Shipping containers converted into livable facilities for commercialization in Cebu, Philippines

In Cebu, Philippines during the pandemic, hospitals were full and would no longer accept patients, which led the researchers to make a study on shipping containers converted to hospitals, isolation, quarantine, and other livable facilities to address the problem. If another wave of the virus comes, the facility is already in place to accommodate patients. Numerous studies have been conducted about shipping containers on their functionality, performance, and quality but there is no study about its marketability to target markets. The study determined the marketability of shipping containers converted into livable facilities for commercialization based on the following objectives: i) the four Ps of marketing, ii) industry and competitor analysis, iii) challenges and opportunities, and, iv) to propose recommendations on developing the converted shipping containers into livable facilities. There were two hundred thirty-nine respondents. The study used the Statistical Package for the Social Sciences (SPSS) software for quantitative data and thematic analysis for qualitative data. The study found a high demand for shipping containers to be converted into livable facilities which could be a profitable business once commercialized. © 2023 The Authors. Published by IASE.

Pandemics and the built environment: A human– building interaction typology

Surveys of urban history from ancient times to the present reveal a continuum of collective responses to pandemics ranging from quarantine facilities and monitoring the spread of disease to building new wastewater networks. The contemporary COVID-19 pandemic includes new digital tools and techniques that supplement (and sometimes replace) the existing analogue responses, while raising new ethical issues with respect to privacy. A typology of pandemic responses in cities is created, based on human–building interaction (HBI) principles. This typology can be used to compare and contrast analogue and digital responses relating to distancing, monitoring and sanitising. It provides a summary of a wide range of individual and collective implications of pandemics and demonstrates the indelible connections between pandemics and the built environment. In addition, the typology provides a tool to interpret some of the opportunities and drawbacks of digitalising cities. PRACTICE RELEVANCE The COVID-19 pandemic has demonstrated the enduring co-evolution of cities and disease through history. This study aims to inform future pandemic preparedness by providing a framework for designers, managers and users of public spaces to evaluate the multiple implications of emerging technologies that are integrated within the urban fabric. While the rapid rise of digitalisation to advance urban health agendas continues to raise new questions relating to individual and civic freedoms, HBI qualitatively provides a lens through which to examine the overlapping spatial, ethical, and temporal consequences for humans and the built environment. Urban planning researchers and designers can use HBI principles to humanise the sustainable smart city. © 2023 The Author(s).

Political Economy of the 'Virtual' Internationalisation of Higher Education to Foster Glocal Sustainable Development

Background: The COVID-19 pandemic challenged the higher education institution's face-to-face education. Higher education institutions have overcome this challenge through enhanced virtual education which has provided further opportunities to the higher education institutions. One of these opportunities is the 'virtual' internationalisation of higher education which enables higher education institutions to reach more students globally. Purposes: This paper aims to investigate the 'virtual' internationalisation of higher education's role in glocal sustainable development and how to enhance its use to support glocal sustainability and sustainable development. This paper emphasises importance of political economy of the 'virtual' internationalisation of higher education to support glocal sustainable development and environmental policies. Methodology/Approach: The aim of this paper is achieved based on an in-depth literature review. Findings: This paper highlights effective, strategic and successful 'virtual' internationalisation of higher education's role in competitiveness of higher education institutions. This paper highlights political economy of the 'virtual' internationalisation of higher education and provides recommendations and key success factors for the 'virtual' internationalisation of higher education to enhance glocal sustainable development and sustainability as well as environmental policies. This paper emphasises importance of considering the 'virtual' internationalisation of higher education in countries' sustainable development plans, strategies and policies. Discussion: Effective and strategic 'virtual' internationalisation of higher education can support higher education institutions' competitive advantage globally. They can support higher education institutions' success in getting intelligent students from all over the world. This can further contribute to their competitiveness. Furthermore, this can enable them to employ, in these 'virtual' internationalisation of higher education programmes, globally competitive and competent academic staff from all over the world. This paper can be useful to academics, policy-makers and researchers in the relevant field.

Cutting through the noise during crisis by enhancing the relevance of research to policymakers

Background:It is widely recognised that policymakers use research deemed relevant, yet little is understood about ways to enhance perceived relevance of research evidence. Observing policymakers' access of research online provides a pragmatic way to investigate predictors of relevance.Aims and objectives:This study investigates a range of relevance indicators including committee assignments, public statements, issue prevalence, or the policymaker's name or district.Methods:In a series of four rapid-cycle randomised control trials (RCTs), the present work systematically explores science communication strategies by studying indicators of perceived relevance. State legislators, state staffers, and federal staffers were emailed fact sheets on issues of COVID (Trial 1, N = 3403), exploitation (Trial 2, N = 6846), police violence (Trial 3, N = 3488), and domestic violence (Trial 4, N = 3888).Findings:Across these trials, personalising the subject line to the legislator's name or district and targeting recipients based on committee assignment consistently improved engagement. Mentions of subject matter in public statements was inconsistently associated, and state-level prevalence of the issue was largely not associated with email engagement behaviour.Discussion and conclusions:Together, these results indicate a benefit of targeting legislators based on committee assignments and of personalising the subject line with legislator information. This work further operationalises practical indicators of personal relevance and demonstrates a novel method of how to test science communication strategies among policymakers. Building enduring capacity for testing science communication will improve tactics to cut through the noise during times of political crisis.

Covid-19 Impacts and Building New Resilience: A Comparative Analysis between Japan and Philippines

In light of the world leaders' response to the critical time of pandemic, this paper offers first-hand evidence of the perceived impacts of pandemic and perceived resiliency in the context of health-quarantined communities in two Asian countries. The study utilized Partial Least Square Structural Equation Modeling (PLS-SEM) to determine perceived impacts of Covid 19 and to analyze comparatively the social resilience of two countries with opposing global economic statuses, the Philippines and Japan. Due to the global condition caused by the pandemic, the online survey was administered in both countries. Resiliency survey questions were tailored for suitability within the context of the coronavirus pandemic and for face validity. The instruments used in this study consist of a Japanese translation for ease of understanding of the community respondents in Japan. Data analysis using PLS-SEM revealed impacts of Covid-19 pandemic significantly influence the social resilience of communities in both countries. Impacts of Covid-19 outbreak similarly showed significant influence on building new normal resilience of communities in two countries. Resilience was anchored on reactive and proactive capacities of communities. Implications of this study contribute to the sustainable futures of the communities focusing on intervention models to mitigate the long-term impacts of the pandemic. Further research should be done on the development of policies and programs for government implementation to manage and mitigate social complexities brought about by the pandemic or other adversities. Linking through mediation analysis of resilience factors for sustainable development can be explored for future research © 2023, Journal for ReAttach Therapy and Developmental Diversities.All Rights Reserved.

Establishment of an infrastructure for rapid pandemic response at the Frederick National Laboratory

The sudden onset of the 2019 SARS-CoV-2 pandemic required agile development of standards and efficient validation of assays to assess prevalence of infection as well as immune responses to infection and vaccination. Leveraging their experience in HPV serology and standards, the Vaccine, Immunity and Cancer Directorate (VICD) at the Frederick National Laboratory for Cancer Research (FNCLR) pivoted to address this unmet need in SARS-Co-V2 serology clinical testing and research. This standardization effort required the collection and processing of large volumes of blood from SARS-Co-V2 infected and uninfected individuals into serum and peripheral blood mononuclear cells (PBMCs). Collaborations with specimen collection sites across the United States were established. Following qualification for anti-SARS-CoV-2 IgG and IgM levels in independent laboratories, VICD assembled reference evaluation panels, which were used to assist the FDA's performance evaluation of commercial assays submitted for EUA approval. To date, 185 different shipments of the standard or validation panel have been sent to both domestic and international labs. These materials are also available to the SARS-CoV-2 serology community for assay calibration and performance evaluation which greatly facilitates assay data harmonization. In addition, the NCI Serological Sciences Network (SeroNet) was born from this initiative and expertise, resulting in the establishment of Capacity Building Centers (CBCs) for sample collection from different healthy, cancer and immunocompromised cohorts at Mount Sinai, Arizona State University, the University of Minnesota, and Northwell Feinstein. The NCI and FNLCR simultaneously collaborated to develop a network of investigators focused on advancing research on the immune response to SARS-CoV-2 infection and vaccination among diverse and vulnerable populations, including cancer patients. Their research has resulted in over 326 peer-reviewed publications. The CBC's have enrolled patients in longitudinal studies, resulting in a centralized collection of annotated, well characterized serum, PBMCs and clinical data. Numerous cancer cohorts, but predominantly Multiple Myeloma, are included. Furthermore, technology development was supported at the CBC's. Based upon this success, the VICD in collaboration with NCI is pursuing an even more innovative effort in pandemic preparedness to establish a Center for Serology and Data Emergency Preparedness (CESDEP);a global network able to activate and pivot to address pandemic-level threats, while continuing to expand the development of immunological assays that can inform clinical decisions for cancer and other immunocompromised patients.

Mainstreaming disaster risk management technical and vocational education and training (DRM-TVET) program in higher education institutions: flexible ladderized capacity building model amid COVID-19

Disasters are increasingly becoming more destructive in their impacts. Lives have been lost and properties damaged due to the lack of institutional and personnel coping and adaptive capacities. Several policies in the Philippines have noted the importance of capacity development in implementing Disaster Risk Management (DRM). To meet the above necessity, in 2017, Philippine School of Business Administration (PSBA), Manila, one of the higher education institutions pioneered a specialization of DRM in its existing Master in Business Administration program. However, meeting the demand for Disaster Risk Management Technical and Vocational Education and Training (DRM-TVET) through Formal Degree Program (FDP) and keeping FDP sustainable is still facing a number of challenges. The main drivers of these challenges include but are not limited to the following: time constraint on the part of participants to complete 2–4 years' FDP;lack of institutions offering DRM-TVET programs;and unavailability of a Learning Management System. The main objective of this research is to develop an Alpha-Flexible Ladderized Capacity Building Model (A-FLCBM) amid COVID-19. Further, the study should also provide logical flow and recommendations to operationalize the remaining activities of the Conceptual Framework in developing the Beta (B)-FLCBM amidst COVID-19. In this regard, the researchers collected pertinent data through a substantive, thorough, sophisticated literature review and examined the available mandates on existing Flexible ladderized models. Further, a Conceptual Framework (CF) is also developed and partially operationalized. The output allowed researchers to develop A- FLCBM amidst COVID-19 using the PSBA curriculum as a pilot case. However, the framework activities, i.e., dry run, Technical Education and Skills Development Authority (TESDA) registration for National Certification (NC), development of B-FLCBM, and the empirical assessment of DRM-TVET and FDP sustainability will be covered in future studies. The A-FLCBM comprises of interrelated activities including mode of learning and well-designed DRM NC short courses, workshops, and trainings for the trainers. The Model is aligned with the Executive Order 358, promulgated in 2004. Further, the Ladderized Education (LE) system introduced through Commission on Higher Education Memorandum Order No. 43, 2008 Series, was also considered for wider-scale and accelerated implementation of LE nationwide and globally. The implementation of B-FLCBM will provide a unique opportunity to develop the skills required to be a professional in the DRM and business continuity field, improving the quality of life and raising awareness on the importance of preventing and mitigating disasters and reducing the loss incurred by countries in terms of lives, property, and economy. © 2023 Elsevier Inc. All rights reserved.

Verification and validation of a framework for collaborative BIM implementation, measurement and management (CIMM)

PurposeThe purpose of this research is to develop through a two-stage verification and validation process a novel implementation framework for collaborative BIM, utilising experts from academia and industry as well as a real-world case study project.Design/methodology/approachThe aim of this research was to build upon previous research findings by the authors in order to develop an implementation framework that stems from ousting the inefficiencies of current collaborative BIM practices. This is achieved by a more objectified and quantified approach towards seeking heightened transparency and objectivism of what is required through the implementation of BIM. The mixed research methods technique of both qualitative and quantitative data collection was utilised, with the structure consisting of a two-stage approach utilising the Delphi model for verification and validation. This was developed to test the novelty and beneficial structure hypothesis involving 15 core BIM experts from academia, construction and design with c. 22 years average experience. Validation was undertaken on a complex, high value real world building structures project in central London, inclusive of 8 core project BIM experts. The research utilised a developed solution that mirrored and provided a more holistic representation guiding the practitioners as a project team step by step through the determination of underpinning elements, which support the goal of enhanced information requirements as well as executing the prioritisation measurement tools as part of the framework. Data ascertained at the workshop case study prioritised areas of importance that are core in supporting the delivering of these enhanced information requirements at a project delivery level, which were in order of prioritisation determined by the project team (1) constraints (39.17%), (2) stakeholder requirements (35.78%), (3) coordination (existing asset) (15.86%), (4) exchange requirements (5.38%) and (5) level of information need (3.81%). Furthermore, risk mitigations for the top three priorities were focussed on early stakeholder engagement, appropriation of survey data collection, focus on quality of outputs and applying toolsets and processes with meaning and emphasis on the defined high-level requirements.FindingsFindings show that the framework and the developed solution translate the process methodology of the framework schema into a useable and beneficial tool that provides both qualitative and quantitative inputs and outputs. Furthermore, a collective agreement on the objectives, risk mitigations and assignment of tasks in order to achieve outcomes is presented, with evidence on numerical weightings and goal achievement.Research limitations/implicationsDue to the impacts of COVID-19 on physical engagements both the verification (electronic survey questionnaire) and validation (case study project) were undertaken remotely, using available technologies and web interfaces.Practical implicationsThe case study workshop was limited to one building structures project in central London of a value of c. £70 m design and build cost that the project team (participants) were actively engaged with.Social implicationsThe social impacts of this research has resulted in the review of existing systems, methods and approaches from a wider perspective of theoretical and applied environments, which led to the development of a novel approach and framework guided by an interactive and useable solution.Originality/valueAs shown within the core findings, experts across academia and industry (design and construction) confirmed that the framework methodology and application were 100% novel, and added a benefit to the existing collaborative BIM approach. Value added is that through objectifying, weighting/prioritizing and creating a discussion supported by qualitative and quantitative reasoning the focus on what collaborative BIM is to achieve is increased, and thus the likelihood of successful implementation.

Women, Work and the COVID-19 Pandemic: Paving the Path Forward

This paper focuses on the pandemic's impact on women's participation in the economy. The author outlines the various barriers to the full and equal participation of women in the Indian economy such as the gender division of labour which requires women to shoulder the burden of unpaid domestic work, the occupational segregation of the labour market, gender-blind development policies, regressive social norms and patriarchal attitudes. The challenge facing women only increased with the pandemic which led to large numbers of women dropping out of the workforce. The author suggests that in the immediate future the State has a crucial role in redressing this injustice. In the longer term, she calls for rethinking the dominant models of development that pursue economic growth and rise in GDP as the panacea for all problems. Such models have given rise to the rampant exploitation of labour, among whom women are the most vulnerable. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023.

Comparative Study of VGG-13, AlexNet, MobileNet and Modified-DarkCovidNet for Chest X-Ray Classification

Convolutional neural network (CNN) is the most widely used structure-building technique for deep learning models. In order to classify chest x-ray pictures, this study examines a number of models, including VGG-13, AlexN ct, MobileNet, and Modified-DarkCovidNet, using both segmented image datasets and regular image datasets. Four types of chest X- images: normal chest image, Covid-19, pneumonia, and tuberculosis are used for classification. The experimental results demonstrate that the VGG offers the highest accuracy for segmented pictures and Modified Dark CovidN et performs best for multi class classification on segmented images. © 2023 Bharati Vidyapeeth, New Delhi.

Accelerating Project Delivery with a Lean Alternative to DBB

[...]of this historic effort, COVID-19 vaccine manufacturers around the world are now collectively producing 1.5 billion doses per month (1), with capacity growing all the time. [...]decision-making is faster, smarter, and more balanced against the needs of the project as a whole. * Last planner system/pull planning: Today's emerging experiential technologies, like augmented reality, are extending the role of BIM software in facilitating lean delivery by instantly 'transporting' a team member in Basel (Switzerland), for example, right to a job site in Ditzingen (Germany), where that team member can collaborate seamlessly with on-the-ground trade partners. * Target value delivery (TVD): Under the premise of TVD, cost drives design, not the other way around. [...]every team member shares ownership of the budget (and bthe business case driving that budget).

Sharing the knowledge and expertise of BSH members throughout the global Haematology community

'BSH Global Speakers' was established in 2015 as a core project of the BSH Global Haematology Special Interest Group (SIG). As the project enters its eighth year, we present an update and reflection on the successes and challenges encountered. Initially known as the 'Plenary Speaker Scheme', the project was developed following a stakeholder meeting in 2015 at the inception of the SIG. Haematology colleagues from the UK and low-and middle-income countries (LMIC) came together to discuss how the BSH may be best placed to support haematologists practicing in LMICs. Sharing of expertise and building collaborative networks were identified as key priorities. The 'Plenary Speaker Project' was conceived;BSH haematologists would be supported in delivering plenaries at the meetings of colleagues in LMICs, with the aim that each visit could act as a catalyst for creating networks and developing collaborative projects in education, research, and capacity building. We established a yearly cycle of inviting applications from LMIC societies for a funded speaker at their scientific meetings, selecting the most impactful meetings, then recruiting appropriate UK-based speakers. We place emphasis on the likelihood of ongoing collaborative working or other impacts, for example engagement with local haematology trainees. To date, ten speakers have represented BSH at the meetings of LMIC societies, presenting on diverse topics, from molecularly guided interventions to prevent relapse in AML, to adapting lymphoma treatment strategies for low resource settings. Recently we have opened applications to nurse specialists and scientists, with our first scientific speaker presenting in Thailand May 2023. The COVID-19 pandemic created significant challenges for the project due to the disruption in international travel and the cancellation of many haematology meetings around the globe. We were, however, able to adapt the project to support virtual speakers at meetings in South Africa, Vietnam, and Ghana. Although virtual meetings do not naturally lend themselves to collaborative working, we were pleased that a longer term joint educational program in haemoglobinopathy care has been established with the Vietnamese Society of Haematology as a result of BSH support. The impact of BSH Global Speakers is significant. Even at smaller meetings, speakers will have the ear of the majority of practicing haematologists in a country. From the relationships built between societies and speakers we have seen the development of fellowship programmes, online education programmes, laboratory support, and numerous networks for informal advice in clinical care, research, and more.

An Applied Research Impact Case: U-Trap Refill Design for Preventing Transmission of COVID-19 and Other Infectious Diseases

COVID-19 has sparked a rise in creative inventions to help people adjust to the new normal. To reduce the risk of coronavirus spreading from entering the indoor areas through drainage pipes, a team from the Engineering Discipline of the Hong Kong Institute of Vocational Education has developed the U-trap Refill Automator to assist residents in monitoring the water level in common U-shaped trap drainage pipes while refilling water automatically when the water contained in the U-trap is insufficient. The practice of research-led teaching and research-informed teaching for the benefits of students is substantial in the project. The team practices research-led teaching by sharing the relevant research findings with colleagues and encouraging critique. On the other hand, the research-informed teaching is actualized by the relevant professional development, constructive feedback and guided design. The project is an interplay between research and teaching in that building synergies between research and teaching should be a central element of excellence. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Strategies for implementation of green roofs in developing countries

PurposeReportedly, green roof (GR) makes a significant contribution towards a truly sustainable-built environment;however, its implementation is yet to hit a sufficient level in developing countries. Thus, this study assesses GR implementation strategies in developing countries by providing a comparative analysis through experts in Kazakhstan, Malaysia and Turkey.Design/methodology/approachThe study adopts a four-step methodological approach to achieve the research aim: literature review, focus group discussion, fuzzy analytical hierarchy process (FAHP) analysis and correlation analyses. First, a literature review followed by a focus group discussion is used to determine 18 (out of 25 initially) strategies for the selected context and these are classified into three categories: governmental and institutional support, knowledge and information and policy and regulation. Afterward, the identified GR strategies are evaluated using the FAHP with the data gathered from the experts in the countries studied. Finally, correlation analyses were used to observe the strength of agreement between the assessments of experts from the included countries.FindingsThe findings indicate that financial incentives, low-cost government loans and subsidies and tax rebates are the essential strategies for the wider adoption of GR. Evaluating the policy and regulations strategies also showed that mandatory GR policies and regulations and better enforcement of the developed GR policies are ranked as the most prominent strategies. The findings show a low level of agreement among respondents from Kazakhstan, while there is a high level of agreement between the experts in Malaysia and Turkey.Research limitations/implicationsThe research contribution is twofold. First (research implication), the study identifies the strategies through a complete literature review. Second, the identified strategies are evaluated through the lenses of experts in three developing countries which are hoped to provide (practical contribution) a better understanding of the most effective strategies that require attention and enable the frontline stakeholders (particularly government authorities) to focus on them.Originality/valueThe study findings provide a good point of departure to explore the strategies for broader adoption of GRs in developing economic setting.

Connecting Technology and Pedagogy (CTAP) for student engagement and learning in higher education

This chapter arises from an Instructional Technology Innovation Fund (ITIF) project led by Mary Drinkwater at the University of Toronto (2018-2020). The goal of the project was to pilot, assess, and refine a set of principles and strategies to support the development of accessible, collaborative, and engaging online or blended graduate-level learning environments that can guide online course design, particularly in times of crisis, like COVID-19. The principles and strategies arise from the CTAP model (Connecting Technology and Pedagogy), developed by Drinkwater, over a period of 10 years of teaching higher education graduate courses in the online or blended environment. Theoretical groundings for the model arise from and connect to the literature from student engagement (Brugmann R, Côté N, Postma N, Shaw EA, Pal D, Robinson JB, Sustainability 11(2):1-20, 2019;Gilliver K, Flipping romans: experiments in using technology for teaching in higher education. In: Natoli B, Hunt S (eds) Teaching classics with technology. Bloomsbury, London, pp. 9-17, 2019;Ingram L-A, Drinkwater M, Across spaces and places: exploring arts and media for democratic participation. In Majhanovich S, Malet R (eds) Building democracy in education on diversity. Sense, Rotterdam, pp. 173-195, 2015;Keddie A, Niesche R, Br Educ Res J 38(2):333-348, 2012;McMahon BJ, Portelli JP, The challenges of neoliberalism in education: implications for student engagement. In McMahon BJ, Portelli JP (eds) Student engagement in urban schools: beyond neoliberal discourses. Information Age Publishing, Charlotte, pp. 1-10, 2012;Montgomery AP, Hayward DV, Dunn W, Carvonaro M, Amrhein CG, Aust J Educ Technol 31(6):657-670, 2015) and communities of inquiry (Garrison DR, Arbaugh JB, Inter Higher Educ 10(3):157-172, 2007;Garrison DR, E-learning in the 21st century: a framework for research and practice, 2nd ed. Routledge, London, 2011;Kopcha TJ, Educ Technol Res Develop 58(2):175-190, 2010). The project deliverables included capacity building workshops, a CTAP website (Drinkwater M, CTAP-Connecting Technology and Pedagogy in Higher Education: Access, Collaboration, Engagement. https://wordpress.oise.utoronto.ca/ctap/), and a Microsoft TEAMS Collaborative Online Learning Community (COLC). Data was collected through post-workshop surveys, faculty support sessions, and interviews with faculty and students. Findings speak to the important connection between pedagogy and technology to increase student engagement and learning and collaborative communities of inquiry to support faculty capacity building. © Springer Nature Switzerland AG 2021. All rights reserved.

Domestic Space Connections, Relationships and Overcrowding in Affordable Housing

In people's imagination, the dwelling represents a fundamental part of life. The house has forever been not only a shelter, but it also occupies the majority of people's economic and temporal resources. The matter of housing has become however noticeably more complex following the COVID-19 pandemic, since it has imposed a different relationship between the dwelling and the way of living the population was used to, as well as working, entertaining and conducting their own lives. Therefore, in addition to the energetic matters, already highlighted for some time, also problems related to the general welfare have been added, with particular attention to the quality of the space in which the daily life takes place. The paper reports some initial considerations of a piece of research which intends to investigate the domestic space and its relations with the users in the new house-hold configurations and in possible evolutionary scenarios of the concept of house and domestic space. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Domain and Pedagogical Competency and Currency: A Framework for Capability Development of Adult Educators

This article proposes a framework for capability development of adult educators (AEs) in Singapore. Globalisation, demographic changes and digital innovation, accelerated by the COVID-19 pandemic, have accentuated the importance of adult education and changing role of AEs. The immediate implications of these effects on the professionalism of AEs and the significance of their development trajectories are acute. With an increased focus on the need to ensure AEs are current in both their pedagogic and domain competences, we introduce discussions on the need to develop a conceptual framework to generate a deeper understanding of their knowledge, skills, attitudes, beliefs and practices of AEs. This framework can be used by practitioners as a tool to facilitate professional reflection and development, and by policy makers to support continued improvements to the quality of adult education. Our overall aim is to promote the importance of varied and continued opportunities for the professional development of AEs at policy, organisational and individual levels.

Improving Healthcare Deserts in Sub-Saharan Africa: A Health Improvement Pilot Study Leveraging a Global, Cloud-Based Telemedicine Platform

Objectives: The objective of this project was to improve healthcare deserts in Sub-Saharan Africa through sustainable knowledge transfer and capacity-building leveraging an advanced cloud-based telemedicine platform. Method(s): In 2022, WTI and its network of partners delivered 2 telehealth devices as part of the effort to create a sustainable platform to address a known health desert in a previously abandoned clinic in the village of Opoji, in the state of Edo, Nigeria. Providers were trained in two cohorts. Global Experts for this project were organized with Providence Health and their Global and Domestic Engagement (GDE) department and trained in telementoring and teleconsulting. Local Specialists were first trained on the platform and then telementored by Global Experts. To better understand the health value outcomes of these interventions, observational research was employed to measure the improvement of patient-to-provider ratios. These ratios were baselined for average patient loads. Result(s): As a result of the pilot, provider-to-patient ratios were improved. Prior to the WTI program, interventions were only available 5% of the time (9 hrs/wk vs 168 hrs/wk), with very basic expertise. After the Opoji Comprehensive Medical Center was reopened and the supporting physicians were scheduled, patients could be seen with a high level of global medical expertise 100% of the time (24 hours per day). Conclusion(s): Telemedicine technology can improve capacity-building in Sub-Saharan Africa with relatively minimal resource allocation in a replicable and scalable manner. Data collection for the pilot did have limitations. The opportunity to collect patient-reported outcomes, including patient satisfaction with telemedicine visits, exists but COVID and other barriers prevented researchers from fully implementing. By mentoring the local specialty hospital staff to deliver care by cloud-based devices, the program has developed an "Africans helping Africans" approach to achieve sustainable capacity building which can be built upon and further researched.Copyright © 2023

The integration of principles of co-creation for promoting quality improvement within a learning healthcare system providing coordinated specialty care for people with FEP

Co-creation places key stakeholders at the centre of development processes for quality improvement projects to reduce gaps between research and practice. We describe an Amplify OnTrackNY project that used principles of community-based participatory research to meaningfully partner with individuals with lived experience and describe lessons learned. Method(s): Two individuals with lived experience were hired and coled decision-making about project selection and design. The project examined OnTrackNY provider, participant, and family perspectives on the impact of COVID-19 on service delivery. To enhance the lived experience perspective, we hired two OnTrackNY graduates and a family member, and created mechanisms for team building and integration, and co-planning sessions. All team members contributed to the development of research questions, co-facilitated interviews/ focus groups, and participated in data analysis and dissemination. Result(s): Team members conducted focus groups and semi-structured interviews with 13 participants and five family members, presented results to various stakeholder groups, and are contributing to scientific publications. To ensure participation, our flexible working structure focused on promoting equity and building trust. Dedicated time ensured opportunities for meetings focused on mutual support, sharing, capacity building, and training in qualitative methods. Individuals with lived experience were in decision-making roles, created content, and led project activities embodying principles of power-sharing, reciprocity, and mutual learning. Orienting new team members to the office culture required extra effort. Conclusion(s): Provided sufficient time and infrastructure, it is feasible to meaningfully involve individuals with lived experience in quality improvement projects. Co-creation ensures that important perspectives are incorporated from the outset and procedures improve the relevance and uptake of research findings in the real world.