Development of National Arthroplasty (Results of 30-Year Research)

Development of modern arthroplasty in Ukraine, according to Academician of the National Academy of Sciences and the National Academy of Medical Sciences of Ukraine O.O. Korzh, began thanks to the activities of O.Ye. Loskutov (Dnipro) who managed to create his own Ukrainian endoprosthesis on the basis of the relevant enterprises of the city and establish specialized endoprosthetic clinic. The article reflects 30 years of experience in the de velopment of national arthroplasty. To solve the problem of development of national arthroplasty, the Orthopedic Joint Replacement initiative program (ORTEN) has been developed. For this purpose, an intersectoral problem laboratory was created which united the efforts of the scientists of different specialties and key enterprises of the Dnipro region. Biomechanical researches on native studying of mechanical properties of articular sites of bones have been carried out through mathematical modeling. Estimation of a stress-strain state of subchondral, spongy bone and various sites of long bones in "bone-implant" system has been carried out in order to define primary and secondary stability of different kinds of the developed im plants. Numerous biochemical, histochemical and toxicological studies on laboratory animals have been performed to evaluate the effects of implant materials and the developed types of protective coatings. X-ray morphometric and anthropometric studies of articular surfaces of bones were used in various pathologies of the joints for the development of implants; technical methods were used to assess the mechanical properties of implants under load. The developed designs of endoprostheses have passed certification and have been brought into pro duction. Clinical introduction of domestic endoprostheses was implemented in the Ukraine’s first specialized department of joint arthroplasty which was opened in Dnipro. The developed methods and methodological support for the use of the elaborated designs of endoprostheses allowed to organize the basic training of Ukrainian specialists through the Basic Course of Prof. O.Ye. Loskutov which was taken by almost 350 Ukrainian orthopedists.

Shadow Program Committee Initiative

The Shadow Program Committee (PC) is an initiative/program that provides an opportunity to Early-Career Researchers (ECRs), i.e., PhD students, postdocs, new faculty members, and industry practitioners, who have not been in a PC, to learn rst-hand about the peer-review process of the technical track at Software Engi- neering (SE) conferences. This program aims to train the next generation of PC members as well as to allow ECRs to be recog- nized and embedded in the research community. By participating in this program, ECRs will have a great chance i) to gain expe- rience about the reviewing process including the restrictions and ethical standards of the academic peer-review process; ii) to be mentored by senior researchers on how to write a good review; and iii) to create a network with other ECRs and senior researchers (i.e., Shadow PC advisors). The Shadow PC program was rst introduced to the SE research community at the Mining Software Repositories (MSR) confer- ence in 2021. The program was led by Patanamon Thongta- nunam and Ayushi Rastogi (Shadow PC Co-chairs) with support from Shadow PC Advisor Co-Chairs (Foutse Khomh and Serge Demeyer), PC Co-Chairs of the technical track (Meiyappan Na- gappan and Kelly Blincoe), and the General Chair of the con- ference, Gregorio Robles. To promote and facilitate the Shadow PC program at SE conferences in the future, this report provides details about the process and a re ection on the Shadow PC pro- gram during MSR2021. The presentation slides and video are also available online at https://youtu.be/ReUXwmtIEk8.

189Mobilizing for change through UM PEACE (Prevent Elder Abuse and negleCt initiativE) Program

Focus of Presentation Elder abuse and neglect (EAN) includes psychological, physical, sexual abuse, neglect, and financial exploitation. Malaysia – projected to become an aged nation by 2030 – is not spared. PEACE focuses on protecting elder rights, empowering the community to be actively engaged in elderly issues, and refining the Malaysian law to address existing gaps. Findings Our cohort study revealed that the overall lifetime prevalence of EAN (abuse episodes ever experienced from the age 60) was 8.1% with 4.8%, 3.4%, 1.2%, 0.3% and 1.1% for financial abuse, psychological abuse, physical abuse, sexual abuse and neglect respectively. Perpetrators tend to be family members (adult children) and abuse usually occurs at home. Premature mortality are shown higher among victims. From the legal perspective, the only existing act addressing family violence is the Domestic Violence Act (DVA 1994) and Penal Code. The DVA is neither adequate nor specific to EAN and dynamics of elder abuse. Our findings were presented to the relevant stakeholders including the Deputy Prime Minister of Malaysia. Using four main approaches - making findings understandable to policymakers, increasing opportunities for interaction, addressing barriers and ensuring research is relevant allows better communication between researchers and policy makers and ensuring evidence are translated to policy. PEACE are working on drafting the new Elder Act which will be ready by 2021. Conclusions/Implications The PEACE program is an example of how a complex health problem should be addressed. Better communication strategies and multiple interactions between policy makers and PEACE researchers is key to our impactful research. Key messages Dissemination approaches should be timely and consistent with culture to translate research evidence to policy. Protecting the well-being and dignity of our elders is not only a question of conscience or morality, but also a matter of upholding human rights and justice.

Higher Education Institutions as Partners in Growing Innovation of Local Economy

Higher education institutions (HEIs) are constantly evolving how they operate and their areas of academic interest. What remains unchanged is the fact that the raison d’être of a university is to fulfill the role of a citadel of knowledge to its environment. The aim of this paper is to show the relationship between HEIs and entities that have an impact on the growth of the local economy, in particular the possibilities of shaping local partnerships for innovation. The paper thus outlines the nature of individual sectors, the special role played by local governments, and the activities of universities related to innovation in the economy, based on the results of two collaborative studies co-sponsored by the Ministry of Science and Higher Education and teams of researchers at the WSB University in Dąbrowa Górnicza. One of the projects was under the framework of the DIALOG program of 2019–2020 and the other used the framework of the Regional Excellence Initiative program of 2019–2022. The main part of this study was based on a survey of representatives of local governments; the survey was oriented towards identifying the opinions of local managers on the current and postulated roles of universities in the development of the local economy. The results presented in this study indicate, among other things, a significant differentiation of expectations concerning the cooperation of entities in the process of local development based on innovation and changes in the areas of this cooperation.

The Water–Energy–Food Nexus Discovery Map: Linking Geographic Information Systems, Academic Collaboration, and Large-Scale Data Visualization

The Water–Energy–Food (WEF) Nexus framework for holistic sustainable development has spawned independent and academic communities around the globe that utilize the framework in research, implementation, policy development, and technological advancement. These communities, however, are geographically and topically segmented and lack large-scale databasing that clearly catalogs and classifies their work. Recognizing this need, the WEF Nexus Strategic Initiative program at The Pennsylvania State University has developed the WEF Nexus Discovery Map utilizing the Arc Geographic Information Systems’ (GIS) Online Dashboard creation toolkit. In real time, users are able to select from 5040 different combinations of filters with the ease of a few button pushes and see projects pop up or disappear from the map located on the dashboard. Projects can then be clicked on to view their specific information, such as the institution that produced the work, local collaborators, relevant web page, and point of contact. The WEF Nexus Discovery Map demonstrates the early new-age of data resource management with the intersection of visuals, advanced search with built-in filters, and community-driven data collection to provide users with exact needs and connections to better facilitate and deploy the holistic sustainability framework of the WEF Nexus.

Impact of Baby-Friendly Hospital Initiative for Improving Exclusive Breastfeeding: A Systemic Review of Ten Steps to Successful Breastfeeding

طThe Baby−Friendly Hospital Initiative (BFHI) launched by WHO / UNICEF has proven to be a powerful tool for raising breastfeeding rates. Breastfeeding is a protective factor for health, and breastfeeding promotion continues to be an important measure to improve child and maternal health in both developed and developing countries. A systematic review of the effect of BFHI worldwide found that the BFHI was the most effective intervention for improving breastfeeding rates at health system level and adherence to the Ten Steps positively affected short-, medium-, and long-term breastfeeding outcomes. This study therefore examines the impact of baby-friendly hospital initiatives for improving exclusive breastfeeding. This study used systematic review which performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The published literature was identified using relevant keywords. The initial screening was conducted by year of publication (8 years) and free full text, then reading the titles and abstracts. Nine articles were included in this review. The studies showed there were positive impacts in enhancement of exclusive breastfeeding after applied baby-friendly hospital initiative program. Rates of exclusive breastfeeding were demonstrably improved by applying BFHI with Ten Steps to Successful Breastfeeding at health care facilities to all mothers from pregnancy until postpartum. Keywords: Baby-Friendly Hospital Initiative, breastfeeding, exclusive breastfeeding, Ten Steps, Ten Steps to Successful Breastfeeding

Implementation of the Quality Oncology Practice Initiative Program in Spain: First Results and Implications

PURPOSE: Measuring and tracking quality of care is highly relevant in today's health care. The Quality Oncology Practice Initiative (QOPI) program is a referral for evaluating oncology practices worldwide. Excellence and Quality in Oncology Foundation, a collaboration of oncology experts from major Spanish hospitals involved in cancer treatment, reached an agreement with QOPI to include Spanish hospitals in this program. METHODS: We analyzed the results of the QOPI Core module measures from 19 Spanish hospitals over nine rounds (from fall 2015 to fall 2019). RESULTS: Of the 19 hospitals, 15 completed more than one round; none participated in all nine (two hospitals participated in eight rounds). The highest scores were for pathology report confirming malignancy, documenting a plan of care for moderate or severe pain and chemotherapy dose, and chemotherapy administered to patients with metastatic solid tumor with performance status undocumented. Measures regarding a summary of chemotherapy treatment, tobacco use cessation counseling, and assessment of patient emotional well-being were among the lowest scored measures. Six of the 15 practices that participated repeatedly achieved a better score in their last round compared with their first. Overall, scores of Spanish hospitals improved from 67.79% in fall 2015 to 68.91% in fall 2019. CONCLUSION: To our knowledge, this is the first study to evaluate QOPI scores in Spain. There was high variability in scores, with quality of care improving with repeated participation in some hospitals, but worsening in others. Excellence and Quality in Oncology Foundation will support practices to increase their participation to improve oncology care and implement strategies that address the areas for improvement.

High prevalence of undiagnosed hypertension among men in North Central Nigeria: Results from the Healthy Beginning Initiative

Background The prevalence of hypertension in Nigeria is high and growing. The burden and risk factor distribution also vary by geographical zone. Information about prevalence, risk factors and disease status awareness are needed to guide evidence based public health response at the national and sub- national levels. Purpose This paper describes the prevalence of hypertension and its correlates, as well as hypertension status awareness among men in North Central, Nigeria. Methods A cross sectional survey was administered to male partners of pregnant women participating in the Healthy Beginning Initiative program from 2016–2018. Information on socio-demographic characteristics, risk factors, physical measurement and blood pressure readings were collected using a standardized protocol. Data was analyzed with simple and multiple logistic regression. Results The 6,538 men had a median age of 31 years [IQR: 26–37]. The prevalence of hypertension was 23.3% (95% CI: 22.3%-24.4%), while 46.7% had prehypertension. The odds of hypertension was associated with increasing age (OR:1.02, CI:1.01–1.03), being overweight (aOR:1.5,CI:1.3–1.8), being obese (aOR:2.6,CI:2.0–3.3), living in an urban area (aOR:1.6,CI:1.2–2.1), and alcohol use in the 30 days prior (aOR:1.2,CI:1.1–1.4). Overall, 4.5% (297/6,528) of participants had ever been told they have hypertension. Among the 23.3% (1,527/6,528) with hypertension, 7.1% (109/1,527) were aware of their disease status. Men aged 41–50 years (aOR: 1.8, CI: 1.0–3.3), and > 50 years (aOR: 2.2, CI: 1.1–4.3), had higher odds disease status awareness. Living in an urban area was associated with lower odds (aOR: 0.2, CI: 0.03–0.7) of hypertension status awareness. Conclusion This study showed that hypertension is already a significant public health burden in this population and that disease awareness level is very low. Alcohol use and obesity were associated with hypertension, highlighting some modifiable cardiovascular disease risk factors that are prevalent in the study population. Taken together, these findings can inform the design of interventions for primary and secondary cardiovascular disease prevention in Nigeria and similar settings.