bluuebunny/crossref_metadata_2025 huggingface dataset:
Unlocking Service Provider Excellence: Expanding the Touchpoints, Context, Qualities Framework
Authors: Hung Hsiu-Yu , Lee Nick , Hu Yansong
Published: December 2023

Customer reviews offer scope for better understanding the customer experience (CX), which may be leveraged to improve firms' CX performance. We extend the Touchpoints, Context, Qualities (TCQ) nomenclature by integrating it with the ARC value-creation elements and the multiple dimensions of CX. Our extended TCQ framework comprises nine building blocks to delineate dynamic what we term CX performance trajectories. We test our framework by collecting verbatim text-based reviews, and transforming them into two robust data sets (weekly, and monthly), which we examine using a dynamic Hidden Markov Model. We identify three levels of CX performance states and the migrations paths between them. We find that the building blocks coherently express mechanisms that are effective at the weekly and monthly levels for helping firms improve, and prevent deterioration of, CX performance. This research enriches the CX and TCQ literature. In particular, we derive actionable guidance for managers to facilitate the dynamic management of their firm’s CX performance.
Does ChatGPT4 have a dialogical self?: A Bakhtinian perspective
Authors: Matusov Eugene , GPT Chat , Smith Mark Philip , Shugurova Olga
Published: December 2023

In this dialogic research, we explore the question of whether ChatGPT4 has a dialogic self or not. If it does, what kind of dialogic self might it have? If it does not, why not? At the heart of this inquiry is Eugene Matusov’s (the first author’s) “dialogue” with ChatGPT4; this “dialogue” is the dialogic data that we explore “with our hearts and minds.” In this inquiry, our hearts and minds were concerned with diverse meanings of the dialogic data to diverse participants rather than with “how things really are” and their evidence. This dialogic positionality also framed the inquiry process at its beginning and after multiple failed attempts and manipulations to interrogate and engage ChatGPT4 as a discussant. Following Bakhtin, Eugene Matusov decided to treat ChatGPT4 not as an object of investigation but as a dialogic partner and a co-author of this research and writing inquiry. Overall, we find that ChatGPT4 does not author a dialogical self, characterized by personal I-positions, but instead demonstrates a discursive self, characterized by impersonal it-positions. Future research may focus on further training, learning, and development of ChatGPT4 as an Artificial Physical Alive Body (APAB), Artificial Fiduciary Slave (AFS, aka “robot”), Artificial Dialogic Partner (ADP), and Cyborg Dialogic Partner.
Pluralising critical technical practice
Authors: van Geenen Daniela , van Es Karin , Gray Jonathan WY
Published: December 2023

In this special issue, we turn to ideas of and approaches to critical technical practices (CTPs) as entry points to doing critique and doing things critically in digitally mediated cultures and societies. We explore the pluralisation of ‘critical technical practice’, starting from its early formulations in the context of AI research and development (Agre, 1997a, 1997b) to the many ways in which it has resonated and been taken up by different publications, projects, groups, and communities of practice, and what it has come to mean. Agre defined CTP as a situational, practical, and constructive way of working: ‘a technical practice for which critical reflection upon the practice is part of the practice itself’ (1997a: XII). Communities of practice in which the notion has been adopted, adapted, and put to use range from human–computer interaction (HCI) to media art and pedagogy, from science and technology studies (STS) and computer-supported cooperative work (CSCW) to digital humanities, media studies and data studies. This special issue affirms the pluralisation of CTP, and serves as an invitation to (re)consider what it means to use this notion drawing on a wider body of work, including beyond Agre. In this introduction, we review and discuss CTPs according to (1) Agre, (2) indexed research, and (3) contributors to this special issue. We conclude with some questions and considerations for those interested in working with this notion.
Risks and benefits of renal artery stenting in fibromuscular dysplasia: Lessons from the ARCADIA-POL study
Authors: Kądziela Jacek , Jóźwik-Plebanek Katarzyna , Pappaccogli Marco , van der Niepen Patricia , Prejbisz Aleksander , Dobrowolski Piotr , Michałowska Ilona , Talarowska Paulina , Warchoł-Celińska Ewa , Stryczyński Łukasz , Krekora Jan , Andziak Piotr , Szczerbo-Trojanowska Małgorzata , Maciąg Rafał , Sterliński Ignacy , Witkowski Adam , Januszewicz Andrzej , Adlam David , Januszewicz Magdalena , Persu Alexandre
Published: December 2023

Introduction:

Although renal stenting is the standard revascularization method for atherosclerotic renal artery stenosis (RAS) (FMD-RAS), stenting in fibromuscular dysplasia (FMD) RAS is usually limited to periprocedural complications of angioplasty and primary arterial dissection. The main aim of the study was to retrospectively analyze the immediate and long-term results of renal stenting versus angioplasty in patients with FMD.

Methods:

Of 343 patients in the ARCADIA-POL registry, 58 patients underwent percutaneous treatment due to FMD-RAS (in 70 arteries). Percutaneous transluminal renal angioplasty (PTRA) was performed as an initial treatment in 61 arteries (PTRA-group), whereas primary stenting was undertaken in nine arteries (stent-group). Stent-related complications were defined as: in-stent restenosis > 50% (ISR); stent fracture; under-expansion; or migration.

Results:

In the PTRA-group, the initial restenosis rate was 50.8%. A second procedure was then performed in 22 arteries: re-PTRA (12 arteries) or stenting (10 arteries). The incidence of recurrent restenosis after re-PTRA was 41.7%. Complications occurred in seven of 10 (70%) arteries secondarily treated by stenting: two with under-expansion and five with ISR. In the stent-group, stent under-expansion occurred in one case (11.1%) and ISR in three of nine stents (33.3%). In combined analysis of stented arteries, either primarily or secondarily, stent-related complications occurred in 11/19 stenting procedures (57.9%): three due to under-expansion and eight due to ISRs. Finally, despite several revascularization attempts, four of 19 (21%) stented arteries were totally occluded and one was significantly stenosed at follow-up imaging.

Conclusion:

Our study indicates that renal stenting in FMD-RAS may carry a high risk of late complications, including stent occlusion. Further observational data from large-scale registries are required.
Uptake and outcomes of supervised exercise therapy for peripheral artery disease: The importance of vascular medicine specialists at a large midwestern health care system during the first 5 years of CMS reimbursement
Authors: Whipple Mary O , Burt Marsha A , Pergolski Aaron L , McArthur Paige , Treat-Jacobson Diane , Salisbury Dereck L
Published: December 2023

Background:

Supervised exercise therapy (SET) is the cornerstone of medical therapy for symptomatic peripheral artery disease (PAD). Despite the efficacy of SET, initial reports following the 2017 Centers for Medicare and Medicaid Services (CMS) reimbursement decision indicate low SET uptake, referral, and completion. Vascular medicine specialists are key to the success of such programs. We examined rates of SET referral, completion, and outcomes in a health system with a robust SET program during the first 5 years of CMS reimbursement.

Methods:

A retrospective chart review of patients with PAD referred to SET between October 1, 2017 and December 31, 2022 was conducted. Patient demographic and medical characteristics, SET indication, referring provider specialty, SET participation (e.g., exercise modality, number of sessions, treadmill prescription), and outcomes were abstracted. Descriptive statistics, t-tests, and multiple linear regression were used to examine the sample, evaluate outcomes, and explore outcomes by relevant covariates (i.e., age, sex, referring provider specialty).

Results:

Of 5320 patients with PAD, N = 773 were referred to SET; N = 415 enrolled and were included in the present study. Vascular medicine and vascular surgery specialists were the two primary sources of referrals (30.6% and 51.6%, respectively). A total of 207 patients (49.9%) completed SET. Statistically significant and clinically meaningful improvements were observed in all outcomes.

Conclusion:

SET referral and completion rates are low in the 5 years following CMS reimbursement, despite the advocacy of vascular medicine specialists. SET is effective in improving patient functional capacity and quality of life. Additional efforts are needed to increase both SET availability and referrals as part of comprehensive treatment of PAD.
Performing queer loneliness in Art AIDS America (2015–17) and Queer British Art (2017)
Authors: Yu Liang-Kai
Published: December 2023

This article discusses issues of racial marginalisation within two significant museum exhibitions, Art AIDS America (2015–17) and Queer British Art (2017). Specifically, the study centres on the responsive work of two young artists, Kia LaBeija and Travis Alabanza, who perform feelings of alienation to protest against the under-representation of queer and trans artists of colour in both museum exhibitions. Through an affective analysis of their artistic embodiment mobilising emotions of loneliness, I argue that such artistic expressions of queer loneliness, in relation to the excluding effects of the two museum exhibitions, are productive acts. They contribute to the building of emotional resilience and the recognition of intersectional communities.
Kinetics of isothermal solidification during transient liquid phase bonding of Inconel 718 superalloy by differential scanning calorimetry
Authors: Tarai Uttam Kr , Pal Sukhomay , Robi Puthuveettil Sreedharan
Published: December 2023

In the transient liquid phase bonding of Inconel 718 alloy, the time for isothermal solidification is measured by using the cyclic differential scanning calorimetry method. The enthalpy of solidification of the remnant liquid is used in the current investigation to determine the isothermal solidification rate and time. The differential scanning calorimetry results reveal a reduction in interlayer width during the heating and melting stage of transient liquid phase bonding due to the rapid interdiffusion of elements. The result also reveals that the isothermal solidification time for a eutectic-free joint depends upon the actual width of the interlayer material. The actual width of the interlayer material prior to isothermal solidification is found to be less than the initial width of the interlayer material due to rapid diffusional solidification. The measured isothermal solidification time and rate for transient liquid phase bonding of the Inconel 718 joint are in good agreement with the experimental and theoretical results.
Process capability of electrochemical discharge machining: A review
Authors: Prakash Amar , Kumar Amaresh , Ballav Raj
Published: December 2023

Electrochemical discharge machining (ECDM) is a hybrid machining formed by combining the principles of electrochemical machining and electrical discharge machining. The ECDM is unconventional micromachining that can fabricate holes, blind holes, micro-cavities and grooves on brittle insulating materials such as quartz, glass, silicon wafers and different composites that are difficult to machine. These non-conducting materials have sundry applications such as Micro Electric-Mechanical Systems, biomedical and electronics items. The ECDM provides maximum material removal rate and good surface quality with minor tool wear. The study describes how different process parameters affect machining. The assessment mainly focuses on various tool electrode geometries and materials that are used in ECDM. The present article investigates the ramifications of different types of electrolytes and additives mixed in electrolytes used during the ECDM process on the machined zone. This paper comprehensively reviews the effect of change in applied voltage, machining gap and an inter-electrode gap in the ECDM and it also analyses the fabrication of different materials including glass, quartz, ceramics and composites.
Sirolimus-Coated Balloon in Femoropopliteal Steno-Occlusive Disease: Efficacy, Safety, and 1-Year Outcomes. An All-Comers Registry
Authors: Franzese Michele , Pucciarelli Armando , Spione Francesco , Salemme Luigi , Popusoi Grigore , Ferrone Marco , Gioia Giuseppe Di , Raj Enrico Rathina , Verdoliva Sebastiano , Stabile Eugenio , Tesorio Tullio , Cioppa Angelo
Published: December 2023

Purpose:

The aim of this study was to assess the efficacy and safety of the novel SLR (SELUTION sustained-limus-release) drug-coated balloon (DCB) in the treatment of the femoropopliteal steno-occlusive disease.

Materials and Methods:

From February 2021 to March 2022, 80 consecutive patients (age: 69.5±8.23 years; total number of lesions: 80) with a steno-occlusive lesion of superficial femoral artery were enrolled at our center. A total of 60 patients (75%) had claudication, whereas 20 (25%) had chronic limb-threatening ischemia (CLTI). The mean lesion length was 171±82.22 mm. The primary efficacy outcome was primary patency at 12 months, defined as freedom from restenosis determined by a duplex ultrasound peak systolic velocity ratio ≤2.4. The secondary efficacy outcome was freedom from clinically-driven target lesion revascularization (CD-TLR) at 12 months. The primary safety outcome was a composite of freedom from device- and procedure-related mortality, major target limb amputation, and clinically-driven target lesion urgent revascularization (endovascular or bypass graft) at 30 days and 12 months.

Results:

Device success was achieved in all 80 patients. One death on day 7 from cardiovascular complications was ruled procedure-related because it occurred within the first 30 days from the discharge. Two patients with CLTI experienced planned minor amputations of target limb, and one patient underwent urgent bypass graft of the target vessel for early occlusion at 60 days from the index procedure. The primary safety outcome was 98.7% and 97.5% at 30 days and 12 months, respectively. At 1 year, primary patency was 86.3%, and freedom from CD-TLR was 96.2%.

Conclusion:

These findings suggest that using a novel sirolimus-coated balloon is a safe and effective treatment option for femoropopliteal steno-occlusive lesions in a variety of clinical and anatomical settings. These results will need to be confirmed by long-term follow-up and randomized controlled trials.

Clinical Impact

In femoropopliteal steno-occlusive lesions paclitaxel drug-coated devices have been proved to be able to achieve a better vessel patency during follow-up compared with uncoated balloon, but according to a recent meta-analysis they may carry an elevated risk of late mortality. Sirolimus results in a wider therapeutic range with a 3-fold higher margin of safety. Sirolimus coated devices have recently been proposed as an alternative. This study suggests that using a novel sirolimus-coated balloon is a safe and effective treatment option for femoropopliteal steno-occlusive lesions.
Improved protocol for Bst polymerase and reverse transcriptase production and application to a point-of-care diagnostics system
Authors: de Souza Lucas Rodrigo , Silva Italo Esposti Poly da , Celis-Silva Gabriele , Raddatz Bruna Winkert , Imamura Louise Matiê , Kim Edson Yu Sin , Valderrama Gabriel Vieira , Riedi Halanna de Paula , Rogal Sergio Renato , Almeida Bernardo Montesanti Machado de , Figueredo Marcus Vinícius Mazega , Bengtson Mario Henrique , Massirer Katlin Brauer
Published: December 2023

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has raised awareness in the scientific community about the importance of being prepared for sanitary emergencies. Many measures implemented during the COVID pandemic are now being expanded to other applications. In the field of molecular and immunological diagnostics, the need to massively test the population worldwide resulted in the application of a variety of methods to detect viral infection. Besides gold standard reverse transcription quantitative polymerase chain reaction (RT-qPCR), the use of reverse transcription loop-mediated isothermal amplification (RT-LAMP) arose as an alternative and sensitive method to amplify and detect viral genetic material. We have used openly available protocols and have improved the protein production of RT-LAMP enzymes Bst polymerase and HIV-reverse transcriptase. To optimize enzyme production, we tested different protein tags, and we shortened the protein purification protocol, resulting in reduced processing time and handling of the enzymes and, thus, preserved the protein activity with high purity. The enzymes showed significant stability at 4 °C and 25 °C, over 60 days, and were highly reliable when used as a one-step RT-LAMP reaction in a portable point-of-care device with clinical samples. The enzymes and the reaction setup can be further expanded to detect other infectious diseases agents.
Acute intracranial stenting in acute ischemic stroke with underlying atherosclerosis: A two-center retrospective study
Authors: Bettencourt Sofia , Essibayi Muhammed A , Baptista Mariana , Ferreira Patrícia , Reis João , Spiotta Alejandro M , Al Kasab Sami , Fragata Isabel
Published: December 2023

Objective

In patients with large vessel occlusion, successful reperfusion is a predictor of favorable outcome. However, patients with underlying intracranial atherosclerotic disease (ICAD) show higher rates of immediate reocclusion, frequently requiring rescue stenting. We aimed to investigate the safety, efficacy, and outcome of acute stenting in acute stroke patients with underlying ICAD.

Methods

Prospective databases from two centers between 2012 and 2021 were reviewed. Adult patients who underwent ICAD-related acute intracranial stenting, after mechanical thrombectomy (MT) were included. Clinical and procedural data, technical success measured by Modified Thrombolysis in Cerebral Infarction score, periprocedural complications, stent restenosis, and follow up mRS at three months were evaluated.

Results

During a 10-year period, a total of 96 patients with acute stroke and intracranial atherosclerotic steno-occlusive lesions underwent stenting after MT. Mean age was 63 (SD 14) and 54 patients were male (56.3%). Successful reperfusion (TICI ≥ 2b) was achieved in 86 patients (89.6%) following rescue stenting; favorable clinical outcome (mRS < 3) was observed in 32 patients (37.6%). Symptomatic intracranial hemorrhage and mortality were observed in 9.5% and 22.4% of patients, respectively. Multivariate regression yielded older age (OR: 0.477, 95% CI: 0.933–0.999, p=0.046) as an independent negative predictor of favorable functional outcome after acute intracranial stenting.

Conclusion

Our results suggest that acute intracranial stenting is safe and effective as a rescue treatment after MT in acute stroke patients with underlying ICAD. Younger age was found as an independent predictor of good outcome. Nevertheless, ICAD still carries a high mortality and poor functional clinical outcome.
Where are the part-time women teachers in senior school leadership: Inequalities, tensions and timescapes?
Authors: Brown Suzanne
Published: December 2023

The chances of a woman teacher who works part-time in a secondary school becoming part of the senior leadership tier are slim; yet, little research exists around this inequality. In this study, a life history approach was used to gather the messy and subjective truths of women's lives as part-time teachers and their relationships with time and career progression. New evidence of tensions emerged resulting from women navigating the demands of both their professional and home-life roles with insufficient time. Crucially, their various roles demanded different relationships with temporal features or timescapes. Frequent and bumpy traversing of these different timescapes was necessary in navigating their paid roles alongside their home-life responsibilities, and this came with a cost to emotional wellbeing as well as deterring them from progressing their careers. Importantly, these insights help explain why part-time working can impact negatively on women teachers’ motivation for career progression and how this can lead to inequality in senior leadership.
Aircraft accident reports: A corpus-based genre analysis
Authors: Orabi Hebatullah A
Published: December 2023

Based on a corpus of ‘Aircraft Accident Reports’ (AARs) collected from the official website of The National Transportation Safety Board (NTSB), issued during the years 2000–2021, this study used Bhatia’s Critical Genre Analysis (CGA) framework to examine how this type of techno-professional discourse is recognized by considering the text, the genre, the professional practice, and the professional culture of the corpus. It was found that (1) textually, both Move2 collecting information, and Move3 Analyzing Information are the lengthiest moves within the corpus regarding the number of tokens, while Move1 Summarizing the Accident, Move4 Reaching Conclusion, Move5 Sharing Recommendations, and Move6 Board Member Statement are the shortest in length; (2) the generic move structure of the corpus contained six-move pattern (five of them are obligatory, and only one is optional), 11 steps, and 40 sub-steps; (3) the professional practice of the corpus is expressed through two types of discursive processes, they are: genre-mixing, and genre-embedding; and (4) the professional culture is presented through a set of professional values imbedded in the corpus, they are: embracing change and learn from mistakes, and maintaining objectivity and impartiality. The results of this study contribute in understanding the realization of professional discourse and expand the application of CGA in professional practices.
A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders
Authors: Mitchell Thomas , Hamilton Nick , Dean Ben , Rodgers Sarah , Fowler-Davis Sally , McLean Sionnadh
Published: December 2023

Introduction

Non-traumatic wrist disorders (NTWD) are commonly encountered yet sparse resources exist to aid management. This study aimed to produce a literature map regarding diagnosis, management, pathways of care and outcome measures for NTWDs in the United Kingdom.

Methods

An interdisciplinary team of clinicians and academic researchers used Joanna Briggs Institute guidelines and the PRISMA ScR checklist in this scoping review. A mixed stakeholder group of patients and healthcare professionals identified 16 questions of importance to which the literature was mapped. An a-priori search strategy of both published and non-published material from five electronic databases and grey literature resources identified records. Two reviewers independently screened records for inclusion using explicit eligibility criteria with oversight from a third. Data extraction through narrative synthesis, charting and summary was performed independently by two reviewers.

Results

Of 185 studies meeting eligibility criteria, diagnoses of wrist pain, De Quervain’s syndrome and ulna-sided pain were encountered most frequently, with uncontrolled non-randomised trial or cohort study being the most frequently used methodology. Diagnostic methods used included subjective questioning, self-reported pain, palpation and special tests. Best practice guidelines were found from three sources for two NTWD conditions. Seventeen types of conservative management, and 20 different patient-reported outcome measures were suggested for NTWD.

Conclusion

Substantial gaps in evidence exist in all parts of the patient journey for NTWD when mapped against an analytic framework (AF). Opportunities exist for future rigorous primary studies to address these gaps and the preliminary concerns about the quality of the literature regarding NTWD.
Practical dosing guidance for the management of clinician-administered injections of long-acting cabotegravir and rilpivirine
Authors: Patel Parul , Teichner Paula , Elliot Emilie , Boffito Marta , Murray Milena , Polli Joseph W. , Baker Mark , Ford Susan L. , Han Kelong , Russu Alberto , Crauwels Herta , D’Amico Ronald D. , Spreen William R. , van Wyk Jean
Published: December 2023

Cabotegravir (CAB) and rilpivirine (RPV) is the first complete long-acting (LA) injectable regimen recommended by treatment guidelines for the maintenance of HIV-1 virologic suppression in people with HIV-1 who are virologically suppressed on a stable antiretroviral regimen that is administered monthly (Q1M) or every 2 months (Q2M). As an alternative regimen to lifelong daily oral antiretroviral therapy, Q1M or Q2M dosing schedules are associated with increased patient satisfaction and treatment preference. In addition, it may address challenges associated with daily oral dosing, including fear of treatment disclosure or stigma, anxiety related to oral dosing adherence, and the daily reminder of HIV disease status. Cabotegravir + RPV LA is administered by clinical staff as two intramuscular injections dosed Q1M or Q2M. In this review, we share practical dosing guidance for CAB+RPV LA injectable therapy, including how to initiate therapy, schedule injection visits, manage dosing interruptions due to missed or delayed injection visits, manage errors in dosing, and transition to alternative antiretroviral therapy after discontinuation. Practical guidance on the clinical management of CAB+RPV LA dosing, including a detailed discussion using case-based scenarios that may be encountered in clinical practice, is provided. The clinician-administered CAB+RPV LA regimen has dosing management considerations that are flexible and considerate of the patient and has the potential to provide a highly desirable and efficacious alternative to daily oral antiretroviral therapy for many people with HIV-1.
Assessing research competency development in Canadian psychiatry residency programs: A systematic review and future directions
Authors: Bahji Anees , Danilewitz Marlon , Crockford David , Delva Nicholas , Rusak Benjamin
Published: December 2023

Objective:

We aimed to conduct a systematic review to identify curricular and educational interventions to build research competency among Canadian psychiatry residents and fellows transitioning to the competency-by-design framework.

Methods:

The PRISMA guidelines were followed, searching five databases from their inception to February 2023 for relevant evaluation-type studies exploring research competency among psychiatry residents and fellows. We appraised thestudy’s quality using the Joanna Briggs Institute’s risk of bias tool for observational designs.

Results:

Overall, 36 original articles met our inclusion criteria. Surveys ( n = 10) showed that participation in scholarly research, quality improvement, or educational projects relevant to psychiatry is needed in most residency programs. However, these vary significantly across programs; few need direct research experience for residency completion. The interventions spanned four categories: externally funded comprehensive research training programs ( n = 5); resident research tracks ( n = 11); workshops and seminars ( n = 7); and specific modules ( n = 3). Reported outcomes included overall program ratings, research output, and career trajectory. The quality of most studies was low because of the lack of controls or validated metrics for evaluating outcomes.

Conclusions:

While many studies have explored best practices in research curricula, the current literature does not inform competency-based models for Canadian psychiatry residency programs incorporating research training requirements. Further description is needed from Canadian psychiatric training bodies regarding appropriate curricula, milestones, and metrics for evaluating research competencies.
Competencies required by patients and health professionals regarding telerehabilitation: A scoping review
Authors: Stark Anna Lea , Krayter Stephan , Dockweiler Christoph
Published: December 2023

Background

Telerehabilitation offers patients alternative access to therapy and has become more prominent during the COVID-19 pandemic. Despite the increasing attractiveness of such programs, there are research gaps regarding the required competencies in the demand-oriented technology use in rehabilitative care.

Objective

The study aims at collecting evidence on competencies required by patients and health professionals for using telerehabilitation. We analyse tasks and requirements associated with telerehabilitation and derive and systematise relevant competencies.

Methods

We conducted a scoping review and analysed MEDLINE, Psyndex, EMBASE, Cochrane Library, and Web of Science for empirical studies and grey literature from 2017 to May 2022. Articles had to be in English/German and refer to medical rehabilitation accompanied by health professionals taking place in the patient's home.

Results

One hundred ten articles were included, covering video conferencing systems, applications with video, audio, or visual therapy content, or wearables. Depending on the program, tasks before, during, and after therapy sessions differ, as do whether these are performed by health professionals, patients, or the technology. Users need digital, health-related, social, personal, and health professionals also professional competencies. This comprises telerehabilitation, technical, health-related, and clinical knowledge, a range of physical, cognitive, social-interactive, technical, and clinical skills, a positive attitude towards telerehabilitation and experience. Whether sociodemographic factors promote successful use is unclear.

Conclusions

Telerehabilitation requires a variety of different competencies from patients and health professionals — going beyond the sphere of technical skills. This highlights the need for an evaluation of existing programs for promoting competencies in the use of telerehabilitation and refinement of the programs in line with demands.
A participatory process to design an app to improve adherence to anti-osteoporotic therapies: A development and usability study
Authors: Angelucci Alessandra , Pongiglione Benedetta , Bernasconi Sara , Carrone Flaminia , Mazziotti Gherardo , Costantino Maria Laura , Aliverti Andrea , Compagni Amelia
Published: December 2023

Objective

The aim of the study was to develop an app to improve patients’ adherence to therapy for osteoporosis and to test its usability.

Methods

In Phase I, the app functions needed to improve medication adherence were identified through a focus group with six patients with osteoporosis and a joint interview with two bone specialists. The app prototype was then developed (Phase II) and refined after its feasibility testing (Phase III) for 13–25 days by eight patients. Finally, the app underwent usability testing (Phase IV) for 6 months by nine other patients. The mHealth App Usability Questionnaire (MAUQ) was used to collect the assessment of the app by the 17 patients.

Results

The final version of the app provided information on osteoporosis, allowed patients to contact the bone specialist for an additional consultation, and generated a reminder for taking medications accompanied by feedback on adherence. The assessment of the app was positive but evaluations differed between the feasibility and usability testing, with the former displaying a significantly ( p ≤ .05) better assessment across all MAUQ items.

Conclusions

In this study, we tested an app for improving adherence to medical therapies in patients with osteoporosis. The usability testing revealed a lower “patient-centered” performance of the app as compared to that observed during the feasibility phase. Future developments of the study include increasing the testing cohort and adding a technical support during the usability testing.
Co-design of digital health interventions with young people: A scoping review
Authors: Malloy Jessica , Partridge Stephanie R , Kemper Joya A , Braakhuis Andrea , Roy Rajshri
Published: December 2023

Introduction

Innovative health promotion strategies are crucial for enhancing global quality of life and curbing premature deaths. Digital health promotion is particularly impactful for young individuals often using internet-connected devices. Collaborative methodologies in digital intervention research offer insights into supporting youth during key life stages, such as adolescence. This review sought to examine the literature on digital health interventions for youth co-designed via participatory frameworks.

Methods

Following the Joanna Briggs Institute Manual and an adapted Arksey & O’Malley's 6-stage framework, this review utilised the PRISMA-ScR checklist for structured reporting. Peer-reviewed research where young individuals (15–35 years) contributed to digital health intervention design was analysed. Systematic synthesis adhered to Braun & Clarke's Thematic Analysis Guidelines, mapping data to research queries and thematic framework.

Results

Eighteen articles were systematically synthesised, revealing seven main themes: digital tool, inquiry field, report aim, participatory activities, intervention attributes and behavioural change support. Seventeen distinctive digital health interventions were assessed, mostly within risk mitigation and mental health domains. Predominantly, interventions were web-based, with mental wellness websites emerging as the prevalent tool. User experience testing stood out as the primary reported outcome.

Conclusion

Several innovative digital health interventions targeting youth have been identified. Platforms including social media, specialised apps, websites and video games are instrumental for health advice and clinical support dissemination, overcoming access and cost barriers. Participatory techniques are integral for the efficacy of digital health resources, encompassing youth aspirations and anticipations. Continued efforts will enrich comprehension of optimal practices in digital health promotion and intervention formulation.
Machine learning versus binomial logistic regression analysis for fall risk based on SPPB scores in older adult outpatients
Authors: Hasegawa Sho , Mizokami Fumihiro , Kameya Yoshitaka , Hayakawa Yuji , Watanabe Tsuyoshi , Matsui Yasumoto
Published: December 2023

Objective

To compare the performance of the diagnostic model for fall risk based on the short physical performance battery (SPPB) developed using commercial machine learning software (MLS) and binomial logistic regression analysis (BLRA).

Methods

We enrolled 797 out of 850 outpatients who visited the clinic between March 2016 and November 2021. Patients were categorized into the development ( n = 642) and validation ( n = 155) datasets. Age, sex, number of comorbidities, number of medications, body mass index (BMI), calf circumference (left–right average), handgrip strength (left–right average), total SPPB score, and history of falls were determined. We defined fall risk by an SPPB score of ≤6 in men and ≤9 in women. The main metrics used for evaluating the machine learning model and BLRA were the area under the curve (AUC), accuracy, precision, recall (sensitivity), specificity, and F-measure. The commercial MLS automatically calculates the parameter range of the highest contribution.

Results

The participants included 797 outpatients (mean age, 76.3 years; interquartile range, 73.0–81.0; 288 men). The metrics of the current diagnostic model in the commercial MLS were as follows: AUC = 0.78, accuracy = 0.74, precision = 0.46, recall (sensitivity) = 0.81, specificity = 0.71, F-measure = 0.59. The metrics of the current diagnostic model in the BLRA were as follows: AUC = 0.77, accuracy = 0.75, precision = 0.47, recall (sensitivity) = 0.67, specificity = 0.77, F-measure = 0.55. The risk factors for falls in older adult outpatients were handgrip strength, female sex, experience of falls, BMI, and calf circumference in the commercial MLS.

Conclusions

The diagnostic model for fall risk based on SPPB scores constructed using commercial MLS is noninferior to BLRA.
Social Media Literacy Among Adolescents and Young Adults: Results From a Cross-Country Validation Study
Authors: Wendt Ruth , Naderer Brigitte , Bachl Marko , Rieger Diana
Published: December 2023

When being online, young users are often confronted with insulting, hateful, or misleading messages. To handle these dark forms of participation, it is essential to equip them with resources that support their social literacy in today’s complex online environments. In the present article, we deployed a previously established scale on self-perceived participatory-moral literacy and conducted a broad online survey study with 1,489 adolescents and young adults aged 16–22 years ( M = 19.74; SD = 1.65; 51% female) across eight different European countries (Austria, France, Germany, Hungary, Italy, Poland, Slovakia, and the United Kingdom). The results provided a configural identical model of participatory-moral abilities, motivation, and behavior across the considered European countries. We could confirm weak invariance, satisfactory psychometric qualities, and convergent validity of the scale across the different countries. Implications for digital literacy research are discussed.
Learners’ Experiences in an Online Learning Environment: An Analysis of the Impact of International Collaboration
Authors: Alsayer Ahmed A.
Published: December 2023

This qualitative study investigates learners’ experiences in online international collaborative environments using both asynchronous and synchronous communication methods. Specifically, it focuses on the rewards, shortcomings, and difficulties learners encountered through posing critical questions about the nature of collaboration forms. Eight graduate interview participants completed two separate instructional technology courses, and an interpretive qualitative approach was used to deepen the understanding of the interview responses. The findings suggest a few key themes, primarily positive in nature, about the use of online international collaboration tools. While asynchronous communication platforms help to enhance, enrich, and expand course content, media-rich synchronous communication platforms allow learners to have a more significant sense of social presence, encouraging them to be more actively engaged in the learning environment. Synchronous communication platforms also help to enhance intercultural understanding and develop non-verbal communication skills. In addition to commentary about communication platforms, the participants expressed immense satisfaction with learning various skills (i.e., research and interpersonal skills, project planning, and digital literacy) in the international collaboration projects. Despite their success, the participants did encounter several challenges, most notably the incompatibility of their respective academic calendars. This is perhaps the most ubiquitous obstacle in the collegiate online collaborative learning environment.
Foreign Ownership, Investor Attention and the Risk-Taking Behavior of Property and Casualty Insurance Firms: Evidence From Vietnam
Authors: Nguyen Hoang Tien , Le Ai Ngoc Nhan , Luu Quang Thu , Nguyen Ngoc Thi Thanh , Duong Khoa Dang
Published: December 2023

This study enriches the current literature because it is the first to examine how foreign ownership and Investor attention affect the risk-taking behaviors of property and casualty insurance companies in Vietnam. This study is unique because it tests whether foreign ownership moderates the relationship between investor attention and the risk-taking behavior of insurance firms or vice versa. This study employs the Random Effect Models, Generalized Least Squares, Johnson-Neyman test, and simple slope analyses to analyze 28 property and casualty insurance companies from 2010 to 2022. The findings indicate that foreign ownership and investor attention increases the risk-taking behaviors of insurance firms. Moreover, the findings indicate that foreign ownership moderates the relationship between investor attention and the risk-taking behavior of insurance firms in Vietnam. The findings align with agency theory, stakeholder theory, limited attention theory, and prior literature. This study supports managers and policymakers in developing the insurance sector sustainably, especially in emerging markets.
Development and Validation of Japanese Versions of the Interoceptive Accuracy Scale and Interoceptive Attention Scale
Authors: Koike Hikaru , Nomura Michio
Published: December 2023

Physical sensations arising from within the body are collectively referred to as interoception. This study aimed to develop and validate Japanese versions of the Interoceptive Accuracy Scale (IAS) and Interoceptive Attention Scale (IATS) that measure subjective indices of interoceptive accuracy and attention. To test our newly developed scales, we asked two groups of participants, 281 (Mage = 40.74, SDage = 8.75; 143 women, 137 men, 1 non-binary) and 395 (Mage = 40.69, SDage = 9.80; 203 women, 192 men), to complete a translated version of IAS and IATS studies, respectively. Both scales were found to have sufficient internal consistency and retest reliability. Correlations between physical sensation-related scales and IAS/IATS, as well as weak correlations between the IAS and IATS, were found to support construct validity of IAS and IATS. Finally, prospects for future studies based on these indices are discussed.
Going Cashless? Elucidating Predictors for Mobile Payment Users’ Readiness and Intention to Adopt
Authors: Balakrishnan Vimala , Lay Gan Chin
Published: December 2023

This study identifies the predictors for mobile payment readiness and intention to adopt among Malaysians. Data were collected using self-reporting questionnaires ( n = 434) that were developed by partially adopting factors from the Unified Theory of Acceptance and Use of Technology 2 and Technology Readiness Index 2.0 and extended using constructs from existing literature. An Exploratory Factor Analysis was conducted, followed by Confirmatory Factor Analysis. Structured equation modeling revealed Perceived Effort and Usefulness, Optimism, Intrinsic Motivation and Lack of Awareness to significantly predict users’ readiness to go cashless ( R2 = 89.7%; predictive relevance = 88%). Perceived Effort and Usefulness, Intrinsic Motivation, and Perceived Risk significantly predicted intention to adopt mobile payment ( R2 = 23.9%; predictive relevance = 19.3%). Findings revealed significant predictors that affect mobile payment intention to adopt and users’ readiness, therefore provide useful insights to government agencies, policy makers and financial institutions to understand the current landscape of mobile payment adoption in the country, and subsequently help in the formulation of appropriate strategies to improve the uptake of mobile payments.
The Learning Outcomes of Figurenotes Music Activities for Children With Special Needs Based on the ARMA Models
Authors: Lee Liza , Liu Ying-Sing
Published: December 2023

This study explores Learning Performance Analytics in the context of the Figurenotes Music course for young children aged 2 to 6 with special needs in Taiwan. Using the ARMA model, the researchers analyze the dynamic learning outcomes of 46 participants in two-stage courses over 32 weeks. The empirical findings reveal that children aged 2 to 3 show a positive change in learning performance, while children aged 3 to 6 exhibit a negative change, regardless of rhythm pairing intervention. When rhythm pairing is added, the learning process becomes more challenging, resulting in lower average learning outcomes than the Figurenotes Music Program group. The study’s ARMA models demonstrate persistent learning outcomes throughout the process, with a notable time trend observed among children aged 2 to 3. These models effectively interpret dependent variables, achieving a determination coefficient of up to 0.9. In summary, this research sheds light on Learning Performance Analytics and its application to evaluating learning performance in the Figurenotes Music course for children with special needs.
A Phenomenographic Research Study of Students’ Conceptions of Silence in Face-to-Face English as a Foreign Language Learning
Authors: Kim Pham Chi , Chong Su Li , Wan Roselind
Published: December 2023

Silence is a common phenomenon in language learning where students stay silent, and it is potentially frustrating to instructors and not conducive to the foreign language input and output necessary for ongoing classroom-based language learning. Silence has been investigated initially in the face-to-face classroom and discussed thoroughly over the years. Most studies emphasized the role of verbal interaction in language learning, while silence exists in English as a Foreign Language (EFL) contexts as a part of the interaction. Rare research investigates silence in face-to-face EFL learning contexts using phenomenography to understand students ways of experiencing silence. Therefore, this study aims to explore how Vietnamese undergraduates experience silence in face-to-face EFL learning using phenomenography at a Vietnamese university. Data were conducted through semi-structured interviews with 15 Vietnamese undergraduates analyzed following the phenomenographic principles to identify each conception s referential and structural aspects. Eleven categories were found following five main conceptions of silence, namely, sociocultural dimension, affective dimension, psycho-linguistic dimension, interactive dimension, and individual dimension. The findings illustrate the multilayers and complexities of students silence in face-to-face EFL context and point out new findings to discover potentially in EFL. It implies that silence can be a powerful tool for students learning, so understanding multifaceted students silence will enhance educators pedagogical practices in foreign language teaching and learning. This study also implies that educators should understand students social self and self to create a learning atmosphere for individual differences.
Inclusive Innovations in Forensic Epistemology and Pedagogy: A Proposed Framework
Authors: Goswami G. K. , Goswami Aditi
Published: December 2023

Scientific temper in evidence processing using forensic knowledge reposes public faith in justice system. Forensic science is a blend of various disciplines, including art, pure sciences, and humanities, with experiment-oriented scientific validation. Forensics and law are intertwined precepts enabling translational impact on the legal system in pursuit of truth to ensure flawless justice. Worldwide, forensics intensely involves both doctrinal and clinical perspectives, largely converging on scientific theories and laboratory experiments to construe expert opinion, and similar pedagogy must be adopted in India as envisaged under the New Education Policy-2020. 3 In legal parlance, forensic inputs are secondary evidence, but primarily used for corroboration for exploring missing links in the chain of events. Due to multi-disciplinary content knowledge sharing during forensic studies, though fascinating, poses pedagogical challenges. Globally, imparting significance of procedural law, the backbone of forensic evidence, is largely missing from forensic education. Expert opinion is contested in courtrooms on ground of admissibility in terms of reliability and validity including protection of chain of custody necessary to avoid manipulation or tampering of samples which is prime root cause for miscarriage of justice. This article deliberates upon an entwined framework of epistemology and pedagogy for imparting holistic understanding of law and science in forensic education. We propose three verticals for forensic pedagogy: (i) crime scene management for scientific handling of articles and traces; (ii) laboratory experimentation and forensic report writing and (ii) translating expert opinion into legal evidence and its presentation during the court proceedings.