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Obtaining accurate medication histories for older adults in the emergency department (ED) is essential but challenging due to operational barriers and incomplete electronic health records (EHRs). We implemented a stakeholder-engaged intervention integrating pharmacy technicians (pharm techs) to obtain triage medication histories (T-MHs) for ED patients aged 65 years or older. Starting in June 2023, pharm techs collected T-MHs from patients awaiting clinician evaluation. The intervention was developed using literature review, EHR data analysis, and focus groups with ED clinicians, pharm techs, and pharmacists. We identified key chief complaint-medication interactions and designed ED workflows for T-MH implementation. Three high-impact chief complaint-medication interactions were identified: (1) trauma with anticoagulant use; (2) any complaint with recent medication changes or adherence concerns; and (3) any complaint while on antibiotics. We educated pharm techs about these chief complaint-medication interactions and asked them to notify ED clinicians about cases identified. T-MHs were obtained in 3,197 ED encounters (41.2%) before any medication order or disposition decision. Focus groups revealed that patients and their care partners generally agreed to participate in medication histories, but, contrary to expectations, efforts to date have had minimal impact on clinician awareness of prior-to-admission medications, prescribing decisions, and disposition decisions. Integrating pharm techs to obtain medication histories in the ED is feasible and acceptable, but further efforts are needed to optimize workflow integration and handoff processes to improve clinical impact and patient safety.

The Road to Mental Readiness (R2MR) program delivers mental health training, which includes a guided discussion and wellness check for Canadian Armed Forces search and rescue technicians (SAR techs) during their annual dive proficiency and currency training to support their mental health and performance and helps to decrease barriers to care and encourage care seeking when necessary. A mixed-methods evaluation of SAR techs' perceptions of the wellness checks was conducted in July 2024. Sixty SAR techs completed an anonymous survey three months post-training to capture their perceptions of the wellness checks, including their usefulness; common therapeutic factors identified as important mediators of wellness check effectiveness from previous research; and attitudes toward care-seeking, supporting others, stigma, and resilience. Most SAR techs found their most recent wellness check to be at least a little helpful in supporting their mental health and well-being, and their attitudes toward the wellness check appeared to improve afterward. The learning of new skills was a common therapeutic factor that most related to perceptions of wellness check usefulness. In terms of related outcomes, those who rated the wellness check as more useful reported greater confidence in accessing mental health care, but not greater resilience or stigma. Finally, most SAR techs who received a follow-up recommendation followed through with it. The findings indicate that SAR techs perceive the current R2MR training as useful for supporting their mental health and well-being, but the findings are limited to this unique occupation. Le programme En route vers la préparation mentale (RVPM) offre une formation en santé mentale, qui inclut des discussions orientées et des vérifications du bien-être, aux technicien(ne)s en recherche et sauvetage (Tech SAR) des Forces armées canadiennes dans le cadre de leur formation annuelle de maintien des compétences en plongée. Il est conçu pour soutenir leur santé mentale et leur rendement, les aider à réduire les obstacles aux soins et favoriser la recherche de soins lorsque la situation l’indique. Une évaluation à méthodes mixtes des perceptions des Tech SAR à l’égard des vérifications du bien-être a été réalisée en juillet 2024. Au total, 60 Tech SAR ont rempli un sondage anonyme trois mois après avoir suivi leur formation pour donner leurs perceptions des vérifications du bien-être, y compris l’utilité de ces vérifications, les facteurs thérapeutiques courants qui, selon des recherches antérieures, constituaient des médiateurs importants d’une vérification du bien-être efficace, ainsi que les attitudes envers la recherche de soins, le soutien d’autrui, la stigmatisation et la résilience. La plupart des Tech SAR ont trouvé leur plus récente vérification du bien-être au moins un peu utile pour soutenir leur santé mentale et leur bien-être, et leurs attitudes envers les vérifications du bien-être ont semblé s’améliorer par la suite. L’apprentissage de nouvelles compétences était le facteur thérapeutique courant qui était le plus relié aux perceptions d’utilité de la vérification du bien-être. Pour ce qui est des résultats connexes, les personnes qui classaient la vérification du bien-être comme plus utile déclaraient avoir une plus grande confiance envers l’accès aux soins de santé mentale, mais pas une meilleure résilience ni plus de stigmatisation. Enfin, la plupart des Tech SAR qui ont reçu une recommandation de suivi y ont donné suite. D’après les résultats, les Tech SAR trouvent la formation RVPM utile pour soutenir leur santé mentale et leur bien-être, mais les résultats sont limités à cet emploi.

A new design concept, tether-entangled conjugated helices (TECHs), is introduced for helical polyaromatic molecules. TECHs consist of a linear polyaromatic ladder backbone and periodically entangling tethers with the same planar chirality. By limiting the length of tether, all tethers synchronously bend and twist the backbone with the same manner, and change it into a helical ribbon with a determinate helical chirality. The 3D helical features are customizable via modular synthesis by using two types of synthons, the planar chiral tethering unit (C 2 symmetry) and the docking unit (C 2h symmetry), and no post chiral resolution is needed. Moreover, TECHs possess persistent chiral properties due to the covalent locking of helical configuration by tethers. Concave-type and convex-type oligomeric TECHs are prepared as a proof-of-concept. Unconventional double-helix π-dimers are observed in the single crystals of concave-type TECHs. Theoretical studies indicate the smaller binding energies in double-helix π-dimers than conventional planar π-dimers. A concentration-depend emission is found for concave-type TECHs, probably due to the formation of double-helix π-dimers in the excited state. All TECHs show strong circularly polarized luminescence (CPL) with dissymmetric factors (|g lum|) generally over 10-3. Among them, the (P)-T4-tBu shows the highest |g lum| of 1.0 × 10-2 and a high CPL brightness of 316 M-1 cm-1.

Progressing from Emergency Department technician (ED tech) to Emergency Department registered nurse (ED RN) represents a significant professional transition in emergency care. This study explored the lived experiences of ED RNs who previously worked as ED techs to better understand how prior ED tech roles influenced professional development and career trajectory within emergency nursing practice. A hermeneutic phenomenological approach grounded in Heidegger's philosophy guided this study. Semi-structured interviews were conducted with ED RNs (n = 11) practicing in emergency departments within Level I trauma centers. Data were analyzed using iterative thematic analysis informed by the Hermeneutic Circle. Benner's Novice to Expert Theory supported interpretation. Three major themes emerged: (1) preparedness for RN transition, (2) professional identity and fulfillment, and (3) relational practice in emergency care. Together, these findings illustrate how early ED tech experience fosters professional development and may influence future career advancement within emergency nursing practice. ED tech experience may enhance preparedness, resilience, and interpersonal skills during the ED RN transition. Onboarding and mentorship tailored specifically for ED techs transitioning to the RN role can build on these strengths while addressing identity shift and delegation challenges that may otherwise complicate early role adaptation.

Online delivery of HIV pre- and post-exposure prophylaxis (PrEP and PEP) could address persistent access barriers, yet implementation across Africa remains limited. The ePrEP Kenya Pilot (NCT05377138) integrated PrEP and PEP services into an existing e-pharmacy platform and identified client- and provider-level barriers and facilitators to use. In the pilot, clinicians screened adults (age 18+) in Nairobi and Mombasa Counties for PrEP and PEP eligibility via telehealth; pharmaceutical technologists courier-delivered HIV testing services (including self-testing) and dispensed PrEP or PEP to eligible clients who paid 150-250 KES (∼$1-2 USD) for HIV testing, ≤149 KES (∼$1 USD) for courier delivery and nothing for telehealth consultation or PrEP/PEP drugs. We conducted monthly check-in calls with providers and, near study endline, in-depth interviews (IDIs) with purposively sampled clients and all providers. We analysed verbatim call transcripts and IDIs inductively, then mapped identified barriers and facilitators to the Consolidated Framework for Implementation Research (CFIR). From February to November 2023, we conducted 10 check-in calls and interviewed 30 clients (10 PEP, 10 PrEP with 1+ refill, 10 PrEP with no refills) and 10 providers (4 clinicians, 6 pharm techs). Clients had a median age of 27 years (IQR 25-30) and providers 28 years (IQR 27-31); 53% (16/30) of clients and 30% (3/10) of providers were female. In the Outer Setting CFIR domain, providers identified motorcycle manoeuvrability as a delivery facilitator but noted that traffic, poor road infrastructure, bad weather and personal safety concerns posed challenges. In the Inner Setting domain, providers identified information-sharing practices and collegiality as facilitators. In the Individuals domain, clients' capability, opportunity and motivation to use online PrEP/PEP services was reportedly facilitated by app-guided HIV self-testing, broad delivery zones and enhanced privacy, but hindered by low awareness of these services, limited access to internet-enabled devices, data security concerns and uncertainties around couriers' pharmacy credentials. Recommendations included reducing client costs, expanding delivery coverage and hours, and offering alternative delivery options (e.g. medication pick-up lockers). Online PrEP and PEP delivery is a promising differentiated service model, especially if partially subsidized by third-party payers. Implementation success will require model adaptations that address logistical, infrastructural and awareness barriers.

Limited research exists on the experiences of hijab-wearing Muslim medical students. This study explored the barriers faced by these students while participating in surgery. This was a descriptive study using a primarily qualitative approach. Survey data were collected to provide context and to recruit participants for in-depth semi-structured interviews, which were analyzed using reflexive thematic analysis. The study focused on peri‑operative and surgical training environments in medical institutions where Muslim medical trainees were completing clinical rotations or surgical electives. Twenty-two Muslim women in medical training completed the survey. Six of the survey respondents participated in semi-structured interviews to provide deeper insights into their experiences. Survey responses revealed feelings of anxiety, embarrassment, and heightened scrutiny in peri‑operative spaces related to wearing the hijab. In interviews, many described a lack of inclusive training and additional mental burdens compared to non-hijab-wearing peers. Many participants expressed avoiding the operating room altogether due to concerns about their hijab, citing fears of being perceived as unprofessional or experiencing bias from surgical teams. These findings highlight systemic barriers, including discrimination and exclusion, which came from attending surgeons, nurses, scrub techs, patients, and more, that deter hijab-wearing Muslim trainees from considering surgical specialties. Implementing inclusive policies and cultural sensitivity training for surgical staff can improve diversity and create a supportive environment for all trainees.

To evaluate the effectiveness of the Mental Training Tech 24.5 (MTT24.5) cognitive stimulation program, designed to enhance cognitive performance and neuroplasticity in healthy adults. Cognitive decline is a significant concern in aging populations, with research suggesting that neuroplasticity and cognitive reserve can be enhanced through targeted cognitive training. The MTT24.5 program aims to stimulate brain function through a combination of new knowledge acquisition (DATA) and learning techniques (TECHS), organized into a systematic algorithm. This approach may offer a novel way to prevent or mitigate age-related cognitive decline. Pilot clinical study, active-controlled, open randomization. Adults from the general population with no clinical cognitive deterioration, recruited from three sites within the Autonomous City of Buenos Aires and its metropolitan area. 120 volunteers were enrolled, of which 76 participants (56 in the intervention group, 20 in the control group) met the study requirements and selected a site closest to their residence. The MTT24.5 program consists of 12 weekly in-person sessions (totaling 24.5 hours), during which participants learned 40 knowledge units (DATA) and 100 learning techniques (TECHS). These were organized into binomials, where each unit of DATA was paired with 3-4 TECHS. Pre- and post-intervention assessments included medical history, lifestyle factors, cognitive reserve scale, Addenbrooke's Cognitive Examination-Revised (ACE-R), and Mini-Mental State Examination (MMSE). The mean age was 59 years for both groups. Baseline ACE-R scores were comparable (91.3). The global cognitive score increased by 4.6 points (5%) in the intervention group compared to a decrease of 0.5 points in the control group (p&#x2009;<&#x2009;0.001). The most significant improvement was observed in the memory domain (2.4 points, 11.4% increase) versus a 0.3-point increase in the control group (p&#x2009;<&#x2009;0.007), with secondary improvements in verbal fluency, language, and visuospatial skills. Notably, participants with baseline ACE-R scores below 85 showed greater improvements (p&#x2009;<&#x2009;0.003). The effects were consistent across various phenotypic factors, such as age, sex, chronic disease distribution, and lifestyle. The MTT24.5 program, based on a systematic algorithm for acquiring new knowledge and skills, significantly enhances cognitive reserve and overall cognitive performance, particularly in individuals with lower baseline cognitive scores. These findings suggest that structured cognitive stimulation could play a critical role in preventing cognitive decline and promoting cognitive health in healthy adults. Given the promising results, future studies involving larger populations and long-term follow-up are essential to validate these effects and explore the potential for mitigating age-related cognitive decline and enhancing quality of life. The study was registered in accordance with local regulations at the National Council for Scientific and Technological Research (CONICET) - Institute of Biomedical Research (BIOMED), and also in the National Ethics Committee, and at clinicaltrials.gov (NCT06549517).

Microsurgical breast reconstruction is intraoperatively complex. Evidence of standardized workflows improving outcomes exists, but the impact of staffing cases with familiar personnel is not documented.All microsurgical breast reconstructions (July 2021-June 2024) at our institution were analyzed for staff familiarity at granular time intervals (T0: setup to incision, T1-T3: each third of procedure). Staff were deemed "unfamiliar" if they staffed <2 microsurgical breast reconstructions with the attending in past 4 months. Intraoperative setbacks included anastomotic revisions, vessel damage, switching recipient vessels, or mastectomy flap defect. Major complications included operative takeback or flap loss.Among 291 surgeries (5 attendings, 2 hospitals), 35.1% were immediate, 77.3% used standard hemiabdominal DIEP flaps, 58.4% were bilateral, and 49.5% had prior radiation. Intraoperative setbacks occurred in 19.7%, major complications in 7.4%, average duration was 631.6&#x2009;minutes, and supply costs averaged $5,216. Unfamiliar scrub-techs correlated with increased intraoperative setbacks (OR: 2.11, p&#x2009;<&#x2009;0.05), particularly in early time intervals (T1: 1.91, p&#x2009;=&#x2009;0.06; T2: 2.09, p&#x2009;<&#x2009;0.05). Unfamiliar circulators correlated with increased supply costs (+12.2%, p&#x2009;<&#x2009;0.05), especially in later time intervals (T2: +12.2%, p&#x2009;<&#x2009;0.05; T3: +16.0%, p&#x2009;<&#x2009;0.05). In addition to staff familiarity, at univariate level, intraoperative setbacks also correlated with prior radiation (p&#x2009;<&#x2009;0.05), duration correlated with laterality, immediate reconstructions, mastectomy type, and anastomoses (p&#x2009;<&#x2009;0.05), and costs correlated with anastomoses (p&#x2009;<&#x2009;0.05). Multivariate analysis confirmed unfamiliar scrub-techs and circulators were significantly correlated with increased intraoperative setbacks and higher costs (p&#x2009;<&#x2009;0.05), with a trend toward longer duration (p&#x2009;=&#x2009;0.06).In microsurgical breast reconstruction, unfamiliar teams correlated with increased intraoperative setbacks, costs, and durations. Adjusting staffing models to prioritize familiarity may provide medical, financial, and logistical benefits.

This article, on the 60th anniversary of the journal Investigative Radiology , a journal dedicated to cutting-edge imaging technology, discusses key historical milestones in CT and MRI technology, as well as the ongoing advancement of contrast agent development for cardiovascular imaging over the past decades. It specifically highlights recent developments and the current state-of-the-art technology, including photon-counting detector CT and artificial intelligence, which will further push the boundaries of cardiovascular imaging. What were once ideas and visions have become today's clinical reality for the benefit of patients, and imaging technology will continue to evolve and transform modern medicine.

The randomised controlled clinical RACER trial studied the diagnostic work-up with contrast-enhanced mammography (CEM) compared to conventional imaging as the primary tool in women recalled from breast cancer screening. This current trial-based economic evaluation was performed from a hospital perspective. Cost prices were retrieved from the financial departments of the Maastricht University Medical Centre. Health-related quality of life was measured five times over 18 months using the EQ-5D-5L questionnaire. Cost-utility analysis outcome was expressed as costs per quality-adjusted life year (QALY). Multiple imputation was used for missing data, and non-parametric bootstrap analysis was performed to examine uncertainty in the difference in costs and incremental costs per QALY. Post hoc subgroup analysis was performed per BI-RADS recall score. Work-up with CEM showed lower total costs of &#x20ac;-117 (95% CI &#x20ac;-254; &#x20ac;+22) compared to conventional imaging. Average imaging costs were significantly lower with CEM (mean difference &#x20ac;-130; 95% CI &#x20ac;-153; &#x20ac;-105). Mean QALY for the CEM group was 1.2034 versus 1.2137 for the control group. Bootstrap analysis showed that 95% of all simulated ICERs were in the quadrants that indicate cost-savings, although 25% of the ICERs showed a small gain in QALY and 70% a small QALY loss. The probability of CEM being cost-effective is 53% at a threshold of &#x20ac;10,000 to accept a QALY loss. In the subgroup of BI-RADS 0 recalls, specifically, this probability is 85%. CEM as a primary tool in the diagnostic work-up is a cost-effective diagnostic strategy, especially in BI-RADS 0 recalls. Question Diagnostic accuracy is similar with contrast-enhanced mammography (CEM) compared to conventional as primary imaging. However, while the work-up is more efficient, is it also a cost-effective strategy? Findings Using CEM as primary imaging tool in the diagnostic work-up of recalls from screening results in lower costs with similar QALY compared to conventional imaging. Clinical relevance In BI-RADS- 0 (low suspicion) recalls, CEM should be used as primary imaging modality instead of conventional imaging. CEM compared to conventional imaging in the work-up of recalled women is cost-effective. In other recalls, CEM should be strongly considered.

Responsible conduct of research (RCR) education became a requirement for conducting federally sponsored research in the 1980s. Goals of RCR training include developing and fostering a culture of integrity in science as well as informing researchers about regulations that govern research. As happens with many federal mandates, satisfaction of NIH's in-person RCR training requirement has become an exercise in check-the-box compliance training at many institutions. Completing RCR education to satisfy a regulatory requirement has subverted the more aspirational goals of RCR education. Virginia Tech's division of Scholarly Integrity and Research Compliance developed an innovative RCR education program that focused on RCR training goals like increasing knowledge of and sensitivity to ethical issues related to research. The Virginia Tech Investigator Series invites members of the research community to engage in conversations about ethical research and innovation. The faculty-led presentations inspire conversations that reach beyond research methods and materials. The purpose of this paper is to describe the process and administrative structure that enabled us to create a community-led RCR program that increased voluntary participation while satisfying regulatory RCR education requirements. We highlight the transferrable nature of the program by describing its implementation at another very-high-research-activity university.

CT image quality is strongly influenced by the energy of the x-ray beam. The tube voltage (kV) determines a polyenergetic x-ray spectrum, which affects both image contrast and noise in conventional energy-integrating detector CT (EID-CT) imaging. In photon-counting detector CT (PCD-CT), spectral data sets are always available by default, and virtual monoenergetic images (VMI) can be reconstructed at any specific photon energy (keV). This enables radiologists to tailor energy selection to dedicated clinical tasks, achieving an optimal balance between contrast, noise, and radiation dose, and ultimately enhancing diagnostic confidence. This article educates the reader on the differences between polyenergetic and monoenergetic images to provide radiologists with practical insights into optimizing spectral imaging protocols and leveraging keV differences in routine clinical practice. Using an anthropomorphic phantom with iodine rods, differences in image quality, specifically image contrast and noise, are demonstrated between polyenergetic EID-CT and PCD-CT VMIs.

Our goal is to develop and validate a practical protocol that guides users in identifying and suppressing electromagnetic noise in low-field MRI systems, enabling operation near the thermal noise limit. We present a systematic, stepwise methodology that includes diagnostic measurements, hardware isolation strategies, and good practices for cabling and shielding. Each step is validated with corresponding noise measurements under increasingly complex system configurations, both unloaded and with a human subject present. Noise levels were monitored through the incremental assembly of a low-field MRI system, revealing key sources of EMI and quantifying their impact. Final configurations achieved noise within 1.5 &#xd7; $$ \times $$ the theoretical thermal bound with a subject in the scanner. Image reconstructions illustrate the direct relationship between system noise and image quality. The proposed protocol enables low-field MRI systems to operate close to fundamental noise limits in realistic conditions. The framework also provides actionable guidance for the integration of additional system components, such as gradient drivers and automatic tuning networks, without compromising signal-to-noise ratio (SNR).

Electronic medical records (EMRs) are increasingly adopted globally to improve health care delivery, yet challenges remain in their acceptance, defined here as favorable attitudes toward their use among health professionals. Understanding factors influencing acceptance is critical for successful implementation. This study aimed to identify predictors (or factors) associated with favorable attitudes toward EMRs among health professionals in 3 Ethiopian hospitals. A cross-sectional study was conducted from January to March 2025 in 3 Ethiopian hospitals implementing EMRs. A systematic random sampling method was used to initially select 397 health professionals, and data were collected using a structured questionnaire. Multivariate logistic regression was employed to identify predictors of favorable attitudes toward EMRs. Of the final 382 professionals, 198 (51.8%, 95% CI 0.43-0.53) showed favorable attitudes. Predictors of positive attitude included computer literacy (adjusted odds ratio [AOR] 2.66, 95%&#x202f;CI&#x202f;1.16-6.09;&#x202f;P=.02), EMR training (AOR 2.87,&#x202f;95%&#x202f;CI&#x202f;1.80-4.56;&#x202f;P<.001), and age of&#x202f;29&#x202f;years or younger (AOR 3.05,&#x202f;95%&#x202f;CI&#x202f;1.58-5.9;&#x202f;P=.001). Improving computer literacy, providing refresher training, and strengthening management support are key strategies for enhancing health professionals' attitudes toward EMRs. Future research should explore qualitative insights into barriers and facilitators of EMR adoption.

Seeding rate is an important factor in optimizing dry matter yield of biomass sorghum [Sorghum bicolor (L.) Moench]. It is vital to understand how seeding rate (S rate) varies across environments, planting dates, and whether optimum S rate changes by date of harvest in the Mid-Atlantic region. From 2017 to 2019, a study was conducted at Virginia Tech's Tidewater Agricultural Research & Extension Center in Suffolk, VA, across two locations (Holland and Hare) with six seeding rates (120, 160, 200, 240, 260, and 310 thousand seeds ha-&#x2009;1), two planting dates [early planting (EP) date as in a full season cropping system versus late planting (LP) mimicking a double-crop system] and three harvesting dates (August - October) to determine the economic optimum seeding rate of biomass sorghum. Dry matter yield, plant height, stem diameter, disease, and lodging severity were evaluated. Results showed that compared to LP, EP increased dry matter yield by 69%, plant height by 21%, and stem diameter by 15%. Dry matter yield decreased with higher S rates under EP, whereas under LP, higher S rates increased yield in 3 of the 6 environments. In contrast, plant height and stem diameter consistently decreased with increase in S rate. In general, a S rate of 120,000 ha-&#x2009;1 was optimum under EP, and 310,000 ha-&#x2009;1 under LP, when considering the disease and lodging resistance as well as economics. An October harvest always had greater yield than August or September. Planting biomass sorghum at these recommended S rates and harvesting in October could improve farm profitability while decreasing disease and lodging susceptibility.

Manitoba experiences sexually transmitted and blood-borne infection (STBBI) incidence rates above the national average and fundamental public health sector responses face human resource constraints. Manitoba implemented a paraprofessional role, the Communicable Disease Technician (CD Tech), to complete low-complexity STBBI investigations and support STBBI testing, care engagement initiatives, provider reporting, harm reduction supply distribution, and community engagement. Secondary roles included tuberculosis directly observed treatment (DOT) and virtual DOT, and flu and COVID immunization support. Twenty CD Tech positions were allocated to regional public health teams along with additional Public Health Nurse (PHN) positions to support the role. Mixed methods were used to evaluate the impact on public health system capacity. Follow-up of chlamydia and gonorrhea case investigations increased from 35% to 98%. Volume of contacts followed by public health increased for chlamydia (114%), gonorrhea (33%), and HIV (68%). Health care provider reporting for cases of STBBI and treatment more than doubled (116%). No significant differences in case investigation data quality were found between CD Techs and PHNs. Qualitative interviews by public health staff (n&#x2009;=&#x2009;24) found CD Techs highly flexible and competent team members who can fill gaps and expand capacity in direct client service, outreach, administration, data entry, or community/partner engagement. Mentorship, ongoing supervision, role clarity, training, and clear practice standards are required to optimize the role. There is potential to expand this innovation and build surge capacity in other areas of public health practice, and other public health jurisdictions. R&#xe9;SUM&#xe9;: CONTEXTE: Le Manitoba conna&#xee;t un taux d&#x2019;incidence des infections transmissibles sexuellement et par le sang&#xa0;(ITSS) sup&#xe9;rieur &#xe0; la moyenne nationale, et les interventions du secteur de la sant&#xe9; publique souffrent d&#x2019;un manque de ressources humaines. INTERVENTION: Le Manitoba a instaur&#xe9; un r&#xf4;le auxiliaire de technicien en maladies transmissibles pour r&#xe9;aliser les enqu&#xea;tes sur les cas peu complexes d&#x2019;ITSS et pour offrir une aide aux d&#xe9;pistages des ITSS, aux initiatives d&#x2019;engagement en mati&#xe8;re de soins, aux signalements des fournisseurs, &#xe0; la distribution de fournitures de r&#xe9;duction des m&#xe9;faits et &#xe0; l&#x2019;engagement communautaire. Leurs r&#xf4;les secondaires consistaient notamment &#xe0; offrir le traitement sous observation directe&#xa0;(TOD) par vid&#xe9;o virtuels et en personne et &#xe0; soutenir l&#x2019;immunisation contre la COVID-19 et la grippe. Vingt postes de techniciens en maladies transmissibles ont &#xe9;t&#xe9; ouverts dans les &#xe9;quipes de sant&#xe9; publique r&#xe9;gionales en plus de postes suppl&#xe9;mentaires d&#x2019;infirmi&#xe8;re de la sant&#xe9; publique afin de les soutenir dans leur r&#xf4;le. R&#xe9;SULTATS: Une combinaison de m&#xe9;thodes a &#xe9;t&#xe9; utilis&#xe9;e pour &#xe9;valuer l&#x2019;incidence sur la capacit&#xe9; du syst&#xe8;me de sant&#xe9; publique. Le nombre d&#x2019;enqu&#xea;tes de suivi des cas de chlamydia et de gonorrh&#xe9;e est grimp&#xe9; de 35% &#xe0; 98%. Le nombre de contacts suivis par la sant&#xe9; publique a augment&#xe9; dans les cas de chlamydia (114%), de gonorrh&#xe9;e (33%) et de VIH (68%). Le nombre de fournisseurs de soins de sant&#xe9; produisant des rapports sur les cas d&#x2019;ITSS et le traitement a plus que doubl&#xe9; (116%). Aucune diff&#xe9;rence importante de la qualit&#xe9; des donn&#xe9;es des enqu&#xea;tes n&#x2019;a &#xe9;t&#xe9; discern&#xe9;e entre celles des techniciens et celles du personnel infirmier de la sant&#xe9; publique. Des entrevues qualitatives r&#xe9;alis&#xe9;es par du personnel de la sant&#xe9; publique (n&#x2009;=&#x2009;24) ont d&#xe9;montr&#xe9; que les techniciens en maladies transmissibles &#xe9;taient des membres de l&#x2019;&#xe9;quipe tr&#xe8;s flexibles et comp&#xe9;tents qui sont capables de combler les &#xe9;carts et d&#x2019;accro&#xee;tre la capacit&#xe9; en mati&#xe8;re de service &#xe0; la client&#xe8;le direct, de sensibilisation, d&#x2019;administration, de saisie de donn&#xe9;es ou d&#x2019;engagement aupr&#xe8;s de la collectivit&#xe9; et des partenaires. CONS&#xe9;QUENCES: Des mentorats, une surveillance constante, des pr&#xe9;cisions au sujet du r&#xf4;le, de la formation et des normes de pratiques claires sont requis afin d&#x2019;optimiser le r&#xf4;le. Il est possible d&#x2019;accro&#xee;tre cette innovation et de renforcer la capacit&#xe9; de mobilisation dans d&#x2019;autres domaines de pratique de la sant&#xe9; publique et dans d&#x2019;autres instances de sant&#xe9; publique.