD: ABBOTT: Speakers Bureau:, Saluda: Consulting Fee:, Boston Scientific: Consulting Fee:, Grunenthal: Speakers Bureau:, Pfizer: Speakers Bureau:, Ashish Gulve, FRCA, FFPMRCA, FFPMCAI, DPMed, FCARCSI, MD, MBBS: None, Ganesan Baranidharan, FRCA: None, Sam ELDABE, MD, FRCA, FFPMRCA: Medtronic: Consulting Fee:, Medtronic: Contracted Research:, Mainstay Medical: Consulting Fee:, Saluda Medical: Consulting Fee:, Boston Scientific: Contracted Research:, Saluda Medical: Contracted Research:, James Fitzgerald, MA,PhD: St Jude Medical: Consultant: Self, Medtronic: Consulting Fee:, UCB: Contracted Research:, Merck: Contracted Research:, Serge Nikolic, MD: None, Stana Bojanic, BSc MBBS FRCS (SN): Abbott: Contracted Research:, Habib Ellamushi: None, Paresh Doshi, MS MCh: None, Preeti Doshi, MBBS, MD, FRCA: None, Babita Ghai, MBBS, MD, DNB: None, Marc Russo, MD: Presidio Medical: Ownership Interest:, Saluda Medical: Ownership Interest:, Boston Scientific: Contracted Research: Self, Mainstay Medical: Contracted Research: Self, Medtronic: Contracted Research: Self, Nevro: Contracted Research: Self, Saluda Medical: Contracted Research: Self, Presidio Medical: Contracted Research: Self, Freedom Ne ro: Ownership Interest - Own Stocks: Self, Lungpacer: Ownership Interest - Own Stocks: Self, SPR Therapeutics: Ownership Interest - Own Stocks: Self, Lawrence Poree, MD,MPH,PHD: Medtronic: Consulting Fee: Self, Saluda Medical: Contracted Research: Family, Nalu Medical: Contracted Research: Family, Gimer Medical: Consulting Fee: Self, Nalu Medical: Consulting Fee: Self, Saluda Medical: Consulting Fee: Self, Nalu: Ownership Interest:, Saluda Inc: Ownership Interest:, Alia Ahmad: None, Alaa Abd Sayed, MD: Medtronic, Abbott, SPR and StimWave: Consulting Fee:, Salim Hayek, MD,PhD: None, CHRISTOPHER GILLIGAN, MD MBA: Persica: Consulting Fee: Self, Saluda: Consulting Fee: Self, Mainstay Medical: Contracted Research: Self, Sollis Therapeutics: Contracted Research: Self, Iliad Lifesciences, LLC: Owner: individuals with legal ownership in a company:, Vivek Mehta: NoneCopyright © 2023
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If a suitable response isn't received in good time, the BMA said it will consider legal action in the form of a judicial review. Mark Sanford-Wood, deputy chair of the BMA's GP committee, said, "For years, GPs and their local coroners have worked together to ensure a sensible and sensitive approach to certifying deaths. [...]it's incredibly disappointing to see coroners during this pandemic taking it upon themselves to put themselves ahead of the law, making unrealistic and unsafe demands.” Covid-19: death certification and cremation. www.bma.org.uk/advice-and-support/covid-19/adapting-to-covid/covid-19-death-certification-and-cremation. 2 NHS England NHS Improvement.
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PurposeThis paper aims to find a suitable structure for a practitioner's handbook that addresses the structural elements of the business continuity (BC) practice.Design/methodology/approachThe case study using the mixed method, quantitative with a questionnaire and conceptual research approach was what has been chosen. The four steps to the research process are outlined: one, choosing the topic, two, collecting relevant literature, three, identifying specific variables and four, generating a structure. The design brought on by years of experience, should be put into an organised system and handbook that can be reused, without having to reinvent the wheel.FindingsA BC handbook should be as relevant to the executives and management as to their employees. By adopting a BC practice in a government department, state-owned entity, agency or municipality. Assurance will be ascertained for reliable, improved service delivery and reputation with much less interruption. Therefore a handbook with a "cradle to the grave” BC approach should outline, with examples of standards, awareness, policy, BC programme plan, BC structures, business impact and risk analysis, strategy, budgets, scorecards, monitoring and evaluation, recovery and BC plans, together with the audit and an International Standards Organization (ISO) 22301 certification process.Research limitations/implicationsThe research was limited to literature, questionnaires and identified variables pertaining to BC management (BCM) in the South African Government.Practical implicationsThe implications of the case study is that out of the variables identified and the relevant literature and standards, a structure for a relevant post-COVID-19 government practitioner's handbook could be made available.Social implicationsThe use of a BCM handbook for government would assist in the continuation of services through manmade and natural disasters. The service to the citizen, including but not limited to water, electricity, sanitation, medical and health services, and the food supply chain are just a few areas that can be positively impacted upon by good BCM. By implication the reliance of government structure are treated most in time of disasters as experienced through the two year period of the COVID-19 pandemic.Originality/valueThe government departments in South Africa do not have or have not implemented BCM due to the lack of clear guidelines. The COVID-19 pandemic however had accelerated the requirement for a top down BCM approach. To ensure that the scope of BCM is not limited, the possibility of having a set handbook for the government practitioner will ensure that service quality remains intact. Such a handbook related to government BCM practice is long outstanding.
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OBJECTIVE: The COVID-19 pandemic resulted in training programs restructuring their curricula. Fellowship programs are required to monitor each fellow's training progress through a combination of formal evaluations, competency tracking, and measures of knowledge acquisition. The American Board of Pediatrics administers subspecialty in-training examinations (SITE) to pediatric fellowship trainees annually and board certification exams at the completion of the fellowship. The objective of this study was to compare SITE scores and certification exam passing rates before and during the pandemic. METHODS: In this retrospective observational study, we collected summative data on SITE scores and certification exam passing rates for all pediatric subspecialties from 2018 to 2022. Trends over time were assessed using analysis of variance (ANOVA) analysis to test for trends across years within one group and t-test analysis to compare groups before and during the pandemic. RESULTS: Data were obtained from 14 pediatric subspecialties. Comparing prepandemic to pandemic scores, Infectious Diseases, Cardiology, and Critical Care Medicine saw statistically significant decreases in SITE scores. Conversely, Child Abuse and Emergency Medicine saw increases in SITE scores. Emergency Medicine saw a statistically significant increase in certification exam passing rates, while Gastroenterology and Pulmonology saw decreases in exam passing rates. CONCLUSIONS: The COVID-19 pandemic resulted in restructuring didactics and clinical care based on the needs of the hospital. There were also societal changes affecting patients and trainees. Subspecialty programs with declining scores and certification exam passing rates may need to assess their educational and clinical programs and adapt to the needs of trainees' learning edges.
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While historically some have viewed the work of medical examiners/coroners (ME/C) and death investigators as predominantly serving the criminal justice system, in fact, the act of certifying a death is—in and of itself—a public health endeavor. The purpose of the death certificate is to track how and why individuals die as a means of helping others survive. Death certificates do save lives. In addition to generating these vital statistics, which guide public health policy, ME/C also perform a public health service in a variety of other ways. For instance, autopsy pathologists report unsafe consumer products, warn of recreational hazards (e.g., the dangers of snowmobile or all-terrain vehicle use), publicize and report occupational hazards (e.g., falls and electrocution risks), identify toxic exposures (e.g., carbon monoxide from defective heating units), and evaluate the safety of medical therapies. At autopsy, ME/C perform infectious disease surveillance, diagnosing and reporting communicable diseases such as bacterial meningitis, tuberculosis, and Legionella, thereby helping to mitigate disease spread in the community. They identify and characterize emerging infectious threats, such as COVID-19. They track violent deaths, including homicides, suicides, accidents, child and domestic abuse deaths, maternal mortality, and overdose deaths—to name a few—and participate as members of death review teams that attempt to identify systemic issues and prevent further such deaths. © 2023 Elsevier Inc. All rights reserved.
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INTRODUCTION AND OBJECTIVE: The Certified Curriculum of ERUS (CC-ERUS) fellowship on robot-assisted radical prostatectomy (RARP) is almost 10 years old. To complete the CCERUS outcome-based fellowship, a video of a full RARP performed by the fellow must be assessed by an expert. The aim of the current study was to 1) understand and report the completion rate of the fellowship (i.e. achievement of the Certificate of Excellence award) and 2) identify reasons for non-completion. METHOD(S): The CC-ERUS is a 6 months structured training program that includes an eLearning part, followed by one-week robotic skills course;then, trainees have 6 months of modular training at a host center. At the end of the fellowship, trainees are requested to submit a video of a full RARP performed by themselves. The video is objectively assessed by experts and, in case of positive assessment, the fellowship is completed and the fellow can receive the Certificate of Excellence. We analysed our prospectively collected data on all CC-ERUS fellows. We then conducted a telephone survey on 2018-2021 CC-ERUS fellows to investigate the reasons for noncompletion. Standardized interview format questions were used to conduct the survey. RESULT(S): Data on 87 subjects enrolled in the fellowship between were collated. While all subjects successfully completed the 1-wk robotic skills course, only 26 (30%) fellows achieved the certificate of excellence. The completion rate by year was 20% in 2018, 29% in 2019, 36.4% in 2020, and 31.4% in 2021. Therefore, the COVID-19 pandemic had only a modest impact on completion rate. The response rate to the telephone interview survey was 77%. The following reasons for non-completion emerged: insufficient console exposure (49%), insufficient fellowship duration (20%), COVID-19 pandemic (11%), logistic difficulties in submitting the video (20%). CONCLUSION(S): The CC-ERUS for RARP was the first validated robotic curriculum in the world, and still one of the very few outcome-based fellowships. Nonetheless, we observed a low completion rate that needs to be addressed with appropriate actions. To increase the fellowship completion rate, three solutions should be considered by the ERUS board: 1. Review of the Host Centers, to exclude those which do not meet the certification criteria (e.g. insufficient console time for fellows) 2. Periodical Train-The-Trainers courses for the mentors at host centers 3. Follow-up procedural diary: the fellows will be requested to submit videos of each phase while progressing in their modular training and self-assess their performance using validated RARP metrics.
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PurposeThe aim of this research is to empirically assess the nine dimensions of the Total Quality Management (TQM) model, which have been categorized into four blocks: the top management block, the supplier block, the process management block and the customer block. The nine dimensions represent key strategic activities of company performance. A comparative analysis of companies with ISO 9001 certification and those without certification in a developing country during the COVID-19 pandemic is carried out.Design/methodology/approachA survey was administered to the management of 259 Peruvian goods companies (in the mining, repair and manufacturing sectors) during the COVID-19 pandemic. The survey consisted of 35 Likert-scale items, which were grouped into the following nine TQM dimensions: Top management (leadership), quality planning, quality audit and assessment, product design, suppliers' quality management, process control and improvement, education and training, quality circles and focus on customer satisfaction. Then, Cronbach's alpha, the Kolmogorov–Smirnov test, the Mann–Whitney U test and means were computed for each of the dimensions. This analysis made it possible to estimate significant differences between ISO 9001 certified and non-certified goods companies in terms of the dimensions.FindingsThe results showed that, for ISO 9001 certified companies, the averages for all of the dimensions were significantly different from those of non-certified companies, except for the education and training dimension. ISO 9001 certified companies scored higher than non-certified companies in the TQM dimensions. For both certified and non-certified companies, the leadership dimension had the highest average and the quality circles dimension had the lowest average.Originality/valueThis study addresses two main gaps highlighted in the research on quality management: the application of Quality Management Systems (QMS) in developing countries like Peru, and the impact of ISO 9001 on the performance of goods companies during the COVID-19 pandemic.
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The hospitality and travel sector has been one of the most affected sectors by Covid-19, which has resulted in a significant increase in the literature addressing the impact of the health crisis on tourism activities and tourists' perceptions and behaviours. Traditionally, socio-demographic variables have been instrumental in understanding consumers' needs and desires. However, during the pandemic, it has been unveiled that social and economic profiles have started to influence how tourists make decisions. Since studies on the changes in hotel choice during and after Covid-19 are still scarce, this article aims to assess the influence of socio-demographic variables on hotel choice based on data collected during the peak phase of the Covid-19 pandemic. A quantitative study was conducted using an online questionnaire that reached an international sample of 1113 individuals. The ANOVA and the t-test analysis results point out that socio-demographic variables under study are responsible for several differences in the evaluation of hotels. These findings reinforce socio-demographic attributes' capability to understand customers' preferences and decision-making despite the context.
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This paper reports the results of a study on the implementation of a sustainable teaching model based on the OBE (Outcome-Based Education) concept and the TSEM (Teach, Study, Evaluate, and Manage) framework in computer science and technology at NingboTech University, China. In the context of digital education, the OBE concept and the TSEM framework are integrated to explore sustainable teaching and learning models based on "artificial intelligence and education”. Based on the core concept of engineering professional education accreditation, the course is designed by using the PCCM (Professional Competency Correlation Matrix) method to build a model based on big data analysis, deepen the classroom teaching reform of "artificial intelligence and education”, and explore the integrated digital sustainable teaching mode of "teaching, learning, evaluation, and management”. The aim of this study is to explore the effectiveness of the teaching model based on OBE and the TSEM framework on students' sustainable development. The results show that students deepen their learning in computer science while enhancing their own learning initiative, teamwork skills, innovation skills, and awareness of sustainable development. Research shows that our teaching model plays an important role in the development of student sustainable education, enhancing student engineering practice and innovation capabilities and cultivating applied innovative talents. The efficacy of the teaching model based on the OBE concept and the TSEM framework for improving students' competence in sustainable education warrants further investigation.
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Office-based environmental control systems are centralized and designed to control entire spaces, ignoring use dynamics and requirements, and despite being regulated by standardized comfort models, they fail to satisfy real occupants, mainly due to their varied individual characteristics. This research is field-based with a quantitative approach and correlational design. Its objective is to empirically demonstrate that open-plan design, where different users share the same space and generalized environmental conditions, lacks a holistic view of IEQ criteria and the integration of other factors that affect health and well-being. Four buildings are chosen in different Chilean cities, measuring temperatures and CO2 levels at different desks, and applying a survey, which was designed as part of the research to analyze the estimation of relationships between variables and to reveal the factors that cause differences among occupants. The results show that people's satisfaction is multivariable and depends on other factors that positively or negatively stimulate their sensations and perceptions, such as, for example, the option to personally control their environmental conditions. Likewise, it is evident that to achieve comfort, health is being affected while in the building.
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Problem, research strategy, and findingsPlanners have not paid enough attention to managing the risk of emerging infectious diseases (EIDs), of which COVID-19 is the most recent manifestation. Overlooking aggressive policies to manage this risk of zoonotic viruses reassorting between sick animals and humans misses the greatest opportunity for stopping future disease pandemics. In this study we review several disciplines, outline the scant planning literature on EIDs, and identify the increasing calls from virologists and medical professionals to address urbanization as a key EID driver. Using the case of avian influenza outbreaks in Vietnam in 2004 and 2005, we conceptualize a preventive planning approach to managing the risk of zoonotic transmission that results in EID pandemics.Takeaway for practiceWe make several recommendations for planners. Practicing planners should consider how their plans manage the risk of zoonotic disease transmission between animals and humans through land use planning and community planning. Planning education and certification organizations should develop positions regarding the role of planning for EIDs. Food systems planners should consider the importance of livestock practices in food production as a risk factor for EIDs. Diverse research teams should combine geographic scales, data sources, and disciplinary knowledge to examine how an extended series of upstream and downstream events can result in a global pandemic. Such empirical examination can lead to effective planning policies to greatly reduce this risk.
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This chapter describes the history, process, and current issues of psychology licensure and board certification. The discussion of licensure highlights both the licensing and oversight functions. Current issues confronting licensing boards are examined: (1) supervised professional experience needed for licensure and (2) testing for competency. The discussion of board certification focuses on the process of becoming board certified and describes three issues: (1) maintenance of competence, (2) interorganizational summit, and (3) evolving specialties. As this was written in the time of Covid-19, concluding comments focus on the opportunities and challenges presented with implications for the future. © 2022 Elsevier Ltd. All rights reserved
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This mixed-methods study investigates the real and perceived barriers that African American male Edgecombe County high school students face when considering college enrollment to inform potential interventions to improve college enrollment of this market segment. Phase I of the study design included a survey of current, African American, male college students to determine potential barriers African American high school students may face when considering college. Phase II included semi-structured group interviews of African American male Edgecombe County high school students. "Uncertainty" and "frustration" were revealed as the main barriers these students face when considering postsecondary enrollment. Participants indicated uncertainty about college majors, college cost, paying for college, student loans, money, and self-efficacy. Additionally, participants indicated frustration related to course choices in college programs, mathematics classes, as well as their high school GPA not being an accurate indicator of their ability. Phase III included the development of career and technical education (CTE) certificates to create more dual enrollment options for underserved students. Finally, a focus group review of 9-14 pathway samples by African American male students was used to develop a student-informed template for future 9-14 pathways utilized by Edgecombe Community College. Responses from study participants and subsequent meetings with key stakeholders show opportunities to improve the college approach to recruiting students from this demographic. More dual-enrollment certificate options and clearly defined educational pathways (from high school through college) with job market analysis incorporated in those pathways were tools that this study has indicated may help create more postsecondary opportunities for African American male high students in the Edgecombe Community College service area. Additionally, financial aid literacy initiatives for both students and parents and increased recruiting visits to area high schools as the Novel Corona Virus pandemic begins to wane were also indicated as outreach and recruitment strategies. The findings of this study helped develop intentional, dual enrollment certificate options and 9-14 educational pathways the college will utilize to create more postsecondary opportunities for African American males and other underserved groups of students. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Introduction & Objectives: The Certified Curriculum of ERUS Fellowship (CC-ERUS) on robot-assisted radical prostatectomy (RARP) is almost 10 years old. To complete the ERUS outcome-based fellowship, a video of a full RARP performed by the fellow must be assessed by an expert. The aim of the current study was to 1) understand and report the completion rate of the fellowship (i.e., achievement of the Certificate of Excellence award) 2) identify reasons for non-completion. Material(s) and Method(s): The CC-ERUS consists of a structured training program that includes an eLearning part, followed by one-week robotic skills course, and then 6 months of modular training at a host center. At the end of the fellowship, trainees are requested to submit a video of a full RARP performed by themselves. After the video is objectively assessed by experts, the fellowship is completed and the fellow can receive the Certificate of Excellence (after positive assessment). We analysed our database which includes prospectively collected data on all CC-ERUS fellows. We then conducted a telephone survey on 2018-2021 CC-ERUS Fellows to investigate the reasons for non-completion. Standardized interview format questions were used to conduct the survey. Result(s): Data on 87 subjects who were enrolled in the fellowship between January 2018 and December 2021 were collated. All subjects successfully completed the CC-ERUS training in the lab but only 26 (29.9%) fellows achieved the certificate of excellence, while 61 (70.1%) did not. The completion rate by year was 20% in 2018, 29% in 2019, 36.4% in 2020, and 31.4% among the 2021 fellows. Therefore, the COVID-19 pandemic had only a modest impact on the completion rate. The response rate to the telephone interview survey was 77%. The following reasons for non-completion emerged: insufficient console exposure (49%), insufficient fellowship duration (20%), COVID-19 pandemic (11%), logistic difficulties in submitting the video (20%). Conclusion(s): The CC-ERUS for RARP was the first validated robotic curriculum in the world, and still one of the best and the very few outcome-based fellowships. Nonetheless, we observed a low fellowship completion rate that needs to be addressed with appropriate actions. To increase the fellowship completion rate, three solutions should be considered by the ERUS board: 1. Review of the Host Centers, to exclude those which do not meet the certification criteria (amongst whom insufficient console time for the fellow) 2. Periodical Train-The-Trainers courses for the mentors in the Host Center 3. Follow-up procedural diary: the fellows will be requested to submit videos of each phase while progressing in their modular training and self-assess their performance using validated RARP metrics.Copyright © 2023 European Association of Urology. Published by Elsevier B.V. All rights reserved.
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Is the air safe to breathe? Is the water safe to drink? Can I feed my child the apple I bought at the grocery store? Is my house safe from toxic substances? How will climate change-related flooding and drought impact food security? These are some of the questions environmental health science professionals are trained to counter. From the time John Snow removed the pump handle and Rachel Carson described the origin of a Silent Spring, environmental health professionals consistently provided the evidence that the health of the environment is inextricably linked to that of people. Never before has the profession been in such need of bolstering its workforce. Over the last few decades many communities have taken for granted the ability to control disease outbreaks and have access to safe food, clean water, healthy homes, and reliable sanitation. This trend has been combined with a realization that the traditional definition of environment is no longer relevant.
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In 2019, the Ontario Ministry of Education announced a mandatory mathematics examination for all newly licensed teachers in the province. The following winter, after a brief pilot and a few months during COVID of testing, a court case declared the mathematics examination unconstitutional, and it has been paused since January 2021. This paper discusses the research-based evidence that has led to support from a mathematics standpoint for such an examination, as well as the court case that has changed the ability of the province to provide licensing guidelines. We provide our research conclusions on why such an examination might be needed and cautions for considering the reasons that led to the court overturning the proficiency test.
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This chapter highlights the key concepts in palliative social work, including caregiver assessment that addresses roles, tasks, coping, unmet needs, and caregiver support along the continuum of illness, including the COVID-19 pandemic. It outlines the key social work skills, with a view toward strengthening and expanding the role for social workers with caregivers. The National Consensus Project's Clinical Practice Guidelines for Quality Palliative Care describe core concepts, structures, and processes necessary for quality palliative care, including eight domains of practice. It is generally best to conduct the caregiver assessment as early as possible so caregiver concerns can be communicated with the entire palliative care team and integrated into the plan of care. A comprehensive caregiver assessment provides a useful roadmap for identifying the role of culture in the beliefs, values, and everyday life of patients and caregivers. The Advanced Palliative Hospice Social Worker Certification, established social work fellowships, and the competency-based training for Educating Social Workers in Palliative and End-of-Life Care hold the promise of creating a stronger palliative social work educational framework/foundation similar to that of other disciplines. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Employers may now hand out de minimis financial incentives (e.g., a small cash payment or gift card) that are not paid for with plan assets in order to encourage employees to contribute to their plan. Secure Act 2.0 provides a safe harbor from the minimum distribution rule for employers offering a qualified longevity annuity contract, into which a participant may allocate up to $200,000 from their account to make guaranteed payments at the end of an individual's life expectancy. [...]plan sponsors that want to offer catch-up contributions to participants whose earnings exceed $145,000 must offer Roth catch-up contributions. [...]plan sponsors may treat qualified student loan repayments as employee elective deferrals for purposes of matching contributions in a retirement plan.