Dr. Stevens completed most of his training in Utah. After completing an internship, he served three years in the U.S. Army during the Vietnam War where he cared for war casualties as an assistant otolaryngologist. Following the completion of his residency, he became the Chief of Otolaryngology at the VA Hospital as well as an assistant Dean of the School of Medicine. He was also a member of the admissions committee and the promotion and tenure committee for the medical school. He became a member of the prestigious Triologic Society after writing a thesis on “Primary Fungal Infections of the Paranasal Sinuses” in 1978. He has been an author or co-author of 75 articles in medical literature, and a teacher for the American Academy of Otolaryngology for 20 years on smell and taste disorders. His part time practice now includes general otolaryngology problems with particular focus on disorders of the sense of smell and taste. He is currently conducting research on improving methods of treating dysgeusia or disturbances of the sense of taste.

Dr. Stevens has a master’s degree in music history and literature. He is a long time supporter of the Utah Symphony and Opera, has six children, and 17 grandchildren. He enjoys playing the piano, singing, skiing and golf.

Pandemic Evolution and Pandemic Equation Department of Electrical, Computer and Systems Engineering Rensselaer Polytechnic Institute, Troy, NY, 12180, USA shurm@rpi.edu 

Monitoring, understanding, and managing the pandemic evolution involves the analyses of a large amount of data. The time dependencies of the number of infections, hospitalizations, Intensive Care Unit (ICU) admissions, and pandemic-related deaths are recorded, internationally and nationally, and at the state, city, and county levels. These dependencies vary quite a bit from locality to locality and having means of easy and accurate data interpolation and parameter extraction is quite useful for revealing trends and evaluating the impact of new variants or mitigation measures. Such interpolations also reveal the characteristic time constant of the pandemic evolution when the data are averaged (typically over seven days). Estimating a relevant time constant and the rate of its change with time might be also useful for predicting the pandemic trends over a period of time comparable to the characteristic pandemic evolution time constant estimated from the latest recorded pandemic data.

Dr. Weiyun Chen’s research focuses on developing and examining technology-enhanced physical activity (PA) interventions to promote health, cognition, and psychological well-being in school-aged children, young adults, and older adults. Dr. Chen has delivered over 120 presentations at international and national conferences. She first authored one book, two book chapters, and published 76 peer-reviewed research articles. She served a 3-year term as chair of AERA SIG and AAHPERD NASPE C & I Academy. She also chaired AERA SIG Scholar Lecture Committee, AAHPERD Research Writing Award Committee, and AAHPERD Pedagogy Panel Review Committee. She served as associate editor for Journal of Teaching in Physical Education. Currently, Dr. Chen is associate editor for Research Quarterly for Exercise and Sport since 2013

Director of the Post-Coma Unit and of the neuropsychological rehabilitation service of patients with severe acquired brain injury (sABI) of the neurorehabilitation hospital and research institute Santa Lucia Foundation, Rome, Italy. Author of 186 papers published in indexed journals (H-INDEX: 33; source: SCOPUS), and served as reviewer for many of these. Engaged in the evaluation, neurorehabilitation and translational clinical research of sABI patients with disorder of consciousness (DoC) for 35 years. President of the Italian Society of High Specialty Rehabilitation (SIRAS), involved in several national and international protocols, multicentric studies and National Consensus Conferences.

Mental Health and Moral Injury Among Nurses
Registered with the British Psychological Society, Kimberley is an award winning, dynamic, inclusive and published mental health professional. With sound knowledge and proven application of the latest developments to drive improvements of industry standards and regulation in the interest of public health protection. Specialising in psycho-aesthetic solutions through ethical practice management, curating trauma informed patient approaches, and representing fitness to practice issues she contributes widely to voluntary sectors including advisory to Parliamentary Council with the JCCP

Mapping nursing practices in rehabilitation units in Spain and the United Kingdom
Lecturer from the Nursing Department of the Universitat Autònoma de Barcelona UAB (Spain). 12 years experience in healthcare. Expertise in research on "Patient Safety Culture", "Primary and Community Health" and "Clinical Simulation"

The Use of eHealth Technologies to support Communication with Parents in the Neonatal Unit
I am a final year medical student at Cardiff University, and due to start a Foundation Training Programme within Cardiff and Vale Health Board in summer 2021. Prior research work includes presenting a project on Neuropathic Pain in Inflammatory Arthritis in a South Wales Rheumatology Meeting. In 2019 I undertook an ERASMUS internship in Madrid, where I had my first experiences in a Neonatal Unit. This is my first publication, published in Journal of Neonatal Nursing December 2020

Duration of Yoga session and its impact on psychological health among long time elderly Yoga practitioners
Dr Shivaji chobe is medical Graduate in Ayurveda medicine and sugary; and postgraduate MD (Yoga and Rehabilitation). He also perused his masters in Counseling and Psychotherapy. And Phd in Yoga. Main research area is geriatrics and mental health and rehabilitation. He has enormous experience in integrative medicine. That is integrating the convectional medical care with complementary and alternative medicine. He worked in holistic health center from 2015 to 2017 at Arogyadham, S-VYASA Yoga University Bangalore, India as Integrative medicine consultant. Presently, working at Department of Yoga, Central University of Rajasthan, India as Assistant Professor. He has been published more than 20 research papers in national and International journals. He was been a resource person in more than 10 Yoga therapy workshops conducted within country and abroad by various organization. Also invited speaker in various international conferences

Nurse Education
How to Surge to Face the SARS-CoV-2 Outbreak: Lessons Learned From Lombardy, Italy

Electronic Medical Records implementation in Hospital: An empirical investigation of individual and organizational determinants
Dr. Anna De Benedictis, graduated in Nursing and Midwifery Sciences at the University Campus Bio-Medico of Rome, PhD in "Economics Management and Industrial Engineering" at Politecnico di Milano. She is Professor of Nursing Sciences at the University Campus Bio-Medico and Quality Manager of the Hospital Campus Bio-Medico Clinical Direction. Executive education in the Stanford Graduate School of Business of Stanford University (California) by the course "The Innovative Healthcare Leader: From Design Thinking to Personal Leadership" Her main research lines are related to digital innovation, patient experience, oncology, quality improvements and bioethics.

Prevalence of fear of falling and related factors in community-dwelling older people
Nuria Alcolea Ruiz. She has a degree in Nursing from the Complutense University of Madrid (2010-2014). Specialist Nurse in Family and Community Care via EIR system (Resident Internal Nurse. National system of specialization for nurses.) (2015-2017). Official Master of Research in Health Care from the Complutense University of Madrid (2018-2019). PhD student in the Health Care Program of the Faculty of Nursing, Physiotherapy and Podiatry of the Complutense University of Madrid (2020-Present).

Nursing Informatics & Technology
Katarina Baudin is a reg Occupational Therapist and works as a lecturer and PhD at Örebro University in Sweden. Katarina has many years of work experience of rehabilitation and occupational therapy. Her research focuses on assistive technology and welfare technology, from the perspectives of the older adults, the significant others, the health care and social care personnel, and the decision-makers and managers.

PROCESS MINING IN HEALTHCARE: BACKGROUND, OPPORTUNITIES, PERSPECTIVES
Roberto Gatta has an MD in Electronic Engineer (Università degli Studi di Brescia, Italy) and a PhD in Oncological Sciences (Università Cattolica del Sacro Cuore, Roma, Italy). He is currently researcher at the Università degli Studi di Brescia, Data Scientits at the CHUV (Centre Hospitalier Universitaire Vaudois, Losanne, Switzerland) and consultant for the Kaunas Clinics (Kaunas, Lithuania). He is a researcher in Artificial intelligence in Medicine and in Medical Informatics; mainly focused in Process Mining, Computer Interpretable Clinical Guidelines, Machine Learning, Radiomics. He is co-founder of the Società Scientifica Italiana di Informatica Biomedica and member of the PODS4H allianc

A heuristic model for collaborative practice in mental health services
Rolf Sundet, professor emeritus at the University of Southeast-Norway and specialist in clinical psychology. His clinical career is both in mental health for adults and for children and adolescents with a special focus on working together with families. He is also a freelance supervisor and consultant. He has published in both English and Scandinavian books and journals. His Ph.D. is on collaborative practises and the use of client feedback as a monitoring and conversational tool in family therapy practice. Resent work is on the relationship between the medical model, evidence based practice and New Public Management as an unjust assemblage

Nursing Administration
Missed nursing care, non-nursing tasks, staffing adequacy and job satisfaction among nurses in a teaching hospital in Egypt

Collaborative testing in physical examination skills training and the autonomous motivation of students: a qualitative study
Anjeleen Douma: Medical Educator at the Amsterdam University Medical Centers, Clinical Skills teacher, Medical Doctor, MRCGP. Anjeleen went to Medical School in Leiden, the Netherlands, then trained as a GP in London and worked as a GP in both the UK and the Netherlands for several years. She now teaches clinical skills to medical students at the University of Amsterdam. Together with Jiska Patiwael, Anjeleen recently published an article on collaborative testing and autonomous motivation. Collaborative testing can be used as a teaching method to stimulate active learning.

A survey of nurses' awareness of infection control measures in Baranya County, Hungary
Sahar Hammoud a PhD candidate at University of Pécs, Doctoral School of Health Sciences, Hungary. Holding a Master’s degree in Healthcare and Quality Management from the Lebanese University. A former infection control officer and an ISQua certified accreditation surveyor in Lebanon. Her PhD research examines the effect of nurses’ awareness of infection control measures on implementing patient and family education. She has published in several international peer-reviewed journals.

Healthcare professionals’ behavior regarding the implementation of shared decision-making in screening programmes
María José Hernández is member of Research Group on Statistics, Economic Evaluation and Health, Sigma Theta Tau International chapter Miami and funder of Hayek Labs. She completed her bachelor’s degree and her master’s degree in nursing at the Pontifical Catholic University of Chile. She is studding a PhD of economics in Universitat Rovira i Virgili -Spain- with Marie Curie founding. Her thesis is about the participation in health, exactly in breast cancer screening programs. Finally, she stays in Mayo Clinic -USA- in a scholarship about Shared Decision-Making training

Citizen-Patient Involvement in the Development of mHealth Technology: A Systematic Scoping Review Protocol
Jorunn Bjerkan is an associate professor at Nord University, Norway. She is a registered nurse holding a master's degree in health informatics and a PhD in health sciences within collaborative development of electronic individual care plans (ICP). Bjerkan teaches e-health, welfare technology and nursing management. The research field is related to EHR- use, digital collaboration and patient safety. She has a special focus on the role of ICT users, ie both the service providers and patients' participation in system development and -use. She is present leader of the research group PASDI, and editor-in-chief of “Nordic Journal of Healthcare research”.

Knowledge-Based Attitudes Of Medical Students In Antibiotic Therapy And Antibiotic Resistance. A Cross-Sectional Study
Tomasz Sobierajski, PhD - sociologist and social vaccinologist from the University of Warsaw. His main areas of interest are the sociology of health and disease, the sociology of education, social vaccinology and interpersonal communication with particular emphasis on doctor-patient communication. For twelve years, he has been training doctors of various specialties in the field of communication with patients, with particular attention to communication on vaccination. Author of many important research projects carried out at the interface of sociology and medicine in the field of vaccinology, pediatrics, diabetology, chronic diseases and antibiotic therapy. He is the author of several books, including a bestselling textbook „33 readings on communication, or how to be a good doctor and not go crazy” and a multidisciplinary monography “Social context of vaccination. Introduction to social vaccinology and sociology of vaccination”. He publishes in Polish and foreign scientific journals. He designs and coordinates national and international research projects for government institutions, non-governmental organizations and private companies. He conducts research projects with the Medical University of Warsaw, the National Institute of Public Health - National Institute of Hygiene and the National Institute of Medicines. He is a marathoner.

Knowledge-Based Attitudes Of Medical Students In Antibiotic Therapy And Antibiotic Resistance. A Cross-Sectional Study
Monika Wanke-Rytt, PhD, MD - graduated from the Medical University of Warsaw with a degree in medicine in 2007 and began specializing in pediatrics, which she passed in 2014 and graduated with honors. She started working at the Infectious Diseases Unit which involved starting a specialization in Infectious Diseases. She is an assistant professor at Medical University of Warsaw and teach students. She also currently work as the chair of the infection control team at the Children's Clinical Hospital in Warsaw.

Clinical management of the adult patient with Osteogenesis Imperfect
The care for patients with a connective tissue disorder as OI, is by definition a multidisciplinary matter The management is usually focused on the musculoskeletal system with involvement of orthopedic surgery, rehabilitation medicine and pharmaceutical therapy. We our expert center (EC)., and the essential position of the nurse practitioner in coordinator of individual care Currently, the adult OI clinic in the Netherlands has seen near 500 individuals with different types of OI. We subsequently describe the evolution and the professionalization of the EC. Hereby we provide a blueprint of standardized multidisciplinary approach, (international) procedures for structured care for adult patients with OI.

Live music to reduce physiological symptoms of pain in intubated and sedated pediatrics
Music is often used as a nonpharmacological pain management strategy, but little evidence is available about its role in pediatric critical care patients. There are a few studies exploring the effects of recorded music with pediatric critical care patients but the results for recorded music are inconsistent. This presentation will discuss results from an exploratory randomized controlled trial performed in a pediatric intensive care unit. Participants were randomly allocated to receive a live music therapy intervention with standard care or a recorded music intervention with standard care. Participants were pediatric patients who were intubated and sedated and received the randomized allocation for 15 minutes

Anti-spasticity medication and multiple sclerosis: why nurses and therapists need to get involved
Spasticity is common in people with MS and other neurological conditions and can impact negatively on activities of daily living, function and quality of life. It can be managed with anti-spasticity medications, but prescribers often fail to titrate to the optimal dose, monitor or review their efficacy. Optimal doses are not always reached or, worse, may be exceeded. As a result, the primary spasticity may not be controlled adequately or the insidious side-effects of over-dose can cause symptoms such as weakness which mimic disease progression, increase disability, lead to unnecessary secondary complications and hinder therapeutic interventions

LEAD POISONING: A COMPELLING REASON FOR BEETHOVEN’S DEAFNESS
Significant articles written in this century substantiate that Ludwig van Beethoven had lead poisoning. High levels of lead found deep in his skull are characteristic of repeated exposure to lead over a long period of time. Shrunken cochlear nerves found at his autopsy can be the result of axonal degeneration by heavy metals such as lead. Recent articles also show that chronic low level lead exposure like Beethoven had does not cause motor deficits, such as wrist drop, that are commonly seen with acute lead poisoning, but rather sensory and autonomic findings like those he experienced

COVID-19 pediatric vaccine hesitancy among racially diverse parents in the United States
On 29 October 2021, the U.S. FDA authorized the Pfizer-BioNTech COVID-19 (SARS-CoV-2) vaccine for emergency use in children ages 5–11 years. Racial/ethnic minorities have born the greatest burden of pediatric COVID-19 infection and hospitalization. Research indicates high prevalence of parental vaccine hesitancy among the general population, underscoring the urgency of understanding how race/ethnicity may influence parents’ decision to vaccinate their children.

Breakthrough pain in patients with cancer: clinical feature, assessment, and circadian variation
Background: Cancer-related breakthrough pain (BTP) is a common and difficult-to-manage pain syndrome. Studies have shown that pain may be subject to circadian variation as demonstrated by the circadian variation in pain intensity. Studies were retrospective in design, included relatively small patient populations and none of them had a validation group or gave a clear definition of BTP. The aim of this research was to assess the presence of a circadian variation of BTP in two cohorts of ambulatory patients and bedridden patients.

Pandemic Evolution and Pandemic Equation
Monitoring, understanding, and managing the pandemic evolution involves the analyses of a large amount of data. The time dependencies of the number of infections, hospitalizations, Intensive Care Unit (ICU) admissions, and pandemic-related deaths are recorded, internationally and nationally, and at the state, city, and county levels. These dependencies vary quite a bit from locality to locality and having means of easy and accurate data interpolation and parameter extraction is quite useful for revealing trends and evaluating the impact of new variants or mitigation measures. Such interpolations also reveal the characteristic time constant of the pandemic evolution when the data are averaged (typically over seven days). Estimating a relevant time constant and the rate of its change with time might be also useful for predicting the pandemic trends over a period of time comparable to the characteristic pandemic evolution time constant estimated from the latest recorded pandemic data

Impacting Neonatal Patient Care: Reducing Needle Sticks, with an Extended Dwell Catheter
The use and efficacy of extended dwell peripheral intravenous catheters (EPIV) has been described at scientific conferences and in recent literature. The ramifications of repeated needle sticks, damage to vessels and ultimately the need for a more invasive and costly access device, clearly supports the need for change. Methods: This quality improvement project spanned over a four-year period, from 2017 through 2020, and included 128 patients who required a peripherally inserted catheter (PIV) as their primary or secondary access site for a prescribed therapy. The EPIV inserted was a 4 cm, 22- gauge catheter, made of thermosensitive polyurethane, inserted using Seldinger technique.

Technology-Enhanced 4Active Intervention for Older Adults: A Pilot Study
intervention in improving psychological well-being and PA participation in older adults living in retirement communities. Methods: Participants were 27 older adults with a mean age of 85.9 ±9.3 years. Based on the two-arm, quasi-experimental study design, fourteen older adults (2 men, 12 women) living in one retirement community (RC) were assigned into the intervention group receiving the two-level 4Active intervention, whereas 13 older adults (1 man,12 women) living in another RC were allocated to the active control group receiving group exercise intervention alone for eight weeks. One week before and after the interventions, the participants were pre-tested and post-tested in psychological well-being (i.e., life satisfaction, subjective happiness, positive affect, and negative affect) and weekly PA minutes (i.e., weekly walking, vigorous,

"Content Analysis of the Critical Reflective Journal of New Nurses : Using Text Network Analysis"
In this study, the contents of the critical reflective journal written by new nurses during the orientation period were analyzed and shared through a text network. The purpose of this study was to find ways to reduce turnover and improve clinical field adaptability among new nurses. Methods: We analyzed the critical reflective journals written by 143 new nurses who joined C University Hospital in G Metropolitan City in Korea from March 2020 to January 2021. The nurses recorded their experiences in the critical reflective journals six times during the orientation period (8 weeks).

Effects of the Clinical Core Competency Empowerment Program for New Nurses
The purpose of this study is to develop the Clinical Core Competency Empowerment Program(CCCEP) according to the educational guidelines and to identify the effectiveness of the developed program. The CCCEP is a 38-hour program for 8 weeks consisting of three empowerment modules: basic competency, system-based competency, and practical competency. Methods: This program was revised through expert content validity verification and was applied to 47 participants, a new graduate nurses, from March to July 2020.

Content Analysis of the Feedback Journals for New Nurses of the Preceptor Nurses: Text Network Analysis Method
The purpose of this study is to identify central themes by analyzing the feedback journals written by preceptor nurses to new nurses during the preceptorship period, and to derive implications by clustering them. Methods: As for the data, a total of 143 preceptor nurses’ feedback journals for new nurses from March 2020 to January 2021 were converted into a database using Microsoft Office Excel. Text network analysis was performed using NetMiner 4.3.3 program. After data preprocessing, simple frequency, degree centrality, closeness centrality, betweenness centrality, and modularity community analysis were performed.

Towards a new understanding of pregnancy denial: the misunderstood dissociative disorder
Pervasive pregnancy denial is a misunderstood reproductive anomaly which compromises the health of both mother and the developing fetus. Although women who deny pregnancies fail to seek prenatal care, the failure to diagnose pregnancy frequently occurs even in general medical settings which in turn perpetuates the denied pregnancy. In extreme cases, the death of the neonate at the hands of his/her mother has criminal repercussions. This workshop addresses the development of understanding the association between pregnancy denial and neonaticide. Utilizing case example, it outlines the various ways in which pregnancies are denied or negated and identifies the similarities in symptom presentation, particularly dissociation, when a denied pregnancy ends with the death of the newborn. The presentation underscores the repetitive

Development and Evaluation of a Preceptor Education Program Based on the One-Minute Preceptor Model: Participatory Action Research
The study was conducted for eight weeks from March 2020 on 30 preceptor nurses in South Korea. Nursing standards were developed for two weeks, and six cycles (comprising four stages) were performed. Data collection was integrated using both quantitative and qualitative approaches. For quantitative data, the clinical core competency of preceptor (CCCP) and general communication competence scale (GICC-15) were collected from preceptor nurses through questionnaires. Reflection journals of nurses’ experiences were also analyzed through content analysis and frequency of keywords using Word Clouds.

Effect of Team-based Professional Cardiopulmonary Resuscitation on Nursing Education using a High-Fidelity Patient Simulator
This study was used a pretest-posttest quasi-experimental design and data from 109 control group and 117 experimental group were used for analysis. Outcome variables were measured twice: before education and after education. The paired t-test, independent t-test was used to compare the differences between study variables pre-post simulation intervention.

The connections between attitudes towards nursing home placement of elderly with Dementia, and the conflict between tradition and modernity, among three generations of Arab Muslim families in Israel
The backdrop to this examination was the increasing sociocultural tension between modernization tendencies and the long-established traditions and norms in the Arab Muslim society in Israel. Objectives: The goal of this study was to examine three generations of Arab Muslims in Israel, to investigate the relationships between their attitudes regarding the placement of an older relative with Dementia in a nursing home, intergenerational solidarity, and to ultimately proceed with the nursing home placement. Methodology: The sample included a total of 126 university students, as well as one parent and one grandparent of each student. Most of the participants from each family were at the same gender. All participants completed identical questionnaires examining the attitudes towards the nursing home placement of an elder relative with Dementia.

"Choice of Transport to Hospital in Nonurban Areas in Life-Threatening Situations A Qualitative Researc""Choice of Transport to Hospital in Nonurban Areas in Life-Threatening Situations A Qualitative Research
The elapse of time prior to receiving medical treatment is a primary factor in successful treatment in life-threatening conditions. In a mixed-method study, 71 people that arrived, some of them in an ambulance, at three hospitals at the northern part of Israel with a life-threatening condition, were interviewed and a socio-demographic questionnaire and a quality-of-life questionnaire associated with health were also filled. The purpose of the study was to examine in depth ambulance use patterns in life-threatening conditions. Two key themes emerged from the analysis of the interviews - the decision-making process, and attitudes and perceptions - positive and negative - toward the use of ambulance.

"Digital Tools for effective education of behavior change support of people with chronic disease
The research question was based on the PIO approach. The population included students in nursing, sports sciences, and pharmacy; the interventions included digital teaching tools; and the outcomes consisted of knowledge, motivation, and competencies. A systematic review was performed in the PubMed, CINAHL, MEDLINE, Web of Science, SAGE, Scopus, and Cochrane Library databases. PRISMA guidelines 2020 to depict the search process for relevant literature were used. Two authors independently evaluated included studies using the Mixed Methods Appraisal Tool (MMAT). The findings were synthesized using a thematic method.

Taking the Negatives out of Negative Pressure Wound Therapy Dressings: A Cost Analysis Regarding Total Joint Surgeries
The only observable parameter consistently influencing improved discharge time is the type of dressing, strongly suggesting a causal relationship between type of dressing and admit time. Multiple participants in the study group had previous experience with Aquacel and were able to make direct (subjective) comparisons in regards to comfort and experience. A bilateral knee replacement surgery was conducted with both dressings applied. Edema was noted on Aquacel-applied knee, one-day post-op. Patient noted increased perfusion and less swelling on PICO-applied knee. The initial increased cost of NPWT (PICO) dressings are offset by the significant savings. Improved outcomes, reduced complications, and increased satisfaction are also significant findings of advantages of the PICO dressing. The cost-benefits are apparent when applying PICO dressings on high-risk patients. The suggested implication for practice is to utilize on revision surgeries.

Professionalism and Ethics
Dr. C.Munisekhar Reddy has presented many papers in State and National Level Conferences. He has won over 11 awards in all categories. He has published original articles in the Indian Journal of Surgery and Indian Journal of Thoracic and Cardiovascular Surgery and Annals of African Surgery He achieved Fellowships such as FMAS, FIAGES. He is a highly skilled and proficient surgeon.

Mapping nursing intervention using the Therapeutic Intervention Scoring System in bloodless liver transplantation
The ‘‘King’s-TISS” score’s were analysed by nursing procedures and grouped, scored according to organ systems. The nursing workloads were studied during LT (T1), on arrival on the ICU (T2) and 12– 24-48 hours after LT (T3-T4-T5). Results: The total of ‘‘King’s-TISS” score points were decreased by 20% daily (p = .001). The mean score of 104 ± 3.5 points (CI:104–105) during LT decreased to 84.7 ± 12 points (CI:83–86) in 48 hours (T5). The ‘‘metabolic” and ‘‘haemostasis” points increased (p = .01), the ‘‘immunology” points unchanged (T2-T5) postoperatively. A slight decrease was observed in case of ‘‘basic nursing care”, ‘‘monitoring”, ‘‘neurologic support”, ‘‘renal support” and ‘‘cardiovascular support” points (T2-T5, p < .01). The ‘‘invasive intervention” and ‘‘ventilatory support” points strongly decreased (T2-T5, p < .001). One ‘‘King’s-TISS” point was found to equal 7.4 minutes with a nurse patient ratio of 2:1 intraoperatively and 1:1 postoperatively.

Nociception Coma Scale with personalized painful stimulation versus standard stimulus in noncommunicative patients with disorders of consciousness
Persons with disorders of consciousness (DoC) may perceive pain without being able to communicate their discomfort. Nociception Coma Scale (NCS) and its revised form (NCS-R) have been proposed to assess nociception in coma survivors with DoC. Objective: Aim of the present study was to compare, in non-communicative patients with DoC, NCS-R scores obtained with the standard pressure on fingernail bed (standard stimulus, SS) versus other personalized painful stimuli (PS), to verify possible correlations between NCS-R and Coma Recovery Scale-Revised (CRS-R). Materials and Methods: Twenty-one patients with DoC were included in the study. Responsiveness and pain perception were assessed by CRS-R and NCS-R with standard stimulus (NCS-R-SS) and personalized stimulation (NCS-R-PS). Statistical analysis was performed with the nonparametric Wilcoxon test for comparison of both total NCS-R-SS and NCS-R-PS scores. Results: NCS-R at admission showed that 9 of 21 patients (42.8%) had higher scores in response to personalized stimulus compared to standard stimulus. Significant correlation with CRS-R were found for both NCS-R-SS (R = 0.701, p = .008) and NCS-R-PS (R = 0.564, p = .045). Discussion.

"THE ROLE OF GESTATIONAL WEIGHT GAIN DISORDERS IN SYMPTOMS OF MATERNAL POSTPARTUM DEPRESSION"
To examine the association of gestational weight gain (GWG), categorized according to 2009 IOM guidelines as adequate, inadequate, and excessive, with symptoms of mental disorders perceived by mothers after childbearing as anhedonia, anxiety, and depression, defined by the Edinburgh Postnatal Depression Scale (EPDS). Previous studies indicated that disorders related to GWG are associated with an increased risk of postpartum psychological distress

"Impact of a Machine Learning-Based Decision Support System for Urinary Tract Infections: Prospective Observational Study in 36 Primary Care Practice"
There is increasing attention on machine learning (ML)-based clinical decision support systems (CDSS), but their added value and pitfalls are very rarely evaluated in clinical practice. We implemented a CDSS to aid general practitioners (GPs) in treating patients with urinary tract infections (UTIs), which are a significant health burden worldwide. Objective: This study aims to prospectively assess the impact of this CDSS on treatment success and change in antibiotic prescription behavior of the physician. In doing so, we hope to identify drivers and obstacles that positively impact the quality of health care practice with ML.

The global reach of Appalachian (USA) health disparities: Evaluating social determinants of health and risk with applications for nurses
The Appalachian region of the USA is a “health disparity region” within a wealthy country. As a region, mortality indicators are higher than the national averages. When it comes to health, place matters, and regional health disparities offer important insights and means of understanding how health disparities are created and maintained over time on a regional scale. This paper asks: How do we gain meaningful understanding of place-based and regional health disparities? How can nursing professionals expand their scope of care to better address regional health disparities

Changes in sedentary behavior between European Union adults between 2002 and 2017
Sedentary behavior (SB) has been identified as an important mortality risk factor. Health organizations have recognized SB as a public health challenge with major health, social, and economic consequences. Researchers have alerted the need to develop specific strategies to monitor, prevent, and reduce SB. However, there is no systematic analysis of the SB changes in European Union adults. This study aimed to examine changes in SB between 2002 and 2017 in the European Union (EU) adult population.

Physicians’ perceptions of interprofessional practice with speechlanguage pathologists for dysphagia management
Swallowing disorders affect over 15 million people across the United States. Dysphagia is a complex disorder and occurs co-morbidly with other diagnoses. As such, there is frequent collaboration amongst healthcare professionals, including speech-language pathologists, to appropriately assess and manage the dysphagia. The objective of this research was to explore interprofessional practices between speech-language pathologists and physicians who work with patients diagnosed with dysphagia. To meet this objective, the researcher surveyed otolaryngologists and gastroenterologists about their collaborative relationships and interprofessional practice as it relates to the assessment and management of dysphagia.

"Evaluating the effectiveness of auricular acupuncture in treating stress induced anxiety in adults"
Stress induced anxiety is accompanied by fear, anxiousness, and avoidance of many internal and external stimulating factors which can be significantly disabling. Anxiety is the sixth leading cause of disability worldwide. Anxiety has an estimated lifetime prevalence of 31% in Americans and accounts for more than $40 billion dollars of lost revenue yearly in the United States. Adults with stress induced anxiety would benefit from alternative nonpharmacologic therapeutic options to help control their anxiety. Auricular acupuncture is a Chinese tradition that has been used as a successful therapeutic modality for many physical and mental health conditions for over 2500 years. Method: A meta-analysis of 23 studies on utilizing auricular acupuncture to treat anxiety was conducted. These studies focused on adults experiencing stress induced anxiety, such as patients preparing for a medical or dental procedure, medical and dental students preparing to take an examination, hospitalized COVID-19 patients, and hospital staff working in stressful environments.

Aggression against health care professionals, a critical review
Aggression directed to health care professionals (HCP) is a common occurrence in neuro-psychiatric and other settings. The overall prevalence of patient-perpetrated violence ranges from 9.5% to 74.6%, depending on the studied population. Verbal abuse is most common. The objectives of this review are twofold. First we intended to perform a retrospective analysis of the literature for the last 10 years for workplace violence and aggressive behavior against HCP, nurses in particular. Second, we identified evidence-based interventions to manage and prevent workplace violence or aggressive behavior against HCP.

Pause a Moment: An Adaptive Web-App to Reduce COVID-related Mental Health Concerns for Healthcare Workers
The COVID-19 pandemic has been unprecedented in terms of the global scope and the impact it has had on the healthcare workforce. An estimated 67% of healthcare workers have reported suffering increased burnout, stress, decreases in well-being, and increases in anxiety, depression, PTSD, and insomnia during the pandemic. Groups that are most at risk for negative mental health impacts from the pandemic include women, nursing staff, and those who have worked more directly with COVID+ patients. The scope of individuals affected will far outstrip our current mental health capacity and necessitates more scalable mental health solutions. At the same time, healthcare workers can be difficult to engage in care due to stigma about mental health symptoms, a culture of service, and professional demands on their time.

Moral distress of anesthesia and intensive care nurses
Moral distress is recognized as a serious problem not only among health care providers, but also in the health care system in general. In health care, moral distress is defined as a phenomenon in which a nurse knows how to act ethically in a given situation but feels powerless to do so. Several studies to date have shown that nurses in the anaesthesiology and intensive care units have moderate to high moral distress levels. Before this paper, no research had been conducted on moral distress among anaesthesia and intensive care nurses in Latvia, and no moral distress scale had been adapted in Latvia. The aim of this study was to investigate the rates of moral distress and burnout syndrome in nurses practicing anaesthesia and intensive care. Research methods: quantitative, cross-sectional, descriptive study and correlation study. Sample of the research - nurses registered in the territory of the Republic of Latvia and that are practicing in anaesthesia and intensive care. The sample of the study consists of 184 nurses, ranging in age from 20 to 69 years, with an average length of service of 20.28 years. The results of the conducted research confirmed H0 (null hypothesis), which suggests that there is an association between moral distress and burnout rates in nursing practitioners in anaesthesiology and intensive care

Cultural Differences in Pain Management: A critical review of the literature on Hispanic American
Hispanics in the US experience significant barriers to adequate pain management. This critical review of the literature examined 117 published articles to examine the patient-, cultural-, and provider-level factors that influence pain care. Compared with other US racial/ethnic groups, Hispanic Americans (HAs) are more likely to live in poverty and have lowest rates of health insurance. Surveys found cost of care is a barrier and HAs are less likely to report seeing a physician for pain. Spanish-speaking HAs reported less pain management relative to English-speaking HAs due to difficulties describing their pain and understanding clinical recommendations. Many Hispanic immigrants, regardless of documentation status, do not seek pain care due to fears of disclosing immigrant status and concern over deportation. Greater acculturation is associated with higher rates of health insurance, access to care, and reporting chronic pain.

A booklet on Intraoperative Radiation Therapy for patients
A task force was created within the Study Group with the aim to create a web-based information booklet, for patients who are candidates for IORT, starting from the patients’ most frequently asked questions (FAQs). An e-mail was sent to all the Colleagues of the Study Group mailing list, asking them to collect and e-mail the questions more often asked by their patients during the initial consultation. All the collected questions were examined by the four members of the task force and the most frequent ones were selected and used as a starting point for the booklet.

A Trauma-Informed model to create an Anti-Racist organizational culture
There is considerable literature that suggests that organizational cultures that consider the well-being and inclusion of all members are more effective in delivering high quality services (Davis, 2021; Sabharwal, 2014; U.S. Office of Personnet Management, n.d.). However, given the confluence of multiple stressors in our wake, including COVID-19 and increasing racial divide, organizational leaders have been challenged with addressing issues of structural racism that exist within human service agencies. In order to mitigate the existence of ongoing stress, such as institutional racism in residential care facilities, it is essential to work from a trauma theory perspective, which acknowledges forms of oppression, such as racism (Peacock & Daniels, 2006).

Veterans’ experiences with mindfulness-based eating: A mixed methods study on MB-SAVOR
Disordered eating is prevalent among US Military Veterans who have a high incidence of obesity, diabetes, and mental illness. Mindfulness is an evidenced-based intervention for some mental health disorders, is well received by Veterans, and may be useful in treating disordered eating behavior in this population. The aim of this work was to assess and describe Veterans’ experience with MB-SAVOR, a novel mindfulness-based eating program, and determine if it improved their relationship with food and the body. Methods: In-depth qualitative interviews were conducted among 16 Veterans completing the program. Interviews were audio recorded, transcribed, and analyzed using constant comparative method, an iterative and inductive process. Rapid assessment process was used to understand their views on program structure. Inferential statistics were conducted to assess outcomes of pre- to post- intervention weight, BMI, and HbA1C, and influences of demographics.

Learning the art of leadership and followership through Argentine Tango - an experiential simulation
The role as leader is one that is emphasized in various healthcare disciplines, especially nursing. Frequently, learning about leadership is occurs in the context of readings and discussions, which do not provide student with the visceral experiences needed to critically reflect on what would be required of them to lead. Furthermore, there usually no discussion on followership, or what is required of a good follower in order to collaborate within the healthcare team. The purpose of this simulation was to provide with an experiential activity that emulates the role of leadership and followership in a non-threatening environment. The end goal is to facilitate critical reflection on the role as leaders and followers within a healthcare team.

multimodality approach to lymphedema surgery achieves and maintains normal limb volumes: a treatment algorithm to optimize outcomes
Surgical treatment of lymphedema is challenging and outcomes are suboptimal. Physiologic procedures including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) improve lymphatic flow but cannot reverse fibrofatty tissue deposition, whereas liposuction removes fibrofatty tissue but cannot prevent disease progression. The adjunctive use of nanofibrillar collagen scaffolds (BioBridge) can promote lymphangiogenesis. We report a treatment algorithm utilizing a multimodality approach to achieve sustained normal limb volumes in patients with stage II-III lymphedema.