Mapping of Financial Support Programs for Children With Neurodisabilities Across Canada: Barriers and Discrepancies Within a Patchwork System

A cross-jurisdictional pan-Canadian environmental scan was conducted to identify provincial, territorial, and federal financial supports available to families with children living with neurodisabilities. In partnership with the organization Childhood Disability LINK, flowchart-styled pathway documents were developed for each financial support identified, mapping out the processes required to access each support. A critical analysis was completed as it relates to structural barriers, accessibility of program information and geographic discrepancies. The results revealed that, despite almost universal availability of programs to support families of children living with neurodisabilities, significant barriers and inequity remain. This included considerable variation in access to financial support based on geographic and jurisdictional discrepancies, absence of adequate and accurate information about programs, and minimal support provided to families in the application process. We argue that the barriers and discrepancies identified were an inherent result of the Canadian federalist fragmentation of the delivery of social care and financial support programs for children living with neurodisabilities. A more unified response by Canadian provincial, territorial, and federal governments is clearly needed to take positive steps to address the consequences of federalist fragmentation and respond to the structural barriers and geographic discrepancies identified by this study.

1197. Development and Implementation of Innovative Syringe Service Programs for Veterans in Rural and Urban Settings

Background Syringe Services Programs (SSPs) is one aspect of a comprehensive Harm Reduction approach necessary to reduce the transmission of blood borne infections including Hepatitis B, Hepatitis C, and HIV. Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that in 2019 that 595,000 veterans engage in opioid misuse with at least 57,000 veterans engaging in heroin. Stigmas to SSP are pervasive in the community and within the government system. Federal law prohibited the use of federal funds to purchase sterile needles or syringes for the purposes of illegal use of drugs by injection. It was officially clarified in May 24, 2021 that the prohibition to purchase syringes does not apply to Veterans Health Administration (VHA). While awaiting approximately 2 years to secure this clarification, syringes were obtained through a community donation. We aim to describe our process including difficulties encountered and data collected for SSP at two locations. Difficulties included developing an anonymous process to track quality, motivating providers to refer, educating highest risk veterans, providing face to face engagement during COVID-19 pandemic and ability to mail Harm Reduction kits containing sterile syringes. Illiana VA Program Information Sheet Orlando VA Program Information Sheet Methods Of the 140 facilities within VHA, there are currently only two SSPs established, Illiana VA and Orlando VA. A retrospective analysis of Harm Reduction benefits was performed among veterans who engaged with the two SSPs between 2018 to 2021. Orlando VA SSP Intake Process Map Process that veteran undergo when they engage with Orlando VA SSP Contents of Standard SSP Kit Distributed to Veterans at Orlando VA Results Approximately 3000 syringes were dispensed. Of the 17 veterans, 65% received syringes, 82% received naloxone, 100% engagement in mental health and 94% engagement in substance use disorder clinics. In total, 65% were screened for HIV, 82% for HCV and 29% for sexually transmitted infections. Conclusion These numbers, while modest, are notable, especially given the financial and organizational barriers that were in place. Furthermore, the COVID-19 pandemic impacted full implementation and outreach. With the recent, official clarification on syringe purchase and support for SSPs, the number of SSPs in the VA will grow, along with opportunity for more robust data collection. The experience of both facilities is a model for programs currently in development and moves us closer to ending the HIV epidemic by 2030. Disclosures All Authors: No reported disclosures

Implementasi Natural Language Processing Dalam Pembuatan Chatbot Pada Program Information Technology Universitas Surabaya

Program Information Technology di Jurusan Teknik Informatika, Universitas Surabaya, merupakan salah satu program yang menggunakan bahasa Inggris sebagai pengantar pada saat perkuliahan berlangsung. Akan tetapi, kurangnya informasi mengenai Program Information Technology menyebabkan kurangnya minat calon mahasiswa terhadap program tersebut. Oleh karena itu, penelitian ini bertujuan untuk membuat sebuah aplikasi chatbot yang dapat membantu user untuk memperoleh informasi-informasi terkait dengan Program Information Technology pada Jurusan Teknik Informatika, Universitas Surabaya. Chatbot yang dibangun hanya akan memproses pertanyaan dengan bahasa Inggris saja. Chatbot yang dibuat pada penelitian ini menggunakan pendekatan Natural Language Processing (NLP) untuk memproses pertanyaan yang disampaikan user dan untuk mendapatkan kata kunci dari informasi yang diinginkan user. Sistem akan melakukan pencarian informasi pada kamus informasi yang ada. Apabila informasi tidak ditemukan, maka sistem akan melakukan proses crawling untuk memperoleh informasi yang dibutuhkan user. Pada penelitian ini, validasi sistem dilakukan dengan dua metode yaitu cross validation dan user validation. Berdasarkan validasi dengan metode cross validation didapatkan akurasi sebesar 83,33%. User validation dilakukan dengan cara meminta 10 user untuk melakukan uji coba sistem dan didapatkan akurasi sebesar 76%.

The unique impact of COVID-19 on orthopedic surgery residency applicants and program directors in Canada

The COVID-19 pandemic led to the cancellation of visiting medical student electives and in-person residency interviews in Canada. Orthopedic surgery residency programs are now curtailed in their ability to self-promote and select optimal applicants. Online and social media tools should be adopted to promote programs. Faculty, residents and trainees should aim to attend virtual social and program information events. Applicants should make efforts to learn about the programs by attending events and reaching out to residents, and strengthen their application through research and other activities to demonstrate their interest and commitment to the field of orthopedic surgery. These efforts may help avoid the prospect of qualified candidates being unranked by programs or residency positions being unfilled. These difficult circumstances may serve to engender collaboration and cooperation across residency programs and medical schools and lay the foundation for a thriving interconnected ecosystem of future orthopedic surgeons.

Development of Dekstop Based Customer Data Information System (Case Study: PDAM Tirta Fulawan Siemeulue Barat)

The purpose of this research is to find out and information systems that are running at PDAM Tirta Fulawan, West Simeulue District, and to create an application for customer data management, payment, and meter installation to simplify and speed up the data collection process. From the results of research and observations that have been carried out at PDAM Tirta Fulawan, West Simeulue District, it can be concluded that with this customer information system in PDAM Tirta Fulawan, West Simeulue District, information becomes precise and accurate, especially in the service section, and to obtain information These customers become easier, this information system is able to solve problems that often occur in PDAM Tirta Fulawan, West Simeulue District, namely it is difficult to control and supervise customer data and account payments which can avoid delays in making reports every year and for a certain period, and the creation of a system program information in order to obtain quality information.

Information Systems Inventory of Goods in The Warehouse at PT. Transvision

On the other hand, the system currently running at PT. Transvision, especially in the inventory section, in data processing errors often occur delays in goods orders due to monitoring of stock items that are still done manually with the number of items available. Even if the goods that consumers are looking for are in empty stock because the delay in stock input of goods can cause sales to decline, the goods that should be able to be sold cannot be sold. The author makes a problem limitation only on the Inventory Information System at PT. Transvision Banda Aceh using Visual BASIC.NET application, which is the purpose of writing, namely to identify and design the Inventory Information System at PT. Transvision Banda Aceh. There are two methods that the author uses to collect data, namely field studies and library studies. From the results of research and observations that have been made at PT. Transvision Banda Aceh, it can be concluded that the existence of this Inventory Information System Program Information system at PT. Transvision Banda Aceh becomes precise, and accurate, especially in the inventory section. And obtain information about the inventory of these goods becomes easier and this information system is able to solve problems that often occur at PT. Transvision Banda Aceh is difficult in controlling and supervising the inventory of goods and planning the procurement of goods. This procurement information system can avoid excess inventory and overcome the scarcity of goods which is of course highly expected by business actors so that an information system program is created in order to obtain quality information.