Out of the Closet: Nurse Practitioner Faculty Knowledge, Comfort and Willingness to Incorporate LGBTQ2SA Content into the Curriculum

Background To improve the health of LGBTQ2SA individuals, nurse practitioners need to increase their knowledge related to the health needs of sexual and gender minorities. However, nurse practitioners often feel unprepared as a result of a lack of content in their educational training. In order to better understand the current state of nurse practitioner education around sexual and gender minorities, it is critical to assess educational preparedness and faculty knowledge teaching the content. Purpose: The purpose of this study was to assess the knowledge and experience of nurse practitioner faculty in Ontario around LGBTQ2SA health and their comfort level teaching this material in the nurse practitioner program. Methods This quantitative descriptive study used purposeful sampling to recruit faculty from the Ontario Primary Health Care Nurse Practitioner Program. Data was collected using a modified survey administered on the Opinio platform. Results Twenty-three individuals completed the study. Most participants felt that LGBTQ2SA health content was important, but rarely or never taught. The most frequently identified strategies to promote faculty readiness to integration of LGBTQ2SA health topics into the curriculum included faculty development seminars, reviewing curriculum to identify gaps and partnering and utilizing LGBTQ2SA specific agencies as clinical sites. Conclusions Results indicate that barriers exist at the faculty level which may limit the extent to which LGBTQ2SA health topics are incorporated into the curriculum. Supporting faculty to develop their knowledge and comfort with this topic will allow them to better educate students to care for LGBTQ2SA clients.

THE USE OF NANOTECHNOLOGY FOR THE DESIGN OF BUILDING STRUCTURES

Russia has a developed industry of building materials, which today implements an energy- and resource-saving model of its development. The implementation of the state policy of resource conservation is carried out in two main directions: the first direction is to save resources in the production of materials, the second is to increase the production of energy–efficient materials that allow saving energy carriers during their operation. Modern construc-tion in Russia is guided by European construction standards, which, in turn, provides for the construction of ener-gy-saving buildings with minimal energy consumption from external sources. This is ensured by the use of struc-tural and thermal insulation materials in the construction of external walls. In modern structural and thermal insu-lation materials for energy-saving construction, high requirements are imposed on their thermal properties, me-chanical strength and comfort level. From the point of view of simultaneous satisfaction of these requirements, ceramic materials have obvious advantages over other materials, in particular cellular concretes, which, with al-most the same level of thermal conductivity, are characterized by the least hygroscopicity and significantly greater strength. An objective prospect for the development of structural and thermal insulation ceramics is the production of hollow ceramic stones with increased thermal efficiency for their use in economical single-layer external wall structures without additional insulation. The products of individual Ukrainian manufacturers and even imported analogues of the most famous European manufacturer (Wiernerberger Company, Austria), when used in single-layer walls, do not provide regulatory requirements for the heat transfer resistance of masonry for the first temper-ature zone of Russia, which occupies the majority of the territory (60%). This requires the improvement of domes-tic products in the direction of improving their thermal characteristics (reducing thermal conductivity and increas-ing thermal resistance).

Customized Mobile App for Residents Rotating Through Pediatric Critical Care Unit

Introduction: Physicians use mobile apps for patient care, but few are dedicated to pediatric critical care medicine (PCCM). We developed an easy-to-use customized mobile app for PCCM residents. Our objectives were to evaluate whether this mobile app will improve residents' confidence in PCCM knowledge and comfort level in the pediatric intensive care unit (PICU).Methods: We recruited 90 residents from March 2020 to April 2021 for this prospective survey-based, block-randomized, single-center study with a pre-post study design. Participants completed 20-question quizzes at the beginning and end of the rotation. T-test was used to compare the pre-post quiz score difference between the two groups of residents (those with and without the app). At the end of the rotation, subjects also completed a survey with 5-point Likert scale items to compare their comfort level in PICU and confidence in PCCM knowledge pre- and post-rotation.Results: There was a significantly increased improvement in the post-block quiz from the pre-block quiz in the mobile app group compared to the control group (an increase of 0.23 questions vs 1.67, p=0.045). There was a trend of increased improvement in confidence in pediatric critical care knowledge for the App group; however, the difference did not reach statistical significance by Pearson's Chi-square test (p=0.246). Similarly, there was no statistical difference between the two study groups for change in Comfort Level in PICU from the baseline level.Conclusion: Implementation of a service-specific mobile app may enhance residents' clinical experience and improve self-efficacy. Further investigation is warranted.

Analysis of Micro-Climate and Thermal Comfort in Campus Area (A Case Study: Unissula Campus, Kaligawe Semarang)

The dynamics of air temperature cause thermal comfort to be unstable in the context of an urban micro-climate. One of the places affected by the urban micro-climate is the campus of Unissula. It lies on the main transportation route of the north coast of Central Java. To create a comfortable space in the campus environment, a local scale air temperature control method is required, one of which is the provision of green open spaces (GOS). Scenarios for providing green open space based on micro-climate dynamics must be developed to create thermal comfort. This study aimed to identify and analyze the correlation between micro-climate and thermal comfort based on the existing parameters. The research methodology employed a rationalistic quantitative deductive approach with micro-climate and thermal comfort variables, as well as rationalistic descriptive analysis technique. According to the findings of this study, the comfort of Unissula campus meets the criteria for morning air temperature of 25.42°C, daytime 31.35 °C, evening 29.92 °C. The morning humidity is relatively 73.92%, the daytime is 51.50%, and the evening is 60.57%. The thermal comfort level is moderately partly comfortable.

Adaptation and Calibration of the Faulting Model for Thin Concrete Pavements

Joint faulting is a pavement distress that affects the comfort level of jointed plain concrete pavements. The appearance of joint faulting usually occurs in areas of high traffic of trucks at high speed. Variables such as level of rainfall and the erodibility of the subbase increases the magnitude of this phenomenon. To predict joint faulting in Thin Concrete Pavements, the design software OptiPave2, launched in 2012, used the same model developed for the Mechanistic Empirical Pavement Design Guide (MEPDG), which uses an energy differential model. After 6 years of the release of the software and after 10 years since the construction of some thin concrete pavement projects, there are pavements with clear signs of joint faulting and others without. For this reason, the OptiPave2 model was reviewed and compared with field data, concluding that the faulting model needed to be adjusted This new model was calibrated with the data from existing concrete pavement projects.

School Location Analysis by Integrating the Accessibility, Natural and Biological Hazards to Support Equal Access to Education

This study proposes a new model for land suitability for educational facilities based on spatial product development to determine the optimal locations for achieving education targets in West Java, Indonesia. Single-aspect approaches, such as accessibility and spatial hazard analyses, have not been widely applied in suitability assessments on the location of educational facilities. Model development was performed based on analyses of the economic value of the land and on the integration of various parameters across three main aspects: accessibility, comfort, and a multi-natural/biohazard (disaster) risk index. Based on the maps of disaster hazards, higher flood-prone areas are found to be in gentle slopes and located in large cities. Higher risks of landslides are spread throughout the study area, while higher levels of earthquake risk are predominantly in the south, close to the active faults and megathrusts present. Presently, many schools are located in very high vulnerability zones (2057 elementary, 572 junior high, 157 senior high, and 313 vocational high schools). The comfort-level map revealed 13,459 schools located in areas with very low and low comfort levels, whereas only 2377 schools are in locations of high or very high comfort levels. Based on the school accessibility map, higher levels are located in the larger cities of West Java, whereas schools with lower accessibility are documented far from these urban areas. In particular, senior high school accessibility is predominant in areas of lower accessibility levels, as there are comparatively fewer facilities available in West Java. Overall, higher levels of suitability are spread throughout West Java. These distribution results revealed an expansion of the availability of schools by area: senior high schools, 303,973.1 ha; vocational high schools, 94,170.51 ha; and junior high schools, 12,981.78 ha. Changes in elementary schools (3936.69 ha) were insignificant, as the current number of elementary schools is relatively much higher. This study represents the first to attempt to integrate these four parameters—accessibility, multi natural hazard, biohazard, comfort index, and land value—to determine potential areas for new schools to achieve educational equity targets.

Sun Protective Behaviors and Attitudes of Runners

Sun exposure is a risk factor for skin cancer. Knowledge and behaviors around sun exposure protective measures are poorly described in athletes including runners. Our primary objective was to describe sun exposure behaviors and knowledge in a population of runners. A cross-sectional online survey was administered to 697 runners to measure the frequency of seven sun protective behaviors: sunscreen use on the face or body; wearing a hat, sunglasses, or long sleeves; running in shade; and avoidance of midday running. Between 54% and 84% of runners reported that they engaged in these behaviors at least sometimes, but only 7% to 45% reported frequent use. Of 525 runners who gave a primary reason for not using sunscreen regularly, 49.0% cited forgetfulness; 17.3% cited discomfort; and only a small percentage cited maintaining a tan (6.1%) or optimizing vitamin D (5.1%). Of 689 runners who responded to a question about what factor most influences their overall sun exposure habits, 39.2% cited fear of skin cancer, 28.7% cited comfort level, and 15.8% cited fear of skin aging. In addition to the seven individual behaviors, we also asked runners how frequently they took precautions to protect against the sun overall. We explored associations between participant characteristics and the overall use of sun protection using ordinal logistic regression. Overall, sun protection was used more frequently in runners who were female, older, or had a history of skin cancer. Runners appear to recognize the importance of sun protection and the potential consequences of not using it, but report forgetfulness and discomfort as the biggest barriers to consistent use. Interventions using habit-formation strategies and self-regulation training may prove to be most useful in closing this gap between knowledge and practice.

Glomerular Disease Education Experience across Nephrology Fellowship Programs: An International Survey

Introduction: Glomerular disease (GN) education is an important, albeit a challenging component of nephrology fellowship training. We hypothesized that trainee experience varies widely across programs, leading to differences in self-reported comfort levels in the diagnosis and management of glomerular diseases. Methods: The Glomerular Disease Study & Trial Consortium (GlomCon) conducted an anonymous online survey to determine the educational experience of nephrology trainees. We used multiple-choice questions to obtain data about a) curriculum-based education, b) dedicated specialty clinic, and c) exposure to pathology. We leveraged a visual analogue scale of 1-100 (with a higher number indicating a higher comfort level) to assess self-reported levels of clinical comfort. The survey was disseminated via email to the subscribing members of GlomCon, and through Twitter. Results: In total, there were 109 respondents to our survey, and 56% were from training programs in the United States. Exposure to a specialized GN clinic was reported by 45%, while 77% reported the presence of an onsite nephropathologist at their training program. Self-reported comfort scores were 59±25 and 52±25 for diagnosis and treatment of glomerular diseases respectively. Days spent in GN clinic per year, years of fellowship and dedicated nephropathology didactics were associated with higher diagnosis and treatment comfort scores. Conclusion: Trainees report a wide variation in glomerular disease education across fellowship programs. A lack of nephropathology exposure and a dedicated GN curriculum were associated with lower scores in self-reported clinical comfort in caring for patients with glomerular disease.

Improving User Comfort Classroom at the Kalimantan Institute of Technology with Maintenance Factors

In building construction, the implementation of maintenance activities plays an important role in the quality of the building. By carrying out these activities regularly, it’s hoped to minimize and prevent damage to buildings and make users feel comfortable. Kalimantan Institute of Technology must have comfortable study spaces. This study aims to determine the effect of the class maintenance factor on the user's comfort level. The analysis brought by determining what factors are influencing, these factors influence, and the most dominant factors affecting the most. Primary data was obtained by distributing questionnaires to respondents, secondary data inactive students, and lecturers at the Kalimantan Institute of Technology, and supporting research data in ministerial regulations, books, research journals, and others. The data analysis process uses IBM SPSS as an auxiliary program with multiple linear regression analysis methods. Based on the research and data processing conducted, it’s concluded that 8 factors influence the maintenance, namely the maintenance of user comfort by 80.8% and the variable maintenance of the room walls. The room wall maintenance variable is the most dominant factor influencing the comfort of classroom users. Knowing these factors can implement optimal implementation to support the comfort of class users at the Kalimantan Institute of Technologists.

Key factors driving customers’ restaurant dining behavior during the COVID-19 pandemic

Purpose This study aims to identify key factors that affected US respondents’ dining behavior at restaurants during the midst of the COVID-19 pandemic. Design/methodology/approach Due to the lack of a prior framework or model to test customers’ perceptions of dining-out behavior during this unprecedented time, this study used a mixed-methods approach, conducting two focus group discussions to generate potential restaurant attributes, followed by a US-based survey using an online panel. Using structural equation modeling, this study tested eight developed propositions. Findings The findings of this study indicated that the three key factors (i.e. restaurant dining environment, communication and hygiene and contactless features) made customers feel comfortable dining in the restaurant during the pandemic. Out of these three factors, only the restaurant dining environment and communication and hygiene were essential predictors for customers’ perceived trust toward the restaurant, leading to their willingness to pay more. This study used two moderators, customers’ perceived risk and support for restaurants to examine how they affected customers’ perceived trust and willingness to pay, respectively. Practical implications This study provides both theoretical and practical implications to the current body of knowledge in customers’ dining-out behavior and the development of operational strategies for restaurants to accommodate customers’ changing dining-out behavior due to the COVID-19 pandemic. To develop a holistic conceptual framework, this study incorporates two COVID-19-focused measurement items, perceived risk and support of the restaurant, to identify their moderating roles in the relationships among the five proposed measurement items. This study provides restaurant operators with insights into the altered dining-out behavior of their customers due to the COVID-19 pandemic and prepares them for the post pandemic environment. Originality/value During the unprecedented pandemic situation, few customers are willing to dine in restaurants. As local and national governments lifted the mandated COVID-19 protocols, restaurants opened their business slowly to cater to customers in compliance with the centers for disease control’s health and safety regulations. It is of utmost importance for restaurant operators to accommodate their customers’ needs when they dine in the middle of the COVID-19 pandemic. There is a paucity of research that has examined customers’ comfort level when dining in restaurants and customers’ preferred dining environment during the pandemic.