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This paper proposes diary studies as a methodological choice for addressing crucial questions in qualitative process research. Diary studies unearth within-individual relationships that capture individual experiences and sense-making of these experiences in a processual manner. Therefore, using diary studies not only addresses the need for more dynamic methodological designs in qualitative research, but is advantageous for providing a process view of how the individual engages with the constructs studied. While process-studies, studied longitudinally, are often fraught with challenges of attrition or disengagement, this paper discusses how a methodological choice which is perceived as being beneficial by the participant can sustain engagement and consequently, research rigour. On one hand, a comparison of interview and diary data from the same participants show evidence of memory decay in interviews and reinforce the rigour of diary studies in the study of processual phenomenon. On the other hand, this study also showcases how researcher know-how, unintentionally imparted through reflective and processual questions asked in the study positively impacts the participants, and when reflected on, enhanced learning. This paper therefore demonstrates the ability of a research method to benefit both the research and the researched, and suggests a step-by-step design to implement a rigorous and impactful diary study using user-friendly forms and reflective questioning. [ABSTRACT FROM AUTHOR]

This paper critically evaluates the conventional insistence on establishing measurement invariance (MI) in cross-cultural psychology. We argue that complex and seemingly arbitrary benchmarks for assessing MI can be unrealistic and effectively prohibit meaningful research. The widespread use of various MI criteria creates unnecessary and often unattainable hurdles for cross-cultural researchers who have made the effort to collect data in multiple cultural contexts. Additionally, the prohibitionist tone of discussions surrounding MI is unhelpful, unscientific, and discouraging. We argue that emerging findings that cultural differences might not be as widespread or profound as once assumed imply that significant cross-cultural differences in measurement should not be the default assumption. Additionally, we advocate a shift towards external validity as a more useful metric of measurement quality. Our overall message is that researchers who go to the considerable trouble of gathering data in more than one country should not be disadvantaged compared to researchers who avoid cross-cultural complications by gathering data only at their home campus. [ABSTRACT FROM AUTHOR]

Combining online and offline data collection during six months of ethnographic fieldwork in Southern Mozambique in early 2021, this paper explores how media and its everyday use in the Global South are impacting on, and are in turn being transformed by China. It specifically looks into the creative and personalised ways in which Chinese-made garments are sold and promoted in Mozambique via the messenger service WhatsApp. Examining how Mozambican and West African traders use WhatsApp groups and status updates to mediate the fashionability of these Chinese goods, this paper shows that the consequences of Chinese interactions with the Global South on the global media landscape transcend the mere spread of Chinese hardware and software. Going beyond dominant, state-centred narratives of Chinese influence abroad, this paper demonstrates the key role of individuals and their agency in shaping the digital impact of Global China. By doing so, it also highlights the importance of analysing media practices in their specific local contexts. [ABSTRACT FROM AUTHOR]

Background: Hip fractures are a common and debilitating condition posing not only a huge health care but also socioeconomic burden. Surgical management for a neck of femur fracture is typically with arthroplasty in the form of total hip arthroplasty or hip hemiarthroplasty. Serial radiographs are typically performed routinely as part of follow-up to look for complications, although their clinical utility in asymptomatic patients is yet to be validated. Our paper therefore aims to review the utility and necessity of radiographic follow-up following arthroplasty for NOF fractures. Materials and Methods: Patients who underwent operative management for acute fragility neck of femur fractures in the year from 1st January 2018 to 31st December 2018 at the author's institution were identified. All patients who underwent surgery, and had at least one pre and one post-operative plain film radiograph of the affected hip were included in this study. Exclusion criteria included patients who had undergone surgery for chronic fractures, avascular necrosis of the femoral head, mortality within 1 year, peri-prosthetic fractures, pathological fractures from metastases, had concomitant injuries, or had inaccessible or incomplete records. Clinical records were assessed for the number of visits, an abnormal presenting history or clinical examination, as well as changes in management of the patient. The number and type of radiographs were also assessed, and each radiograph analyzed for abnormal findings. Results: A total of 157 patients were included in our study with a mean age of 79.5 at the time of surgery, and a mean follow up of 17.3 months. Data was collected from 626 clinical visits and a total of 973 radiographs. The 3 abnormal radiographic series identified with a corresponding normal consult did not result in a change of management for the patient. A negative change in management was only observed in 1 patient with an abnormal consult and a corresponding normal radiograph. Conclusion: Post-operative complications following arthroplasty for NOF fractures are likely to result in a symptomatic presentation of the patient. Routine radiographic follow-up provides limited utility in asymptomatic patients and should only be performed if clinically indicated. [ABSTRACT FROM AUTHOR]

This research paper presents the development and implementation of an integrated condition monitoring and fault detection system for AC induction motors using a combination of sensors, GSM communication, and a cloud-based Internet of Things (IoT) platform. The proposed system aims to enhance industrial motors' operational reliability and efficiency by providing real-time data monitoring and early fault detection. The key components of the system include temperature, vibration, current, voltage, and speed sensors, which are strategically placed to gather critical motor performance data. These sensors feed data to an Arduino-based control unit responsible for sensor data acquisition and processing. To ensure timely response to anomalies, the system is equipped with an alarm system and GSM alerts, which notify designated personnel in case of abnormal motor behavior. Moreover, the paper incorporates remote monitoring capabilities, enabling users to access motor health data and real-time status from a distance. Historical data is also stored for analysis and comparison through the integration of a cloud-based Blynk-IoT platform. Additionally, the system facilitates RPM control and utilizes relay modules for seamless motor control and protection. The proposed system was tested and validated using Proteus for circuit diagram simulation and Arduino for sensor coding. The results demonstrate its effectiveness in detecting abnormal motor behavior and its potential to prevent catastrophic failures by enabling predictive maintenance. The proposed system successfully detects and displays abnormalities in important parameters like vibration, temperature, speed, three-phase currents, and voltages with 99% accuracy. [ABSTRACT FROM AUTHOR]

Introduction: Violence against healthcare workers in the workplace is a complex issue affecting various healthcare professionals. Workplace violence (WPV) poses significant occupational hazards to healthcare employees. Objectives: To identify the causes, types, and perpetrators of WPV and explore the effects of violence on healthcare workers' well-being. Methods: This literature review analyzes 15 selected research papers published between 2015 and 2020, focusing on WPV against healthcare workers, and gathers insights from healthcare professionals with prior experience of WPV. Through an analysis of the selected research papers, this study provides a comprehensive overview with WPV in the healthcare setting. The respondents in the included studies were healthcare professionals who had encountered WPV in their work. Results: While nurses remain particularly vulnerable to violence due to their constant patient interaction, this study reveals that verbal violence is the most prevalent type, significantly impacting the well-being of healthcare workers as a whole. The identified causes of WPV include long waiting times, understaffing, miscommunication, inadequate security measures, high patient expectations, and overcrowding. Respondents emphasized the importance of education, security enhancements, and administrative support to address or prevent WPV. Conclusion: The findings strongly highlight the crucial role of administrative support in reducing the incidence of WPV. It is crucial to implement broader measures to ensure the safety and well-being of all healthcare workers. [ABSTRACT FROM AUTHOR]

The use of digital technologies in qualitative research has been found to increase access and participation by minimizing geographical, scheduling, and financial barriers. However, discussions among the qualitative research community about the challenges of conducting research online and, specifically, what steps can be taken to mitigate "imposter participants" remain limited. Anchored in a critical disability studies perspective, in this field note paper, we discuss lessons learned in conducting online qualitative research and preserving data trustworthiness. [ABSTRACT FROM AUTHOR]

The increase in the popularity of field research and its digitization meant that the vast majority is carried out in teams. This means that collecting empirical data in the field requires coordination for the correctness of its effectiveness. The article presents the evaluation meeting as a tool for managing field research carried out on a team. The text presents the current challenges of field research and discusses the range of areas requiring coordination. The paper presented how the field research coordinator should organize and conduct the evaluation meeting. The range of problems that can be solved through the evaluation meeting was also presented, indicating its benefits and limitations. [ABSTRACT FROM AUTHOR]

Using constrained factor mixture models (FMM) for careless response identification is still in its infancy. Existing models have overly restrictive statistical assumptions that do not identify all types of careless respondents. The current paper presents a novel constrained FMM model with more reasonable assumptions that capture both longstring and random careless respondents. We provide a comprehensive comparison of the statistical assumptions between the proposed model and two previous constrained models. The proposed model was evaluated using both real data (N = 1,455) and statistical simulation. The results showed that the model had a superior fit, stronger convergent validity with other indicators of careless responding, more accurate parameter recovery and more accurate identification of careless respondents when compared to its predecessors. The proposed model does not require additional data collection effort, and thus researchers can routinely use it to control careless responses. We provide user-friendly syntax with detailed explanations online to facilitate its use. [ABSTRACT FROM AUTHOR]

Background and Objectives: Children with autism spectrum disorder (ASD) continue to experience significant delays in diagnosis and interventions. One of the main factors contributing to this delay is a shortage of developmental-behavioral specialists. Diagnostic evaluation of ASD by primary care pediatricians (PCPs) has been shown to be reliable and to decrease the interval from first concern to diagnosis. In this paper, we present the results of a primary care ASD diagnosis program in which the PCP serves as the primary diagnostician and leverages the infrastructure of the primary care medical home to support the child and family during the pre- and post-diagnostic periods, along with data on parental satisfaction with this model. Methods: Retrospective data from a cohort of patients evaluated through this program were analyzed to determine the mean age at diagnosis and interval from referral for evaluation to diagnosis. We used survey methodology to obtain data from parents regarding their satisfaction with the process. Results: Data from 8 of 20 children evaluated from April 2021 through May 2022 showed a median age of diagnosis of 34.5 months compared to the national average of 49 months. Mean interval from referral for evaluation to diagnosis was 3.5 months. Parental survey responses indicated high satisfaction. Conclusions: This model was successful in shortening the interval from referral to diagnosis resulting in significant decrease of age at diagnosis compared with the national average. Widespread implementation could improve access to timely diagnostic services and improve outcomes for children with ASD. [ABSTRACT FROM AUTHOR]

Understanding political and social effects of violence in local populations through public opinion surveys has become increasingly common internationally. Yet while researchers are attuned to possible challenges induced during survey implementation, this work focuses almost uniformly on respondents. This paper considers survey enumerators as critical actors for data collection in violent research settings. We present survey results from 245 enumerators in Cote d ˆ ’Ivoire to show that their personal feelings of insecurity and exposure to violence while conducting surveys may condition challenges faced and compromises made to gathering data. We shed light on how academic research in violent political settings poses unique security concerns for enumerators, with ramifications for data integrity. [ABSTRACT FROM AUTHOR]

Video-Reflexive Ethnography (VRE) is an innovative and participatory research and improvement methodology that involves videoing in-situ work practices and collaboratively analysing this footage with participants during reflexive sessions. This involves participants 'slowing down', engaging reflexively with their everyday working practices, and taking time out to discuss issues collectively. VRE has increasingly been used across a range of different healthcare settings. However, one setting that has received less attention is the Acute Medical Unit (AMU). AMUs are busy short-stay hospital departments with very high patient throughput and large multidisciplinary teams where patients receive initial assessment, diagnosis and treatment before being moved to other wards or settings. The aim of this study was to examine how VRE as a research and improvement methodology can be applied, in the busy and complex setting of an AMU. In this paper we outline some of the methodological challenges encountered in this setting and discuss how these were transformed into opportunities and solutions. Then, we evaluate our work by using the four guiding principles at the heart of VRE (care, collaboration, reflexivity and exnovation) to test if, and how, the methodology can be used in such a complex and busy setting without losing its methodological rigor and impact. We show how it is possible to initiate and achieve the core principles of VRE in the complex and busy AMU setting through careful planning, constant revision of data collection methods, remaining highly flexible and adaptable to the spatial and temporal rhythms of the ward and being sensitive to hierarchical inter- and intra-professional relationships and vulnerabilities. Finally, we share recommendations for using VRE in other busy and complex settings. [ABSTRACT FROM AUTHOR]

This paper examines strategic enforcement approaches relying on co-enforcement and transgovernmentalist. It examines three cases in the construction industry in Austria, Asturias (Spain), and Poland, as well as three cases in maritime shipping in Finland, Spain, and Poland, focussing on Labour Inspection's (LI)s motivations for engaging in co-enforcement and transnational cooperation. Data collection involved desk research, semi-structured interviews (39 construction and 14 in maritime), observation of inspections, and participant observation in EU seminars we organised together with regulatory actors (specific details are provided in the appendix). Findings show that LI's selection of co-enforcement and transnational alliances are driven by the specific and highly contingent challenges each organisation faces. LI organisations are seeking to exploit synergies, but both the material reality and perception of these depends on diverse pre-existing infrastructures and organisation-specific assets. [ABSTRACT FROM AUTHOR]

This paper focuses on the social information needs of people with albinism (PWA) in Khomas region, Namibia, and the sources of information used PWA to meet their information needs. The study applies Moore's model of social information needs and Wilson's model of information behaviour to investigate and understand the information needs and sources used by PWA to find information. The study was carried out using a qualitative case design within interpretivism paradigm and semi-structured face-to-face interviews were used to collect data from participants. Sixteen participants took part in the study, eight were males, and eight were female participants. Among these participants, two were children with albinism. The following information was identified as being crucial to PWA namely: skin- and eye-related information, information on what is albinism and its causes, disability grants, educational information, and emotional and psychological support. Additionally, the study established that PWA use formal, informal, and human sources of information to find information. [ABSTRACT FROM AUTHOR]

The pollution haven hypothesis is studied from a bilateral trade perspective in this study, taking the reference of two Asian giants, namely, India and China. For this purpose, trade in pollution-intensive industries is analysed using data collected from the United Nations Comtrade dataset based on Standard Industrial Trade Classification codes for 1992–2019. The analysis helps us argue that between the two, China's demand is more pollution-intensive and India is the major supplier of pollution-intensive products. From an environmental perspective, this implies that China seems to be gaining from trade, and India is becoming a pollution haven in its trade with China. [ABSTRACT FROM AUTHOR]

Despite concerns over the discipline's state of 'fragmentation', there is no systematic empirical analysis of how this theoretical proliferation is driven by 'importing' from other fields. This paper attempts to fill this gap by analysing data collected from American, European, British and Japanese journals during 2011–2015. It argues that interdisciplinary relations are not only fuelling theoretical proliferation in the field but are also creating distinct directions for IR scholarship: a new 'transatlantic divide' between sub-disciplinary specialisation and broadening of the disciplinary contours in the English-speaking 'core', continued compliance with theoretical and methodological unity of the field in the non-English-speaking 'semi-periphery' and parts of the 'periphery', and a full embrace of interdisciplinarity in other parts of the 'periphery'. These images each symbolise the direction that IR as a discipline is (or should be) heading, which will also imply a shift in what gets accepted as 'IR' in the coming decades. [ABSTRACT FROM AUTHOR]

In this study, we aimed to understand and reduce the difference between self-report in a survey and the actual behavior. Thus, we investigated whether such a difference was caused by participants who engaged in insufficient effort responding (IER), which has been receiving increasing research attention. We collected and analyzed data of actual and self-reported smartphone game usage from behavior logs and survey responses including the items associated with the IER scale, respectively. The results confirmed a strong tendency of overreporting and low correlations between the behavior log and survey responses for IER participants. Although the distributions of survey responses differed between IER participants and others, those of the behavior log did not. In conclusion, when IER participants are excluded, the difference between the behavior log and survey responses reduces, but the distribution of the actual behavior remains the same without selection bias. [ABSTRACT FROM AUTHOR]

In recent years, researchers have emphasized the relevance of data about commonsense moral judgments for ethical decision-making, notably in the context of debates about autonomous vehicles (AVs). As such, the results of empirical studies such as the Machine Moral Experiment have been influential in debates about the ethics of AVs and some researchers have even put forward methods to automatize ethical decision-making on the basis of such data. In this paper, we argue that data collection is not a neutral process, and the difference in study design can change participants' answers and the ethical conclusions that can be drawn from them. After showing that participants' individual answers are stable in the sense that providing them with a second occasion to reflect on their answers does not change them (Study 1), we show that different conclusions regarding participants' moral preferences can be reached when participants are given a third option allowing AVs to behave randomly (Study 2), and that preference for this third option can be increased in the context of a collective discussion (Study 3). We conclude that design choices will influence the lessons that can be drawn from surveys about participants' moral judgments about AVs and that these choices are not morally neutral. [ABSTRACT FROM AUTHOR]

In this research note, we address the potentials of using interviewer-observed paradata, typically collected during face-to-face-only interviews, in mixed-mode and innovative data collection methods that involve an interviewer at some stage (e.g., during the initial contact or during the interview). To this end, we first provide a systematic overview of the types and purposes of the interviewer-observed paradata most commonly collected in face-to-face interviews—contact form data, interviewer observations, and interviewer evaluations—using the methodology of evidence mapping. Based on selected studies, we illustrate the main purposes of interviewer-observed paradata we identified—including fieldwork management, propensity modeling, nonresponse bias analysis, substantive analysis, and survey data quality assessment. Based on this, we discuss the possible use of interviewer-observed paradata in mixed-mode and innovative data collection methods. We conclude with thoughts on new types of interviewer-observed paradata and the potential of combining paradata from different survey modes. [ABSTRACT FROM AUTHOR]

Objective: To determine associations of demographic, morphologic, and treatment protocol parameters with quality of life (QoL), appearance/speech satisfaction, and psychological adjustment. Design: Observational study utilizing retrospective report of protocol variables and current outcome variables. Setting: Six North American cleft treatment clinics. Participants: Children, ages 8.0–10.99 years, with Cleft Lip ± Alveolus, Cleft Palate, Cleft Lip and Palate, and parents (N = 284). Outcome Measures: Pediatric QoL Inventory (PedsQL): Parent, Child, Family Impact Module (FIM); Patient Reported Outcome Measurement Information System (PROMIS); Child Behavior Checklist (CBCL); CLEFT-Q. Results: Outcome scores were average with few differences by cleft type. Multiple regression analyses yielded significant associations (Ps <.05) between socioeconomic status, race, and age at assessment and parent- and self-reported measures. Females had higher PROMIS Depression (β=.20) but lower CBCL Affective (β = −.16) and PROMIS Stigma scores (β= −.24). Incomplete cleft lip was associated with lower PROMIS Depression, and more positive ratings of CLEFT-Q: Nose, Nostril, Lip Scar; CBCL Competence scores, (βs = −.17 to.17). Younger Age at Lip Closure was associated with higher CBCL School Competence (β= −.18). Younger Age at Palate Closure was associated with higher Child PedsQL Total, Physical, Psychosocial QoL, and better CLEFT-Q Speech Function (βs = −.18 to −.15). Furlow Palatoplasty was associated with more CBCL Externalizing Problems (β =.17) higher CBCL Activities (β =.16). For all diagnoses, fewer Total Cleft-Related Surgeries was associated with lower PROMIS Stigma and higher CBCL Total Competence and Activities (βs = −.16 to.15). Conclusions: Demographic characteristics, lip morphology, and treatment variables are related to later psychological functioning. [ABSTRACT FROM AUTHOR]

Introduction: Pediatric Relapsing Polychondritis (RP) is a rare autoimmune disorder that causes inflammation and damage to cartilage in children. Common symptoms include pain, swelling and deformities in the ears, nose, trachea, joints, and eyes. The lack of research on the pediatric population necessitates further evaluation of the literature on pediatric RP to summarize existing patterns in presentation, management, and treatment. Methods: A systematic review was conducted on PubMed and Embase from 1947 to April 2023 on RP in patients under 21 years old abiding by the 2020 PRISMA checklist. Only patient presentations meeting McAdam criteria for RP and including information on management were included. Results: From the 304 initial studies, 54 studies were included for final analysis with a total of 68 patients, who were predominantly female (65%). With a median diagnostic delay of 1 year, the mean age of onset was 12 years old. The most common symptoms on presentation included bilateral auricular chondritis (69%), nasal cartilage inflammation (62%), and respiratory tract chondritis (63%). The most commonly reported information in the literature for the initial workup usually included CT/MRI (72%), bronchoscopy (57%), biopsy (51%), and labs (88%), which most commonly displayed elevated ESR (59%). The most common medications were corticosteroids (91%) and methotrexate (35%) and the most common procedural treatment was tracheostomy (38%). The most efficacious treatment options were monoclonal antibodies (87%, n = 15) and corticosteroids (66%, n = 62) used in 22% and 91% of patients, respectively. The most commonly used monoclonal antibody therapy was infliximab (13%, n = 9). Conclusion: The most common presentation for pediatric RP includes chondritis of the ear, nose, and respiratory tract. The most effective treatment options include corticosteroids and monoclonal antibody therapy, such as infliximab. Our findings highlight increasing remission achieved with anti-rheumatic drugs and monoclonal antibody treatment, especially alongside corticosteroids. [ABSTRACT FROM AUTHOR]

In this article, we advocate a theoretical perspective that views the firm's ego-network as a configuration of multiple interdependent attributes, each granting resource advantages that may complement or substitute one another. Collecting empirical data from the German energy industry and using fuzzy-set Qualitative Comparative Analysis (fsQCA), we explore how five major network attributes (size, diversity, strength, innovativeness, and complementarity) combine to impact firm-level innovation. Based on the empirical results, we specify the orchestrating themes that constitute the "internal" and "external" fit of network configurations. Concerning internal fit, we identify a distinct pattern of complementing and substituting relations between network attributes. Specifically, we find that innovation performance results from the firm's network combining network size or partner diversity or tie strength, and partner innovativeness or partner complementarity. Concerning external fit, we demonstrate that depending on firm size and internal intellectual capital, there are different "optimal" network configurations for different types of firms. [ABSTRACT FROM AUTHOR]

Recent work by Allison and Klein examining violence and homicide introduced the concept of strained masculinity, a theoretical integration of general strain theory and hegemonic masculinity. Using qualitative data collection (n = 63), the current study considers strained masculinity themes in the context of mass shootings and the gender gap. Findings demonstrated support for the prevalence of Allison and Klein's themes in mass shootings. The men who committed mass shootings in our sample responded to challenges to their masculinity (62%), pursued hegemonic masculinity through "sport" (33%), and pursued hegemonic masculinity through controlling space (27%). In addition, qualitative analysis revealed overlaps in strained masculinity themes for mass shooting cases, demonstrating the complexity of this type of violence. There were six outlier cases identified that did not display strained masculinity, rather the perpetrators in these cases suffered from psychological or emotional troubles before opening fire. Overall, findings indicate that the integration of traditional criminology theories and gender theories is warranted. [ABSTRACT FROM AUTHOR]

To determine the percentage of female adolescent patients (13-26 years old) who had HIV testing ordered within 90 days of incident sexually transmitted infection (STI) diagnosis during an outpatient clinic visit. This was a retrospective chart review study evaluating 830 visits among 589 female patients 13 to 26 years who had an incident STI diagnosed in outpatient Adolescent Medicine or Pediatric Practices in an urban, nonprofit, academic, free-standing children's hospital at the main campus and a community site in the Northeast United States. Odds of HIV screening was greater at the community-based adolescent medicine practice (odds ratio [OR] = 3.17; 95% confidence interval [CI]: [1.92, 5.24]) and when seen by an adolescent medicine provider (OR = 1.44; 95% CI: [1.02, 2.03]). Only 33.5% (n = 283) of 844 clinical encounters had HIV screening obtained within 90 days of incident STI diagnosis. Overall, HIV screening rates within 90 days of STI diagnosis was low, and there is much room for improvement. [ABSTRACT FROM AUTHOR]

Background: Obesity has a significant impact on healthcare resources with limited accessible support available through the NHS. This service evaluation determines 24-month efficacy of referral to an open-group behavioral program by BMI category and socioeconomic status. Methods: This retrospective, longitudinal study examined weight outcomes of adults living in England referred by healthcare professionals to Slimming World during 2016 who recorded at least 1 weight change. Primary outcome was % weight change at 3, 6, 12, and 24 months. Socioeconomic status was measured using the Index of Multiple Deprivation (IMD). Data from a post-referral questionnaire investigated self-reported changes in dietary and activity behaviors. Results: Twenty-seven thousand five hundred sixty (15.6% male) records were analyzed. Mean (SD) age and BMI on joining were 48.6 (14.80) years and 37.1 (6.31) kg/m2; 91.7% had a BMI > 30 kg/m2. Mean (SD) % weight change was −5.6 (3.79), −7.1 (5.71), −7.5 (6.88), and −7.3 (6.88) at 3, 6, 12, and 24-months, respectively. At 24- months, differences in weight loss between BMI category were significant, ranging from 0.29% (35-<40 vs 40+) to 1.33% (25-<30 vs 40+). For IMD quintile only comparisons against Q1 and Q2 were significant, ranging between 0.36% (Q2 vs Q3) to 0.94% (Q1 vs Q5). Five thousand eight hundred sixty-two (21.2%) completed the post-referral questionnaire. There were no BMI category effects on dietary behaviors but changes in physical activity behaviors were lower within the higher categories albeit effect sizes were small (all ges < 0.001). IMD quintile influenced changes for sugary drinks, watching TV and avoiding moderate activity although effect sizes were small (all ges < 0.01). Conclusion: Following 12-week referral to a commercial weight management organization, a mean weight loss of over 7% was reported at 24-months. Adults with higher BMIs and a greater level of deprivation can benefit from the practical support offered as part of the referral, supporting weight loss and weight loss maintenance albeit with some inequality. [ABSTRACT FROM AUTHOR]

Introduction: Rotator cuff tears (RCTs) are a common source of pain in the shoulder girdle. There is still debate about the optimal treatment for older adults with RCTs. In clinical practice, patients who do not respond well to non-surgical management may still be eligible for operative treatment. In this study, we assessed the outcome of arthroscopic repair of RCTs in patients ≥60 years old. Material and method: A retrospective case series was conducted to include patients who underwent arthroscopic repair of RCTs from 1 January 2018 to 1 January 2021. The study included individuals aged ≥60 years who had radiologically confirmed RCTs (verified by MRI) and clinical findings including sleep-disturbing pain and reduced range of motion. Preoperative treatment included physiotherapy for at least 6 months and one subacromial corticosteroid injection. Results: Fifty-three RCTs were treated during the study period. After exclusion because of incomplete documentation, 45 patients remained. The mean age was 66 years and 80% had isolated supraspinatus tears and 25% had variable degrees of fatty infiltration (Goutallier grade 1-3) on MRI examination with positive tangent sign. There were no surgical site infections and three symptomatic re-ruptures (6%). At follow-up, (71%) reported no remaining sleep-disturbing shoulder pain. Abduction improved from 62° to 122°. Flexion improved from 68° to 135°. This study found that people aged 60 years and older who underwent repair of RCTs showed statistically significant clinical improvement in shoulder flexion and abduction with less sleep-disturbing shoulder pain. These encouraging results may contribute to the existing literature, favoring the choice of surgical treatment for symptomatic RCTs in this age group with failed nonoperative treatment. Conclusion: The arthroscopic repair of RCTs in patients 60 years and older yielded a substantial increase in shoulder flexion and abduction, significantly reducing sleep-disturbing shoulder pain. Postoperative complications were minimal. [ABSTRACT FROM AUTHOR]

Objectives: To investigate the diagnostic value of fibrinogen (FIB) in patients with rib fractures complicated by lower extremity deep venous thrombosis (DVT). Methods: Analyzing data from 493 patients at Shijiazhuang Third Hospital, FIB levels at 24, 48, and 72 h post-injury were compared between DVT and non-DVT groups. Results: DVT group had elevated FIB levels at all times (p <.001). FIB at 24 h showed highest AUC, particularly in patients with BMI <28. Conclusion: In conclusion, measuring FIB at 24 h post-injury enhances DVT detection in rib fracture patients, with potential BMI-related variations. [ABSTRACT FROM AUTHOR]

This study seeks to understand the working dynamics through which Greater Amman Municipality (GAM) responds to the challenges of protracted displacement in the city, focusing particularly on the concept of "tactical urbanism" (TU) as a tool and framework. This could be broadly useful to key actors in reconsidering response strategies, strengthening the role of local administrations. The research adopted a qualitative data collection and analysis framework via participatory forums and key informant interviews, steered by guiding research questions. Findings reveal the presence of interconnected multi-scale limitations, opportunities and roles that determine GAM's response towards displacement and constrain its ability to act within a comprehensive planning rationale. Instead, GAM is driven towards TU as an alternative approach that mitigates these determinants and offers a means for more responsive, constructive action. It is argued that TU affords a more agile response towards displacement, enhancing community engagement, innovation, resilience and identity. [ABSTRACT FROM AUTHOR]

Background: Assisted dying, also commonly known as euthanasia and physician-assisted suicide, is legal in many countries. Interest in assisted dying is growing due to evolving societal understandings of a good death and a desire for choice. Ethico-legal perspectives are well-known, but as societies become more heterogenous, a greater understanding of the perspectives of people from diverse racial, ethnic, and cultural backgrounds is needed. Aim: To explore perspectives of people from diverse racial, ethnic and cultural backgrounds about assisted dying. Design: Scoping review with narrative synthesis. The protocol was registered with Open Science Framework. Data sources: Medline, CINAHL Complete, PsycINFO and ProQuest Dissertations & Theses Global were searched from inception to May 2023. Citations were independently assessed against inclusion and exclusion criteria. Results: Of the 17 included studies, perspectives of assisted dying were presented according to religion, religiosity, spirituality, race, ethnicity and ancestry. Perspectives were diverse, presenting more as a spectrum, with multiple intersections and interconnections. Support and/or opposition for assisted dying differed according to cultural attributes, but even amongst those with similar cultural attributes, perspectives differed according to life experiences and notions of suffering. Conclusion: Perspectives on assisted dying are dynamic and evolving. Even where assisted dying is legalised, individual's cultural attributes contribute to unique perspectives of assisted dying as an end-of-life option. Thus, understanding a person's culture, beliefs, expectations and choices in illness, treatment goals and care is fundamental, extending beyond what may be already considered as part of clinician-patient care relationships and routine advance care planning. [ABSTRACT FROM AUTHOR]

Objective: To characterize the preoperative and intraoperative findings of symptomatic tracheal stenosis associated with COVID-19 related respiratory failure requiring tracheal resection. Method: We performed a retrospective review identifying all patients with a history of tracheal stenosis secondary to COVID-19 related respiratory failure who subsequently received a tracheal resection at our institution between January 2020 and June 2023. Clinical, radiological, pathological, and surgical characteristics were recorded to describe and characterize pre-operative and intraoperative findings associated with tracheal stenosis in the setting of a previous COVID-19 infection. Results: We retrospectively reviewed 11 patients with COVID-19 related tracheal stenosis that required open tracheal or cricotracheal resection. The mean age was 54.1. Patients were hospitalized for a mean of 49.5 days related to COVID-19 complications. Tracheotomy was completed in 10 patients (90.9%) during their initial hospitalization with COVID-19 related respiratory failure. Patients were intubated a mean of 18.6 days prior to tracheotomy completion. Ten patients (90.9%) underwent endoscopic operative interventions for their tracheal stenosis prior to open resection. Intraoperatively, the mean stenosis length was 3.33 cm. The mean tracheal resection length was 3.96 cm. Patients were hospitalized for a mean of 8.27 days post operatively with no significant post operative complications. Conclusions: Symptomatic tracheal stenosis in the setting of prolonged intubation due to COVID-19 is an under-described etiology. This is one of the largest single institution retrospective reviews that identifies 11 patients with prolonged intubation who developed symptomatic tracheal stenosis refractory to conservative management and ultimately requiring tracheal resection. [ABSTRACT FROM AUTHOR]

Background: The balance between reducing patient wait time and mitigating waste of parenteral products has not been well described in literature. Objective: Evaluate the patient wait times and cost-effectiveness of employing a premix versus an on-demand workflow model for compounding parenteral admixtures in a hematology/oncology infusion setting. Methods: This single center, retrospective cost analysis compiled manually documented monthly waste reports and estimated drug pricing for the institution to calculate the cost of waste during both premix and on-demand compounding workflows. Time to administration was audited for one week with both models. Results: Over a period of 28.5 months following the premix model, 564 products were documented as wasted ($1,196,014.01 in estimated drug purchasing cost). Over a period of 3 months following the on-demand model, 12 products were wasted ($34,823.98 in estimated drug purchasing cost). Switching models reduced the monthly average number of wasted products from 20 to 4 per month; the average cost of waste was reduced from $41,965.40 to $11,607.99 per month (P <.0001). Overall patient wait time from clearance until administration, excluding any recommended wait times after premedication administration (if applicable), was similar in both models: an average of 38.26 minutes in the premix model and 40.97 minutes in the on-demand model. Conclusion: Premixing parenteral admixtures was not cost effective at our institution. After resuming an on-demand compounding model, the monthly cost of waste (based on drug pricing alone) was reduced by over 70%. The wait time from clearance to treatment administration was similar in both models. [ABSTRACT FROM AUTHOR]

The correlational marker technique by Lindell and Whitney for controlling method variance by adding an unrelated variable in the study is gaining a rage of debate and demands analysis study. This article explores common method variance in HR analytics research made in the Indian context. The study makes a comparative study upon common method variance with three known techniques. In our study, we test the biases in the HR analytics data using Harman's single-factor test, the common latent factor technique and the comprehensive confirmatory factor analysis marker approach. Common method variance was tested through Analysis of Moment Structures, version 21.0, by adding an unrelated variable. This article explains the implementation and testing of a marker variable and its impact in comparison to other practices for bias testing. The article also discusses the importance of selecting a marker variable in the questionnaire while collecting data. [ABSTRACT FROM AUTHOR]

This study examined primary care provider (PCP) alignment with guideline-based care for adolescent depression screening and identified factors associated with post-screening responses. A retrospective chart review was conducted across 17 primary care clinics. Logistical regressions were estimated across provider specialties, sociodemographic factors, and patient clinical histories. Significant differences in follow-up and identification of depression were found among patients with more severe depression presentation. Follow-up screening was also more likely to be completed among patients with private insurance and less likely to occur among Black patients. Patients with significant mental health history of a mood concern, history of being prescribed psychotropic medication, were currently on medications at the time of the screening, or had a history of an internal mental health referral had a higher predicted probability of being identified as depressed on the patient problem list. [ABSTRACT FROM AUTHOR]

Purpose: Most empirical work using a distributed perspective to frame research on leadership practice uses the school as the unit of analysis, focusing on how leadership is stretched over people and aspects of the situation within schools. This study investigates leadership practice for elementary science, using a multilevel distributed framework, to understand the interrelationships among educational leaders operating at various levels—from classrooms, to schools, to educational systems, and, beyond, to the educational sector. Research Methods/Approach: Using an embedded, comparative case study design, we analyzed leadership practice for elementary science reform in 13 school districts in the U.S. as leaders worked to bridge from the Next Generation Science Standards learning ideals to classroom instruction. Data collection included interviews, observations, and documents. Findings: Leading elementary science reform involved three core components of leadership practice: (1) garnering attention for science in a situation that prioritized the instruction of English Language Arts and mathematics; (2) cultivating and channeling essential relationships not only within the system but also in the broader education sector to access the resources needed to (re)build an educational infrastructure for elementary science instruction; and (3) supporting the use of educational infrastructure in everyday practice in schools. Implications: This study makes the case for using a multilevel distributed leadership perspective to frame studies of leadership practice to understand how efforts at different levels interact in shaping the practice of leadership. [ABSTRACT FROM AUTHOR]

Background: Dupilumab, an anti-IL4 receptor-α monoclonal antibody, was the first biologic to be approved in Canada for the treatment of Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). In phase III clinical trials, it has demonstrated to be effective in reducing nasal polyp size and the severity of symptoms, improve disease-specific quality of life, and to have an acceptable safety profile. This study aims to present long-term follow-up data on disease-specific sinonasal outcomes of patients with CRSwNP who have been treated with dupilumab for up to 3 years in a real-world setting. Methods: Retrospective review of electronic medical records of a single Canadian rhinology center evaluating disease-specific sinonasal outcomes that are routinely collected for clinical care. This study included all patients who received dupilumab for the treatment of CRSwNP and who had completed at least one follow-up visit. The Sino-Nasal Outcome Test (SNOT)-22 was used to evaluate treatment symptom improvement. Results: Ninety-nine patients started dupilumab therapy during the study period. The mean SNOT-22 at the start of therapy was 61.1 (±22.91) At the time of the review, 65 patients had completed 1 year of therapy, 40 had completed 2 years of therapy, and 18 had completed 3 years of therapy. The mean SNOT-22 score at these timepoints was 16.75 (±13.86), 15.02 (±14.40), and 10.22 (±11.56), respectively. Conclusion: This real-world study shows that in patients with CRSwNP treated with dupilumab, improvement in disease-specific quality of life seen after 1 year continues and can be maintained at 3 years of treatment. [ABSTRACT FROM AUTHOR]

Background: The US Department of Veterans Affairs, Department of Defense (VA/DoD) clinical guidelines recommend extended-release naltrexone (XR-NTX) as a treatment option for moderate-to-severe alcohol use disorder (AUD); however, contemporary real-world outcomes related to this guideline are lacking. This retrospective, observational, descriptive study examined treatment patterns and healthcare resource use (HCRU) among veterans with an AUD diagnosis who initiated XR-NTX. Methods: Veterans with incident AUD who initiated XR-NTX between 8/2014 and 11/2018 were identified. Treatment patterns and HCRU were assessed during the 1-year baseline period before and following XR-NTX initiation (the index date). Results: Of the 3665 VA patients (mean [SD] age: 46 [12.5] years; male: 89.7%; White: 76.9%) included in the study, time from AUD diagnosis to XR-NTX initiation was highly variable (mean [range]: 13.6 [0-50.5 months]). Patients received a mean [SD] of 6.8 [6.1] XR-NTX administrations; 44.4% received ⩾6. Mean [SD] time to XR-NTX discontinuation was 93.4 [75.7] days, and 31.3% of discontinuing patients resumed XR-NTX therapy. Of those who received other subsequent medications for AUD, 38.6% (acamprosate) to 47.8% (disulfiram) re-initiated XR-NTX. The proportion of patients with ⩾1 inpatient admissions decreased during follow-up compared with baseline (all-cause: 61.5% to 37.8%; AUD-related: 58.0%-35.4%); with a smaller decrease observed in emergency department (ED) visits. In contrast, more patients had ⩾1 outpatient visits during follow-up (all-cause: 97.5%-99.7%; AUD-related: 84.4%-92.7%). Compared with baseline, mean number of inpatient admissions and ED visits decreased during follow-up, while the number of outpatient visits increased for both all-cause and AUD-related care. Conclusions: Among VA patients with AUD who initiated XR-NTX, we observed reductions in all-cause and AUD-related acute care, and increases in outpatient care. This finding demonstrates a possible transition from acute, inpatient treatment to long-term, outpatient care that may reflect a reduction in disease severity. Additional research is warranted. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was aimed to explore the trajectory of thoughts and feelings related to religiosity and spirituality using a holistic approach following attendance at group—Quran Recitation (QR) sessions among annual flood victims. Design: This is a qualitative study with an in-depth retrospective interview conducted data in 2019. Methods: The purposive sampling was applied to conduct face-to-face individual video-recorded semistructured interviews. Seventeen participants followed six QR chanting sessions in Bandung, Indonesia. Data were transcribed verbatim and analyzed using inductive analysis. Findings: After extracting evidence expressions of participants, the research team generated the central theme of "Holism of Religiosity and Spirituality," using three influential sub-themes, including obedience to God's will, growing a positive mindset through spirituality and life started to be delighting from nine categories. Conclusion: The relationship of body-mind concepts of holism through QR among flood sufferers was explored. The effect of QR chanting is beneficial to change awareness about the wisdom of spirituality. The holistic approach of religiosity and spirituality in nursing care is recommended to promote all service settings, especially community and disaster nursing in the Indonesian context. Future research is needed to develop QR chanting activities among multiethnic and socio-cultural groups as alternative therapy quantitatively. [ABSTRACT FROM AUTHOR]

This study investigates how sense of place guides organizational sustainable development practices. Despite global phenomena, sustainable development challenges such as poverty and climate change are locally experienced and require local actions. Sense of place, which focuses on local phenomena, offers rich potential to understand organizations and sustainable development practices. This article presents an in-depth case study of Norlha Textiles, an enterprise implementing sustainable development practices in a nomadic village on the Tibetan Plateau. I apply an ethnographic approach to data collection through 3 months of fieldwork. I identified two forms of sense of place: emotional attachment and functional dependence, which can be disembodied from or embodied in the biophysical place. Then, I theorized organizational sustainable development practices in three pathways: maintaining, developing, and transforming place. This study advances organization studies on sense of place and sustainable development. [ABSTRACT FROM AUTHOR]

Background: Discoid lateral meniscus (DLM) is the most common congenital abnormality of the meniscus. Tears are common; treatment is frequently not definitive, often requiring reoperation. Purpose: To report the clinical manifestations, physical characteristics, operative treatments and findings, complications, and reoperations of DLM in pediatric patients from multiple centers across North America. Study Design: Case series; Level of evidence, 4. Methods: Consecutive patients who underwent treatment for symptomatic DLM at 9 institutions between 2000 and 2020 were included. Patient data, presenting symptoms and signs, surgical findings, treatments rendered, and postoperative complications, including reoperation rates, were collected. Means with ranges and counts with proportions are reported for continuous and categorical variables, respectively, and comparisons were made using either the chi-square or Fisher exact test. Results: In total, 784 patients (867 knees) were included with a mean age at diagnosis of 12 years (range, 1-22 years) and a mean follow-up of 22.6 months (range, 0-154 months). Common preoperative symptoms were locking (33%) and snapping (30%). At surgery, tears in the DLM were present in 647 knees (594 patients [76%]); 95 knees (11%) had multiple tears; and in 140 knees, tears extended into >1 zone. Tears, when present, were more common within the posterior horn (41%) or body (34%) than the anterior horn (25%). Peripheral rim instability was reported in 241 knees (28%). Significantly more knees had instability posteriorly (15%; P =.0004) and anteriorly (9%; P =.0013) than along the body (3%). Tear type was most commonly complex (38%) or horizontal (34%). A total of 358 knees in 333 patients with tears (42% of all patients) underwent repair (55% of knees with tears). A total of 175 complications were reported, occurring in 139 knees in 134 patients (17%); 116 of these knees with complications (83%) had a single complication, while 23 (17%) had >1. Of the 784 patients, 105 (13%) underwent reoperation, undergoing 135 additional procedures related to their DLM. Of those, 60 (44%) were repeat arthroscopy and meniscal trim; 40 (30%), arthroscopy and meniscal repair; and 17 (13%), an articular cartilage procedure. Conclusion: Locking and snapping were common presenting symptoms. Over three-quarters of patients had meniscal tears, which were most often complex and located posteriorly. Seventeen percent of patients experienced complications, and a sixth of patients with complications had >1. Reoperation was typically for persistent symptoms or meniscal retear. [ABSTRACT FROM AUTHOR]

Given its significant environmental footprint, healthcare sustainability is paramount. This study delves into the contributory role of hand therapy, assessing hand therapists' comprehension, implementation and barriers to sustainable practices, focusing on orthotic fabrication. A global survey distributed via social media and professional networks collected data on sustainability awareness, practices and educational needs from 113 respondents, primarily from North America (34%) and Europe (32%). Although 91% recognized climate change, only 34% practised sustainability. Despite 57% attempting eco-friendly actions in orthotic fabrication, such as reusing components (65%), knowledge of reusable materials was low (17%) and recycling thermoplastics was inadequate (74.3%). The main barriers were lack of awareness (59%), material scarcity (56.6%) and time constraints (54%). The findings underscore the urgent need for enhanced education, better resource availability and policy reforms to close the gap between awareness and action, promoting sustainability in hand therapy. [ABSTRACT FROM AUTHOR]

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This study intended to explore possible variations among youth adjudicated for sexual offenses based on personal criminogenic factors, offense, and victim characteristics. Utilizing a data set collected from the juvenile court files in Turkey (n = 460), the Latent Class Analysis revealed that the study sample included three different subgroups with distinct features: "non-delinquent, peer victim-targeting," "non-delinquent, younger victim-targeting," and "delinquent, versatile" youth adjudicated for sex offenses. The first two of these groups were similar in terms of having low levels of delinquency, while the third group included the lowest number of youth with significantly broad delinquent activity patterns. These findings were in line with the results of previous studies, and the implications were discussed for future research and policy development. [ABSTRACT FROM AUTHOR]

This study uses data from a retrospective survey of the life history of participants from five cohorts born between 1930 and 1979, to analyze the role of adverse childhood experiences (ACEs). We found that ACEs have significant effects on the transition of young Chinese people into adulthood. Young people who have experienced more ACEs were more likely to transition to adulthood earlier, and accelerate their acceptance of adult social roles, and young adults with a high incidence of ACEs also have an increasing probability of falling into the disadvantaged or least successful trajectory to adulthood. More ACEs are associated with a decreased probability of being classified into the delayed and advantaged trajectories into adulthood characterized by high education and stable work, and an increased probability of being classified into the early and disadvantaged trajectories into adulthood characterized by unemployment, early marriage, and more children. [ABSTRACT FROM AUTHOR]

Background: eHealth was widely used during the COVID-19 pandemic. Much attention was given to the technical aspects of eHealth, such as infrastructure and cost, while the soft skill of compassion remained underexplored. The wide belief in compassionate care is more compatible with in-person interactions but difficult to deliver via e-platforms where personal and environmental clues were lacking urges studying this topic. Purpose: to explore the experience of delivering compassionate care via an eHealth platform among healthcare professionals working to contain the COVID-19 pandemic. Methods: A qualitative study design with an interpretative phenomenological analysis approach was used. Twenty healthcare professionals (fifteen nurses and five physicians) who provided care using technology platforms, such as telephone hotlines, mobile apps, and social media, were interviewed individually. Ethical considerations: Permission to conduct the study was obtained from the Institutional Review Board. Results: Participants stated that "eHealth enabled compassionate care during the pandemic" by ensuring patient care availability and accessibility. They shared experiences of "communicating compassionate care via eHealth" with suggestions of addressing patients' needs with empathy, adopting a structured protocol to guide eHealth communication, and using more advanced visual-media methods to promote human-to-human interaction. They recommended "setting realistic mutual expectations" considering the limitations of eHealth in handling complex health situations and staffing shortages. Participants considered "low eHealth literacy hinders compassion." Additionally, they recommended the need for "institutional/system-level support to foster compassionate care." Conclusion: Participants recognized the importance of integrating compassion into eHealth services. Promotion of compassionate care requires standardization of eHealth services with institutional and system-level support. This also includes preparing adequate staffing who can communicate compassionate care via eHealth, set realistic expectation, and adjust communication to eHealth literacy level while meeting the needs of their patients. [ABSTRACT FROM AUTHOR]

Introduction: Aortic stenosis is a cause of mortality or morbidity. It complicates the selection and management of anesthetic procedures. The aim of this study was to evaluate the efficacy, hemodynamic effects and postoperative outcome of unilateral spinal anesthesia in geriatric patients with hip fractures with moderate or severe aortic stenosis. Material and Method: A retrospective observational study was conducted on geriatric high-risk patients with cardiac conditions who underwent surgery for hip fractures under unilateral spinal anesthesia with low-dose hyperbaric bupivacaine. The study period spanned from January 2018 to December 2021. The inclusion criteria were individuals with moderate to severe aortic stenosis, as defined by the American Heart Association Criteria. Data on demographic information, cardiac pathologies, hemodynamic data, data on motor and sensory block, perioperative complications, and mortality rates at 30th and 180th days were collected. Results: Mortality rates at the 30th day and 180th day were 8.9% (n:4) and 24.4% (n:11), respectively. T6 level was predominantly obtained level of anesthesia (44.4%). Motor and sensory block formation times averaged 7.6 and 4.8 minutes, respectively. Surgical procedures were performed mostly within 1 hour (66.7%), and complications were rare (11.1% hypotension). Initial analgesic effect showed a rapid resolution, with 64.4% of patients requiring analgesic within the first hour postoperatively. Conclusion: In elderly patients with moderate to severe aortic stenosis scheduled for hip fracture surgery, we posit that unilateral spinal anesthesia with ultra-low dose is safe and effective option. [ABSTRACT FROM AUTHOR]

Qualitative Longitudinal Research (QLR) is a dynamic and evolving methodology using time as a lens to inform study design, data collection and analysis. A key feature of QLR is the collection of data on more than one occasion, often described as waves or time points. Thus, researchers embarking on designing a new study need to consider several key features including the study duration (timeframe) and the frequency and intensity of data collection (tempo). Yet, how to embed these features in practice is not well described. Leveraging the intensive-extensive temporal plane of time, we explore research approaches employing both shorter and longer timeframes, as well as intensive and extensive tempos. Drawing on six studies that we have conducted, we discuss four pivotal aspects including: (i) crafting intensive-extensive tempo and timeframes; (ii) defining baseline and closure points; (iii) planning for flexibility; and (iv) working ethically within a temporal lens. By examining and critically analysing these case studies through the lens of the intensive-extensive plane of time, this article aspires to offer insights for researchers interested in using the QLR design in healthcare. We thus aim to prepare researchers for embedding these features during the research process. [ABSTRACT FROM AUTHOR]

In the context of prisons research, letter writing serves as a unique way to access prison participants without gaining formal His Majesty's Prison and Probation Service (HMPPS) approval and does not place any demands on the time and resources of prison staff in comparison to in-person data collection methods such as interviews. Despite this method becoming increasingly used, especially throughout the Coronavirus (COVID-19) pandemic, there is not a lot of research on the challenges and risks of letter writing to the researcher. This article examines the emotional and ethical challenges of letter writing as a method of data collection specifically with prisoners, focusing primarily on the challenges and risks the researcher must navigate. While the criminological literature is slowly catching up on the discussion of emotions in prisons research, there remains gaps in newer, or indeed, more innovative methods used in criminology. This article discusses the challenges involved in the time between letters, not knowing if letters have arrived, the distance between the researcher and the researched, ending correspondence and appropriate long-term support. As the article progresses, positionality becomes central to these discussions. As well as highlighting these challenges, the article offers strategies and discussions about managing these challenges for future researchers, such as keeping logs, debriefing with colleagues, and ensuring long-term support for participants is in place before the data collection period. [ABSTRACT FROM AUTHOR]

Informal conversations have been used in qualitative research for over 100 years. Whilst originally identified as a minor part of ethnographic study, scholarly literature in the 2020s has aimed to promote a greater use of the informal conversation method in qualitative research. In agreement with Swain and King (2022), informal conversations create a greater ease of communication and often produce more naturalistic data than other forms such as interviews. Using experiences from two qualitative studies at a range of multi-purpose arenas in the UK and Europe and English association football stadia, this article explores the use of informal conversations as a research method at live events. It provides strategies and guidance regarding how to successfully implement this method when collecting data; explains how informal conversations can be recorded effectively; and outlines how beneficial they are in producing valid and authentic data. The article also explores the ethical challenges that are faced when conducting informal conversations in live event spaces in terms of ethics, validity, and reliability. [ABSTRACT FROM AUTHOR]

Objectives: To explore the prognostic factors in patients with advanced olfactory neuroblastoma (ONB) underwent endoscopic surgery. Materials and Methods: Retrospective medical records were reviewed of patients with pathologically proven ONB who underwent endoscopic surgical resection. Clinicopathological characteristics including patient demographics, treatment, complications, follow-up, and outcomes were analyzed. Kaplan–Meier overall survival (OS) and disease-free survival (DFS) curves were plotted. Univariate and multivariate Cox regression models were used to determine prognostic factors. Results: Eighty-five patients with Kadish stage C ONB were examined. According to the various staging systems used, most patients harbored modified Kadish stage C (78.8%). Twenty-six patients (30.6%) underwent bony skull base resection, 11 (12.9%) underwent dura resection, and 24 (28.2%) underwent additional intracranial resection that included the olfactory bulb and duct. Median follow-up was 39 months. Five-year OS and DFS rates were 83.7% and 74.9%, respectively. Five-year OS was 100% in patients treated with bony skull base resection and 77.5% in those who were not (P =.052). Dura resection did not improve OS. Multivariate Cox regression analysis identified perioperative complications (P =.009), gross total resection (P =.004), orbital invasion (P =.014), postoperative radiotherapy (P =.030), and bony skull base resection (P =.019) as independent prognostic predictors. Conclusion: For patients with advanced ONB, endoscopic surgery in conjunction with radiotherapy and chemotherapy is effective and safe. Dura resection should be performed with caution in selected patients to balance survival and complications. Postoperative radiotherapy is important to improve OS and DFS. [ABSTRACT FROM AUTHOR]

Objective: The pandemic contributed to increased mental and cognitive health concerns as well as reduced utilization of preventive and treatment focused care. Deferred care can contribute to negative clinical outcomes, including increased acuity of mental and cognitive health concerns that benefit from early intervention. A new visit type was launched with the aim of reaching patients who may need care and supporting early identification of cognitive and mental health issues. Methods: We developed the Healthy Mind visit, a preventative visit administered by Primary Care Providers (PCPs) within outpatient clinics. The Healthy Mind visit included use of a pre-visit mental health screener as well as a brief computerized cognitive assessment. The clinical interaction focused on identifying mental and cognitive health concerns and developing a plan for wellness. Outcomes data collection occurred over nearly 2.5 years and focused on analyzing booking patterns, depression screening and follow-up, and clinical outcomes such as health confidence and post-visit motivation. Results: The visit was effective in supporting depression screening and follow-up with 29.6% of those participating in a Healthy Mind visit receiving a PHQ-9, and 82.5% of patients with elevated PHQ-9 scores attending a subsequent visit with their PCP. Improvements in health confidence and high patient reported motivation post-visit represent other notable clinical outcomes. The visit also promoted care utilization, with 73.5% of patients who attended a Healthy Mind visit being new to the practice or those who had not attended an appointment in the past 6 months. Conclusions: The Healthy Mind visit, with a focus on mental and cognitive health, was successful in reaching patients who may not have otherwise sought care and supported positive clinical outcomes including early identification and treatment of depression and increased health confidence. Recommendations: These findings reflect the importance of developing innovative programs to connect patients with care, especially those who may have deferred care due to a variety of factors. Focusing on mental and cognitive health with the use of innovative tools such as a computerized assessment, can drive patient interest in care offerings and support positive clinical outcomes. [ABSTRACT FROM AUTHOR]