Identifying Essential Selection Criteria and Program Components to Improve Hawai‘i’s Exceptional Tree Program Based on Expert Consensus

Arboriculture & Urban Forestry, Journal Year: 2025, Volume and Issue: unknown, P. jauf.2025.006 - jauf.2025.006

Published: Feb. 10, 2025

Abstract Background Hawai‘i’s exceptional trees are currently identified based on 7 selection criteria established in 1975. These and their corresponding program components have remained stagnant with minimal improvements since the program’s inception. This study builds upon previous (aka “heritage,” “significant,” “champion,” “monumental,” “notable,” etc.) tree research conducted other geographic locations an attempt to discover if consensus exists regarding how these of importance should be identified, managed, protected. Methods A panel 13 experts from around state were presented 45 several using a 3-iteration Delphi method determine which used by Exceptional Tree Program. Results The results 33 5 (i.e., protection mechanisms, private property maintenance costs, funding, public education outreach, management best practices) recommended expert panel, as well examples each implemented improve efficacy this conservation program. Conclusions findings add growing body designed identify, recognize, protect region’s most valued trees, while also having applicability urban forestry programs more broadly.

Language: Английский

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Off-label drug use in palliative medicine: Delphi study for the consensus of evidence-based treatment recommendations

Palliative Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: March 15, 2025

Background: Off-label use of drugs is an integral part everyday clinical practice in palliative medicine. However, it associated with many uncertainties, that is, drug therapy safety or legal issues including cost coverage. Healthcare professionals often lack time and resources for comprehensive literature search patient-specific risk-benefit analyses. Aim: The aim this project to develop, evaluate rate agreement/disagreement on treatment recommendations off-label adult Design: Online Delphi study two rounds each An international expert panel consisting physicians, pharmacists nurses working care evaluated previously developed based the best available evidence. Setting:/participants: Professionals (physicians, pharmacists, nursing staff) inpatient home involved medication process were recruited as experts participate. Between 64 75 participated first studies. Results: A total 64/68 21 14 applications agreed upon. Topics related routes administration well indications sialorrhea, bronchorrhea, xerostomia, pruritus, singultus, fistula, gastroparesis hot flashes. Recommendations reached consensus are health via a free charge database. Conclusion: For applications, likely there will be no registration studies therefore approvals future. consensus-based intended facilitate individual planning prescribers enable more reflected handling use.

Language: Английский

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A systematic approach to evaluating architectural portfolios: architectural portfolio evaluation rubric (APER)

International Journal of Technology and Design Education, Journal Year: 2025, Volume and Issue: unknown

Published: April 8, 2025

Language: Английский

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Assessing Global Competence Within Teacher Education Programs. How to Design and Create a Set of Rubrics With a Modified Delphi Method

SAGE Open, Journal Year: 2022, Volume and Issue: 12(4)

Published: Oct. 1, 2022

In today’s world, Global Competence represents a fundamental disposition for teachers who must be able to teach effectively in classrooms with students from diverse backgrounds and manage multiple learning contexts. For these reasons, it is necessary set up educational activities during initial teacher education programs aimed at developing assessing preservice teachers’ ability Competent. This study was designing creating of rubrics that can used by either educators or teachers, this case, as self-assessment instrument. The research design based on modified Delphi method composed five rounds collect both qualitative quantitative data. A panel 31 experts involved an iterative process until consensus among the reached. employed several contexts situations such as: before after international experience, simulation workshop intercultural real-world situations.

Language: Английский

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Defining and reporting activity patterns: a modified Delphi study

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2023, Volume and Issue: 20(1)

Published: July 25, 2023

Abstract Background Despite significant interest in assessing activity patterns different populations, there has been no consensus concerning the definition and operationalisation of this term. This limited comparability, interpretability, synthesis study findings to date. The aim was establish a regarding way which pattern components are defined reported. Methods literature searched identify experts be invited participate develop proposed components. A three-round modified Delphi survey conducted online (November 2021 May 2022). In Round 1, participants were asked rate their agreement with definition, also included six (e.g., intensity, bout, transitions), examples frequency postural transitions discrete time periods) eight items for reporting future research (n = 21 items). Open-ended questions enabled provide further comments suggestions additional items. Consensus priori as ≥ 80% rating an item. 2, 25 (13 original items, amended, four new). 3, rated 10 (five one Results Twenty participated response rates 60% Rounds 2 respectively. all definitions, examples, framework achieved consensus. removal component item between 1 Conclusion defining first time. enables standardisation terminology, is important given quantifying how individuals accumulate physical sedentary behaviour across lifespan inform development public health guidelines interventions efforts.

Language: Английский

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Defining ruxolitinib failure and transition to next-line therapy for patients with myelofibrosis: a modified Delphi panel consensus study

Future Oncology, Journal Year: 2023, Volume and Issue: 19(11), P. 763 - 773

Published: April 1, 2023

Aim: To define ruxolitinib failure and develop parameters to guide transition next-line therapy for patients with myelofibrosis. Methods: A modified Delphi panel 14 hematologists-oncologists. Survey concepts included defining primary refractory status, loss of response, disease progression, intolerance therapy. Results: Ruxolitinib may be defined as no improvement in symptoms or spleen size, progressive intolerance, following a maximally tolerated dose ≥3 months. Loss response 1 month after initial prompt discontinuation. Lack evidence inform was noted; tapering should considered according patient characteristics. Conclusion: Expert consensus provided on summarized this position paper, which support considerations the development future clinical practice guidelines.People myelofibrosis who receive treatment need stop because it is not working they cannot tolerate side effects. There little good scientific information available about how when treatment, move another stopping ruxolitinib. group experts hematology oncology followed process, called method, discuss topic reach agreement most important aspects challenge. The agreed that having receiving highest could results expert discussion their healthcare providers making decisions real life, guidelines.

Language: Английский

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Role of strategic management for employee engagement and skill development for start-ups

Vilakshan – XIMB Journal of Management, Journal Year: 2020, Volume and Issue: 17(1/2), P. 79 - 95

Published: Oct. 12, 2020

Purpose Start-ups are the new avenues for innovation and employment. Strategic management is critical employee engagement skill development of start-ups. This study aims to understand impact strategic on development. Design/methodology/approach The attempts identify principal factors influencing Structural equation modeling has been used effects study. Findings results have shown challenges concerning reflected importance programmes growth human resource in Research limitations/implications confined However, studies related encountered by start-ups specific areas marketing, operations finance, etc. would provide more detailed Practical implications provides an insight into directions improving strategy from perspective Social a direction owners building strong enterprising which can employment opportunity youth nation improve society at large. Originality/value paper attempt managing employees’ development, essential sustainability future.

Language: Английский

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An international Delphi consensus study to define motivational communication in the context of developing a training program for physicians

Translational Behavioral Medicine, Journal Year: 2020, Volume and Issue: 11(2), P. 642 - 652

Published: March 7, 2020

Abstract Poor health behaviors (e.g., smoking, poor diet, and physical inactivity) are major risk factors for noncommunicable chronic diseases (NCDs). Evidence supporting traditional advice-giving approaches to promote behavior change is weak or short lived. Training physicians improve their counseling/communication skills important, yet the evidence efficacy acceptability of existing training programs lacking there little consensus on core competencies that should master in context NCD management. The purpose this study generate an acceptable, evidence-based, stakeholder-informed list communication Using a modified Delphi process achievement, international experts, physicians, allied care professionals completed four phases research, including eight rounds online surveys in-person meetings over 2 years (n = 13–17 participated Phases I, III, IV n 39–46 Phase II). Eleven were identified: reflective listening, expressing empathy, demonstrating acceptance, tolerance, respect, responding resistance, (not) negatively judging blaming, hostility impatience, eliciting “change-talk”/evocation, being argumentative confrontational, setting goals, collaborative, providing information neutrally. These used define unified approach conducting counseling medical settings: Motivational Communication. results may be inform standardize physician reduce morbidity mortality related prevention

Language: Английский

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Consensus recommendations for opioid agonist treatment following the introduction of emergency clinical guidelines in Ireland during the COVID-19 pandemic: A national Delphi study

International Journal of Drug Policy, Journal Year: 2022, Volume and Issue: 106, P. 103768 - 103768

Published: June 16, 2022

Emergency contingency guidelines for opioid agonist treatment (OAT) were introduced in Ireland March 2020, to ensure rapid and uninterrupted access while mitigating COVID-19 risk. The deviated, across multiple clinical domains, from pre-pandemic published 2016. objectives of this study are (1) identify changes OAT during the pandemic; (2) develop consensus on whether new recommendations should be retained beyond pandemic, using a national Delphi methodology. Clinical guidance ('statements') generated by comparing newly established with 2016 Guidelines OAT. Over two rounds on-line testing, panel experts (people currently accessing OAT, psychiatrists, general practitioners, community pharmacists, nurse, psychologist support/key workers) independently rated their agreement each statement provided comments. Statements median score 4 or 5 lower quartile ≥4 classified as having reached consensus. Forty-eight members recruited, high participation level at Round 2 (90%, n=43). Consensus was achieved 12 19 statements 1. 7 remaining revised, statements, resulting 9 2. Four final list includes 16 statements; relating assessment, 3 drug choice dosing, 1 take-away doses, overdose prevention continuation e-prescriptions. A wide range stakeholders involved delivery receipt agreed inclusion we move rather than reverting guidelines. relate facilitating safe minimal waiting time, supporting patient-centred care promote health well-being, preventing overdose. Notably, not dosage frequency urine testing stabilisation maintenance phase care.

Language: Английский

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High degree of consensus on diagnosis and management of rotator cuff tears: a Delphi approach

Knee Surgery Sports Traumatology Arthroscopy, Journal Year: 2023, Volume and Issue: 31(10), P. 4594 - 4600

Published: July 31, 2023

Language: Английский

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