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Purpose To assess the performance of a local open-source large language model (LLM) in various information extraction tasks from real-life emergency brain MRI reports. Materials and Methods All consecutive emergency brain MRI reports written in 2022 from a French quaternary center were retrospectively reviewed. Two radiologists identified MRI scans that were performed in the emergency department for headaches. Four radiologists scored the reports conclusions as either normal or abnormal. Abnormalities were labeled as either headache-causing or incidental. Vicuna (LMSYS Org), an open-source LLM, performed the same tasks. Vicunas performance metrics were evaluated using the radiologists consensus as the reference standard. Results Among the 2398 reports during the study period, radiologists identified 595 that included headaches in the indication (median age of patients, 35 years [IQR, 26-51 years]; 68% [403 of 595] women). A positive finding was reported in 227 of 595 (38%) cases, 136 of which could explain the headache. The LLM had a sensitivity of 98.0% (95% CI: 96.5, 99.0) and specificity of 99.3% (95% CI: 98.8, 99.7) for detecting the presence of headache in the clinical context, a sensitivity of 99.4% (95% CI: 98.3, 99.9) and specificity of 98.6% (95% CI: 92.2, 100.0) for the use of contrast medium injection, a sensitivity of 96.0% (95% CI: 92.5, 98.2) and specificity of 98.9% (95% CI: 97.2, 99.7) for study categorization as either normal or abnormal, and a sensitivity of 88.2% (95% CI: 81.6, 93.1) and specificity of 73% (95% CI: 62, 81) for causal inference between MRI findings and headache. Conclusion An open-source LLM was able to extract information from free-text radiology reports with excellent accuracy without requiring further training. Keywords: Large Language Model (LLM), Generative Pretrained Transformers (GPT), Open Source, Information Extraction, Report, Brain, MRI Supplemental material is available for this article. Published under a CC BY 4.0 license. See also the commentary by Akinci DAntonoli and Bluethgen in this issue.

Objective: To assess the feasibility of using large language models (LLMs), specifically ChatGPT-4, to generate concise and accurate layperson summaries of musculoskeletal radiology reports. Methods: Sixty radiology reports, comprising 20 MR shoulder, 20 MR knee, and 20 MR lumbar spine reports, were obtained via PACS. The reports were deidentified and then submitted to ChatGPT-4, with the prompt "Produce an organized and concise layperson summary of the findings of the following radiology report. Target a reading level of 8-9th grade and word count <300 words." Three (two primary and one later added for validation) independent readers evaluated the summaries for completeness and accuracy compared to the original reports. Summaries were rated on a scale of 1 to 3: 1) summaries that were incorrect or incomplete, potentially providing harmful or confusing information; 2) summaries that were mostly correct and complete, unlikely to cause confusion or harm; and 3) summaries that were entirely correct and complete. Results: All 60 responses met the criteria for word count and readability. Mean ratings for accuracy were 2.58 for reader 1, 2.71 for reader 2, and 2.77 for reader 3. Mean ratings for completeness were 2.87 for reader 1 and 2.73 for reader 2 and 2.87 for reader 3. For accuracy, reader 1 identified three summaries as a 1, reader 2 identified one, and reader 3 identified none. For the two primary readers, inter-reader agreement was low for accuracy (kappa 0.33) and completeness (kappa 0.29). There were no statistically significant changes in inter-reader agreement when the third reader's ratings were included in analysis. Conclusion: Overall ratings for accuracy and completeness of the AI-generated layperson report summaries were high with only a small minority likely to be confusing or inaccurate. This study illustrates the potential for leveraging generative AI, such as ChatGPT-4, to automate the production of patient-friendly summaries for musculoskeletal MR imaging. [ABSTRACT FROM AUTHOR]

In view of the global demographic shift, a scientific symposium was organised by the European Society for Clinical Nutrition and Metabolism (ESPEN) to address nutrition-related challenges of the older population and provide an overview of the current state of knowledge. Eighteen nutrition-related issues of the ageing global society were presented by international experts during the symposium and summarised in this report. Anorexia of ageing, dysphagia, malnutrition, frailty, sarcopenia, sarcopenic obesity, and the metabolic syndrome were highlighted as major nutrition-related geriatric syndromes. Great progress has been made in recent years through standardised definitions of some but not all syndromes. Regarding malnutrition, the GLIM approach has shown to be suitable also in older adults, justifying its continuous implementation. For anorexia of ageing, a consensus definition is still required. Intervention approaches should be integrated and person-centered with the aim of optimizing intrinsic capacity and maintaining functional capacity. Landmark studies like EFFORT and FINGER have impressively documented the potential of individualised and multifactorial interventions for functional and health benefits. Combining nutritional intervention with physical training seems particularly important whereas restrictive diets and drug treatment should generally be used with caution because of undesirable risks. Obesity management in older adults should take into account the risk of promoting sarcopenia. In the future, even more individualised approaches like precision nutrition may enable better nutritional care. Meanwhile all stakeholders should focus on a better implementation of currently available strategies and work closely together to improve nutritional care for older adults. [ABSTRACT FROM AUTHOR]

As businesses increasingly rely on written communication for various purposes, the ability to articulate ideas, convey information, and engage stakeholders through written mediums has become a vital competency. This study delves into the challenges faced by students when they write business letter, report and email in English at Techno Link College, Burayu Campus. The research aims to comprehensively analyze the issues surrounding business writing, exploring how students perceive and approach the learning of this crucial skill. To conduct this investigation, a mixed-methods approach was employed and both quantitative and qualitative methodologies were utilized. A sample of 165 students was randomly selected, and their insights were gathered through a survey questionnaire. The findings of the research revealed that the majority of the students struggle to master the art of effective business writing. The results show that the majority of students exhibited poor performance across these essential business communication tasks such as composing emails, letters and reports. [ABSTRACT FROM AUTHOR]

Communication failures among clinicians in the ICU (intensive care unit) often lead to worse patient outcomes. CritCom is a bilingual (English and Spanish) tool to evaluate the quality of interdisciplinary communication around patient deterioration for pediatric oncology patients. The use of reports, such as the CritCom report, as dissemination methods lead to quicker knowledge translation and implementation of research findings into policy. Nurses and physicians at participating centers who care for patients at risk of deterioration completed the CritCom survey and center-specific reports were generated to communicate CritCom results. Focus groups were conducted with clinicians receiving CritCom reports in both English and Spanish to evaluate report clarity and usability. Participants found the reports to be useful and described the writing and design as clear and specific. Participants provided feedback to improve report design and requested actionable steps to improve communication at their center. Feedback illustrated that the report was easy to interpret and a useful way to disseminate information. Participants noted the utility of the report, illustrating that the use of reports can be a useful method to disseminate research findings back to participants in a way that is applicable to the local context. Communicating research findings through reports can minimize the significant time lag in knowledge translation and provide participants with actionable steps to implement in their setting. [ABSTRACT FROM AUTHOR]

(1) Background: Although MRI is a well-established tool in Multiple Sclerosis (MS) diagnosis and management, neuroradiological reports often lack standardization and/or quantitative information, with possible consequences in clinical care. The aim of this study was to evaluate the impact of information provided by neuroradiological reports and different reporting systems on the clinical management of MS patients. (2) Methods: An online questionnaire was proposed to neurologists working in Italian tertiary care level MS centers. Questions assessed the impact of different MRI-derived biomarkers on clinical choices, the preferred way of receiving radiological information, and the neurologists' opinions about different reporting systems and the use of automated software in clinical practice. (3) Results: The online survey was completed by 62 neurologists. New/enlarging (100%) lesions, the global T2w/FLAIR lesion load (96.8%), and contrast-enhancing (95.2%) lesions were considered the most important biomarkers for therapeutic decision, while new/enlarging lesions (98.4%), global T2w/FLAIR lesion load (96.8%), and cerebral atrophy (90.3%) were relevant to prognostic evaluations. Almost all participants (98.4%) considered software for medical imaging quantification helpful in clinical management, mostly in relation to prognostic evaluations. (4) Conclusions: These data highlight the impact of providing accurate and reliable data in neuroradiological reports. The use of software for medical imaging quantification in MS can be helpful to standardize radiological reports and to provide useful clinical information to neurologists. [ABSTRACT FROM AUTHOR]

Copyright of Tropelías: Revista de Teoría de la Literatura y Literatura Comparada is the property of Prensas Universitarias de Zaragoza and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The annual report of the Hungarian Myocardial Infarction Registry (HUMIR) is traditionally published in Cardiologia Hungarica. In 2023, we registered 13,451 myocardial infarction (MI) events (STEMI 47.6%, NSTEMI 52.4%), which is 88.5% of all financed treatments. Primary percutaneous intervention (PCI) was used during revascularization in 85.6% of STEMI and 63,4% of NSTEMI patients. Coin opening the vessel was still too late. In STEMI patients: the median total ischemic time (the time elapsed between the onset of the complaint and the opening of the vessel) was 265 minutes. In 45.8% of the patients, revascularization took place within 4 hours, and in every tenth patient (10.6%), it took 24 hours or more until the vessel was opened. In NSTEMI infarction, 61% of patients underwent PCI within 24 hours. Cardiac catheterization was performed almost exclusively by radial way (94.5% and 95.8%). Almost exclusively drug eluting stents were used (94.2%, 92.8%) During hospitalization, almost all patients received drug treatment important from the point of view of secondary prevention, and were given a recommendation to continue it. After the acute phase 10.9% of STEMI patients and 5.8% of NSTEMI patients were admitted to a rehabilitation institution. The 30-day mortality of STEMI patients was 14.7%, and 11.6% if primary PCI was performed. 10.1% and 6.7% respectively in NSTEMI patients. We analyzed the frequency of use of coronary angiography, PCI, and 30-day mortality by center. The comparison confirmed significant differences for all factors examined, therefore further investigation is warranted.

Abstract Objective Given the frequency of disasters worldwide, there is growing demand for efficient and effective emergency responses. One challenge is to design suitable retrospective charts to enable knowledge to be gained from disasters. This study provides comprehensive understanding of published retrospective chart review templates for designing and updating retrospective research. Methods We conducted a systematic review and text analysis of peer-reviewed articles and grey literature on retrospective chart review templates for reporting, analysing, and evaluating emergency responses. The search was performed on PubMed, Cochrane, and Web of Science and pre-identified government and non-government organizational and professional association websites to find papers published before July 1, 2022. Items and categories were grouped and organised using visual text analysis. The study is registered in PROSPERO (374,928). Results Four index groups, 12 guidelines, and 14 report formats (or data collection templates) from 21 peer-reviewed articles and 9 grey literature papers were eligible. Retrospective tools were generally designed based on group consensus. One guideline and one report format were designed for the entire health system, 23 studies focused on emergency systems, while the others focused on hospitals. Five papers focused specific incident types, including chemical, biological, radiological, nuclear, mass burning, and mass paediatric casualties. Ten papers stated the location where the tools were used. The text analysis included 123 categories and 1210 specific items; large heterogeneity was observed. Conclusion Existing retrospective chart review templates for emergency response are heterogeneous, varying in type, hierarchy, and theoretical basis. The design of comprehensive, standard, and practicable retrospective charts requires an emergency response paradigm, baseline for outcomes, robust information acquisition, and among-region cooperation.

Abstract Background The real-world tuberculosis (TB) surveillance data was generally incomplete due to underreporting and underdiagnosis. The inventory study aimed to assess and quantify the incompletion of surveillance systems in southwestern China. Methods The inventory study was conducted at randomly selected health facilities (HF) by multi-stage stratified cluster sampling. The participants were included in the period between August of 2020 in province-level and prefecture-level HF, and in the period between June to December of 2020 in other categories of HF respectively. The clinical committee confirmed medical records were matched to the National Notifiable Disease Reporting System (NNDRS) and the Tuberculosis Information Management System (TBIMS) to define the report and register status. The underreporting and under-register rates were evaluated based on the matched data, and factors associated with underreport and under-register were assessed by the 2-level logistic multilevel model (MLM). Results We enrolled 7,749 confirmed TB cases in the analysis. The province representative overall underreport rate to NNDRS was 1.6% (95% confidence interval, 95% CI, 1.3 − 1.9), and the overall under-register rate to TBIMS was 9.6% (95% CI, 8.9–10.3). The various underreport and under-register rates were displayed in different stratifications of background TB disease burden, HF level, HF category, and data source of the medical record in HF among prefectures of the province. The intraclass correlation coefficient (ICC) was 0.57 for the underreporting null MLM, indicating the facility-level cluster effect contributes a great share of variation in total variance. The two-level logistic MLM showed the data source of medical records in HF, diagnostic category of TB, and type of TB were associated with underreporting by adjusting other factors (p

Objectives: To automatically label chest radiographs and chest CTs regarding the detection of pulmonary infection in the report text, to calculate the number needed to image (NNI) and to investigate if these labels correlate with regional epidemiological infection data. Materials and methods: All chest imaging reports performed in the emergency room between 01/2012 and 06/2022 were included (64,046 radiographs; 27,705 CTs). Using a regular expression-based text search algorithm, reports were labeled positive/negative for pulmonary infection if described. Data for regional weekly influenza-like illness (ILI) consultations (10/2013–3/2022), COVID-19 cases, and hospitalization (2/2020–6/2022) were matched with report labels based on calendar date. Positive rate for pulmonary infection detection, NNI, and the correlation with influenza/COVID-19 data were calculated. Results: Between 1/2012 and 2/2020, a 10.8–16.8% per year positive rate for detecting pulmonary infections on chest radiographs was found (NNI 6.0–9.3). A clear and significant seasonal change in mean monthly detection counts (102.3 winter; 61.5 summer; p <.001) correlated moderately with regional ILI consultations (weekly data r = 0.45; p <.001). For 2020–2021, monthly pulmonary infection counts detected by chest CT increased to 64–234 (23.0–26.7% per year positive rate, NNI 3.7–4.3) compared with 14–94 (22.4–26.7% positive rate, NNI 3.7–4.4) for 2012–2019. Regional COVID-19 epidemic waves correlated moderately with the positive pulmonary infection CT curve for 2020–2022 (weekly new cases: r = 0.53; hospitalizations: r = 0.65; p <.001). Conclusion: Text mining of radiology reports allows to automatically extract diagnoses. It provides a metric to calculate the number needed to image and to track the trend of diagnoses in real time, i.e., seasonality and epidemic course of pulmonary infections. Clinical relevance: Digitally labeling radiology reports represent previously neglected data and may assist in automated disease tracking, in the assessment of physicians' clinical reasoning for ordering radiology examinations and serve as actionable data for hospital workflow optimization. Key Points: • Radiology reports, commonly not machine readable, can be automatically labeled with the contained diagnoses using a regular-expression based text search algorithm. • Chest radiograph reports positive for pulmonary infection moderately correlated with regional influenza-like illness consultations (weekly data; r = 0.45; p <.001) and chest CT reports with the course of the regional COVID-19 pandemic (new cases: r = 0.53; hospitalizations: r = 0.65; p < 0.001). • Rendering radiology reports into data labels provides a metric for automated disease tracking, the assessment of ordering physicians clinical reasoning and can serve as actionable data for workflow optimization. [ABSTRACT FROM AUTHOR]

The financial audit report is a valuable tool for ensuring financial transparency and integrity within a company. By presenting the audit results in detail, the report contributes to creating a relationship of trust between the company and its stakeholders. By evaluating procedures and systems, auditors can identify risks and deficiencies within the company, creating the opportunity for company management to act to improve processes by effectively managing resources and achieving set goals. Starting from the premise that by presenting correct and reliable financial information, the audit report provides management and shareholders with a solid basis for making well-informed and substantiated decisions, we set out to analyze the decision-makers' perceptions of the role and importance of the financial audit for business continuity companies. The research is qualitative, as it is about the realization of a situation survey, based on a questionnaire within several companies, the respondents being their decision-makers. The conclusions of our study can be a starting point for carrying out research in the field, the issue of the reliability of the financial and accounting information presented in the financial reports remains topical, even though digitalization tends to capture the field of accounting and auditing as well, the standardization of information is one of the consequences this process. [ABSTRACT FROM AUTHOR]

Objective: Given the frequency of disasters worldwide, there is growing demand for efficient and effective emergency responses. One challenge is to design suitable retrospective charts to enable knowledge to be gained from disasters. This study provides comprehensive understanding of published retrospective chart review templates for designing and updating retrospective research. Methods: We conducted a systematic review and text analysis of peer-reviewed articles and grey literature on retrospective chart review templates for reporting, analysing, and evaluating emergency responses. The search was performed on PubMed, Cochrane, and Web of Science and pre-identified government and non-government organizational and professional association websites to find papers published before July 1, 2022. Items and categories were grouped and organised using visual text analysis. The study is registered in PROSPERO (374,928). Results: Four index groups, 12 guidelines, and 14 report formats (or data collection templates) from 21 peer-reviewed articles and 9 grey literature papers were eligible. Retrospective tools were generally designed based on group consensus. One guideline and one report format were designed for the entire health system, 23 studies focused on emergency systems, while the others focused on hospitals. Five papers focused specific incident types, including chemical, biological, radiological, nuclear, mass burning, and mass paediatric casualties. Ten papers stated the location where the tools were used. The text analysis included 123 categories and 1210 specific items; large heterogeneity was observed. Conclusion: Existing retrospective chart review templates for emergency response are heterogeneous, varying in type, hierarchy, and theoretical basis. The design of comprehensive, standard, and practicable retrospective charts requires an emergency response paradigm, baseline for outcomes, robust information acquisition, and among-region cooperation. [ABSTRACT FROM AUTHOR]

Background: The real-world tuberculosis (TB) surveillance data was generally incomplete due to underreporting and underdiagnosis. The inventory study aimed to assess and quantify the incompletion of surveillance systems in southwestern China. Methods: The inventory study was conducted at randomly selected health facilities (HF) by multi-stage stratified cluster sampling. The participants were included in the period between August of 2020 in province-level and prefecture-level HF, and in the period between June to December of 2020 in other categories of HF respectively. The clinical committee confirmed medical records were matched to the National Notifiable Disease Reporting System (NNDRS) and the Tuberculosis Information Management System (TBIMS) to define the report and register status. The underreporting and under-register rates were evaluated based on the matched data, and factors associated with underreport and under-register were assessed by the 2-level logistic multilevel model (MLM). Results: We enrolled 7,749 confirmed TB cases in the analysis. The province representative overall underreport rate to NNDRS was 1.6% (95% confidence interval, 95% CI, 1.3 − 1.9), and the overall under-register rate to TBIMS was 9.6% (95% CI, 8.9–10.3). The various underreport and under-register rates were displayed in different stratifications of background TB disease burden, HF level, HF category, and data source of the medical record in HF among prefectures of the province. The intraclass correlation coefficient (ICC) was 0.57 for the underreporting null MLM, indicating the facility-level cluster effect contributes a great share of variation in total variance. The two-level logistic MLM showed the data source of medical records in HF, diagnostic category of TB, and type of TB were associated with underreporting by adjusting other factors (p < 0.05). The ICC for under-register was 0.42, and the HF level, HF category, data source of medical records in HF, diagnostic category of TB and type of TB were associated with under-register by adjusting other factors (p < 0.05). Conclusion: The inventory study depicted incomplete TB reporting and registering to NNDRS and TBIMS in southwestern China. It implied that surveillance quality improvement would help advance the TB prevention and control strategy. [ABSTRACT FROM AUTHOR]

Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common and heritable neurodevelopmental disorders which may last through the life-span. A consensus report on diagnosis and management of ADHD among Turkish youth was prepared previously. However, the participants as well as the management options were rather limited and developments in the past decade necessitated a revision and update of the consensus. Therefore, this review aims to summarize the consensus among Child and Adolescent Psychiatrists from Türkiye on the nature andmanagement of pediatric ADHD. For those aims, the etiology of ADHD, diagnostic and evaluation process, epidemiology, developmental presentations, differential diagnoses and comorbidities, course/outcome and pharmacological as well as non-pharmacological management options were reviewed and suggestions for clinical practice are presented. Since ADHD is a chronic disorder with wide-ranging effects on functionality that is frequently accompanied by other mental disorders, a multidimensional therapeutic approach is recommended. However, since the disorder has neurobiological basis, pharmacotherapy represents the mainstay of treatment. Additional therapies may include psychosocial therapy, behavioral therapy, school-based therapeutic approaches, and family education. This review provides recommendations for ADHD at the national and global levels. It contains information about ADHD that will contribute to and facilitate clinicians' decision-making processes. It is advisable to consider this guideline in clinical practice. [ABSTRACT FROM AUTHOR]

Misganu Teshoma Regasa,1 Tesfaye Shibiru,2 Temesgen Tilahun,3 Gedefa Bayisa,4 Gemechis Kebede Negari2 1Department of Midwifery, Institute of Health Sciences, Wallaga University, Nekemte, Ethiopia; 2Department of Pediatrics and Child Health, School of Medicine, Wallaga University, Nekemte, Ethiopia; 3Department of Obstetrics & Gynecology, Institute of Health Sciences, Wallaga University, Nekemte, Ethiopia; 4Emergency Quality Officer, Wallaga. University Referral Hospital, Wallaga University, Nekemte, EthiopiaCorrespondence: Misganu Teshoma Regasa, Department of Midwifery, Institute of Health Sciences, Wallaga University, P.O Box: 395, Nekemte, Ethiopia, Tel +251917674952, Email misganudule.t@gmail.comBackground: Congenital malaria is a relatively rare condition where the Plasmodium parasite is transmitted from the mother to the fetus during pregnancy. It is associated with a high fatality rate if it is not promptly diagnosed and treated.Case Summary: We report an unusual case of a 20-day-old male baby with Plasmodium vivax malaria from Western Ethiopia, suspected primarily on the basis of positive maternal history that mother had attacks of malaria in the 3rd, 5th, and 8th months of gestation and was cured with artemether-lumefantrine therapy. Infant presented with vomiting and a high-grade fever. The blood film of the baby showed trophozoites stage of Plasmodium vivax with a parasite density of +3. The neonate had severe thrombocytopenia (49,000/micro liter) and Splenomegaly (spleen was palpable 2cm along its line of growth). The patient was admitted to the hospital and treated with artesunate for five days and discharged on the sixth day of admission in stable condition.Conclusion: Sick neonates born to mothers in malaria-endemic areas or with a history of malaria attack(s) in the index pregnancy should be promptly investigated for malaria.Keywords: congenital malaria, case, report, western Ethiopia, plasmodium vivax

OBJECTIVE: This study aimed to determine the impact of the "PSG Balita" app on reporting toddlers' nutritional status. METHODOLOGY: A quasi-experimental design study was conducted in 2022 in Aceh Province, Indonesia . The sample consisted of 123 health centre nutritionists responsible for monitoring the nutritional status of children under five years, selected through purposive sampling. Data were collected through interviews and observations using a questionnaire assessing timeliness, completeness, accuracy, and usefulness. The intervention involved a six-month training program using the "PSG Balita" application on the Android platform. Data analysis was performed using the Repeated Measures ANOVA test at a 95% confidence interval. RESULTS: After implementing the application for six months, there was a significant increase (p < 0.05) in the timeliness, completeness, accuracy, and usefulness of nutritional status data for toddlers. These results demonstrate that the "PSG Balita" application supports generating high-quality data on toddlers' nutritional status and enhances nutrition data reporting. CONCLUSION: Utilizing the "PSG Balita" app has streamlined children's nutritional status tracking, ensuring high precision and early detection of malnutrition risks. Most importantly, it has improved the quality of nutritional status data.

Introduction and purpose: Medications are the most common therapeutic intervention, and the safe use of medication and the existence of processes to improve the safety of medicine are of prime importance. Since nurses have a major role in implementing medication orders, they play a vital role in promoting safety and reducing medication harm to patients. Therefore, the present study was conducted to determine the barriers to reporting medication errors by nurses of teaching hospitals affiliated with Gorgan, Iran, in 2021. Methods: In this cross-sectional study, 340 nurses from Gorgan teaching hospitals were selected by a randomized stratified method in 2021. The data collection tool was a demographic information checklist and a valid questionnaire of barriers to reporting medication errors. The collected data was analyzed using SPSS software (version 16). Moreover, descriptive statistics, Kolmogorov-Smirnov tests, Spearman, Mann-Whitney, and Kruskal-Wallis correlation coefficients were used. Results: The average age of the nurses was 33.11 ± 7.36 years, and 290 (85.3%) participants were female. The average score of reporting obstacles in the area of "fear of management factors" was higher than other areas (3.20±0.50), followed by the areas of "fear of reporting consequences" (3.17±0.35) and "factors related to the reporting process" (2.87±0.63) were in the next ranks. The highest average in the areas of "fear of the consequences of reporting", "factors related to the reporting process" and "fear of managerial factors", were respectively related to "fear of legal issues" (3.94±1.11), "unclear definition of medication error" (3.54±1.05), and "disproportionality of the officials' reaction with wrong hierarchy of importance" (3.75±0.96). The service sector had a significant relationship with the overall score of barriers to reporting medication errors (P=0.020) and the area of fear of managerial factors (P=0.017) in a way that the barriers to reporting medication errors by the nurses of the Emergency Department were higher than the other parts. Conclusion: Among all reporting barriers, "fear of legal issues" had the highest score. Due to the existence of factors such as fear of judicial issues and the inappropriate reaction of hospital officials, it is suggested to define the error reporting process and how to handle medication errors and train hospital managers on how to deal with the person at fault.

Background: Blood transcriptomic analysis is widely used to provide a detailed picture of a physiological state with potential outcomes for applications in diagnostics and monitoring of the immune response to vaccines. However, multi-species transcriptomic analysis is still a challenge from a technological point of view and a standardized workflow is urgently needed to allow interspecies comparisons. Results: Here, we propose a single and complete total RNA-Seq workflow to generate reliable transcriptomic data from blood samples from humans and from animals typically used in preclinical models. Blood samples from a maximum of six individuals and four different species (rabbit, non-human primate, mouse and human) were extracted and sequenced in triplicates. The workflow was evaluated using different wet-lab and dry-lab criteria, including RNA quality and quantity, the library molarity, the number of raw sequencing reads, the Phred-score quality, the GC content, the performance of ribosomal-RNA and globin depletion, the presence of residual DNA, the strandness, the percentage of coding genes, the number of genes expressed, and the presence of saturation plateau in rarefaction curves. We identified key criteria and their associated thresholds to be achieved for validating the transcriptomic workflow. In this study, we also generated an automated analysis of the transcriptomic data that streamlines the validation of the dataset generated. Conclusions: Our study has developed an end-to-end workflow that should improve the standardization and the inter-species comparison in blood transcriptomics studies. In the context of vaccines and drug development, RNA sequencing data from preclinical models can be directly compared with clinical data and used to identify potential biomarkers of value to monitor safety and efficacy. [ABSTRACT FROM AUTHOR]

: Have you ever been in the trenches of a complicated study only to be interrupted by a not-so urgent phone-call? We were, repeatedly– unfortunately. : To increase productivity of radiologists by quantifying the main source of interruptions (phone-calls) to the workflow of radiologists, and too assess the implemented solution. : To filter calls to the radiology consultant on duty, we introduced an automatic voicemail and custom call redirection system. Thus, instead of directly speaking with radiology consultants, clinicians were to first categorize their request and dial accordingly: 1. Inpatient requests, 2. Outpatient requests, 3. Directly speak with the consultant radiologist. Inpatient requests (1) and outpatient requests (2) were forwarded to MRI technologists or clerks, respectively. Calls were monitored in 15-minute increments continuously for an entire year (March 2022 until and including March 2023). Subsequently, both the frequency and category of requests were assessed. : 4803 calls were recorded in total: 3122 (65 %) were forwarded to a radiologist on duty. 870 (18.11 %) concerned inpatients, 274 (5.70 %) outpatients, 430 (8.95 %) dialed the wrong number, 107 (2.23 %) made no decision. Throughout the entire year the percentage of successfully avoided interruptions was relatively stable and fluctuated between low to high 30 % range (Mean per month 35 %, Median per month 34.45 %). : This is the first analysis of phone-call interruptions to consultant radiologists in an imaging department for 12 continuous months. More than 35 % of requests did not require the input of a specialist trained radiologist. Hence, installing an automated voicemail and custom call redirection system is a sustainable and simple solution to reduce phone-call interruptions by on average 35 % in radiology departments. This solution was well accepted by referring clinicians. The installation required a one-time investment of only 2h and did not cost any money. [ABSTRACT FROM AUTHOR]

Copyright of Language Related Research is the property of Tarbiat Modares University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Usage of website is increasing due to its ease of access. An increase in website users should be accompanied by an increase in website security to prevent unwanted things, such as data breach. Penetration testing is used to reduce risk due to security factors. OWASP has Web Security Testing Guide (WSTG) with 12 test types. Not all tests can be tested, but there are patterns that can be used as a reference whether the test is possible or not. This pattern can be used to automate test mapping for each endpoint. Thus, penetration tester does not need to do it manually. [ABSTRACT FROM AUTHOR]

Reporting of incidents and near misses among healthcare professionals can help target improvement efforts and system changes to reduce the likelihood of patient injury. This study explored barriers that hinder healthcare professionals' disclosure of incidents and near misses in hospital settings in Saudi Arabia. Cross-sectional data were collected using a qualitative semi-structured interview with 30 participants, including surgeons, physicians, nurses, allied health professionals, pharmacists, and healthcare quality staff during January and February 2020. Barriers reported by the participants were classified across six themes: fear, lack of knowledge, lack of leadership support, workload, reporting system, and lack of motivation. Health leaders must ensure that the reporting process is planned, designed, and implemented in a nonpunitive manner. When selecting middle-level managers, their knowledge regarding quality of care and patient safety practices should be assessed. The findings of this study add to existing knowledge regarding the barriers preventing the reporting of incidents and near misses among healthcare professionals. [ABSTRACT FROM AUTHOR]

Copyright of Pixo: Revista de Arquitetura Cidade e Contemporaneidade is the property of Pixo Revista de Arquitetura Cidade e Contemporaneidade and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: High-tension electrical burns are rare but devastating injuries with high mortality usually from overwhelming sepsis, poor cardiovascular support and multiple organ dysfunction syndrome. However, survivors of such burns have varying degrees of injuries with significant morbidity especially after radical amputation to save their lives. The objective of this case report was to present this rare scenario and highlight the importance of prompt intervention and acute surgical management that improves survival. Case Report: This was a descriptive case report of a 23-year-old male, a survivor of high-tension electrical burns (11,000 volts) to both upper limbs. He was immediately admitted into the intensive care unit with ventilatory support and multi-disciplinary approach to care. He had some investigations which included daily full blood count, serum electrolytes, urea and creatinine, clotting studies, blood sugar, urine analysis, lactate level, iron and creatine kinase studies, chest X-rays, electrocardiogram and abdominopelvic scan. He had multiple blood products transfusion; antibiotic therapy, staged surgeries including bilateral shoulder disarticulation to control sepsis and preserve life. He was discharged home with healed disarticulated shoulders and satisfactory clinical condition after 35 days on admission. Conclusion: Early resuscitation, cardiovascular support in the intensive care unit, urgent wound debridement and amputation of devitalized limb were life-saving interventions. These prompt care improved his survival chances following high -tension electrical burns. [ABSTRACT FROM AUTHOR]

This report provides a brief overview of family statistics, including the number of families and households, family composition, ethnic and racial diversity, marriage and divorce rates, family income, employment rates, and education levels for the state of Washington in the USA. Key findings of the report provided a snapshot of the challenges facing Washingtonian families, such as economic insecurity, lack of affordable housing, inadequate access to healthcare, and disparities in educational opportunities. Despite these challenges, there are programmatic opportunities that the state offers to navigate the challenges, which was also detailed in this brief report. [ABSTRACT FROM AUTHOR]

Ahmet Rıza Bey was an intellect and activist who guided Turkish modernization history through his ideas and political activities. His family also had significant roles in the high bureaucracy of the state. Ahmet Rıza Bey’s worldview was shaped by the modern philosophical movement of positivism, with the mottos of order and progress being key concepts in his ideas. The purpose of this article is to shed light on the intellectual background of Ahmet Rıza Bey’s early writings known as the Birinci Lâyiha [First Memorandum], Dil Akademisi Lâyihası [Language Academy Memorandum], and Mektub [Letter]. In this sense, no comparisons have yet been made between Ahmet Rıza Bey’s reports and those written by the Ottoman statesmen and intellectuals of the period. This article emphasizes the secular contexts of the topics Ahmet Rıza Bey addressed through a textual content analysis and literature review. These texts are unique examples in terms of being confined to the positivist doctrine in their ideological orientation. These texts were also conditioned to explain the rationale and method of an effort focused on saving the empire through education. His writings emphasized how reforms should be implemented gradually and within historical continuity by highlighting the importance of political and social stability. In this respect, he aimed to give public identities to the concepts symbolized as science, work, order, progress, morality, and education that shaped Turkish modernization history. Ahmet Rıza Bey’s early writings saw the concept of order as the focal point of reform proposals, with the concept of progress being a variable dependent on the concept of order. Therefore, Ahmet Rıza Bey had favored the continuation of the Ottoman monarchy over a radical regime change. He grounded his understanding of change not so much on the political level but on the establishment of a holistic and solidarity-based collective consciousness. [ABSTRACT FROM AUTHOR]

Research processes are academic exercises very relative and almost null when it comes to the process of disseminating results. Precisely, in the Peruvian scenario, there is a relative conceptual perception between thesis, thesis report and the nature of the scientific article. The study uses the method of documentary inquiry considering the contribution of eight different modalities to the thesis report of Latin American universities and, at the same time, it uses the narrative-biographical method that collects the investigative experiences disclosed in articles by Roberto Koch, Luis Pasteur, Kohlberg, Vygotsky, Piaget, Freud, Newton, Faraday, Darwin, Freudenberger, Maslach, Miriam Diamon and George Broock. The sustained allows proposing the scientific article as an optional graduation requirement in undergraduate and postgraduate studies. The symbiosis of the documentary inquiry method with the narrative-biographical method allows assessing the origin and significance of the article as a means of scientific dissemination of important current theories that has not avoided the old scheme of introduction, methodology, results and discussion (IMRD) proposed by Koch and Pasteur. As a result, 25 attributes are considered that distinguish the scientific article from the thesis report, whose similarities and differences do not make them dependent, because each one is the representation with its own directionality. [ABSTRACT FROM AUTHOR]

The Manuela and Beatriz cases were introduced in the Inter-American human rights system as strategic litigation to provoke an Inter-American Court of Human Rights ruling that would create abortion rights in El Salvador, one of the most prolife countries in the region. The American Convention on Human Rights, a regional treaty binding on most Latin American and Caribbean countries, contains no provision on abortion, or on sexual and reproductive rights. It does contain, however, in article 4(1) a recognition of the unborn child's right to life and to legal protection thereof: «Every person has the right to have his life respected. This right shall be protected by law and, in general, from the moment of conception. No one shall be arbitrarily deprived of his life». This paper analyzes arguments in the Beatriz Case, the ruling for which is still pending at the time of this writing, and the Manuela decision, issued in 2022, where the court gave the shocking and unprecedented order to create practical impunity for the crime of infanticide in national law. The paper examines its unexpected results and potential effects in national law, should the state choose to comply with all the orders given by the judgment. [ABSTRACT FROM AUTHOR]

OBJECTIVE: This study aimed to determine the impact of the "PSG Balita" app on reporting toddlers' nutritional status. METHODOLOGY: A quasi-experimental design study was conducted in 2022 in Aceh Province, Indonesia. The sample consisted of 123 health centre nutritionists responsible for monitoring the nutritional status of children under five years, selected through purposive sampling. Data were collected through interviews and observations using a questionnaire assessing timeliness, completeness, accuracy, and usefulness. The intervention involved a six-month training program using the "PSG Balita" application on the Android platform. Data analysis was performed using the Repeated Measures ANOVA test at a 95% confidence interval. RESULTS: After implementing the application for six months, there was a significant increase (p < 0.05) in the timeliness, completeness, accuracy, and usefulness of nutritional status data for toddlers. These results demonstrate that the "PSG Balita" application supports generating high-quality data on toddlers' nutritional status and enhances nutrition data reporting. CONCLUSION: Utilizing the "PSG Balita" app has streamlined children's nutritional status tracking, ensuring high precision and early detection of malnutrition risks. Most importantly, it has improved the quality of nutritional status data. [ABSTRACT FROM AUTHOR]

This research analyses the characteristics of a sample of social work reports issued at a social care centre in Spain. The research involved three assumptions: (1) drafting reports is a demanding task; (2) social workers are poorly trained in report writing; and (3) procedures for drafting reports are inadequate. The research involved two phases: (1) social workers (N = 8) were interviewed; (2) the content and writing style of 250 reports were analysed. The results show that the social work reports analysed stand out for their relevance. However, they need to be more systematic, concise and reliable. [ABSTRACT FROM AUTHOR]

We still know little about the psycho-organizational antecedents related to the prevention of acts of corruption in government. This empirical study examines the distinctive impact of two emotions with negative valence, fear and anger, as catalysts or inhibitors of whistleblowing among public employees. Through an experimental study with local government officials in Mexico, we show that people who experience anger are significantly more likely to report acts of corruption, especially when exposed to high-intensity stimuli. On the other hand, intense fear can powerfully inhibit whistleblowing. These findings provide relevant evidence of the impact of emotional cues on whistleblowing in the context of a government organization. Based on these results, we suggest that emotion management could be an effective tool to improve integrity levels in public bureaucracies. [ABSTRACT FROM AUTHOR]

Copyright of TAY Journal / Türk Akademik Yayınlar Dergisi is the property of Turk Akademik Yayinlar Dergisi (TAY Journal) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Türkiye Jeoloji Bülteni is the property of TMMOB JEOLOJI MUHENDISLERI ODASI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article summarizes the process of implementing the EU acquis into the national legislation of Ukraine, as well as the obligations undertaken within the framework of the Association Agreement. Thus, as part of the negotiation process, Ukraine’s commitments are grouped into six clusters, which in turn contain 34 chapters. It was found that 80 state authorities assessed the approximation of Ukrainian legislation to EU legislation (self-screening) within six months. According to the results of the inspection, several EU acts do not require implementation into Ukrainian legislation, some acts are subject to further full or partial incorporation, and some of the acts have already been fully implemented into Ukrainian legislation. It was also analysed that the largest number of EU acquis acts, which Ukraine has already fully incorporated into its legislation, relate to the sections «Customs Union», «Statistics», «External Relations», «Food Safety, Veterinary and Phytosanitary Policy» and «Protection of Consumer Rights and Health Care». However, under such sections as «Transport Policy», «Food Safety, Veterinary and Phytosanitary Policy», «Freedom of Movement of Goods», «Freedom of Entrepreneurship and Provision of Services» there is still work to be done in terms of the implementation of EU norms in the internal legislation of Ukraine. In addition, the article also defines the state of implementation of the EU acquis in Ukraine. In addition, the activities of government bodies during 2023 in the process of implementing EU legislation were also analysed. It was found that Ukraine also fulfilled all seven recommendations of the European Commission, which it received during the granting of candidate status. It was also determined that Ukraine, on its way to European integration, continues to fulfill its obligations under the Association Agreement. During the period from 2015 to 2022, Ukraine fulfilled 72% of its obligations. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Auditing & Assurance Services (AUDAS) is the property of Journal of Auditing & Assurance Services (AUDAS) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cuadernos del Centro de Estudios de Diseño y Comunicación is the property of Cuadernos del Centro de Estudios de Diseno y Comunicacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

FitEx is an 8-week, group-based physical activity and fruit and vegetable consumption program co-created and implemented with the Cooperative Extension System. Effectiveness and delivery personnel perceptions of the program are promising; however, ongoing adaptations are required to continuously meet shifting needs of both researchers and delivery systems. We applied the APDER iterative cycles of implementation over 15 years to understand dynamic and ongoing adaptations as well as implications for FitEx sustainability. Each year, an IRPP between delivery (FitEx deliverers) and research (FitEx developers) systems shared feedback on program core elements and strategies for adaptation through regular team meetings, emails, and evaluations. While the core elements (delivering to groups, goal setting, feedback, and self-monitoring) of FitEx remained consistent, changes were made to address logistical factors, emergent research questions, and technological advancements. For example, program deliverers suggested decreasing training time and making program content available on demand rather than through traditional in-person training. Using APDER with a long-standing IRPP allowed the delivery system to provide feedback to program developers to co-create ongoing adaptations and data-driven decisions. Future work in response to shifting needs includes Fitbit integration and technological updates to the usability of the FitEx platform. Our aim is to report the 15+ years of applying the Assess, Plan, Do, Evaluate, Report (APDER) process with an integrated research–practice partnership (IRPP) for co-creation of ongoing adaptations of FitEx and to share methods for capturing relevant data for decision-making to integrate health promotion programs in community settings. [ABSTRACT FROM AUTHOR]

Analysis of 28 manuscripts of Gregorius IX Decretales kept in Spain that were identified in the catalogues of manuscripts kept in I.R.H.T. and at the Bibliothèque nationale de France. These reports deal with the origin and the dating, the recipients, the texts, the ornamentation, the pecia, the owners, and the bibliography. The graphics inform us about the distribution of the data. These manuscripts were produced in Italy and France, and date from the XIIIth to the XIVth centuries. The recipients are Bologna and Paris. The explicits inform us about artisans. These manuscripts have especially a painted ornamentation. Three manuscripts have pecia’s mentions. The owners are students, jurists, ecclesiastics and religious houses.

Communication failures among clinicians in the ICU (intensive care unit) often lead to worse patient outcomes. CritCom is a bilingual (English and Spanish) tool to evaluate the quality of interdisciplinary communication around patient deterioration for pediatric oncology patients. The use of reports, such as the CritCom report, as dissemination methods lead to quicker knowledge translation and implementation of research findings into policy. Nurses and physicians at participating centers who care for patients at risk of deterioration completed the CritCom survey and center-specific reports were generated to communicate CritCom results. Focus groups were conducted with clinicians receiving CritCom reports in both English and Spanish to evaluate report clarity and usability. Participants found the reports to be useful and described the writing and design as clear and specific. Participants provided feedback to improve report design and requested actionable steps to improve communication at their center. Feedback illustrated that the report was easy to interpret and a useful way to disseminate information. Participants noted the utility of the report, illustrating that the use of reports can be a useful method to disseminate research findings back to participants in a way that is applicable to the local context. Communicating research findings through reports can minimize the significant time lag in knowledge translation and provide participants with actionable steps to implement in their setting.

Abstract Objectives: evaluate the association between the maternal near miss rate (TNMM) and sociodemographic and health care factors. Methods: this is an aggregated, cross- sectional epidemiological survey, with regression analysis and spatial analysis, with the units of analysis being the 399 municipalities that make up the four health macro- regions in the state of Paraná, Brazil. Data from the years 2018 to 2021 were obtained through the state maternal near miss report and monitoring system. Results: the state’s total TNMM was 6.4 per 1,000 live births, with an increasing trend during the studied period (p

Apresento neste informe informações sobre o Projeto para a História do Português Brasileiro, relacionando suas motivações, agenda, equipes regionais e principais publicações. Finalizo, propondo que o PHPB, o Projeto 3 (História do Português Brasileiro), o Projeto 4 (România), e Projeto 18 (História do Espanhol da América) da ALFAL venham a desenvolver atividades em comum.

The purpose of the article is to cast light upon the problem of researching published sources on the history of the Orthodox Church in Ukraine, as well as to supplement the achievements of previous researchers and to propose a detailed analysis of the situation and activities of the Kyiv diocese and its monasteries, presented in the published reports of the ober-procurators of the Holy Ruling Synod between 1884 and 1914. The scientific novelty of the material presented in this article lies in the fact that, for the first time in the national historiography, “All-Public Reports of the Ober-Procurators of the Holy Synod” between 1884–1914, which were published and open to the general scientific community, were subjected to a detailed analysis. The authors also clarify the level and significance of information about the situation in the Kyiv Eparchy, its clergy, its numbers, its composition, as well as the cultural, educational and charitable activities of its monasteries. The article argues that the essence of the reports by the ober-procurators of the Holy Ruling Synod on the situation in the Kyiv Eparchy and its monasteries is practically undeveloped in the scientific literature. Such reports were addressed to the head of the Russian Orthodox Church – the Russian Emperor. They are an important and extremely informative source for modern researchers, familiarity with which will permit them to assess the general condition of the main confession in the empire. More specifically, these reports reveal the state of the Kyiv Eparchy for each calendar year. Every report had a relatively standard structure and was published as a separate book. An analysis of these sources makes it possible to establish the role and place of the hierarchs of the Kyiv Eparchy in the overall structure of the Russian Orthodox Church, as well as their personnel and activities. Furthermore, additional information, provided in the reports on the number of Orthodox monasteries in the Kyiv Eparchy and the number of monks, is of particular interest, which allows the authors to trace the dynamics in changes in these numbers over thirty years. The study of the reports reveals new information on the life in the Orthodox monasteries in the Kyiv region, in relation to their charitable, cultural and educational activities.

This article examines the report as a new type of document in the business writing system of the first half of the 18th century. The aim is to identify common and distinctive features of reports from various institutions in the southern region of Russia. The materials used for this study are documents from the Don Army (State Archive of the Volgograd Region) and the Astrakhan Province (National Archive of the Republic of Kalmykia). Through a comparative analysis of their content, functions, and speech organization, it is revealed that all reports were submitted from subordinate subjects to superiors, served informative purposes, and occasionally served as accompanying documents. They shared a similar form (addressee, addresser, title, main text, date, place of creation), although there were variations in the placement of requisites, document titles, and addresser formulas. Differences were also identified, such as the larger number of reports in the documentation of the Don Army and their frequent use as accompanying documents, while Astrakhan reports often contained financial reports. In Don reports, the addresser was referred to in the final formula as “about this report,” while Astrakhan reports only included their name (or signature). It can be concluded that reports were increasingly integrated into official communication, becoming firmly established in the military sphere, and their form became more standardized, reflecting the development of common rules for document management.