Design and evaluation of a cognitive health education pilot program according to the RE-AIM framework

Objective Most formats of currently used community-based health education for cognitive impairment prevention are limited to one-way communication, such as distributing leaflets, pasting posters, or holding a lecture, and they lack comprehensive evaluation. Here we aim to design, test, and evaluate a novel pilot cognitive health education program combined with psychosocial interventions (CHECPI). Methods We designed the CHECPI program and tested it among adults aged 60 and over in an aging-friendly community in 2018. Multidimensional cognitive functions were measured by the Montreal Cognitive Assessment (MoCA) before and three months after the CHECPI program. Quantitative and qualitative analyses were performed based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the program. Wilcoxon signed-rank tests were used to assess changes in multidimensional cognitive functions. Results The CHECPI program was comprised of 12 courses and introduced 5 kinds of psychosocial interventions. Reach: 28 older adults participated in the program, of whom most were female (n = 22) and younger elderly with an average age of 65.32 years. Effectiveness: 19 participants finished≥6 courses as well as the follow-up survey. Although their MoCA scores did not improve significantly, they had increased their visuospatial ability significantly (with the average score increasing by 0.42). Adoption: the community officers, lecturers, and participants highly recommended the program, but they agreed that the lack of professional instructors may hinder its popularization. Implementation: the program was implemented in full accordance with the pre-program design. Maintenance: three months after the program, 17 participants had maintained at least one of the seven healthy behaviors that were introduced in the program. Conclusions Younger female elderly were more willing to participate in the program. It enhanced participants’ visuospatial ability, but a sufficient number of professional instructors are crucial for large-scale promotion.

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A Multi-Site Evaluation of Winter Hardiness in Indigenous Alfalfa Cultivars in Northern China

Atmosphere ◽

10.3390/atmos12111538 ◽

2021 ◽

Vol 12 (11) ◽

pp. 1538

Author(s):

Lijun Xu ◽

Qian Liu ◽

Yingying Nie ◽

Feng Li ◽

Guixia Yang ◽

...

Keyword(s):

Large Scale ◽

Production Systems ◽

Comprehensive Evaluation ◽

Perennial Grass ◽

Cropping System ◽

Northern China ◽

Winter Hardiness ◽

Grass Species ◽

Average Score ◽

Field Evidence

Integration of perennial grass species into the current food production systems, especially in the agropastoral regions worldwide, may produce multiple benefits including, among others, a more stable productivity and a smaller eco-environmental footprint. However, one of the fundamental challenges facing the large-scale adoption of such grass species is their ability to withstand the vagaries of winter in these regions. Here, we present a comprehensive evaluation of the winter hardiness of 50 indigenous Chinese cultivars of alfalfa, a high-quality leguminous perennial grass, in comparison with six introduced U.S. cultivars in a multi-site field experiment in northern China. Our results reveal that indigenous cultivars have stronger winter hardiness than introduced cultivars. Cultivars native in the north performed better than southern cultivars, suggesting that suitability evaluation is an unavoidable step proceeding any regional implementations. Our results also show that the metric we used to assess alfalfa’s winter hardiness, the average score index (ASI), produced more consistent results than another more-widely used metric of winter survival rate (WSR). These findings offer a systematic field evidence that supports regional cropping system adjustment and production system betterment to ensure food security under climate change in the region and beyond.

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Recovery Issues in the Treatment of Schizophrenia: Are we at the end, or still at the Beginning?

European Psychiatry ◽

10.1016/s0924-9338(09)70493-6 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

K. Alptekin

Keyword(s):

Side Effects ◽

Outcome Measures ◽

Cognitive Functions ◽

Psychosocial Functioning ◽

Large Scale ◽

Negative Symptoms ◽

Psychosocial Interventions ◽

Antipsychotic Treatment ◽

Patient’S Satisfaction ◽

Long Term Treatment

Recovery and normalized psychosocial functioning are the main targets for the treatment of schizophrenia. However antipsychotics have limited benefit for improving cognitive functions and negative symptoms that predict the patient's ability to work and function independently. Meta-analytic and latest large scale studies such as CATIE and EUFEST have found that Clozapine seemed to be superior compared to other antipsychotics regarding efficacy and Olanzapine was associated with significantly longer time to discontinuation although both were significantly associated with metabolic syndrome. Nevertheless mortality rate is about two times greater than general population in schizophrenia patients, mainly due to metabolic side effects which affect patient's satisfaction and let nonadherence to treatment. One of the important results driven from the CATIE trial has shown that the majority of the patients in each antipsychotic treatment group had discontinued their first treatment due to either inefficacy over schizophrenia symptoms or intolerable side effects. Since clinical effectiveness for antipsychotics is strongly related to adherence, long acting antipsychotics may play an important role in long term treatment. As well as adherence to treatment, patient related variables such as differences in pharmacogenetic and psychosocial factors may also affect outcome and recovery in schizophrenia. Also it is essential to identify outcome measures. Remission of schizophrenia symptoms does not always mean to be recovered from the illness. Outcome measures should include cognitive functions, quality of life and psychosocial functioning. Pharmacotherapy alone is not enough to achieve recovery, therefore psychosocial interventions should be established and integrated with antipsychotics.

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Development of Physics Learning Module Based on Guided Inquiry with Light Wave Material in Class XI of Senior High School

Bulletin of Educational Science and Technology ◽

10.33292/best.v1i1.1 ◽

2020 ◽

Vol 1 (1) ◽

pp. 1-10

Author(s):

Evi Rahmawati ◽

Irnin Agustina Dwi Astuti ◽

N Nurhayati

Keyword(s):

Large Scale ◽

Learning Strategy ◽

Student Response ◽

Average Score ◽

Small Scale ◽

Design Development ◽

Teacher Response ◽

Student Responses ◽

Analysis Design ◽

Scientific Skills

IPA Integrated is a place for students to study themselves and the surrounding environment applied in daily life. Integrated IPA Learning provides a direct experience to students through the use and development of scientific skills and attitudes. The importance of integrated IPA requires to pack learning well, integrated IPA integration with the preparation of modules combined with learning strategy can maximize the learning process in school. In SMP 209 Jakarta, the value of the integrated IPA is obtained from 34 students there are 10 students completed and 24 students are not complete because they get the value below the KKM of 68. This research is a development study with the development model of ADDIE (Analysis, Design, Development, Implementation, and Evaluation). The use of KPS-based integrated IPA modules (Science Process sSkills) on the theme of rainbow phenomenon obtained by media expert validation results with an average score of 84.38%, average material expert 82.18%, average linguist 75.37%. So the average of all aspects obtained by 80.55% is worth using and tested to students. The results of the teacher response obtained 88.69% value with excellent criteria. Student responses on a small scale acquired an average score of 85.19% with highly agreed criteria and on the large-scale student response gained a yield of 86.44% with very agreed criteria. So the module can be concluded receiving a good response by the teacher and students.

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Intelligent Lighting Control System in Large-Scale Sports Competition Venues

Light & Engineering ◽

10.33383/2018-127 ◽

2018 ◽

pp. 172-182 ◽

Cited By ~ 1

Author(s):

Shengmin CAO

Keyword(s):

Control System ◽

Large Scale ◽

Comprehensive Evaluation ◽

Evaluation Model ◽

Fuzzy Comprehensive Evaluation ◽

Practical Significance ◽

Lighting Control ◽

Sports Events ◽

Planning And Design ◽

Comprehensive Evaluation Model

This paper mainly studies the application of intelligent lighting control system in different sports events in large sports competition venues. We take the Xiantao Stadium, a largescale sports competition venue in Zaozhuang City, Shandong Province as an example, to study its intelligent lighting control system. In this paper, the PID (proportion – integral – derivative) incremental control model and the Karatsuba multiplication model are used, and the intelligent lighting control system is designed and implemented by multilevel fuzzy comprehensive evaluation model. Finally, the paper evaluates the actual effect of the intelligent lighting control system. The research shows that the intelligent lighting control system designed in this paper can accurately control the lighting of different sports in large stadiums. The research in this paper has important practical significance for the planning and design of largescale sports competition venues.

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Assessing dairy cow welfare during the grazing and housing periods on spring-calving, pasture-based dairy farms

Journal of Animal Science ◽

10.1093/jas/skab093 ◽

2021 ◽

Author(s):

Robin E Crossley ◽

Eddie A M Bokkers ◽

Natasha Browne ◽

Katie Sugrue ◽

Emer Kennedy ◽

...

Keyword(s):

Dairy Cow ◽

Large Scale ◽

Dairy Farms ◽

Nasal Discharge ◽

Welfare Assessment ◽

Welfare Indicators ◽

Signed Rank ◽

Cow Welfare ◽

Head Neck ◽

Ocular Discharge

Abstract The different periods characterizing spring-calving, pasture-based dairy systems common in Ireland have seldom been the focus of large-scale dairy cow welfare research. Thus, the aim of this study was to devise and conduct an animal-based welfare assessment during both the grazing and housing periods on spring-calving, pasture-based dairy farms, to identify areas for improvement and establish benchmarks for indicators of good welfare. Assessment of seven animal-based welfare indicators was conducted during two visits (one each at grazing and housing) to 82 commercial dairy farms in southern Ireland. Herd-level descriptive statistics were performed for all welfare indicators at each visit, and differences between visits were analyzed using paired t-tests and Wilcoxon signed rank tests. A mean of 9% and 10% clinically lame cows (mobility score 2 and 3) were observed at housing and grazing respectively. Recommended body condition scores (BCS) were not met for a mean of 13% of cows at grazing and 23% at housing, with more over-conditioned cows present at housing than grazing (P < 0.001). Ocular discharge was uncommon in both periods. Prevalence of moderate and severe nasal discharge combined were lower during housing (5%) than grazing (7%). In both periods, similar mean levels of tail injury were observed; 2 to 3% of cows with tail lacerations, 9% with broken tails, and 8% (measured at housing only) with docked tails. Integument alterations involved primarily hair-loss and were most prevalent on the hindquarters (26%) during grazing, and on the head-neck-back region (66%), and the hindquarters (32%) during housing. Cows displayed an avoidance distance of > 1 m (indicative of a fearful response) from an approaching human in an average of 82% of grazing cows and 42% to 75% of housed cows, dependent on test location. Opportunities to improve welfare in this system were identified in the areas of tail injury prevention, nasal health and the management of indoor housing and feeding. The performance of the top 20% of farms for each welfare indicator was used to establish benchmarks of: 0 to 5% clinical lameness; 0 to 12% of cows outside recommended BCS; 0 to 27% ocular discharge; 2 to 16% nasal discharge; 0% tail lacerations and docked tails, and 0 to 3% tail breaks; 0 to 14% IA; and 4 to 74% for avoidance distance of > 1 m. These represent attainable targets for spring-calving pasture-based farms to promote good dairy cow welfare.

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The Effects of the BAILAMOSTM Dance Program on Physical Activity Levels and Cognition of Older Latino Adults: A Pilot Study

Journal of Aging and Health ◽

10.1177/08982643211020996 ◽

2021 ◽

pp. 089826432110209

Author(s):

Guilherme M. Balbim ◽

Susan Aguiñaga ◽

Olusola A. Ajilore ◽

Eduardo E. Bustamante ◽

Kirk I. Erickson ◽

...

Keyword(s):

Physical Activity ◽

Pilot Study ◽

Health Education ◽

Repeated Measures ◽

Activity Levels ◽

Cognitive Health ◽

Physical Activity Levels ◽

Global Cognition ◽

Latino Adults ◽

And Performance

Objective: To investigate the effects of the BAILAMOSTM dance program on physical activity (PA), cardiorespiratory, and cognitive health. Methods: A parallel, two-armed pilot study was conducted with 57 older Latinos randomized to the BAILAMOSTM dance program ( n = 28) or health education (HE) ( n = 29). We conducted two- and three-way repeated-measures ANOVAs. Results: BAILAMOSTM participants increased participation in leisure moderate-to-vigorous PA (LMVPA) ( F[1,53] = 3.17, p = .048, η2 G = .01) and performance in global cognition relative to HE participants ( F[1,52] = 4.19, p = .045, η2 G = .01). Attendance moderated increases in moderate PA, MVPA, LMVPA, and total PA ( p < .05). Participants of both groups with ≥75% attendance increased participation in PA. Among participants with <75% attendance, BAILAMOSTM participants increased PA relative to HE. Discussion: BAILAMOSTM positively impacted self-reported PA and global cognition in older Latinos. Even smaller doses of dance appear to impact self-reported PA levels.

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Review of Battery Management Systems (BMS) Development and Industrial Standards

Technologies ◽

10.3390/technologies9020028 ◽

2021 ◽

Vol 9 (2) ◽

pp. 28

Author(s):

Hossam A. Gabbar ◽

Ahmed M. Othman ◽

Muhammad R. Abdussami

Keyword(s):

Energy Storage ◽

Large Scale ◽

Comprehensive Evaluation ◽

Storage System ◽

Energy Storage System ◽

Battery Management System ◽

Battery Management ◽

Electrical Power System ◽

Safety Aspects ◽

And Performance

The evolving global landscape for electrical distribution and use created a need area for energy storage systems (ESS), making them among the fastest growing electrical power system products. A key element in any energy storage system is the capability to monitor, control, and optimize performance of an individual or multiple battery modules in an energy storage system and the ability to control the disconnection of the module(s) from the system in the event of abnormal conditions. This management scheme is known as “battery management system (BMS)”, which is one of the essential units in electrical equipment. BMS reacts with external events, as well with as an internal event. It is used to improve the battery performance with proper safety measures within a system. Therefore, a safe BMS is the prerequisite for operating an electrical system. This report analyzes the details of BMS for electric transportation and large-scale (stationary) energy storage. The analysis includes different aspects of BMS covering testing, component, functionalities, topology, operation, architecture, and BMS safety aspects. Additionally, current related standards and codes related to BMS are also reviewed. The report investigates BMS safety aspects, battery technology, regulation needs, and offer recommendations. It further studies current gaps in respect to the safety requirements and performance requirements of BMS by focusing mainly on the electric transportation and stationary application. The report further provides a framework for developing a new standard on BMS, especially on BMS safety and operational risk. In conclusion, four main areas of (1) BMS construction, (2) Operation Parameters, (3) BMS Integration, and (4) Installation for improvement of BMS safety and performance are identified, and detailed recommendations were provided for each area. It is recommended that a technical review of the BMS be performed for transportation electrification and large-scale (stationary) applications. A comprehensive evaluation of the components, architectures, and safety risks applicable to BMS operation is also presented.

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Parallel Assessment Tracks for Human-Centered Design (PATH): A Framework for Transitioning to a New Health Information Technology System

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181321651050 ◽

2021 ◽

Vol 65 (1) ◽

pp. 294-298

Author(s):

Jason J. Saleem ◽

Kyle Maddox ◽

Jennifer Herout ◽

Kurt Ruark

Keyword(s):

Information Technology ◽

Human Factors ◽

Health Information Technology ◽

Health Information ◽

Large Scale ◽

Comprehensive Evaluation ◽

Customer Relationship ◽

Human Factors Engineering ◽

Human Centered Design ◽

Legacy System

This practice-oriented paper presents a human-centered design (HCD) framework that we developed to perform a comprehensive evaluation of a new health information technology (HIT) system under development, intended to replace a legacy system. The Department of Veterans Affairs (VA) Veteran Crisis Line (VCL) program provides a vital service in crisis intervention and suicide prevention. VCL staff rely on a Customer Relationship Management (CRM) legacy system, Medora. VCL intended to replace Medora with Microsoft Dynamics 365 (D365) CRM system. Due to wide-spread criticism of D365, the VA Human Factors Engineering (HFE) team engaged in a multi-study, mixed-method HCD evaluation to investigate the legacy system and intended replacement in terms of ability to support VCL staff needs. The HCD framework we developed to perform this evaluation may be adapted for other large-scale HIT transitions and may provide human factors practitioners with guidance to make evidence-based decisions to support (or abandon) such transitions.

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A comprehensive evaluation of cache utilization characteristics in large scale WSN considering network driven cache replacement techniques

MATEC Web of Conferences ◽

10.1051/matecconf/201818805004 ◽

2018 ◽

Vol 188 ◽

pp. 05004

Author(s):

Christos Panagiotou ◽

Christos Antonopoulos ◽

Stavros Koubias

Keyword(s):

Smart City ◽

Large Scale ◽

Network Performance ◽

Comprehensive Evaluation ◽

Resource Conservation ◽

Data Sources ◽

Data Cache ◽

Cache Replacement ◽

Large Scale Networks ◽

Result Analysis

WSNs as adopted in current smart city deployments, must address demanding traffic factors and resilience in failures. Furthermore, caching of data in WSN can significantly benefit resource conservation and network performance. However, data sources generate data volumes that could not fit in the restricted data cache resources of the caching nodes. This unavoidably leads to data items been evicted and replaced. This paper aims to experimentally evaluate the prominent caching techniques in large scale networks that resemble the Smart city paradigm regarding network performance with respect to critical application and network parameters. Through respective result analysis valuable insights are provided concerning the behaviour of caching in typical large scale WSN scenarios.

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Pengembangan Bahan Ajar Untuk Meningkatkan Pemahaman Materi Mata Kuliah Demografi Teknik

Jurnal Ekonomi dan Pendidikan ◽

10.21831/jep.v4i2.607 ◽

2012 ◽

Vol 4 (2) ◽

Author(s):

Trisnawati

Keyword(s):

College Student ◽

Field Study ◽

Large Scale ◽

Field Survey ◽

Student Understanding ◽

Average Score ◽

Study Material ◽

Study Evaluation ◽

Post Test ◽

Or Task

Problems of this research are the difficulty of collage students to understand technique demography study material and the unavailability of appropriate teaching material. This research is aimed to increase college student understanding toward technique demography study material and study achievement. Developing material of teaching was done by: (1) Product analyzed by reducing and increasing study material; (2) Wrote material of teaching; (3) Expert validation and revised, by material of teaching expert, instructional developing, study evaluation, demography and environmental expert; (4) Small group test and revised, toward 10 collage student of geography field study; and (5) Large scale of field survey test and final product, on odd semester 2006/2007, toward 30 collage student of geography field study, FKIP, Lampung University.Pre test and post test was done in every study. The using of teaching study and doing exercise question or task in the last meeting are used in this research. The result are: (1) The increasing of college student understanding toward technique demography study material, average score in post test higher (57,76) than average score in pre test (30,42); (2) There is a significant relationship between understanding level with collage student study achievement, r-count (0,396) higher than r-table (0,361) in significant level 5% and N = 30.

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