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The fraudulent practice of adding ammonium salts to milk in order to enhance the nitrogen content has serious health implications including renal failure. Ammonium ion detection has been targeted through the conventional analytical methods however, lack of portability and complex operation limits their use for field applications. In this scenario, paper-based test strips and electrochemical sensors can provide strategies for point-of-test applications. Here, an ion-selective paper-based chromogenic strip and an electrochemical sensor has been developed for detection and quantification of ammonium ions. The developed paper-based chromogenic strip showed detection limit of 0.008 % (w/v) for ammonium ions, whereas, electrochemical sensor showed an LOD of 0.0062 ± 0.0023 % (w/v) with a sensitivity of 1.6 × 10−5 A.% −1.mm−2. The developed paper-based chromogenic strip and electrochemical sensor can be employed by regulatory bodies and dairy industries to ensure the safety and quality of milk.

Since the implementation of the Excellence Initiative and the Excellence Strategy, German higher education institutions have been restructuring university governance, especially those selected as Universities of Excellence. This study uses a holistic and mission-related integrated governance approach to conduct a qualitative analysis of the governance transformation of German Universities of Excellence, aiming to provoke discussion on transforming governance to optimize organizational effectiveness and sustainable development of German higher education institutions. Transforming governance of German Universities of Excellence involves mission statements, strategic goals, institutional strategies, research, teaching, the third mission, internationalization, global engagement, governance relationships and structures, institutional leadership, funding, autonomy, innovation, digital transformation, quality assurance, and sustainable development, aiming to enhance accountability, performativity, transparency, openness and organizational effectiveness with efficient administrative management in alignment with institutional missions, vision, core values, and strategic goals.

There is uncertainty whether postoperative application of paper tape (PT) improves scar aesthetics and reduces wound closure complications. This study aimed to review and assess the quality of applicable findings from studies investigating PT’s efficacy. We queried PubMed and SCOPUS using the search terms “((“paper tape”) AND (wound OR closure OR heal* OR complication OR skin OR prevent* OR scar*)).” We excluded articles that were duplicates, basic science, or not clinically relevant. We assessed the level of evidence for each article using the American Society of Plastic Surgeons (ASPS) Rating Levels of Evidence and Grading Recommendations for Therapeutic Studies, ranging from I (highest) to V (lowest). Of 186 publications reviewed, we included eight studies in the literature review. Five of these studies reported statistically significant positive outcomes on scar aesthetics and wound closure associated with using PT. Using the ASPS rating system, we found that two studies were Level I, three studies were Level II, two studies were Level IV, and one study was Level V. Notably, heterogeneity in the study designs limited outcome comparison. The data from the studies included in this literature review support using PT to optimize scar and wound management. The lack of higher levels of evidence, however, suggests the need for additional randomized controlled trials to rigorously evaluate patient outcomes when using PT compared with other forms of adhesive dressings. [ABSTRACT FROM AUTHOR]

Purpose: This narrative review explores papers published in peer-reviewed journals reporting research from a practice research module of a qualifying program to examine their potential contribution to knowledge in mental health social work. Methods: A narrative review was undertaken according to the PRISMA extension for scoping reviews of papers published by the first three cohorts of a practice research module. Results: Eleven papers were included in the review which found, for example, some deficits in practitioners' knowledge, confidence and understanding. The studies were modest and had some common limitations, but a high number of online views indicate that the papers have the potential to impact on practice. Conclusion: This review found that it is possible to use a practice research module of a qualifying program to train social workers to undertake and publish high-quality research which has the potential to influence policy or practice beyond a students' own learning. [ABSTRACT FROM AUTHOR]

BACKGROUND: The American College of Surgeons requires continuous process improvement review to maintain trauma center verification. Paper-based systems to monitor and track performance improvement are commonly used but can be inadequate to monitor concurrent ongoing improvement effectively. OBJECTIVE: To describe the implementation of an electronic process to capture and monitor performance improvement in near real time. METHODS: In 2020, a Midwestern U.S. Level I adult trauma center and a Level II pediatric trauma center's trauma programs transitioned from a paper to an electronic file-sharing system for performance improvement. We converted our primary, secondary, and tertiary review documentation into a single electronic performance improvement file stored on the institution's virtual hard drive, accessible to designated staff, allowing continuous real-time updates. RESULTS: The electronic file-sharing and monitoring process reinvigorated the team and enhanced performance improvement efforts, leading to increased efficiency through documentation and effective loop closure. Real-time monitoring allowed the trauma program to identify opportunities for improvement and enact timely action plans, including targeted performance improvement projects, department education, and ongoing training. CONCLUSION: We found that implementing an electronic file-sharing system enhanced the trauma team's ability to monitor and trend performance improvement in real time. [ABSTRACT FROM AUTHOR]

Emergency general surgeons often provide care to severely ill patients requiring surgical interventions and intensive support. One of the primary drivers of morbidity and mortality is perioperative bleeding. In general, when addressing life threatening haemorrhage, blood transfusion can become an essential part of overall resuscitation. However, under all circumstances, indications for blood transfusion must be accurately evaluated. When patients decline blood transfusions, regardless of the reason, surgeons should aim to provide optimal care and respect and accommodate each patient's values and target the best outcome possible given the patient's desires and his/her clinical condition. The aim of this position paper was to perform a review of the existing literature and to provide comprehensive recommendations on organizational, surgical, anaesthetic, and haemostatic strategies that can be used to provide optimal peri-operative blood management, reduce, or avoid blood transfusions and ultimately improve patient outcomes. [ABSTRACT FROM AUTHOR]

Concerns with educational quality have led to the implementation of external school evaluation (ESE), based on the premise that these processes can provide valuable information about schools and, consequently, create conditions for improvement. Improvement is based on the feedback, commonly in the form of an evaluation report, resulting from evaluations, describing the reality of each school, and providing clues and guidance for action and progress. Nonetheless, ESE still has a relatively weak impact on overall school improvement. With this in mind, this paper focuses on the potential of evaluation reports to promote improvement, aiming to answer the question: What kind of feedback on school self-evaluation (SSE) does ESE provide to schools? Focusing on the Portuguese case, the paper analyses the feedback regarding school self-evaluation provided in evaluation reports from the northern region of Portugal. The study concludes that the feedback provided in the reports is mainly descriptive and generic, referencing issues that apply to all schools rather than targeting issues specific to each school. This leads to the hypothesis that the vagueness of ESE feedback can explain the limited contribution external evaluations make towards SSE improvement in particular, and school improvement overall. The example of Portugal and self-evaluation can help bring to light where ESE processes are underperforming and require investment to achieve their goals.

Students attracted to quantitative disciplines of study can be reluctant to devote much attention to the critical task of communicating, and previous research (Hostager, 2018) has identified statistically significant differences in learning approaches by major among undergraduate business students. This paper presents results of learning assurance for writing skills (direct measures) even when the course content relates to the highly quantitative topics of data analytics and finance. The approach combines various pedagogical methods in an undergraduate, writing-intensive setting: traditional testing in an iterative framework, "flipped classroom" intensive work using spreadsheet software, repeated submission of brief papers incorporating analytical finance work, and student research presentations (including at an undergraduate research conference). We present quantitative and qualitative data demonstrating assurance of learning for evaluation purposes, including the recently announced (2020) competency-based Assurance of Learning standards from the Association for the Advancement of Collegiate Schools of Business (AACSB). To assess the robustness of our findings, we also report results using alternate learning resources (old and new) and delivery methods (in-person, hybrid, fully online), taking advantage of the pandemic natural experiment. We found that learning progress was assured in each context for hybrid and fully online delivery; however, learning was not as monotonic as for fully in-person implementation.

mHealth applications (apps) are tools that can enhance research by efficiently collecting and storing large amounts of data. However, data collection alone does not lead to change. Innovation and practice change occur through utilisation of evidence. The volume of data collected raises questions regarding utilisation of data by nurses and midwives, and how data from mHealth apps can be used to improve person-centred practice. There is limited empirical evidence and a lack of direction from global health authorities to guide nurses and midwives in this area. To describe strategies for nurses and midwives that could enhance the effective use of data generated by mHealth apps to inform person-centred practice. The purpose of this paper is to stimulate reflection and generate actions for data utilisation when using mHealth apps in nursing research and practice. This discussion paper has been informed by current evidence, the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, and research experience as part of doctoral study. Before engaging in data collection using mHealth apps, nurses and midwives would benefit from considering the nature of the evidence collected, available technological infrastructure, and staff skill levels. When collecting data and interpreting results, use of a team approach supported by engaged leadership and external facilitation is invaluable. This provides support to operate apps, and more importantly use the data collected to inform person-centred practice. This paper addresses the limited available evidence to guide nurses and midwives when using mHealth apps to collect and use data to inform practice change. It highlights the need for appropriate technology, external facilitative support, engaged leadership, and a team approach to collect meaningful evidence using mHealth apps. Clinicians, leaders, and researchers can apply the strategies provided to enhance the use of mHealth apps and ensure translation of evidence into practice. [ABSTRACT FROM AUTHOR]

The final exam is a very important part of the course teaching quality evaluation. Therefore, we analyzed the final examination paper of analytical chemistry 1 in our university. Then, we discussed the problems existing in the course, and formed the strategic thinking on the curriculum reform. Furthermore, we analyzed the elements of paper generation and quality assurance of the final exam. [ABSTRACT FROM AUTHOR]

Due to the recent developments in the delivery of teaching-learning processes when COVID-19 hit the world with a health crisis and pandemic, it is crucial to look into the quality of courses delivered via online means or through distance education modality. This paper examines implementation and application of quality assurance (QA) landscape in Distance Education (DE). A documentary review using bibliographic inquiry is used as a methodology approach to gather relevant information to address the study questions. Previous studies on QA in DE are examined and arranged into themes using thematic analysis. Findings revealed that most of the literature on QA in DE in Africa and Asia based on the reviewed Open and Distance Learning (ODL) institutions are basically dealing with frameworks, outcomes and performance, instructional design, student services and challenges as well as parity in terms of quality with the traditional institutions. Therefore, this paper concludes that more studies are needed for QA in DE to match the post-COVID-19 trends on improving QA. This implies that there is a need to expand research on QA in DE to include areas of artificial intelligence.

Research article publication is often considered a critical indicator of academic institutions' success and productivity. It improves the institution's reputation, attracts talented students and faculty members, and increases the institution's chances of receiving funding opportunities from different funding agencies. This paper provides a reliable and sustainable methodology for improving the quality and quantity of research article publications for engineering institutions in India. The various tools, techniques, and initiatives that promote research culture and improve its outcome in terms of research papers are also discussed. A case study of Pimpri Chinchwad College of Engineering (PCCOE), Pune, India, depicts how predictive, prescriptive, descriptive, and diagnostic data analytics approaches help to identify the barriers in the research article publications in academic institutions and provides the ways to overcome them. It also helps to set the publication targets and develop the path to perceive the targets. The outcomes and effectiveness of the case study are discussed using the papers published in Scopus, Web of Science, and Google Scholar databases. The challenges, opportunities, and recommendations are also provided for the smooth and effective implementation of the developed methodologies.

Background: In line with the impetus traceable among the nursing staff, studies regarding the perception of Unfinished Care among students have increased in recent years as also recommended by some policy documents in the consideration that, as future members of the staff, they are expected to raise concerns about failures in the standards of care. However, no discussion of their methodological requirements has been provided to date. The aim of this study is to debate Unfinished Care explorations among nursing students and developing recommendations. Methods: A Rapid Review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, followed by a scientific discussion based on empirical evidence that emerged from the review combined with expert knowledge. Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases were searched up to May 2022. Results: In the last five years, seven studies have been conducted by researchers affiliated at the university level, involving from 18 to 737 undergraduate students across Europe. By critically analysing their key aspects, there are derived some recommendations in conducting investigations in this field as, (a) the hidden meaning of Unfinished Care investigations among students by also deciding which concept is mostly appropriate to investigate; (b) the need of establishing alliances with the clinical settings in order to involve them in such explorations; (c) more complex research methods capable of exploring this issue among students by promoting learning outcomes and not only a simple data collection; and (e) the influences of these explorations on students' wellbeing, as well as on ethical implications and that regarding the relationship between the healthcare services and the universities. Conclusion: Policymakers consider students to be key informants of the quality of nursing care issues witnessed during their clinical placements. The related emerging line of research is intriguing because of the underlying methodological, ethical and system complexities that need to be addressed according to some considerations. [ABSTRACT FROM AUTHOR]

Reviews have long been recognized as among the most important forms of scientific communication. The rapid growth of the primary literature has further increased the need for reviews to distill and interpret the literature. This review on Reviews and Reviewing: Approaches to Research Synthesis encompasses the evolution of the review literature, taxonomy of review literature, uses and users of reviews, the process of preparing reviews, assessment of review quality and impact, the impact of information technology on the preparation of reviews, and research opportunities for information science related to reviews and reviewing. In addition to providing a synthesis of prior research, this review seeks to identify gaps in the published research and to suggest possible future research directions. [ABSTRACT FROM AUTHOR]

Background: Nuclear medicine has made enormous progress in the past decades. However, there are still significant inequalities in patient access among different countries, which could be mitigated by improving access to and availability of radiopharmaceuticals. Main body: This paper summarises major considerations for a suitable pharmaceutical regulatory framework to facilitate patient access to radiopharmaceuticals. These include the distinct characteristics of radiopharmaceuticals which require dedicated regulations, considering the impact of the variable complexity of radiopharmaceutical preparation, personnel requirements, manufacturing practices and quality assurance, regulatory authority interfaces, communication and training, as well as marketing authorisation procedures to ensure availability of radiopharmaceuticals. Finally, domestic and regional supply to ensure patient access via alternative regulatory pathways, including in-house production of radiopharmaceuticals, is described, and an outlook on regulatory challenges faced by new developments, such as the use of alpha emitters, is provided. Conclusions: All these considerations are an outcome of a dedicated Technical Meeting organised by the IAEA in 2023 and represent the views and opinions of experts in the field, not those of any regulatory authorities. [ABSTRACT FROM AUTHOR]

Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients' outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group. [ABSTRACT FROM AUTHOR]

Point-of-care sonography is a precondition in acute and emergency medicine for the diagnosis and initiation of therapy for critically ill and injured patients. While emergency sonography is a mandatory part of the training for clinical acute and emergency medicine, it is not everywhere required for prehospital emergency medicine. Although some medical societies in Germany have already established their own learning concepts for emergency ultrasound, a uniform national training concept for the use of emergency sonography in the out-of-hospital setting is still lacking. Experts of several professional medical societies have therefore joined forces and developed a structured training concept for emergency sonography in the prehospital setting. The consensus paper serves as quality assurance in prehospital emergency sonography. [ABSTRACT FROM AUTHOR]

University rankings have a growing impact on how people view the academic excellence of higher education. The complicated relationship between rankings and academic excellence is explored in this essay along with how it may affect higher education policy and practice. The importance of rankings and their influence on institutional decision-making is highlighted in the introduction to the article. After that, it goes into detail about how to understand university rankings, going over their methodology, metrics, and influences. The subsequent sections focus on the link between rankings and academic quality, highlighting how rankings can both reflect and shape perceptions of quality. The limitations and challenges associated with rankings are also explored, including the simplification of academic quality, data accuracy, and interpretation, and the potential for distortions and unintended consequences. Alternative approaches to assessing academic quality beyond rankings are presented, emphasizing the importance of comprehensive evaluation frameworks that encompass diverse dimensions of excellence. This paper goes into more detail about how rankings affect institutions of higher learning, including how they affect institutional priorities and the necessity of mission-driven decision-making. Additionally, discussions of student opinions on rankings and academic standards highlight the significance of including students in the evaluation process. Exploring the difficulties and possibilities for policy and practice while concentrating on themes of equity, data transparency, and public opinion. The paper concludes by highlighting the need for a nuanced understanding of rankings and academic quality and the importance of adopting comprehensive approaches that prioritize student success, diversity, and institutional missions. By recognizing the limitations of rankings and embracing alternative assessment measures, policymakers and institutions can promote a more holistic and accurate assessment of academic quality in higher education.

Large-scale performance assessment programs are a longstanding reform tool. However, standard setting can be a challenge for assessment programs that use primarily non-standardized assessments. The purpose of this paper is to extend this field of research by explaining the standard setting methodology applied to one more recent instantiation of a state performance assessment program. The second purpose of this paper is to discuss the data quality control and quality assurance challenges experienced after five years of applying the standard setting method. Recognizing the burgeoning interest again in large-scale performance assessment programs, the goal and intended contribution of this paper is to inform future decisions about selecting appropriate standard setting methods and dealing with unanticipated challenges that may arise during implementation based upon the lessons learned from one program. It is likely that other large-scale performance assessment programs may face similar operational challenges, especially those that do not rely on standardized tests or standardized administration procedures to produce annual determinations of student proficiency or other scores used for accountability purposes. Assessment system designers can use the insights in this paper to consider standard setting methods and how those methods may need to be adapted to promote technical quality.

This paper presents a comprehensive review of existing literature concerning the domains of accreditation and quality assurance in various sectors. Accreditation and quality assurance play vital roles in ensuring the credibility, transparency, and effectiveness of educational institutions, healthcare facilities, industries, and other domains. This paper synthesizes the findings of numerous studies, focusing on the conceptual frameworks, methodologies, and outcomes associated with accreditation and quality assurance processes. The review encompasses a wide range of perspectives, including historical context, best practices, challenges, and advancements in accreditation and quality assurance. Through a systematic analysis of these scholarly works, this paper aims to provide a deeper understanding of the evolving landscape of accreditation and quality assurance across diverse sectors and shed light on potential future research directions.

To ensure that students obtain an effective and appropriate education, quality assurance in higher education is crucial. The primary concepts, structures, and procedures associated with quality assurance in higher education are extensively addressed in this paper. To improve student learning outcomes, institutional reputation, and overall accountability, it examines the changing landscape of higher education and the growing emphasis on quality. The introduction of the paper defines quality assurance in the context of higher education, emphasizing its complexity and the range of stakeholders it involves. It explores the numerous quality dimensions--both academic and non-academic--and their importance in promoting a well-rounded educational experience. The paper then addresses the essential tenets and strategies that support quality assurance. It looks at internal quality control approaches that enable institutions to regularly review and enhance their educational practices, such as faculty development, curriculum design, and self-assessment. To further promote openness, comparability, and accountability across higher education institutions, external quality assurance, including accreditation, benchmarking, and regulatory frameworks, is being investigated as well. The paper also explores international perspectives on quality assurance in higher education, emphasizing regional differences and global initiatives. It looks at how standards-setting organizations, professional groups, and quality control organizations influence policies and encourage institutional cooperation. To improve processes for making decisions and ensure constant enhancement, the paper also examines the role of data analysis, assessment instruments, and quality indicators. The paper also seeks to provide scholars, policymakers, administrators, and practitioners with a firm foundation to comprehend the concepts, theories, and techniques involved in quality assurance in higher education. It is a useful tool for promoting quality in higher education institutions around the world, encouraging discussion, and influencing decision-making processes.

High blood pressure is the leading cause of death and disability globally and an important treatable risk factor for cardiovascular, cerebrovascular and chronic kidney diseases. Digital technology, including mobile health solutions and digital therapy, is expanding rapidly in clinical medicine and has the potential to improve the quality of care and effectiveness of drug treatment by making medical interventions timely, tailored to hypertensive patients' needs and by improving treatment adherence. Thus, the systematic application of digital technologies could support diagnosis and awareness of hypertension and its complications, ultimately leading to improved BP control at the population level. The progressive implementation of digital medicine in the national health systems must be accompanied by the supervision and guidance of health authorities and scientific societies to ensure the correct use of these new technologies with consequent maximization of the potential benefits. The role of scientific societies in relation to the rapid adoption of digital technologies, therefore, should encompass the entire spectrum of activities pertaining to their institutional role: information, training, promotion of research, scientific collaboration and advice, evaluation and validation of technological tools, and collaboration with regulatory and health authorities. [ABSTRACT FROM AUTHOR]

The article focuses on a synopsis of a critically appraised paper discussing the potential benefits of eccentric resistance training for enhancing strength and power, but not gait, in patients with neurological conditions. Topics discussed include the findings of the study regarding the effects of eccentric resistance training, its limitations in improving gait function, and the implications for therapeutic interventions in this patient population.

In today's world of quick change, encouraging entrepreneurship and innovation in higher education has become increasingly important. This article examines how universities help students cultivate an entrepreneurial attitude, acquire useful skills, and build environments that encourage aspiring businesspeople. The introduction of the paper provides a backdrop and justification for encouraging innovation and entrepreneurship in higher education, underlining the societal and financial advantages of developing entrepreneurial ability. The paper's goals are then detailed, placing particular emphasis on the need to look at how entrepreneurship and innovation are defined, investigate powerful pedagogical techniques, talk about ways to build thriving ecosystems and gauge the effectiveness of entrepreneurship education. The paper dives into the definitions of entrepreneurship and innovation, highlighting their connections and importance in the context of higher education. In addition to advocating for a mindset that fosters innovation, risk-taking, and problem-solving, it addresses the significance of integrating entrepreneurial education across disciplines. The paper goes on to discuss the pedagogical strategies, such as experiential learning, real-world applications, and the growth of critical thinking and problem-solving skills, that help students build their entrepreneurial skills and mentality. Another important issue that is covered in the study is the development of ecosystems that encourage innovation and entrepreneurship. It places a focus on creating entrepreneurship centers and incubators within universities, involving alumni and business networks, and easing access to funds and resources. It is highlighted that partnerships and collaboration between businesses, government, and community organizations are efficient ways to encourage entrepreneurship and innovation. The report also addresses the evaluation of learning outcomes, venture development, and creativity, as well as the assessment of the impact and efficacy of entrepreneurship education. Risk aversion, entrepreneurship integration into academic culture, and diversity and inclusion issues are some of the difficulties and impediments to boosting entrepreneurship and innovation. Insights into case studies and best practices from various institutions are provided in the paper, demonstrating successful initiatives that have produced fruitful results. In order to improve the efficacy of entrepreneurship and innovation in higher education, it finishes by summarising the main findings and highlighting the significance of continued study, collaboration, and sharing of best practices. Higher education institutions can better equip students to navigate a world that is always changing, stimulate economic growth, and have a good impact on society through encouraging entrepreneurship and innovation. This report offers insights, suggestions, and motivation for upcoming endeavors to policymakers, educators, and stakeholders interested in fostering entrepreneurship and innovation in higher education.