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2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristy M. Scarfone ◽  
Nazlee Maghsoudi ◽  
Karen McDonald ◽  
Cristiana Stefan ◽  
Daniel R. Beriault ◽  
...  

Abstract Background The overdose crisis has generated innovative harm reduction and drug market monitoring strategies. In Toronto, Ontario, Canada, a multi-site drug checking service (DCS) pilot project was launched in October 2019. The project provides people who use drugs with information on the chemical composition of their substances, thereby increasing their capacity to make more informed decisions about their drug use and avoid overdose. DCS also provides real-time market monitoring to identify trends in the unregulated drug supply. Methods Sample data were obtained through analyses of drug and used drug administration equipment samples submitted anonymously and free of charge to DCS in downtown Toronto from October 10, 2019, to April 9, 2020, representing the first six months of DCS implementation. Analyses were conducted in clinical laboratories using liquid chromatography- and/or gas chromatography-mass spectrometry (LC–MS, GC–MS) techniques. Results Overall, 555 samples were submitted, with 49% (271) of samples that were found to contain high-potency opioids, of which 87% (235) also contained stimulants. Benzodiazepine-type drugs were found in 21% (116) of all samples, and synthetic cannabinoids in 1% (7) of all samples. Negative effects (including overdose, adverse health events, and extreme sedation) were reported for 11% (59) of samples submitted for analysis. Conclusions Toronto’s DCS identified a range of high-potency opioids with stimulants, benzodiazepine-type drugs, and a synthetic cannabinoid, AMB-FUBINACA. This information can inform a range of evidence-informed overdose prevention efforts.


2022 ◽  
Vol 15 (1) ◽  
pp. 315-321
Author(s):  
Amanda Aguila Gonzalez ◽  
Martha Henao ◽  
Cari Ahlers-Schmidt

Introduction. Hispanics represent the largest minority group in the United States. In Kansas, the population of Hispanics has been increasing; unfortunately, their infant mortality rate has increased as well. Baby Talk is a prenatal education program promoting maternal and infant health through risk-reduction strategies and healthy decision-making. The aim of this pilot project was to develop and evaluate a Spanish curriculum for Baby Talk. Methods. A collaborative partnership between community members and bilingual health professionals from different origins, nationalities, and Spanish dialects was formed to create a culturally and linguistically appropriate Spanish Baby Talk curriculum. This interventional pilot study employed survey and interviews to evaluate participant knowledge, intentions, satisfaction and perceptions of the newly developed curriculum. Results. Fifteen pregnant women participated in Spanish Baby Talk. Of those, 12 participated in either phone interviews (n=6) or a focus group (n=6). All respondents described their experience with the Spanish Baby Talk program as “excellent”. Significant increases in knowledge were seen related to topics such as benefits of full-term pregnancy and benefits of breastfeeding. Four themes were identified from the focus group and interviews: 1) lack of accessible community resources; 2) sense of community; 3) Spanish Baby Talk strengths; and 4) areas for improvements. Conclusions. Findings suggested that the Spanish Baby Talk curriculum was linguistically appropriate and resulted in increases in knowledge and intentions related to health and safety behaviors. Areas for improvement were related to marketing the program and referring to resources that provide material supports (i.e., diapers) to continue the move towards a culturally competent program.


2022 ◽  
Vol 21 (1) ◽  
pp. 161-162
Author(s):  
Sophia Thomson ◽  
Egor Chumakov ◽  
Jacques Van Hoof ◽  
Bernardo Ng ◽  
Roger M.K. Ng
Keyword(s):  

2022 ◽  
Vol 3 (1) ◽  
pp. 21-39
Author(s):  
Gabriella Depiné Poffo ◽  
Gisele Kruger ◽  
Bruna Jaime Feiden ◽  
Marcelo menezes da luz machado ◽  
Isabel regina depine poffo ◽  
...  

Com o intuito de aperfeiçoar a gestão universitária, o objetivo principal desta pesquisa é apresentar uma proposição da implantação da curricularização da extensão na matriz curricular para o curso de Administração conforme a Resolução CNE/CES nº 7 de 18 dezembro de 2018. Com a promulgação legislativa, o Ministério da Educação, têm exigido além das obrigações de ensino, a ampliação da oferta da extensão e pesquisa em condicionamento com a comunidade externa. A finalidade principal prevista nesta resolução se baseia na disciplina de atividades práticas curriculares voltadas para as atividades extensionistas além do conteúdo teórico obrigatório de cada curso de graduação. Como forma de condicionar este estudo, será necessária uma compreensão da evolução legislativa baseada em aspectos históricos, a descrição da Resolução CNE/CES nº 7 e a estruturação de uma proposição para matriz curricular do curso de administração.  Em reuniões de grupo focal foi planejado a execução de um projeto piloto para oferta em 2021/1 conforme pode ser identificado no estudo a seguir. Como conclusão do estudo é possível identificar que a implantação dessa legislação fortalecerá a formação do acadêmico desenvolvendo novas habilidades técnicas e profissionais, qualificando o aluno para o mercado de trabalho mais competitivo, dinâmico e inovador.   In order to improve university management, the main objective of this research is to present a proposal for the implementation of the extension curricularization in the curriculum for the Administration course in accordance with Resolution No. 7 of December 18, 2018 of the National Council of Education. With the enactment of legislation, the Ministry of Education has demanded, in addition to teaching obligations, the expansion of the extension and research offer in connection with the external community. The main purpose provided for in this resolution is based on the discipline of practical curricular activities aimed at extension activities in addition to the mandatory theoretical content of each undergraduate course. As a way of conditioning this study, an understanding of the legislative evolution based on historical aspects, the description of Resolution No. 7/2018 and the structuring of a proposal for the curriculum of the administration course will be necessary. In focus group meetings, it was planned to carry out a pilot project for the offer in 2021/1 as can be identified in the study below. As a conclusion of the study, it is possible to identify that the implementation of this legislation will strengthen academic training by developing new technical and professional skills, qualifying students for the most competitive, dynamic and innovative job market.


2022 ◽  
Vol 8 ◽  
Author(s):  
Charlotte Asker-Hagelberg ◽  
Tomas Boran ◽  
Christelle Bouygues ◽  
Sini Marika Eskola ◽  
Laszlo Helmle ◽  
...  

Repurposing of authorised medicines has been under discussion for a long time. Drug repurposing is the process of identifying a new use for an existing medicine in an indication outside the scope of the original approved indication. Indeed, the COVID-19 health crisis has brought the concept to the frontline by proving the usefulness of this practise in favour of patients for an early access to treatment. Under the umbrella of the Pharmaceutical Committee and as a result of the discussions at the European Commission Expert Group on Safe and Timely Access to Medicines for Patients (STAMP) a virtual Repurposing Observatory Group (RepOG) was set up in 2019 to define and test the practical aspects of a pilot project thought to provide support to “not-for-profit” stakeholders generating or gathering data for a new therapeutic use for an authorised medicine. The group's initial plan was impacted by the outbreak of the SARS-CoV-2 pandemic and the launch of the pilot needed to be postponed. This article describes the progress and the activities conducted by the group during this past and yet extraordinary 2020–2021 to keep the project alive and explores on the background of this topic together with the obvious opportunities this health crisis has brought up in terms of repurposing of medicines.


SinkrOn ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. 120-127
Author(s):  
Mariza Devega

Increasing patient satisfaction in this case, especially Puskesmas as the government agency that provides health services for the community, will certainly have an impact on the quality of service from the Puskesmas Itself. One of them with an efficient queuing system.  A good queue will support regularity in an agency. Previously, analysis and calculation of queuing time had been carried out using the Kolgomorov-Smirnov compatibility test at the Puskesmas Siak Hulu I Kabupaten Kampar- Riau, and the results obtained an average of six working hours of patient care. This research is a pilot project that was carried out as a form of increasing effectiveness and efficiency in Puskesmas. The research has been completed and the results are the basis for this research and further research. The purpose of the current research is to make an online queuing system design, where later the results of this design are used to create a web-based online queuing system. The design is adapted to the existing queuing model at the Puskesmas, namely the Sigle Channel-Multi Steps queuing model. System development using System Development Life Cycle (SDLC) consisting of, analysis, design, implementation, and maintenance. The design phase is carried out in three stages, namely conceptual modeling, database design, and interface design. The design starts from making the proposed Rich-Picture, then carries out the predetermined design stages. With this design, it is hoped that in the future it will facilitate the process of developing a web-based online queuing system.


Author(s):  
Elena Marchetti ◽  
Sarah Woodland ◽  
Vicki Saunders ◽  
Leah Barclay ◽  
Bianca Beetson

Energies ◽  
2022 ◽  
Vol 15 (1) ◽  
pp. 373
Author(s):  
Ivan Popović ◽  
Aleksandar Rakić ◽  
Ivan D. Petruševski

This effort to make the power grid more intelligent is tightly coupled with the deployment of advanced metering infrastructure (AMI) as an integral part of the future vision of smart grid. The goal of AMI is to provide necessary information for the consumers and utilities to accurately monitor and manage energy consumption and pricing in real time. Immediate benefits are enhanced transparency and efficiency of energy usage and the improvement of customer services. Although the road map toward successful AMI deployment is clearly defined, many challenges and issues are to be solved regarding the design of AMI. In this paper, a multi-agent AMI based on the fog-computing approach is presented. Architecture follows structural decomposition of AMI functionalities encapsulated in a form of local and area-specific service components that reside at the different tiers of hierarchically organized AMI deployment. Fog computing concepts provide the framework to effectively solve the problems of creating refined and scalable solutions capable of meeting the requirements of the AMI as a part of future smart grid. On the other hand, agent-based design enables concurrent execution of AMI operations across the distributed system architecture, in the same time improving performance of its execution and preserving the scalability of the AMI solution. The real-time performance of the proposed AMI solution, related to the periodic and on-demand acquisition of metering data from the connected electricity meters, was successfully verified during one year of pilot project operation. The detailed analysis of the performance of AMI operation regarding data collection, communication and data availability across the deployed pilot AMI, covering several transformer station areas with diverse grid topologies, is also presented.


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