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.

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.

Brandon Lucke-Wold was born and raised in Colorado Springs, CO. He graduated magna cum laude with a BS in Neuroscience and distinction in honors from Baylor University. He completed his MD/PhD, Master's in Clinical and Translational Research, and the Global Health Track at West Virginia University School of Medicine.

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"

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.

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”.

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,

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

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.

“Monkeypox, the new Public Health Emergency of International Concern”
Dr. Gordana Simeunovic is an infectious disease specialist. She works as a Clinical Associate Professor at Michigan State University and as the Medical Director of the Research Department for Infectious Diseases. As the Department Chief of the Spectrum Health Community Response Department, located in Grand Rapids, Michigan, Dr. Simeunovic navigates the community through public health emergencies. She is currently leading the team to treat and prevent Monkeypox infection which she will be talking about.

"Prevention is key, starting in the OR: An evidence-based practice bundle approach to pressure injury prevention in the most vulnerable of patients.
It is known that pressure injuries are one of the most prevalent hospital-acquired injuries. These injuries negatively affect patient outcomes, mortality rates, readmission rates, and patient satisfaction, as well as cost hospitals millions of dollars annually. However, little is known about pediatric surgical patients as they relate to pressure injury development. There is an absence of research and literature related to the unique risk factors found in the pediatric surgical patient population. Additionally, there are few evidence-based practice recommendations for preventing these injuries. This project introduced a bundle approach intervention with the question being: Does the implementation of a Cardiac Surgery Pressure Injury Prevention Bundle decrease pressure injuries in the pediatric cardiac surgical population on patients undergoing surgery of greater than 3 hours?

Psychological exhaustion and motivation of health professionals in the COVID era
Despite the range of significant technological advances that have been made in all areas of society, especially during the COVID-19 pandemic, human resources remain the most important and decisive asset for an organization to be able to achieve the goals it has set. Two important parameters for achieving work goals are the exhaustion of staff and their motivation to achieve these goals. In order to investigate these parameters in the health professionals of the prefecture of Pella, a survey was conducted with a questionnaire. The results of the research showed the strong presence of burnout in all participants in the research. There was also a clear separation between the employees who had contact with the patients (doctors and nurses) and the employees in the administration and the technical sector where the first group showed a slightly better relationship between employees and the management but also lack of motivation for the staff.

A Path Model for Burnout in Community Mental Health Professionals
The purpose of this research is to identify a path model to explain burnout in community mental health professionals based on the compassion satisfaction–compassion fatigue (CS-CF) model. A total of 125 mental health professionals, including nurses, social professionals, and psychologists working in mental health welfare centers in various regions across South Korea were surveyed using a structured questionnaire. A path analysis was conducted using SPSS 24.0 and AMOS 24.0. The results showed that compassion satisfaction and compassion fatigue are significant predictors of burnout

The views and experiences of nursing and midwifery academics regarding LGBTQ+ health education in pre-registration programmes: Qualitative findings from a mixed-methods
The visibility of LGBTQ+ people within society has increased in recent decades and is supported by inclusive legislation in some countries. Despite these developments many continue to experience discrimination and exclusion and some live in fear of their lives. From a health perspective, LGBTQ+ people can experience significant health needs and health inequalities. This impacts negatively on their health and well-being and life expectancy. Due to their health concerns, LGBTQ+ people require access to all areas of health services. However, some LGBTQ+ people are reluctant to access health services due to barriers and may encounter negative attitudes from health professionals who may lack the knowledge, skills and attitudes necessary to meet their needs

Telehealth, increasing access to care
Access to care has been a challenge for people who have lived in rural areas for a long time. COVID-19 highlighted this difficulty and the importance of telehealth in an attempt to improve this social determinant of health. The use of telehealth for specialty consultation and diagnostic assistance has been shown to be beneficial. Concerning patient care, many opportunities exist, especially in the field of mental health. For telehealth to be effective, there are pillars to providing excellence in telehealth care. This talk will review critical issues to enhance a telehealth program. Examples of appropriate interviews/interventions will be presented as well as interviews that may need to be more effective will be provided. Critical information for the telehealth visit will be provided as well.

Leadership behaviors, attitudes and characteristics to support a culture of safety
It has been estimated that medical errors are the third highest-ranking cause of death in the United States. A patient safety culture has been touted for many years as best practice to reduce medical error. While there is a general agreement of its importance, it has remained elusive for many. This study sought to learn how strengthening leadership skills within a health care organization could catalyze patient safety culture improvement. The research asked the following to gain an appreciation for that question: How does a leader ensure consistency in policies, practices, and protocols to create a patient safety culture? What attitudes, beliefs, and collective efficacy are needed to produce a patient safety culture? What leadership characteristics are needed to create a patient safety culture? The research participants were the employees who make up the patient safety department in a large academic health care system. Information was gathered to capture their view of leadership’s role in patient safety culture and to gain knowledge relative to their individual experiences following a medical error.

The associations between lipid profiles and visceral obesity among gastrointestinal cancer patients: a cross-sectional study
Visceral obesity is associated with cancer incidence and prognosis. Altered lipid profiles are frequently seen in visceral obese patients. The blood test of lipid profiles is more convenient and has no radical side effects than computed tomography (CT), which is presently the most accurate way to measure visceral fat area. This article aims to investigate the associations between lipid profiles and visceral obesity in gastrointestinal cancer patients. Methods: In total, 399 patients newly diagnosed with gastrointestinal cancer were enrolled in this observational study. Lipid profiles were obtained from blood samples, and visceral fat mass area (VFA) was measured by CT

With the goal of humanization of intensive care : How can we implement the human-centered care in the ICU?
Patients often feel dehumanized while treated in the ICUs. This is because people tend to dehumanize someone who is unable to express their feelings or intensions, or depends on life-supporting machines. What can we do to pursue patient- and family- centered care in such environment? We implemented an out-of-the-ICU activity program, which includes indoor excursion, outdoor excursion, and bathing, as an early rehabilitation strategy and provide both ICU patients and family members with more enjoyable and meaningful experiences. Herein, we introduce the practice and the safety of the out-of-the-ICU program and the staff’s perception of it.

Student nurses' educational experiences during COVID-19: A qualitative study
: Due to the COVID-19 pandemic, many unexpected changes occurred in healthcare. With the abrupt change to online education in 2020, nursing students experienced challenges with virtual learning which impacted their perception of preparedness to practice. There were few qualitative studies completed in the U.S. that investigated the nursing students’ experiences. The aim of this study was to explore pre-licensure nursing students’ experiences with the transition to virtual learning and their perception of nursing amidst a pandemic. Objectives: This study investigated nursing students’ experiences and perceptions of the nursing profession amidst a pandemic and explored whether students would continue pursuing a career in nursing.

Emotional and ethical impacts on healthcare professionals performing cardiopulmonary resuscitation
Myriad studies exist outlining poor outcomes related to cardiopulmonary resuscitation (CPR) administered to patients who are elderly and/or have comorbid medical conditions with sudden cardiac arrest (SCA). Patients with asystole or pulseless electrical activity (PEA) have worse outcomes. Studies show 10% of patients with out of hospital cardiac arrest, and initial asystole survive until they reach the hospital. Less than 5% survive until hospital discharge with good neurologic function. Given the data for certain patients undergoing CPR for SCA, the question arises: what are the impacts on the healthcare personnel providing this type of aggressive intervention? Can healthcare systems address these goals-of-care discussions to avoid aggressive interventions that might be considered non-beneficial to patients?

Imagining care after the pharmaceuticalization in Africa
The last decades saw increased expectations that the ubiquitous use of pharmaceuticals can be a rapid and cost-effective method for improving the health of populations in the Global South. Such interventions include universal HIV treatment and mass drug administration to eliminate parasites. This presentation draws on two ethnographic studies concerning HIV treatment in Ethiopia and epileptic care in Uganda. It illuminates the problems accompanied by excessive emphasis on pharmaceuticals and explores ways for alternative actions through which claims of meaningful care are addressed.