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Sports associations have a special relationship with natural landscapes. In the second half of the twentieth century, a number of organizations positioned themselves as defenders of the natural environment against the development of tourism and sports leisure facilities. They attempted to tackle the problem of over-equipment of natural areas. This research is based on a study of two outdoor institutions, the Centre Nautique des Glénans (CNG) and the Club Alpin Français (CAF). Despite their different pasts and proposed activities, both have been involved in landscape and environmental protection throughout their history. This can be seen in the way both associations integrate their facilities into the landscape, as well as in the work they do to raise their members' awareness of environmental preservation as part of their sporting activities. [ABSTRACT FROM AUTHOR]

Much has been written about the demographic make-up of librarianship, which remains overwhelmingly white and female, but little has been discussed about the socioeconomic background of folks entering the field. In this column, I explore some of the ways that coming from a financially disadvantaged background can impact both entering the profession and the experience of working within it. A mix of practical and aspirational action items are provided. [ABSTRACT FROM AUTHOR]

Young Americans are coming of age immersed in daily news and controversy about rising perils like climate change, and emerging ones like artificial intelligence. Generation Z has produced and embraced movements for climate action like the school strikes led by Greta Thunberg that connect to other social justice movements. But the threat posed by nuclear weapons remains a disconnected abstraction to many young people, even as tensions between nuclear-armed states over conflicts like the invasions of Ukraine and Gaza renew fears of a nuclear confrontation that were more common decades ago. In this personal essay, a life-long opponent of nuclear weapons raised during the Cold War reflects on intergenerational lessons about activism, and teaching college students to embrace their curiosity, and their fear, on the way to saving the world. [ABSTRACT FROM AUTHOR]

In this article, we provide a brief overview of generative artificial intelligence (GenAI) and large language models (LLMs). We then propose eight critical questions that libraries should ask when exploring this technology and its implications for their communities. We argue that libraries have a unique role in facilitating informed and responsible use of GenAI, as well as safeguarding and promoting the values of access, privacy, and intellectual freedom. [ABSTRACT FROM AUTHOR]

Research into the psychology of coaching has been somewhat neglected in comparison to research on the psychological development of athletes. The purpose of this study was to examine the effects of a brief online rational-emotive-behavioral-therapy (REBT) program on coach irrational beliefs and well-being. Coaching staff from an elite international canoeing team (N = 4) took part in a three-session (30- to 40-min) REBT program. Participants completed measures of irrational beliefs and mental well-being at preintervention, postintervention, and follow-up (1 month) time points. Visual analyses and social validation revealed that the intervention reduced irrational beliefs and enhanced mental well-being in two participants. However, REBT was more effective for some coaches than others, and follow-up data indicated a return to base levels in some coaches. Limitations and recommendations for future research are discussed, alongside practitioner reflections. [ABSTRACT FROM AUTHOR]

Although a substantial proportion of psychological research focuses on the topic of ableism in schools, there is limited use of qualitative methodology, with no instances employing the story stem completion method. There is a scarcity of academic literature discussing best practice of research conducted (a) with children, (b) within school settings, or (c) addressing ableism and disability-based prejudice. This paper fills this gap via sharing insights gained from our research. We collected qualitative data through story stem completion tasks to explore perceptions and discourse surrounding disability among N = 195 children aged 5–11 years in the UK. We explain and critically assess our research decisions, including the creation of story stems, remote and indirect engagement with pupils and school staff, and our data collection methods. We highlight the array of choices available to researchers, emphasize the importance of further dialogue within the research community, and advocate for evidence-based best practices in this research area. [ABSTRACT FROM AUTHOR]

Background: The quality of Big Data analysis in medicine and surgery heavily depends on the methods used for clinical data collection, organization, and storage. The Knowledge Graph (KG) represents knowledge through a semantic model, enhancing connections between diverse and complex information. While it can improve the quality of health data collection, it has limitations that can be addressed by the Decentralized (blockchain-powered) Knowledge Graph (DKG). We report our experience in developing a DKG to organize data and knowledge in the field of emergency surgery. Methods and results: The authors leveraged the cyb.ai protocol, a decentralized protocol within the Cosmos network, to develop the Emergency Surgery DKG. They populated the DKG with relevant information using publications from the World Society of Emergency Surgery (WSES) featured in the World Journal of Emergency Surgery (WJES). The result was the Decentralized Knowledge Graph (DKG) for the WSES-WJES bibliography. Conclusions: Utilizing a DKG enables more effective structuring and organization of medical knowledge. This facilitates a deeper understanding of the interrelationships between various aspects of medicine and surgery, ultimately enhancing the diagnosis and treatment of different diseases. The system's design aims to be inclusive and user-friendly, providing access to high-quality surgical knowledge for healthcare providers worldwide, regardless of their technological capabilities or geographical location. As the DKG evolves, ongoing attention to user feedback, regulatory frameworks, and ethical considerations will be critical to its long-term success and global impact in the surgical field. [ABSTRACT FROM AUTHOR]

ABSTRACT Introduction Materials and Methods Results and Discussion Conclusion The COVID‐19 pandemic had extensive influence on dental education. UK dental schools were compelled to respond with substantial adaptations to clinical training approaches and environments to mitigate educational impact.The Surveying Pandemic Education Response in Higher Education Dental Schools (SPEARHEAD) study aimed to retrospectively evaluate the diverse responses of UK dental schools to the COVID‐19 pandemic. All UK dental schools were invited to participate in semi‐structured interviews to ascertain institutional responses, with transcripts subjected to thematic framework analysis.Ten UK dental schools contributed to the study and three main themes were identified: student education, environment, and procedures and equipment. The most common approach to student education was the reduction of student numbers in clinical areas; however, this increased supervisory demands. While there was widespread acknowledgement of the need for enhanced ventilation, implementing the necessary modifications was frequently constrained by building configurations and financial implications. Numerous procedural adjustments were implemented, accompanied by widespread adoption of enhanced personal protective equipment. Fallow periods were common, although differing durations underscored the need for data‐driven guidance. Many schools transitioned towards electric speed‐controlled handpieces, but the need to reflect real‐world scenarios often led to a reversion to air turbines.UK dental schools showed initiative, resilience, and ingenuity in safeguarding students from enduring irretrievable educational setbacks amidst the challenges posed by the COVID‐19 pandemic. Validating a data‐driven strategy for addressing future threats would facilitate a unified response, minimising the educational repercussions and bolstering the resilience of dental training. [ABSTRACT FROM AUTHOR]

The study examined the women in the workforce and various family-related challenges faced in Kwara State, Nigeria, in relation to certain variables. The study employed a descriptive survey design. The population consisted of all working-class married women in the Kwara State Civil Service. A combination of stratified and purposive sampling methods was utilized to select 700 respondents from local government secretariats and schools across the state’s three senatorial districts. Data on the variables under study were collected using a researcher-designed questionnaire. The data collected were analyzed using descriptive statistics of mean, and inferential statistics of t-test. The study found worrying often about my family”, ‘lack of quality time with my husband’, and ‘arriving home late always as some of the challenges faced by working-class married women. Also, the study showed a significant difference in the family-related challenges of working-class married women in Kwara State based on level of education and number of children. It was therefore recommended that women should seek the support of their husbands with some home activities, making use of some technological devices to ease the work in the home. Like procuring a washing machine, dishwasher, vacuum cleaner etc. These and many more devices will assist in the reduction of family responsibility of the woman to the husband and children thereby reducing family-related challenges and would enable women to perform their roles effectively both at work and in the family, and also women should carefully evaluate the job responsibilities before picking up any job. [ABSTRACT FROM AUTHOR]

In recent decades, the religious landscape in Europe, including Finland, has witnessed increasing secularisation and pluralisation. In this article, we investigate the diversity of worldviews among Finnish upper secondary school students from a person-centred perspective. By conducting latent class analysis on the survey responses of 973 students, we distinguish five different worldview profiles: the Culturally Moderate are characterised by average scores on all worldview-related items. The Secularly Active distance themselves from clearly religious or spiritual items, yet they are very engaged in existential and ethical reflections. The Communally Passive show limited interest in spiritual or value-based activities, while the Existentially Indifferent tend to have minimal engagement with worldview-related issues. The Religiously Active are the smallest class in the data and the only ones to show marked involvement in distinctly religious concerns. Personal ethics and meaning are important across the classes and are also relatively important in classes otherwise uninterested in worldview-related issues. Finally, the article concludes with a discussion of the educational implications of the findings for Religious Education and Ethics instruction. [ABSTRACT FROM AUTHOR]

Civilian and military police forensic practitioners are periodically tasked with responding to mass fatality incidents and disasters. A key component of these responses is comprehensive pre-deployment preparation by first responders. Although collaboration is often necessary in the field, training is often organization- or sector-specific. In response to recent recognition of the potential benefits of collaboration between military police and civilian police, this commentary documents a collaborative training exercise undertaken at a taphonomic facility by Australian civilian and military police forensic practitioners, along with other forensic specialists. It discusses the rationale for collaborative training and some of the potential benefits of such exercises. The article concludes with some suggestions for consideration to further strengthen future training opportunities. [ABSTRACT FROM AUTHOR]

ABSTRACT Objectives Methods Results Conclusion To evaluate the performance of a Generative Pre‐trained Transformer (GPT) in generating scientific abstracts in dentistry.Ten scientific articles in dental radiology had their original abstracts collected, while another 10 articles had their methodology and results added to a ChatGPT prompt to generate an abstract. All abstracts were randomised and compiled into a single file for subsequent assessment. Five evaluators classified whether the abstract was generated by a human using a 5‐point scale and provided justifications within seven aspects: formatting, information accuracy, orthography, punctuation, terminology, text fluency, and writing style. Furthermore, an online GPT detector provided “Human Score” values, and a plagiarism detector assessed similarity with existing literature.Sensitivity values for detecting human writing ranged from 0.20 to 0.70, with a mean of 0.58; specificity values ranged from 0.40 to 0.90, with a mean of 0.62; and accuracy values ranged from 0.50 to 0.80, with a mean of 0.60. Orthography and Punctuation were the most indicated aspects for the abstract generated by ChatGPT. The GPT detector revealed confidence levels for a “Human Score” of 16.9% for the AI‐generated texts and plagiarism levels averaging 35%.The GPT exhibited commendable performance in generating scientific abstracts when evaluated by humans, as the generated abstracts were indistinguishable from those generated by humans. When evaluated by an online GPT detector, the use of GPT became apparent. [ABSTRACT FROM AUTHOR]

Social work curricula have evolved to include anti-racism, diversity, equity, and inclusion (ADEI) as a critical lens for working with community members across the micro, mezzo, and macro levels of practice. However, the research to support best practices for teaching ADEI praxis is minimal. Consequently, the unclear guidance translates into students being unprepared for anti-racism praxis in their practicum settings, which may result in them being harmed, as well as being the perpetrators of harm. To address this gap, one school of social work developed a pre-practicum lab for generalist practice in its Master of Social Work program. In this Lab, students learn the cornerstones of reflection, self-awareness, self-regulation and how to engage within a practicum environment using an ADEI lens. This paper describes the state of ADEI in social work education, the development, and design of the Lab in response to the situation, its implementation, and implications for social work education. [ABSTRACT FROM AUTHOR]

Objective Methods Results Conclusion To assess the impact of an oocyte retrieval simulation training program (ORSTP) on the clinical performance of residents.We performed a prospective comparative study. The Simulation (S) group included oocyte retrieval (OR) performed by residents who had undergone an ORSTP before performing them on patients (n = 422 OR), and the control (C) group included OR performed by residents who had not received prior simulation training (n = 329 OR). Our main outcome measure was the OR rate (ORR) (number of oocytes collected/number of follicles aspirated) during the first 3 months of the rotation.In the S group, six residents aspirated 657 ovaries, while in the C group, five residents aspirated 508 ovaries. The mean ORR during the first 3 months of rotation were comparable between the S and C groups (59% vs. 58%, P = 0.68). ORR during the first and second month, and at the end of the rotation were also comparable between the S and C groups (54% vs. 63% [P = 0.13], 58% vs. 59% [P = 0.82], and 58% vs. 58% [P = 0.90], respectively). There was no significant difference in the rate of failed OR (ORR = 0%) (3.3% vs. 1.8%, P = 0.13) between the S and C groups. Finally, 16% of residents in the S group reported being stressed before their first OR compared to 40% in the C group (P = 0.85), and 83% of residents in the S group felt confident about the results of their retrievals compared to 20% in the C group (P = 0.13).The ORSTP does not improve the residents' clinical performance, but it could decrease their stress and improve their confidence in clinical practice. [ABSTRACT FROM AUTHOR]

Background: The burden of time-sensitive illnesses that require emergency care, such as heart diseases, respiratory tract infections, and road traffic injuries, is the leading cause of premature deaths. The healthcare providers of the emergency care system lack the essential knowledge and skills across different healthcare levels in our country. In this paper, we aim to describe the development and initial implementation of a blended learning curriculum for teaching and training non-EM-trained physicians working in the emergency departments of our country. Methods: We used a previously articulated curriculum designed by Patricia Thomas and David Kern. The model included general and specific need assessment, defining goals and objectives, selecting teaching and learning strategies, and implementation and evaluation plans. Results: Based on the need assessment, a module-based blended learning model has been designed with well-defined goals and objectives covering knowledge and skills. This ten-week module-based course focuses on four areas of critically emergent conditions, i.e., trauma, shock, difficulty in breathing, and altered mental status. Evaluation will be made by comparing the pre and post-test scores of the participants. Conclusion: We have developed a blended course to teach non-EM-trained physicians working in the ED of our country. We hope that through this blended learning model, we will be able to adequately train our physicians working in the emergency department without any formal training in EM, which will lead to improved patient care and outcomes. [ABSTRACT FROM AUTHOR]

Background: In the United States (US), premature cardiovascular disease (CVD) mortality rates (35–74 years) have exhibited increases in recent years, particularly in younger adults, and large differentials by educational attainment. This trend has occurred concurrently with high and increasing obesity prevalence, which also show significant differences by education. This study aims to jointly model premature CVD mortality trends in the US according to obesity status and educational attainment. Methods: We used multiple cause of death data from the National Center for Health Statistics, obesity prevalence data from the National Health and Nutrition Examination Survey (NHANES), and educational attainment data from the American Community Survey and NHANES. We applied Bayes' theorem to these data to calculate the conditional probability of premature CVD mortality given obesity status and educational attainment for 2003–2019. We then projected this conditional probability for 2020–2029 using the Lee-Carter model. Results: The probability of premature CVD mortality was greatest for obesity and low education (not graduated high school) and was substantially higher (females 6.7 times higher, males 5.9) compared with non-obesity and high education (Bachelor's degree or higher) in 2019. There was a widening of the gap in premature CVD mortality from 2003 to 2019 between the obese and non-obese populations, which occurred at each education level and was projected to continue in 2020–2029, especially for males. The conditional probability of premature CVD death for obesity and middle education (finished high school but no Bachelor's degree) increased substantially and was projected to surpass the level for non-obesity and low education in coming years for males and in younger age groups. At high education, the conditional probability of premature CVD death for the obese population was projected to increase to 2029, while for non-obesity it was projected to remain steady for females and fall for males; this projected widening is greatest at older age groups. Conclusions: The findings demonstrate the public health challenge to reduce premature US CVD mortality posed by continued high obesity prevalence, especially for younger ages, lower education groups and males. The relative importance of obesity in influencing premature CVD mortality trends has risen partly due to the decline in CVD mortality attributable to other risk factors. [ABSTRACT FROM AUTHOR]

Background: The pronounced changes in reproductive hormones, such as oestradiol and progesterone, that occur during the menopause transition can contribute to increased risk of eating disorder onset or exacerbate a pre-existing eating disorder. Despite this heightened risk, there is a lack of available education and support that takes into consideration the unique challenges of experiencing an eating disorder during the menopause transition. This research aimed to qualitatively explore the perspectives of people with a lived experience of an eating disorder during the menopause transition, and to co-design a support option that addressed their unmet needs. Methods: A Double Diamond co-design process was followed involving four phases: discover, define, develop, and deliver. Seventeen women in Australia with a lived experience of an eating disorder during the menopause transition participated in online workshops across the four phases to identify their unmet health educational needs in experiencing an eating disorder during this transition, develop potential solutions and ultimately deliver a prototype solution in the final phase. All online workshops were recorded, transcribed verbatim and analysed using qualitative thematic analysis. The findings from the previous phase informed the next leading to the prototype creation. Results: Qualitative thematic analysis identified six major themes across the four phases; lack of awareness of the intersection of menopause and eating disorders, lack of education, limited and stigmatising services, learning from lived experience, resource impact and resource development. Conclusions: Findings from this study provided preliminary acceptability of a novel online resource to address the unmet educational needs of people experiencing an eating disorder during the menopause transition. Overall positive feedback on the potential for the resource to improve knowledge and empower treatment-seeking was provided by women with lived experience. Plain English summary: Menopause is the end of reproductive functioning usually marked by the permanent ending of menstrual periods. In the few years leading up to menopause, known as the menopause transition, there can be an increased risk of eating disorder onset or exacerbation of a pre-existing eating disorder. However, there is a lack of available education and support that takes into consideration the unique challenges of experiencing an eating disorder during the menopause transition. As such, this study designed and developed an online educational resource together with and specifically for people experiencing an eating disorder during the menopause transition through a comprehensive series of online workshops. We found that the women in our study were unaware and confused regarding the intersection of eating disorders and menopause. They provided positive feedback on the online educational resource at the end of the study which they reported improved their knowledge and made them feel more confident to seek further support from health professionals. [ABSTRACT FROM AUTHOR]

Summary Introduction Methods Results Discussion Point‐of‐care gastric ultrasound is an emerging tool in peri‐operative practice. However, data on the technical challenges of gastric ultrasound, which are essential for optimised training, remain scarce. We analysed gastric ultrasound examinations performed after basic training to identify factors associated with difficulty.This was an analysis of data from a prospective observational study evaluating the potential impact of routine pre‐operative gastric ultrasound on peri‐operative management in adult patients undergoing elective or emergency surgery at a single centre. Before initiation, physicians received extensive structured training with at least 30 supervised gastric sonograms before independent practice. We then used regression models to identify factors associated with deviation from a predefined sonography algorithm, performance time and scan difficulty.Seventy‐three trained physicians performed 2003 ultrasound scans. Median (IQR [range]) performance time was 5 (4–6 [1–20]) min, which was achieved after 20–27 scans following structured training. Patient characteristics associated with more difficult and longer duration scans were: increase in BMI per 5 kg.m‐2 (odds ratio (95%CI) 1.57 (1.35–1.83), p < 0.001 for difficulty and percentage change coefficient (95%CI) 1.03 (1.02–1.05), p < 0.001 for duration); and male sex (odds ratio (95%CI) 3.31 (2.28–4.88), p < 0.001 for difficulty and percentage change coefficient (95%CI) 1.08 (1.04–1.12), p < 0.001, for duration). Trauma surgery (odds ratio (95%CI) 3.26 (1.88–5.68), p < 0.001), ASA physical status of 3 or 4 (odds ratio (95%CI) 1.86 (1.21–2.88), p = 0.0049) and emergency surgery (odds ratio (95%CI) 1.86 (1.20–2.89), p = 0.006) were associated with deviation from the predefined sonography algorithm.Approximately 50 scans are required to achieve a baseline performance of 5 min per gastric ultrasound. Future training programmes should focus on patients with obesity, male sex, higher ASA physical status and trauma. [ABSTRACT FROM AUTHOR]

Few studies investigate the issue of kindergarten assistants, most probably because kindergarten assistants are often considered ‘invisible’ and are unappreciated because of their lack of appropriate education and training and low wages. This article examined how Israeli kindergarten teachers perceive the role of their assistants in an attempt to show the changes in the perception and definition of the role, especially following changes introduced by the ministry of education, which considers early childhood education an important goal and supreme value for the future of education and the state. Based on a questionnaire among kindergarten teachers in northern Israel, the study found a division of duties between the kindergarten teacher and the assistant, while the character of change in this division of duties stemmed from the managerial culture of the kindergarten and/or the kindergarten teacher’s years of experience. This suggests that kindergarten teacher assistants should receive appropriate professional development to ensure optimal fulfilment of their role. [ABSTRACT FROM AUTHOR]

Purpose The formation, implementation, outcomes, and impact on retention of a health system–based pharmacy technician training program are described. The program seeks to produce graduates who are well equipped for employment within the health system and eligible for certification by the Pharmacy Technician Certification Board, thereby developing a consistent source of well-trained technicians to meet the needs of the health system. Summary The program's ideal candidate is one who is seeking to begin or transition to a career in health-system pharmacy. The affordable accredited program provides candidates with the skills needed to become a certified pharmacy technician. A distinguishing feature of the program design is the pace of the curriculum, designed to be completed in 11 weeks. The program is accredited by the American Society of Health-System Pharmacists and the Accreditation Council for Pharmacy Education at the entry-level accreditation standard. The program is structured to enroll 3 cohorts annually, beginning in April, August, and January. This provides a consistent and dependable bolus of graduates for hiring managers across the health system's pharmacy department. The program supports enrollment by internal and external candidates. In addition to didactic content, the simulation component of the program combines remote and onsite simulations. Following completion of the didactic and simulation content, students receive 2 blocks of acute and ambulatory care shadowing for 111 hours over 2.5 weeks of experiential content. The program realized benefits by partnering with an external digital content provider. First, the platform enabled the team to accelerate the time to program launch. A second benefit of the platform is the ability to conduct the program and update content. In April 2018, the institution launched the program to meet pharmacy technician needs within the organization. As of April 2022, 11 cohorts have successfully completed the program, with a total of 41 graduates. At the time of writing, the retention rate in the health system for those beginning the training program in April 2018 was an impressive 90%. In comparison, the overall retention rate for the pharmacy department during this same period was 31%. The program has a graduation rate of 93% and a job placement rate as a pharmacy technician of 90%. The institution believes that this program has helped provide a consistent supply of well-trained technicians to meet the needs of the health system and that the program provides a superior level of clinical training to technician students at an affordable price. The program represents a novel strategy to efficiently and effectively train pharmacy technicians and has been demonstrated to result in improvements to the health system. Conclusion Establishing a pharmacy technician training program provides a mechanism to ensure continuity and uniformity as healthcare continues to evolve. By providing a source of well-trained pharmacy technicians, the program allows the profession to continue to achieve its overarching aims. [ABSTRACT FROM AUTHOR]

EU containment and Tunisian domestic policies have produced a new, Black migrant, urban underclass. Based on in-depth ethnographic fieldwork among Ivorian migrant women in Bhar Lazreg, a Tunis banlieue, this paper explores how the women navigate and negotiate everyday life. On the urban margins of society, forgotten and far from the border, migrants reinvent ways to keep moving. The paper suggests that their stuckness is still all about movement as encapsulated in the emic term bouger – akin to treading water, involving a constant motion to stay afloat, but without ever getting anywhere. Tension operates across many levels, between the physical, the temporal–spatial, and the existential. Embedded in this tension is a second emic term prison à ciel ouvert (open-air prison). Juxtaposing a space that feels carceral and limiting while simultaneously bursting with potential for movement, the paper contributes to the literature on immobility within mobility. But beyond that, the empirical findings show a far more complex reality, complicating the notion of transit. By exploring the tensions and entanglements between the emic terms it becomes clear that to understand spaces of transit it is essential to understand stuckness and movement as fundamentally intertwined, overlapping, and co-constitutive. [ABSTRACT FROM AUTHOR]

Previous studies find that Asian American parents enforce a strict academics-centered success frame upon their children. However, there is limited research on the actual standards of successful childrearing from the perspective of parents. Drawing on in-depth interviews with middle-class parents of Chinese and Indian descent in New Jersey (N = 44) conducted between December 2020 and January 2022, I contest the conception of a unidirectional parental assimilation process that presumes White middle-class families to be the default destination for assimilation. I argue that middle-class Asian American parenting can be better understood as an 'inclusive assimilation' process. Parents not only aim for a well-rounded education for their children as touted by White parents but, similarly to Black and Hispanic families, also embrace racial socialization efforts in their parenting, partly in response to the rise in anti-Asian violence observed during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

This article delves into the examination of the similarities and disparities between education and enhancement, with a particular focus on enhancement within the realm of NBIC (Nano-Bio-Information Technology, Cognitive Science). After scrutinizing how proponents of enhancement have delineated the concept of education, our investigation unfolds along two primary dimensions: the anthropological underpinnings of education and enhancement discourse and their respective objectives. Through this analysis, we assert that education and enhancement exhibit distinct characteristics and objectives, defying easy comparison for determining which approach is more conducive to human improvement, notwithstanding their superficially analogous theoretical frameworks and objectives. Furthermore, we aim to highlight the perceptual illusions that blur the demarcation lines between education and enhancement, in order to establish a clear and distinctive role for education amid the plethora of enhancement discourses. [ABSTRACT FROM AUTHOR]

Background: Education during pregnancy is important for the development of the pregnant woman's ability to adapt to change and for a healthy birth. In this study, we aimed to examine the effects of education through a diabetes education program on maternal and newborn health in women diagnosed with gestational diabetes. Materials and methods: In our study, we compared the maternal and neonatal health outcomes of pregnant women who participated in the diabetes education program and were diagnosed with gestational diabetes with the outcomes of pregnant women who did not participate in the diabetes education program and were diagnosed with gestational diabetes. The study included patients who were diagnosed with diabetes between 24and 26 weeks gestation at a tertiary education and research hospital and who underwent a 75-gram OGTT test. Age, BMI, parity, method of delivery, weight gain during pregnancy, newborn birth weight, gestational age and Apgar scores were compared. Results: The study included 119 patients and analyzed maternal-neonatal outcomes. There were no statistically significant differences in age (33 ± 5.7 versus 31 ± 5.2), body mass index (BMI) (32.2 vs. 31.2), gravidity, parity, number of miscarriages, mode of delivery, family history of diabetes, smoking, prenatal corticosteroid use, and gestational age at delivery. The HbA1c value (p: 0.013), the total weight gain during pregnancy (p: 0.015), the need for insulin treatment (p: 0.002), and the birth weight (0.005) were significantly higher in the group without diabetes education. Conclusion: In our study, diabetic school education was associated with lower HbA1c levels, less weight gain and less need for insulin therapy. When the results were categorized by insulin use, it was found that in patients using insulin, those who received diabetic school education had fewer macrosomic fetuses, whereas in patients not using insulin, those who received diabetic school education had lower maternal weight gain during pregnancy. [ABSTRACT FROM AUTHOR]

The limited number of researchers with expertise necessary toaddress treatment gaps for children presents an ongoing challenge. The NationalInstitutes of Health established a national Pediatric Clinical Pharmacology T32Training Program in 2012 to train a multidisciplinary, collaborative pediatricclinical pharmacology workforce. We surveyed all current T32 trainees andgraduates since inception to identify strengths and opportunities to enhanceworkforce development. A total of 85 out of 155 (55%) responded, with themajority of respondents being female gender (61%), white race (75%), andworking in academia (75%). Nearly all (97%) reported using clinicalpharmacology in their current position, with 88% planning to remain in clinicalpharmacology in the long term, reinforcing current training efforts. Lifestylefactors and student debt appeared to influence career decisions. Mentors werecritical for introduction and future success in the field. Time and fundinglimitations were perceived as barriers to successful training. There was also apressing need to improve diversity. For workforce development, we suggestsupporting: (1) trainees' lifestyle, by offsetting financial pressures ofresearch training and expanding the geographic footprint of pediatric clinicalpharmacology training; (2) mentorship, by identifying mentors in the field andproviding dedicated support for mentorship; (3) efficiency, by evaluatingcurrent training activities and focusing on activities that maximizeopportunities for future funding; and (4) diversity, by examining barriers todiversity in the workforce in general and expanding early enrichmentopportunities. [ABSTRACT FROM AUTHOR]

ABSTRACT Nursing, by its philosophy, is the process of providing quality care with an existential, humanitarian and holistic approach. In this context, nursing education aims to develop the intellectual, emotional and social skills of students to the greatest extent by reinforcing them with ideals. The psychodrama method, which can be a significant part of the therapeutic process of individuation and self‐realisation, may be seen as a way for this. Psychodrama, which is a group psychotherapy method, is practiced worldwide under different styles and schools for the therapeutic processes of individuals. Jungian psychodrama is an approach that combines analytical psychology and drama therapy and aims to discover and transform the inner worlds of individuals. This article discusses the fundamental concepts and principles of Jungian psychodrama, the relationships of psychodrama with the profession of nursing, education in this profession and how Jungian psychodrama can be employed in nursing. [ABSTRACT FROM AUTHOR]

ABSTRACT Effective communication in pediatric dermatology is critical for accurate diagnosis and treatment, particularly in sensitive areas such as the anogenital region. Unfortunately, children and their families often use euphemisms or incorrect terms when referring to this area, and many adults lack knowledge of anogenital terminology. Pediatric dermatologists can play a unique role in educating children and their families on correct anatomical language, which enhances body awareness, empowers young patients, improves safety, and contributes to accurate medical assessments and treatment adherence. By promoting the use of correct anatomical terms, pediatric dermatologists can improve patient outcomes and foster a healthier understanding of body anatomy and health. [ABSTRACT FROM AUTHOR]

Developments in Virtual Reality (VR) technology have led to an increased use in research, practice, and for entertainment purposes. There is also a perceived applicability and suitability of the technology for educational purposes. For VR to be properly implemented in schools and special education, there is a need for understanding what teachers, special education teachers, and student teachers view as important implementation factors. We interviewed a total of 13 Norwegian teachers in which eight were interviewed individually and five were interviewed as a group. We thematically analysed the data, which resulted in five themes of implementation factors: training and knowledge, networks, resources, positive attitudes, and technological features. This study provides the educational-technology community with important insights from stakeholders for a successful implementation of VR in education. The themes elucidate the success factors, possible pitfalls, or challenges in implementing VR, and the perceived workload for the school personnel. Our findings are in line with existing research on the implementation of desktop computer technology, and we extended the scope to include VR technology in educational settings. [ABSTRACT FROM AUTHOR]

Grandparents are an important source of childcare worldwide, but international patterns vary. We examine how demographic characteristics of parents, and of grandparents, factor into grandparent care provision considering the cultural assumptions and policy settings Australian families live within. Using the Household Income and Labour Dynamics in Australia survey, we identify determinants of both the demand for and the supply of grandparent childcare in Australia (4266 grandparents and 9822 parents). Results suggest that grandmothers and mothers, as much or more than fathers and mothers, balance their reciprocal participation in employment and childcare. University‐educated grandmothers are more likely to provide regular childcare (at least once a week) and university‐educated mothers are more likely to draw upon it, inconsistent with research in other countries. It appears grandparents are stepping in as both “mother savers” and “system savers,” suggesting a need for more public policy support for Australian working mothers to capitalise on their increasingly high educational attainment. [ABSTRACT FROM AUTHOR]

AbstractBackgroundAimsMethodsResultsConclusionsLimited evidence exists regarding how sex differences in mental health are changing over time, especially in the context of recent health and economic adversities.To examine the temporal shifts in mental health issues among males and females, and explore the influence of education and loneliness on these trends.Data were utilized from the 2020 to 2023 Monitor study, a repeated cross-sectional survey of adults 18 years and older in Ontario, Canada. The study employed a Qualtrics-based web panel survey (n = 5,317). Mental health was assessed using Kessler-6 questionnaire, and analyses were performed using Generalized Linear Model (GLM) with gamma distribution.The results showed that there was a significant three-way interaction effect between sex, time and education with psychological distress (p = 0.014), suggesting that psychological distress increased between 2020 and 2023 among males who had less than college education. However, it remained stable among males with college/university degrees and females overall. Interaction between sex and feeling lonely on psychological distress was also evident (p = 0.004).Mental health issues remained a significant public health challenge among adults, especially psychological distress increasing among males with less than a college education. This underscores the importance of targeted interventions addressing males’ mental health. [ABSTRACT FROM AUTHOR]

Background Objective Method Results Conclusion Implications The past few decades have witnessed drastic changes in family structures and the provision of care within the family in China.The current study investigated how familial caregivers of children (N = 30, Mage = 41.67, SD = 11.32) living in one of the largest urban centers in China learned and taught how to care within the family.Nine focus groups were conducted to collect data, and thematic analysis was adopted to analyze the data.Two main themes were found: (a) learning to care on one's own and (b) the importance of encouraging one to want to care. The findings indicate that Chinese caregivers received limited direct instruction in learning how to care and were often faced with the challenge of having to self‐teach care. Meanwhile, when teaching care, caregivers focused on the motivation to care (e.g., filial piety) as an important element for learning to practice care.These findings highlight considerations of motivation of care often not mentioned in the Western literature while also indicating the need of society to support teaching and learning the practice of care within the family.This study highlights the importance of cultural considerations when designing intervention programs to help individuals to develop the ability to care and provides insights exploring how school‐family partnership promotes children's ability to be caring. [ABSTRACT FROM AUTHOR]

Background: A dementia diagnosis can lead to a decline in cognitive, social, and physical health, but people with dementia can live meaningful lives and participate actively in society with psychosocial support. This single-arm, non-randomised feasibility study explored the feasibility and acceptability of a Comprehensive REsilience-building psychoSocial intervenTion (CREST) for people with dementia, their caregivers, General Practitioners (GPs), and the public. Methods: Nine people with dementia and their primary caregivers living in the community (n = 9 dyads) completed the CREST intervention which had three components (cognitive stimulation therapy [CST], physical exercise, and dementia education). Quantitative secondary outcomes were assessed at baseline and following the 15-week intervention; qualitative interviews were conducted during and post-intervention. All study components were assessed against pre-defined criteria, to determine the feasibility of conducting a future definitive trial. Results: Recruitment of people with dementia and their caregiver was a significant challenge and led to considerable delays to the onset and conduct of the intervention. Only 13% of eligible GP practices agreed to assist in recruitment and achieved a 6% enrolment rate; a community-based recruitment strategy proved more effective, yielding a 29% enrolment rate. However, once recruited, participants maintained high attendance and adherence to the content of each component with average adherence rates of 98% for CST, exercise sessions and caregiver education. Adherence to secondary exercise measures was lower, with home exercise diary completion at 37% and Fitbit wear adherence at 80% during the day and 67% at night. The people with dementia felt their concentration and fitness had improved over the 15-week intervention and particularly enjoyed the social aspects (e.g. group classes, exercising with partners from the community). Caregivers felt they had better knowledge and understanding following their education component and reported that the social aspects (interacting and sharing experiences with each other) were important. Overall, participants reported that the three components of the intervention were feasible and acceptable. In addition, the quantitative measures and health economic tools employed were feasible. However, the secondary elements of the exercise component (recording home exercise diaries and Fitbit use) were not considered feasible. Overall, pre-defined criteria for progression to a definitive intervention were fulfilled in terms of acceptability, retention and fidelity but not recruitment. Conclusion: While overall, the CREST intervention was feasible and acceptable to participants, significant difficulties with recruitment of people with dementia and their caregiver through GP practices impacted the viability of delivering the intervention. Recruitment through community-based groups proved a more feasible option and further work is needed to overcome barriers to recruiting this cohort before a larger-scale trial can be conducted. Trial registration: ISRCTN25294519. [ABSTRACT FROM AUTHOR]

Background: Mental health among older women is substantial due to their longer life expectancy. They are more susceptible to mental disorders like depression and anxiety compared to older men. Additionally, older women fulfill essential family roles and depend on social support for age-related health issues. Family-centered education provides a platform to assist families and foster a collaborative relationship between the patient, family members, and health care providers in end-of-life care. The study aimed to explore how education based on family‑centered empowerment model affects mental health in aged women. Methods: This randomized controlled trial involved a group of 60 elderly women aged 60 years and older, specifically selected from elderly-friendly health centers in Tabriz-East Azerbaijan, who were randomly assigned to either an intervention or control group with an equal ratio. The intervention group received a family-centered healthy lifestyle intervention weekly for 10 sessions, while the control group received standard care from elderly-friendly centers. The mean score of mental health using a three-part questionnaire of demographic-anthropometric characteristics and a mental health questionnaire (GHQ) were assessed before the intervention, 4 and 8 weeks after the intervention through SPSS/version 13 using, ANCOVA, independent t‑test, and repeated measure analysis at a significant level of p < 0.05. Results: The average age (standard deviation: SD) was 64.0 (3.8) years. The literacy level of the more than half of the participants was primary school. Regarding occupation and marital status, the majority of them were married and housekeeper. Two months after the intervention (end of the intervention), a significant decrease was detected in terms of overall mental health score in the intervention group compared to the control (the adjusted difference was − 5.7 with a 95% CI from − 10.3 to -1.1, and the p-value was 0.015). In the intragroup analysis, two months after the intervention, there was a significant decrease in overall mental health score compared to baseline in the intervention group (the mean change was − 5.4, with a 95% CI from − 9.9 to -0.9, and a p-value of 0.015). Moreover, a significant decrease was indicated in the physical subscale score in the intervention group compared to the control group (the adjusted difference was − 5.7, with a 95% CI from − 10.2 to -1.2, and a p-value of 0.015). There was no significant difference between the two groups in other subscales (p > 0.05). In the intragroup analysis, there was a significant decrease in the physical subscale score (the mean change was − 1.7, with a 95% CI from − 2.9 to -0.2, and a p-value of 0.038) and anxiety symptoms (the mean change was − 1.8, with a 95% CI from − 3.4 to -1.0, and a p-value of 0.033) compared to the baseline in the intervention group. Conclusion: An education based on family-centered empowerment model could improve the overall mental health score in elderly women. Hence, it may be recommended to regard this approach as a practicable educational strategy for improving the well-being of the elderly. Trial registration: Iranian Registry of Clinical Trials; https://irct.behdasht.gov.ir/trial/30535 (IRCT20161126031087N2), registered (03/08/2018). [ABSTRACT FROM AUTHOR]

Uterine fibroids, known as leiomyomas, are non-cancerous tumors in women. Uterine fibroids disproportionately affect African American women, as they are more common and severe. Uterine fibroids are the leading cause of hysterectomy in African American women. Over 80% of African American women will receive a uterine fibroids diagnosis before 50. Myomectomies (removal of uterine fibroids) and hysterectomies (removal of the uterus) are more prevalent in African American women due to more significant symptoms. Socioeconomic status, including education and income, influences access to healthcare, with some treatments directly affected by insurance coverage and the cost of the procedure. This review aimed to characterize the socioeconomic disparities and inequities regarding uterine fibroids awareness, perceptions, and treatment and to understand how socioeconomic status impacts knowledge and treatment of uterine fibroids. Recognition of the treatment barriers and decisions due to socioeconomic status is a critical step in ensuring equitable treatment options for women diagnosed with uterine fibroids. A narrative literature review was conducted using PubMed, MedLine, and Google Scholar. A total of 98 articles were returned. After adjusting for the exclusion criteria, 10 articles were included in this review. The review demonstrated the disparities in treatment options based on race and socioeconomic status. Low-income women were more likely to receive more invasive treatment, which resulted in more time off work and increased medical bills. In addition, women in lower-income brackets frequented the emergency department at an increased level. This review underscored the need for additional research to learn about the role of socioeconomic status in uterine fibroid awareness and treatment. Plain language summary: The role of socioeconomic status in uterine fibroid awareness and treatment: a narrative review Uterine fibroids, known as leiomyomas, are non-cancerous tumors in women. Uterine fibroids disproportionately affect African American women, as they are more common and severe. Uterine fibroids are the leading cause of hysterectomy in African American women. Over 80% of African American women will receive a uterine fibroid diagnosis before 50. Myomectomies (removal of fibroids) and hysterectomies (removal of the uterus) are more prevalent in African American women due to more significant symptoms. Socioeconomic status, including education and income, influences access to health care, with some treatments directly affected by insurance coverage and the cost of the procedure. This review aimed to characterize the socioeconomic disparities and inequities regarding uterine fibroid awareness, perceptions, and treatment and to understanding how socioeconomic status impacts knowledge and treatment of uterine fibroids. Recognition of the treatment barriers and decisions due to socioeconomic status is a critical step in ensuring equitable treatment options for women diagnosed with uterine fibroids. [ABSTRACT FROM AUTHOR]

There is extensive research-based evidence that academic satisfaction is a central factor in students’ degree of investment, ability to apply study material, probability of dropping out of studies, academic achievements, and more. Several models include factors that underly academic satisfaction and correlations have been found between numerous factors and such satisfaction. However, the joint contribution of these factors to student satisfaction has not been investigated. This article examined the joint contribution of self-efficacy, achievements, threshold grade for success, and evaluation of lecturers among 408 undergraduate studies of social sciences in Israel. At the beginning of the semester, students’ expectations regarding their grades, level of self-efficacy, conscientiousness, and evaluation of lecturers were examined; at the end of the semester, their grades and satisfaction were examined. In addition to the relationships between the variables, mediation was also found, indicating interactions among them. [ABSTRACT FROM AUTHOR]

AbstractVirtual reality (VR) and three-dimensional (3D) digital technologies have significantly influenced various fields in recent years, including medicine and dentistry, as they retain depth and spatial information. This pilot study aimed to assess the knowledge, attitudes, and practices of dental professionals in Gujarat regarding the effectiveness of VR and 3D digital tools in forensic dental education and research. A descriptive cross-sectional study was conducted through an online self-administered questionnaire consisting of 20 questions circulated among dental practitioners in Gujarat, India. Out of total 161 responses, 124 were from dental professionals and 37 were received from dental postgraduate students. The findings indicated limited knowledge of these technologies among both dental professionals and postgraduate students. The VR and 3D technologies were practiced by limited specialists, such as orthodontists, prosthodontists, forensic odontologist, oral-maxillofacial radiologist, whereas other specialists were not sensitized and trained in these technologies. With the ongoing development of technologies, there is no doubt that VR and 3D technologies can greatly aid in education and research, especially in this new era; encouraging new researchers to incorporate this high-potential modality and transform current practices in India and globally. [ABSTRACT FROM AUTHOR]

Objective Background Method Results Conclusion To determine (1) how parental childhood disadvantage is associated with parent‐to‐child financial transfers for schooling and other unspecified purposes and (2) whether the association holds when parental socioeconomic status (years of education, family income, wealth) is considered.Cumulative inequality theory posits that early life disadvantage may not only adversely affect one's resource accumulation across the life course, but it may also shape one's ability to provide assistance to offspring.Data from the Panel Study of Income Dynamics were used to estimate zero‐inflated negative binomial regression models to predict the amount of parent‐to‐child transfers (N = 2364 for school transfers, N = 3618 for other transfers), controlling for parents' and children's sociodemographic factors. Childhood disadvantage score (0 as reference, 1, 2, 3, 4+) was constructed using 13 items that reflect the economic, psychosocial, environmental, and health domains of early life. The associations of each domain with financial transfers were also estimated.Parents with 4+ disadvantages gave about $2200 less for schooling. Economic and environmental disadvantage lessened levels of school transfers, while environmental disadvantage decreased the odds of being a non‐provider of other transfers. The disparity in transfer amounts generally narrowed when the mediating role of parental socioeconomic status was accounted for.Higher education has become one of the major mechanisms through which class stratification, social inequality, and health disparities ensue. Educational outcomes among current cohorts of young adults could have been shaped by the preceding generation's childhood through intergenerational exchanges. [ABSTRACT FROM AUTHOR]

This mosaic essay reflects on the invitation to speak to a JME symposium on Education and Climate Change and the convenors’ request for participants to engage with the previous history of scholarship on education and environment in this journal. It begins by recognising that the world is still confronting deepening ecological and climate degradation, despite 50 years of calls for transformation and despite a long tradition of environmental and sustainability education. As environmental education becomes a form of ‘climate education’ that increasingly emphasises student voice and climate action in the face of seeming intransigence, this essay asks whether the capacity to listen deeply might also be a necessary feature of such education in a warming world. The mosaic form of the essay is both a reflection on the inadequacies and limitations of academic speech at this time, and an invitation to explore, with the reader, what it might mean to create spaces of listening and attunement to (human and non-human) others and to the self, in our work as academics and as educators. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic accelerated e-learning adoption, presenting both opportunities and challenges for educational development, particularly in the context of Information Technology for Development (ITD). This study profiles public sentiments on e-learning to identify key factors influencing IT-enabled education. A text analysis of Tweets from the United States and India posted from March 2020 to January 2022 was conducted using a computer-aided text analysis and natural language processing alongside a content analysis using a machine learning technique. Findings show positive sentiments towards e-learning from both countries, with trust, anticipation, and joy as predominant emotion categories. Themes of strongest importance are students, schools, and education as central to e-learning discussions. The study also uncovers challenges such as the need for internet infrastructure and teacher training in digital pedagogy. These findings contribute to the broader understanding of how information technologies can address educational challenges and promote development in diverse global contexts. [ABSTRACT FROM AUTHOR]

Background: Palliative and end-of-life care (EoLC) education is available to all community and hospital healthcare staff in one NHS trust in the north-east of England. It is also available to care home and domiciliary care staff within the geographical area of the trust. Aims: This service evaluation assessed the effect of current in-house education on staff confidence levels in delivering palliative and EoLC. It also examined staff perceptions of how attendance at these courses impacted on the palliative and EoLC patients receive across the locality. Method: A mixed-methods approach was undertaken. Anonymous data were collected via surveys (n=238) sent out in March 2023 covering educational courses that were delivered from 1 January to 31 December 2022 with a 13% response rate. Quantitative data were analysed using descriptive statistics. Qualitative data were explored using Braun and Clarke's (2012) six-stage approach to thematic analysis. A second staff member was asked to review the data to increase the trustworthiness of the study. Findings: Staff confidence levels in delivering palliative and EoLC increased by 19% (somewhat confident) and 23% (extremely confident) following attendance at trust education. Staff perceived that those patients received better palliative and EoLC as a result their attendance at these courses. The qualitative data identified five main themes: symptom control, psychological support, holistic care, patient advocacy, and advance care planning. Limitations of the study included the low survey response rate and lack of exploration of patient/carer perceptions directly. Conclusion: Palliative and EoLC education can increase staff confidence levels in care delivery and, as perceived by staff, results in better care for patients receiving palliative and EoLC. These findings provide evidence for the trust to consider making palliative and EoLC training mandatory, which could also be considered more widely regionally and nationally. [ABSTRACT FROM AUTHOR]

Background: Although research shows that point-of-care ultrasound is helpful in primary care, there is little research on point-of-care ultrasound use and the barriers to its use in Asia. This study estimated the prevalence of primary care physicians using point-of-care ultrasound in Hong Kong and assessed their perceived knowledge, attitude, practices, and barriers to using point-of-care ultrasound. Study design: This was a mixed-method study: cross-sectional survey, followed by semi-structured interviews. Primary care physicians who were members of the Hong Kong College of Family Physicians and/or were clinical teachers affiliated with the Department of Family Medicine and Primary Care at the University of Hong Kong were invited to participate. Results: A total of 330 and 14 completed the survey and interviews, respectively. The prevalence of respondents using point-of-care ultrasound was 22.5%. Perceived knowledge was fair (mean score: 1.9 out of 4; SD: 0.6). The attitudes were mostly positive (mean score: 3.0 out of 4; SD: 0.5). Majority stated that barriers to using point-of-care ultrasound were related to training (90.9%), the competence of point-of-care ultrasound skills (90.2%), and clinical support (89.5%). Qualitative data identified that most participants found point-of-care ultrasound useful; however, participants felt that its use was limited by their competence of point-of-care ultrasound and by factors related to their clinical practice. Conclusions: Almost a quarter of respondents are using point-of-care ultrasound with a majority having positive attitudes. They lack confidence in their skills as knowledge is poor but simultaneously find training and clinic support limited. [ABSTRACT FROM AUTHOR]

Objective Background Methods Results Conclusion This study examines the American Headache Society First Contact—Headache in Primary Care program metrics to date in order to assess the program's reach and provide direction for future initiatives.Approximately 4 million primary care office visits annually are headache‐specific encounters. Therefore, it is important that primary care providers are knowledgeable about headache management. Recognizing the need, the American Headache Society First Contact designed the comprehensive First Contact—Headache in Primary Care program with input from an advisory board comprised of a diverse group of physicians and advanced practice providers with backgrounds in family and internal medicine, pediatrics, obstetrics and gynecology, and neurology. This is the first study to assess the reach of the program and critically examine how to best meet the needs of clinicians and patients going forward.We report descriptive statistics for the First Contact website metrics from October 2020 to June 2023 and grand rounds program data from May 2020 to December 2023. We also conducted a cross‐sectional analysis of survey data from presentations conducted at two large national family medicine symposia, as well as a thematic analysis of the question: “Please indicate what areas of your practice could be enhanced or improved with additional education?”The First Contact program homepage was the second most visited page on the American Headache Society website (>100,000 views). A total of 20 podcast episodes were created for the program (>3500 plays). The First Contact program held 99 events (72 institutional grand rounds, 22 State‐level meetings, and five national meetings), reaching >7000 clinicians. The institutional grand rounds and state‐level meetings were held across 27 States and Washington D.C. Only 31.9% (30/94) of First Contact program events (excluding national meetings) occurred in the West census region, which has the fewest headache subspecialists and lowest headache subspecialist density in the United States. When examining survey data of participants who attended the two virtual national family medicine symposia (39.3% response rate, N = 636/1620), 85.7% (544/635) reported being “completely confident” or “very confident” in their ability to recognize and accurately diagnose patients presenting with a primary complaint of headache and 81.5% (517/634) reported being “completely confident” or “very confident” in their ability to develop evidence‐based treatment plans that are tailored to the needs of individual patients. The use of diagnostic tools to recognize patients with migraine (60.4%, 384/636) and translating standards of care to the practice setting (42.5%, 270/636) were the most reported intended changes by participants. Most participants reported that program content was of clinical relevance and would improve their patients’ outcomes (90.5% [571/631] and 90.6% [572/631], respectively). Over three‐quarters (77.8%, 495/636) of participants reported areas of their practice that can be improved by additional education specifically regarding workflow, diagnosis, and management.This study evaluates one of the first national initiatives for primary care education. Data from the two First Contact Family Medicine national symposia indicate the program is generally well received with most participants reporting improved confidence and intention to implement key changes in practice to improve care for patients with headache; however, there remain areas of exploration for education that could further enhance participant experience and expand the reach of the initiatives. Areas for future programming include continued education on multifactorial approaches to headache treatment and suggestions for addressing cost, insurance, and time constraints. Also, future work may examine where the First Contact program might focus initiatives based on specific areas of need in headache care, such as geographic “desert” areas, racial and ethnic disparities, and uninsured/underinsured populations. [ABSTRACT FROM AUTHOR]

AbstractDental photography is gaining popularity in contemporary dentistry, but its knowledge was unregulated in most dental schools’ curriculum. The study aims to evaluate the level of photography practice and knowledge among dental students in Malaysia, acting as a baseline to include dental photography as a subject in the current curriculum. A series of questions were designed and validated by experts with a content validity index of 0.84. Questionnaires were distributed to the dental students with varied years of clinical experience. The level of knowledge was categorised into poor, weak, subpar, average, good and excellent. The common photography practice and courses attended were also tabulated. Among the 344 respondents, the most commonly used equipment was phone cameras (70.66%), whereas only 16.09% used digital single-lens reflex (DSLR) cameras. The majority of dental students did not attend any photography-related courses (69.48%). Based on the level of photography knowledge, dental students mostly scored ‘subpar’ (25.84%), with no statistically significant differences between the years of clinical experience (p = 0.236). Therefore, proper and comprehensive dental photography courses should be imparted in the current curriculum to improve students’ skills and knowledge. [ABSTRACT FROM AUTHOR]

The prevalence of cardiometabolic morbidity (e.g., high blood pressure, heart attack, stroke, type 2 diabetes) and multimorbidity development (2 or more cardiometabolic morbidities) are rapidly growing in the US. Cardiometabolic morbidity and multimorbidity are linked to poor well‐being outcomes, high healthcare costs, and mortality. There is little known about cardiometabolic multimorbidity health disparities, particularly regarding mutable factors that might be targeted in future health interventions. In the present study, using a biopsychosocial framework (Biobehavioral Family Model), we examine whether cardiometabolic morbidity and multimorbidity development are linked to premorbid family and marital relationships and if it differs depending on socioeconomic status (i.e., educational attainment) using three waves of Midlife in the US (N = 4951). We assessed cardiometabolic development with three conceptualizations: number of cardiometabolic morbidities (i.e., count variable), individual cardiometabolic morbidities (i.e., diabetes, high blood pressure, stroke, heart attack), and severity of cardiometabolic multimorbidity (e.g., 3+ vs. zero morbidities). Family strain increased the number of cardiometabolic morbidities (OR = 1.17) and the severity of multimorbidity (e.g., 3+ morbidities: OR = 1.38). People with a high school education experienced family support as a buffer to the negative health impact of education level. Generally, marital quality appeared less impactful on cardiometabolic morbidity and multimorbidity development compared to family strain. Positive and negative family characteristics appear to function differently across educational attainment. These findings indicate that adults’ non‐intimate family relationships predict important outcomes such as diabetes, heart attack, stroke, and cardiometabolic multimorbidity and should be considered targets for preventative health interventions. [ABSTRACT FROM AUTHOR]