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Search Results (877)

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21 pages, 2999 KiB  
Article
Co-Producing Paws on Campus: A Psychoeducational Dog-Facilitated Programme for University Students Experiencing Mental Health Difficulties
by Joanne M. Williams, Jillian Bradfield, Andrew Gardiner, Patricia Pendry and Laura Wauthier
Int. J. Environ. Res. Public Health 2024, 21(8), 1066; https://doi.org/10.3390/ijerph21081066 - 14 Aug 2024
Viewed by 242
Abstract
Declining student mental health is a global public health issue. Campus-based animal-assisted interventions (AAIs) are popular and effective interventions to prevent and alleviate symptoms. How to design, implement and evaluate evidence-based, student-centred interventions that enjoy sustained stakeholder buy-in and support is less known. [...] Read more.
Declining student mental health is a global public health issue. Campus-based animal-assisted interventions (AAIs) are popular and effective interventions to prevent and alleviate symptoms. How to design, implement and evaluate evidence-based, student-centred interventions that enjoy sustained stakeholder buy-in and support is less known. This paper presents the procedures and results of a three-stage co-production method and the resulting curriculum of a novel AAI aimed at university students experiencing serious mental health problems. Stage 1 shaped the focus and structure of the intervention based on online student surveying (N = 204) and consultations with stakeholders (N = 10), including representatives of Student Well-being Services leadership, veterinarians, animal welfare charities and Therapets volunteers. In Stage 2, we conducted co-production workshops with post-graduate students (N = 6), developing the curriculum based on Stage 1 insights. In Stage 3, through iterative prototyping and student feedback (N = 22) the Paws on Campus programme was finalised, resulting in a series of four, one-hour themed sessions: (1) Thoughts and Feelings, (2) Well-being and Welfare, (3) Care and Compassion and (4) Problem Solving and Help Seeking. We describe the co-production method and resulting programme characteristics and provide considerations for others interested in developing effective and sustainable AAIs for their respective populations and contexts. Full article
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19 pages, 2987 KiB  
Article
Effects of a Single Session of Mindfulness and Compassion on Skin Temperature in Breast Cancer Survivors
by David A. Rodríguez, Nadia Martínez, Li Erandi Tepepa Flores, Benjamín Domínguez, Patricia Cortés and Ana L. Chávez
Int. J. Environ. Res. Public Health 2024, 21(8), 1064; https://doi.org/10.3390/ijerph21081064 - 14 Aug 2024
Viewed by 358
Abstract
Previous studies have suggested that mindfulness programs can be useful, in a significant sector of the population, to reduce stress when practiced for at least 8 weeks. The objective of the present investigation was to explore the effect of a single session of [...] Read more.
Previous studies have suggested that mindfulness programs can be useful, in a significant sector of the population, to reduce stress when practiced for at least 8 weeks. The objective of the present investigation was to explore the effect of a single session of mindfulness practice in reducing stress in female cancer survivors. Two repeated measures studies were applied; in the first one, it was performed individually, while in the second one, it was performed in a group. Psychosocial measures were administered, and skin temperature was recorded as a marker of autonomic nervous activity. The results indicate that only when the mindfulness exercise was presented did the skin temperature increase (p < 0.05), with a large effect size (d > 0.8) during compassion, suggesting sympathetic decline. Furthermore, the psychosocial functioning of the group of female cancer survivors was like that of the non-clinical population. The data are discussed in the context of Polyvagal Theory, a theoretical model of biopsychosocial functioning, and evidence is provided on the effect of mindfulness and compassion on reducing stress and inducing positive affect in female cancer survivors. Full article
(This article belongs to the Special Issue Thermology Health Care Applications and Medical Thermography)
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24 pages, 3934 KiB  
Article
The Use of Computational Algorithms to Display the Aircraft Instruments That Work with Gyroscopic and Magnetic Physics (Theory for Programming an Elementary Flight Simulator)
by Adan Ramirez-Lopez
Appl. Sci. 2024, 14(16), 7099; https://doi.org/10.3390/app14167099 - 13 Aug 2024
Viewed by 282
Abstract
The present study shows the development of computational algorithms to represent aircraft instruments such as the attitude indicator or the turn-and-slip indicator; moreover, the algorithms represent a magnetic compass and other instruments that function according to other physical theories. These instruments work by [...] Read more.
The present study shows the development of computational algorithms to represent aircraft instruments such as the attitude indicator or the turn-and-slip indicator; moreover, the algorithms represent a magnetic compass and other instruments that function according to other physical theories. These instruments work by using the gyroscope and magnetic principles and help the pilot in navigation. These are considered to be the basic instruments required to provide location-related and positional information about the actual aircraft attitude. The algorithms developed in this study are capable of working in concordance with other instruments and the physical conditions established. The programming language used was C++ and the algorithms were compiled in independent files and subroutines for computational efficiency, eliminating unnecessary code. The display options were successfully tested. Additionally, an analysis that evaluated the error and approached flight simulation as a function of step time (Δt) is also described. Full article
(This article belongs to the Section Aerospace Science and Engineering)
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31 pages, 442 KiB  
Article
Su Shi: A Paragon of Interreligious Harmony in Song Dynasty China
by Pinghua Liu
Religions 2024, 15(8), 979; https://doi.org/10.3390/rel15080979 - 12 Aug 2024
Viewed by 348
Abstract
This paper explores the life and works of Su Shi, a prominent intellectual and statesman during China’s Song Dynasty, as a champion of interreligious harmony. We examine how Su Shi’s vast philosophical and literary output demonstrates his deep engagement with Confucian ethics, Buddhist [...] Read more.
This paper explores the life and works of Su Shi, a prominent intellectual and statesman during China’s Song Dynasty, as a champion of interreligious harmony. We examine how Su Shi’s vast philosophical and literary output demonstrates his deep engagement with Confucian ethics, Buddhist compassion, and Daoist tranquility. By analyzing his poems, essays, and other writings, we explore how Su Shi navigated these diverse traditions, finding common ground and promoting mutual understanding. This analysis highlights Su Shi’s ability to bridge religious and philosophical divides, offering a valuable perspective for contemporary discussions on interfaith dialogue and peaceful coexistence. Full article
(This article belongs to the Special Issue Interreligious Peacebuilding in a Global Context)
16 pages, 1594 KiB  
Article
Clergy Wives and Well-Being: The Impact of Perceived Congregational Perfectionism and Protective Factors
by Ching-Ying Lin and Kenneth T. Wang
Religions 2024, 15(8), 965; https://doi.org/10.3390/rel15080965 - 8 Aug 2024
Viewed by 327
Abstract
Clergy wives often face high congregational expectations that impact their psychological well-being. This study investigates the impact of perceived congregational perfectionism on the psychological well-being of 215 Asian clergy wives and explores the moderating effects of self-compassion, social support, and communion with God. [...] Read more.
Clergy wives often face high congregational expectations that impact their psychological well-being. This study investigates the impact of perceived congregational perfectionism on the psychological well-being of 215 Asian clergy wives and explores the moderating effects of self-compassion, social support, and communion with God. The results indicated that the two perceived congregational perfectionism dimensions—perceived congregational standards and judgment—were positively associated with depression, emotional exhaustion, and loneliness. Contrary to the previous literature, high congregational standards alone (without critical judgment) were associated with negative psychological outcomes. Additionally, self-compassion and communion with God emerged as significant buffers against depression associated with congregational perfectionism. However, these protective factors did not significantly prevent ministry burnout or loneliness. This study highlights the maladaptive nature of congregational perfectionism in clergy wives and emphasizes the importance of protective factors like communion with God and self-compassion. It also suggests the need for further research on diverse samples and additional protective factors while providing insights for clinicians and ministry organizations in developing coping strategies that emphasize self-compassion and spiritual practices. Full article
(This article belongs to the Section Religions and Health/Psychology/Social Sciences)
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17 pages, 1738 KiB  
Review
The Locus Coeruleus in Chronic Pain
by Jorge Castejón España, Anusha Yasoda-Mohan and Sven Vanneste
Int. J. Mol. Sci. 2024, 25(16), 8636; https://doi.org/10.3390/ijms25168636 - 8 Aug 2024
Viewed by 321
Abstract
Pain perception is the consequence of a complex interplay between activation and inhibition. Noradrenergic pain modulation inhibits nociceptive transmission and pain perception. The main source of norepinephrine (NE) in the central nervous system is the Locus Coeruleus (LC), a small but complex cluster [...] Read more.
Pain perception is the consequence of a complex interplay between activation and inhibition. Noradrenergic pain modulation inhibits nociceptive transmission and pain perception. The main source of norepinephrine (NE) in the central nervous system is the Locus Coeruleus (LC), a small but complex cluster of cells in the pons. The aim of this study is to review the literature on the LC-NE inhibitory system, its influence on chronic pain pathways and its frequent comorbidities. The literature research showed that pain perception is the consequence of nociceptive and environmental processing and is modulated by the LC-NE system. If perpetuated in time, nociceptive inputs can generate neuroplastic changes in the central nervous system that reduce the inhibitory effects of the LC-NE complex and facilitate the development of chronic pain and frequent comorbidities, such as anxiety, depression or sleeping disturbances. The exact mechanisms involved in the LC functional shift remain unknown, but there is some evidence that they occur through plastic changes in the medial and lateral pathways and their brain projections. Additionally, there are other influencing factors, like developmental issues, neuroinflammatory glial changes, NE receptor affinity and changes in LC neuronal firing rates. Full article
(This article belongs to the Special Issue The Multiple Mechanisms Underlying Neuropathic Pain (III))
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16 pages, 562 KiB  
Article
A Preliminary Study Looking at the Use of Mindful Compassion and Cannabis Suppositories for Anodyspareunia among Men Who Have Sex with Men (MSM)
by Samantha Banbury, Chris Chandler, Simon Erridge, Javier del Rio Olvera, John Turner and Joanne Lusher
Psychoactives 2024, 3(3), 384-399; https://doi.org/10.3390/psychoactives3030024 - 7 Aug 2024
Viewed by 343
Abstract
Research on the use of cannabis rectal suppositories for analgesia is limited. Few trials have evaluated the combined use of mindfulness and cannabis suppositories for anodyspareunia in men who have sex with men (MSM). This preliminary study, including a randomised control trial (RCT) [...] Read more.
Research on the use of cannabis rectal suppositories for analgesia is limited. Few trials have evaluated the combined use of mindfulness and cannabis suppositories for anodyspareunia in men who have sex with men (MSM). This preliminary study, including a randomised control trial (RCT) and content analysis, assessed the effectiveness of an online mindful-compassion and cannabis suppository intervention among 52 British MSM (aged 18–50) who predominantly identified as bottoms (recipients of anal sex). Participants were randomly allocated to one of four groups based on whether they were using cannabis suppositories: adjunct cannabis suppository and mindful-compassion (CSMF), cannabis suppository only (CS), mindful compassion only (MF) and care as usual/control (CAU). Assessments measuring mindful compassion, sexual functioning, sexual self-efficacy, well-being, and anodyspareunia levels were completed at weeks 0, 4, and 12. Anodyspareunia levels were lower in the CSMF group compared to the other groups (CS/MF/CAU), p = 0.031. Feedback revealed that participants felt mindful compassion potentiated the effects of cannabis suppositories during sexual intimacy, reducing pain and enhancing sexual self-efficacy, sexual functioning, and well-being. This preliminary study warrants larger-scale investigation to establish the role of cannabis suppositories and mindful compassion in reducing anodyspareunia. Full article
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25 pages, 1742 KiB  
Article
Integrating Consumption-Based Metrics into Sectoral Carbon Budgets to Enhance Sustainability Monitoring of Building Activities
by Marin Pellan, Denise Almeida, Mathilde Louërat and Guillaume Habert
Sustainability 2024, 16(16), 6762; https://doi.org/10.3390/su16166762 - 7 Aug 2024
Viewed by 441
Abstract
Climate policies such as sectoral carbon budgets use national greenhouse gas emissions inventories to track the decarbonization of sectors. While they provide an important compass to guide climate action, the accounting framework in which they are embedded lacks flexibility for activities that are [...] Read more.
Climate policies such as sectoral carbon budgets use national greenhouse gas emissions inventories to track the decarbonization of sectors. While they provide an important compass to guide climate action, the accounting framework in which they are embedded lacks flexibility for activities that are international and at the crossroads of different sectors. The building activities, being largely linked with important upstream emitters such as energy production or industrial activities, which can take place outside of national borders, are such an example. As legislation increasingly addresses the whole-life carbon emissions of buildings, it is vital to develop cross-sectoral accounting methods that effectively measure and monitor the overall impact of buildings. Such methods are essential for creating sound and holistic decarbonization pathways that align with sustainability policies. This article aims to provide a consistent approach for depicting the life-cycle emissions of buildings at the national level, using France as a case study. By integrating the different emission scopes with decarbonization pathways, this approach also enables the creation of comprehensive whole-life carbon budgets. The results show that the French building stock footprint reached 162 MtCO2eq in 2019, with 64% attributed to operational emissions, primarily from fossil fuel combustion, and the remainder to embodied emissions, mainly from upstream industrial and energy sectors. Overall, 20% of the emissions occurred outside the national borders. Under various global decarbonization pathways, the significance of embodied emissions is projected to increase, potentially comprising 78% of the life-cycle emissions by 2050 under the current policies. This underscores the necessity for climate policies to address emissions beyond territorial and operational boundaries. Full article
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9 pages, 232 KiB  
Communication
Does COVID-19 Revamp Nurses’ Compassion? Post-Pandemic Approach in Qatar
by George Vellaramcheril Joy, Kamaruddeen Mannethodi, Albara Mohammad Ali Alomari, Kalpana Singh, Nesiya Hassan, Jibin Kunjavara and Badriya Al Lenjawi
COVID 2024, 4(8), 1227-1235; https://doi.org/10.3390/covid4080087 - 6 Aug 2024
Viewed by 430
Abstract
Aim: This study aimed to identify self-compassion among staff nurses after the COVID-19 pandemic in Qatar. Design: Descriptive cross-sectional survey design. Methods: Anonymous data were collected through an online survey using Microsoft Forms from 300 nurses in 14 health facilities in Qatar. The [...] Read more.
Aim: This study aimed to identify self-compassion among staff nurses after the COVID-19 pandemic in Qatar. Design: Descriptive cross-sectional survey design. Methods: Anonymous data were collected through an online survey using Microsoft Forms from 300 nurses in 14 health facilities in Qatar. The organization had almost 10,000 nursing staff working in different facilities. Data were gathered using a structured online questionnaire and included socio-demographic information, and the Self-Compassion Scale—Short Form was used to collect the remaining data. Correlation, t-test, and ANOVA analyses were conducted. Results: Nurses in the study showed high self-compassion. Among the sub-domain ‘mindfulness’, they showed comparatively high scores (7.96 ± 1.55), and the lowest score was for ‘isolation’ (6.15 ± 1.99). The score for ‘self-kindness’ was 7.29 ± 1.55, that for ‘self-judgement’ was 6.79 ± 2.01, that for ‘common humility’ was 6.62 ± 1.47, and that for the sub-domain ‘over-identified’ was 6.47 ± 1.91. Mindfulness scores were high among the nurse leaders. Moreover, over-identified scores were high among the nurses who were currently working under COVID-19 at the time of data collection. Conclusions: Nurses faced many difficulties while working during the COVID-19 pandemic, including a heavy workload and tension. The current study’s findings add to our understanding of how COVID-19 affected the development of self-compassion. A rise in mindfulness, which aids nurses in managing stress at work and building resilience, further underscores an increase in nurses’ acceptance of the COVID-19 pandemic. The findings also highlight how crucial it is to encourage self-compassion in individuals and offer them emotional support at such times, especially when there is a significant risk factor for mental health, such as COVID-19. Full article
(This article belongs to the Special Issue COVID and Post-COVID: The Psychological and Social Impact of COVID-19)
17 pages, 293 KiB  
Article
Navigating Uncertainty with Compassion: Healthcare Assistants’ Reflections on Balancing COVID-19 and Routine Care through Adversity
by Alice Yip, Jeff Yip, Zoe Tsui and Graeme Drummond Smith
Healthcare 2024, 12(15), 1544; https://doi.org/10.3390/healthcare12151544 - 5 Aug 2024
Viewed by 542
Abstract
The coronavirus disease 2019 pandemic created unprecedented challenges for healthcare systems around the world. Healthcare assistants played a vital role in the provision of frontline patient care during this crisis. Despite their important contribution, there exists limited research that specifically examines the healthcare [...] Read more.
The coronavirus disease 2019 pandemic created unprecedented challenges for healthcare systems around the world. Healthcare assistants played a vital role in the provision of frontline patient care during this crisis. Despite their important contribution, there exists limited research that specifically examines the healthcare assistant’s experiences and perspectives of care provision during the COVID-19 pandemic. This study explored healthcare assistants’ caring experiences and perspectives on resilience and self-efficacy during the COVID-19 pandemic in Hong Kong. A qualitative descriptive study with semi-structured interviews was conducted with 25 healthcare assistants from public hospitals. Interview recordings were analyzed using thematic analysis. Five main themes emerged from the data: frontline reinforcement: supporting HCAs through resourcing and education amidst the COVID-19 crisis, confronting uncertainty: building personal fortitude in the face of the COVID-19 pandemic, fostering collective resilience through shared support, self-efficacy as a catalyst for adaptive growth, and paving the way for transformation. These findings advocate for the resilience and self-efficacy of healthcare assistants; this may potentially strengthen healthcare system preparedness for navigating unpredictable challenges in the future. Full article
(This article belongs to the Collection The Impact of COVID-19 on Healthcare Services)
13 pages, 192 KiB  
Article
The Impact of the Islamic Financial Wills System on Achieving Sustainable Social Development
by Abdel Aziz Shaker Hamdan Al Kubaisi
Sustainability 2024, 16(15), 6661; https://doi.org/10.3390/su16156661 - 4 Aug 2024
Viewed by 512
Abstract
Wills within the legislative+ system for donation contracts are considered highly beneficial and have a great impact on both testators and legatees. They hold financial and value dimensions aimed at linking today’s generation with future generations, perpetuating humanitarian work, and extending it beyond [...] Read more.
Wills within the legislative+ system for donation contracts are considered highly beneficial and have a great impact on both testators and legatees. They hold financial and value dimensions aimed at linking today’s generation with future generations, perpetuating humanitarian work, and extending it beyond death. Consequently, wills, along with other charitable resources such as endowments, constitute significant channels that can contribute to achieving sustainable development in societies. This study aims to illustrate the impact of the relationship between wills and sustainable development. It highlights the importance of wills for societal advancement, noting that they are no less important than endowment systems. This study concludes that the legislation of wills is among systems that encompass intergenerational ties; strengthen social cohesion; elevate societies by maintaining ties of kinship; improve the conditions of financially and socially disadvantaged people; provide education and healthcare for the underprivileged; and foster intergenerational bonds in the forms of compassion, empathy, and integration. Moreover, wills grant individuals participation in shaping a better future for forthcoming generations, in addition to alleviating the suffering caused by poverty and striving for self-sufficiency, social care, and education, thereby embodying the economic and social dimensions of sustainable development. Full article
11 pages, 253 KiB  
Article
Psychometric Evaluation of the Decision Fatigue Scale among Korean Registered Nurses
by Yujin Hur and Ronald L. Hickman
Healthcare 2024, 12(15), 1524; https://doi.org/10.3390/healthcare12151524 - 31 Jul 2024
Viewed by 542
Abstract
Nurses make decision for patients and the quality of nurses’ decision making can affect patient outcomes. For some reason, nurses are experiencing impaired decision making and it can negatively impact patient care. A valid and reliable instrument to assess decision fatigue may let [...] Read more.
Nurses make decision for patients and the quality of nurses’ decision making can affect patient outcomes. For some reason, nurses are experiencing impaired decision making and it can negatively impact patient care. A valid and reliable instrument to assess decision fatigue may let people know about the concept and guide the development of new policies or interventions for Korean nurses’ decision fatigue. This study aimed to evaluate the psychometric properties of the Korean version of the decision fatigue scale. The design was a cross-sectional descriptive study and convenience sampling was used to recruit participants. A total of 247 nurses from across South Korea participated in an online survey. The survey consisted of demographic questionnaires, decision fatigue scale, nursing practice environment scale, and compassion fatigue scale. It was validated through confirmatory factor analysis that the Korean version of the decision fatigue scale was a single factor with the same structure as the original scale. The Korean version of the decision fatigue scale showed significant correlations with compassion fatigue, and the scale showed appropriate internal consistency. This study established well enough the psychometric characteristics of the Korean version of decision fatigue. Full article
(This article belongs to the Special Issue Job Satisfaction and Mental Health of Workers)
10 pages, 191 KiB  
Article
Spiritual Dimensions of Trauma and Posttraumatic Growth: An Ethnographic Exploration
by Frank Rogers
Religions 2024, 15(8), 926; https://doi.org/10.3390/rel15080926 - 30 Jul 2024
Viewed by 496
Abstract
Cradled in the Arms of Compassion is an autoethnography chronicling the spiritual dimensions of recovering from childhood sexual abuse. This article summarizes the results of that autobiographical research with particular attention to the spiritual dimensions and soul injuries of childhood sexual abuse experienced [...] Read more.
Cradled in the Arms of Compassion is an autoethnography chronicling the spiritual dimensions of recovering from childhood sexual abuse. This article summarizes the results of that autobiographical research with particular attention to the spiritual dimensions and soul injuries of childhood sexual abuse experienced by the author and the spiritual resources that were discovered in the recovery from such abuse. It concludes with ten distilled coordinates that guide and support sexual abuse recovery as a resource for therapeutic and spiritual caregivers working with sexual abuse survivors. Full article
(This article belongs to the Special Issue Spirituality, Resilience and Posttraumatic Growth)
14 pages, 515 KiB  
Review
A Narrative Review of Compassion Focused Therapy on Positive Mental Health Outcomes
by Yasuhiro Kotera, Julie Beaumont, Ann-Marie Edwards, Matthew Cotterill, Ann Kirkman, Aiesha Carew Tofani, Merly McPhilbin, Simran Takhi, Kristian Barnes, Olamide Todowede, Benjamin-Rose Ingall, Kenichi Asano and Kohki Arimitsu
Behav. Sci. 2024, 14(8), 643; https://doi.org/10.3390/bs14080643 - 25 Jul 2024
Viewed by 1004
Abstract
Background: Compassion-focused therapy (CFT) has been attracting attention in mental health practice and research. CFT is effective in reducing a variety of negative mental health symptoms. Positive mental health (PMH) focuses on an individual’s functioning, quality of life, and well-being, aiming to achieve [...] Read more.
Background: Compassion-focused therapy (CFT) has been attracting attention in mental health practice and research. CFT is effective in reducing a variety of negative mental health symptoms. Positive mental health (PMH) focuses on an individual’s functioning, quality of life, and well-being, aiming to achieve fulfilment. A need for PMH has been increasingly recognised such as national policies incorporating recovery-oriented approaches. However, how effective CFT is for PMH outcomes remains to be investigated. This narrative review aimed to identify the literature that reports evidence on CFT used against PMH outcomes. Methods: Our research questions (RQs) were as follows: RQ1. What PMH outcomes are targeted in CFT intervention research? RQ2. Is CFT effective for PMH?” Medline, Embase, and PsycINFO were searched on the Ovid platform. All studies that mentioned “compassion focused therapy” and “compassion-focused therapy” were searched. Results: Sixteen RCTs were included published since 2012. Nine studies were from Europe, four from Asia, two from Northern America, and one from Australia and New Zealand. CFT was used for diverse PMH outcomes, and the effects were overall positive. Self-compassion and compassion were the most frequently evaluated outcomes. Conclusions: The mechanism of action for CFT on PMH needs to be evaluated. CFT can be used as part of personal recovery in mental health. More evidence from non-WEIRD countries including LMICs is needed. Full article
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21 pages, 3963 KiB  
Article
Empowering Clinical Engineering and Evidence-Based Maintenance with IoT and Indoor Navigation
by Alessio Luschi, Giovanni Luca Daino, Gianpaolo Ghisalberti, Vincenzo Mezzatesta and Ernesto Iadanza
Future Internet 2024, 16(8), 263; https://doi.org/10.3390/fi16080263 - 25 Jul 2024
Viewed by 458
Abstract
The OHIO (Odin Hospital Indoor cOmpass) project received funding from the European Union’s Horizon 2020 research and innovation action program, via ODIN–Open Call, which is issued and executed under the ODIN project and focuses on enhancing hospital safety, productivity, and quality by introducing [...] Read more.
The OHIO (Odin Hospital Indoor cOmpass) project received funding from the European Union’s Horizon 2020 research and innovation action program, via ODIN–Open Call, which is issued and executed under the ODIN project and focuses on enhancing hospital safety, productivity, and quality by introducing digital solutions, such as the Internet of Things (IoT), robotics, and artificial intelligence (AI). OHIO aims to enhance the productivity and quality of medical equipment maintenance activities within the pilot hospital, “Le Scotte” in Siena (Italy), by leveraging internal informational resources. OHIO will also be completely integrated with the ODIN platform, taking advantage of the available services and functionalities. OHIO exploits Bluetooth Low Energy (BLE) tags and antennas together with the resources provided by the ODIN platform to develop a complex ontology-based IoT framework, which acts as a central cockpit for the maintenance of medical equipment through a central management web application and an indoor real-time location system (RTLS) for mobile devices. The application programmable interfaces (APIs) are based on REST architecture for seamless data exchange and integration with the hospital’s existing computer-aided facility management (CAFM) and computerized maintenance management system (CMMS) software. The outcomes of the project are assessed both with quantitative and qualitative methods, by evaluating key performance indicators (KPIs) extracted from the literature and performing a preliminary usability test on both the whole system and the graphic user interfaces (GUIs) of the developed applications. The test implementation demonstrates improvements in maintenance timings, including a reduction in maintenance operation delays, duration of maintenance tasks, and equipment downtime. Usability post-test questionnaires show positive feedback regarding the usability and effectiveness of the applications. The OHIO framework enhanced the effectiveness of medical equipment maintenance by integrating existing software with newly designed, enhanced interfaces. The research also indicates possibilities for scaling up the developed methods and applications to additional large-scale pilot hospitals within the ODIN network. Full article
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