bluuebunny/crossref_metadata_2025 huggingface dataset:
Acquiring Resourcefulness Skills: Formal Versus Informal Training
Authors: Zauszniewski Jaclene A. , Burant Christopher J. , Juratovac Evanne , Jeanblanc Alexandra , Sweetko John S. , Larsen Catherine , Almutairi Rayhanah , She Hang Ying , DiFranco Evelina , Colon-Zimmerman Kari , Sajatovic Martha
Published: November 2024

Background:

Although resourcefulness has been successfully taught during formal training programs, it can also be acquired informally through life experiences. Family caregivers have many opportunities for learning to be resourceful on their own and those who participate in research may acquire knowledge or skills that increase their resourcefulness. The effects of such differential experiences on the resourcefulness of family caregivers have not been examined over time.

Objective:

This study compared changes in resourcefulness over time in caregivers who received no intervention, an educational program, biofeedback, or Resourcefulness Training©.

Methods:

This longitudinal analysis of data from a randomized controlled trial involved 219 caregivers of persons with bipolar disorder who completed the Resourcefulness Scale© before no intervention, an educational program, biofeedback, or Resourcefulness Training, and at 6 and 12 months afterward. Differences across the groups were examined using RMANOVA. Patterns of mean scores including differences and linear trends in resourcefulness for the four groups were examined.

Results:

Overall, caregivers increased linearly in resourcefulness over time [ F(1,215) = 4.836, P = .015]. Although each group showed improvement in resourcefulness, caregivers who received Resourcefulness Training showed the greatest improvement from baseline (estimated mean = 88.244, SE = 2.734) at both 6 months (estimated mean = 92.610, SE = 2.813, P = .026) and 12 months post-intervention (estimated mean = 95.049, SE = 2.752, P = .003).

Conclusions:

Consistent with resourcefulness theory, the findings showed caregivers of persons with bipolar disorder became more resourceful over time with or without formal training. However, those who received Resourcefulness Training demonstrated resourcefulness skills sooner and to a greater extent, thereby providing the rationale for formal Resourcefulness Training programs.
Teaching social skills that enable learning and healthy relationships of high achieving students
Authors: Elliott Stephen N. , Anthony Christopher J. , Murthy Harshini
Published: November 2024

Social skills are critical behaviors that enable students to effectively navigate their social lives. Further, social skills function as protective factors against emotional behavior concerns and enable strong academic growth. Social skills can be developed and improved via programs implemented in schools. Students identified as gifted have long faced stereotypes as “nerds” or “geeks” with strong academic but weak social skills. Yet, there are few studies investigating the social skills of these students. Thus, we explicated the definition of social skills, their importance, and instructional approaches supported by research. Further, we utilized a national sample of students who provided self-ratings ( N = 325) or were rated by teachers ( N = 322) to compare the social skills and emotional behavior concerns of students identified as gifted or not gifted. Results indicated few differences with notable exceptions for teacher rated cooperation and responsibility skills. Implications for further research and practice are discussed.
Will a patient information brochure increase acceptance of Omani women with varicose veins to be examined by a male surgeon ?- A prospective randomized single blinded study
Authors: Al Mahruqi Ghaitha , Al Ghaithi Mouzan , Stephen Edwin , Al Mawaali Hanan , Abdelhedy Ibrahim
Published: November 2024

Varicose veins are not uncommon among Omani women. As currently there are no female vascular surgeons, it has been noticed in our outpatient clinic that a number of them are reluctant to be examined by a male vascular surgeon, have a duplex ultrasound done and therefore a management plan cannot be made in this subset. This study is a first of its kind in Oman, looking at the impact of a patient information booklet about varicose veins etiology, symptoms, signs, assessment and management, on the attitude of a female patient’s acceptance towards examination by a male surgeon in the presence of a chaperone.
Macrovascular blood flow and microvascular cerebrovascular reactivity are regionally coupled in adolescence
Authors: Zvolanek Kristina M , Moore Jackson E , Jarvis Kelly , Moum Sarah J , Bright Molly G
Published: November 2024

Cerebrovascular imaging assessments are particularly challenging in adolescent cohorts, where not all modalities are appropriate, and rapid brain maturation alters hemodynamics at both macro- and microvascular scales. In a preliminary sample of healthy adolescents (n = 12, 8–25 years), we investigated relationships between 4D flow MRI-derived blood velocity and blood flow in bilateral anterior, middle, and posterior cerebral arteries and BOLD cerebrovascular reactivity (CVR) in associated vascular territories. As hypothesized, higher velocities in large arteries are associated with an earlier response to a vasodilatory stimulus (cerebrovascular reactivity delay) in the downstream territory. Higher blood flow through these arteries is associated with a larger BOLD response to a vasodilatory stimulus (cerebrovascular reactivity amplitude) in the associated territory. These trends are consistent in a case study of adult moyamoya disease. In our small adolescent cohort, macrovascular-microvascular relationships for velocity/delay and flow/CVR change with age, though underlying mechanisms are unclear. Our work emphasizes the need to better characterize this key stage of human brain development, when cerebrovascular hemodynamics are changing, and standard imaging methods offer limited insight into these processes. We provide important normative data for future comparisons in pathology, where combining macro- and microvascular assessments may better help us prevent, stratify, and treat cerebrovascular disease.
See, Touch, Feel: Theorizing Twitter/X Images for Diplomacy
Authors: Duncombe Constance
Published: November 2024

Social media images are central to the practice of digital diplomacy. Some of the most contentious political engagements involve digital images designed to challenge or reaffirm the national identity of key political players. Yet the role of touch in conditioning how social media images are seen is curiously absent from International Relations analyses of the visual politics of digital diplomacy. We know far too little about this phenomenon. This article seeks to contribute to the study of images in global politics by developing a tripartite theorization of how the visual, tactile, and emotional intersect to mediate how Twitter images are seen within the practice of digital diplomacy. The article pays attention to the tactile experience of using Twitter, bridging the gap between seeing social media images as visual objects, and the affective resonance these images have as a marker of political power. I argue that touch acts as a conduit between the embodied, material, and visual to produce an affective encounter that contributes to how users feel about Twitter images. The intertextuality of the visual, tactile, and emotional dynamics of Twitter images are important elements of visual social media practices sustaining the strategic representation of identity. This framework allows me to build a theoretically grounded skilful speculation as to how digital diplomacy crisis events such as the China-Australia Twitter spat unfold and resonate beyond the digital.
Enhancing green polyethylene composites with filler heat treatment: Pecan nutshells and Pinus sawdust impact
Authors: Rodrigues Marlon Bender Bueno , Fernandes Bruna Bicca , Paganotto Gian Francesco dos Reis , Delucis Rafael de Avila , Fuentes da Silva Silvia Helena , Amico Sandro Campos , Carreno Neftali Lenin Villarreal , Oliveira Amanda Dantas de , Gatto Darci Alberto , Missio André Luiz
Published: November 2024

The aim of the present study was to produce sustainable composites using green low-density polyethylene (LDPE) reinforced with heat-treated lignocellulosic residues. The transformation processes were employed to enhance the chemical compatibility of lignocellulosic wastes with the polymer matrices of the composite materials. Sawdust from pine wood (PW) and milled pecan nutshells (NS) were subjected to a thermal treatment at 180°C for 2 h. These heat-treated residues were then homogenized with the polymer matrix and molded through hot compression. The resulting wood polymer composites (WPCs) were subjected to various characterization tests, including density, mechanical properties, infrared spectroscopy, thermal stability, hygroscopic behavior, and morphology. Comparing the composites, the inclusion of heat-treated fillers led to reductions in water absorption and thickness swelling, especially for the NS. Furthermore, the composites didn’t exhibit increased flexural strength and/or tensile strength after the bio-components treatment. The insertion of thermally treated lignocelluloses also resulted in slight decreases in equilibrium moisture content and apparent contact angles.
Optimizing food waste anaerobic digestion in Kuwait: Experimental insights and empirical modelling using artificial neural networks
Authors: El Achkar Jean H , Al Radhwan Suad , Al-Otaibi Ahmed M , Mazid Abdul Md
Published: November 2024

This study investigates, for the first time, the anaerobic digestion of food waste in Kuwait to optimize methane production through a combination of artificial neural network (ANN) modelling and continuous reactor experiments. The ANN model, utilizing eight hidden neurons and a 70-20-10 split for training, validation and testing sets, yielded mean squared error values of 0.0056, 0.0048 and 0.0059 and coefficient of determination ( R²) values of 0.9942, 0.9986 and 0.9892, respectively. Methane percentages in biogas were predicted using six parameters: biomass type, pH, organic loading rate (OLR), hydraulic retention time (HRT), temperature and reactor volume. To validate the ANN results, continuous reactor experiments were conducted under an OLR of 3 kg VS m⁻³ d⁻¹ and HRT of 20 days at varying temperatures (35°C, 40°C, 45°C, 50°C and 55°C). The experiments demonstrated optimal methane production in the mesophilic range, with ANN predictions closely aligning with experimental data up to 45°C. However, deviations were observed at higher temperatures, particularly under thermophilic conditions beyond 50°C. This study provides novel insights into waste-to-energy initiatives in Kuwait and highlights the potential of integrating computational models with empirical data to enhance biogas production processes.
That men should put an enemy in their mouths to steal away their brains: Reconsidering the origins of model psychosis
Authors: Perkins-McVey Matthew
Published: November 2024

The promises of the Prozac century have fallen short; the number of novel, therapeutically significant medications successfully completing development shrinks every year; and the demand for better treatments constantly grows. Answering these hardships is a renewed optimism concerning the efficacy of controlled psychedelic therapy, a renaissance that has seen the resurgence of a familiar concept: intoxication as model psychosis. And yet, little has been made of where this peculiar idea originates. Why did we come to liken psychosis to intoxication, and why is this an idea we find so hard to shake? Questioning the conventional narrative that identifies the concept as emerging in the mid 19th century, this article seeks to uncover the conceptual foundations underlying what is now intended by ‘model psychosis’. This investigation begins with an assessment of both Moreau de Tours’s concept of hashish madness in 1845 and Emil Kraepelin’s study of artificial insanity in the 1880s–90s. In seeking to contextualize these ideas, this article further considers the deeper historical association between intoxication and psychosis, instead proposing that intoxication represents an originary conception of madness. Bringing this examination into the 19th century, it becomes apparent that perceptions of intoxicants, and intoxication, were immanently participatory in the emerging understanding of psychosis. The contemporary understanding of model psychosis comes into focus when these elements coalesce with the advent of psychological modelling. Ultimately, the goal is not merely to understand how and why model psychosis became thinkable, but to examine how overlooked concepts have engendered new ways of being neuro-psychiatric subjects.
Nickel-based alloy efficient milling with ceramic tool and experimental verification in closed impeller
Authors: Zha Jun , Cai Zhiyan , Peng Xiaofei , Chen Bohao
Published: November 2024

Nickel-based alloys are a class of materials that possess exceptional properties, including superior corrosion, oxidation, and fatigue resistance. They are increasingly utilized in high-performance critical components, particularly in the fields of aerospace engines and gas turbines. Nickel-based alloys pose significant challenges during machining due to their high cutting forces and work hardening, leading to low machining efficiency, severe tool wear, and subpar surface quality of the machined parts. To address these challenges, an orthogonal cutting experiment was conducted on GH4061 alloy to evaluate the machining performance by using monolithic ceramic milling tools. The optimal cutting parameters combination for dry cutting of nickel-based alloys was determined. The surface quality was tested and analyzed, including surface micro structure, residual stress, and surface roughness. The machining experiment was conducted on GH4061 closed impeller. The results demonstrated that high-speed cutting was more effective than low-speed cutting in improving the surface quality of the machined part. In the rough processing, monolithic ceramic milling tools was used to quickly remove the excess material. The adhesive and diffusion effects mainly contributing to the wear of the monolithic ceramic tool in GH4061 milling. Average surface roughness 1.41 μm can be obtained through dry milling using a monolithic ceramic tool with cutting speed 602.88 m/min, cutting depth 0.3 mm, cutting width 6 mm and feed per tooth 0.03 mm/z, along with metal removal rate 5184 mm3/min. High cutting speed will resulting in relatively low residual stress in the surface layer as well as a lower thickness of the surface alternation layer. Finally, a physical GH4061 closed impeller was machined to verify the proposed milling method.
Design and Optimization of Electromagnetically Driven End-Effector
Authors: Zheng Zhaoqi , Liu Xinyu , Guo Miaomiao , Li Jianfei , Wang Yonghong
Published: November 2024

The excellent flexibility and plasticity of a flexible robotic hand enable it to grip objects of various shapes and sizes. Currently, most of the flexible robotic hand fingers on the market use pneumatic drives. However, the unstable power of the pneumatic drive can cause the object gripped by the finger to slip. Additionally, the pneumatic pump can create noise pollution. To address these issues, a flexible end-effector is designed using an electromagnetic coil as the power source. The electromagnetic-driven end-effector has high precision and fast response, without the need for external devices. It only requires controlling the current to control the magnetic force of the electromagnet, thereby controlling the degree of end-effector bending. The finite element simulation is used to analyze the impact of the structural parameters of the end-effector on bending degree. And the optimal basic parameters of the end-effector are determined. Under the same intensity of the current, when the bottom layer thickness is 5 mm, end-effector knuckle spacing is 4 mm, the maximum angle of end-effector bending is reached.
Energy-absorbing performance of multi-segmented conical tubes with different connections
Authors: Zhao Tidong , Lin Qinyu , Chen Jinxiang , Guan Sujun
Published: November 2024

Thin-walled tubes are widely used in vehicle engineering due to their exceptional energy absorption capabilities. This study presents a series of multi-segment tapered tubes (MSTs) characterized by varying connection angles and segment counts. The MSTs are designed by establishing different connection angles (α) between adjacent tapered segments. A finite element (FE) model was developed to simulate axial impact loading, which was subsequently validated using the simplified super-folded element (SSFE) theory. The crashworthiness of MSTs with varying connection angles was analyzed. The following conclusions were drawn: (1) When α exceeds 10°, an increase in α leads to a gradual decline in the energy absorption efficiency of the MSTs, resulting in a “descending” load-displacement curve; (2) MSTs with α less than 0° exhibit a greater tendency to buckle under load and demonstrate a more rapid response to external forces; (3) Compared to corrugated straight tubes, the configuration featuring α = −30° and +30°, consisting of three segments and a cone angle of 7.5° (designated as MST3-7.5), significantly enhances specific energy absorption (SEA) and reduces the initial peak crushing force (IPCF).
Experimental investigation on the mechanical properties of Ti6Al4V cellular structures produced with selective laser melting: Effects of rib thickness, unit cell type and orientation
Authors: Ergene Berkay , Yalçın Bekir
Published: November 2024

The objective of this study is to investigate the mechanical performance of Ti6Al4V cellular structures, including different unit cell forms such as honeycomb, re-entrant, hybrid (honeycomb + re-entrant), and chiral structures manufactured with selective laser melting. The study examines the influence of rib thickness and unit cell orientation on compressive strength, elasticity modulus, Poisson's ratio, energy absorption, and specific energy absorption. Increasing the rib thickness of the unit cells improved not only the compressive strength and elasticity modulus of the samples but also their energy absorption capacities. The mechanical properties of the cellular structures varied with changes in unit cell orientation, and no direct relationship was found. The highest values for compressive strength, energy absorption, and specific energy absorption were observed in re-entrant structures, while hybrid structures had the highest elasticity modulus values. It was also found that chiral structures had the lowest compressive strength, modulus of elasticity and energy absorption capacity of all the parameters investigated. In addition, re-entrant structures with negative Poisson's ratio tend to perform positive Poisson’s ratio when they are subjected to deformation under compression. The elasticity modulus of the biocompatible Ti6Al4V cellular structures is similar to that of femoral bone values. These structures meet the requirements for use in the core of implants. The results obtained from this experimental study may guide researchers in the field of biomechanics.
Improving arterial stiffness prediction with machine learning utilizing hemodynamics and biomechanical features derived from phase contrast magnetic resonance imaging
Authors: Ayadi Asma , Hammami Imen , Sahtout Wassila , Baledant Olivier
Published: November 2024

Arterial stiffness has emerged as a prominent marker of risk for cardiovascular diseases. Few studies are interested in predicting symptomatic or asymptomatic arterial stiffness from hemodynamics and biomechanics parameters. Machine learning models can be used as an intelligent tool for arterial stiffness detection based on hemodynamic and biomechanical parameters. Indeed, in the case of arterial stiffness hemodynamics and biomechanics parameters present significant change, such as an increase in age, local wave velocity, arterial elastance, Young’s modulus, reflected wave amplitude, decrease in arterial compliance, reflected wave arrival time, and reflection coefficient. This study aims to assess the impact of artificial intelligence using machine-learning algorithms for the detection of arterial stiffness. The ability of various machine-learning approaches can be investigated to predict wall stiffness in the carotid artery and to evaluate the risk of cardiovascular events. A mathematical model developed in previous work was used to determine hemodynamic and biomechanical parameters. Accuracy, sensitivity, and specificity are calculated to evaluate the performance of the proposed models. All used classifiers demonstrated high performance in predicting arterial stiffness, notably with the Support Vector Machine, Artificial Neural Network, and Decision Tree classifiers achieving exceptional accuracies of 100%. In this study, the potential of machine learning based on hemodynamic parameters for the prediction of symptomatic and asymptomatic arterial stiffness was demonstrated.
Social rights in a post-colonial welfare state: Revisiting ‘universality’ and ‘inclusivity’
Authors: Westra Eline , van Hooren Franca
Published: November 2024

Scholars have long overlooked the impact of colonialism on the development of European welfare states and their mechanisms of inclusion and exclusion. In this article we address this blind spot by examining the ‘pension gap’ of Surinamese-Dutch elderly residing in the Netherlands, many of whom receive reduced public old age pensions. We examine the historical origins of this exclusion from full benefits through a discursive historical analysis of policy documents and parliamentary debates between 1919 and 2023 as well as political claims made by activists. We find that the Dutch welfare state was built on an exclusionary interpretation of social citizenship, granting social rights only to the citizens residing in the metropole. The exclusion of colonial citizens from social rights was deemed self-evident and anchored in laws and political discourses that, although increasingly contested, remain operative today. Our findings question core assumptions in the welfare state literature, especially those regarding the ‘universality’ of social rights and the taken-for-granted boundaries drawn around deserving polities. Thus, we argue that coloniality, territoriality and racialization are indispensable concepts for scholars to engage with in the analysis of social rights stratifications in Europe.
Do temporary employees experience increased material deprivation? Evidence from German panel data
Authors: Friedrich Martin , Teichler Nils
Published: November 2024

Economic insecurity has recently received increasing attention as a determinant of material deprivation. We contribute to this line of research by analysing the relationship between temporary employment and material deprivation. We argue that temporary workers face exacerbated deprivation because they may forego basic needs to provide for an uncertain future. Using German panel data for the years 2008–2020, we find that temporary employment increases material deprivation among workers, particularly in low-income households. This finding is robust to our controlling for important variables such as household income and needs, individual- and household fixed effects and when considering lagged independent variables. The association is not driven by young or highly educated workers who may be more likely to hold temporary jobs without experiencing sustained material deprivation. We also find that temporary agency work, perceived job insecurity and firm turnover rates aggravate material deprivation. This supports the theoretical assumption that the impact of temporary employment on material deprivation is driven by the economic insecurities faced by temporary workers.
Unethical conduct as a multifaceted phenomenon in psychiatric care: Nurse leaders’ perspectives
Authors: Björklund Julia , Hemberg Jessica
Published: November 2024

Background: Mental healthcare can be considered a unique practice due to its ethical characteristics, and an awareness of ethics is crucial when working in a mental health setting. Several ethical challenges exist, and professionals may not always recognize the ethical aspects of psychiatric care. Research on psychiatric care from nurse leaders’ perspective is scarce but important, because nurse leaders can impact and cultivate workplace culture. Aim: To explore the phenomenon of unethical conduct in a psychiatric inpatient context from nurse leaders’ perspectives. Research design: Qualitative exploratory design. In-depth semi-structured interviews. Participants and research context: Eight nurse leaders from two different healthcare organizations in Finland. Leadership experience ranged between 2 and 30 years. Ethical considerations: Research ethics permission was received from a Research Ethics Board where the researchers are domiciled. Guidelines on good scientific practice as delineated by the Finnish Advisory Board on Research Integrity TENK were followed. Findings: Six main categories were generated: Unethical conduct and violations against patients, Unethical conduct and violations against staff, Unethical conduct and violations by staff against other staff, Unethical conduct and violations against leaders, Reasons underlying unethical conduct, and Consequences of unethical conduct and the positive development of psychiatric care. Conclusions: Unethical conduct was seen to be a multifaceted phenomenon, and patients and staff alike can experience and engage in unethical conduct. Unethical conduct against patients was linked to power imbalance (nature of involuntary care, staff attitudes) and a focus on rules based in historical precedent (paternalistic, routine-focused, not patient-centered). Unethical conduct against staff was linked to the nature of involuntary care and patient ill-health. Unethical conduct by staff against other staff was linked to a lack of understanding for others’ work, interpersonal chemistry, (length of) work experience, and staff character. Unethical conduct against leaders was linked to leaders being perceived as the organization.
Assessment of Critical Environmental Risk Zones Around Wetlands in Colombo, Sri Lanka, Using Satellite Remote Sensing and Multi-criteria Decision Tools
Authors: Gunathilaka M. D. K. Lakmali , Manawadu Lasantha , Munasinghe Dinuke , Halwatura Devanmini
Published: November 2024

Colombo, Sri Lanka’s commercial capital, is recognized as one of the first 18 global sites that were awarded the Ramsar Wetland City accreditation, and is a prime example of the intersection between urbanization and wetland conservation. Thus, this study aims to conduct an environmental risk assessment that can provide insights into the changes in biophysical properties driven by urbanization over the 2000–2020 period. The study used Geographical Information Systems and a remote sensing approach to assess critical environmental risk zones around urban freshwater lakes in the Colombo district of Sri Lanka, including Thalangama, an environmental protection area experiencing sub-urbanization. Satellite data (2000–2020) were employed, and spectral indices, including NDVI, NDBI, NDWI, NDMI, RVI and LST, were calculated. Intersecting areas with multiple risk factors were determined, and distances from these zones to lakes were calculated to generate spatially explicit risk maps using inverse distance weighting. The building density has consistently increased from 2000 to 2020 in all three sites, with ‘very high’ density areas expanding notably. NDVI reveals a gradual increase in ‘very high’ categories until 2015. Plant-water stress analysis shows significant water stress in 2015, and water body areas have decreased after 2010 in all the sites. Multi-criteria assessment identifies critical environmental risk zones around urban lakes, indicating high vulnerability to environmental damage and degradation. Overall, the study emphasizes the importance of leveraging data and risk analysis to inform decision-making processes in environmental management. By doing so, policymakers can enhance the effectiveness of conservation measures and promote the long-term sustainability of natural resources.
Psychological interventions for the self-regulated enhancement of music performance: A systematic review
Authors: Lubert Veronika J. , Gröpel Peter
Published: November 2024

Psychological interventions to enhance musicians’ self-regulation are increasingly being recognized as essential for supporting them in their development and optimization of performance skills. The aim of this review was to provide a synthesis of such interventions and examine their effects on expert-rated music performance quality. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol, we initially identified 3,182 articles, of which we selected 89 studies. Using the theoretical framework of self-regulated learning, we present a comprehensive overview of experimental, quasi-experimental, and single-case studies published until April 2022 that tested how musicians can improve their performance through self-regulation strategies such as goal setting, imagery, attention focusing, relaxation, and self-evaluation. The results show mixed evidence with mostly positive or non-significant effects, indicating that expressive writing, external focus, feedback, combined electromyographic (EMG) and electroencephalographic (EEG) biofeedback, and imagery combined with physical practice can increase expert-rated music performance quality. The reported methodological quality, the applied performance task and evaluation, and potential mechanisms underlying the interventions should be considered when interpreting the results. We critically discuss possible improvements for future studies, as well as practical implications.
The Royal Commission into Defence and Veteran Suicide – brief summary and commentary on the research findings in Volume 7
Authors: Looi Jeffrey C L , Allison Stephen , Atchison Michelle , Bastiampillai Tarun , Kisely Steve , Robson Stephen J
Published: November 2024

The Royal Commission into Defence and Veteran Suicide recently published research analysis of the risk of suicide based on data from the Australian Defence Force (ADF). We aim to provide a brief summary of the salient findings, as well as a commentary from a clinical perspective for the psychiatric profession providing care for ADF serving members and veterans who bear a burden of psychiatric morbidity related to the nature of their work. The suicide risk from current and past service, and in certain roles, highlight the challenges facing those in military service, with implications for the time spent on active deployment and transition post-deployment.
Older Migrant Patients and Health Care Professionals’ Experiences With Digital Translation Tools in Care Interactions: A Qualitative Literature Review
Authors: Rosendahl Sirpa , Larsson Viveca
Published: November 2024

Introduction:

Finding solutions to communicate difficulties in care interactions between health care professionals and older migrant patients may be facilitated by the use of digital translation tools. The aim was to explore older migrant patients’ and health professionals’ experiences using digital translation tools in transcultural care.

Methodology:

A systematic qualitative literature review, based on nine quality assessed articles published 2009 to 2024 from five databases, and analyzed using thematic analysis.

Results:

Three themes and eight subthemes emerged: advantages of using translation tools describes the benefits experienced using such tools; limitations and challenges highlights the problems identified in their use; and improvement suggestions for the functions of the translation apps describes adjustments and developments of the translation tools.

Discussion:

Digital translation used in basic care, may enhance relationships and equity of care, but should not substitute human interpreters in complex care conversations. Translation tools need to be developed according to older users’ abilities.
Experiences of Migrant Live-in Caregivers in Caring for Patients With Advanced Cancer – A Qualitative Study
Authors: Phua Gillian Li Gek , Poh You Kai , Ong Beverly Shu , Tan Jasmine Yun Ting , Koh Audrey Rui Xuan , Yang Grace Meijuan
Published: November 2024

Introduction

Foreign domestic workers are increasingly hired in Singapore as live-in caregivers for patients with advanced cancer. Language barriers and different cultural backgrounds can make caregiving potentially challenging. This study aims to explore the experiences of migrant live-in caregivers caring for patients with advanced cancer.

Method

Semi-structured interviews were conducted to explore: the challenges and needs of migrant live-in caregivers caring for patients with advanced cancer, what enables their cancer caregiving work, and their motivations. Participants were recruited from inpatient oncology wards of an acute tertiary hospital. Inclusion criteria included: (i) migrant live-in caregiver caring for a patient with stage IV solid organ cancer; (ii) age ≥21 years; (iii) conversant in English, Mandarin or Burmese. Twelve female caregivers participated in the study. Their mean age was 35.4 years, 4 were from Indonesia, 3 from Myanmar and 5 from the Philippines.

Results

Four main themes emerged: (1) Wide-ranging work responsibilities that could be challenging, (2) Treating and being treated like family, (3) Having access to multiple sources of support and (4) Motivated by being able to provide for their own family of origin.

Conclusion

Migrant live-in caregivers face various challenges in cancer caregiving. Having a good relationship with patients, adequate employer and peer support and being able to provide for their family helped to motivate them. Efforts to support them can include formal training, better delineation of job scope and hours, and resources to address psycho-emotional needs. Further research could focus on knowledge gaps for cancer caregiving, psychosocial and post-bereavement needs.
Navigating Dissimilarity: How Motivational Cultural Intelligence Enhances Psychological Empowerment And Thriving At Work
Authors: Kaur Manpreet , Ren Hong
Published: November 2024

Workplaces worldwide are changing rapidly, which poses challenges in achieving the desired outcomes. Thus, it is essential for employees to have a higher sense of thriving to cope with work responsibilities and stay positive. Drawing on the Conservation of Resources (COR) Theory, we examine the effect of team member dissimilarity on the psychological resource of empowerment and the effect of psychological empowerment on thriving. We also investigate the personal resource of motivational cultural intelligence on the relationships between dissimilarity-psychological empowerment and psychological empowerment-thriving at work. Based on a sample of 139 student teams with 481 members that responded to surveys at three time points, our findings suggest that dissimilarity is related to low psychological empowerment when motivational cultural intelligence is low. On the other hand, when dissimilar members are culturally intelligent, they feel more psychologically empowered. Further, psychological empowerment positively affects thriving, and this effect is amplified when individuals possess high levels of motivational cultural intelligence. Limitations and future research avenues are suggested.
Extra-Axial Poorly Differentiated Chordoma Initially Misdiagnosed as Epithelioid Sarcoma
Authors: O’Connor Paige , Cheung Yvonne Y. , Green Donald C. , Lefferts Joel A. , Jo Vickie Y. , Kerr Darcy A.
Published: November 2024

Poorly differentiated chordoma is an exceedingly rare, aggressive subtype of chordoma. These tumors typically arise in the axial skeleton of young patients, most commonly the skull base, followed by the cervical spine. Herein, we present a 60-year-old patient with longstanding knee pain and nondiagnostic imaging, initially thought to be due to osteoarthritis. No discrete mass-forming lesion was identified by radiology. Synovial histology at the time of arthroplasty revealed a multinodular proliferation of epithelioid-to-histiocytoid cells with a moderate amount of eosinophilic-to-clear, vacuolated cytoplasm. Scattered cells with high-grade nuclear atypia were present. A diagnosis of metastatic carcinoma was considered due to immunohistochemical positivity for keratin and GATA3. However, a diagnosis of epithelioid sarcoma was rendered based on clinical context, morphology, and loss of immunohistochemical expression for SMARCB1 (INI1). However, upon re-review of the tumor, brachyury was retrospectively added to the immunohistochemistry panel and showed strong positivity, thus prompting amendment of the initial diagnosis of epithelioid sarcoma to extra-axial poorly differentiated chordoma. Given the rarity of this diagnosis, molecular testing was performed which revealed a unique SMARCB1 molecular profile with a single-nucleotide variant in addition to the commonly reported loss of chromosome 22q. This report of an ultra-rare sarcoma in an uncommon anatomic site highlights multiple potential pitfalls in the diagnosis of poorly differentiated chordoma, emphasizes the importance of brachyury immunohistochemistry in rendering a correct interpretation, and underscores an opportunity for further molecular analysis to better define the molecular profile of this entity.
Brachyury Expression in Atypical Teratoid/Rhabdoid Tumor
Authors: Terzioğlu Havva Gökçe , Uzun Sarp , Hench Juergen , Babaoğlu Berrin , Matter Matthias , Söylemezoğlu Figen , Kösemehmetoğlu Kemal
Published: November 2024

Atypical teratoid/rhabdoid tumor (AT/RT) is a rare, highly aggressive central nervous system tumor of childhood with variable morphologic features, which is characterized by alterations in SWI/SNF complex, such as SMARCB1/INI1 or SMARCA4/BRG1 loss. Poorly differentiated chordoma is the differential diagnosis, particularly in the infratentorial region of older children and the use of brachyury in such conditions is under debate. We investigated the brachyury expression in 44 samples of AT/RT from 40 patients. All AT/RTs except 2 infratentorial tumors were negative for brachyury (2 clones: A-4 and EPR18113). Both brachyury-positive tumors (one diffuse and one patchy expression) involved the clivus of children younger than 2 years old. The DNA methylation profile of one of these tumors showed epigenetic similarity to reference examples of chordoma in 2 public unsupervised and one supervised analysis systems. The second tumor exhibited a classical epigenetic microarray pattern found in samples with degraded DNA. We revised 2 initial AT/RT diagnoses as poorly differentiated chordoma based on the morphology, brachyury expression, topographical features, and methylation profile. Differentiating poorly differentiated chordoma from AT/RT could be challenging; brachyury expression can be useful in diagnosing poorly differentiated chordoma over AT/RT in suitable clinical and radiological settings.
Myxoid Solitary Fibrous Tumor of the Nasal Vestibule: An Unusual Histological Subtype in the Head and Neck Region
Authors: Prabakaran Aswini , Kakkar Aanchal , Verma Hitesh , Jain Deepali
Published: November 2024

Solitary fibrous tumors (SFTs) are mesenchymal neoplasms associated with the characteristic NAB2::STAT6 gene fusion. They frequently occur in extra-thoracic sites and are not uncommon in the head and neck (HN) region. Myxoid SFT is a rare morphological subtype of SFT, the features of which overlap with those of other myxoid-appearing tumors, making the diagnosis challenging. We describe the distinctive histopathological and immunohistochemical features of myxoid SFT that occurred in a 32-year-old man with a recurrent swelling in the nasal vestibule. Histological examination showed a nodular tumor composed of short spindle-shaped cells in an abundant myxoid stroma. Nuclei were ovoid, with minimal pleomorphism. Occasional intervening slender vascular channels were present; staghorn vasculature was absent. Tumor cells were diffusely immunopositive for STAT6, CD34, and BCL2, while S100, SOX10, EMA, ER, and CD10 were negative, confirming the diagnosis of myxoid SFT. Thus, myxoid SFTs are unusual in the HN, with potential for misdiagnosis. Due to their propensity for local recurrence if incompletely excised, a high index of suspicion is required to include them in differential diagnosis of myxoid mesenchymal neoplasms occurring at this location. STAT6 is a reliable immunohistochemical marker that aids in diagnosis, reducing the necessity for molecular testing.
The Pedagogy of Hospitableness: A transformative approach for hospitality workforce development
Authors: Manfreda Anita , Bisson Antoine , Lee Cindy , Scerri Madalyn , Marcial Given Angel , Presbury Rajka
Published: November 2024

The ability to deliver hospitable service is essential for hospitality professionals in tailoring authentic and emotionally resonant guest experiences. However, limited attention has been given to how such a Hospitable Service Mindset (HSM) can be developed in the current and future hospitality workforce. Grounded in Transformative Learning Theory (TLT) and through qualitative interviews with hospitality trainers and educators, this study proposes the “pedagogy of hospitableness,” a framework encompassing conditions and practices that trigger, support, amplify, and accelerate the development of an HSM across formal and informal learning settings. The findings contribute to the expansion and advancement of TLT through the integration of social and emotional dimensions and the emphasis on connectedness as a crucial element in transformative learning. The study also demonstrates the applicability of TLT in hospitality workforce development settings, providing insights for industry trainers and educators on effectively nurturing hospitableness.
A creative ecosystem: regional journalism as scalable and integrated practice
Authors: Kerrigan Susan , McIntyre Phillip , Fulton Janet , Watson Alysson
Published: November 2024

Using a creative ecosystems approach, this paper demonstrates that journalism is deeply embedded in the interconnected ecosystem of publishing and, at a higher level, the creative industries. Analysis of data from seven regional areas in New South Wales and Victoria revealed that newsrooms and journalists are vertically integrated with national and international journalistic practices and economic imperatives and also horizontally integrated with other sectors in the creative industries. The analysis revealed a scalable yet integrated ecosystem at work with complex and interconnected journalistic practices on display. This view moves beyond the usual normative approach to studying journalism. We are not asserting that journalists should be doing certain things, as important as that is, but drawing attention to the fact that using this lens allows us a different and useful perspective on what they are actually doing.
Feasibility, safety and preliminary efficacy of telehealth-delivered group exercise for people with type 2 diabetes: A pilot trial
Authors: Cox Emily R , Young Myles D , Keating Shelley E , Drew Ryan J , Kolasinski Matthew , Plotnikoff Ronald C
Published: November 2024

Introduction

Several barriers can preclude people with type 2 diabetes (T2D) from in-person exercise session participation. Telehealth may be an alternative mode of service delivery to increase uptake. We evaluated the feasibility, safety and preliminary efficacy of delivering group exercise via telehealth for people with T2D.

Methods

Sixteen people with T2D (age 59.9 ± 12.7 years, 63% male, duration of T2D 11.5 ± 11.1 years) underwent an 8-week telehealth-delivered group exercise intervention. Weekly supervised sessions incorporated whole-body aerobic and resistance exercises, followed by education. Feasibility was evaluated by recruitment, enrolment, attendance and attrition rates, the practicality of telehealth delivery, and participant feedback. Adverse events were monitored throughout (safety). Preliminary efficacy was determined from changes in glycaemic control, body composition, blood pressure, exercise capacity, neuromuscular strength/fitness, quality of life and physical activity levels. The agreement/reliability of in-person clinician-measured versus telehealth-supervised participant-self-measured assessments was also evaluated.

Results

Feasibility was supported by high attendance (97.1%) and low attrition (81%). All (100%) participants reported they would participate in telehealth-delivered exercise interventions in the future and would recommend them to other people with T2D. No serious adverse events were reported. There were improvements in hip circumference (Cohen's d −0.50), diastolic blood pressure (–0.75), exercise capacity (1.72), upper body strength (1.14), grip strength (0.58), health-related quality of life (0.76–0.81) and self-reported physical activity (1.14). Participant-self-measured assessment of body weight, 2-min step test and 30-sec sit-to-stand test were deemed acceptable.

Discussion

Telehealth-delivered group exercise appears feasible, safe and efficacious for people with T2D. These findings warrant further exploration in a powered trial.

Trial Registration

Australian New Zealand Clinical Trials Registry (ACTRN12622000379718).
The partial abolition of the rule in Hollington v Hewthorn in Seychelles and the admissibility of criminal convictions in civil trials: Analysing s. 29 of the Evidence Act
Authors: Mujuzi Jamil Ddamulira
Published: November 2024

Section 29(1) of the Seychelles Evidence Act provides that a criminal conviction is admissible in civil proceedings as evidence that the person who was convicted committed the offence in question. Thus s. 29(1) partially reverses the rule in Hollington v Hewthorn. Section 29(2) of the same Act provides that ‘[i]n a trial, other than in a civil trial for defamation, in which by virtue of this section a person…is proved to have been convicted of an offence by or before a court in the Republic, he shall be taken to have committed that offence unless the contrary is proved.’ The Supreme Court held that s. 29 ‘imported’ s. 11 of the United Kingdom Civil Evidence Act (1968) ‘into our laws’. In this article, the author demonstrates how courts have interpreted s. 29. He also suggests ways in which s. 29 could be interpreted to deal with foreign convictions. He argues that notwithstanding s. 29, the Hollington Rule is still applicable to earlier civil findings. Thus the findings of a court in earlier civil proceedings are inadmissible in subsequent civil proceedings. In Esparon v Philo, the Court of Appeal, the highest court in Seychelles, interpreted s. 29(2) in a manner that creates room for the argument that a person who challenges the admissibility of his conviction in civil matters has to prove his/her innocence. It is argued, inter alia, that the Court's decision should not be interpreted as imposing this very high threshold. It is enough if he proves that the person's trial was a miscarriage of justice.