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Erratum: 120 Impact of Undergraduate Clinical Research Experience: Highlighting the UCLA Clinical and Translational Science Institute Research Associates Program (CTSI-RAP) - CORRIGENDUM. 勘误:本科生临床研究经历的 120 种影响:突出加州大学洛杉矶分校临床与转化科学研究所研究助理计划(CTSI-RAP)--CORRIGENDUM.
IF 2.6 Q3 Medicine Pub Date : 2024-04-23 eCollection Date: 2024-01-01 DOI: 10.1017/cts.2024.523
Amanda Piring, Jim Morrison, Noah Federman, Laurie Shaker-Irwin, Sam Duong-Brett

[This corrects the article DOI: 10.1017/cts.2024.117.].

[此处更正了文章 DOI:10.1017/cts.2024.117.]。
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引用次数: 0
Erratum: 313 Data-Driven Evaluation of Community Health Worker Program - CORRIGENDUM. 勘误:313 数据驱动的社区保健工作者计划评估 - 更正。
IF 2.6 Q3 Medicine Pub Date : 2024-04-23 eCollection Date: 2024-01-01 DOI: 10.1017/cts.2024.522
Roselyne Tchoua, Kate Karam, Kelly McCabe

[This corrects the article DOI: 10.1017/cts.2024.284.].

[此处更正了文章 DOI:10.1017/cts.2024.284.]。
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引用次数: 0
Erratum: 541 A Framework for Multicultural and Multidisciplinary Near-Peer Mentoring for Artificial Intelligence in Healthcare Education: A University of Florida Friend Group - CORRIGENDUM. Erratum: 541 A Framework for Multicultural and Multidisciplinary Near-Peer Mentoring for Artificial Intelligence in Healthcare Education:佛罗里达大学之友小组 - CORRIGENDUM.
IF 2.6 Q3 Medicine Pub Date : 2024-04-23 eCollection Date: 2024-01-01 DOI: 10.1017/cts.2024.520
Daniel Andrew Lichlyter, Myles Joshua T Tan, Alfredo B Satriya, Weston J Schrock, Shaira L Kee, Michael Aaron G Sy, Mayra B Silva, Trevor L Schrock

[This corrects the article DOI: 10.1017/cts.2024.462.].

[此处更正了文章 DOI:10.1017/cts.2024.462]。
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引用次数: 0
247 Virtual community and partner-engaged panels - We can do them, but should we? 247 虚拟社区和合作伙伴参与小组--我们可以这样做,但我们应该这样做吗?
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.227
Lesli Skolarus, Tamara Sutton, Darius Tandon, Josefina Serrato
OBJECTIVES/GOALS: We describe the transition of ShAred Resource Panels (ShARPs) within the Center for Community Health (CCH) at Northwestern University’s Clinical and Translational Sciences (NUCATS) Institute to virtual sessions and explore ongoing practices. METHODS/STUDY POPULATION: Restrictions placed during the COVID-19 pandemic led to changes in community-engaged health equity research, such as the transition of community and partner-engaged panels from in-person to virtual. ShARPs have occurred since December 2015. The model includes research team members, community members, community co-facilitator, and CCH staff. These custom panels bring together 8-10 community members familiar with a research topic or community of focus, offering feedback on adaptations that can improve research relevance and feasibility. Until the COVID-19 pandemic, all ShARPs were conducted in person. From March 2020 to January 2023, panels occurred virtually. From 2023, the option of virtual or in-person ShARPs has been available. Count data and informal interview data were reviewed. RESULTS/ANTICIPATED RESULTS: The number of ShARPs peaked in 2019 and has remained stable. The first virtual ShARP occurred on April 22, 2020, and all subsequent sessions have been virtual. As of October 2023, 6 ShARPs have occurred, with no research teams pursuing an in-person session despite its availability. Participants described virtual ShARPs as convenient and accessible. Academic teams cited concern about low community member participation should they opt for an in-person session. DISCUSSION/SIGNIFICANCE: It is feasible to conduct ShARPs virtually and is the current preferred modality. Whether virtual ShARPs enhance, neutralize, or detract from the effectiveness of the session is unknown and guides our future work. More research is needed, including discussion, and learning from our CTSA colleagues.
目的/目标:我们描述了西北大学临床与转化科学研究所(NUCATS)社区健康中心(CCH)的 ShAred Resource Panels (ShARPs) 向虚拟会议的过渡,并探讨了正在进行的实践。方法/研究对象:COVID-19 大流行期间的限制导致社区参与的健康公平研究发生了变化,例如社区和合作伙伴参与的小组会议从面对面转变为虚拟会议。ShARP 自 2015 年 12 月开始实施。该模式包括研究团队成员、社区成员、社区共同协调人和 CCH 工作人员。这些定制小组将 8-10 名熟悉研究课题或重点社区的社区成员聚集在一起,就可提高研究相关性和可行性的调整提供反馈意见。在 COVID-19 大流行之前,所有 ShARP 都是亲自进行的。从 2020 年 3 月到 2023 年 1 月,小组讨论以虚拟方式进行。从 2023 年起,可选择虚拟或面对面的 ShARP。对计数数据和非正式访谈数据进行了审查。结果/预期结果:ShARP 的数量在 2019 年达到顶峰,并保持稳定。2020 年 4 月 22 日举行了第一次虚拟共享学习课程,之后的所有课程都是虚拟的。截至 2023 年 10 月,共举行了 6 次 ShARP,尽管有现场会议可供选择,但没有研究团队继续举行现场会议。与会者认为,虚拟共享研究与实践活动既方便又容易获得。学术团队担心,如果他们选择现场会议,社区成员的参与度会很低。讨论/意义:通过虚拟方式开展 ShARP 是可行的,也是目前的首选方式。虚拟 ShARP 是否会增强、削弱或减弱会议的效果尚不清楚,这也是我们未来工作的方向。我们需要进行更多的研究,包括讨论以及向 CTSA 的同事学习。
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引用次数: 0
61 A Multifaceted Approach to Improving Fish Farming in Kenya’s Lake Victoria Region 61 改善肯尼亚维多利亚湖地区养鱼业的多元方法
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.67
Kathryn Fiorella, Eric Teplitz, Rodman Getchell, Grace E. Gonzalez
OBJECTIVES/GOALS: This project adopts a multifaceted approach to improving aquaculture management practices in Kenya’s Lake Victoria region by identifying fish pathogens, measuring algal toxin levels in commonly consumed fish, surveying fish farming practices, and educating the public. METHODS/STUDY POPULATION: Limited existing data on the state of floating cage culture in Kenya influenced our decision to begin this portion of the project with a brief literature review of potential Nile tilapia pathogens. Databases were screened for mention of disease in either wild or caged Nile tilapia, with emphasis given to those in Lake Victoria. Results were compiled into a spreadsheet and analyzed for frequently occurring pathogens. The next portion involved creating an interview style survey to assess current cage culture management practices in the region. Editing was done to ensure questions remained unbiased, non-leading, culturally sensitive, multilingual and relevant to the situation. Data went through a quality control screening and analysis was conducted through the R programming language. RESULTS/ANTICIPATED RESULTS: Beginning with mortality, of the 93 farms surveyed, data analysis revealed that there is a higher probability that farms will have a mortality of approximately 20%, over the course of a production cycle. For biosecurity and fish health practices, data shows that 97% of farms do not disinfect scooping nets or other fish handling materials when moving from one cage to another. During the 2022-2023 production cycle, 44% of farms experienced fish kills of over 50 fish. 73% of the 93 farms do not contact any organization when a fish kill occurs. In a qualitative answer, it also appears that many farm workers dispose of their dead fish within the lake, feed it to livestock or dogs, or eat it. Algae blooms have been experienced at 80% of the farms surveyed and 43% of farms say they have seen fish gasping at the surface for air. DISCUSSION/SIGNIFICANCE: While farms are implementing good management practices in the areas of cage design, stocking, and feeding practices, there is room for improvement in fish health, biosecurity, and managing algal blooms. The findings provide insight into the areas that should be considered when taking action to improve the welfare of the region.
目标/目的:本项目采用多管齐下的方法来改进肯尼亚维多利亚湖地区的水产养殖管理方法,包括识别鱼类病原体、测量常见食用鱼类的藻毒素含量、调查鱼类养殖方法以及教育公众。方法/研究对象:有关肯尼亚浮游网箱养殖状况的现有数据有限,因此我们决定从简要回顾尼罗罗非鱼潜在病原体的文献开始项目的这一部分。我们筛选了数据库中有关野生或笼养尼罗罗非鱼疾病的内容,重点是维多利亚湖中的尼罗罗非鱼。结果被编入电子表格,并对经常出现的病原体进行分析。接下来的工作包括制作一份访谈式调查,以评估该地区目前的笼养管理实践。我们对问卷进行了编辑,以确保问题不带偏见、没有引导性、具有文化敏感性、使用多种语言并与实际情况相关。数据经过质量控制筛选,并通过 R 编程语言进行分析。结果/预期结果:首先是死亡率,在调查的 93 个养殖场中,数据分析显示,在一个生产周期内,养殖场的死亡率约为 20%。在生物安全和鱼类健康实践方面,数据显示 97% 的养殖场在从一个网箱转移到另一个网箱时没有对舀网或其他鱼类处理材料进行消毒。在 2022-2023 年生产周期,44%的养殖场发生了超过 50 条鱼的死亡。在 93 个养殖场中,73%的养殖场在发生死鱼时没有联系任何组织。在定性回答中,许多养殖场工人似乎还将死鱼丢弃在湖中、喂牲畜或狗,或将其吃掉。在接受调查的养殖场中,有 80% 出现过藻类大量繁殖的情况,43% 的养殖场表示曾看到鱼在水面上喘气。讨论/意义:虽然养殖场在网箱设计、放养和喂食方面实施了良好的管理措施,但在鱼类健康、生物安全和藻华管理方面仍有改进空间。研究结果提供了采取行动改善该地区福利时应考虑的领域。
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引用次数: 0
98 The Crosstalk between Mitochondrial Dysfunction and Neurodevelopmental Outcomes in Preterm Infants with Pain/Stress in the NICU 98 线粒体功能障碍与新生儿重症监护室疼痛/压力早产儿神经发育结果之间的相互关系
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.96
Tingting Zhao, Xiaolin Chang, Subrata Biswas, Jeremy Balsbaugh, Jennifer Liddle, Ming-hui Chen, Adam Matson, Xiaomei Cong

OBJECTIVES/GOALS: Early life pain/stress impacts infants’ neurodevelopmental outcomes. Mitochondrial dysfunction may interface between infants’ stress and neurodevelopment. The study aims to investigate the associations between pain/stress, proteins associated with mitochondrial dysfunction, and neurobehavioral responses in preterm infants. METHODS/STUDY POPULATION: A prospective cohort study was conducted with 33 preterm infants enrolled between September 2017 and July 2022 at two affiliated NICUs in Hartford and Farmington, CT. Daily pain/stress experienced during NICU was documented. At 36-38 weeks post-menstrual age (PMA), neurobehavioral outcomes were evaluated using the NICU Network Neurobehavioral Scale (NNNS) and buccal swabs for Mass spectrometry-based proteomics analysis. Lasso statistical methods were conducted to study the association between protein abundance and infants’ NNNS summary scores. Multiple linear regression and Gene Ontology (GO) enrichment analyses were performed to examine how clinical characteristics and neurodevelopmental outcomes may be associated with protein levels and underlying molecular pathways. RESULTS/ANTICIPATED RESULTS: During NICU hospitalization, preterm premature rupture of membrane (PPROM) was negatively associated with neurobehavioral outcomes. The protein functions, including leptin receptor binding activity, glutathione disulfide oxidoreductase activity, and response to oxidative stress, lipid metabolism, phosphate, and proton transmembrane transporter activity, were negatively associated with neurobehavioral outcomes. In contrast, cytoskeletal regulation, epithelial barrier, and protection function were found to be positively associated with neurodevelopmental outcomes. In addition, mitochondrial dysfunction-related proteins (SPRR2A, PAIP1, S100A3, MT-CO2, PiC, GLRX, PHB2, and BNIPL-2, ABLIM1, UNC45A, Keratins, MUC1, and CYB5B) were found to be associated with neurobehavioral outcomes. DISCUSSION/SIGNIFICANCE: Mitochondrial dysfunction-related proteins were observed to be associated with early life pain/stress and neurodevelopmental outcomes in infants. Buccal proteins could be used to predict potential neurobehavioral outcomes. In addition, individualized skin integrity protection should be provided to preterm infants during their NICU stay.

目的/目标:生命早期的痛苦/压力会影响婴儿的神经发育结果。线粒体功能障碍可能是婴儿压力和神经发育之间的接口。本研究旨在调查早产儿的疼痛/压力、线粒体功能障碍相关蛋白质和神经行为反应之间的关联。方法/研究对象:该研究对 2017 年 9 月至 2022 年 7 月期间在康涅狄格州哈特福德和法明顿的两家附属新生儿监护病房注册的 33 名早产儿进行了前瞻性队列研究。记录了新生儿重症监护室期间的日常疼痛/压力体验。在月龄后 36-38 周(PMA),使用新生儿重症监护室网络神经行为量表(NNNS)和颊拭子进行基于质谱的蛋白质组学分析,评估神经行为结果。采用拉索统计方法研究蛋白质丰度与婴儿 NNNS 总分之间的关系。还进行了多元线性回归和基因本体(GO)富集分析,以研究临床特征和神经发育结果如何与蛋白质水平和潜在的分子通路相关联。结果/预期结果:在新生儿重症监护室住院期间,早产儿胎膜早破(PPROM)与神经行为结果呈负相关。蛋白质功能(包括瘦素受体结合活性、谷胱甘肽二硫氧化还原酶活性、对氧化应激的反应、脂质代谢、磷酸盐和质子跨膜转运体活性)与神经行为结果呈负相关。相反,细胞骨架调节、上皮屏障和保护功能则与神经发育结果呈正相关。此外,还发现线粒体功能障碍相关蛋白(SPRR2A、PAIP1、S100A3、MT-CO2、PiC、GLRX、PHB2、BNIPL-2、ABLIM1、UNC45A、Keratins、MUC1 和 CYB5B)与神经行为结果相关。讨论/意义:观察发现线粒体功能障碍相关蛋白与婴儿早期疼痛/压力和神经发育结果有关。口腔蛋白质可用于预测潜在的神经行为结果。此外,在新生儿重症监护室住院期间,应为早产儿提供个性化的皮肤完整性保护。
{"title":"98 The Crosstalk between Mitochondrial Dysfunction and Neurodevelopmental Outcomes in Preterm Infants with Pain/Stress in the NICU","authors":"Tingting Zhao, Xiaolin Chang, Subrata Biswas, Jeremy Balsbaugh, Jennifer Liddle, Ming-hui Chen, Adam Matson, Xiaomei Cong","doi":"10.1017/cts.2024.96","DOIUrl":"https://doi.org/10.1017/cts.2024.96","url":null,"abstract":"<p>OBJECTIVES/GOALS: Early life pain/stress impacts infants’ neurodevelopmental outcomes. Mitochondrial dysfunction may interface between infants’ stress and neurodevelopment. The study aims to investigate the associations between pain/stress, proteins associated with mitochondrial dysfunction, and neurobehavioral responses in preterm infants. METHODS/STUDY POPULATION: A prospective cohort study was conducted with 33 preterm infants enrolled between September 2017 and July 2022 at two affiliated NICUs in Hartford and Farmington, CT. Daily pain/stress experienced during NICU was documented. At 36-38 weeks post-menstrual age (PMA), neurobehavioral outcomes were evaluated using the NICU Network Neurobehavioral Scale (NNNS) and buccal swabs for Mass spectrometry-based proteomics analysis. Lasso statistical methods were conducted to study the association between protein abundance and infants’ NNNS summary scores. Multiple linear regression and Gene Ontology (GO) enrichment analyses were performed to examine how clinical characteristics and neurodevelopmental outcomes may be associated with protein levels and underlying molecular pathways. RESULTS/ANTICIPATED RESULTS: During NICU hospitalization, preterm premature rupture of membrane (PPROM) was negatively associated with neurobehavioral outcomes. The protein functions, including leptin receptor binding activity, glutathione disulfide oxidoreductase activity, and response to oxidative stress, lipid metabolism, phosphate, and proton transmembrane transporter activity, were negatively associated with neurobehavioral outcomes. In contrast, cytoskeletal regulation, epithelial barrier, and protection function were found to be positively associated with neurodevelopmental outcomes. In addition, mitochondrial dysfunction-related proteins (SPRR2A, PAIP1, S100A3, MT-CO2, PiC, GLRX, PHB2, and BNIPL-2, ABLIM1, UNC45A, Keratins, MUC1, and CYB5B) were found to be associated with neurobehavioral outcomes. DISCUSSION/SIGNIFICANCE: Mitochondrial dysfunction-related proteins were observed to be associated with early life pain/stress and neurodevelopmental outcomes in infants. Buccal proteins could be used to predict potential neurobehavioral outcomes. In addition, individualized skin integrity protection should be provided to preterm infants during their NICU stay.</p>","PeriodicalId":15529,"journal":{"name":"Journal of Clinical and Translational Science","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140581357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
203 Assessing social determinants of health and psychosocial factors critical to sustaining recovery among pregnant and parenting women with opioid use disorder 203 评估健康的社会决定因素和对患有阿片类药物使用障碍的孕妇和养育子女的妇女持续康复至关重要的社会心理因素
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.194
Doris Titus-Glover
OBJECTIVES/GOALS: This study explored personal recovery support, including social determinants of health and psychosocial needs to understand factors for sustaining recovery among parenting and pregnant women with opioid use disorder. METHODS/STUDY POPULATION: This study used a mixed method quantitative/qualitative design and recruited women from residential/transitional facilities in an urban area. We used the Accountable Health Communities Health-Related Social Needs tool to assess social determinants of health factors, level of physical activity, family/community support, and mental health (stress). Through focus groups, we interviewed women to describe challenges to recovery and to resources including access to providers, housing, childcare, and food assistance from lived experiences. RESULTS/ANTICIPATED RESULTS: Survey analysis showed social determinants of health factors such as food and transportation were partially mitigated by residential living; however, parenting and pregnant women with opioid use disorder remained concerned about housing and finances; and encountered low levels of physical activity and significant stress. Preliminary results from the focus groups revealed a theme of positive recovery and retention experiences from residential living. DISCUSSION/SIGNIFICANCE: Evidence from studies suggests focused interventions for recovering women to reduce relapse risk factors and adverse maternal outcomes. Opportunities for improving personal recovery capital are accessible in residential facilities, however, further exploration of unmet social determinants of health factors are needed for recovery retention.
目的/目标:本研究探讨了个人康复支持,包括健康的社会决定因素和社会心理需求,以了解患有阿片类药物使用障碍的育儿妇女和孕妇持续康复的因素。方法/研究对象:本研究采用定量/定性混合方法设计,从城市地区的寄宿/过渡设施中招募妇女。我们使用 "责任健康社区与健康相关的社会需求 "工具来评估健康的社会决定因素、体育活动水平、家庭/社区支持以及心理健康(压力)。通过焦点小组,我们采访了妇女,让她们从生活经验中描述在康复和获得资源(包括获得服务提供者、住房、托儿服务和食品援助)方面所面临的挑战。结果/预期结果:调查分析表明,寄宿生活部分缓解了食物和交通等决定健康的社会因素;但是,患有阿片类药物使用障碍的育儿妇女和孕妇仍然担心住房和财务问题;她们的体育锻炼水平低,压力大。焦点小组的初步结果显示,寄宿生活为她们带来了积极的康复和保留经历。讨论/意义:研究证据表明,针对康复妇女的重点干预措施可减少复发风险因素和不利的孕产结果。在寄宿设施中可以获得改善个人康复资本的机会,但是还需要进一步探索未满足的健康社会决定因素,以保持康复。
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引用次数: 0
509 Regulatory Lens of a QA/QC Project Manager 509 质量保证/质量控制项目经理的监管视角
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.433
Rachel Bennett, Christine Sego Caldwell
OBJECTIVES/GOALS: The primary purpose of the QA/QC Project Manager (PM), appointed under the NCATS UL1 administrative supplement award, is to facilitate quality and timely NCATS prior approval submissions preventing study start delays. Other goals include supporting these projects’ IRB applications and monitoring to ensure data quality and compliance. METHODS/STUDY POPULATION: At the Indiana CTSI, the QA/QC PM is assigned to the Regulatory Knowledge and Support program (RKS) and functions as a unique regulatory service provider. Through monitoring, auditing, and personalized consultations, the IN CTSI QA/QC PM provides study teams with regulatory, GCP, and other compliant study conduct insights while managing NCATS prior approval and RPPR submission quality and timeliness. In contrast to many CTSAs, this role is uniquely situated within RKS and provides QA/QC support through a regulatory lens. The Indiana CTSI QA/QC PM serves on the CTSA QA/QC Lead Team collaborating with NCATS and other CTSA QA/QC personnel. The Lead Team engages with NCATS to host monthly/quarterly meetings and participate in a discussion forum of NCATS and other CTSA QA/QC personnel. RESULTS/ANTICIPATED RESULTS: Not all CTSAs employ the QA/QC PM as regulatory support and the role and skill sets at each CTSA vary, yet the collaborative nature of these individuals across the CTSAs facilitates sharing of resources and knowledge. While prior approval and RPPR submissions vary widely, the QA/QC PMs can rely on their counterparts for guidance complying with the same regulations and policies within unique research settings and institutional nuances. The IN CTSI QA/QC PM, in collaboration with the QA/QC Lead Team, provided quality assurance revisions to the NCATS prior approval instructions which were adopted and published by NCATS January 2022 for implementation at all CTSAs. Ongoing, quality control efforts are accomplished through education, monitoring, and regulatory consultations. DISCUSSION/SIGNIFICANCE: As the research environment evolves, the QA/QC PM responsibilities shift in response to needs within RKS and NCATS. The versatility of the position enables QA/QC to occur at all stages of a study. QA/QC strategies aim to facilitate communication, quality NCATS prior approval and RPPR submissions, and compliance with proposed study conduct.
目标/目的:质量保证/质量控制项目经理(PM)是根据 NCATS UL1 行政补充奖励任命的,其主要目的是促进高质量和及时地提交 NCATS 事先批准,防止研究启动延误。其他目标包括支持这些项目的 IRB 申请和监测,以确保数据质量和合规性。方法/研究对象:在印第安纳中央技术研究所,质量保证/质量控制项目经理被分配到监管知识与支持计划(RKS),并作为一个独特的监管服务提供商发挥作用。通过监控、审核和个性化咨询,印第安纳中试研究所的质量保证/质量控制项目经理为研究团队提供监管、GCP 和其他合规研究行为方面的见解,同时管理 NCATS 事先批准和 RPPR 提交的质量和及时性。与许多 CTSAs 不同的是,该职位在 RKS 中具有独特的地位,通过监管视角提供 QA/QC 支持。印第安纳州 CTSI QA/QC 项目经理是 CTSA QA/QC 领导小组的成员,与 NCATS 和其他 CTSA QA/QC 人员合作。领导小组与 NCATS 合作主办月度/季度会议,并参加 NCATS 和其他 CTSA QA/QC 人员的讨论论坛。结果/预期结果:并非所有 CTSA 都聘用质量保证/质量控制 PM 作为监管支持,每个 CTSA 的角色和技能组合也各不相同,但这些人员在各 CTSA 之间的合作性质促进了资源和知识共享。虽然事先批准和 RPPR 提交工作千差万别,但质量保证/质量控制项目管理人员可以依靠同行的指导,在独特的研究环境和机构细微差别中遵守相同的法规和政策。IN CTSI 的质量保证/质量控制项目经理与质量保证/质量控制领导小组合作,对 NCATS 的事先批准说明进行了质量保证修订,NCATS 于 2022 年 1 月通过并发布了该说明,供所有 CTSA 执行。质量控制工作通过教育、监测和监管咨询持续进行。讨论/意义:随着研究环境的不断变化,质量保证/质量控制项目管理人员的职责也随 着 RKS 和 NCATS 的需求而变化。该职位的多功能性使质量保证/质量控制能够贯穿研究的各个阶段。质量保证/质量控制策略旨在促进沟通、高质量的 NCATS 事先批准和 RPPR 提交,以及遵守拟议的研究行为。
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引用次数: 0
313 Identification of novel plasma protein of Community Health Worker Program 313 鉴定社区保健工作者计划的新型血浆蛋白
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.284
Roselyne Tchoua, Kate Karam, Kelly McCabe
OBJECTIVES/GOALS: Thiswork is an evidential study that demonstrates the positive impactof integrating Community Health Workers (CHWs) and SocialDeterminants of Health on an important health outcome, notably in decreasing the 30-day unplanned hospital ED readmissions at Sinai Health Systems. METHODS/STUDY POPULATION: Using datafrom the Sinai Urban Health Institute (SUHI), we compare predictingthe readmissions of patients with and without data pertainingto Social Determinants of Health (SDoH). We thoroughly describe the data cleaning and data pre-processing, done in collaboration with experts in community health. We use a fundamental and ubiquitous classifier in Random Forest for its feature characterization capability in order to translate models results into insights and recommendations for the CHW program. RESULTS/ANTICIPATED RESULTS: We show that when patients are simply engaged byCHWs, regardless of the content of those conversations, we canincrease the predictive accuracy of our classifier by 5%. We usethis result to make recommendations for improving patient careand discuss limitations and future work. Importantly our workpoints directly to the human connection between patients andCHWs as an important feature in the readmission rate. DISCUSSION/SIGNIFICANCE: Our work shows that the predictive capabilities of the classifier increases with CHW logs and SDoH survey data, highlighting the benefit of collecting this information. This is the first step in early identification of such patients so that CHWs are focusing on and providing resources to patients who will most benefit from the program.
目的/目标:本研究是一项实证研究,它证明了社区健康工作者(CHWs)与健康社会决定因素相结合对一项重要健康结果的积极影响,尤其是在减少西奈健康系统 30 天非计划医院急诊室再入院率方面。方法/研究对象:利用西奈城市健康研究所(SUHI)的数据,我们比较了有和没有健康社会决定因素(SDoH)相关数据的患者再入院预测。我们详细介绍了与社区卫生专家合作进行的数据清理和数据预处理。我们使用随机森林这一基本且普遍的分类器进行特征描述,以便将模型结果转化为对 CHW 计划的见解和建议。结果/预期结果:我们的研究表明,如果患者只是与社区保健员进行简单的交谈,无论交谈内容如何,我们都能将分类器的预测准确率提高 5%。我们利用这一结果提出了改善患者护理的建议,并讨论了局限性和未来的工作。重要的是,我们的工作直接指出了患者与医护人员之间的人际关系是再入院率的一个重要特征。讨论/意义:我们的工作表明,分类器的预测能力随着 CHW 日志和 SDoH 调查数据的增加而增强,这突出了收集这些信息的益处。这是早期识别此类患者的第一步,这样 CHW 就能关注并向最受益于该计划的患者提供资源。
{"title":"313 Identification of novel plasma protein of Community Health Worker Program","authors":"Roselyne Tchoua, Kate Karam, Kelly McCabe","doi":"10.1017/cts.2024.284","DOIUrl":"https://doi.org/10.1017/cts.2024.284","url":null,"abstract":"OBJECTIVES/GOALS: Thiswork is an evidential study that demonstrates the positive impactof integrating Community Health Workers (CHWs) and SocialDeterminants of Health on an important health outcome, notably in decreasing the 30-day unplanned hospital ED readmissions at Sinai Health Systems. METHODS/STUDY POPULATION: Using datafrom the Sinai Urban Health Institute (SUHI), we compare predictingthe readmissions of patients with and without data pertainingto Social Determinants of Health (SDoH). We thoroughly describe the data cleaning and data pre-processing, done in collaboration with experts in community health. We use a fundamental and ubiquitous classifier in Random Forest for its feature characterization capability in order to translate models results into insights and recommendations for the CHW program. RESULTS/ANTICIPATED RESULTS: We show that when patients are simply engaged byCHWs, regardless of the content of those conversations, we canincrease the predictive accuracy of our classifier by 5%. We usethis result to make recommendations for improving patient careand discuss limitations and future work. Importantly our workpoints directly to the human connection between patients andCHWs as an important feature in the readmission rate. DISCUSSION/SIGNIFICANCE: Our work shows that the predictive capabilities of the classifier increases with CHW logs and SDoH survey data, highlighting the benefit of collecting this information. This is the first step in early identification of such patients so that CHWs are focusing on and providing resources to patients who will most benefit from the program.","PeriodicalId":15529,"journal":{"name":"Journal of Clinical and Translational Science","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140581152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
177 Placing Participant Experiences at the Center of Improving Research by Empowering the Participant Voice 177 通过赋予参与者发言权,将参与者的经历置于改进研究的中心位置
IF 2.6 Q3 Medicine Pub Date : 2024-04-03 DOI: 10.1017/cts.2024.168
Rhonda Kost, Ranee Chatterjee, Ann Dozier, Daniel Ford, Joseph Andrews, Nancy Green, Paul A. Harris, Alex Cheng
OBJECTIVES/GOALS: Empowering the Participant Voice (EPV) is a 6-CTSA Rockefeller-led collaboration to developcustom REDCap infrastructure to collect participant feedback using the validated Research Participant Perception Survey (RPPS), demonstrate its value in use cases, and disseminate it for broad adoption. METHODS/STUDY POPULATION: The EPV team developed data and survey implementation standards, and specifications for the dashboard and multi-lingual RPPS/REDCap project XML file. The VUMC built a custom At-a-Glance Dashboard external module that displays Top Box scores (percent best answer), with conditional formatting to aid analysis, and response/completion rates. Results populate site dashboards, and aggregate to a multi-site dashboard for benchmarking. Results can be filtered by participant/study characteristics. Sites developed individual use cases, leveraging local infrastructure, initiatives and stakeholder input. Infrastructure and guides were designed for dissemination through public websites. RESULTS/ANTICIPATED RESULTS: Five sites sent 23,797surveys via email, patient portal or SMS. 4,133 (19%) participants diverse in age, race, and ethnicity, returned responses. Sites analyzed their data and acted on selected findings, improving recruitment, communication and feeling valued. Aggregate scores for feeling listened to and respected were hight (>90%%); scores for feeling prepared by the consent process were lower (57-77%) and require action. Some groups experiences were better than others. Sites differed significantly in some scores. Dissemination of EPV is underway. Infrastructure and guides are downloadable free of charge, with advice from the EPV team. In 2023, a sixth site began piloting a lower literacy survey version and syncing data to the consortium dashboard. DISCUSSION/SIGNIFICANCE: The EPV RPPS/REDCap infrastructure enabled sites to collect participant feedback, identify actionable findings and benchmark with peers. Stakeholders and collaborators designed and tested local initiatives to increase responses and diversity, address disparities, and discover better practices.
目标/目的:赋予参与者话语权(EPV)是一项由洛克菲勒领导的 6 CTSA 合作项目,旨在开发定制的 REDCap 基础设施,以便使用经过验证的研究参与者感知调查(RPPS)收集参与者的反馈意见,在使用案例中展示其价值,并将其推广开来供广泛采用。方法/研究对象:EPV 团队制定了数据和调查实施标准,以及仪表板和多语言 RPPS/REDCap 项目 XML 文件的规格。VUMC 定制了一个 "一目了然 "仪表盘外部模块,用于显示 "顶部方框 "得分(最佳答案百分比),并通过条件格式化帮助分析,以及回复率/完成率。结果将填充到医疗点仪表板中,并汇总到多医疗点仪表板中进行基准比较。结果可按参与者/研究特征进行筛选。各站点利用当地的基础设施、倡议和利益相关者的意见,开发了各自的使用案例。设计了基础设施和指南,以便通过公共网站进行传播。结果/预期结果:五个站点通过电子邮件、患者门户网站或短信发送了 23797 份调查问卷。4133名(19%)不同年龄、种族和民族的参与者返回了回复。各医疗点对数据进行了分析,并根据所选结果采取了行动,改善了招募、沟通和受重视感。感觉被倾听和尊重的总得分很高(90%);感觉同意程序准备充分的得分较低(57-77%),需要采取行动。有些小组的体验比其他小组好。各地区在某些评分方面差异很大。目前正在传播 EPV。在 EPV 团队的建议下,可免费下载基础设施和指南。2023 年,第六个站点开始试用低识字率调查版本,并将数据同步到联盟仪表板。讨论/意义:EPV RPPS/REDCap 基础设施使各站点能够收集参与者的反馈意见,确定可操作的调查结果,并与同行进行比较。利益相关者和合作者设计并测试了地方倡议,以提高响应度和多样性、解决差异问题并发现更好的做法。
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Journal of Clinical and Translational Science
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