Radiology reporting in rectal cancer using MRI: adherence to national template for structured reporting

Background In 2014, a national workshop program was initiated and a reporting template and manual for rectal cancer primary staging using magnetic resonance imaging (MRI) was introduced and made available by the national Swedish Colorectal Cancer Registry. Purpose To evaluate the effect of the national template program by identify if there was a gap between the content in Swedish MRI reports from 2016 and the national reporting template from 2014. The aim was to explore and compare differences in content in reporting practice in different hospitals in relation to the national reporting template, with focus on: (i) identifying any implementational differences in reporting styles; and (ii) evaluating if reporting completeness vary based on such implementational differences. Material and Methods A total of 250 MRI reports from 10 hospitals in four healthcare regions in Sweden were collected. Reports were analyzed using qualitative content analysis with a deductive thematic coding scheme based on the national reporting template. Results Three different implemented reporting styles were identified with variations of content coverage in relation to the template: (i) standardized and structured protocol (reporting style A); (ii) standardized semi-structured free-text (reporting style B); and (iii) regular free-text (reporting style C). The relative completeness of reporting practice of rectal cancer staging in relation to the national reporting template were 92.9% for reporting style A, 77.5% for reporting style B, and 63.9% for reporting style C. Conclusion The implementation of template-based reporting according to reporting style A is a key factor to conform to evidence-based practice for rectal cancer reporting using MRI.

Localizing the SDGs in England: Challenges and Value Propositions for Local Government

The United Nations' Development Goals (SDGs) have been criticized but are nonetheless seen by many as an important, if imperfect, international effort to address climate and environmental change, resource depletion and the unsustainability of contemporary life. Many of the Goals need to be implemented at the local level, yet sub-national governments have not been granted any enhanced status at the UN to facilitate this process. As a result, the role and effectiveness of local governments in localizing the SDGs is dependent on multi-level arrangements within respective national contexts. In this paper we present findings on the challenges facing local authorities in England, namely co-dependent ambivalence, partial holism and narrow practices of knowledge governance. We draw on work carried out collaboratively with local authorities and other stakeholders in Greater Manchester and Sheffield, and a UK-wide national workshop. These challenges explain the relatively low uptake and engagement with the SDGs in the context of wider political and economic concerns compared with international comparator cities. Against this background our research found that making the Goals real, relevant, relatable and relational offered a tactical route to localization for English local government.

School Libraries Role in Connected Learning: Perception of School Librarians in Nigeria

Connected learning (CL) aims at bridging the gap between in-school and out-of-school learning, thus, learning now takes place not only in the classroom setting. Libraries as nexus of informal learning space are appropriate spaces for connected learning. Observation shows that CL has not been embraced in Nigeria. Therefore, this study examined the perception of school librarians on the roles of school libraries in CL, challenges of CL, and solutions. School librarians that attended the national workshop organized by the Nigerian School Library Association (NSLA) participated in the focus group discussion. The findings revealed perceived roles of school libraries in CL, challenges of CL in Nigeria, and solutions proffered.

Virtual national workshop: preparation of multimedia modules for physical education teachers in accordance with COVID-19 prevention procedures

The COVID-19 pandemic has caused changes in the school learning system. Face-to-face learning shifted to remote learning using multimedia approaches. Online learning created particular difficulties for Physical Education (PE) teachers. Previously, they had to be role models in the teaching of physical activity. A national virtual workshop was conducted to support those teachers as they shift to remote learning. The purpose of the workshop was to provide PE instruction through social media and develop online learning modules. The 3 days of activities consisted of 4 lectures and 6 workshops provided to 177 PE teachers from 32 provinces in Indonesia. Participants were informed about the COVID-19 pandemic, its impact on children, and healthy life during the pandemic. Online applications that were free of charge, easy to use, highly rated, and widely downloaded were also introduced to them. These multimedia applications could help teachers develop and deliver remote learning modules to their students. The workshop supported the teachers as they adapted to interactive distance learning. The workshop also successfully illustrates an innovative distance learning module delivered through multimedia.

Workshop, Warehouse and the Primacy of Dublin

This chapter highlights Dublin's commercial primacy and its status as a great pre-industrial manufacturing city. The chapter explores how Dublin became the country's principal port of entry for fine cloth, metal goods, and emerged as the national warehouse for imports. It reviews Dublin's contribution to customs revenue between 1615 and 1619 and the city's success in cornering the wholesale market in high-value imports. Being the principal high-value warehouse in the country brought about Dublin's transition to being the national workshop for luxury and quality goods — not the only such location, but the dominant one for more than a century. The chapter also discusses the expansion of the guild membership in Dublin, noting that the renaissance of Dublin's guilds in the seventeenth century was an enabling factor in the city's rapid development as a manufacturing hub. Ultimately, the chapter elaborates the growth of the apparatus of government and the arrival in the city of large numbers of upper-class families.

Realising the full potential of data-enabled trials in the UK: a call for action

RationaleClinical trials are the gold standard for testing interventions. COVID-19 has further raised their public profile and emphasised the need to deliver better, faster, more efficient trials for patient benefit. Considerable overlap exists between data required for trials and data already collected routinely in electronic healthcare records (EHRs). Opportunities exist to use these in innovative ways to decrease duplication of effort and speed trial recruitment, conduct and follow-up.ApproachThe National Institute of Health Research (NIHR), Health Data Research UK and Clinical Practice Research Datalink co-organised a national workshop to accelerate the agenda for ‘data-enabled clinical trials’. Showcasing successful examples and imagining future possibilities, the plenary talks, panel discussions, group discussions and case studies covered: design/feasibility; recruitment; conduct/follow-up; collecting benefits/harms; and analysis/interpretation.ReflectionSome notable studies have successfully accessed and used EHR to identify potential recruits, support randomised trials, deliver interventions and supplement/replace trial-specific follow-up. Some outcome measures are already reliably collected; others, like safety, need detailed work to meet regulatory reporting requirements. There is a clear need for system interoperability and a ‘route map’ to identify and access the necessary datasets. Researchers running regulatory-facing trials must carefully consider how data quality and integrity would be assessed. An experience-sharing forum could stimulate wider adoption of EHR-based methods in trial design and execution.DiscussionEHR offer opportunities to better plan clinical trials, assess patients and capture data more efficiently, reducing research waste and increasing focus on each trial’s specific challenges. The short-term emphasis should be on facilitating patient recruitment and for postmarketing authorisation trials where research-relevant outcome measures are readily collectable. Sharing of case studies is encouraged. The workshop directly informed NIHR’s funding call for ambitious data-enabled trials at scale. There is the opportunity for the UK to build upon existing data science capabilities to identify, recruit and monitor patients in trials at scale.

Community Preferences for Urban Systems Transformation in Australia

Civil society engagement is important for enabling urban systems transformations that meet community needs. The development of Future Earth Australia’s Sustainable Cities and Regions: A 10-Year Strategy for Urban Systems was underpinned by cross-sectoral workshops in 7 Australian urban areas and interviews with key stakeholders to create a shared vision of both current and desired future urban structure and policy. We then created an online survey to gauge broader community feedback on the vision which emerged from these workshops and interviews, to compare their outcomes with the views of community members who could be directly impacted by urban decision-making. The survey consisted of 35 questions, which were shaped by the issues emerging from the workshops and interviews. The sample was self-selected, and the 641 respondents represented a cross-section of individuals interested in sustainable cities. Our survey results supported and expanded on the major conclusions of FEA’s National workshop and interview processes, including the need to develop transparent and responsive decision-making processes, limit waste and pollution and develop effective housing and transport alternatives with mixed-use neighborhoods and adequate green space.

A Water Compact for Sustainable Water Management

The water sector in Somalia is fragmented and needs coordination to establish a functioning water governance system. Therefore, commitments from all affected stakeholders are needed to support water resources development in Somalia. This paper proposed a water compact for Somalia that can address all water sector challenges to approach sustainability. The paper starts by analyzing water sector stakeholders in Somalia, describing their missions and relationship with the compact, categorizing all selected stakeholders based on their power and interest, and identifying key stakeholders. Based on the outcome from the national workshop and the literature, a water compact was proposed highlighting possible actions to solve the identified challenges. The compact covered four thematic areas: water governance, water use and services, water resilience, and integrated water resources management, which were discussed by all engaged stakeholders in a national workshop. The water compact will ensure sustainable water resources management. The paper highlighted the need for engaging the local media and the local people to get the much needed and valued feedback for possible interventions.