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Most research has so far focused primarily on the negative effects of the COVID-19 pandemic on early adolescents. This pre-registered study fills this gap by investigating possible links between pandemic regulations and positive outcomes, namely school well-being. Specifically, we test the assumption that high-ability early adolescents benefit from virtual schooling by experiencing higher school well-being while schooled virtually. Data from a Czech sample (N = 210) do not support this claim but show a strong effect of autonomy on school well-being. We also explore the changes reported by our participants after returning to classrooms. [ABSTRACT FROM AUTHOR]

Based on two qualitative case studies undertaken in Switzerland, this article compares the positioning of Climate Strike activists and construction workers on questions of climate change, so as to analyse the impact of work practices on environmental orientations. Building on a praxeological approach, the article argues that communities of practice in workplaces and educational institutions influence environmental orientations. Everyday practice in schools and universities fosters the scientific environmental knowledge that is central to the orientations of climate activists. By contrast, the practice of construction workers inculcates an embodied environmental knowledge which accompanies an orientation that takes environmental problems as not primarily a question of conservation, but rather as inherently linked to workplace matters. By way of conclusion, the article argues for an expanded notion of environmental concerns, beyond the acceptance of scientific facts on ecological crisis and towards embracing the embodied environmental knowledge more broadly prevalent among manual workers. [ABSTRACT FROM AUTHOR]

Myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML) are heterogeneous neoplasms of hematopoietic stem cells that are challenging to diagnose, differentiate, and prognosticate. Cytogenetic and mutational analyses are useful in humans but unavailable for dogs, where diagnosis and classification still rely largely on hematologic and morphologic assessment. The objectives of this study were to apply a classification scheme to myeloid neoplasms and to assess outcome in relation to predictor variables. Keyword search of a laboratory database, application of sequential exclusion criteria, and consensus from 3 reviewers yielded 70 cases of myeloid neoplasia with hematology results, and cytologic (11), histologic (14), or both (45) types of marrow specimens. Based on blast percentage and morphology, 42 cases were classified as MDS and 28 as AML. Dogs with MDS had significantly lower body weights, hemoglobin concentrations and blood blasts, and higher red blood cell size variability and platelet numbers than dogs with AML. Estimates of median survival using Kaplan-Meier curves for dogs with MDS and AML were 384 and 6 days, respectively (P <.001). The instantaneous risk of death for dogs with MDS was approximately 5× lower than that of dogs with AML. Significant predictor variables of survival were body weight, white blood cell count, platelet count, and percent blood blasts (P <.05). Hazard ratios (HRs) derived from best-fitting Cox regression models were 1.043, 0.998, and 1.061 for increased neutrophils, decreased platelets, and increased blood blasts, respectively. Findings from this study suggest that hematologic and morphologic variables are useful to predict outcomes in myeloid neoplasia. [ABSTRACT FROM AUTHOR]

The needs of the Black/African American population in the United States have historically been neglected in research, including in the development of therapies and services to support people with autism. The scope of interventions to support autistic people that are designed or adapted to be culturally responsive to the Black American population is not known. The state of these interventions systematically addressing cultural factors is also underexplored. The present systematic review examined the research evidence of autism interventions either designed or adapted for Black persons in the United States. The search did not have a specific date range but identified literature starting in 1999, and the search ended in 2023. A total of eight studies were identified and reviewed: Four were interventions designed specifically for the Black autistic population, one was an adapted intervention, and three were interventions evaluated with a Black autistic sample. To evaluate these studies, we used the Cultural Adaptation Checklist and found that few autism interventions are systematically adapted for Black individuals. Autism researchers that have engaged the Black autistic population or their families have been thoughtful in ways of engaging; however, there was no universal framework that drove development or adaptation efforts of these interventions. The development of more culturally responsive autism interventions (i.e. adapted evidence-based interventions) for the Black population offers promise for more equitable autism practices. Black/African American people in the United States who have a diagnosis of autism often experience service-related disparities, including not having the same access to high-quality autism and related care (e.g. behavioral interventions), and are less likely to have sustained treatment engagement across their lifespan. While interventions to support autistic people are typically designed to be universal, there is concern that these interventions not being tailored to the Black/African American population could reduce the overall impact due to a lack of responsiveness to the needs of the Black children or families who receive the intervention. The current systematic review summarized research on interventions developed for the Black autism community, including Black children with autism and their caregivers. After a comprehensive, systematic search, eight peer-reviewed publications were identified that met the study's inclusion criteria. The majority of the interventions were tailored to Black caregivers of children with autism. Autism researchers demonstrate different strategies for engaging Black caregivers in culturally responsive ways; however, more research into these interventions is needed in order to assess their effectiveness. In addition, there are still limited interventions adapted to be culturally responsive to Black/African American autistic people. The Cultural Adaptation Checklist framework is a novel approach with promise to become the standard for adapting interventions to meet the needs of culturally diverse groups. Cultural responsiveness is an important facet in the development of interventions that produce optimal outcomes for the range of diversity in the United States and is an important step to achieving equitable autism research practices. [ABSTRACT FROM AUTHOR]

This study investigated what, how, why, for whom, and when extracurriculars add to entrepreneurship and enterprise education to examine the roles of extracurriculars in entrepreneurship and enterprise students' education and learning processes. A systematic literature review method was chosen as it enables to identify characteristics of extracurricular entrepreneurship and enterprise education (EEE) through synthesis of validated studies of the phenomena. Findings indicate that EEE differs from formal EE owing to the influence of voluntariness and students' engagement in the EEE. Students' engagement in EEE and the motivation behind their engagement will be fundamental in the understanding of why, when, whom and how students engage and the outcome of engaging. The study contributes to the EE literature by addressing how the uniqueness of voluntarily participating in EEE influences learning situations, which distinguishes EEE from formal EE. Thus, the study has implications for research regarding how EEE and different EEE activities and initiatives need to further be explored to understand the potential of learning from participation in extracurricular entrepreneurship and enterprising education. The study provides implications for practice in regard of how EEE can be organized to foster learning. [ABSTRACT FROM AUTHOR]

Patients receiving palliative care experience stigma associated with their illness, personal identity, and healthcare utilization. These stigmas can occur at any stage of the disease process. Varying stigmas combine to cause palliative care patients to feel misunderstood, contribute to treatment barriers, and further negative stereotypes held by clinicians. Stigma surrounding palliative care patients stems from complex intersections of varied access to resources, familial and physical environment, socioeconomic status, mental health and disorders, and identity characteristics. This article examines the relationship between the stigmatization of mental health and palliative care through three pathways: stigma and barriers existing within healthcare, the tendency of this stigma to undermine social support, and patient deferral of treatment-seeking in response to stigma. Recommendations to address and diminish stigmatization are presented, including advocacy, increased research and assessment, and contextual and intersectional awareness. Clinicians are also encouraged to turn to their colleagues for peer support and team-based care. [ABSTRACT FROM AUTHOR]

Introduction: One in five adults in the United States suffers from mental illness. Negative social influences in the Hmong community stigmatize those who have mental health challenges and mental health outcomes are impacted by poor mental health literacy. Language barriers, conflicting traditional beliefs, and Western concepts of health contribute to low mental health literacy and willingness to seek professional mental health services among the Hmong. Aims: The aim of this project was to successfully implement Mental Health First Aid (MHFA) to a group of 30 or more Hmong adult church leaders in a faith-based setting. Methods: A pretest posttest project design was used. The project implementation process was guided by the Plan-Do-Study-Act (PDSA) model and took place from June 2023 to August 2023. Participants were recruited from three local Detroit Hmong churches. Indicator measures included the Mental Health Literacy Scale (MHLS) and Community Attitudes toward Mental Illness (CAMI) Scale before and immediately after training. One final survey was administered at 6 weeks post MHFA training to measure information retention, stigma, and utilization of MHFA skills. Results: Results reflect the existing body of literature regarding MHFA and the positive impacts on mental health literacy, confidence level, mental health awareness, and decreasing stigma. Conclusion: MHFA continues to demonstrate successful implementation across many settings and populations, especially for this project among Hmong adult church leaders. More research is needed to expand on mental health and the Hmong. [ABSTRACT FROM AUTHOR]

In the last few decades, the Ruhr Area in Germany has undergone a structural transformation that changed the landscapes of its towns and cities. Nowadays, the remnants of heavy industry are integral parts of urban semiotics articulating the cities' industrial "soul" and heritage. In this paper, we illustrate how an analysis of residual industrial structures opens up ways of thinking about reinvented spaces that anchor cultural memory, regional identity and nostalgia. Our analytical focus is the Winding Tower of Shaft 12, preserved at Zollverein UNESCO World Heritage Site in Essen – a landmark called the "Eiffel Tower of the Ruhr Area". Our semiotic landscape study is inspired by the framework of multimodality. We trace the industrial Tower resemiotized and remediated into visuals and material artefacts (e.g. art, logos, objects). We show how the Tower emerges as post-industrial capital which carries on the reinvention ideas and ideals that fabricate the area's symbolic economy, allowing people to continue consuming its authenticity. Ultimately, we demonstrate how this specific example of resemiotized industrial structures has a key multimodal role in the construction and consumption of the city (image). [ABSTRACT FROM AUTHOR]

Since the inception of volunteered geographic information in 2007, this area of study has seen a proliferation of terms and concepts representing diverse forms of user-generated geographic data and systems. Despite the rich development of VGI (volunteered geographic information) in geography, recent trends indicate a disjointed research field. This progress report critically examines the trajectory of VGI, mapping its journey from an emergent set of practices to a fragmented research domain. Moving forward, it is up to the research community to either reignite the interaction and integration required to build a subdiscipline of GIScience or allow this research domain to extinguish. [ABSTRACT FROM AUTHOR]

Differences in emotion regulation strategies usage between Western and East-Asian individuals have been shown to exist. In this systematic review and meta-analysis, we aimed to synthesize differences and similarities of the spontaneous use frequency of nine emotion regulation strategies (suppression, reappraisal, acceptance, avoidance, rumination, mindfulness, distraction, expression, and self-compassion), in Western and East-Asian individuals. Quantitative comparison studies were identified through systematic and snowball searches. Meta-analysis was undertaken with the meta package from R. Nineteen articles involving 21 studies were included in the systematic review and 20 studies were included in the meta-analysis. These articles were published from 2002 to 2023. The results showed that East-Asian individuals use more suppression (d = −0.29) and avoidance (d = −0.57) compared with Western individuals, with a medium effect size. No significant difference was observed in reappraisal, rumination, and expression usage. Future comparison studies across Western and East-Asian cultures should consider focusing on the use of self-compassion, acceptance, distraction, and mindfulness, which are understudied in the field of emotion regulation. Moreover, to improve the methodology, address inadequacies in analyzing cultural measurement invariance, distinguishing between emotional valences, and reporting the ethnicity of participants. [ABSTRACT FROM AUTHOR]

"Sexually violent predator" (SVP) legislation requires, in part, that an individual has a mental abnormality that causes difficulty in controlling sexual behavior. Previous research has found paraphilia not otherwise specified (NOS) as one of the most prevalent diagnoses proffered in SVP evaluations. However, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) modified paraphilia NOS diagnosis in two ways. First, this diagnosis was divided into two new diagnostic categories: other specified paraphilic disorder (OSPD) and unspecified paraphilic disorder. Second, OSPD required an added specifier to indicate the individual's source of sexual arousal. To date, no study has systematically explored how the revision to paraphilia NOS has affected diagnoses within SVP evaluations. The current study explored the frequency and diagnostic reliability of paraphilic disorders in a sample of 190 adult men evaluated for SVP civil commitment using the DSM-5. Results indicated that OSPD was the second most common paraphilic disorder, next to pedophilic disorder. However, there was poor to fair agreement (kappa = 0.21, p <.01) between independent evaluators in providing this diagnosis. Additionally, the two most common OSPD specifiers were non-consent and hebephilia, despite recent debate and rejection of these constructs from the DSM-5. While these constructs were the most prevalent, the specifiers contained quite varied terminology, suggesting vague diagnostic tendencies within these evaluations. Given that the presence of a mental abnormality is the cornerstone to the constitutionality of SVP commitment, diagnostic practices should be based in reliable and valid techniques. [ABSTRACT FROM AUTHOR]

Objectives: Non-adherence to medication is common in the adult ADHD clinical group. The goal of this pre-registered study was to examine whether the DSM-5 Alternative Model of Personality Disorder (AMPD), generality personality dysfunction (LPFS-BF 2.0) or maladaptive personality traits (PID-5), can predict time to premature discontinuation of pharmacological treatment beyond other known factors. Methods: A sample of 284 adult patients with ADHD (60.6% female; M age = 32.31 years) were investigated for medication adherence from 2018 to 2023, using time-to-event analytic methods. Results: Of the sample, 54 were found to have discontinued treatment prematurely without consulting their physician. Interestingly this group was prescribed considerably lower doses before discontinuation than adhering patients. General personality dysfunction and maladaptive antagonistic personality traits are implicated in varying degrees, with the specific maladaptive personality facets Intimacy Avoidance and Deceitfulness (PID-5) significantly predicting time to premature discontinuation of ADHD medication beyond other known reasons for non-adherence. Conclusions: The broader implication is that the emerging personality pathology models hold promise to predict non-adherence in the adult ADHD population. [ABSTRACT FROM AUTHOR]

Stigma surrounding mental health, particularly among men, remains a significant barrier to men engaging with support services for their mental health. Despite increasing evidence of interventions targeting different aspects of stigma reduction, there is a notable gap in the literature concerning male-specific mental health stigma reduction interventions and on the underlying behavior change techniques (BCTs) used to reduce stigma. The purpose of this review is to synthesize the evidence relating to the impact of mental health stigma reduction interventions among men and to explore the underlying BCTs associated with each intervention. The review was restricted to empirical research reporting on interventions targeting mental health stigma in male-dominated populations. The quality appraisal was conducted using the Mixed Methods Analysis Tool and a narrative synthesis was conducted. Fourteen articles reporting on 11 interventions were included for review, while 20 outcome measures were used. Perceived public stigma attracted the largest number of interventions with a lesser focus on self or personal stigma. Nineteen BCTs were identified across the interventions with information about health consequences and self-monitoring of behavior being the most common followed by credible source, social contact, and behavior practice/rehearsal. This is discussed in relation to the wider literature. The methodological issues highlighted in the articles limit the conclusions and recommendations that can be drawn from the review. Recommendations for further research include standardizing the scales used in stigma measurement, in-depth reporting of intervention descriptions, and greater use of theory to guide intervention development. [ABSTRACT FROM AUTHOR]

This qualitative study examines definitions of school gardening used by preschool educators and examines their views on the value of school gardening in their curriculum. The participants consisted of school principals and teachers working in two different types of preschools as traditional and nature-based. Data were obtained through semi-structured interviews and content analysis technique was used. Findings showed that the educators routinely implemented school gardening, both outdoors and in greenhouse. School gardening was integrated with other curriculum activities. Its positive effects on children's development were expressed with emphasizing the need for additional space, time, financial support, and collaboration with experts. [ABSTRACT FROM AUTHOR]

Mental health professionals stigmatize mental illness, which has significant ramifications for public health and policy. Within this domain, there is a lack of comprehensive research on relative stigma, emotions, and behaviors and an absence of literature that can guide research on these topics. The current study sought to address these limitations. Unstructured interviews were conducted with 22 mental health professionals, and data were analyzed using a grounded theory approach. The current study identified a collection of mental disorders (e.g., borderline personality disorder), stereotypes (e.g., dangerousness), emotion-related responses (e.g., fear), and behaviors (e.g., helping) as being key to the relative stigmatization of mental illness by mental health professionals. The results also suggested that professional context and familiarity with mental illness decrease the stigmatization of mental illness by mental health professionals. These variables and constructs were combined to form a grounded theory of mental health professionals stigmatizing mental illness. The current study has implications for the direction of future research on the stigmatization of mental illness by mental health professionals and interventions that strive to mitigate this type of stigmatization. [ABSTRACT FROM AUTHOR]

This study identifies the stigma experienced by 12 bereaved parents 2 and 5 years after losing a child in the Sewol ferry disaster in South Korea. Using thematic analysis, we categorized the experience of stigma into two components based on Corrigan and Kosyluk's social cognitive model of stigma: public stigma and self-stigma, and each was analyzed into three types of stigma: stereotype, prejudice, and discrimination. We identified four additional factors related to stigma mitigation. The potential implications for characterizing the experiences of bereaved parents, particularly those facing stigma, are discussed in light of these findings in the longitudinal perspective. [ABSTRACT FROM AUTHOR]

Objective: Associations between dimensions of narcissism and aggression have been well-documented in Western samples. We aimed to generalize findings regarding the validity of one-, two- (Grandiose Narcissism, GN, and Vulnerable Narcissism, VN), and three-factor models (Agentic Narcissism, Agent; Neurotic Narcissism, Neuro; Antagonistic Narcissism, Antag) of narcissism and associations with aggression to Chinese offender and nonoffender samples. Methods: Our preregistered study used exploratory factor analysis (EFA) and a novel methodological approach, relative weights analysis (RWA) in an offender (N = 485) and a community (N = 578) sample from China to examine the generalizability of narcissism dimensions, and within-study meta-analysis using 9 samples (N = 3520, and 282 effect sizes) to examine links between narcissism dimensions and aggression. Results: The two-factor model replicated well across samples and three-factor model replicated moderately, with differences emerging for the structure of Antag in offenders. Narcissism was positively correlated with aggression, although associations varied across narcissism dimensions and types of aggression. Conclusion: The dimensional models of narcissism and associations with aggression generalized fairly well from Western to Chinese offender and nonoffender populations, although some potential differences worthy of consideration in future research and practice were observed. [ABSTRACT FROM AUTHOR]

The proportion of infants in the United States who are breastfed at 1 year remains well below the Healthy People 2030 target. The health implications of suboptimal breastfeeding durations are significant, including increased risk of childhood leukemia and maternal Type 2 diabetes. Prenatal breastfeeding education provides an opportunity to improve breastfeeding self-efficacy among pregnant individuals and to establish their coping skills in case future breastfeeding problems arise. Although prenatal breastfeeding education is known to improve breastfeeding self-efficacy, characteristics of prenatal breastfeeding education interventions that are successful at increasing breastfeeding duration have not been well defined. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Health Action Process Approach, we conducted a systematic review of the literature examining the impact of prenatal breastfeeding education interventions on breastfeeding duration measured at least 12 weeks postpartum. Twenty-one studies were identified. Prenatal breastfeeding education was most likely to increase breastfeeding duration when education interventions integrated psychological components (Health Action Process Approach coping planning) or were paired with in-person postpartum breastfeeding support. Additional research is needed to examine the role of psychological components in breastfeeding education interventions in diverse populations and to determine the specific psychological intervention components with the greatest impact on breastfeeding duration. [ABSTRACT FROM AUTHOR]

Purpose: A new 1-day intervention grounded on the inter-group contact theory was developed and implemented to reduce college students' stigma toward people with schizophrenia (PWS). We hypothesized that the stigmatizing situation could be alleviated by different levels of contact. Method: A pilot trial was conducted in Hong Kong with 41 college students participating in the intervention. Participants' perception, stigmatizing attitudes, and social distance toward PWS were measured pre-, post, and 1-month after the intervention. Results: Significant changes were found in all outcome variables with moderate to high effect sizes. Knowledge session without direct contact contributed most to participants' knowledge improvement, and higher levels of contact led to an obvious improvement in stigmatizing attitudes and social distance changes. Discussion: The current study provided evidence supporting the efficacy of the new intervention based on inter-group contact theory and practical experience for future stigma research. [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]

This study investigates determinants of adult children's medical decision preferences for their elderly parents, aiming to optimize healthcare service utilization. Seven influencing factors were identified and a discrete choice experiment was conducted. Data were analyzed with a binary logit regression model. Results highlight treatment effectiveness (p <.001, OR = 5.945), physician attitude (p <.001, OR = 2.740), hospital accessibility (p <.001, OR = 2.136), waiting duration (p <.001, OR = 1.604), and hospital rank (p =.001, OR = 1.409) as key concerns when deciding medical care for older parents. Physician title and online health insurance reimbursement showed no significance. Chinese adult children tend to rationally choose primary healthcare centers and Grade II hospitals for effective therapy and doctor-patient communication, suggesting investments in these facilities to enhance healthcare delivery within a hierarchical medical system. [ABSTRACT FROM AUTHOR]

Many studies on IT investment in companies have been conducted in the past, but our team combined them by summarizing the latest research. Compared to previous work, we revise a larger universe of firm IT investment, focus on more recent IT investment researches, refine the focus of current researchers pay attention to and address the problem of insufficient reference for enterprise practice. Through a review of the literature to synthesize the understanding of IT investment to (i) IT investment performance, (ii) IT adoption decision, (iii) IT governance, and (iv) IT labor (worker), we could highlight the research gaps that we encountered. Finally, based on the current research conclusions, we give practical suggestions from the early, middle and late stages of IT investment. This study contributes to the growing amount of literature on IT investment, both academically and practically. Plain language summary: A review of IT investment in firms Through a review of the literature to synthesize the understanding of IT investment to (i) IT investment performance, (ii) IT adoption decision, (iii) IT governance, and (iv) IT labor (worker), we could highlight the research gaps that we encountered. Finally, based on the current research conclusions, we give practical suggestions from the early, middle and late stages of IT investment. [ABSTRACT FROM AUTHOR]

Background: Ireland's Smoking Ban reduced health inequalities known to be associated with smoking but some groups may not have benefitted. Mental ill-health and smoking are known to be associated with health inequalities. Whether similar patterns exist for e-cigarette use is less clear, as few data exist. Objectives: To examine: (1) self-reported doctor-diagnosed mental ill-health in Irish 20-year-olds; (2) smoking, e-cigarette, and dual use in those with and without mental ill-health; and (3) protective and risk factors for smoking and e-cigarette use in these groups. Methods: We use cross-sectional data from 20 year-olds in Wave 4 of Growing Up in Ireland Child Cohort. They were asked to self-report mental ill-health which had been diagnosed by a clinician, and their smoking and e-cigarette use. All analyses were performed using SPSS v27. Results: 19.4% (n = 1008) of the total sample (n = 4729) reported a mental ill-health diagnosis. Comparing those with and without, those with mental ill-health had significantly higher prevalence of current smoking (47%, n = 419 vs 36%, n = 1361; OR 1.57, CI: 1.36, 1.82), e-cigarette use (17%, n = 152 vs 13%, n = 485; OR 1.40, CI:1.15, 1.70), and dual use (12%, n = 109 vs 9%, n = 328; OR 1.46, CI:1.16, 1.84). Risk factors for smoking and e-cigarette use were, earlier smoking initiation, peers or primary caregivers who smoked, being in paid employment, one-parent family background, and social media use. Being female was protective. Most risk factors were significantly higher in young adults with mental ill-health but, after adjusting for these variables, respondents with mental ill-health still have significantly higher adjusted higher odds of smoking (aOR 1.28, CI:1.05, 1.56). Conclusions: Inequalities in smoking and e-cigarette use in young adults with mental ill-health are evident 20 years after Ireland's National Smoking Ban. Despite extensive Tobacco Control interventions in the past 20 years, there is still need in Ireland for new targeted interventions to reduce health inequalities for left-behind young smokers with mental ill-health. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to investigate the variables that may affect treatment continuation in children aged 6 to 12 years who were newly diagnosed with ADHD. Methods: A total of 132 children diagnosed with ADHD and their parents participated in the study. Sociodemographic and clinical risk factors affecting continuation of treatment were examined using logistic regression analysis. Results: Multiple model examination revealed that greater age increased the risk of treatment discontinuation 1.824 times (p =.003) while a lower total length of paternal education increased the risk of discontinuation (1/0.835) 1.198 times (p =.022). Other variables emerging as significant in the univariate model lost that significance in the multiple model. Conclusions: Understanding the variables associated with medication discontinuation in ADHD in different populations and taking these variables into account in the development of health policies, will be useful in improving the long-term devastating effects of the disorder. [ABSTRACT FROM AUTHOR]

One of the most relevant prognostic indices for tumors is cellular proliferation, which is most commonly measured by the mitotic activity in routine tumor sections. The goal of this systematic review was to analyze the methods and prognostic relevance of histologically measuring mitotic activity that have been reported for canine tumors in the literature. A total of 137 articles that correlated the mitotic activity in canine tumors with patient outcome were identified through a systematic (PubMed and Scopus) and nonsystematic (Google Scholar) literature search and eligibility screening process. Mitotic activity methods encompassed the mitotic count (MC, number of mitotic figures per tumor area) in 126 studies, presumably the MC (method not specified) in 6 studies, and the mitotic index (MI, number of mitotic figures per number of tumor cells) in 5 studies. A particularly high risk of bias was identified based on the available details of the MC methods and statistical analyses, which often did not quantify the prognostic discriminative ability of the MC and only reported P values. A significant association of the MC with survival was found in 72 of 109 (66%) studies. However, survival was evaluated by at least 3 studies in only 7 tumor types/groups, of which a prognostic relevance is apparent for mast cell tumors of the skin, cutaneous melanoma, and soft tissue tumor of the skin and subcutis. None of the studies using the MI found a prognostic relevance. This review highlights the need for more studies with standardized methods and appropriate analysis of the discriminative ability to prove the prognostic value of the MC and MI in various tumor types. Future studies are needed to evaluate the influence of the performance of individual pathologists on the appropriateness of prognostic thresholds and investigate methods to improve interobserver reproducibility. [ABSTRACT FROM AUTHOR]

OBJECTIVE: Psychedelics and psychedelic-assisted therapies (PATs) are on the cusp of becoming medicalized treatment modalities within the United States, both as potential U.S. Food and Drug Administration (FDA)-approved treatment and therapeutic options outside the medical model, through decriminalization efforts within individual states. Bringing with it a paradigm shift in the delivery of health care for both physical and mental health treatment. A workforce of highly trained facilitators will be needed to meet the anticipated demand for this type of treatment and nurses can play a key role in meeting this demand. This article serves to introduce psychedelic-assisted therapies to psychiatric-mental health nurses as we start to see this new field emerge. METHOD: Review of published literature and other media. RESULTS: Results based on historical data, modern applications, and future considerations. CONCLUSIONS: Nurses have been involved with psychedelic-assisted therapies in the past and are fully capable of providing a wide range of roles upon the anticipated approval as a treatment modality. [ABSTRACT FROM AUTHOR]

Discrimination in healthcare is a pervasive issue faced by patients, affecting their access to treatment and overall well-being. This article examines the forms of healthcare discrimination recognised by Scandinavian equality boards through a comparative analysis of their decisions. While social science studies have established the existence of discrimination based on ethnicity, race, gender, sexuality, and age, proving such discrimination in legal terms poses significant challenges. An analysis of board decisions reveals that patients face barriers in establishing legally actionable discrimination, as perceived discriminatory conduct may not meet the criteria for legal claims. Additionally, equality boards are often hesitant to intervene in medical decision-making processes, further complicating the path to legal recourse. Lack of evidentiary support, especially in cases of unconscious bias, makes it difficult for some patients to substantiate claims of discrimination. The findings underscore the complexities of addressing healthcare discrimination through legal means. To effectively combat discrimination, there is a need to clarify the goals of discrimination law in the healthcare context and consider its future application within the broader context of human rights and equality. [ABSTRACT FROM AUTHOR]

Prison scholars have long noted prisoners' improvisation with materials and resources at hand (or bricolage) in ways that defy the prison regime. Yet longstanding scholarly perspectives which cite such bricolage as evidence for themes like "prison culture" or "resistance" have often distracted scholars from accounting for the specific features of organizational materials and operations that prisoners leverage in their bricolage, and distracted from the rather mundane nature of the practices—like grooming, cleaning, and eating—they thus serve. Drawing from interviews with de-incarcerated persons from a U.S. state prison system, and from documents memorializing the disruption of prison routines during COVID-19 pandemic in that same state, this article investigates the specific resources prisoners enlist in bricolage projects related to making and sharing meals. Those resources, I argue, are the material and organizational products and byproducts of the complex prison undertaking. The practices prisoners achieve are precarious, with low degrees of equifinality –there are only so many ways to accomplish them in contexts of comprehensive restriction. The COVID-19 pandemic threatened those delicate arrangements not only through problems in the acquisition of raw food materials, but also through disrupted institutional routines which offer the resources necessary to coordinate, assemble, and transform those materials into meals. This pattern comes into focus when the "prison food system" is approached as a consumption system like any other, though one which operates in a strictly regulated context with minimal materials and deeply curtailed choice. [ABSTRACT FROM AUTHOR]

Quarantine guidelines that arose with the COVID-19 pandemic limited opportunities for social interaction, raising concerns about increases in intimate partner violence and cyberabuse while simultaneously restricting access to help. The current study assessed increases in cyberabuse, sexual aggression, and intimate partner violence victimization and perpetration during the first year of the COVID-19 pandemic in a U.S. nationally representative sample of young adults ages 18 to 35, recruited from a probability-based household panel. Data were collected between November 2020 and May 2021. Descriptive analyses were conducted to assess the prevalence of any self-reported increase in cyberabuse, sexual aggression, or intimate partner victimization or perpetration during the COVID-19 pandemic. Logistic regression models were run for each outcome measuring any increase compared to no increase. Approximately one in ten U.S. young adults ages 18 to 35 reported experiencing an increase in cyberabuse victimization (12.6%) and cyberabuse perpetration (8.9%) during the pandemic. Similar proportions were observed for increased sexual aggression victimization (11.8%) and perpetration (9.0%). More than one in five respondents (21.4%) reported that their intimate partner was more physically, sexually, or emotionally aggressive toward them during the pandemic. Conversely, 16.2% of respondents reported that they were more physically, sexually, or emotionally aggressive themselves toward an intimate partner, compared to their behavior before the onset of the pandemic. Having an intimate partner and staying at home more than usual during the pandemic were protective factors for both cyberabuse and sexual aggression victimization. Respondent age, education, and race and ethnicity were not associated with increased victimization or perpetration of cyberabuse or sexual aggression. However, women reported lower odds of increased sexual aggression perpetration than men. These findings improve understanding of changes to interpersonal abuse and associated risk factors during a period of social disruption. [ABSTRACT FROM AUTHOR]

Strengthening online learning outcomes requires the establishment of strong student-teacher relationships to engage students actively in learning activities. Teacher-student relationships are also pivotal factors for enhancing academic motivation for online learning engagement. Generally, however, research on online teaching remains underdeveloped. We aimed, in this study, to investigate the complex interplay in higher education in Pakistan between teacher-student relationships, academic motivation, and online learning engagement. We used Self-Determination Theory to frame an exploration of the impact of positive teacher-student relationships as mediated by intrinsic or extrinsic academic motivation on students' engagement in online learning activities. We administered a student self-report questionnaire to 437 participants from diverse universities in Sindh province. Using Structural Equation Modeling, we confirmed a model fit in which there were positive correlations between teacher-student relationships and students' online learning engagement; and between students' intrinsic and extrinsic academic motivations and their on line learning engagement. Our findings emphasized the need for communication, personalized support, and a sense of belonging in virtual education. Moreover, our findings revealed the mediating role of students' intrinsic and extrinsic academic motivation in teacher-student relationships, highlighting the nuanced dynamics of academic motivation in the virtual learning environment, with intrinsic motivation having the greatest mediating impact in the relationship between teacher-student relationships and on line learning engagement. Our study's practical implications include a need for professional educators to foster positive teacher-student relationships and integrate student motivational elements into online course design. [ABSTRACT FROM AUTHOR]

Some of the most exciting progress to address central limitations in GIS is currently originating from the margins of cartographic traditions. This article explores the potential of a proactive engagement with mapping technologies from peripheral positions, such as humanist, feminist, decolonial, queer, and black perspectives, to overcome what we identify as five intrinsic challenges of GIS: the representation of place; emotions; scales; time and change; and relational approaches. The proposals deal with specific concerns that do not fit in existing GISystems and suggest how a creative engagement with mapping technologies further expands our understanding of what GIS could be. [ABSTRACT FROM AUTHOR]

This study sought to develop an Academic School Climate Scale measuring students' perceptions of the learning environments at their schools. With a pilot sample of 1,265 students and validation sample of 14,773 students in Grades 4–12 in schools across the U.S., results of EFA and CFA supported a bifactor model with a general factor and three subscales: High Standards, Teacher Support of Student Learning, and Peer Support of Learning. We found scalar invariance by gender and race, and metric invariance by grade band. Correlations of the Academic School Climate Scale with open classroom climate and school climate indicated concurrent validity. [ABSTRACT FROM AUTHOR]

How can educators use games and playful interactions to enhance the practice of skills related to leadership and management? Effective leadership involves a number of skills, such as strategic thinking, perspective-taking, critical thinking, ethical thinking, resource management, and reflection on one's biases. In this article, we will review how three different instructors use games and play in their higher education classrooms to teach critical leadership skills. We will share how we use three different types of games: (1) a commercially-available off-the-shelf digital game (Democracy 4) to enhance resource management and ethical thinking skills; (2) a non-digital card game (@Stake Game) to teach critical thinking and argumentation; and (3) an independent (indie) digital game (SweetXHeart) to teach bias reduction and perspective-taking. We will share best practices and recommendations for using games in leadership and management education. [ABSTRACT FROM AUTHOR]

In this conceptual/theoretical paper, we present an argument about the importance of preparing community teachers, articulating tenets of youth voice, community voice, and context in this undertaking. We operationalize these tenets by proposing a Learning-to-Teach Cycle as an organizing structure for teacher candidates to encounter across their programs through four interrelated elements-- observing; identifying; reflecting/synthesizing; and designing/implementing--that center and leverage community issues, knowledge, and voice. This approach is urgently needed in urban contexts amid increasingly porous boundaries between schools and broader communities, and in recognition of youth and communities as sources of knowledge integral to the preparation of teachers. [ABSTRACT FROM AUTHOR]

Housing is a pervasive determinant of physical and mental health. Studies indicate the importance of social support to the mental and physical health of individuals who are unhoused; however, to date, little is known about this relationship in persons who are housed in unaffordable accommodations. As the demand for subsidized housing continues to increase far beyond sustainable levels in many countries, investigations of the implications of social support on the health and wellbeing of those waiting for access to subsidized accommodations becomes important to generate evidence-based policy responses. Using data from the NB Housing Study, this paper presents an analysis of the relationships between perceived social support, depression, and self-reported physical health in individuals who wait for access to subsidized housing in New Brunswick, Canada (n = 271). Hierarchical linear regression of Oslo Social Support Scale (OSSS-3) scores on Centre for Epidemiologic Studies Depression Scale 10 (CES-D-10) scores and of OSSS-3 scores on self-reported physical health scores finds increases in social support are associated with decreased depression (F [1, 260] = 26.34, p <.001, R 2 =.32) and greater physical health (F [1, 260] = 7.62, p =.006, R 2 =.15). The findings indicate a need to focus on health interventions that improve mental and physical health alongside social support. Implications for programming, policy, and future research are discussed. Plain language summary: Subsidized Housing, Social Support and Health Housing is a pervasive determinant of health. Studies find that social support impacts the mental and physical health of individuals who are unhoused; however, little is known about this relationship in persons who are housed in unaffordable accommodations. As housing crises persist in many countries, investigations of the implications of social support on the health of those waiting for access to government subsidized accommodations is important to generate evidence-based policy responses. Using data from the NB Housing Study, we analyze the relationships between perceived social support, depression, and self-reported physical health in individuals who wait for access to subsidized housing in New Brunswick, Canada. Our analyses indicate that individuals with higher social support report greater health and decreased depression. This indicates a need to focus on interventions that improve mental and physical health alongside social support, income support, and access to housing. [ABSTRACT FROM AUTHOR]

The process of managing change, which distinguishes conservation from other interventions in historic settings, frequently astounds us when design approaches overlook the underlying urban "DNA" (attributes) of historic contexts with heterogeneous character. Such actions could potentially harm the unique aspects of any additions and disrupt the overall historical context in the future. This issue becomes particularly relevant in answering which lines to follow when making new additions. This study explores lines for forming unobstructed architectural additions in North Nicosia's Walled City, considering reflective design schemes and continuity. A comparative analysis of texts, and case studies from the study area constituted the methods. The results showed two distinct sensitivities: reflective design schemes caused disorganized and negative visual effects, while continuity strategies triggered a positive visual representation. We propose new additions with forward-thinking design strategies that engage the past harmoniously to maintain the city's significance for future generations. Plain language summary: Purpose: This study explores lines for forming unobstructed architectural additions in North Nicosia's Walled City, considering reflective design schemes and continuity. Methods: This qualitative research adopted comparative analysis of texts in it conceptual semantic composition, and the evaluation of case studies selected from the northern side of Nicosia's Walled City, Cyprus. Conclusions: This study concludes that although reflective design schemes and continuity are similar in policy-related matters like conservation principles and historic environmental character, they absolutely differ in application aspects like design approaches, visual appreciation, and relationship with context. The mirrored design types produce interrupted visual composition, whereas the continuity practice ends up creating unobstructed historic layers. Implications: This study hopes to contribute to the narratives on built heritage conservation, sustainable development, and material culture diversity of cities as linked to environmental resilience and the "build back better agenda." Limitations: This study practically analyzed case studies from the Walled City of North Nicosia, Cyprus which possesses a heterogeneous character and based on this limitation the outcomes are directly for this historic context but other similar settings with similar urban fabric composition can also benefit from it. [ABSTRACT FROM AUTHOR]

Importance: We designed an online educational program for primary care health care providers, the Hypertension Canada Professional Certification Program (HC-PCP), based upon its 2020 guidelines. Objective: The objective was to determine the effect of the HC-PCP, taken by pharmacists, on systolic blood pressure (BP) in patients with poorly controlled hypertension. Design: Stepped wedge cluster randomized trial (unit of randomization was the pharmacy). Participants: Patients with poorly controlled hypertension (BP >140/90 mmHg or >130/80 mmHg [diabetes]) in community pharmacies in Alberta, Canada, were recruited by their pharmacist. Intervention: Pharmacists completed the HC-PCP program, then provided care to their patients with poorly controlled hypertension according to what they learned in the course. Control: Pharmacists were given a copy of the Hypertension Canada guidelines and provided their usual care to their patients prior to undertaking the HC-PCP later. Main outcome and measure: The primary outcome was a difference in change in systolic BP at 3 months between groups, while the secondary outcome was patient satisfaction with using the Consultation Satisfaction Questionnaire. Results: We enrolled 890 patients from 59 pharmacies (including 104 pharmacists). Using a linear mixed-effect model with BP reduction as the dependent variable and independent variables of treatment allocation, baseline BP, site effect and patient effect, the intervention was associated with a 4.76 mmHg (95% confidence interval, 2.02–7.50, p < 0.0001) systolic BP reduction at 3 months. Patient satisfaction with using the Consultation Satisfaction Questionnaire was high at 75.9 (/90). Conclusion and relevance: Most educational programs are not evaluated at the patient care level. The HC-PCP taken by pharmacists resulted in a 4.76 mmHg systolic BP reduction in their patients over 3 months. This would have major implications for public health, reducing heart disease, stroke and kidney failure. [ABSTRACT FROM AUTHOR]

Many juvenile justice agencies have moved toward risk-need-responsivity and risk-need-assessment approaches to manage youth and reduce future risk of recidivism. The Structured Assessment of Violence Risk in Youth (SAVRY) instrument is a popular tool to assess risk and protective factors among justice-involved youth. The present study explored the consistency of the Individual/Clinical Risk measure, comprised of eight items (e.g., anger, negative attitudes, empathy), as a single latent factor across five years (2017–2021) of juvenile court data in Mississippi. Further, this study examined gender (male vs. female) and race (Black vs. non-Black) invariance in this risk factor and the predictive validity of the risk factor for one-year recidivism. Findings support the existence of a single factor of Individual/Clinical Risk and consistency across time. The risk factor was invariant across gender and race. Further, the risk factor significantly predicted recidivism in years 2019–2021, and near significantly predicted recidivism for 2017. These findings recommend the continued use of the SAVRY as an evidence-based measure of risk. [ABSTRACT FROM AUTHOR]

Crime script analysis was used to analyze intimate partner violence diversity by identifying variables significantly associated with different script tracks. Qualitative thematic analysis using official police administrative data from Queensland, Australia, was used to develop an intimate partner violence protoscript (n = 40), followed by quantitative hierarchical cluster analysis and cross-tabulations to examine diversity within scripts. Four diverse script tracks were identified: "escalating jealousy," "persistently possessive," "controlling victim agency," and "enduring argument." Intimate partner diversity exists with divisions based on statistically significant variables. Implications for situational crime prevention and the use of mixed methods for strengthening crime script analysis are discussed. [ABSTRACT FROM AUTHOR]

Background: Sleep deprivation is reported in 80% of patients in the intensive care unit (ICU) and is associated with delirium. Guidelines recommend implementing a sleep-promoting protocol in critically ill patients which may increase the quantity and quality of sleep and may decrease delirium. Our objective was to implement a pharmacist-led interdisciplinary sleep-promoting protocol and analyze its impact on delirium in ICU patients receiving mechanical ventilation (MV). Methods: The study involved pre-implementation education, protocol development, and post-implementation analysis. ICU pharmacists completed prospective patient chart reviews to reduce exposure to deliriogenic medications and assess the need for a pharmacologic sleep aid. The primary outcome was the incidence of delirium and delirium-free days. Secondary outcomes included ICU length of stay (LOS), incidence of MV, and pharmacist medication interventions. Results: Post-protocol patients (n = 185) had a higher incidence of delirium compared to pre-protocol patients (n = 237) (51.3% vs 39.0%; P =.01). Post-protocol patients had a higher average APACHE III score (P = <.001). Delirium-free days were not significantly different between groups (P =.97). Difference in ICU LOS was not significant (P =.80). More patients received MV post-protocol implementation (55.7% vs 36.1%; P <.001). Pharmacists documented a total of 113 medication interventions. Conclusion and Relevance: A pharmacist-led, ICU sleep-promoting protocol was successfully implemented but did not reduce the incidence of delirium or the administration of insomnia agents. Post-protocol patients had higher disease severity and were more likely to receive MV. Incidence of delirium was consistent with the national reported prevalence of ICU delirium. ICU pharmacists on all shifts had an active role in optimizing sleep. [ABSTRACT FROM AUTHOR]

Sport commitment describes a psychological attachment to a sport that influences one's desire or resolve to continue involvement in it. Studying antecedents believed to influence long term commitment to sport among athletes with a disability will help ensure that participants gain those psychosocial and health outcomes from sport participation that benefit quality of life. Our purposes in this study were: (i) to examine the Sport Commitment Model (SCM) in terms of the magnitude of the contribution of antecedent factors (i.e., enjoyment, personal investment, involvement opportunities, social constraints, involvement alternatives) to sport commitment of athletes with disabilities; and (ii) to examine the model structure (i.e., original SCM, mediation, and direct/indirect model) that best reflects an understanding of the sport commitment antecedents for these athletes. A total of 157 adult athletes (M age = 34.87, SD = 11.78) with physical disabilities from both team and individual sports across the United States, Europe, and Asia completed the Sport Commitment Questionnaire. Data analyses indicated that sport involvement opportunities, followed by personal investment, were the strongest predictors of these athletes' sport commitments (R2 =.66). Based on the principle of parsimony, the original structural equation model (χ2 (215) = 384.95; RMSEA =.07; CFI =.95; SRMR =.06) was deemed better for understanding the mechanism of sport commitment than the mediation or direct/indirect models. We address implications of applying the SCM to athletes with disabilities, and we offer suggestions for future research. [ABSTRACT FROM AUTHOR]

Objectives: This paper examines the health, work, and financial experiences of older adults with disabling conditions during the COVID-19 pandemic. It also explores the role of county- and state-level conditions in these experiences. Methods: Using data from the 2020 Health and Retirement Study, we estimated regression models to assess differences in outcomes between those with and without disabling conditions and by race/ethnicity. We used multilevel modeling to assess whether and how county or state factors might be associated with the differences in these effects. Results: Older adults with disabilities were more likely to report experiencing financial hardships, delaying health care, and experiencing effects on work than those without disabilities; these differences are heighted between race and ethnicity. Older adults with disabilities were more likely to live in counties with greater social vulnerability. Discussion: This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults. [ABSTRACT FROM AUTHOR]