Implementation of a program to support direct support professionals to promote a healthy lifestyle for people with moderate to profound intellectual disabilities

Background There is a lack of theory-based interventions for direct support professionals (DSPs) to support a healthy lifestyle for people with moderate to profound intellectual disabilities (ID) despite their major role in this. This study aims to evaluate the preparation, implementation, and preliminary outcomes of a theory-based training and education program for DSPs to learn how to support these individuals. Methods The program consisting of e-learning, three in-person sessions, and three assignments was implemented. The implementation process was evaluated with a mixed method design with the following components: preparation phase, implementation phase, and the outcomes. These components were measured with project notes, questionnaires, interviews, reflections, assignments, food diaries, Actigraph/Actiwatch, and an inventory of daily activities. Results Regarding the preparation phase, enough potential participants met the inclusion criteria and the time to recruit the participants was 9 months. The program was implemented in four (residential) facilities and involved individuals with moderate to profound ID (n = 24) and DSPs (n = 32). The e-learning was completed by 81% of the DSPs, 72–88% attended the in-person sessions, and 34–47% completed the assignments. Overall, the fidelity of the program was good. DSPs would recommend the program, although they were either negative or positive about the time investment. Mutual agreement on expectations were important for the acceptability and suitability of the program. For the outcomes, the goals of the program were achieved, and the attitudes of DSPs towards a healthy lifestyle were improved after 3 months of the program (nutrition: p = < 0.01; physical activity: p = 0.04). A statistically significant improvement was found for food intake of people with ID (p = 0.047); for physical activity, no statistically significant differences were determined. Conclusions The theory-based program consisting of a training and education section for DSPs to support a healthy lifestyle for people with moderate to profound ID was feasible to implement and, despite some barriers regarding time capacity and mutual expectations, it delivered positive changes in both persons with moderate to profound ID and DSPs. Thus, the program is a promising intervention to support DSPs.

Performance and Consistency of Circulating Warm Water Blankets for Rodents

General anesthesia as used for rodent research can have adverse effects on physiologic mechanisms. Thermoregulation is often greatly inhibited, with resultant deleterious effects on cardiac and respiratory function. These potential effects can be mitigated by providing external heat support. The circulating warm water blanket and associated heat pump are often used in rodent procedures. The current study demonstrated that the heating pump and water blanket require quality control assessment to ensure adequate function. Our data showed that of the 6 pumps tested, 5 were able to achieve a temperature thatmet or exceeded the documented thermoneutral zone for mice. Pumps required 20 min of warming to reach their maximal attainable temperatures for the designated user setting. Although the pumps reached a temperature that was sufficient toprovide external thermal support, only 1 of the 6 pumps reached the temperature that was set by the user during the trial.Surface temperatures across the water blanket were recorded to analyze whether a difference in heat support was influencedby animal placement along the water blanket; however, the location points did not yield statistically different results. Two pumps were eliminated from the study due to failure to pass the preparation phase of the trial. The results of this studysupport the need for facilities to establish quality control measures to ensure that heat support systems are functioning at a level required to maintain normothermia during anesthetic procedures.

Tłumaczenie symultaniczne mowy noblowskiej w dydaktyce przekładu konferencyjnego

Simultaneous Interpreting of a Nobel Lecture in Conference Interpreter Training Simultaneous interpreting with text is a hybrid mode combining simultaneous with sight translation. As it constitutes an important element of the interpreter’s work, it must then be a component of conference interpreter training. Due to a scarce research in the field so far, the aim of this paper is to discuss an empirical longitudinal study of simultaneous interpreting of a Nobel lecture from Spanish into Polish. The results of the analysis show that during the preparation phase, it is not a selective analysis of such lexical items as proper names, numbers or unknown words, but rather a syntactic analysis, which enables to render compound statements in a specific register, as well as an in-depth cultural analysis, which contributes to acquiring knowledge across different fields necessary in conference interpreting.

Differences in Immune Response During Competition and Preparation Phase in Elite Rowers

Background: Metabolic stress is high during training and competition of Olympic rowers, but there is a lack of biomedical markers allowing to quantify training load on the molecular level. We aimed to identify such markers applying a complex approach involving inflammatory and immunologic variables.Methods: Eleven international elite male rowers (age 22.7 ± 2.4 yrs.; VO2max 71 ± 5 ml·min−1·kg−1) of the German National Rowing team were monitored at competition phase (COMP) vs. preparation phase (PREP), representing high vs. low load. Perceived stress and recovery were assessed by a Recovery Stress Questionnaire for Athletes (RESTQ-76 Sport). Immune cell activation (dendritic cell (DC)/macrophage/monocytes/T-cells) was evaluated via fluorescent activated cell sorting. Cytokines, High-Mobility Group Protein B1 (HMGB1), cell-free DNA (cfDNA), creatine kinase (CK), uric acid (UA), and kynurenine (KYN) were measured in venous blood.Results: Rowers experienced more general stress and less recovery during COMP, but sports-related stress and recovery did not differ from PREP. During COMP, DC/macrophage/monocyte and T-regulatory cells (Treg-cell) increased (p = 0.001 and 0.010). HMGB1 and cfDNA increased in most athletes during COMP (p = 0.001 and 0.048), while CK, UA, and KYN remained unaltered (p = 0.053, 0.304, and 0.211). Pro-inflammatory cytokines IL-1β (p = 0.002), TNF-α (p &lt; 0.001), and the chemokine IL-8 (p = 0.001) were elevated during COMP, while anti-inflammatory Il-10 was lower (p = 0.002).Conclusion: COMP resulted in an increase in biomarkers reflecting tissue damage, with plausible evidence of immune cell activation that appeared to be compensated by anti-inflammatory mechanisms, such as Treg-cell proliferation. We suggest an anti-inflammatory and immunological matrix approach to optimize training load quantification in elite athletes.

Development of an Algorithm for Prediction of the Wind Speed in Renewable Energy Environments

The aim of this work is to develop an algorithm that is able to provide predictions of wind speed statistics (WSS) in renewable energy environments. The subject is clearly interesting, as predictions of storms and extreme winds are important for decision makers and emergency response teams in renewable energy environments, e.g., in places where wind turbines could be located, including cities. The goal of the work is achieved through two phases: (a) During the preparation phase, the construction of a big WSS database based on computational fluid dynamics (CFD) is carried out, which includes flow fields of different wind directions in all grid numerical points; (b) In the second phase, the algorithm is used to find the records in the WSS database with the closest meteorological conditions to the meteorological conditions of interest. The evaluation of the CFD model (including both RANS and LES turbulence methodologies) is performed using the experimental data of the MUST (Mock Urban Setting Test) wind tunnel experiment.

Technology education in academic bildung

Recent studies have acknowledged the pedagogical challenges posed by digital technologies in higher education (HE) and the need to expand teacher professional development. In this paper, we present the first conceptualization of Teknosofikum, a three-year project funded by the Danish Ministry of Higher Education and Science, aimed at promoting HE teachers’ professional development in technology education. The goal of the project is to develop an interdisciplinary course for in-service HE teachers in Denmark, through design-based research in three iterations (2020-2023). The paper draws on data from the preparation phase at first iteration, including definition of intended curriculum, content development with subject experts, and learning activities design. A sociomaterial perspective is adopted, informed by STS, critical design and feminist studies. Through these theoretical lenses, professional technology education is understood in Teknosofikum as situated knowledge about the relationship between technology and society, translated into practice through an approach of critical relational pedagogy.

PENGETAHUAN DAN SIKAP REMAJA PUTRI DESA ALUH-ALUH BESAR RT. 04 MENGENAI COVID-19

ABSTRAKIndonesia merupakan salah satu negara dengan jumlah kasus Covid-19 terkonfirmasi yang cukup tinggi. Kalimantan Selatan merupakan provinsi dengan jumlah kasus yang mengalami peningkatan. Kabupaten Banjar termasuk salah satu kabupaten dengan jumlah kasus Covid-19 yang cukup tinggi dan terus mengalami peningkatan. Kegiatan pengabdian ini dilakukan untuk melihat pengetahuan dan sikap remaja putri di Desa Aluh-Aluh Besar RT. 04 terhadap Covid-19. Subjek yang mengikuti kegiatan berjumlah 14 remaja putri. Penyelenggaraan pengabdian masyarakat ini terdiri dari 3 tahap meliputi: tahap persiapan yaitu pengumpulan kontak remaja putri serta pembuatan media, tahap pelaksanaan kegiatan pemberian pretest dan posttest serta pemberian materi, dan tahap monitoring dan evaluasi meliputi pemantauan dan pengawasan kegiatan penyuluhan serta menilai peningkatan dalam pengetahuan mengenai Covid-19. Data diperoleh dari hasil pretest dan posttest. Hasil kegiatan ini terdapat perbedaan yang signifikan antara pengetahuan remaja putri pada saat pengisian kuesioner sebelum dan sesudah penyuluhan dan ada perbedaan antara sikap remaja putri di pada saat pengisian kuesioner sebelum dan sesudah penyuluhan. Kata Kunci: pengetahuan; sikap; covid-19 ABSTRACTIndonesia is one of the countries with a high number of confirmed Covid-19 cases. South Kalimantan is a province with an increasing number of cases. Banjar Regency is one of the districts with a fairly high number of Covid-19 cases and continues to increase. This service activity was carried out to see the knowledge and attitudes of young women in the Village of Aluh-Aluh Besar RT. 04 against Covid-19. Subjects who attended lessons were 14 young women. The implementation of this community service consists of 3 stages including: stages of preparation, preparation phase the contacts of young women and making media, activity phase of presenting pretest and posttest and presenting material, and the stages of monitoring and evaluating activities and monitoring activities as well as assessing the increase in Covid-19 knowledge. Data obtained from the results of the pretest and posttest. The result of this activity is that there is a significant difference between the knowledge of young women when filling out the questionnaire before and after counseling and there is a difference between the attitudes of young women when filling out the questionnaire before and after extension. Keywords: knowledge; attitude; covid-19

Motion Analysis of Long-Distance Drive in Woodball Athletes

The purpose of this study was to analyze the motion of long-distance drive in woodball athletes. The method in this study using quantitative descriptive using observation by Video Recording. The total sample used in this study 8 woodball athletes Semarang State University and all of them were willing to participate in the study by signing the informed consent form. This study uses data analysis techniques using the Kinovea application software Version 0.8.15. The results found that the preparation phase obtaining appropriate criteria, with an average score of 4. The prefix phase in this movement was of 3.8 with appropriate criteria and the implementation phase of 3.7 with appropriate criteria. The follow-through phase obtained an average score of 3.4 with almost appropriate criteria. Overall, the average in the motion analysis is 3.7 with the appropriate category. The conclusion of this study found that motion analysis of long-distance drive in woodball athletes are in the appropriate category. This study also showed quite effective and quite efficient based on the video analysis used. The limitation in this study still focuses on the kinetic data. Future research is expected to improve the quality of the drive and also minimize the occurrence of injuries.

Anticipative Dynamic Slotting for Attended Home Deliveries

Attended home delivery requires offering narrow delivery time slots for online booking. Given a fixed fleet of delivery vehicles and uncertainty about the value of potential future customers, retailers have to decide about the offered delivery time slots for each individual order. To this end, dynamic slotting techniques compare the reward from accepting an order to the opportunity cost of not reserving the required delivery capacity for later orders. However, exactly computing this opportunity cost means solving a complex vehicle routing and scheduling problem. In this paper, we propose and evaluate several dynamic slotting approaches that rely on an anticipatory, simulation-based preparation phase ahead of the order horizon to approximate opportunity cost. Our approaches differ in their reliance on outcomes from the preparation phase (anticipation) versus decision making on request arrival (flexibility). For the preparation phase, we create anticipatory schedules by solving the Team Orienteering Problem with Multiple Time Windows. From stochastic demand streams and problem instance characteristics, we apply learning models to flexibly estimate the effort of accepting and delivering an order request. In an extensive computational study, we explore the behavior of the proposed solution approaches. Simulating scenarios of different sizes shows that all approaches require only negligible run times within the order horizon. Finally, an empirical scenario demonstrates the concept of estimating demand model parameters from sales observations and highlights the applicability of the proposed approaches in practice.

Conducting a Cluster RCT on Medication Safety in Nursing Units Overtaxed by the COVID-19 Pandemic

Medication errors continue to harm many hospitalized patients. In other high-risk industries, voluntary incident reporting is widely used to improve safety. Reporting is widely used in hospitals, but not as effectively. This AHRQ-funded cluster RCT will assess the effects of the SAFE Loop, which includes five enhancements in incident reporting implemented on hospital nursing units. Analyses will compare changes in nurses’ attitudes toward reporting, event reporting rates, report quality, and medication event rates between intervention and control arms. The COVID-19 pandemic has created both obstacles and opportunities. The intervention requires study staff to engage nursing unit directors, attend daily nursing “huddles”, and train overtaxed front-line nurses in a geographic area greatly impacted by COVID-19 surges. This created uncertainty around the best time to start the trial. Conversely, we have collected unique data on the implications of COVID-19 for medication safety while testing our instruments during the trial preparation phase.