91 research outputs found
Building Effective Community Partnerships
Community Engagement H2O (CE-H2O) is a faith-based student organization that works to serve the community in the Columbus area. This student organization leverages building effective community partnerships with motivating and equipping university teams to advance the health and wellness of four key demographics in the Columbus area. These four communities are the immigrant and refugee population, those suffering in poverty, the orphan population and the widow population. CE-H2O has been effectively equipping university teams to lead community service projects in Columbus for more than five years and has created a model for sustainable, volunteer-based community engagement through a foundation in shared motivation with partner organizations. To create enduring and impactful community partnerships, a shared motivation is needed between the university teams and partnership organizations. For CE-H2O, this shared motivation comes from faith-based motivations for serving the community out of a genuine care for the health and well-being of those in need. CE-H2O is partnered with organizations that serve communities in Columbus through medical clinics, education, hunger relief and human-trafficking abolition. CE-H2O connects student lead university teams with these community partners to promote the health and wellness of these communities. Team development is paramount in maintaining these partnerships, and CE-H2O works diligently to foster growth and leadership in the university teams. Leadership preparation involves monthly CE-H2O meetings in which partnership events are organized; and leaders volunteer to liaison with partner organization to plan and prepare the student teams for the community engagement events. The leaders work to prepare university teams by connecting students to the community partners and lead teams through community engagement events. Student participants have multiple choices in serving with the community partners listed previously. This diversity enables the student to match their passions with the passions of a community partner, which promotes enduring relationships between the students and community partners. Team leaders hold briefings before and after each event to prepare teams for the event and inspire participants to become further involved in community engagement. This presentation is intended for organizations and administrators wanting to learn a sustainable model for creating community partnership with university teams. This presentation is also intended for students seeking community engagement partnerships. The individuals giving this presentation have expertise including more than five years of building effective community partnerships in Columbus, two years of being a student leader for university teams fostering these community relationships, and six months of direct internship experience with a community partner.AUTHOR AFFILIATION: Mike Malone, Pastor, CE-h2o, [email protected] (Corresponding Author); Megan Luthie, Student, CE-h2o; Sarah Stewart, Student, CE-h2o; Daniel Richie, Graduate Teaching Associate, Mechanical and Aerospace Engineering.Community Engagement h2o (CE-h2o) is a faith-based student organization that works to serve the community in the Columbus area. This student organization leverages building effective community partnerships with motivating and equipping university teams to advance the health and wellness of four key demographics in the Columbus area. These four communities are the immigrant and refugee population, those suffering in poverty, the orphan population, and the widow population. To create enduring and impactful community partnerships, a shared motivation is needed between the university teams and partnership organizations. This shared motivation creates enduring relationships between the university teams and community partners, and it promotes lifelong community engagement. This information is intended for students seeking community partnerships, as well as those wanting to learn a sustainable model for creating community partnership with university teams
Development of Experimental Icing Simulation Capability for Full-Scale Swept Wings: Hybrid Design Process, Years 1 and 2
This report presents the key results from the first two years of a program to develop experimental icing simulation capabilities for full-scale swept wings. This investigation was undertaken as a part of a larger collaborative research effort on ice accretion and aerodynamics for large-scale swept wings. Ice accretion and the resulting aerodynamic effect on large-scale swept wings presents a significant airplane design and certification challenge to air frame manufacturers, certification authorities, and research organizations alike. While the effect of ice accretion on straight wings has been studied in detail for many years, the available data on swept-wing icing are much more limited, especially for larger scales
Variation in market access decisions for cell and gene therapies across the United States, Canada, and Europe
Transformative cell and gene therapies have now launched worldwide, and many potentially curative cell and gene therapies are in development, offering the prospect of significant health gains for patients. Access to these therapies depend on decisions made by health technology assessment (HTA) and payer organizations. We sought to describe the emerging cell and gene therapies market access landscape by analyzing 17 US commercial payer medical policies, and HTA reports from five European countries and Canada. We found that some US health plans applied coverage restrictions more often than others (four plans applied restrictions in all decisions, while four plans applied restrictions in < 30% of decisions). The European and Canadian HTA bodies recommend access to fewer therapies than US health plans, reflecting a more stringent approach in the context of limited evidence and high scientific uncertainty that is commonly associated with these treatments. Our findings suggest that patient access to approved cell and gene therapies is restricted in all regions studied, though the nature of these restrictions differs between US health plans and the European/Canada HTA recommendations. Payers, HTA groups, pharmaceutical companies, and other stakeholders should collaborate to more clearly define the āuncertaintiesā and develop market access policies that balance benefits of early access with ongoing data collection to close evidence gaps over time
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High-Resolution UV Relay Lens for Particle Size Distribution Measurements Using Holography
Shock waves passing through a metal sample can produce ejecta particulates at a metal-vacuum interface. Holography records particle size distributions by using a high-power, short-pulse laser to freeze particle motion. The sizes of the ejecta particles are recorded using an in-line Fraunhofer holography technique. Because the holographic plate would be destroyed in an energetic environment, a high-resolution lens has been designed to relay the interference fringes to a safe environment. Particle sizes within a 12-mm-diameter, 5-mm-thick volume are recorded onto holographic film. To achieve resolution down to 0.5 Ī¼m, ultraviolet laser (UV) light is needed. The design and assembly of a nine-element lens that achieves >2000 lp/mm resolution and operates at f/0.89 will be described. To set up this lens system, a doublet lens is temporarily attached that enables operation with 532-nm laser light and 1100 lp/mm resolution. Thus, the setup and alignment are performed with green light, but the dynamic recording is done with UV light. During setup, the 532-nm beam provides enough focus shift to accommodate the placement of a resolution target outside the ejecta volume; this resolution target does not interfere with the calibrated wires and pegs surrounding the ejecta volume. A television microscope archives images of resolution patterns that prove that the calibration wires, interference filter, holographic plate, and relay lenses are in their correct positions. Part of this lens is under vacuum, at the point where the laser illumination passes through a focus. Alignment and tolerancing of this high-resolution lens will be presented, and resolution variation through the 5-mm depth of field will be discussed
Accuracy of diagnosis at routine psychiatric assessment in patients presenting to an accident and emergency department
Designing a Library of Lived Experience for Mental Health (LoLEM): Protocol for integrating a realist synthesis and Experience Based Codesign approach
Introduction: People with lived expertise in managing mental health challenges can be an important source of knowledge and support for other people facing similar challenges, and for carers to learn how best to help. However, opportunities for sharing lived expertise are limited. Living libraries support people with lived expertise to be āliving booksā, sharing their experiences in dialogue with āreadersā who can ask questions. Living libraries have been piloted worldwide in health-related contexts but without a clear model of how they work or rigorous evaluation of their impacts. We aim to develop a programme theory about how a living library could be used to improve mental health outcomes, using this theory to codesign an implementation guide that can be evaluated across different contexts.Methods and analysis: We will use a novel integration of realist synthesis and experience-based codesign (EBCD) to produce a programme theory about how living libraries work and a theory and experience informed guide to establishing a library of lived experience for mental health (LoLEM). Two workstreams will run concurrently: (1) a realist synthesis of literature on living libraries, combined with stakeholder interviews, will produce several programme theories; theories will be developed collaboratively with an expert advisory group of stakeholders who have hosted or taken part in a living library and will form our initial analysis framework; a systematic search will identify literature about living libraries; data will be coded into our analysis framework, and we will use retroductive reasoning to explain living librariesā impacts across multiple contexts. Individual stakeholder interviews will help refine and test theories; (2) data from workstream 1 will inform 10 EBCD workshops with people with experience of managing mental health difficulties and health professionals to produce a LoLEM implementation guide; data from this process will also inform the theory in workstream 1.Ethics and dissemination: Ethical approval was granted by Coventry and Warwick National Health Service Research Ethics Committee on 29 December 2021 (reference number 305975). The programme theory and implementation guide will be published as open access and shared widely through a knowledge exchange event, a study website, mental health provider and peer support networks, peer reviewed journals and a funders report.PROSPERO registration details CRD42022312789
Sonographic evaluation of pediatric localized scleroderma: preliminary disease assessment measures
The impact of the COVID-19 pandemic on nursing students? navigation of their nursing programmes and experiences of resilience. A qualitative study
Introduction
: High-quality pre-registration student nurse training and development is integral to developing a sustainable and competent global nursing workforce. Internationally, student nurse recruitment rates have increased since the onset of the COVID-19 pandemic; however, attrition rates for student nurses are high. During the pandemic, many student nurses considered leaving the programme due to academic concerns, feeling overwhelmed, and doubting their clinical skills. Little was known about the extent to which nursing education prior to COVID-19 had prepared students for their role in managing the healthcare crisis or the impact on their resilience. Thus, this study aimed to explore how the COVID-19 pandemic impacted on the resilience levels of student nurses across the United Kingdom.
Methods
: Data were collected as part of a multi-site qualitative study named āCOV-ED Nurseā and involved pre-placement surveys, placement diaries, and post-placement interviews with nursing students. Student nurse participants were recruited from across the United Kingdom, from all years of study, and from all four nursing branches: children, adult, mental health, and learning disabilities. Participants were asked to complete a pre-placement survey that collected demographic details and information about their placement expectations. They were also asked to record a weekly audio-visual or written diary to describe their placement experiences, and, on completion of their placements, students were interviewed to explore their experiences of this time. Data were thematically analysed using the Framework Approach. Ethical approvals were obtained.
Results
: Two hundred and sixteen students took part in the wider study. The current study involved a subset of 59 studentsā data. Four main themes were identified: ācoping with increased levels of acuityā, āperceived risks of the pandemicā, āresilience when facing uncertainty and isolationā, and āthe importance of coping mechanisms and support structures.ā
Discussion
: From this study, we have generated insights that can be applied to nursing research, education, policy, and practice and identified the wide-ranging impact that the COVID-19 pandemic had on student nurses and their abilities to remain resilient in an unstable environment. The value of communication and support networks from a wide range of sources was highlighted as key to navigating many uncertainties. In addition, the extent to which students were able to navigate their personal and professional roles and identities influenced their ability to cope with and continue along their training pathways
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