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Last decade's rapid growth of satellite constellation size has led to performance boosts and it has enabled unprecedented applications. However, this enlargement poses several challenges, especially related to their deployment and their economic viability. The problem is inherently multi-disciplinary and requires complex methods to explore its trade-space effectively. This work proposes a hybrid multi-objective method to concurrently select the optimal combination of launch opportunities and maneuvering strategies which minimizes time and cost. The method, using a combination of mixed-integer programming and heuristic optimization algorithms, allows for effective exploration of the coupling variables of the problem, thanks to the exploitation of the on-board propulsion and detailed launcher performance models. The results are applied to a set of case studies, comprising Starlink and a CubeSat constellation, demonstrating the capabilities of the methodology and its breadth of applicability in finding optimal deployment strategies including the launchers selection. • Optimal multi-objective constellation deployment, minimizing cost and duration. • Multi-disciplinary method including launcher selection and maneuvering strategies. • Mixed-integer programming combined with semi-analytical maneuvers for large systems. • Generalized maneuvering strategies exploiting Earth's natural perturbations. • Flexible launch manifest and launcher performance models for enhanced trade-offs. [ABSTRACT FROM AUTHOR]

Background: The poor prognosis and clinical presentation of malignant fungating wounds (MFWs) can lead to service users experiencing various dimensions of fear. Aim: This article encourages district nurses (DNs) to explore the psychological factors associated with MFWs in the community setting. Method: The reviewed literature discusses DN practice, with supplementary sources utilised to provide a wider perspective on the multifaceted nature of the subject. Findings: Guidelines advocate that DNs should promptly initiate dialogue to address fears, establish trust and enable service users with MFWs to express concerns, thus facilitating a holistic provision of care. It is crucial to leverage the multidisciplinary team and engage with other agencies to provide support for service users. Effective leadership qualities play a vital role in initiating practice changes that ultimately benefit service users, while also considering clinical governance aspects. [ABSTRACT FROM AUTHOR]

Various theories have highlighted how employees evolve in their organization and how organizations influence this process, but only portray part of the complex relations among these interacting social entities. We thus propose a meta‐theory to unify these multiple theories, including symbolic interactionism, employee/organizational socialization theory, human resource management (HRM) systems theory, cultural consensus theory, and self‐determination theory. This integration seeks to increase our understanding of the co‐evolution process unfolding over time between individuals and the organizations to which they belong. We first propose a multilevel expansion of the symbolic interactionist framework typically used to described employee socialization. In doing so, we integrate organizational culture, climate, identity, image, reputation, and HRM systems as distinct meso‐social phenomena that can be simultaneously considered in the co‐evolution process and themselves be influenced by macro‐social processes. We then outline how this proposed framework can explain the dynamic co‐evolution occurring between employees and the organization, hoping to spur research on the improvement of social entities through psychological means. [ABSTRACT FROM AUTHOR]

Service users living with Obsessive compulsive disorder (OCD) often delay or avoid seeking diagnosis or treatment because of a fear of judgement or feelings of shame associated with their obsessions and compulsions. They may feel that their behaviour defies societal norms, which can lead to social isolation, and in turn, further contribute to health inequality. When such individuals present with physical illness and are seen by district nurses, it is imperative that behaviours are understood and approached appropriately. It is important to develop therapeutic relationships and consider their holistic wellbeing. Developing a close working relationship with the mental health team as a multidisciplinary team and using the team as a resource may contribute to the overall health outcome of service users with OCD. [ABSTRACT FROM AUTHOR]

The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling. These data enable and inform mitigation and recovery planning decisions prior to and following damaging events such as earthquakes. This paper presents a multi-disciplinary seismic resilience modeling methodology to assess the vulnerability of the built environment and economic systems. This methodology can assist decision-makers with developing effective mitigation policies to improve the seismic resilience of communities. Two complementary modeling strategies are designed to examine the impacts of scenario earthquakes from a combined engineering and economic perspective. The engineering model is developed using a probabilistic fragility-based modeling approach and is analyzed using Monte Carlo (MC) simulations subject to seismic multi-hazard, including simulated ground shaking and resulting liquefaction of the soil, to quantify the physical damage to buildings and electric power substations (EPS). The outcome of the analysis is subsequently used as input to repair and recovery models to quantify repair cost and recovery time metrics for buildings and as input to functionality models to estimate the functionality of individual buildings and substations by accounting for their interdependency. The economic model consists of a spatial computable general equilibrium (SCGE) model that aggregates commercial buildings into sectors for retail, manufacturing, services, etc., and aggregates residential buildings into a wide range of household groups. The SCGE model employs building functionality estimates to quantify the economic losses. The outcomes of this integrated modeling consist of engineering and economic impact metrics, which are used to investigate mitigation actions to help inform a community on approaches to achieve its resilience goals. An illustrative case study of Salt Lake County (SLC), Utah, developed through an extensive collaborative partnership and engagement with SLC officials, is presented. The results demonstrate the effectiveness of the proposed methodology in quantifying the loss and functional recovery of infrastructure systems, the impacts on capital stock, employment, and household income and the effect of various mitigation strategies in reducing the losses and functional recovery time subject to earthquakes with varying intensities.

Wenxia Wu,1,2,* Jingwei Tian,1,* Lisha Xiao,1 Haochen Mai,1 Phei Er Saw,3– 5 Meng Zhang1,2 1Department of General Practice, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, People’s Republic of China; 2Department of General Practice, Shenshan Medical Center, Sun Yat-sen Memorial Hospital, Shanwei, Guangdong, People’s Republic of China; 3Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Medical Research Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, People’s Republic of China; 4Guangzhou Key Laboratory of Medical Nanomaterials, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, People’s Republic of China; 5Nanhai Translational Innovation Center of Precision Immunology, Sun Yat-Sen Memorial Hospital, Foshan, Guangdong, People’s Republic of China*These authors contributed equally to this workCorrespondence: Phei Er Saw; Meng Zhang, Email zhangm7@mail.sysu.edu.cn; caipeie@mail.sysu.edu.cnBackground: The incidence of cancer is increasing, and cancer survivors are also growing exponentially. Cancer is defined as a new chronic disease. Nevertheless, the management of cancer in the form of chronic diseases in China is still in its infancy, without a standardized care model.Objective: This study aimed to explore the current status of management of cancer care from the patient’s perspective.Methods: This cross-sectional study was a questionnaire survey of patients diagnosed with cancer, including information of the current situation of daily medical consultation, status of comorbidity, and expectations of seeking cancer care in future. Chi-square test and logistic regression analysis were used to explore the factors influencing patients’ choice of cancer management mode.Results: A total of 200 cancer patients were included in the study. The majority (n = 150) of cancer patients chose an oncologist in a tertiary hospital for cancer care. Difficulty in registration (45%), time-consuming (34.5%), repeated examinations (34.5%) and different treatment opinions (12.0%) were the main difficulties they encountered currently during tertiary hospital visits. In community hospital, lack of trust in general practitioners (n = 33) and the necessary drugs or testing items in community hospitals (n = 47) were the main difficulties during their visits. Logistic regression analysis showed that male (OR = 2.737, 95% CI, 1.332– 5.627, p = 0.006) and elderly patients (OR = 3.186, 95% CI, 1.172– 8.661, p = 0.023) were more likely to choose general practitioners (GPs) in community hospitals. Twenty-nine (14.5%) patients hope to have an integrated multidisciplinary management in tertiary and community hospitals with the active participation of GPs for cancer care.Conclusion: Improving drug availability, equipment and quality of cancer care services can help to increase cancer patients’ recognition of community hospital. In addition, the multidisciplinary management integrated tertiary hospitals and communities with the participation of GPs is a worth exploring mode that improves the management of cancer care.Keywords: cancer care, chronic disease management, general practitioners, GPs, multidisciplinary

Background: Despite proven benefit, pediatric subspecialists often have not been offered formal serious illness communication skills training. We sought to: 1) develop and evaluate the impact of a communication skills course, based on the VitalTalk framework, on Neonatal Intensive Care Unit (NICU) clinicians; 2) evaluate provider comfort with key serious illness communication skills and frequency of use of those skills, before and after "NeoTalk" and; 3) explore differences and similarities between adult and pediatric serious illness communication skills courses. Methods: We developed a NICU specific communication skills course and surveyed course participants to evaluate comfort with key communication skills before and after course participation, and frequency of use of key skills before and 2 months after our course. Wilcoxon signed rank tests and Kruskal-Wallis tests were performed to compare participant responses across time points. Results: 34 providers completed NeoTalk training. Complete pre- and post-course data was available for 29 participants. Participants reported increased comfort with skills including 'sharing difficult news' (P =.018), and 'responding to emotion' (P =.002). Participants did not report increased frequency in using target skills 2 months after training. Conclusions: A multi-disciplinary cohort of NICU providers endorsed increased confidence in key communication skills but not increased skill application 2-months post-course completion. While a single course can successfully teach skills, additional exposure may be necessary to build new communication habits. Our experience developing NeoTalk helped elucidate some of the ways in which conversations about seriously ill infants may be different from conversations about seriously ill adults. [ABSTRACT FROM AUTHOR]

Background: Hospitalized neonates are vulnerable to infection and have high rates of antibiotic utilization. Methods: Fourteen South African neonatal units (seven public, seven private sector) assembled multidisciplinary teams involving neonatologists, microbiologists, pharmacists, and nurses to implement prospective audit and feedback neonatal antimicrobial stewardship (NeoAMS) interventions. The teams attended seven online training sessions. Pharmacists conducted weekday antibiotic prescription reviews in the neonatal intensive care unit and/or neonatal wards providing feedback to the clinical teams. Anonymized demographic and NeoAMS interventions data were aggregated for descriptive purposes and statistical analysis. Findings: During the 20-week NeoAMS intervention in 2022, 565 neonates were enrolled. Pharmacists evaluated seven hundred antibiotic prescription episodes; rule-out sepsis (180; 26%) and culture-negative sepsis (138; 20%) were the most frequent indications for antibiotic prescription. For infection episodes with an identified pathogen, only 51% (116/229) of empiric treatments provided adequate antimicrobial coverage. Pharmacists recommended 437 NeoAMS interventions (0·6 per antibiotic prescription episode), with antibiotic discontinuation (42%), therapeutic drug monitoring (17%), and dosing (15%) recommendations most frequent. Neonatal clinicians’ acceptance rates for AMS recommendations were high (338; 77%). Mean antibiotic length of therapy decreased by 24% from 9·1 to 6·9 days (0·1 day decrease per intervention week; P = 0·001), with the greatest decline in length of therapy for culture-negative sepsis (8·2 days (95% CI 5·7-11·7) to 5·9 days (95% CI 4·6-7·5); P = 0·032). Interpretation: This neonatal AMS programme was successfully implemented in heterogenous and resource-limited settings. Pharmacist-recommended AMS interventions had high rates of clinician acceptance. The NeoAMS intervention significantly reduced neonatal antibiotic use, particularly for culture-negative sepsis. Funding: A grant from Merck provided partial support.

Abstract Background Pacific Island Countries and Territories (PICTs) are known to have high prevalence of Diabetes Mellitus and high incidence of diabetes-related foot disease. Diabetes-related foot disease can lead to lower limb amputation and is associated with poor outcomes, with increased morbidity and mortality. The purpose of this study was to gain a better understanding of diabetes-related foot disease management in selected countries in PICTs and to identify potential barriers in management of diabetes-related foot disease management in the region. Methods A cross-sectional survey was sent to eleven hospitals across six selected PICTs. The survey instrument was designed to provide an overview of diabetes-related foot disease (number of admissions, and number of lower limb amputations over 12 months) and to identify clinical services available within each institution. Two open-ended questions (free text responses) were included in the instrument to explore initiatives that have helped to improve management and treatment of diabetes-related foot diseases, as well as obstacles that clinicians have encountered in management of diabetes-related foot disease. The survey was conducted over 6 weeks. Results Seven hospitals across four countries provided responses. Number of admissions and amputations related to diabetes-related foot disease were only reported as an estimate by clinicians. Diabetes-related foot disease was managed primarily by general medicine physician, general surgeon and/or orthopaedic surgeon in the hospitals surveyed, as there were no subspecialty services in the region. Only one hospital had access to outpatient podiatry. Common themes identified around barriers faced in management of diabetes-related foot disease by clinicians were broadly centred around resource availability, awareness and education, and professional development. Conclusion Despite the high prevalence of diabetes-related foot disease within PICTs, there appears to be a lack of functional multi-disciplinary foot services (MDFs). To improve the outcomes for diabetes-related foot disease patients in the region, there is a need to establish functional MDFs and engage international stakeholders to provide ongoing supports in the form of education, mentoring, as well as physical resources.

This article outlines the emergence and development of human-animal studies in Israel (HASI). It sketches the changes the field has undergone and its accomplishments to date, identifying key challenges and opportunities. The article highlights two major shifts that HASI has undergone throughout the years: the first, an initial focus on animal-assisted therapy (AAT) that eventually gave way to a multidisciplinary approach to human-animal relations; and the second, a transition from a humanistic perspective to growing critical involvement in HAS and partial post-humanistic epistemology. The past and current institutional state of human-animal studies in Israel is traced, characterized by ongoing infrastructure changes, alongside a growing group of scholars that aim to develop the field. We conclude with a contemplation of future directions and prospects for HASI. [ABSTRACT FROM AUTHOR]

Chronic, severe Crohn's disease in a young female patient can result in surgical complexity. The rarity of the presentation of intractable pelvic abscesses within this etiology with additional considerations given to fertility concerns and hence requirement for input from a multi‐disciplinary team makes this a vital case in building a consensus for evidence‐based surgical management. A 29‐year‐old nulliparous woman was referred to our tertiary centre for surgical management of Crohn's disease with known tubo‐ovarian abscess and abdominoperineal and abdominal wall sinuses. Her previous surgical history included 4 midline laparotomies, subtotal colectomy and proctectomy with stoma formation. The patient underwent egg collection to preserve fertility. This was followed by midline laparotomy and abdominoperineal resection, which involved a retrograde radical modified hysterectomy using the Hudson technique, alongside excision of the perineal sinus, with reconstruction of the perineal defect using an internal pudendal artery perforator gluteal fold flap, and in addition to excision and drainage of the abdominal wall abscess. Involvement was sought from gynecological oncology, colorectal, urology, plastics, stoma, fertility, microbiology, and gastroenterology teams, which enabled successful preservation of end organ function and improvement in patient psychological well‐being. This case is a paradigm of surgical challenge, requiring expert gynecological oncology techniques including a retroperitoneal approach, nerve and vessel sparing considerations alongside colorectal and urological procedures. Moreover, we believe that our blueprint for effective multi‐disciplinary practice will inform the future management of gynecological surgery. Therefore this report aims to contribute towards the optimum management of the gynecological sequelae of Crohn's disease. Synopsis: We detail the surgical management of a young female with tubo‐ovarian abscess complications of Crohn's disease and the evidence‐based management undertaken by our tertiary center. [ABSTRACT FROM AUTHOR]

Mineralized materials are gaining increased interest recently in a number of fields, especially in bone tissue engineering as bone replacement materials as well as in the architecture-built environment as structural building materials. Until the moment, there has not been a unified sustainable approach that addresses this multi-scale application objective by developing a self-mineralized material with minimum consumption of materials and processes. Thus, in the current study, a hydrogel developed from sodium alginate, gelatine, and calcium phosphate dibasic (CPDB) was optimized in terms of rheological properties and mineralization capacity through the formation of hydroxyapatite crystals. The hydrogel composition process adopted a three-stage, thermally induced chemical cross-linking to achieve a stable and enhanced hydrogel. The 6% CPDB-modified SA–gelatine hydrogel achieved the best rheological properties in terms of elasticity and hardness. Different concentrations of epigallocatechin gallate were tested as well as a rheological enhancer to optimize the hydrogel and to boost its anti-microbial properties. However, the results from the addition of EPGCG were not considered significant; thus, the 6% CPDB-modified SA–gelatine hydrogel was further tested for mineralization by incubation in various media, without and with cells, for 7 and 14 days, respectively, using scanning electron microscopy. The results revealed significantly enhanced mineralization of the hydrogel by forming hydroxyapatite platelets of the air-incubated hydrogel (without cells) in non-sterile conditions, exhibiting antimicrobial properties as well. Similarly, the air-incubated bioink with osteosarcoma SaOs-2 cells exhibited dense mineralized topology with hydroxyapatite crystals in the form of faceted spheres. Finally, the FBS-incubated hydrogel and FBS-incubated bioink, incubated for 7 and 14 days, respectively, exhibited less densely mineralized topology and less distribution of the hydroxyapatite crystals. The degradation rate of the hydrogel and bioink incubated in FBS after 14 days was determined by the increase in dimensions of the 3D-printed samples, which was between 5 to 20%, with increase in the bioink samples dimensions in comparison to their dimensions post cross-linking. Meanwhile, after 14 days, the hydrogel and bioink samples incubated in air exhibited shrinkage: a 2% decrease in the dimensions of the 3D-printed samples in comparison to their dimensions post cross-linking. The results prove the capacity of the developed hydrogel in achieving mineralized material with anti-microbial properties and a slow-to-moderate degradation rate for application in bone tissue engineering as well as in the built environment as a structural material using a sustainable approach. [ABSTRACT FROM AUTHOR]

In Saudi Arabia, motor vehicle crashes (MVCs) are a major cause of injuries, deaths and disability. To reduce levels of disability associated with road traffic injuries (RTIs), rehabilitation is crucial. However, limited information is available regarding rehabilitation services in Saudi Arabia, particularly the role of occupational therapy following RTIs. This paper explores occupational therapists' perspectives on Saudi Arabian rehabilitation services. This descriptive qualitative study included semi-structured interviews with 13 occupational therapists working in rehabilitation settings in Saudi Arabia. Reflexive thematic analysis was utilised to identify themes related to their experiences and the potential for improved rehabilitation guidelines and practices. Five themes were identified. (i) Accessibility to rehabilitation following RTI was impacted by geographical location, high service demands, social support and financial issues. (ii) Pathway to rehabilitation following RTI varied, typically physician-led, with multi-disciplinary teams in rehabilitation services. (iii) Occupational therapy role in rehabilitation is perceived as poorly understood by others. (iv) Limitation to current rehabilitation services includes few highly experienced therapists, challenges to individualised care, and underdeveloped community reintegration. (v) Research is needed for better rehabilitation services through understanding people's experiences and perspectives to improve rehabilitation services. Overall, occupational therapists highlighted that the limited number of well-established rehabilitation facilities, mostly located in the central region of Saudi Arabia, negatively impact service provision and functional outcomes. Effective utilisation of occupational therapists' insights into the challenges of rehabilitating individuals after RTIs could improve the implementation, operation, governance, and investment in rehabilitation services in Saudi Arabia. [ABSTRACT FROM AUTHOR]

Objective To explore the establishment and practical effect of multi-disciplinary and multi-dimensional postpartum contraceptive service model, so as to provide reference for the formation of postpartum contraceptive service model suitable for medical institutions, and protect female reproductive health and fertility. Methods A total of 1 200 women of childbearing age who received regular check-up, delivery and postpartum care in the hospital from June to August 2021 were selected as the observation group, and 1 200 women of childbearing age who received regular check-up, delivery and postpartum care in the hospital from March to May 2021 were selected as the control group. The observation group adopted the multi-disciplinary and multi-dimensional postpartum contraceptive service model to carry out postpartum contraceptive knowledge education, contraceptive measures implementation and follow-up during the third trimester of pregnancy, postpartum 42 days, postpartum 6 months and postpartum 12 months. The information of postpartum contraceptive service archives was shared and managed by various disciplines. The control group adopted routine postpartum contraceptive service. After the completion of the intervention, the passing rate of the knowledge of postpartum contraception, the recovery time of sexual life, the start time of postpartum contraception, the continuous standardized contraceptive rate within one year after the postpartum, the rate of unwanted pregnancy one year after the postpartum, the rate of induced abortion one year after the postpartum, and the use of contraceptive methods within one year after the postpartum were statistically analyzed. Results The passing rate of the knowledge of postpartum contraception, the recovery time of sexual life, the start time of postpartum contraception, the continuous standardized contraceptive rate within one year after the postpartum, the rate of unwanted pregnancy one year after the postpartum, the rate of induced abortion one year after the postpartum, and the use of contraceptive methods within one year after the postpartum in the observation group were significantly better than those in the control group, and the differences were statistically significant（P＜0. 01). Conclusion The adoption of multi-disciplinary and multi-dimensional postpartum contraceptive service mode is conducive to improving the knowledge rate of postpartum contraceptive among women of childbearing age, enhancing contraceptive awareness, implementing long-term and efficient contraceptive measures, and reducing the rate of unwanted pregnancy and high-risk abortion within one year after delivery. [ABSTRACT FROM AUTHOR]

Background: Pacific Island Countries and Territories (PICTs) are known to have high prevalence of Diabetes Mellitus and high incidence of diabetes-related foot disease. Diabetes-related foot disease can lead to lower limb amputation and is associated with poor outcomes, with increased morbidity and mortality. The purpose of this study was to gain a better understanding of diabetes-related foot disease management in selected countries in PICTs and to identify potential barriers in management of diabetes-related foot disease management in the region. Methods: A cross-sectional survey was sent to eleven hospitals across six selected PICTs. The survey instrument was designed to provide an overview of diabetes-related foot disease (number of admissions, and number of lower limb amputations over 12 months) and to identify clinical services available within each institution. Two open-ended questions (free text responses) were included in the instrument to explore initiatives that have helped to improve management and treatment of diabetes-related foot diseases, as well as obstacles that clinicians have encountered in management of diabetes-related foot disease. The survey was conducted over 6 weeks. Results: Seven hospitals across four countries provided responses. Number of admissions and amputations related to diabetes-related foot disease were only reported as an estimate by clinicians. Diabetes-related foot disease was managed primarily by general medicine physician, general surgeon and/or orthopaedic surgeon in the hospitals surveyed, as there were no subspecialty services in the region. Only one hospital had access to outpatient podiatry. Common themes identified around barriers faced in management of diabetes-related foot disease by clinicians were broadly centred around resource availability, awareness and education, and professional development. Conclusion: Despite the high prevalence of diabetes-related foot disease within PICTs, there appears to be a lack of functional multi-disciplinary foot services (MDFs). To improve the outcomes for diabetes-related foot disease patients in the region, there is a need to establish functional MDFs and engage international stakeholders to provide ongoing supports in the form of education, mentoring, as well as physical resources. [ABSTRACT FROM AUTHOR]

Between October 2021 and January 2022 an ambitious combined art and science exhibition presented a unique object-rich cosmological story at the University Library of Leuven, Belgium, as part of the Kunst Leuven KNAL! City Festival 2021 (English: BANG! Big Bang City Festival). To the Edge of Time was a transdisciplinary introduction for general audiences to one of the most famous and complex developments in science, the Big Bang theory. The exhibition presented artworks and science objects as equal partners that through curatorial placement and interpretation could fluidly convey key theoretical moments, materials, philosophical perspectives and ideas. The scientific story focused on how the groundbreaking work of the Belgian priest-astronomer Georges Lemaître bridged the insights of two of the twentieth century's other leading European scientists, German physicist Albert Einstein and the British cosmologist Stephen Hawking. Objects from their lives and archives revealed their specific ideas and processes of thinking and discovery. Artworks from leading international artists brought new material, critical and conceptual dimensions and multisensory encounters. The exhibition was the result of a curatorial collaboration between the author, British contemporary art and transdisciplinary curator Hannah Redler-Hawes, and Belgian cosmologist and former collaborator of Stephen Hawking, Professor Thomas Hertog, of KU Leuven. As guest curators, they worked with Annelies Vogels, Exhibition Coordinator of the university and Wouter Daenen of KU Leuven Libraries, and others to form a closely collaborating curatorial team. To the Edge of Time was not only the first exhibition worldwide to explore Lemaître's work through a transdisciplinary narrative, but also to place Stephen Hawking's work in a broader historical context. In the trans- and interdisciplinary exhibition field, where new commissions and collaborations between living artists and scientists have been increasing, it was somewhat unusual for a cosmology exhibition in its reliance on material culture, concentration on historical art and science objects and its combining of these with presentations of recent contemporary art and advanced theoretical physics concepts. These combinations helped to convey parallel movements of thought where neither the art nor the science were presented as derivative to each other, a key curatorial ambition. This practice-based paper, offering Redler-Hawes's personal reflections, discusses how the narrative evolved to define a shared language between the contributors. It considers, through a narrated walk-through of key objectartwork 'constellations', how the presentation generated new insights into different methods of enquiry, knowledge acquisition and making sense of our place in the cosmos, by bringing major themes in twentieth century science into dialogue with international artists working independently and in collaboration with science during the twentieth and early twenty-first centuries. [ABSTRACT FROM AUTHOR]

The importance of child and adolescent mental health services (CAMHS) collaborating with other agencies is of paramount concern for children with complex difficulties, including children in care. However, there is a lack of research exploring the role of child and adolescent psychoanalytic psychotherapists in multi-disciplinary and multi-agency work surrounding these children. Aims: to develop a theory of how child and adolescent psychoanalytic psychotherapists function within a social care setting, including how they position themselves in a multi-disciplinary and multi-agency environment. Methods: an ethnographic case study design, consisting of participant observation supplemented by interviews. Findings: grounded theory analysis identified that the child psychotherapists balanced three elements of their professional identity: discipline-specific identity; CAMHS team member identity; child's care network member professional identity. To be effective in their role, the child psychotherapists needed to integrate the elements of their professional identity. The findings have implications for understanding the contribution of child psychotherapists in this field, particularly how to integrate into multi-disciplinary and multi-agency settings, whilst retaining their distinctive professional identity. [ABSTRACT FROM AUTHOR]

Munster Technological University (MTU) responded to the COVID-19 pandemic's educational challenges with the creation of the Reach Initiative. This initiative, a comprehensive academic mentoring and coaching programme, was developed at MTU in response to the unique challenges of the COVID-19 pandemic. Primarily targeting first and second year students, this initiative was designed to support their academic and non-academic needs during the transition to online Emergency Remote Teaching (ERT). The programme involved the recruitment and training of Academic Mentors (members of academic staff) from various disciplines who provided tailored individual support to the students. A key component of this study is a survey conducted to evaluate the initiative's impact. The survey aimed to understand students' challenges during the pandemic and assess the effectiveness of the Reach Initiative as a support mechanism. The findings revealed significant engagement with the programme, indicating its importance in providing both academic guidance and emotional support. Students reported benefiting from the initiative in various ways, including improved understanding of academic content, better access to university resources, and enhanced emotional well-being. The conclusion highlights the critical role of academic mentoring in supporting students during unprecedented times. It underscores the need for such initiatives in higher education, particularly during crises that disrupt traditional learning environments. The Reach Initiative not only facilitated academic success but also contributed positively to the students' overall university experience during the pandemic. [ABSTRACT FROM AUTHOR]

Diabetes‐related foot disease is a serious and common complication for people with diabetes mellitus. The gold standard care for a person with diabetes‐related foot disease is the involvement of a multidisciplinary foot team engaged in evidence‐based care. To date, there are seven International Working Group on the Diabetic Foot (IWGDF) guidelines published to assist healthcare providers in managing diabetes‐related foot disease around the world. This review discusses the acute management of diabetes‐related foot infection with insights from experts of various specialities (internal medicine, infectious disease, vascular surgery, radiology) with a discussion on the implementation of IWGDF guidelines in real life practice and the challenges that healthcare providers may face. [ABSTRACT FROM AUTHOR]

This article discusses a case study of a 35-year-old woman with a rare sinonasal sarcoma that required surgical resection. The authors wanted to avoid an open approach and instead used a combined endoscopic transnasal and transorbital technique to remove the tumor through small incisions. The procedure involved creating interconnected orbit-sinonasal corridors to provide alternate pathways for visualization and manipulation of the tumor. The multi-portal approach proved to be successful in providing a less invasive option for surgical resection. The article emphasizes the benefits of combining endoscopic and transorbital techniques and highlights the importance of considering individual patient characteristics when making surgical decisions. [Extracted from the article]

Abstract Background Apart from a consistent focus on treating inflammation, patients with inflammatory arthritis (IA) report a range of unmet needs. Many experience not only residual symptoms but also various other physical, psychological, and social effects. Therefore, this study aimed to develop a complex Interdisciplinary Nurse-coordinated self-management (INSELMA) intervention for patients with IA, as an add-on treatment to usual outpatient care for those with substantial disease impact. Methods This study followed the British Medical Research Council’s updated framework for developing complex interventions. The process encompassed the following steps: (1) The evidence base was identified; (2) workshops were held, involving 38 relevant stakeholders (managers, physicians, nurses, physiotherapists, occupational therapists, social workers, psychologists from hospitals and municipalities, and two patient research partners), to discuss and further develop the preliminary ideas; (3) relevant theories were identified (i.e., self-efficacy, acceptance and commitment therapy, and health literacy); (4) the intervention was modeled and remodeled and (5) the results, describing the final INSELMA intervention and outcomes. Results The INSELMA intervention encompasses an initial biopsychosocial assessment, which is performed by a rheumatology nurse. Then, activities that the participant wishes to improve are identified and goals are set. The nurse refers the participant to a multidisciplinary team and coordinates their support and relevant services in the participant’s municipality. In addition, the health professionals have the opportunity to hold two interdisciplinary conferences during the intervention period. The participant and the health professionals work to achieve the set goals during a 6-month period, which ends with a status assessment and a discussion of further needs. The INSELMA intervention aims to increase self-management, reduce the impact of IA (e.g., pain, fatigue, sleep problems, and absenteeism), and increase self-efficacy, quality of life, mental well-being, work ability, and physical activity. Conclusions The development of the INSELMA intervention involved stakeholders from two Danish rheumatology outpatient clinics, patient research partners and municipalities. We believe that we have identified important mechanisms to increase the self-management and quality of life of people with IA and to decrease the disease impact in those who are substantially affected. The health professionals involved have developed competences in delivering the intervention and it is ready to be tested in a feasibility study.

Simple Summary: An equestrian multi-disciplinary team (MDT) is a group of equestrian professionals providing advice for horse owners on matters relating to the care of their horse. The aim of this study was to explore the experiences of the Society of Master Saddlers qualified saddle fitters (SMSQSFs) working with other equestrian professionals within an MDT. Semi-structured, one-to-one online interviews with fourteen SMSQSFs (participants) were completed, providing information about the frequency and type of interactions with other professionals; horse owner expectations of an MDT approach; and any benefits, challenges, and barriers to an MDT approach within an equestrian setting. Interviews were video and audio recorded, transcribed, and imported into a qualitative data analysis software tool for thematic analysis. Six themes were identified: (1) effective communication; (2) multidisciplinary expectations; (3) horse welfare; (4) professionalism; (5) relationships; (6) working together. Most participants felt they could have a positive effect on horse welfare and horse–rider performance but were under-valued as a profession. The role of the horse owner within the MDT was unclear. Similarities exist between equestrian MDT and human healthcare teams. Equestrian professionals working effectively within an MDT can support horse owners in achieving optimal saddle fit. Horse owners seek the advice and support of a number of equestrian professionals in carrying out their duty of care for their animal. In some instances, these professionals form a multi-disciplinary team (MDT). The aim of this study was to explore the experiences of the Society of Master Saddlers' qualified saddle fitters (SMSQSFs) working with other professionals and to understand the nature of inter-disciplinary working from an SMSQSF perspective. Semi-structured, one-to-one online interviews with fourteen SMSQSFs were completed. Areas explored included the nature of the participant's client base; the frequency and nature of their interactions with other professionals; their perceptions of horse owner expectations of an MDT approach; and any benefits, challenges, and barriers to an MDT approach within an equestrian setting. Interviews were video and audio recorded (MS Teams), transcribed verbatim (Otter ai), and imported into qualitative data analysis software (NVivo, version 12). Data were analysed using thematic analysis. Six themes were identified: (1) effective communication; (2) multidisciplinary expectations; (3) horse welfare; (4) professionalism; (5) relationships; (6) working together. Communication was recognised as a crucial component of an effective MDT. Most participants valued and desired an MDT approach. They felt they had a key role to play within the equestrian MDT, not only in the prevention of deterioration in horse welfare but also in improving the functionality and performance of the horse–rider partnership. Effective MDT working was also seen as having benefits to SMSQSFs and other professional stakeholders alike, although time and financial constraints were identified as barriers to MTD working. The role of the horse owner within the MDT was unclear and potentially complex, and this and other factors such as the professional identity of the SMSQSF, personal relationships, and input from others outside of the MDT team were identified as challenges to effective MDT working. This present study found that SMSQSFs experience similar benefits and challenges to an MDT approach as seen in human healthcare settings. The role of the horse owner, communication, and professional recognition are indicated as pivotal to MDT effectiveness in achieving optimal saddle fit. [ABSTRACT FROM AUTHOR]

Antimicrobial stewardship in Thailand has made major progress backed by a national strategic plan. The current study aimed to assess the antimicrobial stewardship program (ASP) composition, reach, and breadth, as well as urine culture stewardship in Thai hospitals. We sent an electronic survey to 100 Thai hospitals between February 1, 2021 and August 31, 2021. This hospital sample represented 20 hospitals in each of Thailand's 5 geographical regions. The response rate was 100%. A total of 86 of 100 hospitals had an ASP. These were often multi-disciplinary in nature, with half including infectious disease-trained physicians and pharmacists, infection preventionists, and nursing staff. Urine culture stewardship protocols existed in 51% of hospitals. The national strategic plan in Thailand has allowed the country to stand up robust ASPs. Further research should examine the effectiveness of such programs and ways to expand them into other medical settings, like nursing homes, urgent care, and outpatient while continuing to grow telehealth and urine culture stewardship. • Thai antimicrobial stewardship programs (ASPs) grew steadily over the past decade. • Eighty-six of 100 surveyed Thai hospitals had ASPs in 2021, supported by a national program. • ASPs were typically composed of members from multiple hospital disciplines. • More than half of hospitals required an indication for ordering an urine culture. [ABSTRACT FROM AUTHOR]

Background: Apart from a consistent focus on treating inflammation, patients with inflammatory arthritis (IA) report a range of unmet needs. Many experience not only residual symptoms but also various other physical, psychological, and social effects. Therefore, this study aimed to develop a complex Interdisciplinary Nurse-coordinated self-management (INSELMA) intervention for patients with IA, as an add-on treatment to usual outpatient care for those with substantial disease impact. Methods: This study followed the British Medical Research Council's updated framework for developing complex interventions. The process encompassed the following steps: (1) The evidence base was identified; (2) workshops were held, involving 38 relevant stakeholders (managers, physicians, nurses, physiotherapists, occupational therapists, social workers, psychologists from hospitals and municipalities, and two patient research partners), to discuss and further develop the preliminary ideas; (3) relevant theories were identified (i.e., self-efficacy, acceptance and commitment therapy, and health literacy); (4) the intervention was modeled and remodeled and (5) the results, describing the final INSELMA intervention and outcomes. Results: The INSELMA intervention encompasses an initial biopsychosocial assessment, which is performed by a rheumatology nurse. Then, activities that the participant wishes to improve are identified and goals are set. The nurse refers the participant to a multidisciplinary team and coordinates their support and relevant services in the participant's municipality. In addition, the health professionals have the opportunity to hold two interdisciplinary conferences during the intervention period. The participant and the health professionals work to achieve the set goals during a 6-month period, which ends with a status assessment and a discussion of further needs. The INSELMA intervention aims to increase self-management, reduce the impact of IA (e.g., pain, fatigue, sleep problems, and absenteeism), and increase self-efficacy, quality of life, mental well-being, work ability, and physical activity. Conclusions: The development of the INSELMA intervention involved stakeholders from two Danish rheumatology outpatient clinics, patient research partners and municipalities. We believe that we have identified important mechanisms to increase the self-management and quality of life of people with IA and to decrease the disease impact in those who are substantially affected. The health professionals involved have developed competences in delivering the intervention and it is ready to be tested in a feasibility study. [ABSTRACT FROM AUTHOR]

This perspective paper provides industry leaders, researchers and policy developers strategic approaches to ensure that the welfare of dairy cattle is protected at the same time as the industry increases its resilience to climate change. Farm systems and practices will evolve in response to the direct impacts of climate change and/or from responses to climate change, such as mitigation strategies to reduce dairy's greenhouse-gas (GHG) emissions. The five domains framework (nutrition, physical environment, health, behaviour, mental state) was used to assess the potential impacts on animal welfare and strategies to minimise these impacts are outlined. Given that the future climate cannot be certain these approaches can be applied under a range of emissions pathways to (1) ensure that the effects of GHG mitigations on animal welfare are considered during their development, (2) engage with end users and the public to ensure solutions to the effects of climate change and weather variability are accepted by consumers and communities, (3) identify and measure the areas where improved animal health can contribute to reducing GHG emissions from dairy production, (4) ensure those supporting farmers to develop and manage their farm systems understand what constitutes a good quality of life for dairy cattle, (5) ensure effective surveillance of animal disease and monitoring of welfare outcomes and farm-system performance in response to climate change and GHG mitigations. Overall, these strategies require a multidisciplinary co-development approach to ensure that the welfare of dairy cattle is protected at the same time as the industry increases its resilience to the wider impacts of a changing climate. [ABSTRACT FROM AUTHOR]

Health and social care integration has been promoted by successive governments as the answer to meeting increased need within limited budgets. However, there has been little research in the UK regarding Social Workers working in integrated health teams. This study explores how social work is perceived by a range of professionals working within three different models of integration in the same acute hospital in the South-East of England. The research team (all practicing social workers) used a mixed method approach - combining questionnaires and focus groups – to explore similarities and differences in the perception of the social work role held by professionals working within contexts which had different types or models of integration. Thematic analysis of the qualitative data identified five key themes. These included social workers: providing 'checks and balances' to health professionals, 'linking and bridging' between the hospital, the community and patients, holding 'mysterious knowledge', having 'strong interpersonal skills' and providing a 'function in team dynamics".We conclude by outlining recommendations for practice and further research, the limitations of our study and our approach to reflexivity as research practitioners. [ABSTRACT FROM AUTHOR]

Families on the 'edge of care' face complex intersecting issues that can work against positive changes and lead to the re-involvement of social care. A multi-disciplinary service working alongside social work and community services teams to respond to the multiple needs of vulnerable families was evaluated. A mixed methods evaluation drew upon service data and cost saving modelling, interviews and a survey of social care practitioners. The evaluation data relates to the period February 2021 -July 2022 and covers 81 families, of whom 41 families had their cases closed. There was a high level of engagement with families with complex issues who struggle to engage with community-based services, with improvements in parental and child risk factors. The programme was successful for many of the families that engaged and half of the children had their safeguarding level stepped down. Significant net cost savings were estimated for avoided care placements plus additional savings such as reduced social care staff hours. The service was clearly seen as an effective and valuable service by social care practitioners and was characterised as having good working relationships, good communication and distinct but complementary roles. The service offered a positive support service model to families based on trust, consistency and immediacy. [ABSTRACT FROM AUTHOR]

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Since access to justice scholarship has gradually become a more multifaceted, international and empirical endeavour, this special issue illustrates a broader scope of contemporary access to justice research from a multi-disciplinary and socio-legal perspective. The issue gathers contributions from European and US scholars, representing different disciplinary backgrounds, such as law, sociology of law, political science, philosophy, social work, and criminology, yet with a common interest in access to justice. This includes the study of various contexts (apart from the courts) and actors (apart from lawyers) who make unilateral legally based decisions that have direct consequences for individuals, or in other ways facilitates or hinders access to justice in a (broader) democratic sense. Through its contributions, this special issue identifies and discusses a variety of barriers and facilitators in areas where access to justice is deemed problematic and therefor highly important for policy and practice development. Dado que los estudios sobre el acceso a la justicia se han convertido gradualmente en una tarea más polifacética, internacional y empírica, este número especial ilustra un ámbito más amplio de la investigación contemporánea sobre el acceso a la justicia desde una perspectiva multidisciplinar y socio-jurídica. El número reúne contribuciones de especialistas europeos y estadounidenses, que representan distintos ámbitos disciplinarios, como el derecho, la sociología del derecho, las ciencias políticas, la filosofía, el trabajo social y la criminología, pero con un interés común por el acceso a la justicia. Esto incluye el estudio de diversos contextos (aparte de los tribunales) y actores (aparte de los abogados) que toman decisiones unilaterales basadas en la ley que tienen consecuencias directas para los individuos, o que de otro modo facilitan o dificultan el acceso a la justicia en un sentido democrático (más amplio). A través de sus contribuciones, este número especial identifica y analiza diversos obstáculos y facilitadores en ámbitos en los que el acceso a la justicia se considera problemático y, por tanto, de gran importancia para el desarrollo de políticas y prácticas. Available from: https://doi.org/10.35295/osls.iisl/0000-0000-0000-1351

Limited funding is available for athletes with disabilities in the United Kingdom. This compounds the barriers to participation and development that already exist. To combat this growing problem, a Multi-Disciplinary Pediatric Adaptive Sports Clinic was formed. Fifteen athletes with disabilities attended the Clinic from November 2017 to November 2019. In our cohort, there were 10 males and 5 females (age range: 13–18 years). Most athletes participated at a grassroots level (n = 9). The range of diagnoses included cerebral palsy, Ehlers Danlos syndrome and congenital hand differences. Forty-four appointments were made after the initial meeting with a 95% attendance rate. Improvements beyond the minimal clinically important differences (MCID) for the Patient Specific Functional Scale, Numerical Pain Rating Scale, and Medical Research Council Manual Muscle Testing Scale were noted in over half of cases. With a focus on injury prevention and strength and conditioning techniques, this clinic supported athletes to successfully compete from a recreational to an elite level across all types of sports and adolescent ages by providing patient-specific regimens. Our case series provides preliminary evidence to suggest the formation of similar clinics that can support athletes with disabilities across a range of sports. [ABSTRACT FROM AUTHOR]

As the understanding of aortic diseases and their complications grow, increasing importance of uniformity in diagnosis and management is crucial for optimal care of this patient population. The 2022 American College of Cardiology and American Heart Association Guidelines for Diagnosis and Management of Aortic Disease discusses these considerations in detail. The purpose of this review is to highlight essential recommendations that are of relevance to the perioperative physician who manages these patients. A few notable points include, shared decision-making with patients, creation of multidisciplinary aortic teams, lower diameter thresholds for surgery in certain situations, and increased testing for patients with heritable aortic diseases. In addition to briefly reviewing basics of aortic diseases, the authors discuss changes to guidelines that are especially relevant to perioperative care. [ABSTRACT FROM AUTHOR]

With a lot of transformation in higher education, teaching, and learning is becoming very complex. To cope with the transformation that is so complex, academics must be innovative in their teaching. Their teaching should also influence the behaviour of their students. Students after completion of their studies must also be able to solve the challenges of society. There are several approaches to teaching and learning such as multidisciplinary, interdisciplinary, and ideally transdisciplinary, scholarship of teaching and learning, evidence-based teaching and learning, transdisciplinary teaching and learning and competence-based teaching and learning, and deep learning approaches among others. This paper focuses on the transdisciplinary research and teaching and learning approach. The aim of the paper is to investigate the importance of transdisciplinary research, teaching, and learning in a world that is faced with multifaceted challenges. This is a qualitative design paper where systemic desktop research was used. The systematic reviews follow structured and predefined methods to identify, appraise, and synthesise the relevant literature. Desktop research is a research method that involves the use of existing data. These are secondary collected and summarised data to increase the overall effectiveness of the investigation. Secondary research is much more cost-effective than primary research, as it uses existing data, unlike primary empirical research. The secondary literature was collected based on the history, challenges, and benefits of transdisciplinary research, teaching, and learning. The research study concludes that transdisciplinary research and teaching and learning approach is the way to go in solving constant challenges that face the world. The study recommends that university faculties, schools, and departments should engage in transdisciplinary teaching, and learning and research. [ABSTRACT FROM AUTHOR]

In this review article we will cover the management of both primary and secondary postpartum haemorrhage. Detailed national guidance on the management of primary PPH has been in place since 1998. Despite this, multiple MBRRACE-UK reports have consistently found significant scope for improvement in the care delivered to women. The recurrent nature of the themes highlighted in the reports is equally sobering, which suggests a failure to learn from these tragic cases. The first part of this paper will provide practical steps that can be taken to embed the learning from successive MBRRACE-UK reports into our day-to-day clinical practice. The second part of this paper will provide an overview of the literature on secondary postpartum haemorrhage. Secondary PPH is associated with significant maternal morbidity. Despite this, there is a lack of randomised controlled trials to inform the management of these women, and the long-term sequalae associated with both the condition and its management is unknown. [ABSTRACT FROM AUTHOR]

The electric power grid is a critical societal resource connecting multiple infrastructural domains such as agriculture, transportation, and manufacturing. The electrical grid as an infrastructure is shaped by human activity and public policy in terms of demand and supply requirements. Further, the grid is subject to changes and stresses due to diverse factors including solar weather, climate, hydrology, and ecology. The emerging interconnected and complex network dependencies make such interactions increasingly dynamic, posing novel risks, and presenting new challenges to manage the coupled human-natural system. This paper provides a survey of models and methods that seek to explore the significant interconnected impact of the electric power grid and interdependent domains. We also provide relevant critical risk indicators (CRIs) across diverse domains that may be used to assess risks to electric grid reliability, including climate, ecology, hydrology, finance, space weather, and agriculture. We discuss the convergence of indicators from individual domains to explore possible systemic risk, i.e., holistic risk arising from cross-domain interconnections. Further, we propose a compositional approach to risk assessment that incorporates diverse domain expertise and information, data science, and computer science to identify domain-specific CRIs and their union in systemic risk indicators. Our study provides an important first step towards data-driven analysis and predictive modeling of risks in interconnected human-natural systems.

Choice Based Credit System (CBCS) is a modern curriculum system of higher education in India which was first introduced by the Academic and Administrative Reforms committee of University Grant Commission (uGc) in 2008 headed by Prof. A. Gnanam. It is a system that promises to bring in holistic development of an individual by providing flexible and multi-disciplinary learning experience. The CBCS provides a cafeteria type approach in which the students can take courses of their choice, learn at their own pace, undergo additional courses and acquire more than the required credits, and adopt an interdisciplinary approach to learning. The courses shall be evaluated on the grading system, which is considered to be better than the conventional marks system. To make the present curriculum uniform, international standard and more developed UGC implement the Choice Based Credit System at higher education level. There are different Universities in the country that have adopted this system through modifying up to 30% of core papers' syllabus under the proposed UGC curriculum. The major objectives of the study were to explore the nature of the present CBCS curriculum of Zoology and measure the perception level of the students on the present CBCS curriculum of Zoology of Vidyasagar University. The major Findings of the study were suggested that the Vidyasagar University followed the UGC recommended curriculum pattern for framing the CBCS curriculum of Zoology and it has also been found that there was no significant difference in the male and female students'' perception about CBCS curriculum of zoology at undergraduate level in Vidyasagar University. [ABSTRACT FROM AUTHOR]

Sustainability issues at the interface of science, policy and practice are complex and in an urgent need of sound interventions. Producing science without assessing the nature of the conservation challenge can result in science getting undervalued and even ignored. While several models have been developed, they do not provide a blueprint for action. Without adequate guidance, the approaches adopted by stakeholders may be out of touch with the nature of the problem and may result in suboptimal outcomes. What are the types of sustainability challenges in the place-based, knowledge-action interface and how to tackle them? To address this gap, we build on scholarly work, to classify sustainability challenges into four idealized categories: namely, knowledge gap, multifaceted, hegemonic alliance and wicked problem. Then by assimilating insights from sustainability science studies we show that it is possible to suggest a suitable approach to these problems. Using this framework, we analyze case studies from India and show how it can enhance the ability of actors to tackle real-life sustainability issues. The unique contribution of this paper lies in constructing a schematic process for diagnosis and intervention when confronted with complex sustainability challenges. Future studies can further test, expand and refine this framework to make it more comprehensive and practice-based. • Often stakeholders operating on the science, policy and practice interface (SPPI) have to tackle complex issues. • While SPPI models have been deliberated, what is lacking is a consolidation of the SPPI problems and approaches. • By building on existing scholarship we developed a conceptual framework to aid in diagnosis and intervention. • Using this frame, we analyse ten sustainability case studies from India and show the potential of this framework. • We opine that this conceptual framing can guide SPPI stakeholders to make their interventions more impactful. [ABSTRACT FROM AUTHOR]

Key Clinical Message: The conservative prosthodontic construction of an ocular prosthesis utilizing our novel threaded iris fabrication technique required high time and prosthodontic resource inputs and produced a lifelike aesthetic result. Patients with ocular defects frequently present with significant local anatomical deficiencies and complex histories and require extensive time and resource inputs to treat. This case report describes the conservative management of an ocular defect completed in a postgraduate prosthodontics clinical residency program utilizing a novel threaded iris fabrication technique. [ABSTRACT FROM AUTHOR]

In the second semester of 2020, despite the need to pivot to online learning in response to the COVID-19 pandemic, our academic teaching team commenced the delivery of a brand-new, bespoke parasitology subject to third year Bachelor of Biomedicine and Bachelor of Science students at The University of Melbourne. This purposefully designed subject, ‘Medical Microbiology: Parasitology’, was developed in collaboration with internationally renowned parasitologists and global health researchers to take a broad, multi-disciplinary approach to student learning and introduced students to the exciting, complex and diverse world of medically important parasites, including key examples of protists, helminths and arthropods. We also attempted to enhance the student experience during the online delivery of lectures, practical classes and active learning sessions by implementing synchronous and asynchronous approaches to increase engagement. This included weekly newsletters, in-class interactions by Zoom chat and polling platforms, moderated discussion boards, online drop-in sessions, authentic learning workshops and formative feedback quizzes. Although some engagement methods were not as successful as we had hoped, others proved to be instrumental in increasing supportive learning, as indicated by student attendance at online sessions, and the general sentiments observed from various student feedback mechanisms. Consequently, these strategies will continue to be incorporated as we shape the subsequent iterations of this, and other subjects, in a post-COVID world.