A CANVAS FOR THE ETHICAL DESIGN OF LEARNING EXPERIENCES WITH DIGITAL TOOLS

The use of digital tools has drastically increased in engineering education, accelerated by the COVID-19 pandemic. These tools generate important ethical issues, in particular in terms of privacy and fairness. However, very few teacher training programmes address those topics, which means that teachers are often left to figure out by themselves how to address these issues when they want (or have) to use digital tools in their teaching. In this workshop, participants will be introduced to a pragmatic approach to the ethical design of learning experiences that involve digital tools using a visual thinking guide called a 'canvas'. Applied and hands-on, this workshop will help participants to develop a practical understanding of the specific ethical issues related to the use of digital tools in teaching and to integrate ethical reflection into design processes when digital technology is involved. © 2022 SEFI 2022 - 50th Annual Conference of the European Society for Engineering Education, Proceedings. All rights reserved.

Operating assignments in endocrine surgery training among 2126 resident participations and the Covid-19 impact: A retrospective cohort study.

PURPOSE: Airborne pandemics illustrate a significant problem in training grounds. From the endocrine surgery point of view, we scrutinized the impact of Covid-19 on general surgery residency training in our university hospital. METHODS: The number of endocrine procedure curves was forecasted using the expert modeler in a time series model from March to September 2020 based on data from previous years. We then compared the estimation curves to actual numbers. RESULTS: There were 1340 resident participants in thyroid procedures, 405 in parathyroid procedures, 65 in other neck procedures, and 304 in adrenal procedures. In 884 of the endocrine procedures, the operating surgeon was a resident. The median experience of operating residents in endocrine procedures was 3.2 years (interquartile range 2.7-3.6) before the impact and 3.8 years (interquartile range 3.1-4.1) after it (p = 0.023). The monthly number of actual procedures with at least one resident participation in the Covid-19 period was significantly lower (8.7 ± 7.5 vs. 19.9 ± 3.7, p = 0.012) than the forecasted numbers. There were no semi-autonomous operating chief residents, although we expected a moderate level (0 actual vs. 0.5 ± 0.2 predicted, p = 0.002). CONCLUSION: This study clearly represents sustainability in surgical training and includes usual trends. Essential endocrine surgical procedures the pandemic disrupted the most were the treatment of thyroid and parathyroid diseases. Covid-19 reduced our surgical volume and resulted in delays in training. A full-scale disaster plan is necessary for possible crises threatening surgical education.

Acceptability of Telegram-based Training among Aged Care Providers

During the COVID-19 pandemic, increasing infection prevention and control (IPC) in nursing homes was challenging due to the impracticality of typical face-to-face teaching. Concerns about device availability, Internet connectivity, and acceptance of online training for care workers led to the selection of Telegram for its minimal bandwidth use and appeal in the socio-educational setting. An online survey assessing the acceptability of a Telegram-based IPC training program was conducted on 60 care providers from 14 aged care facilities. Despite the strong acceptability of Telegram-based training, there are challenges to be overcome when delivering online learning for aged care providers. [ FROM AUTHOR]

Continuing Contributions of Field Epidemiology Training Programs to Global COVID-19 Response.

We documented the contributions of Field Epidemiology Training Program (FETP) trainees and graduates to global COVID-19 preparedness and response efforts. During February-July 2021, we conducted surveys designed in accordance with the World Health Organization's COVID-19 Strategic Preparedness and Response Plan. We quantified trainee and graduate engagement in responses and identified themes through qualitative analysis of activity descriptions. Thirty-two programs with 2,300 trainees and 7,372 graduates reported near-universal engagement across response activities, particularly those aligned with the FETP curriculum. Graduates were more frequently engaged than were trainees in pandemic response activities. Common themes in the activity descriptions were epidemiology and surveillance, leading risk communication, monitoring and assessment, managing logistics and operations, training and capacity building, and developing guidelines and protocols. We describe continued FETP contributions to the response. Findings indicate the wide-ranging utility of FETPs to strengthen countries' emergency response capacity, furthering global health security.

"It's making me think outside the box at times": a qualitative study of dynamic capabilities in surgical training.

Craft specialties such as surgery endured widespread disruption to postgraduate education and training during the pandemic. Despite the expansive literature on rapid adaptations and innovations, generalisability of these descriptions is limited by scarce use of theory-driven methods. In this research, we explored UK surgical trainees' (n = 46) and consultant surgeons' (trainers, n = 25) perceptions of how learning in clinical environments changed during a time of extreme uncertainty (2020/2021). Our ultimate goal was to identify new ideas that could shape post-pandemic surgical training. We conducted semi-structured virtual interviews with participants from a range of working/training environments across thirteen Health Boards in Scotland. Initial analysis of interview transcripts was inductive. Dynamic capabilities theory (how effectively an organisation uses its resources to respond to environmental changes) and its micro-foundations (sensing, seizing, reconfiguring) were used for subsequent theory-driven analysis. Findings demonstrate that surgical training responded dynamically and adapted to external and internal environmental uncertainty. Sensing threats and opportunities in the clinical environment prompted trainers' institutions to seize new ways of working. Learners gained from reconfigured training opportunities (e.g., splitting operative cases between trainees), pan-surgical working (e.g., broader surgical exposure), redeployment (e.g., to medical specialties), collaborative working (working with new colleagues and in new ways) and supervision (shifting to online supervision). Our data foreground the human resource and structural reconfigurations, and technological innovations that effectively maintained surgical training during the pandemic, albeit in different ways. These adaptations and innovations could provide the foundations for enhancing surgical education and training in the post-pandemic era.

Recommendations related to occupational infection prevention and control training to protect healthcare workers from infectious diseases: a scoping review of infection prevention and control guidelines.

BACKGROUND: Events such as the COVID-19 pandemic remind us of the heightened risk that healthcare workers (HCWs) have from acquiring infectious diseases at work. Reducing the risk requires a multimodal approach, ensuring that staff have the opportunity to undertake occupational infection prevention and control (OIPC) training. While studies have been done within countries to look at availability and delivery of OIPC training opportunities for HCWs, there has been less focus given to whether their infection prevention and control (IPC) guidelines adhere to recommended best practices. OBJECTIVES: To examine national IPC guidelines for the inclusion of key recommendations on OIPC training for HCWs to protect them from infectious diseases at work and to report on areas of inconsistencies and gaps. METHODS: We applied a scoping review method and reviewed guidelines published in the last twenty years (2000-2020) including the IPC guidelines of World Health Organization and the United States Centers for Disease Control and Prevention. These two guidelines were used as a baseline to compare the inclusion of key elements related to OIPC training with IPC guidelines of four high-income countries /regions i.e., Gulf Cooperation Council, Australia, Canada, United Kingdom and four low-, and middle-income countries (LMIC) i.e. India, Indonesia, Pakistan and, Philippines. RESULTS: Except for the Filipino IPC guideline, all the other guidelines were developed in the last five years. Only two guidelines discussed the need for delivery of OIPC training at undergraduate and/or post graduate level and at workplace induction. Only two acknowledged that training should be based on adult learning principles. None of the LMIC guidelines included recommendations about evaluating training programs. Lastly the mode of delivery and curriculum differed across the guidelines. CONCLUSIONS: Developing a culture of learning in healthcare organizations by incorporating and evaluating OIPC training at different stages of HCWs career path, along with incorporating adult learning principles into national IPC guidelines may help standardize guidance for the development of OIPC training programs. Sustainability of this discourse could be achieved by first updating the national IPC guidelines. Further work is needed to ensure that all relevant healthcare organisations are delivering a package of OIPC training that includes the identified best practice elements.

The COVID-19 Wildfire: Nonprofit Organizational Challenge and Opportunity

Nonprofit organizations in Canada were significantly impacted by COVID-19, including lost revenue and needing to adjust the program delivery. The lack of technology capacity in the nonprofit sector is a key barrier for many nonprofit organizations to adapt to delivering programs online. Momentum, a Calgary-based nonprofit organization, experienced both financial and programmatic challenges due to COVID-19. Momentum pivoted program delivery to provide supports during the COVID-19 lockdown and developed innovative approaches to online programming. Since the start of the COVID-19 pandemic in Canada, Momentum was able to rapidly develop its capacity to use technology for online programming with the support of critical new funding. Many nonprofits will have to transform their business models to not only survive but thrive in the post-COVID world. © 2020, University of Alberta Library. All rights reserved.

Mono Camera-based Human Skeletal Tracking for Squat Exercise Abnormality Detection using Double Exponential Smoothing

Human action analysis is an enthralling area of research in artificial intelligence, as it may be used to improve a range of applications, including sports coaching, rehabilitation, and monitoring. By forecasting the body's vital position of posture, human action analysis may be performed. Human body tracking and action recognition are the two primary components of video-based human action analysis. We present an efficient human tracking model for squat exercises using the open-source MediaPipe technology. The human posture detection model is used to detect and track the vital body joints within the human topology. A series of critical body joint motions are being observed and analysed for aberrant body movement patterns while conducting squat workouts. The model is validated using a squat dataset collected from ten healthy people of varying genders and physiques. The incoming data from the model is filtered using the double exponential smoothing method;the Mean Squared Error between the measured and smoothed angles is determined to classify the movement as normal or abnormal. Level smoothing and trend control have parameters of 0.8928 and 0.77256, respectively. Six out of ten subjects in the trial were precisely predicted by the model. The mean square error of the signals obtained under normal and abnormal squat settings is 56.3197 and 29.7857, respectively. Thus, by utilising a simple threshold method, the low-cost camera-based squat movement condition detection model was able to detect the abnormality of the workout movement.

Competence inference from muscle: how and when trainers' muscle mass impacts service purchase of personal fitness training

Purpose>This study aims to examine how and when trainers' muscle mass impacts service purchase of personal fitness training, drawing upon signaling theory. Specifically, the authors investigated (1) the mediating role of perceived competence in the relationship between trainers' muscle mass (highly vs moderately muscular) and customers' service registration intention and (2) the moderating role of customer expertise in this mediating mechanism.Design/methodology/approach>The authors conceptualized trainers' muscle mass, developed its experimental stimuli and validated them through the two pretests (total n = 387). Using the validated stimuli, the authors conducted the two experiments (total n = 802). In both experiments, the authors recruited participants via MTurk using the convenience sampling method and employed a single-factor between-subject design based on random assignment.Findings>Findings supported the authors’ proporsed model. Consumers perceived highly (vs moderately) muscular trainers as more competent, which in turn engendered greater service registration intention. This effect emerged for expert consumers but not for novice consumers.Originality/value>This study is one of the first attempts to empirically test the influence of trainers' muscle mass on consumer acquisition in the context of personal fitness training. It also expands the sport marketing literature to the consumer psychology and behavior fields addressing the characteristics of sport-service providers. The findings also provide fitness organizations with managerial insights into how to effectively leverage trainers' physical appearance as a marketing tool.

Palliative care management of head and neck cancer patients among otolaryngology surgeons: a novel national survey assessing knowledge, decision making, perceived confidence and training in the UK.

OBJECTIVE: Management of head and neck cancer patients provides unique challenges. Palliation serves to optimise quality-of-life by alleviating suffering and maintaining dignity. Prompt recognition and management of suffering is paramount to achieving this. This study aimed to assess perceived confidence, knowledge and adequacy of palliative training among UK-based otolaryngologists. METHOD: Eight multiple-choice questions developed by five palliative care consultants via the Delphi method were distributed over five weeks. Knowledge, perceived confidence and palliative exposure among middle-grade and consultant otolaryngologists were assessed, alongside training deficits. RESULTS: Overall, 145 responses were collated from middle-grade (n = 88, 60.7 per cent) and consultant (n = 57, 39.3 per cent) otolaryngologists. The mean knowledge score was 5 out of 10, with 22.1 per cent (n = 32) stating confidence in palliative management. The overwhelming majority (n = 129, 88.9 per cent) advocated further training. CONCLUSION: A broad understanding of palliative care, alongside appropriate specialist involvement, is key in meeting the clinical needs of palliative patients. Curriculum integration of educational modalities such as simulation and online training may optimise palliative care.

[Prevalence of depression, anxiety, and associated factors in residents from hospital centers during COVID-19 pandemic]. / Prevalencia de depresión, ansiedad y factores asociados en médicos residentes de centros hospitalarios durante la pandemia de COVID-19.

OBJECTIVE: To determine anxiety and depression frequency in residents from hospital centers during COVID-19 pandemic. METHODS: A descriptive, observational, cross-sectional study was carried out from June to December 2020. Residents from hospitals of Secretary of Health, Puebla, were identified. The sample included 247 residents, who had an individual interview and answered a questionnaire through CEMEVI (Virtual Medical Center of High Specialty). RESULTS: 17 % of anxiety and 45 % of depression were reported. The most frequent age group was 26 to 31 years; 124 women and 123 men; anesthesiology, internal medicine and pediatrics were the medical specialties with greater depression; internal medicine and pediatrics were the medical specialties with greater anxiety. The risk factors for depression were anxiety (OR = 36.9), record of contact with COVID-19 patients (OR = 2.49 p = 0.035), and parental anxiety record (OR = 2.6, p = 0.009). The medical history of parents with anxiety was risk factor for anxiety (OR = 2.3, p = 0.031). CONCLUSIONS: Prevalence of depression and anxiety should alert to seek answers to the problem.

OBJECTIVO: Determinar la frecuencia de ansiedad y depresión en médicos residentes en centros hospitalarios en México durante la pandemia de COVID-19. MÉTODOS: Se realizó estudio transversal observacional de junio a diciembre de 2020. Se identificaron médicos residentes de diferentes hospitales de la Secretaría de Salud en Puebla. La muestra incluyó a 247 médicos residentes, quienes fueron entrevistados individualmente y a través de un cuestionario de CEMEVI (Centro Médico Virtual de Alta Especialidad). RESULTADOS: La frecuencia de ansiedad fue de 17 % y de depresión, de 45 %. El grupo etario más frecuente fue el de 26 a 31 años: 124 médicos fueron mujeres y 123 hombres; los médicos de las especialidades que mostraron mayor frecuencia de depresión fueron anestesiología, medicina interna y pediatría; y de ansiedad, medicina interna y pediatría. Los factores de riesgo para depresión fueron ansiedad (RM = 36.9), historia de contacto con paciente con COVID-19 (RM = 2.49, p = 0.035) e historia de ansiedad en los padres (RM = 2.6, p = 0.009). La ansiedad se asoció con historia de padres con este trastorno (RM = 2.3, p = 0.031). CONCLUSIONES: La frecuencia de depresión y ansiedad en la población de médicos residentes debe alertar a buscar respuestas al problema.

Supporting the Delivery of Infection Prevention and Control Training to Healthcare Workers: Insights from the Sector.

Infection prevention and control (IPC) cannot be implemented without healthcare workers (HCWs) being properly trained and competent. The provision of training is essential, yet there is a gap in our understanding of the factors impacting the implementation of IPC training. This paper reports the results from in-depth interviews that explored the current landscape around IPC training delivered across low-, middle-, and high-income countries. Semi-structured interviews were conducted with the key stakeholders involved in policymaking or IPC implementation in Saudi Arabia, Pakistan, India, Indonesia, the Philippines, and Australia. Although the training was mandated for many HCWs, participants indicated that only some training elements were mandatory. Participants spoke about covering various topics, but those in low-resource settings spoke about the challenges of delivering training. Classroom-based training dominated, but online delivery modes were also used in some locations. Whilst HCW's training was postulated to have improved during the COVID-19 pandemic, the capacity to deliver training did not improve in some settings. More research is needed to establish the essential elements that could underpin the development of training packages.

Role of leadership motivation: Influences by new generations and factors effecting motivation

The role of leadership motivation is the cornerstone of organizational excellence. The 21st Century embarked with a variety of new and unique challenges that has impacted the health sector organizational structure. The spiraling effect continues as new measures are researched and continuing scholarly research is conducted. There are barriers within the role of leadership and notable impacts that these barriers have on the culturally diverse multigenerational workforce in the health sector. The leadership role embarks on an integral role in the process of motivating generational cohorts within the health sector organization. Utilizing effective leadership development, leadership styles, effective communication, and motivating employees effectively to bring about constant growth, change, building trust, and breaking down the barriers within an organization through all generational interaction and engagement to bring about integral brilliance that can truly make a global difference for generations to come. The purpose of this quantitative quasi-experimental research design study was to determine the relationship of trust measurement scores between cohorts and health leadership management teams and to improve the professional development training programs in the health care industry. Researching effects of leaders and their role of leadership motivation can help provide new insights into the application of leadership training and implementation of development of leadership training programs, while also helping to build trust and repertoire of effective leadership techniques across a multigenerational workforce. An electronic survey was utilized obtaining data from health sector generational cohorts. A MANOVA was used to address the research questions. The null hypotheses (H10 and H20) therefore were rejected, further suggesting that there were significant differences in autonomy (satisfaction/frustration) by generational cohorts. The approach of utilizing a quantitative study was favorable in the overall delivery of quantifiable responses, to demonstrate how effective professional development programs can be used to foster employee turnover and collaboration. Within the last year our world has experienced unforeseen changes due to the COVID-19 pandemic. The economy, employment levels, and organizational growth have been affected. Research should be considered that could further evaluate the motivational needs of the health sector generational cohorts before, during, and after the present-day threats have concluded. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

CONFIDENCE LEVEL OF A MOTION FEEDBACK SYSTEM FOR ANALYZING EXERCISE TRAINING EFFICACY: APPLICATIONS, BASIS, AND COMMUNICATIONS

The increase in aged population is a global trend. Inculcating healthy behaviors such as regular exercises in the elderly has a significant impact on the financial and medical burden globally. Moreover, air pollution and the outbreak of the coronavirus disease 19 (COVID-19) pose a serious threat to public health. In order to improve the health conditions of the population, this study developed a motion feedback system named MoveV that can be used for several indoor training exercises. This system provides instant motion feedback by synchronizing exercise training videos on the website using a motion analysis algorithm that is applicable on smartphones, and a cloud database platform is used to record health behaviors. Feature extraction is performed based on force intensity, motion velocity, and exercise direction. The resultant accuracy of the motion feedback system was tested by a motion science expert and presented as the confidence level. For perfect movement, a confidence level of up to 90.5% was achieved, indicating that the MoveV system was able to record users’ exercise frequency and distinguish whether the user was performing well in the exercise movements. The proposed system is convenient and does not incur additional expenditure by purchasing any new device. Furthermore, it provides visual and voice feedback, companionship, and exercise motivation to the users, all of which are important factors when using online exercise platforms.

Teaching Core Training Exercises for Children During COVID-19

Due to COVID-19, children have not been able to go to school and move enough since March 2020. In this process, the measures taken such as the prolongation of the stay at home, social isolation, and quarantine caused children to delay their physical activities and stay away from these activities. As a result, this may have caused weakness in the musculoskeletal system of the children. Therefore, children can be given simple and applicable core exercises to increase their trunk-muscle endurance and improve mobility and flexibility, in online education at home or in physical education classes at school. These exercise drills will be beneficial for protecting children’s health, preventing injuries, and strengthening the core. Moreover, many of these drills do not require any extra equipment. In conclusion, the purpose of this article is to provide practical ideas about how to apply core training exercises for children at home.

Development of training in the context of Covid-19 pandemic and development of the digital economy

Developing training programs to meet the labor needs of enterprises in order to improve the quality of human resources in the digital economy is urgent because human resources are one of the factors constituting the success of enterprises. The purpose of our research is to analyze the need to develop training programs towards improving the quality of learners to meet the labor demand in enterprises in the digital economy. The research methods used for the article include: document analysis, comparison, survey and experimental data analysis. The obtained survey results were processed by the author by quantitative analysis techniques on SPSS software. The results of the survey helped the author identify the needs of developing training programs in universities in Vietnam today. The main results of the study provide solutions for determining the orientations for developing training programs at universities in Vietnam to keep up with the development of the digital economy.

Assessing human resource needs for digital transformation at enterprises and proposing solutions in human resource training for universities

Transforming the educational model for higher education in the context of digital transformation is an inevitable trend. This represents the right direction to take advantage of the 4.0 technology revolution, creating high-quality human resources to meet the requirements of the labor market. The purpose of the study is to analyze the appropriate higher education model in the context of the digital economy towards the development of high-quality human resources to participate in the operation of the digital economy. The requirements for the development of digital universities for countries in general and Vietnam in particular need to constantly innovate and reform the national education systems to further improve the quality and effectiveness of higher education, towards an education that adapts to the context of digital transformation and the covid 19 epidemic. The issue of the quality of human resources must be concerned by education systems to make breakthrough changes and should be prioritized by countries. The article uses qualitative, quantitative, comparative, survey survey and experimental data analysis methods. The survey was conducted on 100 businesses that have cooperation activities with the university through online form via email. The main results of the study provide solutions for adjusting the training methods and models at universities in Vietnam in response to the 4.0 technology revolution and the covid 19 epidemic.

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

Cachexia is a prevalent muscle wasting syndrome among people with advanced cancer that profoundly impacts patient quality of life (QoL) and physical function. Exercise can improve QoL, physical function, and overall health in people with cancer and may be an important addition to treatment approaches for cancer cachexia. Greater understanding of patients’ perception of exercise can help elucidate the feasibility of implementing exercise interventions for cancer cachexia and facilitate the design of patient-centered interventions. We aimed to describe the perception of exercise in patients with advanced cancer and cachexia, and capture exercise motivators, barriers, and preferences, to inform the feasibility of exercise interventions. Individual interviews (n = 20) with patients with locally advanced or metastatic cancer with cachexia were conducted and analyzed using reflexive thematic analysis. Main themes from interviews were: 1) Life is disrupted by cancer and cachexia;2) Exercise offers hope;3) Exercise barriers are multifaceted;and 4) Exercise access and support are important. Participants reported that their cancer and cachexia had intensely altered their lives, including ability to exercise. Exercise was perceived as important and participants described a hope for exercise to improve their health and wellbeing. Yet, several complex exercise barriers, such as burdensome cancer symptoms and the overwhelming impact of the COVID-19 pandemic, hindered exercise participation and prevented participants from fully realizing the perceived benefits of exercise. Factors believed to improve exercise engagement and overcome exercise barriers included increased exercise support (e.g., professional supervision) and accessibility (e.g., convenient locations). Patient-reported exercise barriers and preferences can inform the design of exercise interventions, particularly within future research studies aiming to establish exercise feasibility and efficacy in people with advanced cancer and cachexia.

Highlights from this issue

Come on baby light my fire Non-adherence to treatment is a common cause of tension between patients and their clinical care teams and cystic fibrosis (with patients commonly spending around 2 hours per day on treatment) is a good example of this. Gravier et al (see page 486) investigate, in a systematic review and meta-analysis, the effects of exercise training in non-small cell lung cancer as part of ‘prehabilitation’ prior to lung resection. In this issue of Thorax (see page 477) Thomsen and colleagues analysed data from a cohort of motor vehicle workers and found, not without controversy as described in the corresponding editorial (see page 426), that risk of mesothelioma was not increased in motor mechanics, in contrast with lung cancer and asbestosis both of which were increased in mechanics and lead to increased mortality.

Preparedness of Undergraduate Medical Students to Combat COVID-19: A Tertiary Care Experience on the Effectiveness and Efficiency of a Training Program and Future Prospects.

Introduction Due to the nature of the coronavirus disease 2019 (COVID-19) pandemic, final year medical undergraduate students have had to be involved in patient management in different countries. The same was the case with India. This study was conducted with the objective to analyze the effectiveness and efficiency of preparedness training to combat COVID-19 in pre-final and final-year medical students at a tertiary care institute in North India. Methods A pre-post study was conducted among final and pre-final year medical undergraduate students. Data was collected as pre-test and post-test multiple-choice questions (MCQs) and clinical vignettes. Results A total of 179 medical undergraduate students attended the training. Scores on general instructions, personal protective equipment (PPE) donning and doffing, hand hygiene, biomedical waste management, contact tracing, cleaning and disinfection, ECG, and COVID-19 management improved significantly after the training. Pre-test scores on ECG, simulation, COVID-19 management were 21.58±5.311, 17.05±4.501, and 23.84±4.067, respectively. Post-test scores on ECG, simulation, COVID-19 management were 28.01±6.826, 23.84±4.067, and 6.93±1.726, respectively. Pre-test and post-test scores were statistically significant (p=0.0001).  Discussion Our preparedness training program was effective in delivering the intended skills. The efficiency of the training program was demonstrated through simulation. We created a trained pool of medical undergraduate students to assist clinicians in COVID-19-related supportive care.