bluuebunny/crossref_metadata_2025 huggingface dataset:
Older People’s Descriptions of Their Engagement in Fall Prevention
Authors: Kiyoshi-Teo Hiroko , McMahon Siobhan K. , Northup-Snyder Kathlynn , Cohen Deborah J.
Published: November 2023

Evidence-based strategies to decrease fall rates are well established. However, little is understood about how older people engage in fall prevention strategies. Motivational Interviewing (MI) sessions aimed to facilitate individuals’ engagement in fall prevention can be analyzed to learn what it means for older people to engage in fall prevention. Thus, the purpose of this study was to explore how older people describe their engagement in fall prevention. Participants in our parent project, MI for Fall Prevention (MI-FP), who received MI sessions were purposively selected for maximum variation in age, sex, fall risks, and MI specialist assigned. The first (of 8) MI sessions from 16 participants were recorded, transcribed, and analyzed using qualitative content analysis. Three researchers first deductively analyzed fall prevention strategies that participants described using an evidence-based fall prevention guideline as a reference. Then, we inductively analyzed the characteristics of these strategies and how participants engaged in them. Finally, we used the Capability, Opportunity, Motivation, Behavior (COM-B) model to organize our results about factors influencing engagement. We found (1) older adults engage in unique combinations of fall prevention strategies and (2) decisions about engagement in fall prevention strategies were influenced by multiple factors that were personal (e.g., who I am, capability, motivation, and opportunities). This study highlighted how fall prevention can be a life-long lifestyle decision for older people. Understanding older people’s perspectives about engaging in fall prevention is essential to develop interventions to promote evidence-based fall prevention strategies in real-world settings.
No response? Chronemic expectancy violation and relational turbulence in technologically-mediated romantic relational conflict
Authors: Huang Qing , Yao Shuting
Published: November 2023

An extensive body of literature shows how people deal with conflicts, verbally and nonverbally, in interpersonal interactions. However, the role of technologically-mediated communication (TMC) in romantic relational conflict has received less attention. Through the lenses of Relational Turbulence and Expectancy Violations Theories, this study explored how a chronemic expectancy violation from a romantic partner impacts emotional well-being in a TMC-involved conflict discussion. Two online questionnaires were distributed. First, a pilot study was conducted to understand the basic online communication dynamics between emerging adult romantic partners (e.g., usual response latency) and possible emotions when they experience a chronemic expectancy violation from their partner on TMC. Results show that people are likely to experience negative affect and other specific emotions (e.g., disillusion, loneliness, frustration, hurt, anger) if their partner takes longer than expected to respond. The main study then further explored how individuals’ expectations differ in a hypothetical TMC-involved conflict scenario where they use text-based TMC to discuss a recent romantic conflict with their partners. Participants were instructed to imagine a chronemic expectancy violation whereby their partner does not respond within their expected time period (i.e., conflict expected latency) and report their feelings about it. Results show that people expect their partners to respond more rapidly in the conflict scenario than usual and report negative feelings after the expectancy violations. Conflict-specific (e.g., seriousness), personal (e.g., attachment anxiety and avoidance), and relational (e.g., commitment) variables also influence the intensity of their emotional experiences. This research enhances comprehension of nonverbal cues in text-based TMC and potential emotional repercussions in romantic conflict management.
Using machine learning algorithms to predict 28-day mortality in critically ill elderly patients with colorectal cancer
Authors: Guo Chunxia , Pan Jun , Tian Shan , Gao Yuanjun
Published: November 2023

Objective

To predict the 28-day mortality of critically ill, elderly patients with colorectal cancer (CRC) using five machine learning approaches.

Methods

Data were extracted from the eICU Collaborative Research Database (eICU-CRD) (version 2.0) for a training cohort and from the Medical Information Mart for Intensive Care-IV (MIMIC-IV) and Wuhan Union hospital for validation cohorts. Clinical information (i.e., demographics; initial laboratory tests; vital signs; outcomes) were collected. Five machine learning algorithms (LightGBM, decision tree, XGBoost, random forest, and ensemble model) and a logistic regression were applied for the prediction of 28-day mortality.

Results

Overall, 693 patients were included from the eICU cohort, 181 patients from the MIMIC-IV cohort and 95 from the Wuhan Union cohort. Among the six machine learning models, the ensemble model exhibited the best predictive ability (AUC, 0.86), followed by random forest (AUC, 0.83) and LightGBM (AUC, 0.82) in the training cohort. The models also obtained the good predictive performance for the 28-day mortality in the validation cohorts.

Conclusions

We showed that machine learning algorithms can be used for the 28-day mortality prediction in critically ill, elderly patients with CRC.
InfluenCEF study: Clinical phenotype and duration of headache attributed to influenza infection
Authors: García-Azorín David , Santana-López Laura , Lozano-Alonso José Eugenio , Ordax-Díez Ana , González-Osorio Yésica , Rojo-Rello Silvia , Eiros José M , Sánchez-Martínez Javier , Recio-García Andrea , Sierra-Mencía Álvaro , Sanz-Muñoz Ivan , Guerrero-Peral Ángel Luis
Published: November 2023

Introduction

Headache is a frequent symptom of infections. We aimed to characterize the clinical phenotype and duration of headache attributed to influenza infection.

Methods

Prospective cohort study done in 53 primary care centers between January and April 2023. Patients were included if they had a confirmed influenza diagnosis, were older than 15 years and had a new-onset headache. Patients’ demographics, prior medical history, headache phenotype and duration, associated symptoms and patients’ outcomes were assessed. The International Classification of Headache Disorders criteria for headache attributed to a systemic viral infection, migraine and tension-type headache were assessed.

Results

Of the 478 patients 75 fulfilled eligibility criteria. The mean age was 43, 56% were men, and 27% had a prior headache history. The headache phenotype was a bilateral headache (52%), with frontal topography (48%), pressing quality (61%), moderate intensity, rhinorrhea (79%), nasal congestion (76%), and photophobia (59%). All patients fulfilled headache attributed to acute systemic viral infection criteria, 43% fulfilled migraine criteria and 31% tension-type headache criteria. The median duration of the headache was four (Inter-quartile range: two-six) days.

Conclusion

The clinical phenotype of headache attributed to influenza infection was similar to other infections, with more pronounced cranial autonomic symptoms. The headache was an early symptom and was self-limited within a few days. Trial Registration: The study protocol is registered in ClinicalTrial.gov (NCT05704335)
Paroxysmal hemicrania and hemicrania continua: Review on pathophysiology, clinical features and treatment
Authors: Bahra Anish
Published: November 2023

Background

Paroxysmal hemicrania and hemicrania continua are indometacin-sensitive trigeminal autonomic cephalalgias, a terminology which reflects the predominant distribution of the pain, observable cranial autonomic features and shared pathophysiology. Understanding the latter is limited, both by low prevalence and the intricacies of studying brain function, requiring multimodal techniques to glean insights into such disorders. Similarly obscure is the curious response to indometacin. This review will address what is currently known about pathophysiology, the rationale for the current classification and, features which may confound the diagnosis, such as lack of cranial autonomic symptoms and those which are typically associated with migraine such as nausea, photophobia, phonophobia and aura. Despite these characteristics, a dramatic response to indometacin, which is not seen in migraine nor the other trigeminal autonomic cephalalgias , provides the hallmark of the diagnosis. The main clinical differential for paroxysmal hemicrania is based on temporal pattern and lies between cluster headache and short-lasting-neuralgiform headache attacks with tearing or additional cranial autonomic symptoms. For hemicrania continua it is more challenging as the main differential for which the disorder is often treated is migraine. A prior episodic pattern, often days at a time, and the tendency to exacerbation with analgesics will further deflect from the diagnosis. The relevance of this is that there is little overlap in therapeutics between paroxysmal hemicrania and hemicrania continua and other headache disorders and there are limited effective alternatives to indometacin. The most effective are other non-steroidal anti-inflammatory drugs including the newer COX-II inhibitors. Even though early reports suggest that a higher indometacin dose-requirement may herald a secondary precipitating pathology, this does not seem to be the case, with syndrome and response to treatment being similar with the primary disorder. In this context imaging of new onset paroxysmal hemicrania or hemicrania continua and implication of the results will be discussed as will alternative treatment options.
Science Literacy: Using Multimodal STEM Text Sets to Help Students With Disabilities Engage in Argumentation
Authors: Romine William , van Garderen Delinda , Folk William , Lannin Amy , Juergensen Rachel , Smith Cassandra , Abedelnaby Heba , Milarsky Tracey
Published: November 2023

Today’s students live within a world filled with complexity, uncertainty, and misinformation; thus, educators need to help all learners, including students with learning disabilities, how to comprehend complex information about the natural world and make credible evidence-based claims. Our study is a first step in making this possible. In this investigation, our goal was for students to make a claim, use evidence and content-specific vocabulary, and then use reasoning to link claims with evidence in an argument. These outcomes were assessed using a pre–post design with a scenario-based assessment administered twice before and once after instruction, which used multimodal STEM text sets to fuse science and literacy learning. Data indicate that (a) both students with disabilities and those without disabilities made significant gains in argumentation and (b) the effects of instruction were similar for both groups of students. Gains for students with disabilities suggest the multimodal STEM text sets provided important scaffolding that enabled this group to learn important content in the general education classroom.
Promoting Entrepreneurial Intentions and Competencies Through Business Simulation Games
Authors: Silitonga Lusia Maryani , Dharmawan Budi , Murti Astrid Tiara , Wu Ting-Ting
Published: November 2023

Business simulation games (BSG) offer a unique opportunity to provide students with hands-on experience in a simulated business environment. This study aims to explore the effectiveness of BSG in promoting entrepreneurial intentions and competencies among undergraduate students. The study was conducted with 48 students, who participated in BSG as part of their entrepreneurship education (EE). The study used a quasi-experiment to measure changes in students' cognitive and non-cognitive entrepreneurial competencies, as well as their entrepreneurial intentions. The results show that participation in the BSG significantly improved students' cognitive and non-cognitive entrepreneurial competencies, as well as their intention to start a new business. The study concludes that BSG can be an effective teaching strategy for promoting EE and developing entrepreneurial competencies among undergraduate students. However, further research with larger sample sizes and diverse populations is needed to confirm these findings and explore how combining BSG with other teaching methods or interventions can enhance the development of entrepreneurial competencies and intentions.
How smart health leaders make intuitive decisions
Authors: Gasaway Richard B.
Published: November 2023

A rational decision-making process enables a leader to process information clearly and logically and thus allows for accurate perception and interpretation of the event. It is believed this process prevents leaders from excessively distorting reality and being impacted by cognitive biases, both of which are possible, particularly under stressful conditions. But what happens when the decision-making environment is rapidly changing and the leader does not have time to deploy a thorough, comprehensive rational decision-making process? In time-compressed decision-making environments, leaders must often make quick, accurate decisions, with incomplete, inaccurate, or rapidly changing information, under extremely stressful conditions. To improve the ability of a leader to make high-stress, time-compressed decisions under rapidly changing conditions, we offer the intuitive decision-making process as an alternative to rational decision-making and discuss five components essential to improve intuitive decision-making outcomes.
Which positive personality traits do people want to change?
Authors: Gander Fabian , Wagner Lisa
Published: November 2023

Most people want to change some of their personality traits, typically those they and others perceive as lacking. However, past research focused on student samples and higher-order traits and has not fully explored the attributes of traits that predict change goals. As a replication and extension of previous findings, two studies examined (1) whether people want to change their character strengths and how character strengths change goals relate to (2) character strength levels, (3) age, and (4) well-being. Further, we examined which (5) attributes of character strengths, such as their association with morality or well-being, predict change goals. Participants (Study 1: N = 2,792 German-speaking adults, 79.2% women, median = 46 years; Study 2: N = 6,787 English-speaking adults, 67.0% women, median = 32 years) completed measures of character strengths, character strengths change goals, and well-being. A subsample ( n = 1,739) provided informant ratings. Results showed that participants wanted to increase all 24 character strengths. Most change goals showed negligible associations with participants’ well-being and age. Except for spirituality, participants—especially the less happy—wanted to change those character strengths they lacked. The character strengths’ relationship with well-being, but not their moral value, predicted the goals to change them.
Secondary Students’ Academic Engagement Through Career Construction: The Role of Parental Support and Career Hope
Authors: Shu Xiaoli , Shu Xiaobing , Ouyang Weihua
Published: November 2023

Based on career construction theory, this study explored the relationship and mediating mechanisms between career adaptability and secondary school students’ academic engagement. Four hundred and eight secondary school students from three Chinese secondary schools were surveyed using a three-wave time-lag design. The study found that career adaptability positively predicted academic engagement. Parental support and career hope mediated the relationship between career adaptability and academic engagement. Additionally, parental support and career hope also played a series of mediating roles between career adaptability and academic engagement. The results of this study contribute to the fields of positive psychology and occupational psychology research, extend the application of career construction theory to secondary students, and provide practical insights into increasing academic engagement and interventions for secondary students. The implications of these findings for practice and future research are discussed.
Hybrid joint interface in composite fan blade subjected to bird strike loading
Authors: Yella Gruhalakshmi , Jadhav Prakash
Published: November 2023

An aircraft engine’s fan blades are one of the most important parts of the engine. Bird strikes on fan blades have always been an issue, as bird parts can strike other parts of the engine, potentially causing more damage. It is impossible to avoid being struck by a bird entirely. However, finite element analysis can be used to optimize the design of blade so that the overall impact of a bird on a jet engine is reduced. Even though current composite blades can withstand the impact of a bird strike, some delamination failures have been observed on the blade’s trailing edge side, probably due to vibration bending modes. Instead of the single fiber composite blade that is currently in use, this research proposes using two fibers (Carbon and Glass). For this to be possible, two fiber joints must be designed properly at different locations on the blade. At crucial joint locations, the minimum inter-laminar strain level was used as the design criteria. Blade deformation is simulated using coupon and sub-element level finite element analysis (FEA) models with appropriate boundary conditions with in-built hybrid joints inside. The first stage of this project involved using the Ansys Parametric Design Language (APDL) and linear static analysis to create coupon models for combinations of joint positions. In the present work, dynamic bird strike analysis on sub-element level models was performed with various joint location combinations. The best joint configurations based on static and dynamic analysis results will be suggested for use in the composite blade to prevent delamination.
Asynchronous resilient H∞ control for switched systems via multiple non-monotonic Lyapunov functions
Authors: Shan Sicheng , Tong Yanhui , Li Xiaohang , Li Yuyuan
Published: November 2023

Considering that the perturbation of controller parameters may cause severe performance deterioration in practice, this work is focused on asynchronous resilient H∞ control for discrete-time switched systems under average dwell time switching. The multiple non-monotonic Lyapunov function approach is employed to analyze the stability and H∞ performance to reduce the conservation level. First, an H∞ stability criterion is derived for general switched nonlinear systems, based on which a sufficient condition is further obtained for the resultant closed-loop system under asynchronous average dwell time switching. Then, a synthesis condition for a resilient output-feedback H∞ controller is developed using Fensler’s lemma. Finally, the effectiveness and advantages of the proposed controller design method are demonstrated by two simulated examples.
Timing of Mesenchymal Stromal Cell Therapy Defines its Immunosuppressive Effects in a Rat Lung Transplantation Model
Authors: Tanoue Yukinori , Tsuchiya Tomoshi , Miyazaki Takuro , Iwatake Mayumi , Watanabe Hironosuke , Yukawa Hiroshi , Sato Kazuhide , Hatachi Go , Shimoyama Koichiro , Matsumoto Keitaro , Doi Ryoichiro , Tomoshige Koichi , Nagayasu Takeshi
Published: November 2023

Cell therapy using mesenchymal stromal cells (MSCs) is being studied for its immunosuppressive effects. In organ transplantation, the amount of MSCs that accumulate in transplanted organs and other organs may differ depending on administration timing, which may impact their immunosuppressive effects. In vitro, adipose-derived mesenchymal stem cells (ADMSCs) suppress lymphocyte activation under cell-to-cell contact conditions. However, in vivo, it is controversial whether ADMSCs are more effective in accumulating in transplanted organs or in secondary lymphoid organs. Herein, we aimed to investigate whether the timing of ADMSC administration affects its immunosuppression ability in a rat lung transplantation model. In the transplantation study, rats were intramuscularly administered half the usual dose of tacrolimus (0.5 mg/kg) every 24 h after lung transplantation. ADMSCs (1 × 106) were administered via the jugular vein before (PreTx) or after (PostTx) transplantation. Cell tracking using quantum dots was performed. ADMSCs accumulated predominantly in the lung and liver; fewer ADMSCs were distributed in the grafted lung in the PreTx group than in the PostTx group. The rejection rate was remarkably low in the ADMSC-administered groups, particularly in the PostTx group. Serum tumor necrosis factor-α (TNF-α), interferon-γ, and interleukin (IL)-6 levels showed a greater tendency to decrease in the PreTx group than in the PostTx group. The proportion of regulatory T cells in the grafted lung 10 days after transplantation was higher in the PostTx group than in the PreTx group. PostTx administration suppresses rejection better than PreTx administration, possibly due to regulatory T cell induction by ADMSCs accumulated in the transplanted lungs, suggesting a mechanism different from that in heart or kidney transplantation that PreTx administration is more effective than PostTx administration. These results could help establish cell therapy using MSCs in lung transplantation.
Cognitive Control in Schizophrenia: Advances in Computational Approaches
Authors: Barch Deanna M. , Culbreth Adam J. , Sheffield Julia M.
Published: November 2023

Psychiatric research is undergoing significant advances in an emerging subspeciality of computational psychiatry, building on cognitive neuroscience research by expanding to neurocomputational modeling. Here, we illustrate some research trends in this domain using work on proactive cognitive control deficits in schizophrenia as an example. We provide a selective review of formal modeling approaches to understanding cognitive control deficits in psychopathology, focusing primarily on biologically plausible connectionist-level models as well as mathematical models that generate parameter estimates of putatively dissociable psychological or neural processes. We illustrate some of the advantages of these models in terms of understanding both cognitive control deficits in schizophrenia and the potential roles of effort and motivation. Further, we highlight critical future directions for this work, including a focus on establishing psychometric properties, additional work modeling psychotic symptoms and their interaction with cognitive control, and the need to expand both behavioral and neural modeling to samples that include individuals with different mental health conditions, allowing for the examination of dissociable neural or psychological substrates for seemingly similar cognitive impairments across disorders.
Ethical considerations in evaluating discharge readiness from the intensive care unit
Authors: You Sang Bin , Ulrich Connie M.
Published: November 2023

Evaluating readiness for discharge from the intensive care unit (ICU) is a critical aspect of patient care. Whereas evidence-based criteria for ICU admission have been established, practical criteria for discharge from the ICU are lacking. Often discharge guidelines simply state that a patient no longer meets ICU admission criteria. Such discharge criteria can be interpreted differently by different healthcare providers, leaving a clinical void where misunderstandings of patients’ readiness can conflict with perceptions of what readiness means for patients, families, and healthcare providers. In considering ICU discharge readiness, the use and application of ethical principles may be helpful in mitigating such conflicts and achieving desired patient outcomes. Ethical principles propose different ways of understanding what readiness might mean and how clinicians might weigh these principles in their decision-making process. This article examines the concept of discharge readiness through the lens of the most widely cited ethical principles (autonomy [respect for persons], nonmaleficence/beneficence, and justice) and provides a discussion of their application in the critical care environment. Ongoing bioethics discourse and empirical research are needed to identify factors that help determine discharge readiness within critical care environments that will ultimately promote safe and effective ICU discharges for patients and their families.
Pathways to community living in practice: Local development and adaptation within an older peoples mental health service
Authors: Findlay Lillian , Kellett Rowena , Lubbe Sean , Wand Anne PF
Published: November 2023

Objective

To describe the local adaptation of the Pathways to Community Living (PCLI) program in an Older Peoples Mental Health (OPMH) service to guide other services.

Method

A retrospective observational study was conducted. Data were obtained from service planning meetings and newly developed documents, Clinical Advisory Committee meetings, and OPMH PCLI database.

Results

The PCLI program was adapted for the local OPMH service through development of an assessment template, creating a Memorandum of Understanding with a partner Residential Aged Care Facility (RACF) and establishing processes for collaboration and regular review. Between 2019 and March 2023, 20 mental health consumers were referred to the OPMH PCLI program. Their demographic and clinical characteristics are described.

Conclusions

Adaptation of the PCLI program for OPMH consumers required consideration of specific older adult needs to develop a bespoke plan for assessment and partnership with the PCLI-funded RACF. The development phase and ongoing processes for review facilitated engagement of key stakeholders across health and RACF sectors, highlighting issues with consumer engagement. Similar models could be used by other health services to implement the PCLI in their local context.
Initial Evidence for the Reliability and Validity of New Survey Measures to Evaluate Family Outcomes of Kinship and Adoption Navigator Programs
Authors: Reyes Lucia M. , Kaye Sarah , Hood Stephanie
Published: November 2023

Kinship navigator programs (KNPs) are an important strategy to prevent overreliance on the use of foster care, but the evidence for their effectiveness is still emergent. One of the challenges in building the evidence of KNPs is the lack of culturally responsive measures to assess program-specific outcomes. Four new measures were codesigned with advisors to the Ohio Kinship and Adoption Navigator Program, including service providers and caregivers with lived expertise, to assess the most proximal outcomes of the program: satisfaction with services, self-identified family needs, caregiver resourcefulness to meet children’s needs, and accessibility of community resources. Psychometric testing with 194 kinship caregivers and adoptive parents shows promising evidence for the measures’ reliability and validity. The findings have implications for navigator programs aiming to specify and measure proximal outcomes that are tailored to their program’s design.
Lower Extremity Assistive Devices (LEADs): A Contemporary Literature Review
Authors: Hegeman Erik M. , Huh Jeannie
Published: November 2023

Lower extremity ambulatory assistive devices (LEADs) are important augments that provide mobility and stability when weightbearing is restricted in the setting of injury, surgery, or balance disorders. In order to optimize patient safety and function when prescribing these devices, it is essential for the orthopaedic surgeon to have a firm understanding of their specific indications, proper fitting, energy demand, biomechanical advantages, and potential complications. Comprehension of normal gait cadence, identification of the functional deficit present and knowledge of available options will assist in safely prescribing the proper device. Over the last decade, newer alternatives to traditional LEADs (canes, crutches, walkers) have become available, including the rolling knee scooter and hands-free single crutch. These have been developed to improve mobility and independence; however, it is necessary to appreciate their limitations when prescribing them to patients. This review will provide an update on normal and pathologic gait biomechanics as well as the most common types of LEADs currently available to the orthopaedic surgeon, their indications, important considerations, proper fitting, associated energy expenditure, and complications.
Knowledge, Attitudes and Practices of Women in the UAE Towards Breast and Cervical Cancer Prevention: A Cross-Sectional Study
Authors: Elbarazi Iffat , Alam Zufishan , Abdullahi Aminu S. , Al Alawi Shamma , AlKhanbashi Manal , Rabaa Asma , Al Aryani Aysha , Ahmed Luai , Al-Maskari Fatma
Published: November 2023

Introduction

Breast and cervical cancers represent two important causes of cancer-associated deaths in females. Uptake in prevention towards these cancers remains low in the United Arab Emirates.

Objectives

This study aimed to understand the knowledge, attitudes and practices of females residing in the Al Ain city, UAE, towards cervical and breast cancer prevention.

Methods

This cross-sectional survey was conducted with 300 women, aged 30 years and above. The primary outcome measure was cervical and breast cancer prevention knowledge. The knowledge was queried through a number of items, with the resulting aggregate scores categorized into good and low knowledge. Chi-square test was conducted to investigate the association between prevention knowledge and sociodemographic factors. Additional outcomes included attitude towards and uptake of cervical and breast cancer screening.

Results

Of the participants surveyed, 36.7% had good knowledge on breast cancer prevention, while 5.3% on cervical cancer prevention. Although the majority of the participants believed that prevention methods could save lives, they reported negative attitudes, considering screening unnecessary and painful. The self-reported screening uptake was 23% and 31.3% for mammography and Pap smear, respectively.

Conclusions

The study reported that the knowledge and uptake of women was low for both breast and cervical cancer prevention. Targeted campaigns not only to increase knowledge but also to resolve misconceptions to change negative attitudes may lead to an increase in uptake.
A Proof-of-Concept Pilot Test of a Behavioral Intervention to Improve Adherence to Dietary Recommendations for Cancer Prevention
Authors: Butryn Meghan L. , Hagerman Charlotte J. , Crane Nicole T. , Ehmann Marny M. , Forman Evan M. , Milliron Brandy-Joe , Simone Nicole L.
Published: November 2023

Objectives

Prevention programs that can help adults improve the quality of their diets to reduce cancer risk are needed. This Phase IIa study prospectively tested a mHealth intervention designed to improve adherence to dietary quality guidelines for cancer prevention.

Methods

All participants (N = 62) received nutrition education and a self-regulation skills curriculum, with a primary target of changing grocery shopping behavior. Using a randomized, factorial design, the study varied whether each of the following 4 components were added to the 20-week intervention: (1) location-triggered app messaging, delivered when individuals arrived at grocery stores, (2) reflections on benefits of change, delivered with extra coaching time and tailored app messages, (3) coach monitoring, in which food purchases were digitally monitored by a coach, and (4) involvement of a household member in the intervention.

Results

Benchmarks were successfully met for recruitment, retention, and treatment acceptability. Across conditions, there were significant reductions in highly processed food intake ( P < .001, η2 = .48), red and processed meat intake ( P < .001, η2 = .20), and sugar-sweetened beverage intake ( P = .008, η2 = .13) from pre-to post-treatment. Analyses examining whether each intervention component influenced change across time found that participants who received coach monitoring increased their intake of fruits, vegetables, and fiber, whereas those with no coach monitoring had less improvement ( P = .01, η2 = .14). The improvement in red and processed meat was stronger among participants with household support ON, at a marginally significant level, than those with household support OFF ( P = .056, η2 = .07).

Conclusion

This study showed feasibility, acceptability, and preliminary signals of efficacy of a remotely delivered intervention to facilitate adherence to dietary guidelines for cancer prevention and that coach monitoring and household support may be especially effective strategies. A fully powered clinical trial is warranted to test an optimized version of the intervention that includes nutrition education, self-regulation skills training, coach monitoring, and household member involvement.

Trial Registration

ClinicalTrials.gov NCT04947150.
Mechanical behaviors of the U-girder for urban maglev transit under temperature loads and train loads
Authors: Peng Yeye , Zhao Chunfa , Wang Sudan , Zhou Yongli , Xiang Xianglin , Feng Yang
Published: November 2023

The U-girder has been applied to the China’s Fenghuang Maglev Sightseeing Express for the first time around the world, but mechanical behaviors of the U-girder under different loading conditions have not been investigated comprehensively. Firstly, an elaborate finite element (FE) model of the 25 m U-girder considering the longitudinal prestressing tendons and the detailed track structure is built in the paper, and then an in-situ modal test is conducted to validate the FE model. Furthermore, a coupled dynamic model of maglev train-track-girder system is built by the MTS-DCSP distributed co-simulation platform. Secondly, the stress and deformation of the U-girder under the severe temperature gradient loads are analyzed carefully. The results indicate the maximum stresses always appear near the junction between the floor and the track supporting stands, but they are less than the strength of C55 grade concrete. The temperature-induced deflection on the rail can reach 2.91 mm. Thirdly, under jointly the severe temperature gradient loads and maglev train loads moving at 100 km/h, maglev train can run smoothly through the U-girder, deflection and acceleration amplitude of the U-girder are far less than the limits. However, the maximum transverse tensile stress near the junction reaches 3.0 MPa and exceeds slightly the tensile strength, it implies that the U-girder has the cracking risk of concrete.
Predictors of Individual and Interpersonal Adjustment Among Non-offending Partners of Individuals With Histories of Sexual Offenses
Authors: Cassidy Katie , Ronis Scott T.
Published: November 2023

Recent research indicates that the consequences of sexual offenses extend beyond target victims, including to non-offending partners of individuals with sexual offense histories. However, little research has focused on non-offending partners’ wellbeing and relationships with persons with sexual offense histories leading up to and following acts of sexual aggression. Non-offending partners may be secondary victims of their partners’ offenses in managing psychological difficulties (e.g., guilt, shame), social stigma and isolation, fear for their safety, or difficulties in their romantic relationships resulting from their partners’ sexual offenses, often with minimal supports. The current study examined key correlates of individual and interpersonal adjustment among 207 non-offending partners of individuals with histories of sexual offenses who were residing in Canada ( n = 36) or the United States ( n = 171). Findings indicate that positive changes due to the offense (i.e., improved finances), self-esteem, interpersonal adjustment, instrumental support, lower levels of acceptance, and humor positively predicted individual adjustment. Interpersonal adjustment was predicted by trust, intimacy, partner’s stress communication, and problem-focused and emotion-focused common dyadic coping. Findings highlight the need for services for non-offending partners, including interventions that address self-esteem and practical difficulties resulting from the offense, and couples therapy to address trust issues, intimacy concerns, and shared coping with stressors related to the offense.
The Vagaries of Sonic Neighborly Life: Privacy at Home and Sound Politics in Post-Socialist Mass Housing
Authors: Chernysheva Liubov
Published: November 2023

The article contributes to understanding of how collective life in post-socialist mass housing is ordered by discussing the ambiguous relations that exist between sound, privacy, and home. It demonstrates how residents of Severnaya Dolina, a large housing estate in St. Petersburg, Russia, experience certain neighborly sounds as nuisances and calls to action to react to and prevent sonic intrusions. Privacy at home is a collective achievement: Residents assemble complex combinations of materials, regulations, relationships, and practices to achieve privacy in their apartments. Analyses of sources, circulation, articulations, evaluations, and contestations of sound in Severnaya Dolina demonstrate how residents, who can hardly rely on the local authorities to create and regulate privacy, employ various sound politics. They define who and what is accountable for sound circulations and evoke various means to create privacy.
Female and feminine-presenting band directors’ experiences with gender microaggressions in the United States
Authors: Shouldice Heather Nelson
Published: November 2023

The purpose of this study was to explore female and feminine-presenting band directors’ experiences with gender microaggressions in their work. Data consisted of survey responses ( N = 974) from current, former, and aspiring band directors living and/or teaching in the United States. The most frequently experienced types of gender microaggressions were second-class citizenship, restrictive gender roles, and environmental microaggressions. Younger individuals, college instructors, and those in the South tended to experience certain microaggression types more frequently than did other directors. Open-ended descriptions indicated a variety of common experiences within each of the nine types of gender microaggression, the most frequent of which was being called a demeaning name (e.g., sweetie, honey, and young lady). The most stressful/bothersome types were second-class citizenship, assumptions of inferiority, and restrictive gender roles, and correlations between frequency and stressfulness were strongest for leaving gender at the door, denial of individual sexism, and denial of the reality of sexism. Implications include the need to develop awareness of, combat, and prevent gender microaggressions in the secondary band profession and to provide opportunities for teachers of all genders to be recognized and valued for their work.
Inter-group relationships of interdependence between the Adivasi people and the Jesuits in India: Emergence of a new identity
Authors: Peñarrocha Carmina , Peris Rosana , Pinazo Daniel
Published: November 2023

This study aims at exploring relationships between social groups from the perspective of the historical colonization. The general objective of the study has been to comprehend the nature of the relation between identities that have come in contact with each other with reference to differences in power. In this article, we seek to understand the nature of the encounter between the Jesuit identity and the Adivasi identity in two Jesuit provinces in India. A total of fifty-six interviews were conducted. Using grounded theory methodology, we have built a model of interdependence among the identities of these groups. The analysis reveals how the interaction centred in the self-respect facilitates the construction of inclusive identities. In this way, a potential model has been drawn into which the identity frontiers can blur to conform to the construction of more inclusive identities.
Book selection behaviors of emergent readers
Authors: Rountree Amber M
Published: November 2023

Using an observational comparative case study, this study explored emergent readers’ book selection behaviors within their classrooms. Emergent literacy skills are the forefront of literacy development (Clay, 1982; Ferriero & Teborsky, 1982; Teale, 1986; McNaughton, 1993; Chall, 1996; Neuman, 2000), yet reading motivation and engagement has largely focused on older students (Wigfield & Guthrie, 1997; Gambrell et al. 2011; Marinak, 2013), and emergent readers’ motivation and book choice research has relied upon surveys (Saracho, 1986; Sperling, et al., 2013). This study of two pre-kindergarten and two kindergarten classrooms, along with their classroom teachers, utilized observations to examine emergent reader motivation and choice (Bronfenbrenner, 1979, 2005; Bronfenbrenner & Morris, 2006; Clay, 1982, 1991, 2001; Rosenblatt, 1978, 1995). The observational data were analyzed for vertical and horizontal case analysis and findings suggest that emergent and early readers’ text selection behaviors rely on cover illustrations and familiarity with the text.
Exploring the use of focused ethnography in social work research: A scoping review
Authors: Shannon Patricia J , Soltani Laura , Sugrue Erin
Published: November 2023

Focused ethnography (FE) is an emerging method for social work researchers who examine social justice issues within specific sub-cultures and service systems. FE methods may include researchers with background knowledge, specific research questions, and the use of intensive, short-term data collection methods in time-limited settings. Although relevant to applied studies in social work, FE methods remain underspecified. This scoping review examines the extent, variety, and characteristics of FE in social work research. The protocol follows the PRISMA Extension for Scoping Reviews Checklist and Explanation (PRISMA-ScR). We searched Social Science databases between 2018 and 2022. The critical appraisal of articles is guided by published FE methodology and American Psychological Association (APA) journal reporting standards for qualitative research. Researchers justified the use of FE in relation to their ethnographic goals, research populations, and specific questions. However, they were inconsistent in their discussion of the integration of theory and reflexive processes in research methods. While most studies used thematic analysis or coding of qualitative data, some lacked the recommended elements outlined in the journal reporting standards for qualitative research. In particular, they lacked transparency when discussing the impact of background knowledge and positionality on data analytic processes and findings. In this review, we discuss the strengths and limitations of FE for social work research and offer recommendations for methodological improvement. To enhance understanding and trustworthiness of reported findings, we recommend transparency in discussions of data analytic and reflexive processes, as well as uniform reporting in accordance with APA standards for qualitative research.
From the prompt corner to the lecture theatre: Making the move from professional to academic stage manager
Authors: Franklin Jo
Published: November 2023

Following my journey from stage manager to academic I wanted to discover whether my experiences were unique. Although there has been investigation in other fields into transition experiences, there was no existing research in this area. In this article I investigate the values and identity of stage managers in academia and how these are affected by moving into academia, specifically within the context of the drama conservatoire. Using a qualitative phenomenological approach and examining data from online surveys and semi-structured interviews through content analysis, I sought and considered the views of those with similar career trajectories. Themes identified included uncertain identities, shared values, work/life balance, and tensions between theatre and academic structures. This study moves the stage manager working in the wings of drama schools to centre stage, examines their motivations and identities and encourages academic stage managers to claim their position confidently in this emerging field of study.
Intersectional Perspective on Factors Influencing Healthy Ageing Amongst Older New Zealand Men: An Exploratory Mixed Methods Study
Authors: Xiao Hui , Doolan-Noble Fiona , White Alan , Lu Wentian , Liu Lizhou , Baxter David
Published: November 2023

Little is known about how New Zealand men understand their health and wellbeing as they age and what are the determinants of their healthy ageing. Contiguous and exploratory sequential mixed methods study were conducted with the collection of both focus group and survey data. Methodologically, this abductive process was incorporated within an intersectional framework, providing a comprehensive picture of healthy aging in men across life stages and socioeconomic statuses. Integrated results revealed that for respondents the most significant factors influencing their healthy aging were, life engagement purpose, substance misuse, and masculinity norms. This article contributes to mixed methods research by providing practical applications of incorporating the intersectional model to enhance rigor in designing, conducting, and interpreting mixed methods research.
Co-designing Guidelines for Using Arts-based methods when Conducting Youth Mental Health Research in Online Environments
Authors: Woodgate Roberta L. , Gonzalez Miriam , Barrion John Christian , Hussain Tasmiah , Shamraiz Iman , Singcay Nicole , Smith Stacie , Thielmann Nicole , Yazon Erika
Published: November 2023

Co-designing research-informed guidelines with youth for adapting research methods to other contexts has received little research attention. We report on guidelines co-designed with youth for adapting arts-based methods (ABM) for youth mental health (MH) research in online environments. Seven youth co-researchers participated in 3 co-design workshops and 2 graphic recording focus groups. Data analysis involved a thematic analysis approach. We identified one overarching theme (sustaining mindful presence when conducting research) and 4 subthemes (creating a safe space, youth having a say, facilitating meaningful engagement, paying receptive attention throughout the research process). Facilitating participants’ authentic expression in online environments requires: 1) Letting youth self-identify; 2) incorporating diversity and inclusion; 3) providing accommodations, recognition, and compensation; 4) language considerations; 5) offering ABM training and resources for creating art; 6) using virtual platforms youth use; 7) being mindful of ethical considerations and technology fatigue; 8) addressing barriers in accessing and using technology; 9) providing choice in type of ABM and research methods used; and 10) providing options for communicating during research activities and for engaging in research outside of allotted time (e.g., email, group chat). These research-informed guidelines can be useful for conducting youth MH research and other youth research in online environments.