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There was an immediate ad-hoc response of the international scientific community to help scholars from universities affected by Russia's war in Ukraine. Official government-backed funding programmes later allowed the ad-hoc help offers to be sustainable and stable. The #ScienceForUkraine initiative is a grass-root initiative that emerged out of the desire to help; initially created as a central database for the worldwide offers for help. Its 133 active volunteers engaged with policy-makers and funding bodies to improve support to the Ukrainian academic community. The website scienceforukraine.eu became a central and well-known hub with a general database for help listings but also extensive curated link lists for further help. There were more than 120k visits in the past three months, 12k of which are reportedly from Ukraine. #ScienceForUkraine has many active country groups that flexibly respond to needs in their geographic area. Collecting information, creating posters for border stations, mentoring, consulting on how to organise transfers, and engaging with policy makers are some of the tasks performed by members. #ScienceForUkraine is active on all major social networks to be in touch with both the Western academic community (primarily Twitter and LinkedIn) and the Ukrainian academic community (mainly Facebook and Telegram); whereas students are reached mostly via Instagram. The initiative fulfils an important function by transmitting information from one sphere to the other. #ScienceForUkraine recorded well over 2,600 support listings (one listing may be directed at several scholars). 15% of these were offered by German institutions (410), followed by French (227) and Polish (183) institutions. no ISSN ispartof: SSRN vol:22-13 pages:1-44 status: published

Objective Studies on humeral placement of the EZ-IO (Vidacare, Shavano Park, TX, USA) have shown mixed results. We performed a study to determine the first-attempt success rate at humeral placement of the EZ-IO by paramedics among prehospital adult cardiac arrest patients. Methods A retrospective cohort analysis of data prospectively collected over a 9-month period. Data are a subset extracted from a prehospital cardiac arrest study. The cohort consisted of adult cardiac arrest patients in whom the EZ-IO placement was attempted in the humerus by paramedics. Choice of vascular access was at the discretion of the paramedic; options included tibial or humeral EZ-IO and intravenous. Primary outcome is the percentage of successful placements (stable, flow, without extravasation) on first attempt. Secondary outcomes are overall successful placement, complications, and reason for failure. Data were collected during a post–cardiac arrest interview. Results Humeral intraosseous (IO) access was attempted in 61% (n = 247) of 405 cardiac arrests evaluated with mean age of 63 (±16) years, 58% male. First-attempt successful placement was 91%. Successful placement was 94%, considering the second attempts. In the unsuccessful attempts, 2% reported obesity as the cause, 1% reported stable placement without flow, and 2% reported undocumented causes for failure. There were also 2% reports of successful placement with subsequent dislodgement. Conclusions The results of this study suggest a high degree of paramedic proficiency in establishment of IO access in the proximal humerus of the out-of-hospital cardiac arrest. Few complications suggest that proximal humeral IO access is a reliable method for vascular access in this patient population.

Purpose: In light of formulary management guidelines from the American Society of Health-System Pharmacists (ASHP), and discussion of pharmacies' noncompliance with recent Joint Commission accreditation requirements, the University HealthSystem Consortium conducted a formulary management survey to determine member institutions' standard of practice. Methods: An electronic survey was distributed to 227 institutions. Questions pertained to formulary structure, policies and procedures to manage formulary processes, tracking nonformulary medication use, pharmacoeconomic assessment, and Food and Drug Administration (FDA)-approved versus off-label medication use. Results: Fifty-two institutions across the United States provided responses. Most institutions maintain written policies for how medications are requested (94%) and reviewed (88%) for formulary addition; 92% of institutions have a nonformulary medication process. Nonformulary medication use is tracked at 88% of institutions, and 85% of institutions conduct pharmacoeconomic analyses. Regarding The Joint Commission’s requirement to approve drugs for specific indications, 40% of institutions approve drugs for all FDA-approved indications; 35% of institutions have not formally addressed this requirement. Approximately 31% of the institutions have a policy for approving a medication for an off-label indication. Conclusion: Portions of the ASHP guidelines have been implemented by most institutions, while 35% of institutions have yet to address The Joint Commission’s clarification to approve drugs for specific indications.

Communication ethics, this paper argues, is a discipline ready for application to communication management and is particularly relevant as we enter an “age of information”. With a moral foundation firmly set in the social and human sciences, communication ethics offers managers a means to face unpredictable futures with greater certainty and purpose. This paper outlines an approach in which all decision making and its communication are understood as having an ethical grounding. Such an application empowers managers to act with integrity across the spectrum of their varied communication roles: through management and internal communications, public affairs and marketing; in advertising, media and publishing, and in the use of information technology. Positioned independently from the professional bodies of communication, an interdisciplinary ethics offers practitioners skills and moral frameworks that can be shared across professions and used to compare and evaluate their practice. This paper concludes by presenting a model of communication ethics that individual managers can use to prescribe a more sensitive and dynamic human‐ethical environment.

In the information-technology powered twenty first century a general demand for more effective communication is driving people to question the present, examine the past and to prognosticate the future. The ‘unique global media-information system’ - the Internet- is the central fact of a vast new complexity of communication (mediated and unmediated) that is driving social-economic-political-religious- technological change (see http://www.5systems.net) at a rate never experienced before. The premise of this paper is that the Internet can be better understood as the first complex global media with both democratic and authoritarian possibilities, the full extent of which are still emergent. In respect of the symposium question, this paper suggests that Internet embedded communication theory can be used progressively as part of a widening and deepening approach to intercultural conversation, dialogue and debate. In theory, the localising nature of the Internet can be read as part of a greater movement towards communitarian and community centred self-governance, local democracy and social self-sufficiency. There is considerable scope for a new theory of society founded in localised ‘in-community communication’ practice supported by international human rights and effectively responsive to the asymmetric global information environment and congruent with newly democratised local structures of self-governance.

Contains fulltext : 138630.pdf (Publisher’s version ) (Closed access) The pressing need to build common frameworks to redefine the performance and sustainability of organisations, has led to the development of a new standard, AccountAbility 1000 (AA1000). AA1000 is a quality framework that aims to make clear how principles of accountability and sustainability are related and complementary. Accountability is founded in democracy and is also the principle used as the basis of financial and other forms of accounting, auditing and reporting. In accountability’s relationship to sustainability, however, there has been little clarity. Sustainability – defined broadly by the concept of the triple bottom line – is underpinned by three forms of accountability: social‐ethical, environmental and economic accountability. With the introduction of a new social standard AA1000, the difficult‐to‐bridge gaps within the sustainability debate – between morality and science, measurement and performance, inclusion and exclusion – are addressed using a model of accountability. AA1000, it is argued, represents an innovation for sustainability by linking the development of accounting, auditing and reporting of sustainability with the need to create legitimacy for outcomes, through a process of stakeholder engagement and inclusion.

Peripheral neuropathy is a well-recognised side effect of the cholesterol-lowering statins. Red yeast rice (RYR) is a traditional Chinese herb, widely available over-the-counter that has also been found to reduce cholesterol. Little data is available regarding its side effect profile. We report a case of a 60-year-old male receiving therapeutic imatinib for metastatic gastrointestinal tumour (GIST), who developed peripheral neuropathy while also taking RYR. The symptoms completely settled following withdrawal of the RYR and he has subsequently continued to take imatinib for over 2 years with no adverse effects. Further research into the safety profile of RYR is needed. The importance of questioning patients about over the counter medications and herbal remedies cannot be overemphasised.