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Risk assessments are important tools to identify deficits in biosecurity management practices. A major strength of some existing tools is that they facilitate cross-country comparisons. However, a weakness is their failure to account for unique intra-national farming enterprise structures such as, for example, pasture-based dairying. Currently, there are no suitable biosecurity risk assessment tools applicable to pasture-based dairying as practiced in Ireland. In addition to a need for enterprise-specific biosecurity risk assessment tools, the weighting of risk scores generated by these tools needs to be context-specific to ensure validity in assessing biosecurity risks in the farming sector of interest. Furthermore, existing biosecurity audits rely exclusively on respondent recall to answer questions about management practices. To address each of these limitations of existing biosecurity risk assessment tools we developed and optimised a new biosecurity risk assessment tool (BioscoreDairy) designed to assess the biosecurity status of pasture-based dairy farms in Ireland. It consists of two parts, a biosecurity questionnaire and a cattle movement records audit. A questionnaire was developed on biosecurity management practices appropriate for a pasture-based dairy system. Multiple national expert groups were leveraged to provide weightings for the different management practices in the questionnaire using the best-worst scaling methodology of MaxDiff. The results of this process provided a numerical categorisation that could then be used to assign scores to the individual biosecurity management practices. These practices were grouped into three biosecurity areas; risk of disease entry, speed of disease spread and diagnosis of infection. Within each of these three areas, a traffic light system was used to compare a farm's biosecurity risks to other similar farms-least risk (green; within the top third of farms), concerning practice (amber; middle third) and worst practice or greatest risk (red; lowest third). In addition to these scores, the cattle introduction profile of a herd over the previous 3 years, based on nationally recorded data, was audited, compared amongst dairy farm enterprise subtypes, and included in the BioscoreDairy report. BioscoreDairy is therefore the first biosecurity risk assessment tool tailored to pasture-based dairy farm systems, both for individual farm reporting and for benchmarking against comparable farms.
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http://dx.doi.org/10.3389/fvets.2024.1462783 | DOI Listing |
BMC Med Educ
September 2025
Department of Learning, Informatics, Management & Ethics (LIME) Widerströmska huset, Karolinska Institutet, Stockholm, Sweden.
Background: Live tissue training (LTT) refers to the use of live anaesthetised animals for the purpose of medical education. It is a type of simulation training that is contentious, and there is an ethical imperative for educators to justify the use of animals. This should include scrutinising educational practices.
View Article and Find Full Text PDFBMC Health Serv Res
September 2025
Institute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.
Background: Post-viral syndromes, including long- and post-COVID, often lead to persistent symptoms such as fatigue and dyspnoea, affecting patients' daily lives and ability to work. The COVI-Care M-V trial examines whether interprofessional, patient-centred teleconsultations, initiated by general practitioners in cooperation with specialists, can help reduce symptom burden and improve care for patients.
Methods: To evaluate the effectiveness of the intervention under routine care conditions, a cluster-randomised controlled trial is being conducted.
Antimicrob Resist Infect Control
September 2025
School of Medicine and Health Management, Guizhou Province, Guizhou Medical University, GUI'an New District, 6 Ankang Avenue, Guiyang, People's Republic of China.
Background: Although current evidence supports the effectiveness of social norm feedback (SNF) interventions, their sustained integration into primary care remains limited. Drawing on the elements of the antimicrobial SNF intervention strategy identified through the Delphi-based evidence applicability evaluation, this study aims to explore the barriers and facilitators to its implementation in primary care institutions, thereby informing future optimization.
Methods: Based on the five domains of the Consolidated Framework for Implementation Research (CFIR), we developed semi-structured interview and focus group discussion guides.
J Behav Health Serv Res
September 2025
Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR, USA.
Telehealth is increasingly a standard and routine clinical option, indicating a changing outlook for SUD treatment from in-person to the more convenient option of telehealth. As populations across geographies increasingly prefer telehealth, more research is warranted that focuses on how where a person lives is associated with telehealth availability. The authors used the Mental Health and Addiction Treatment Tracking Repository (MATTR 2024) to identify telehealth availability among all known licensed SUD treatment facilities in the USA (N = 10,492 facilities).
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