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Purpose: of this article is to justify the implementation of insurance of environmental risks in the Russian Federation in the form of a pilot project based on imputed insurance with the definition of the main conditions of insurance coverage.Methods: the presented work uses statistical and predictive methods and the integrated approach for processing data on natural, climatic and human activity risks. Correlation-regression analysis and actuarial modeling were used to determine the conditions for insuring environmental risks and calculate tariff rates.Results: the paper substantiates the possibility of carrying out insurance of environmental risks in the form of a pilot project using an imputed form of insurance. Approaches to the calculation of the main parameters of business civil liability insurance for causing environmental damage as a result of an accident within the framework of a pilot project are proposed, including the determination of the minimum and maximum non-aggregate insurance limit, the minimum number of insurance companies, and the calculation of tariff rates. Due to the lack of Russian statistics on insurance coverage of environmental risks, statistical data on global insurance catastrophic losses from natural events, climate risks and human actions, as well as judicial statistics on disputes over the application of environmental protection legislation, were used for the calculation. The regions of the Russian Federation were identified for the implementation of a pilot project of environmental risk insurance.Conclusions and Relevance: the implementation of a pilot project of environmental risk insurance in certain regions on the basis of imputed insurance will make it possible to assess the current and forecast level of environmental risks in the Russian Federation, the need for insurance and reinsurance protection, the possibility and necessity of state participation in covering environmental damage. Using insurance statistics, insurers will be able to develop adjustment factors that encourage enterprises to take preventive measures. Reflection in a special reporting section of the results of the participation of insurance companies in the insurance of environmental pollution risks will be considered as the implementation of ESG principles.

Abstract Background The prevalence of mental and behavioural illnesses in the Australian community is increasing. Paramedics are frequently the first health responders to a mental health crisis, and their workload associated with mental health presentations is also increasing. The present study explored the experience and perspectives of undergraduate paramedic students who participated in a pilot mental health placement. Methods A pilot workplace learning opportunity was established in which students completed a portion of their community service hours in an inpatient mental health setting at Port Macquarie Base Hospital. Eight students attended and completed the placement and were administered the Clinical Placement Evaluation Questionnaire. Results Student responses to this placement experience were overwhelmingly positive. The data showed that all the students responded “Strongly Agree” or “Agree” to each of the survey items. Thematic analysis of the qualitative data yielded four central themes related to benefits, additional training and education, nursing staff, and improvements. Conclusions This pilot study suggests that mental health placements for paramedics have meaningful educational value and can impact student learning. Since this pilot study, mental health placements have been permanently included as part of the undergraduate curriculum in our institution.

Background: The prevalence of mental and behavioural illnesses in the Australian community is increasing. Paramedics are frequently the first health responders to a mental health crisis, and their workload associated with mental health presentations is also increasing. The present study explored the experience and perspectives of undergraduate paramedic students who participated in a pilot mental health placement. Methods: A pilot workplace learning opportunity was established in which students completed a portion of their community service hours in an inpatient mental health setting at Port Macquarie Base Hospital. Eight students attended and completed the placement and were administered the Clinical Placement Evaluation Questionnaire. Results: Student responses to this placement experience were overwhelmingly positive. The data showed that all the students responded "Strongly Agree" or "Agree" to each of the survey items. Thematic analysis of the qualitative data yielded four central themes related to benefits, additional training and education, nursing staff, and improvements. Conclusions: This pilot study suggests that mental health placements for paramedics have meaningful educational value and can impact student learning. Since this pilot study, mental health placements have been permanently included as part of the undergraduate curriculum in our institution. [ABSTRACT FROM AUTHOR]

Copyright of Gruppe. Interaktion. Organisation: Zeitschrift für Angewandte Organisationspsychologie (GIO) is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Deep dyspareunia affects 50% of people with endometriosis. The Ohnut is a set of interlocking rings that fit over the penis/insertive object. One or more rings can be used to limit insertion depth and reduce deep dyspareunia. Aim We conducted a pilot, parallel, open-label randomized controlled trial (RCT) to investigate the feasibility of the study design and the acceptability and preliminary efficacy of the Ohnut. Method Participants were recruited from a tertiary center for endometriosis. Eligibility criteria were surgically confirmed endometriosis, age 19-49 years, monogamous sexual relationship with a partner willing to participate in the study, and no comorbid superficial dyspareunia, anxiety, or depression. Couples were randomized into an intervention group or a waitlist control group using a 1:1 allocation ratio. All couples had sex as normal during weeks 1 to 4 (baseline period), and couples in the intervention group used the Ohnut with sex during weeks 5 to 10 (intervention period) while controls had sex as normal. Patient participants used daily diaries to record sexual activity and deep dyspareunia score (0-10) for the 10-week study. Intervention group participants completed an acceptability questionnaire at the end of the study. Outcomes The primary outcomes were feasibility of the study and acceptability of the Ohnut. We also assessed differences in deep dyspareunia scores in the participants who used the Ohnut compared to the control participants who did not. Results We recruited approximately 5 couples per month of active recruitment. Of 864 potentially eligible participants, we successfully contacted 44.7% (n = 386), of whom 8.0% (n = 31) consented, 64.8% (n = 250) were ineligible, and 27.2% (n = 105) declined. Thirty-one couples were randomly assigned to the intervention or control group, and 17 couples completed the study. Intervention group couples used the Ohnut for an average of 72.4% (32.7%) of sexual encounters during the intervention period. The mean acceptability index score for the Ohnut was 0.83 (0.078) among patients and 0.83 (0.049) among partners (index between 0 and 1). After controlling for baseline deep dyspareunia, there was a significant difference in the intervention period mean deep dyspareunia scores between the control and intervention group (4.69 (2.44) vs 2.46 (1.82), P =.012). Clinical Implications We identified preliminary evidence for the acceptability and efficacy of the Ohnut among both patients and partners, suggesting that the Ohnut may be a useful stand-alone or adjuvant management tool for endometriosis-associated deep dyspareunia. Strengths and Limitations Strengths of this study were the "real-world" use of the Ohnut and data collection from both patients and partners. Limitations of the study design included the strict eligibility criteria that affected feasibility and generalizability. Conclusion This pilot RCT indicated that the Ohnut may be an acceptable and effective intervention to reduce endometriosis-associated deep dyspareunia. We identified opportunities to improve design for a larger RCT. Clinical Trial Registration This clinical trial was registered with clinicaltrials.gov (#NCT04370444). [ABSTRACT FROM AUTHOR]

INTRODUCTION: Transgender and gender diverse (TGD) individuals, comprised of those whose gender identity does not correspond with the sex they were assigned at birth, represent approximately 1.4 million people in the U.S., with a higher prevalence among those 18-24 years old. TGD individuals experience high levels of intimate partner violence (IPV), which leads to disproportionately negative mental and physical health outcomes for this population. As a result, there is a resounding need to connect TGD populations to health-promoting services, supports and resources. Med-Peds and Family Medicine clinics may be particularly well-positioned to support these efforts due to physicians focus on transitional-aged youth and young adults under 30. METHODS: The current manuscript reports on processes and outcomes related to a quality improvement (QI) initiative that aimed to test the feasibility and acceptability of implementing IPV screening within both a Med-Peds and a Family Medicine specialty clinic serving TGD populations in Los Angeles, CA. This QI initiative included screeners that capture IPV in cisgender/non-TGD populations (Humiliation, Afraid, Rape, Kick [HARK]) as well as in TGD populations specifically (IPV-T). We utilized a mixed-methods approach to both quantify and qualify responses to existing IPV screening as well as informal feedback from clinic champions in each clinic. RESULTS: Quantitative and qualitative findings from this QI initiative, featuring both general and TGD-specific IPV screening measures with 140 TGD individuals, elucidated several important processes that can support effective IPV screening and referral to supports and services. These include the importance of interdisciplinary teams, the utility of an iterative approach to screener roll-out, and the essential role of solidifying a referral process in these efforts. This project additionally shed light on the potential utility and challenges of implementing both general and TGD-specific IPV screening measures. Our pilot test did not support the necessity of a TGD-specific IPV screener for identifying and responding to IPV in this population, yet additional data is critical to generate more conclusive recommendations. CONCLUSION: We recommend larger-scale data collection efforts to evaluate the utility of integrating general and TGD-specific screeners into clinic workflows to ensure optimal health promotion for the TGD population in Med-Peds and Family Medicine clinics.

Many coastal communities worldwide are facing challenges caused by increasing sea levels. However, urban development, population growth and industrialisation in low-lying delta regions persist. This includes the Netherlands and British Columbia, Canada. Both regions explore new and innovative flood risk and adaptation strategies by initiating nature-based solutions (NBS) pilot projects and integrating research and community initiatives. The aim of this paper is to learn from the experiences with these NBS pilots and support practitioners with insights and knowledge about the prospectives and implementation process of NBS. Our study takes a bird's eye view by diving into four NBS case study projects that try to enhance flood defence and quality of life while considering ecosystems and community values simultaneously. To better understand current initiatives on NBS, we first describe the historical trajectories of flood risk management and climate adaptation policy in both countries. Then we analyse two urban and two suburban case studies to identify and compare enablers and barriers that surround the implementation of NBS. We use the Pilot Paradox as a framework to reflect on the enablers and barriers, and to formulate recommendations for barriers that are common ground. We found that upscaling of the pilots forms an important challenge in both countries. We also found that Canada is interested in exchanging technical knowledge, experiences, and insights with other countries through the involvement of international researchers, consultants, and students in projects. Such collaboration between countries, communities, practitioners, and academics could accelerate the development of innovative climate adaptation strategies worldwide.

Background. In modern conditions of building a sovereign national system of education, the development of domestic higher education, the task of implementing a pilot project, with participation of MPGU. This task actualizes the problem of the quality of training of teachers-psychologists not only for current, but also promising demands of the labor sphere in the long run. Objectives. Based on synthesizing of effective experience in the development and implementation of educational programs for professional training of teachers-psychologists by the departments of the Institute of Pedagogy and Psychology of the Moscow Pedagogical State University, identify new approaches to the design of the educational standard of basic higher education and 5-year training programs. Methods. The methodological basis of the research was the scientific concepts of the personal and professional development of the teacher by V.A. Slastenin, the theory of socialization of the personality by A.V. Mudrik, methods of analyzing normative, scientific and methodological sources and studying the needs of the field of work, modeling and designing educational programs for the training of teachers-psychologists were used. Results. New approaches to the design of educational programs of basic higher education have been developed in accordance with the general standard of higher education of the Moscow Pedagogical State University in the field of "Psychological and pedagogical education". The models of combining specialist’s qualifications within the framework of five-year educational programs are proposed. The conditions for their effective implementation are outlined. Conclusions. The article shows new approaches to the training of teachers-psychologists in the framework of a pilot project to improve the system of higher education in the Russian Federation, defines the principles of developing educational programs, resources and effective pedagogical technologies. The prospects for implementing the developed materials will be determined during the testing of the proposed model.

Decarbonization is one of the main trends in global development of the last decade. More than 120 countries have already announced plans to achieve net-zero emissions by the middle of the century. Among them are Russia’s largest trading partners, including the European Union, China, Japan, the Republic of Korea, Kazakhstan, as well as the United States. These ambitions are supported by a tightening carbon regulation: carbon pricing has already been set up in 64 countries and regions. In the largest emissions trading system – the European one – carbon price has already exceeded 50 euros per ton of emissions.Significant effort in decarbonization has been taken in many industries (e.g., civil aviation, maritime transport, oil and gas industry), companies (which set up carbon neutrality targets and introduce internal carbon pricing) and the financial sector. Standards for corporate information disclosure about emissions and strategiesfor their reduction, in particular CDP andTCFD, are being developed and adopted.At the same time, ways to put pressure on competitors who do not want to bear the costs associated with reducing greenhouse gas emissions are being developed. For example, the Carbon Border Adjustment Mechanism (CBAM) will be launched by the European Union in 2023. All these trends mean that products with low carbon footprint become not just a competitive advantage for a company, but also an inevitable condition for its presence on the international market. Companies with a high carbon footprint face less favorable conditions of borrowing, as well as trading barriers and growing pressure from customers both corporate and individual.In this regard, the development of low-carbon economy in Russia is inevitable to minimize the costs associated with tightening regulation. It is becoming particularly relevant for export-oriented regions with large emissions, including the Republic of Tatarstan. In our opinion, the launch of a pilot project to regulate greenhouse gas emissions in this region is important not only for GHG reduction itself, but also for increasing competitiveness of Tatarstan companies on international markets and attracting investment from both Russian and foreign investors. In this paper, we explain the need to launch such a pilot and relying on the existing Russian and international experience on the one hand and taking into account the characteristics of Tatarstan’s economy on the other, we demonstrate a scheme by which such a project can be organized.

A pilot project for the inclusion of recycled asphalt shingles (RAS) in hot mix asphalt (HMA) was built on State Route 49 in El Dorado County in November 2021. Four mixes were included in short test sections: (1) a control mix with no RAS or recycled asphalt pavement (RAP), (2) a typically used mix with 10% RAP that was also used for construction of the rest of the overall project, (3) a mix with 3% RAS, and (4) a mix with 10% RAP and 3% RAS. This technical memorandum presents the laboratory test results from plant mix produced for job mix formula (JMF) verification and from two quality assurance (QA) samples taken during test section construction as well as observations of plant production and construction. The results showed that the mixes submitted for JMF verification and tested as part of QA all met the two performance-related specifications. Most of the QA samples had binder and mix testing results that were similar to or better than those of the JMF verification samples, though there were exceptions. There were no major problems during production or placement of the mixes. The existing roadway has highly variable thicknesses of remaining HMA after milling, and the remaining original HMA has transverse, wheelpath, and block cracks.

The present research points to an alternative concern against the mainstream research of future ports' development by taking a transdisciplinary approach of a Living Lab (LL) concept for a better sustainability and innovation record in Small and Medium-Sized Ports (SMSPs). Deploying qualitative research for the examination of this new phenomenon of aggregating LLs into SMSPs, this research builds upon stakeholder workshops, in-depth interviews, and designed port pilots as case studies dedicated to innovation and sustainability transition in the Baltic Sea Region (BSR) at the turn of 2030. Given its rich and significant empirical foundation, the present research substantially contributes to sustainability orientation and transitions in ports. The key original elements of this study are fourfold: (1) the research provides a theoretical and practical LL framework enabling innovation and sustainability to be grasped in ports in times of technological, social, and political disruption; (2) this research increases the minimal number of existing previous efforts studying SMSPs in the transitional discourse; (3) the paper addresses not only hard technological innovation concerns but also aspects of social acceptance and the role of social interactions; (4) the research goes beyond geographical boundaries of a single port, thus providing a joint and collaborative approach towards sustainability rather than an individual perception on sustainability transition, existing networks, and clusters. [ABSTRACT FROM AUTHOR]

Preventing and countering potential far-right radicalisation within police forces is a major concern in many countries. Specific interventions such as anti-racism or intercultural competence training programmes for police officers are seen as key to build resilience against the lures of extremist ideologies and milieus. However, a dearth of empirical research investigating the factors that influence receptivity or rejection by the target group – police officers – impedes the design and implementation of effective interventions. This study presents findings from a formative evaluation accompanying a pilot project within the state police of the southern German state of Baden-Wuerttemberg called 'Strategy Sponsorship for Democracy and Tolerance'. Drawing on three focus groups, five individual problem-centred interviews, and 603 feedback reports, the study finds that peer-to-peer approaches, voluntary participation, leadership support, freedom in topic selection and intervention planning, as well as budgetary independence positively impact the acceptance of interventions and motivation to engage. Age of participants, resource constraints and administrative challenges, as well as reservations about project aims and contents were found to increase the risk of rejection. Implications for optimising interventions for police forces are discussed. [ABSTRACT FROM AUTHOR]

Aim and background: Despite the vast heterogeneity of teaching methods, there remains a dilemma on what works best for teaching medical students. Flipped classroom teaching is a learner-oriented active teaching-learning methodology with a focus on inculcating different aspects of knowledge attainment in learners including application, analysis, evaluation, and synthesis of knowledge. This study aimed to assess the acceptability of the flipped classroom model for teaching undergraduate medical students. Materials and methods: This was a mixed method qualitative analysis conducted over 3 months utilizing anonymized prevalidated questionnaire for learners and focused group discussion (FGD) for facilitators. A total of 50 students were enrolled for the flipped classroom sessions and feedback was taken with a combination of open and closed-ended questions. Focused group discussion was carried out to discuss the merits and constraints of the teaching methodology. Results were compiled as frequency distribution and the qualitative data was analyzed using pre-formed codes to identify recurring themes and opinions. Results: The majority of students found flipped classrooms to be more interactive and easier to comprehend in comparison with traditional teaching methods. About 72% of students experienced higher confidence levels after the subject was taken up as a flipped classroom. Conclusion: Flipped classroom teaching is acceptable and finds high satisfaction levels amongst medical students. It involves an investment of extra time and energy by the facilitators, especially initially. Clinical significance: This pilot project helps to understand the need for innovating and integrating various teaching techniques for better academic outcomes as well as student satisfaction and promotes further research with a higher sample size to fortify these active teaching methods in the world of education. [ABSTRACT FROM AUTHOR]

Today a new level-system of higher education is formed in Russia through significant changes that meet the new requirements for specialists in economics, social sectors, and all spheres of public life. The new system is to incorporate the developments of the Soviet educational model and the experience of recent decades. The article considers a new model of sociological training implied in the reform of the higher education system and in the fourthgeneration Federal State Educational Standard (FSES). One of the central ideas of the new system is to provide students with the opportunity to choose a field of study not upon entering a university, but at the third year of study, which would increase the awareness of professional choice, help graduates to more successfully integrate into the labor market due to a broader educational base and ensure the flexibility of educational programs, preserving the “fundamental core” in each. Thus, the first two years are for general (for the enlarged group of areas) training, and then specialized (sociological) training starts. However, the draft of the new standard proposed by the Ministry of Education and Science, which is based on updated, enlarged groups of areas, would not improve the professional training of sociologists. The mandatory general part for all areas in the group would inevitably reduce the professional part of training, thus, depriving the higher sociological education of connections with practice and destroying the focused training of specialists, which contradicts the demands of society and the labor market, and the goals of the country’s social-economic development. There are also other problems: an unpredictable extension of the time to enter the labor market; not identified mechanisms for distributing student quotas between areas within the group, for funding an extended period of study (20 %-40 % increase in cost) and an increased teaching load. The current pilot project designed for three years would not allow to make valid conclusions about the suggested changes as students will not even complete the basic level of higher education. Therefore, it is necessary to return to the FSES for each area of training, to further develop regulatory and legal grounds for the transition from the Bologna system with a focus on the values and goals of the Russian higher education, and to ensure a broad public-p rofessional discussion about the planned reforms.

Abstract Aim Interview quality is an important factor in the success of clinical trials for major depressive disorder (MDD). There is a substantial need to establish a reliable, remote clinical assessment interview system that can replace traditional in‐person interviews. Methods We conducted a multicenter, randomized, unblinded, prospective, cross‐sectional study to assess the reliability of remote interviews in patients with MDD (UMIN000041839). Eligible patients with MDD underwent remote and in‐person sessions of the Montgomery‐Åsberg Depression Rating Scale (MADRS) assessment performed by different raters within 28 days of providing consent. Patients were randomized to a group first assessed using in‐person interviews and secondarily using remote interviews (in‐person‐first group) or a group first assessed by remote interviews and secondarily using in‐person interviews (remote‐first group). Nineteen trained people (15 clinical psychologists, 3 nurses, and 1 clinical laboratory technologist) performed interviews. Results Of 59 patients (in‐person‐first group, n = 32; remote‐first group, n = 27) who completed both remote and in‐person interviews, 51% (n = 30) were women; the mean age was 41.6 years (range, 21–64 years). There was a strong association between remote and in‐person MADRS scores (r = 0.891, kappa = 0.901). An overall intraclass correlation coefficient (ICC) of 0.886 (95% confidence interval, 0.877–0.952) indicated good consistency between MADRS scores in remote and in‐person interviews. The ICC decreased as the severity of depression increased. Conclusion Our results suggest remote interviews are a feasible alternative option to in‐person interviews in assessing symptom severity in MDD patients and could promote clinical trials in Japan.

Abstract Background Pediatric brain tumor survivors (PBTS) are at risk of physical, cognitive, and psychosocial challenges related to their diagnosis and treatment. Routine follow-up care as adults is therefore essential to their long-term health and quality of life. In order to successfully navigate to adult healthcare, it is recommended that youth develop transition readiness skills. Existing transition readiness interventions often focus on disease management. However, PBTS are also at risk of social competence and cognitive functioning challenges. In this paper, we describe the protocol of this pilot study and the methodology that will be used for the evaluation of the feasibility, acceptability, and preliminary efficacy testing of the first targeted transition intervention workshops specifically designed to meet the needs of PBTS and their caregivers. Methods This study will use a mixed method to evaluate three 1 ½-h workshops targeted for dyads (N = 40) of PBTS (14 years or older) and their parents. Dyads will be recruited via a community pediatric cancer organization and the long-term follow-up clinic of a large pediatric hospital. Participants will complete an online survey which includes the Transition Readiness Assessment Questionnaire (TRAQ) before and after the workshops. Each workshop will cover a specific topic related to PBTS transition readiness: disease management, social competence, and cognitive functioning. Workshops will follow the same structure: topic presentation, discussion by a post-transfer survivor or parent, teaching two strategies, and workshop evaluation. Workshops will be co-led by healthcare specialists and patient partners. Feasibility and acceptability will be assessed via recruitment, attendance, retention, and Likert scales, and they will be analyzed by describing and comparing rates. Satisfaction will be measured using satisfaction surveys and audio-recorded focus groups. Qualitative data will be described through thematic content analysis. In order to test the preliminary efficacy of this study, we will compare transition readiness skills pre- and post-workshops using paired samples T test and ANCOVA to examine the impact of workshop on TRAQ skills. Discussion Results of the study will inform refinement and future broader implementation of targeted transition readiness workshops for the specific needs of pediatric brain tumor survivors.

Aim: Interview quality is an important factor in the success of clinical trials for major depressive disorder (MDD). There is a substantial need to establish a reliable, remote clinical assessment interview system that can replace traditional in‐person interviews. Methods: We conducted a multicenter, randomized, unblinded, prospective, cross‐sectional study to assess the reliability of remote interviews in patients with MDD (UMIN000041839). Eligible patients with MDD underwent remote and in‐person sessions of the Montgomery‐Åsberg Depression Rating Scale (MADRS) assessment performed by different raters within 28 days of providing consent. Patients were randomized to a group first assessed using in‐person interviews and secondarily using remote interviews (in‐person‐first group) or a group first assessed by remote interviews and secondarily using in‐person interviews (remote‐first group). Nineteen trained people (15 clinical psychologists, 3 nurses, and 1 clinical laboratory technologist) performed interviews. Results: Of 59 patients (in‐person‐first group, n = 32; remote‐first group, n = 27) who completed both remote and in‐person interviews, 51% (n = 30) were women; the mean age was 41.6 years (range, 21–64 years). There was a strong association between remote and in‐person MADRS scores (r = 0.891, kappa = 0.901). An overall intraclass correlation coefficient (ICC) of 0.886 (95% confidence interval, 0.877–0.952) indicated good consistency between MADRS scores in remote and in‐person interviews. The ICC decreased as the severity of depression increased. Conclusion: Our results suggest remote interviews are a feasible alternative option to in‐person interviews in assessing symptom severity in MDD patients and could promote clinical trials in Japan. [ABSTRACT FROM AUTHOR]

While urban shrinkage has extensively befallen cities around the world, the current responses to urban shrinkage have been regarded as deficient and required optimization to help shrinking cities achieve sustainable economic growth and higher quality of life. This paper deploys difference-in-difference (DID) and successfully finds, based on China's national smart city pilot projects, significant effects of smart city development on shrinking cities in catalyzing sustainable economic growth by upgrading and diversifying local industries, promoting economic growth, and providing a better quality of life for citizens through improved wages, enhanced urban environment and public service. [ABSTRACT FROM AUTHOR]

Copyright of Space & Form / Przestrzeń i FORMA is the property of West Pomeranian University of Technology, Department of Architecture & Urban Planning and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

الملخص: تعد المملكة العربية السعودية من أعلى البلدان في معدلات السمنة والأمراض المرتبطة بها، وكذلك تعاني المملكة من نسب تدخين عالية بين الشباب والكبار وحتى المراهقين من الجنسين، حيث جاء في آخر إصدارات هيئة الصحة العامة أن السمنة كانت مسئولة عن أكثر من 70% من معدل الوفيات العام سنة 2020، وأن متوسط نسبة التدخين بالمملكة تصل إلى 20% تقريبا.يعد ''طب نمط الحياة'' من الفروع المستحدثة في الممارسة الطبية المستندة إلى البراهين العلمية والأبحاث الطبية، بل إن كثيرا من الأدلة الارشادية الحديثة تذكر نمط الحياة الصحي كأول خطوة على طريق العلاج لمعظم أمراض القلب والشرايين والأمراض المزمنة.في هذه الورقة العلمية نشرح تجربتنا -بإسهاب- في إنشاء عيادة لممارسة طب نمط الحياة وسط خدمات الرعاية الصحية الأولية والثانوية التي تتم بمركز طب الأسرة حي الوزارات، والذي يعتبر أكبر مراكز طب الأسرة بمدينة الأمير سلطان العسكرية الطبية.هذه قصة نجاح نعرض فيها الدروس المستفادة وكيفية استغلال الظروف والواقع المتاح، وأيضا نتعرض للتحديات والصعوبات، مع وضع خطة امتداد طموحة لخدمة المرضى المستهدفين، ونعتقد أن هذه التجربة قد تفيد غيرنا لمحاولة تكرارها في ظروف وأماكن خدمة صحية أخرى. Abstract: On an international level, for more than 30 years, Lifestyle Medicine (LSM) Practice has had a great impact on both health Promotion and disease prevention. A practice which on a national KSA level, we are in eager need to adopt, due to the high prevalence of chronic diseases and unhealthy lifestyles. The establishment of the LSM clinic inside the Wazarat Health Center (WHC) more than one and half year ago, was a great advancement towards offering very important preventive and promotive services for people in real high need to these underutilized main elements in Primary Health Care (PHC) features. We identified quality oriented Key Performance Indicators and the clinically important outcomes for our patients. Our initial data showed great achievement on both fronts. We are currently studying the satisfaction of our customers and working on improving their level of health awareness and help seeking behavior. Furthermore, we are looking to benchmark our results. From our pilot project in WHC, we are preparing for an expansion plan to branch out other Primary Care centers in the Riyadh area to serve more people, and we aim to share the experience with other similar services and within the PHC centers allover KSA.

Spinal muscular atrophy (SMA) is a neuromuscular and neurodegenerative disease caused by the homozygous deletion of SMN1 exon 7 in 95% of cases. The prognosis for SMA patients has improved with the development of disease-modifying therapies, all of which are available in Croatia. The best treatment outcomes occur when therapy is applied before symptoms appear, making newborn screening (NBS) for SMA a crucial factor. Since SMA NBS is the first genetic test performed in our laboratory, for successful implementation of the program, we had to overcome logistical and organizational issues. Herein, we present the results of the SMA NBS during the one-year pilot project in Croatia and verify the suitability of the Targeted qPCR™ SMA assay for SMA NBS. The pilot project started on 1 March 2023 in the Department for Laboratory Diagnostics of the University Hospital Center Zagreb. A total of 32,655 newborns were tested. Five SMA patients were detected, and their diagnoses were confirmed by the multiplex ligation-dependent probe amplification (MLPA) assay. There have been no false positive or false negative results, to our knowledge so far. The incidence of SMA determined during the pilot study is consistent with the SMA incidence data from other European countries.

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Taibah University Medical Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Korean government implemented the pilot project for community care for older adults in June 2019. This study investigated the outcomes of the pilot project among Korean older adults by linking survey data from the pilot project with data of Korean National Health Insurance Service. The final sample included 17,801 pilot project participants and 68,145 in a matched comparison group. Pilot program participants experienced an increase of 4.8 days for length of home stay and a reduction of $956 (US) per participant relative to the matched comparison group. Pilot program participants with long-term care insurance who used home care services experienced an increase of 8.9 days for length of home stay and a reduction in $1,177 (US) in total costs, along with a reduction in the admission to long-term care facilities, compared to the matched comparison group. Patients discharged from hospitals indicated an increase of 35.2 days for length of home stay and a reduction of $6,947 (US) in total costs, but a 3.53 times increase in hospital readmissions relative to the matched comparison group. The pilot project for community care resulted in increased length of home stay and reduced total costs among older adults in Korea. [ABSTRACT FROM AUTHOR]

Fast construction method for bridges with long‐span precast girders made of C80/95 Fast‐track construction with the least possible disruption to traffic in connection with minimizing congestion‐related CO2 emissions represent a new design objective for concrete bridges in the context of sustainable construction and climate protection. The following article reports on the potential of the prestressed high‐strength concrete C80/95 for precast girders in an overpass structure over a 6‐lane motorway without the need for an intermediate support in combination with the use of precast elements also for the abutments as a pilot project. The article concludes with the remarkable result of a study on how much CO2 emissions can potentially be avoided by shortening the construction time for such structures. [ABSTRACT FROM AUTHOR]

Considering global educational trends and strategies, the specialists of the Department of Directing at Kharkiv State Academy of Culture (KhSAC) are inspired by the experimental implementation of a dual-format professional training program in the field of Performing Arts (speciality 026). Such a precedent has not previously existed in directorial education in Ukraine. The introduction of the first educationalprofessional program in Ukraine, "Directing for Show and Art Projects", in 2023 is an innovative strategy for preparing professionals initiated by the Department of Directing at KhSAC, which can be considered the foundation for research and analysis of the possibility for implementing a pilot project for practice-oriented directorial education. The research methodology is based on studentcentered and competency-based approaches, principles of pedagogy concerning the determinism of theory and practice in the educational process, all directed within a systemic approach. The conceptualization of the pilot project involves a dual form of education alongside the analysis of the standardization principles in training that envisages achievement of a new level of professional competence for competitive specialists. Methodological approaches and pedagogical modeling have been reproduced with the purpose of further development of educational standards and competency requirements that align with the descriptors of the National Qualifications Framework. [ABSTRACT FROM AUTHOR]

Corruption is one of the main variables to be considered in corporate social responsibility (CSR) to guarantee the well‐being of society in the long term. Information technology (IT) is able to reduce this phenomenon of corruption. However, no practical studies highlight the real effect on health organisations. This study ascertains the impact of a pilot project to prevent corruption and the introduction of new dedicated technologies in the healthcare organisation. It uses the association of institutional theory, information and communications technology (ICT), and new technologies to cover the gap and highlight the effect of an anti‐corruption pilot project of International Transparency Italia in the healthcare sector. A longitudinal approach‐based interventionist approach, coding of semi‐structured open interviews and corporate anti‐corruption plans using AltasIT from the 13 Health Organisations that joined the pilot project over a long term reveals that a positive effect spreads by mimetic approach within organisations. The study has detected open‐access databases, changes in personnel and procurement management approach, information dissemination, citizen involvement and whistleblowing support change through technologies. More specifically, it examines the evolution of the anti‐corruption system and the stakeholders' perceptions in healthcare organisations as a new form of social responsibility. To the best of our knowledge, this study is the only one that applies this perspective to the analysis of the anti‐corruption process through CSR currently underway in healthcare institutions worldwide. [ABSTRACT FROM AUTHOR]

Background: This study aimed to reduce the unprecedented and intense psychological distress that nurses were forced to experience during the COVID-19 pandemic. A Chinese version of the World Health Organization’s Self-Help Plus (SH+) intervention guide was adapted and tested among nurses. The objective of this study was to translate and adapt the SH+ guideline into the Chinese version and to test its feasibility in reducing psychological distress among nurses during COVID-19. Methods: A staged approach comprising translation, adaptations, initial evaluation by pilot implementation, and a qualitative process evaluation was conducted in two hospitals in Xi’an, China. The translation of the Chinese version was authorized by the World Health Organization. We adapted SH+ for use among clinical nurses working during the pandemic in China through a qualitative process evaluation, which was guided by the descriptive phenomenological study design. The outcomes of the pilot included psychological distress, psychological flexibility, depressive and anxiety symptoms, post-traumatic stress disorder (PTSD) symptoms, and subjective psychological wellbeing, which were assessed using the Kessler 6 symptom checklist, the Comprehensive Assessment of ACT Process (CompACT), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), the PTSD Checklist-Civilian Version (PCL-C), and the Index of Wellbeing (IWB), respectively. Results: The SH+ materials, including audio-recorded sessions and an accompanying illustrated manual, were translated into Chinese and adapted in line with feedback from the nurses. An uncontrolled pilot study (n = 28) for 5 weeks showed a statistically significant reduction of psychological distress (mean difference in Kessler 6 score, −2.74; 95% CI [−3.71, −1.78]; p < 0.001). We also found improvements in psychological flexibility (mean difference in CompACT score, 6.89; 95% CI [−12.35, −4.47]; p < 0.001), subjective psychological wellbeing (mean difference in IWB score, 0.86; 95% CI [0.07, 1.65]; p < 0.05), and depressive symptoms (mean difference in PHQ-9 score, −1.52; 95% CI [−2.78, −0.26]; p < 0.05). The process evaluation showed that nurses found the SH+ program very useful but difficult to adhere to.Conclusion: We found that the translated Chinese version of SH+ was applicable and feasible in the Chinese cultural context. There was a potential eect of adapted SH + in reducing nurses’ psychological distress during COVID-19 and suggested the value of exploring strategies to increase adherence to the program. [ABSTRACT FROM AUTHOR]

Agile transformation is identified as a facilitator to keep pace with frequent changes within product development. Although initial research exists, the empirical literature on the implementation process of the agile approach, specifically using pilot projects as a change strategy, is scarce. The purpose of this article is to contribute to closing this gap by investigating into effects of piloting agile change projects. To shed light on agile pilots a project within the context of mechatronic system development in the high-tech industry was accompanied over six months. After the initiation of the members and a period of practicing agile a survey was performed. The interviewed team members are bringing up interesting findings, as although they had a different understanding of agile at the beginning of the pilot, they recognized agile values, principles and methods as supportive to the products cycle and specifically development time. Further findings are indicating that professional third-party support is a key success factor. Also piloting, as a change strategy for agile adoption, is proven to be supportive. Although piloting is proven a supportive strategy, the downsides, such as limited scalability caused by extraordinary setups, are identified and analyzed. The limiting factor of this single-case study is the small sample size of data due to the intention of the pilot project to limit impact and risk on the organization.

Leye County was identified as a pilot for integrating green development and reform in Guangxi in 2021. The government aims to systematically explore and implement green development while advancing the development of the county. In this study, comprehensive research at a grassroots level was conducted. First, this study analyzed problems faced during the delivery of green reform in Leye County. Then, solutions that foster comprehensive green economic and social development in Leye County were summarized. The proposed solutions promote a system that integrates green development and reform in Leye County with systematic optimization and integrated thinking approaches, which will support the effective implementation of reform measures and maximize its overall effect. Specifically, these solutions take ecological advantages as a starting point and create a modern green industrial system with advanced technology, high economic benefits, low resource consumption, and low environmental pollution to promote green development. In terms of developmental policy, this study also puts forward some suggestions for strengthening the management functions of a green government, including optimizing the management of innovative green talent, boosting returns on investments, advancing green reform, initiating green industrial projects, developing clean energy, and broadening green infrastructure. This study provides suggestions for establishing a model in which government, society, enterprises, and citizens participate jointly, and proposes principles and a vision for the future green development of the county. [ABSTRACT FROM AUTHOR]

To examine the implementation of a novel Acquired Brain Injury (ABI) Transition-Specific Service Model in Queensland, Australia to explore its potential for successful operationalization in a clinical context and what, if any, modifications were indicated. This study is part of a larger evaluation of the ABI Transitional Rehabilitation Service (ABITRS) Pilot Project using a Hybrid Type 1 research design. Data was drawn from a process evaluation nested within the larger study. Stirman et al.'s FRAME guided assessment of modifications made to the proposed Transition-Specific Service Model during implementation. The proposed Transition-Specific Service Model provided a foundational framework for establishing an ABI transitional rehabilitation service in Queensland. All designated key service delivery features of the model were implemented; context and content modifications occurred in response to the implementation experience. Priority areas for intervention were comprehensively addressed, with significant changes made to the proposed staffing profile to address an identified need for more senior clinicians. The ABITRS Pilot Project provided an opportunity to test and refine elements of an ABI Transition-Specific Service Model in a clinical context. Knowledge gained from this process has the potential to inform future design of transitional rehabilitation services for acquired brain injury. [ABSTRACT FROM AUTHOR]

In response to the extreme rainfall events that led to economic losses and undesirable impacts in New Cairo, Egypt, a pilot project is implemented using Green Infrastructure (GI) strategies for stormwater management to provide an adaptive solution. The paper aims to share lessons learned from the pilot project to improve stormwater management in a sustainable cost-effective manner. New Cairo GI project is documented through site visits and an interview with the project’s technical manager. An experts’ survey investigated the main drivers, barriers, and enabling factors for implementing green infrastructure projects in Egypt. Results show the learning loops of the New Cairo pilot project, drivers, barriers and enabling factors. Results from the experts’ survey showed that GI environmental benefits and the cost of damages are the main drivers while involvement of planners with the right expertise is the main enabling factor. Recommendations based on the survey results and lessons learned are introduced.

There is a significant number of Emergency Department (ED) patients with known chronic hepatitis C virus (HCV) infection who have not been treated with directly acting antivirals. We implemented a pilot ED‐based linkage‐to‐care program to address this need and evaluated the impact of the program using the HCV Care Continuum metrics. Between March 2015 and May 2016, dedicated patient care navigators identified HCV RNA‐positive patients in an urban ED and offered expedited appointments with the on‐site viral hepatitis clinic. Patient demographics and care continuum outcomes were abstracted from the EMR and analysed to determine significant factors influencing linkage‐to‐care (LTC) and treatment initiation rates. The ED linkage‐to‐care program achieved a 43% linkage‐to‐care rate (165/384), 22% treatment rate (84/384) and 16% sustained virologic response rate (63/384). Significant associations were found between linkage‐to‐care and increasing age (OR = 1.03), Medicare insurance (OR = 2.21) and having a primary care physician (PCP) (OR = 4.03). For patients who were linked, the odds of initiating treatment were also positively significantly associated with increasing age (OR = 1.04) and having a PCP (OR = 2.77). For patients who initiated treatment, the odds of sustained virologic response were marginally associated with having a PCP (OR = 4.92).Our ED linkage‐to‐care program utilized care coordination to successfully link nearly half of approached HCV RNA‐positive patients to care. This design can be feasibly replicated by other EDs given limited non‐clinical training required for linkage‐to‐care staff. Adoption of similar programs in other EDs may improve the rates of LTC and treatment initiation for previously diagnosed HCV patients. [ABSTRACT FROM AUTHOR]

Background: Laboratory investigations have demonstrated that near-infrared (NIR) light treatment can reduce amyloid-β burden in models of Alzheimer's disease (AD). However, previous clinical studies are rather insufficient.Objective: Before starting a large-scale clinical trial, we performed a pilot study to characterize the efficacy of NIR light for AD patients.Methods: Twenty participants with mild to moderate AD were assigned randomly to the intervention (1060-1080 nm and 800-820 nm NIR light treatment for 12 weeks) or control group (without sham treatment). Safety and efficacy were evaluated at baseline, week 4, 8, and 12, and 4 weeks after treatment.Results: In the intervention and control groups at week 12, mean changes from baseline on the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog) were -3.1 and -1.3 (p = 0.5689). Mean changes from baseline on the Activities of Daily Living (ADL) were -3.6 versus 3.1 (p = 0.0437). Mean changes from baseline on the Mini-Mental State Examination (MMSE) were 4.4 versus 1.0 (p = 0.0253). The percentage of participants who exhibited a change larger than 4 points from baseline to week 12 was determined for the intervention and control groups on the ADAS-Cog (57% versus 29%), ADL (29% versus 0%), and MMSE (57% versus 14%). Treatment with NIR light did not increase the incidence of adverse events in participants.Conclusion: NIR light treatment appears to be safe and potentially beneficial for AD patients. It improved cognitive function and activities of daily living. The preliminary data encouraged us to launch a large-sample, multicenter, double-blind clinical trial. [ABSTRACT FROM AUTHOR]

This paper estimates the impact of the national ocean economic pilot project on the blue economy (BE) development using panel data for 11 coastal regions in mainland China from 2005 to 2017. The study shows that the BE is composed of three levels: traditional advantageous industrial construction, emerging industrial development, and ecological protection, where they can merge an index system using the analytic hierarchy process-improved entropy weight method. Besides, this paper adopts heterogeneous timing difference-in-differences to find that the policy increased the BE in the pilot areas by an average of 0.025. This effect passed various robustness checks including the parallel trend hypothesis and placebo test. In addition, the policy can also mediate the BE by skill and capacity aggregation, optimization of transportation networks, and incentives for innovation, and their contributions were 21.5%,10.6%, and 10.6%. Moreover, this paper finds that the current BE work shows a preference for the economy over the ecosystem. For economic growth, pilots prefer traditional rather than emerging industries. In summary, this study recommends that multi-level governments should use a project-based management model for the BE, increase international cooperation and knowledge transfer to promote the integration of the knowledge economy and the BE and facilitate administrative reform to clarify the ecological responsibilities of marine management agencies. • Ocean economic pilot project increased the blue economy by an average of 0.025. • Knowledge economy, transportation network, and innovation are policy influence pathways. • Blue economy is important for government experience in project-based management. [ABSTRACT FROM AUTHOR]