Objective To explore how to build and maintain the resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. Design Scoping review supplemented with expert interviews to validate the findings. Setting Hospitals. Methods We searched PubMed, Embase, PsycINFO, CINAHL, bioRxiv and medRxiv systematically and grey literature for articles focusing on the impact of COVID- 19-like working conditions on the physical and/or mental health of healthcare professionals in a hospital setting. Articles using an empirical design about determinants or causes of physical and/or mental health and about interventions, measures and policies to preserve physical and/or mental health were included. Four experts were interviewed to reflect on the results from the scoping review. Results In total, 4471 records were screened leading to an inclusion of 73 articles. Recommendations prior to the outbreak fostering resilience included optimal provision of education and training, resilience training and interventions to create a feeling of being prepared. Recommendations during the outbreak consisted of (1) enhancing resilience by proper provision of information, psychosocial support and treatment (eg, create enabling conditions such as forming a psychosocial support team), monitoring the health status of professionals and using various forms and content of psychosocial support (eg, encouraging peer support, sharing and celebrating successes), (2) tasks and responsibilities, in which attention should be paid to kind of tasks, task mix and responsibilities as well as the intensity and weight of these tasks and (3) work patterns and working conditions. Findings of the review were validated by experts. Conclusions Recommendations were developed on how to build and maintain resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. These practical and easy to implement recommendations can be used by hospitals and other healthcare organisations to foster and preserve short-term and long-term physical and mental health and employability of their professionals.
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The participating universities and their associated partners under the Committed project have formulated the following recommendations to help the European legislators create a coherent system in educating and preparing the HEIs for proper handling of compliance risks and issues in research and education activities. To lay down the fundamentals of a uniform, European export compliance andrisk management system for higher education and scientific research, the project members scrutinized the currently existing and effective European regulations, the European Commission’s recommendation in this subject and the respective national rules, and also U.S. legislation in the field of deemed export.
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Cervical dystonia is the most frequent form of focal dystonia. Symptoms often result in pain and functional disability. Local injections of botulinum neurotoxin are currently the treatment of choice for cervical dystonia. Although this treatment has proven effective and is widely applied worldwide, many issues still remain open in the clinical practice. We performed a systematic review of the literature on botulinum toxin treatment for cervical dystonia based on a question-oriented approach, with the aim to provide practical recommendations for the treating clinicians. Key-questions from the clinical practice were explored. Results suggest that while the beneficial effect of botulinum toxin treatment on different aspects of cervical dystonia is well established, robust evidence is still missing concerning some practical aspects, such as doseequivalence between different formulations, optimal treatment intervals, treatment approaches, and the use of supportive techniques including electromyography (EMG) or ultrasounds. Established strategies to prevent or manage common side effects (including excessive muscle weakness, pain at injection site, dysphagia) and potential contraindications to this treatment (pregnancy and lactation, use of anticoagulants, neurological comorbidities) should also be further explored.
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Taking into account the lack of uniform guidelines for the design and classification of safety recommendations, a relevant framework was developed according to academic and professional literature. The framework includes nine design criteria for recommendations, it incorporates classifications of their scope and expected effectiveness, and it was used to perform a questionnaire survey across aviation professionals involved in the generation of safety recommendations. The goal of the survey was to capture (1) whether practitioners are knowledgeable about the design criteria, (2) the degree to which they apply those criteria along with corresponding reasons, (3) perceptions of the expected effectiveness of types of controls introduced through recommendations, (4) the frequency of generating each control type and respective explanations, and (5) the extent to which practitioners focus on each of the categories of recommendations’ scope and the relevant reasons. Overall, the results showed: an adequate level of knowledge of the design criteria; a strong positive association of the knowledge on a particular criterion with the degree of its implementation; a variety of frequencies the recommendations are addressed to each of the scope areas; a reverse order of perception of the expected effectiveness of control types compared to the literature suggestions. A thematic analysis revealed a broad spectrum of reasons about the degree to which the design criteria are applied, and the extent to which the various types of recommendations are generated. The results of the survey can be exploited by the aviation sector to steer its relevant education and training efforts and assess the need for influencing the direction safety recommendations are addressed. Similar research is suggested to be conducted by organizations and regional and international agencies of any industry sector by ensuring a larger sample.
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We present a number of methodological recommendations concerning the online evaluation of avatars for text-to-sign translation, focusing on the structure, format and length of the questionnaire, as well as methods for eliciting and faithfully transcribing responses.
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Literature and industry standards do not mention inclusive guidelines to generate safety recommendations. Following a literature review, we suggest nine design criteria as well as the classification of safety recommendations according to their scope (i.e. organisational context, stakeholders addressed and degree of change) and their focus, the latter corresponding to the type of risk barrier introduced. The design and classification criteria were applied to 625 recommendations published by four aviation investigation agencies. The analysis results suggested sufficient implementation of most of the design criteria. Concerning their scope, the findings showed an emphasis on processes and structures (i.e. lower organisational contexts), adaptations that correspond to medium degree of changes, and local stakeholders. Regarding the focus of the recommendations, non-technical barriers that rely mostly on employees’ interpretation were introduced by the vast majority of safety recommendations. Also, statistically significant differences were detected across investigation authorities and time periods. This study demonstrated how the application of the suggested design and classification frameworks could reveal valuable information about the quality, scope and focus of recommendations. Especially the design criteria could function as a starting point towards the introduction of a common standard to be used at local, national and international levels.
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Objective To explore how to build and maintain the resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. Design Scoping review supplemented with expert interviews to validate the findings. Setting Hospitals. Methods We searched PubMed, Embase, PsycINFO, CINAHL, bioRxiv and medRxiv systematically and grey literature for articles focusing on the impact of COVID- 19-like working conditions on the physical and/or mental health of healthcare professionals in a hospital setting. Articles using an empirical design about determinants or causes of physical and/or mental health and about interventions, measures and policies to preserve physical and/or mental health were included. Four experts were interviewed to reflect on the results from the scoping review. Results In total, 4471 records were screened leading to an inclusion of 73 articles. Recommendations prior to the outbreak fostering resilience included optimal provision of education and training, resilience training and interventions to create a feeling of being prepared. Recommendations during the outbreak consisted of (1) enhancing resilience by proper provision of information, psychosocial support and treatment (eg, create enabling conditions such as forming a psychosocial support team), monitoring the health status of professionals and using various forms and content of psychosocial support (eg, encouraging peer support, sharing and celebrating successes), (2) tasks and responsibilities, in which attention should be paid to kind of tasks, task mix and responsibilities as well as the intensity and weight of these tasks and (3) work patterns and working conditions. Findings of the review were validated by experts. Conclusions Recommendations were developed on how to build and maintain resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. These practical and easy to implement recommendations can be used by hospitals and other healthcare organisations to foster and preserve short-term and long-term physical and mental health and employability of their professionals.
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Background: The increasing numbers of surgeries involving high risk, multi-morbid patients, coupled with inconsistencies in the practice of perioperative surgical wound care, increases patients’ risk of surgical site infection and other wound complications. Objectives: To synthesise and evaluate the recommendations for nursing practice and research from published systematic reviews in the Cochrane Library on nurse-led preoperative prophylaxis and postoperative surgical wound care interventions used or initiated by nurses. Design: Meta-review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data sources: The Cochrane Library database. Review methods: All Cochrane Systematic Reviews were eligible. Two reviewers independently selected the reviews and extracted data. One reviewer appraised the methodological quality of the included reviews using A MeaSurement Tool to Assess Systematic Reviews 2 checklist. A second reviewer independently verified these appraisals. The review protocol was registered with the Prospective Register of Systematic Reviews. Results: Twenty-two Cochrane reviews met the inclusion criteria. Of these, 11 reviews focused on preoperative interventions to prevent infection, while 12 focused on postoperative interventions (one review assessed both pre-postoperative interventions). Across all reviews, 14 (63.6%) made at least one recommendation to undertake a specific practice, while two reviews (9.1%) made at least one specific recommendation not to undertake a practice. In relation to recommendations for further research, insufficient sample size was the most predominant methodological issue (12/22) identified across reviews. Conclusions: The limited number of recommendations for pre-and-postoperative interventions reflects the paucity of high-quality evidence, suggesting a need for rigorous trials to address these evidence gaps in fundamentals of nursing care.
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Over the past year and a half, the pandemic has posed serious challenges to many professions, including education in general and teacher education in particular. COVID19 created an unprecedented and unimagined disruption without preparation. As in schools, in teacher education daily routines were challenged and we needed to rethink both our understanding of what teaching in schools looks like and what teachers need, and our understanding of TE pedagogy which is traditionally based on close interpersonal interaction and classroom teaching practice.In this turbulent period and given the circumstances and the need for ‘emergency distance learning’, many teacher educators did their very best with full dedication to their responsibilities towards students, schools and society. At the same time, the question can be raised whether we can do better next time. The answer to that question depends on the extent in which we are able to learn from our past experiences. Research and exchange of our experiences can support this learning process.The Teacher Education Policy in Europe (TEPE) network has been actively involved in efforts to learn from our past experiences and to strengthen knowledge to meet the new challenges. In doing so, we are aware of the importance of bringing together experts from different fields in a broad international forum. Among others, on 15 April 2021, with the help of colleagues from Tallinn University, we organized a webinar on the dilemmas and challenges teachers and schools face during the pandemic to ensure quality education for all, and how teacher education can support this. A month later, on 20-22 May, we held our fifteenth annual conference entitled Challenges of distance teaching in teacher education and education, organized by colleagues from the University of Ljubljana. It was attended by over 200 participants from 34 countries. In this document we summarize the main findings and recommendations that emerged from the presentations and discussions at both events.
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Total and chronic food refusal (i.e., the refusal of all types of food during a prolonged period) in young children with developmental disabilities can be treated effectively using a combination of environmental interventions. However, no guidelines for the selection of food items to offer the child in these interventions are available. The aim of the present study was to assess the preferences for specific food items of young Dutch nondisabled children (N = 254) in order to enable trainers to select food items that maximize success of feeding interventions. Results indicate that 54 out of 107 food items were found to be preferred. The mean appreciation scores of boys and girls did not differ significantly for these preferred food items, except for raisins and brown bread. Also, there were no differences between the distinguished age-groups, except for peach. Recommendations for the selection of food items within feeding intervention for total and chronic food refusal in young children with developmental disabilities are given.
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