The Movement

The Movement is a young adult dystopian fantasy novel...which takes place one hundred years in the future when a select few can gain access into people's minds as the main character struggles to understand the truth of her society. Relevant creative work in the YA dystopian fantasy genre include: The Giver by Lois Lowry, Scythe by Neal Schusterman, the Hunger Games by Suzanne Collins, and Ready Player One by Ernest Cline among many others. YA dystopian fantasy novels provide young adults with a deeper examination of the world around them steeped in fantasy settings and themes accessible to them and this novel hopes to add to that conversation. The Movement presents a possible future to America's invasive politics and advertisements by creating a world where the fight has moved into the mind and how one could defend themselves. Two of the major creative challenges revolved around the storyline itself: content and length. Completing a novel and creating a storyline with enough happening to keep the reader interested can be difficult. Through extensive scheduling to create a successful writing regimen and letting the story develop naturally, opposed to attempting to plan the entire novel prior to writing it, the Movement was completed with future possibilities to continue Maya's story. This novel hopes to add to the YA dystopian fantasy genre by pairing dreams and mental landscapes with consent in a form accessible to young adults during their formative years

Dictation Templates for Surgical Learning and Improved Operative Reporting

Introduction Precise operative reporting is important to patient care, accuracy in billing, and trainee education. Although operative reports are the best way to understand the type of procedure a patient has had in the past, inaccurate transcription, incomplete information, and delayed completion of these reports often hampers the quality of the medical record. Hospital billing also relies on these records, so revenue may be lost if required components are missing. From an educational standpoint, trainees use dictated reports to learn the steps of procedures prior to performing them. If errors, inaccuracies and omissions are present, learning may suffer. Past studies have demonstrated that dictation templates decrease the number of inaccuracies, insufficient documentation, and allow for more prompt completion of reports. Methods A standardized template including pertinent, required items for all operative reports was organized in a standard format. Operative reports for all common Urogynecologic surgeries performed by all attending providers in the Female Pelvic Medicine and Reconstructive Surgery Division were collected. The technique for each procedure was detailed, taking care to include commonly missed or incompletely dictated items found during the review of dictated reports. After the template for the base surgery was created, additional dot phrase add-in procedures, such as perineorrhaphy or cystoscopy were created to easily add common concomitant procedures. Each procedure ended with an affirmation that an attending surgery was present for the entire procedure to avoid deficiencies in billing. Results A basic blank template was created in addition to 23 full surgical template dictations. An index of procedural add-ons was created so that short dot phrase procedures could be added as needed. The dictation manual was compiled, added to common access for the division, and sent to each division member in a modifiable to allow all to use and adapt to their specific operative styles. Resident physicians were also given access to the manual to improve their understanding of procedures prior to assisting or performing these procedures. Conclusion Standardization of universal components of operative reports may improve compliance with billing, accuracy of reporting, and trainee understanding of procedures

Comparing dietary strategies to manage cardiovascular risk in primary care: a narrative review of systematic reviews

BACKGROUND: Nutrition care in general practice is crucial for cardiovascular disease (CVD) prevention and management, although comparison between dietary strategies is lacking.AIM: To compare the best available (most recent, relevant, and high-quality) evidence for six dietary strategies that are effective for primary prevention/absolute risk reduction of CVD.DESIGN AND SETTING: A pragmatic narrative review of systematic reviews of randomised trials focused on primary prevention of cardiovascular events.METHOD: Studies about: 1) adults without a history of cardiovascular events; 2) target dietary strategies postulated to reduce CVD risk; and 3) direct cardiovascular or all-cause mortality outcomes were included. Six dietary strategies were examined: energy deficit, Mediterranean-like diet, sodium reduction (salt reduction and substitution), the Dietary Approaches to Stop Hypertension (DASH) diet, alcohol reduction, and fish/fish oil consumption. Reviews were selected based on quality, recency, and relevance. Quality and certainty of evidence was assessed using GRADE.RESULTS: Twenty-five reviews met inclusion criteria; eight were selected as the highest quality, recent, and relevant. Three dietary strategies showed modest, significant reductions in cardiovascular events: energy deficit (relative risk reduction [RRR] 30%, 95% confidence interval [CI] = 13 to 43), Mediterranean-like diet (RRR 40%, 95% CI = 20 to 55), and salt substitution (RRR 30%, 95% CI = 7 to 48). Still, some caveats remain on the effectiveness of these dietary strategies. Salt reduction, DASH diet, and alcohol reduction showed small, significant reductions in blood pressure, but no reduction in cardiovascular events. Fish/fish oil consumption showed little or no effect; supplementation of fish oil alone showed small reductions in CVD events.CONCLUSION: For primary prevention, energy deficit, Mediterranean-like diets, and sodium substitution have modest evidence for risk reduction of CVD events. Strategies incorporated into clinical nutrition care should ensure guidance is person centred and tailored to clinical circumstances.</p

CAN LINGUISTIC ANALYSIS BE USED TO IDENTIFY WHETHER ADOLESCENTS WITH A CHRONIC ILLNESS ARE DEPRESSED?

Comorbid depression is common in adolescents with chronic illness. We aimed to design and test a linguistic coding scheme for identifying depression in adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), by exploring features of e-consultations within online cognitive behavioural therapy treatment. E-consultations of 16 adolescents (aged 11–17) receiving FITNET-NHS (Fatigue in teenagers on the interNET in the National Health Service) treatment in a national randomized controlled trial were examined. A theoretically driven linguistic coding scheme was developed and used to categorize comorbid depression in e-consultations using computerized content analysis. Linguistic coding scheme categorization was subsequently compared with classification of depression using the Revised Children's Anxiety and Depression Scale published cut-offs (t-scores ≥65, ≥70). Extra linguistic elements identified deductively and inductively were compared with self-reported depressive symptoms after unblinding. The linguistic coding scheme categorized three (19%) of our sample consistently with self-report assessment. Of all 12 identified linguistic features, differences in language use by categorization of self-report assessment were found for “past focus” words (mean rank frequencies: 1.50 for no depression, 5.50 for possible depression, and 10.70 for probable depression; p &lt;.05) and “discrepancy” words (mean rank frequencies: 16.00 for no depression, 11.20 for possible depression, and 6.40 for probable depression; p &lt;.05). The linguistic coding profile developed as a potential tool to support clinicians in identifying comorbid depression in e-consultations showed poor value in this sample of adolescents with CFS/ME. Some promising linguistic features were identified, warranting further research with larger samples.</p

GC-149 - S\u27eyed\u27Kick: AI Powered Reading Assistant and Translator

According to the Centers for Disease Control (CDC), roughly 12 million people in the United States above the age of 40 are visually impaired. In adults 18 years and older, visual impairment is one of the top 10 disabilities. It can have an enormous effect on one’s independence and quality of life. Assistive technology through artificial intelligence (AI) can support the visually impaired in everyday life functions. Our application is specifically designed for reading text such as small print. After the user selects the language for translation out of 34 choices and takes a picture of the text with the app, the text is extracted from the image. The text is converted to speech and played to the user in audio format. The text is also enlarged and displayed on the screen. Overall, this app is a benefit to society through increasing the quality of life for the visually impaired

Effectiveness of interventions to improve health behaviours of health professionals : A systematic review

Objective To evaluate the effectiveness of interventions designed to improve the health behaviours of health professionals. Design Systematic review. Data sources Database searches: Medline, Cochrane library, Embase and CINAHL. Review methods This systematic review used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to compare randomised controlled trials of health professionals, published between 2010 and 2021, which aimed to improve at least one health behaviour such as physical activity, diet, smoking status, mental health and stress. Two independent reviewers screened articles, extracted data and assessed quality of studies and reporting. The quality of articles was assessed using the Effective Public Health Practice Project quality assessment tool and the completeness of intervention reporting was assessed. Outcome measures The outcome assessed was change in behaviour between intervention and control groups from baseline to follow-up. Results Nine studies met the eligibility criteria, totalling 1107 participants. Health behaviours targeted were mental health and stress, physical activity, and smoking cessation, physical activity and nutrition. Six interventions observed significant improvements in the health behaviour in the intervention compared with control groups. Seven of the studies selected in person workshops as the mode of intervention delivery. The quality of the included studies was high with 80% (7/9) graded as moderate or strong. Conclusions Although high heterogeneity was found between interventions and outcomes, promising progress has occurred across a variety of health behaviours. Improving reporting and use of theories and models may improve effectiveness and evaluation of interventions. Further investigation is needed to recommend effective strategies. PROSPERO registration number CRD42021238684