Hydrogen application technologies and environmentally friendly smart energy system

Climate change and fossil fuel depletion are the main reasons for many countries around the world to develop and implement energy transition strategies. Being a very clean burning fuel (generating steam only), hydrogen will play an important role in the transition from fossil energy to CO2-free energy. The paper introduces recent advances of hydrogen technology applied in transportation, industry, and power generation in the world; challenges regarding hydrogen safety and technology; barriers in social perception; and some recommendations for the development of hydrogen technology and environmentally friendly smart energy systems in Vietnam.

Reaching Out to Older Adults in Rural Communities by Utilizing Community Health Workers During a Pandemic

Older adults in rural communities have access, isolation, and technology barriers to healthcare that are exacerbated by the COVID- 19 pandemic. A shortage of healthcare professionals combined with limited resources and poor broadband access have limited their ability to benefit from telehealth. The pandemic has further worsened isolation in rural communities. This Age-Friendly Care, PA pilot study uses community health workers (CHW) as a bridge to connect isolated and underserved older adults with their healthcare team. The CHWs facilitate access to telehealth provided by a Federally Qualified Health Center (FQHC), and also provide “check-ins’ to housebound patients. The focus of the intervention is CHW delivered facilitation of telehealth and other supports to better manage their healthcare needs. We will describe the co-design of the project and discuss lessons learned in attempting to bridge the digital divide for rural older adults during and after the pandemic.

Identifying Tools and Technology Barriers to In-Home Care for Children with Medical Complexity

Family caregivers use tools and technology to provide care for children with medical complexity (CMC) in the home. It is unclear what barriers families experience when using the tools and technology integral to the care and wellbeing of CMC. Our objective was to identify the barriers family caregivers experience in using tools and technology to provide care to CMC in the home. We used contextual inquiry to interview 30 caregivers in their homes and analyzed our data using a deductive content analysis informed by the patient work system (PWS) model and an inductive content analysis to identify emergent barriers. Through these combined analyses, we identified four categories of barriers families experienced using tools and technology to care for CMC: 1) Access and Cost; 2) Usability, which includes the subcategories Functionality, Tool design, Ease of use, and Reliability; 3) Short-term tool impact; and 4) Long-term tool impact. Our results point to the need for further interventions to reduce or mitigate tools and technology barriers to the in-home care for CMC.

Exploring Past, Present and Future of Orthotics and Prosthetics in Pakistan

This is a qualitative study to explore the perception of Orthotists and Prosthetists regarding past, present and future of their profession. The Qualitative research approach using individual interviews. Data was collected from professionals of some private and some government sector in Rawalpindi, Peshawar and Lahore during April 2019 to July 2019. The sample size was 12. A demographic questionnaire and standarized instrument from Nvivo was filled satisfying the inclusion criteria. A comprehensive audio-videography have been developed, recorded, transcripted and documented. Data was transcribed and thematic analysis along with characteristics was drawn manually. Data verification was done with the help of coders. After the extraction of data followings results are emerged. General category themes are trainings and seminars, opportunities, government setup, lack of coherence among professionals, uniform curriculum, and establishment of council, effects of earthquake, German contribution and techniques/technology. Barriers are identified at the level are lack of awareness/ acknowledgement, low job opportunities, no proper workshops, poor referral system, limited resources and old technologies. It is concluded that the field of orthotics and prosthetics in Pakistan need attention in the following categories i.e. trainings and seminars, job opportunities, uniform curriculum, unity among professionals, establishment of council, acknowledgment at government level and awareness among other health professionals.

Blood Transfusion Errors Within a Health System: A Review of Root Cause Analyses

Introduction: Blood transfusions are lifesaving treatments which require critical attention to processes and details. If processes are not followed, grievous errors can lead to sentinel events. A review of investigations completed due to reported events will show the error trends associated with systems used throughout the blood transfusion process. Methods: This study employed root cause analyses (RCAs) within the Veterans Health Administration (VHA) to review the events leading to blood transfusion errors. Data was pulled from the RCA databases within the VA National Center for Patient Safety. The time frame was October 2014 to August 2019. A total of 53 RCAs and aggregated reviews were included in the study. These were reviewed for common themes and gaps present within processes. Results: The most common events fell within the categories of incorrect or delayed blood orders, incorrect or lack of patient identification, and wrong blood given. The RCA for each event was reviewed and studied. The RCAs had a crossover of multiple causes; lack of a formal process, communication barriers, and technology barriers were the most frequent. Conclusion: These RCAs express great variation between VHA facilities, such as process created, number of staff reports, and number of RCAs completed. Lack of standard practices nationwide, training barriers, and technology barriers may explain the variation of transfusion errors throughout the VHA. This study brings to light questions about standardization of transfusion protocols. Future study regarding such standardization is necessary to determine its plausibility.

COVID-19 Remote Learning Transition in Spring 2020: Class Structures, Student Perceptions, and Inequality in College Courses

The COVID-19 pandemic forced all face-to-face college courses to transition to remote instruction. This article explores instructional techniques used in the transition, student perceptions of effectiveness/enjoyment/accessibility of those techniques, barriers that students faced due to the transition, and race/class/gender inequality in experiencing those barriers. We used surveys in introductory courses by two instructors (the authors) to compare students’ reactions to our transitions and the transitions in their other courses. We found that which instructional technique instructors use is less important than how well they implement it for student learning. Although there is a tradeoff between enjoyment and accessibility, instructors can use techniques to increase accessibility of interactive formats. Internet and technology barriers were extremely common, even for students who did not anticipate problems. Most students experienced barriers to their learning due to the pandemic, including distractions, increased anxiety, and feeling less motivated, especially for nonwhite, female, and first-generation college students.