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Aims: A discussion of the personal and social contexts for Millennial family caregivers and the value of including complex identity and intersectionality in Millennial family caregiving research with practical application. Design: Discussion paper. Data sources This discussion paper is based on our own experiences and supported by literature and theory. Implications for Nursing: Millennial family caregivers have distinct generational, historical and developmental experiences that contribute to the care they provide as well as their own well‐being. Complex identity, the integration of multiple identities, and intersectionality, systems and structures that disempower and oppress individuals with multiple identities, need to be addressed in nursing research so intervention tailoring and health equity can be better supported in this population. From research conceptualization and design to data analysis, data must be used intentionally to promote equity and reduce bias. The inclusion of diverse Millennial caregivers throughout all stages of the research process and having a diverse nursing research workforce will support these efforts. Conclusion: Millennial family caregivers comprise one‐quarter of the family caregiving population in the United States, and they are more diverse than previous family caregiving generational cohorts. Their needs will be more fully supported by nursing scientists with the adoption of methods and techniques that address complex identity and intersectionality. Impact: Nursing researchers can use the following research approaches to address complex identity and intersectionality in Millennial caregivers: inclusion of qualitative demographic data collection (participants can self‐describe); data disaggregation; data visualization techniques to augment or replace frequencies and descriptive statistics for demographic reporting; use of researcher reflexivity throughout the research process; advanced statistical modelling techniques that can handle complex demographic data and test for interactions and differential effects of health outcomes; and qualitative approaches such as phenomenology that centre the stories and experiences of individuals within the population of interest. [ABSTRACT FROM AUTHOR]

During the process of the airborne synthetic aperture radar (SAR) system platform in space, platform attitude deflection is inevitable. However, large attitude deflection angles are unacceptable for polarimetric calibration using point targets, especially the dihedral, which is very sensitive to the pointing angle of the radar. To mitigate the impact of attitude angles on calibration accuracy, attitude compensation of the corner reflector is necessary during the calibration process. The conventional approach to attitude compensation typically maps the three-dimensional attitude angle information to the one-dimensional polarimetric orientation angle (POA) information. However, the reduction of dimension inevitably results in information loss, leading to errors that affect calibration performance when the attitude angle is large. In order to ensure the accuracy of point target calibration, this paper proposes a novel point target compensation method based on the reflection theory of electromagnetic waves. This method is based on three-dimensional attitude angle information and has higher reliability than the POA method. Finally, this paper calculates the distance between the scattering matrices obtained after compensation based on the proposed method and the POA method to obtain the difference in the performance of the two methods. Through a simulation, this paper finds that when the attitude angle is small, the results of the two schemes are approximately the same, but as the attitude angle increases, the error between the two gradually increases. This suggests that the proposed method has greater advantages in the case of attitude deflection. Furthermore, the proposed method does not require additional information supplementation compared with the equivalent POA method, making it highly practical. [ABSTRACT FROM AUTHOR]

Don Marquis' future‐like‐ours account is regarded as the best secular anti‐abortion position because he frames abortion as a wrongful killing via deprivation of a valuable future. Marquis objects to the reductio ad absurdum of contraception as being immoral because it is too difficult to identify an individual that is deprived of a future. To demonstrate why Marquis' treatment of the contraception reductio is flawed by his own future‐like‐ours line of reasoning, I offer an argument for why there is indeed a candidate for harm—the ovum—for it can be viewed as providing the functional foundation for a new life through (1) mitochondrial DNA inheritance, (2) paternal histone restructuring during fertilization, and (3) ability to initiate parthenogenesis. As evidenced by these distinct and natural features of ova, candidate (2) "some ovum or other" should be morally prioritized as the direct candidate for harm in the contraception reductio. By assessing the philosophical inconsistencies in Marquis' future‐like‐ours argument, this paper provides strong metaphysical grounds for rejecting the best secular anti‐abortion position. [ABSTRACT FROM AUTHOR]

Background: As the prevalence of dementia increases, the need for appropriately trained and skilled care teams also increases. Staff attitudes towards people living with dementia have a significant impact on caregiving behaviours and staff and resident outcomes. Training within care settings is a potential way of improving staff attitudes towards residents in their care. Objectives: This review aimed to (i) assess the effectiveness of psychosocial training in improving care staff attitudes towards dementia; and (ii) examine the content and focus of training. Method: The review was conducted following PRISMA guidance and the protocol was registered on PROSPERO prior to conducting the review. A comprehensive search of peer‐reviewed literature was undertaken using CINAHL, Medline and PsycINFO from inception to March 2021. All papers were evaluated using a quality appraisal tool. Results: Ten studies met inclusion criteria and were of variable quality. However, six studies found significant improvements in staff attitudes towards dementia following staff training. The studies varied in terms of training focus and included behavioural, communication and cognitive‐based approaches. Conclusions: Staff training could be an effective method of improving staff attitudes towards dementia in care settings. Further research adopting high‐quality randomised controlled designs to further explore staff attitudes following psychosocial training would make a valuable contribution to the literature base. [ABSTRACT FROM AUTHOR]

Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a 'mismatch' in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence- based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area. [ABSTRACT FROM AUTHOR]

As one of the most popular Online Student Response Systems (OSRSs), Socrative is defined as a web-based platform that can be accessed using any browser that is connected to the Internet (Mork, 2014). In an attempt to guide EFL teachers on their journey towards transforming their traditional paper-based formative assessment into using electronic tools, this study seeks to present the expectations and attitudes of Saudi female learners towards the use of mobile-based formative assessment. The study aims to investigate the attitudes of EFL learners towards the use of mobilebased tests in English classes using Socrative as a model for assessment. For this purpose, 35 female students completed all three stages of the experiment; initial survey, Socrative quiz, postexperiment survey. The participants are enrolled in one of the courses of English for Specific Purposes (ESP) offered by the Preparatory Year Program at a Saudi state university. The findings of the study indicate that almost half of the participants preferred paper-based over mobile-based tests in the pre-experiment survey; after the experiment, however, the students changed their preferences in favor of mobile-based tests. The study also highlighted different advantages, reported by the participants, of using Socrative as a tool for formative assessment in EFL classrooms. The study recommends that teachers implement the use of (OSRSs) in their classrooms as they have many pedagogical benefits for language learners. [ABSTRACT FROM AUTHOR]

The 2015 Paris Agreement has fueled debates about how the international bureaucrats driving international organizations' engagement with climate adaptation ought to address adaptation challenges. While previous research has predominantly focused on the structural constraints in adaptation governance, this paper develops a distinct argument about the cognitive frames through which international bureaucrats view climate risks. The evidence comes from a survey among bureaucrats in three organizations that have engaged with adaptation to different extents: United Nations Environment, the United Nations High Commissioner for Refugees, and the World Health Organization. The results suggest that the majority of the surveyed bureaucrats view climate risks as a multidimensional problem. The evidence indicates that bureaucrats are more likely to view climate risks through multiple than through single issue frames, the more certain they perceive the knowledge about climate impacts in their issue area to be. By way of conclusion, the paper sketches broader implications for adaptation and international bureaucracy research. [ABSTRACT FROM AUTHOR]

Methods for detecting and eliminating false measurements are well known in the theory of metrology. However, the relevant methodology is not adapted to the needs of the qualitative assessment of the impact of the human factor on expert decision-making. The “systematic survivorship bias” refers to the following: when involving experts in conducting examinations, they usually focus on that part of them, where statistically probable agreed opinions are observed based on the results of these examinations. Other experts are considered “marginal”, their opinions are discarded and not taken into account, which defines the “systematic survivorship bias”, also called the “paradox of information availability”. Although the specified “marginality” may be a consequence of the unique experience of conducting examinations or, for example, the use of modern technologies by a specific specialist, little known to the general public. It should be noted that manipulation of statistical data with an orientation only on “successful” cases could be really dangerous, for example, in studies of the human factor in complex ergastic active and organizational management systems, in particular aviation. The rationale and implementation of the algorithm for detecting and eliminating the “systematic survivorship bias” have been given in this paper. m=90 specialists who are usually involved in various examinations by UkrINTEI took part in the research. The actual elimination of the “systematic survivorship bias” occurs after the implementation of a certain number of iterations of the algorithm given in the current work. As a result of iterations of the above-mentioned algorithm, it was established that four subgroups can be distinguished from the initial sample with the number of m=90, with the following numbers: mC=30 people, mH=12 people, mM=11 people, mT=6 people. For the specified subgroups, the consistency of group opinions satisfies the entire spectrum of hypothesis testing criteria established in this paper. [ABSTRACT FROM AUTHOR]

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Copyright of Filosofija, Sociologija is the property of Lithuanian Academy of Sciences Publishers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A traditionally salient topic of empirical investigation in the sociology of religion, this paper seeks to offer a recent investigation into the intergenerational transmission of religion and the parental forms of religious engagement that predict adult engagement with religion. The study of this paper explores the intergenerational transmission of religion, focusing on the parental forms of religious identity and engagement that influence religious identity, beliefs, and practices in adulthood. By analyzing the 2018 GSS dataset in the United States with multiple regression analyses, I found strong parental and childhood influences on adult religiosity, religious service attendance, and belief in God. Indeed, this engagement often mirrors parental engagement for these variables. However, while paternal religious identity often predicts these religious variables, I found that the religious identity and engagement of parents generally do not predict religious identity in adulthood. Ultimately, while these results generally show strong predictive mechanisms of intergenerational transmission, they also illustrate that these relationships are variably dependent on the form of parental and adult religious engagement, and which parent participates or is associated with that engagement. [ABSTRACT FROM AUTHOR]

The ideological dispute between left and right has dominated the political discussion for decades in multiple countries across the globe. However, in recent years people vs. elite debates have replaced traditional ideological conflicts in explaining voters' electoral decisions. In this paper, we investigate whether anti-elite attitudes contribute to a key political outcome: the increase in successful independent candidates. We implement a conjoint experiment in Chile, where anti-elite sentiments and the number of successful independent politicians are currently prominent. We find that preferences for independent candidates largely increase among voters with anti-elite orientations. In a context where traditional parties face difficult times, such beliefs are key to understanding the factors behind support for candidates with no party affiliation. This insight is important because electing independent politicians can promote a personalistic style of politics, undermine democratic accountability, and foster conflict between the executive and legislative branches. [ABSTRACT FROM AUTHOR]

Aim: The aim of this systematic review is to identify, describe and synthesize evidence from experimental studies conducted to measure and conceptualize self‐efficacy within the context of nursing education and the transition of nursing students to practice as a registered practitioners. Design: Systematic review. Methods: Papers were screened by four independent reviewers, and data were extracted using a standardized data extraction tool. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidance and checklists were used to guide this review. Results: The review included 47 studies, using a quasi‐experimental pre‐test–post‐test design (n = 39) and randomized control trials (n = 8). Various teaching and learning interventions were used to enhance self‐efficacy; however, there is no definitive conclusion to be drawn regarding the most effective educational interventions. Various instruments were used in the studies to measure self‐efficacy. 10 of these were related to general self‐efficacy, while 37 instruments measured self‐efficacy in the context of specific skills. [ABSTRACT FROM AUTHOR]

Currently, Aboriginal children are significantly over‐represented in the out‐of‐home‐care system. Drawing on Aboriginal trauma scholarship and decolonizing methodologies, this paper situates the contemporary state removal of Aboriginal children against the backdrop of historical policies that actively sought to disrupt Aboriginal kinship and communities. The paper draws on submissions to the 2018 Australian Senate Parliamentary Inquiry into Adoption Reform from Aboriginal community controlled organizations and highlights four common themes evident throughout these submissions: (i) the role of intergenerational trauma in high rates of Aboriginal child removal; (ii) the place of children within Aboriginal culture, kinship and identity; (iii) the centrality of the principles of self‐determination and autonomy for Aboriginal communities and (iv) Aboriginal community controlled alternatives to child removal. Acknowledging the failure of both federal and state reforms to address the issues raised in these submissions, the paper reflects on the marginalization of Aboriginal voices and solutions within contemporary efforts to address the multiple crises of the child protection system and the implications for the future of Aboriginal children. [ABSTRACT FROM AUTHOR]

Why is it that people do not change their behavior in the face of global threats? We hypothesized that when people who have been encouraged to engage in pro-environmental behavior are threatened, they fall back into their (bad) habits instead of exhibiting behavioral change; existential threats may thereby counteract pro-environmental norms. We tested this hypothesis in two field studies in which participants were encouraged to reduce paper use. Although the requests initially resulted in decreased paper use, this pro-environmental behavior ceased when an existential threat was induced. We discuss theoretical and practical implications for social psychology theorizing and behavioral change. [ABSTRACT FROM PUBLISHER]

The paper attempts to contextualize the significance of the work of unpaid female family helpers' (UPFFH) for women empowerment. Additionally, it brings into light the subjective feelings and perceptions of unpaid family helpers. The current research is based on primary data collected through a self-structured questionnaire from 200 females aged 15+ years who were helping in the household income generation without getting paid. A cross-sectional survey was conducted among UPFFHs residing in district Lahore, Pakistan. The participants were selected using a simple random sampling technique. The analysis of UPFFHs empowerment was performed by employing a percentage distribution approach based on four levels of participation in decision making. The research puts emphasis on the impact of excessive, unequal, and unpaid work on women and further argues for social rational of recognizing the work through empowering women in decision-making process at their personal, household, and community level. The findings of the study indicates that the young UPFFHs are less empowered as they face the greatest familial and community pressure when it comes to making their life decisions. However, the paper further documents their aspiration to attain economic independence which would then bring change in gender perceptions and their overall social standing. The paper concludes by highlighting the problems associated with "unpaid work" and why it must be addressed, especially if the country has to fully realize the valued goal of women empowerment and gender equality. [ABSTRACT FROM AUTHOR]

This paper provides insights into differences in carsharing users' attitudes, motives for joining carsharing, and transport behaviour between users with and without another car at their disposal. It builds on revealed and stated data about members of the oldest carsharing company in the Czech Republic. Carsharing adopters without a car utilise shared cars more intensively than carsharing users with a car available in their household. On the other hand, unlike the second group, they drive fewer kilometres by car in total. The car availability in households also influences the shift in car use after joining carsharing. The sale of a car thanks to adopting carsharing is a factor leading to a decrease in overall car use. Those who have a car at their disposal within their household have a lower probability of decreasing kilometres driven after joining carsharing. Households without an additional car available seem to be less car-dependent on average than those utilising carsharing as a second or third car. They tend to be more environmentally conscious and more inclined towards policies supporting alternative modes and restricting private car use, although both groups share these beliefs. The findings open a debate over whether carsharing increases the legitimacy of restrictive transport measures against private car ownership and use. [ABSTRACT FROM AUTHOR]

Introduction: Entrepreneurs' attitudes toward risk is one of the most critical factors influencing business growth and economic development. Therefore, addressing the influencing factors and formation mechanisms of entrepreneurs' risk attitudes has become a crucial research endeavor. In this paper, we examine how contract performance rates affect entrepreneurs' risk attitudes through the mediating effect of subjective well-being as well as assess the moderating effect of the regional business environment on this relationship. Methods: The ordered probit regression technique was employed to analyze the data obtained from 3,660 sampled respondents from the 2019 China Household Finance Survey. All analysis was performed using Stata 15.0. Results: The empirical results show that contract performance rates have a substantial positive indirect effect on entrepreneurs' degree of risk aversion through improved subjective well-being. The regional business environment plays a negative regulatory role in the relationship between contract performance rates and entrepreneurs' risk aversion. Furthermore, urban-rural heterogeneity appears to consistently determine the extent of the influence of contract performance rates on entrepreneurs' risk attitudes. Conclusion: To reduce entrepreneurs' risk aversion and enhance social and economic activity, the government should improve regional business environments by taking specific measures. Our study contributes to the empirical understanding of entrepreneurs' investment decisions in the context of urban and rural environments. [ABSTRACT FROM AUTHOR]

An account of how one Art Therapy training course links information about inequalities with the theory of intersectionality. In trying to understand intersectionality, the course community questions how clients and therapists respond to and experience health inequalities and discrimination. For both, there may be the pain of being 'othered' and the effects of unconscious privilege. Nevertheless, there are examples to be celebrated of how some people manage to use their identity in moving forward. Bizarrely, how identities link to socio-political conditions is not readily acknowledged within therapy professions. The focus of therapy has tended to stay on the inner world. Also, since the end of the second world war, there has been a gradual decoupling of political approaches concerned with social justice and the redistribution of resources and political approaches concerned with identity recognition. When health inequalities and identity issues became sharply visible during the Covid 19 pandemic, the profession responded with adaptations to its educational and therapeutic work. It is possible to see how clients, students, art therapists and colleagues adapt, consult and collaborate. The paper provides descriptions of students' adapted and collaborative practice. The use of culture, art and identity-aware supervision in art therapy are ways of developing our understanding of health inequalities and intersecting identities. The research implications for Art Therapy are that generic knowledge of research about discrimination and glaring health inequalities is a valuable foundation for research in our discipline. This paper discusses how one Art Therapy training course links information about health and social inequalities with ideas about intersecting identities. The course community explores and questions how clients and therapists experience health inequalities and discrimination. There are discussions about the pain of feeling unwanted and the response of people who are not conscious of their inherited privileges simply because they are born into specific societal structures. Whilst recognising that feelings about identity may be painful and a source of shame, the course also considers how it is that some people manage to acknowledge and use self-reflection about their less privileged identities in moving forward. It is strange how the effects of social and health inequalities are rarely acknowledged within psychological disciplines, including art therapy. That seems to be because the focus of therapy has tended to stay on the inner world. Also, since the end of the second world war, there has been a gradual shift in political approaches concerned with social justice and the redistribution of resources and political approaches concerned with identity recognition. When existing health inequalities and identity issues became sharply visible during the Covid 19 pandemic (the Health Foundation, 2020) the profession responded with adaptations that took its educational and therapeutic work online. There is hope because it is increasingly possible to see how clients, students, art therapists and colleagues consult one another and collaborate over adaptations in therapeutic approaches. The paper provides descriptions of some adapted student practices from placements. The use of culture and art, together with supervision in art therapy, are ways of developing our understanding of health inequalities and our intersecting identities. Nevertheless, the pace of social and cultural change can be slow, sometimes moving forward and sometimes backwards. The research implications for the Arts Therapies are that broad knowledge of research about discrimination and glaring health inequalities is valuable in the push for change. Also, research from other disciplines is often the foundation on which the research contribution of the Arts Therapies in this area and others can be built. [ABSTRACT FROM AUTHOR]

This paper argues that Reason Responsiveness (RR) accounts of rationality, proposed for example by Benjamin Kiesewetter and Error Lord, fail to explain structural irrationality (i.e., the irrationality involved in holding incoherent attitudes). Proponents of RR hold that rationality consists in correctly responding to available reasons. Structural irrationality, they argue, is just a "by‐product" of incorrect reason‐responding. Applying this idea to cases of means–end incoherence, this paper shows that RR accounts must rely on a certain transmission principle. Roughly, this amounts to the principle that necessarily, if (1) A has decisive available reason to intend to E and (2) A has decisive available reason to believe that intending to M is necessary for E‐ing, it follows that (3) A has decisive available reason to intend to M. By considering an example, this paper argues that even the most plausible version of this transmission principle does not hold true. It follows that one can correctly respond to one's available reasons while being means–end incoherent. [ABSTRACT FROM AUTHOR]

This paper uses an extensive collection of historical surveys that have only recently been made available to researchers to examine the formation of British attitudes towards the then European Economic Community. It demonstrates that – up until 1967 – the demographic predictors of support for UK membership were unstable. Thereafter, coinciding with the second UK application, these attitudes started to stabilise and harden, with support becoming highest among men, the youngest age cohorts, the middle class and those with greater education. The renewed politicization of the issue in 1967 also coincided with Labour voters becoming significantly more likely to support membership. Following the change in the parties' positions, Labour voters subsequently become substantially less supportive than Conversative voters. The paper thus supports existing analyses on the role of elite cues, while providing new, robust evidence of the change in demographic associations over this formative period. [ABSTRACT FROM AUTHOR]

Fieldwork encounters are not only contingent to biographical subjectivities, but are mediated by a confluence of identity, place and embodiment. This paper offers reflexive accounts of researchers with various socio-cultural and disciplinary backgrounds, who collaborated as a team to examine the varied funerary experiences and needs of established minorities and recent migrants in England and Wales. Focusing on the researchers' varied personal experiences with death and bereavement and on their performances of minority and majority ethnic and migrant identities, the paper highlights the mediated and embodied nature of fieldwork. It argues that reflection on the various aspects of intersectional researcher identity is necessary for a rigorous fieldwork practice that takes transparency and politics into account. This facilitates a deeper understanding of the positionality of both researchers and interlocutors, and the situated co-production of knowledge. In doing so, the paper illustrates that conducting research with a diverse team of researchers contributes to better understanding the complexity and multifacetedness of social phenomena. [ABSTRACT FROM AUTHOR]

Permissivism is the view that, sometimes, there is more than one doxastic attitude that is perfectly rationalised by the evidence. Impermissivism is the denial of Permissivism. Several philosophers, with the aim to defend either Impermissivism or Permissivism, have recently discussed the value of (im)permissive rationality. This paper focuses on one kind of value-conferring considerations, stemming from the so-called "truth-connection" enjoyed by rational doxastic attitudes. The paper vindicates the truth-connected value of permissive rationality by pursuing a novel strategy which rests on two main planks: first, there is a distinction between a fine-grained and a coarse-grained type-individuation of belief-forming methods. Secondly, different kinds of decision-theoretic reasoning, i.e. expected-accuracy reasoning and accuracy-domination reasoning, must be paired with a fine-grained and a coarse-grained type-individuation of methods, respectively. I argue that while the first pair is wholly irrelevant to the question of the truth-connection, the second affords the means to a permissivist explanation of the truth-connected value of rationality. [ABSTRACT FROM AUTHOR]

This article traces the origin, sustenance and implications of a persistent rumour that is responsible for low measles mumps and rubella (MMR) vaccination uptake in the Somali diaspora in a number of countries across the globe. The rumour stipulates that the MMR vaccine – the silent shot – causes autism spectrum disorder (ASD). Although the association between MMR and ASD is non-causal, and various public health initiatives have promoted health information campaigns, the rumour continues to circulate in the Somali diaspora in many countries, including Sweden. This paper shows that there are valid reasons for this. The findings from this paper draw on a systematic scoping review and qualitative interview data from Sweden. The results show that the Somali community experiences higher than average rates of ASD compared to the general population. Moreover, ASD does not exist in the Somali language or their home country, is considered a Western disease that only affects Somali children in the diaspora, and is a highly stigmatised disease. Also, the Somali diaspora has had negative experiences with ASD diagnosis and care. The rumour has been sustained by the absence of an answer to their ASD fear and through active diaspora networks on social media. The network that surrounds the rumour has arguably further helped to create an epistemic community for a community whose concerns have been silenced. [ABSTRACT FROM AUTHOR]

Background: Transforming occupational therapy (OT) practices and services to be more inclusive and political so that everyone has an opportunity to engage with meaningful occupations to advance their health and wellbeing is critical. An occupational justice framework locates occupations in a socio-cultural-historical context influencing the community or person's choice and participation. Communities marginalized due to socio-cultural-historical context struggle with participating in preferred occupations, which in turn affects their well-being and sense of self. Patriarchy, Gender binarism, Heteronormativity, Ableism, Casteism, and Classism are some dominant systems of oppression that affect how communities and people choose and participate in occupations. As occupational therapists and researchers, it becomes imperative to understand the experience of marginalized communities to contextualize interventions and evaluations to address the cultural practices of oppression. Objective: To understand how marginalized identity locations are represented in the Indian Journal of OT (IJOT). Study Design: A scoping review. Methods: Arksey and O'Malley's methodology was used to review research papers published in the IJOT from January 2012 to April 2022. Results: Disabled people have been the most represented in the last decade. Women's experiences are represented as lesser than that of men. Within studies focusing on disabilities, men's experiences are represented more than women's. There are two papers in the last decade that focus on Adivasi people. Lesbian, Gay, Trans, Queer, Intersex, Bisexual, and Asexual + communities are absent from OT research in the IJOT. Dalits and Bahujans are also absent from research. Few studies use the person-centered model of intervention by partnering with clients, whereas most studies use a medical model where the therapist is the only expert. Conclusion: In this study, we derive three themes to explore possible explanations on why marginalized communities are underrepresented. These themes of "unconscious bias," "history repeats itself" and "medical model of research" help us understand factors we need to reflect on as OT researchers and therapists as we engage with communities and people. [ABSTRACT FROM AUTHOR]

Police officers are society's first interveners in intimate partner violence against women (IPVAW) and are essential for victim safety. Despite IPVAW laws, police attitudes influence their real actions during IPVAW intervention. However, the fuzzy conceptualization of the construct deters the pursuit of conclusive evidence. This systematic review sought to identify the components of police attitudes toward intervention in IPVAW and their determinants. A search was conducted through several databases (e.g., Web of Science). Papers were included if they (a) provided original empirical findings or were review studies, (b) were published between 1990 and 2019, (c) were written in Spanish or English, (d) alluded to police officers, and (e) focused on police attitudes toward intervention in IPVAW or their determinants. Fifty-seven papers were included. The studied components of police attitudes toward intervention in IPVAW extracted from the literature were tolerance of IPVAW, minimal police involvement, unsupportive and supportive attitudes toward the legal system and legislation against IPVAW, understanding of the complex nature of abuse, and IPVAW intervention as an important police task. Moreover, the central role of individual and situational determinants in police attitudes toward intervention in IPVAW was confirmed, whereas organizational and societal determinants were studied scarcely. This review proposes a framework upon which to build operational definition of police attitudes toward intervention in IPVAW and includes remarks on police backgrounds and the situational characteristics of IPVAW events that are essential in shaping police procedures for managing them. Empirical evidence should be transferred to police training and standard operating procedures. [ABSTRACT FROM AUTHOR]

A growing interdisciplinary literature examines the role of hair textures and styles in Black and mixed‐race women's identity performances. Through an analysis of travel narratives, this paper extends and complements research on the context‐dependency of racialized identity performances. This paper presents an analysis of 24 qualitative interviews with Black and mixed‐race women in England and Germany. The question it seeks to answer is: 'How do changes in context alter Black and mixed‐race women's hairstyling practices as a performance of identity?' Navigating a novel context could lead the women to (1) conform to local standards of beauty and femininity, (2) resist external expectations, (3) try out novel performances and (4) negotiate the complex performance of belonging. All in all, this paper shows that Black and mixed‐race women dialogically re/negotiated and performatively re/created how they identify and how they are identified by others as they moved from one context to another. [ABSTRACT FROM AUTHOR]

The main purpose of this reflective paper is to signpost the importance of language of learning and teaching in a Teacher's Education course. It is then meant to decolonise the curriculum by tapping into the indigenous knowledge systems of the students. In view of this, the main aim of the Language of Learning and Teaching (LoLT) English is to bridge the gap between schools and Higher Education given the fact that a considerable number of students come to universities in South Africa unprepared or underprepared. LoLT gives students the opportunity to take ownership of their literacies, particularly academic writing through defamiliarization and co-construction of knowledge. Our reflections are based on first year students' experiences on the language of learning and teaching in the Senior Phase/ Further Education and Training (SP/ FET) in Cape Peninsula University of Technology (CPUT). In light of this, our reflections are primarily focused on their ability to read and respond to selected texts where they were encouraged to interpret the texts based on their own perspectives. Most of the work was done in groups before individual assignment to factor in diversity in their interpretation bringing out the richness of the texts. The paper in conclusion, supports the belief and realization that once students are engaged to participate in unpacking a text, they come to understand that diversity is inevitable in whatever they do in life. [ABSTRACT FROM AUTHOR]

According to Universal Epistemic Deontology, all of our doxastic attitudes are open to deontological evaluations of obligation and permissibility. This view thus implies that we are responsible for all of our doxastic attitudes. But many philosophers have puzzled over whether we could be so responsible. This paper explores whether this puzzle can be resolved, and Universal Epistemic Deontology defended, by appealing to a view of responsibility it calls the Revelatory View. On that view, an agent is responsible for something when it reveals the kind of person the agent is. The paper explores four ways of developing the Revelatory View and argues that none of the views ultimately defends Universal Epistemic Deontology. [ABSTRACT FROM AUTHOR]

This paper has discussed ways in which present methods of test construction may produce tests that are insensitive to the differential changes that educational and guidance practices are supposed to produce, thus foredooming evaluations of these practices to negative findings. It was shown that the goals of predictive efficiency and homogeneity in present-day tests both entail a focusing on gross and relatively unchangeable characteristics of people. An approach to test construction was then described that causes a test to converge on a factor of change rather than a factor of status. Some early but encouraging results of an application of this approach to measurement of personality and attitude change were reported. [ABSTRACT FROM AUTHOR]

The present investigation was concerned with whether or not the conformity of labor newspapers corresponds to a J-curve with respect to the conflict between the American Federation of Labor and the Congress of Industrial Organizations. An analysis of 1,329 issues of 177 labor newspapers, for September, October, and November, 1939, was made in terms of four rather well defined positions on a telic continuum. Position 1 consisted of use of material in the newspaper from the national organization, with the addition of local comment derogatory of the rival organization and/or its leaders. Position 2 consisted simply of use of materials from the press services of the national organization. Position 3 was strict neutrality. Position 4 was represented by recommendations of cooperation between the two groups. Comparisons were also made between: local labor papers and those published by national unions; papers of A.F.L. affiliates and of C.I.O. affiliates; papers of A.F.L. nationals and of C.I.O. nationals; papers of A.F.L. locals and of C.I.O. locals; papers of C.I.O. nationals and of C.I.O. locals; papers of A.F.L. nationals and of A.F.L. locals; and papers of local labor organizations in a "nonconflict" situation and those in a "conflict" situation. In addition, comparisons were made between the labor organizations in terms of the mean value of all issues of each newspaper published by the organization. No J-curves were found in any of the situations studied. This means that there were no curves of institutional conformity to the philosophy of the national group. The fact that Position 3 was the mode in practically all cases would seem to indicate the inertia of large numbers of members in the national federations with respect to the philosophy of the national organization. Although no J curves were obtained, the J-curve analysis was valuable in showing that neither of two outstanding views is correct as to the causes of the division between the two national labor organizations, (a) The theory of institutional conflict between industrial unionism (C.I.O.) and craft unionism (A.F.L.) is not supported by the non-institutional conformity of the labor he papers, (b) Neither is the theory of "power politics" upheld, that the differences between the national organizations are between leaders only, with the rank and file as pawns; this is shown by the size of the percentages on Position 4. This does not mean that these two sets of factors are not important, but simply that neither of them is a complete explanation of the division between the two organizations. As a whole, the distributions indicate that the differences between the A.F.L. and the C.I.O. are so complex in nature as to have prevented them from becoming institutionalized. Institutional conformity might have been demonstrated, of course, had the continuum been in terms of community mores rather than in terms of rivalry with the other labor organization. [ABSTRACT FROM AUTHOR]

The article offers the author's view on the practice of journal self-citation. He mentions its basis on author self-censoring and inducement through requests from editors. It also notes his aim towards aggregate statistics and the practice as well as suggests readers to probe other periodicals on their status.

This review tested the use of psychological theories for predicting seasonal influenza vaccination behaviour among adults with a health condition (for which the vaccine is clinically indicated). Ovid (1946–August 2018), Embase (1974–August 2018), CINAHL (1958–August 2018) and PSYCInfo (1986–August 2018) databases were searched. Studies drawing upon a psychosocial or psychological theory to explain seasonal influenza vaccination behaviour among adults with a high-risk health condition were eligible for inclusion. Papers were systematically extracted by title, abstract and full text. Quantitative and qualitative studies were included, and all papers were quality assessed. A total of 4840 papers were identified after removal of duplicates. Twelve papers were retained in the narrative synthesis. Studies were conducted across a range of high-risk condition populations and most (83.3%) were cross-sectional. The Health Belief Model (HBM), the model of Psychological Flexibility, The Health Action Process Approach and House's Framework of Social Support were applied. Ten out of 12 papers (83.3%) drew on the HBM. There was evidence of an association between HBM perceived benefits, perceived barriers and vaccination behaviour, although there were inconsistencies across studies. This review highlighted the need for further research, particularly prospective studies of high methodological quality. [ABSTRACT FROM AUTHOR]

Background: Intensive interaction is an approach used to develop the communication and social inclusion of those who are pre‐verbal. It is used in a variety of settings by healthcare and educational staff. Method: A systematic search was conducted to identify and review the literature which explores staff experiences of intensive interaction being implemented within their places of work. Thematic synthesis was utilized to synthesize the findings. Results: Nine papers were included. Three higher‐order themes were generated: "Personal Doubt, Discordance & Discomfort," "A Turning Point" and "Needing Implementation at All Levels." Conclusions: There were consistent findings across a range of settings. Findings suggest that intensive interaction is rewarding for staff and beneficial to those that they work with. Implementation was sometimes perceived to be challenging and this review attempts to highlight solutions with guidance of the literature. Limitations largely relate to heterogeneity of the papers and methodological limitations are discussed. [ABSTRACT FROM AUTHOR]

Purpose: "Co-production" is a process in health and social care wherein service users and practitioners work in partnership. Recovery colleges (RCs) are educational establishments offering mental health education; a cornerstone feature is that courses are designed and delivered in parity by both mental health practitioners and "peers" – people with lived experience of mental illness. This paper aims to consider, through the identification of key themes, whether co-production within RCs is operating successfully. Design/methodology/approach: The paper is a systematic review of qualitative literature. Relevant concept groups were systematically searched using three bibliographic databases: Medline, Social Care Online and Scopus. Articles were quality appraised and then synthesised through inductive thematic analysis and emergent trends identified. Findings: Synthesis identified three key themes relating to the impact of co-production in RCs: practitioner attitudes, power dynamics between practitioners and service users, and RCs' relationships with their host organisations. As a result of RC engagement, traditional practitioner/patient hierarchies were found to be eroding. Practitioners felt they were more person-centred. RCs can model good co-productive practices to their host organisations. The review concluded, with some caveats, that RC co-production was of high fidelity. Originality/value: RC research is growing, but the body of evidence remains relatively small. Most of what exists examine the impact of RCs on individuals' overall recovery and mental health; there is a limited empirical investigation into whether their flagship feature of parity between peers and practitioners is genuine. [ABSTRACT FROM AUTHOR]

Little has been written on the financial support behind Timothy Leary's unorthodox research into mind‐altering drugs like LSD and psilocybin and his subsequent psychedelic movement. Indeed several individuals and organizations helped the psychedelic cause by directly funding Leary's ventures, offering legal and logistic assistance, and organizing fund‐raising campaigns. I argue that classic philanthropic attitudes and wealthy patrons played a major supporting role for Leary's psychedelic movement in the first part of the decade and that the changes in Leary's research objectives and his transition from academic to LSD guru were accompanied by changes in the patterns of support that occurred throughout the 1960s. This paper also connects Leary's legal troubles in the second part of the decade with the rise of the movement to legalize cannabis and points to historical continuity by looking at contemporary endeavors to fund psychedelic research. [ABSTRACT FROM AUTHOR]

Education needs to be at the forefront of the efforts to mitigate and adapt to Climate Change (CC) effects. We have introduced the Climate Change Competence (C3) to provide a comprehensive route to include the topics of sustainability and CC into the curriculum. This paper analyses how different primary and secondary teachers can improve this competence using a Massive Online Open Course (MOOC) on the basic science of CC. While the improvement in knowledge is expected, we have observed important advances on abilities, and attitudes on CC which are also essential to teach about CC mitigation and adaptation. The present study used a pre-experimental design, with pre-and post-test measurements with a sample of 530 students. While the MOOC focuses on the Science of CC, the participants also advance in attitudes and abilities, revealing an important correlation between these three dimensions of competence. Also, the study reveals that the MOOC improves the C3 in all the participants, but it does in diverse ways for diverse groups. [ABSTRACT FROM AUTHOR]

Most philosophers agree that the distinction between rebutting and undercutting defeaters is sound. Recently, however, there has been much debate over the nature of and relationship between rebutting and undercutting defeaters. Among the things that have been argued about is whether undercutting defeat, in contrast to rebutting defeat, require higher‐order commitment, i.e., a belief regarding the link between the source of justification and the target proposition. This paper examines the debate and argues that whether or not undercutting defeaters require higher‐order commitments to this effect depends on the relevant defeatee at issue. A belief might fail to be rational in at least two ways—either by failing to correctly respond to one's reasons or by failing to be coherent with one's other attitudes. According to dualism about rationality these failings reflect two genuine and distinct kinds of rationality: substantive and structural rationality. In line with this view, the paper suggests that we should make a parallel distinction between substantive and structural undercutting defeaters. An advantage of classifying undercutting defeaters in this way is that it helps to disentangle the current debate. Another interesting result is that the proposed distinction lends further support to dualism about rationality. [ABSTRACT FROM AUTHOR]

In this paper I will analyze the set of markers that have been associated with exclamative sentence-type and exclamations in Romance, like Catalan ma, mira, que , and si , Italian guarda and che , or Spanish mira, que, si , and vaya. The hypothesis I will defend is that the meaning encoded by each of these markers contribute to create an exclamation speech act. I will show that we must first distinguish mirative markers like ma, mira or guarda , which encode the surprise attitude of the speaker towards a proposition. A second class of elements are degree operators, like si , which create the necessary domain extension on which the attitude of the speaker is built. Finally, I will show that que / che is a marker of exclamative sentence-type. In the second part of the article I will show that these pragmatic differences have a transparent reflex in syntax: mirative markers occupy the Judge Phrase position in Krifka's Speech Act Layer, above ForceP and vocatives, so they may combine with different sentence-types, besides exclamatives. In ForceP we find degree operators (and exclamative wh -phrases) in its specifier, and the sentence-type marker que / che in its head. All in all, the paper aims at showing that a compositional approach to exclamativity can deal with the rich set of pragmatic and syntactic properties of exclamative markers in Romance. • Exclamativity and mirativity are two distinct pragmatic categories, with specialized markers. • Mirative markers are typically found with exclamative sentences, but they may appear with other sentence-types as well. • The set of pragmatic and syntactic properties of exclamative particles in Romance can be explained compositionally. • Data from exclamative markers support a rich syntax-pragmatics interface along the lines of the Cartographic Program. [ABSTRACT FROM AUTHOR]

The study reported in this paper explores the experiences of 95 people with intersex variations constituting an international English-speaking sample who completed a mixed methods survey comprises questions designed by the authors to explore 1) genital variations and medical interventions (and pressures to undertake them), 2) experiences with sex education, and 3) experience of physical intimacy, including use of safer sex devices and sexually transmitted infections. Surgeries on minors were common and typically not consensual, often resulting in the need for revisions. Pressures for surgeries most commonly were made by doctors. Experiences of sex education often failed to be inclusive of intersex bodies, with information about menstruation and hygiene rarely provided, and many participants having to learn on their own. Participants had a diversity of experiences of physical intimacy beyond penetration. For those who had experienced penetration, vaginal intercourse was enjoyable for some, but many found it painful. Conversely, anal intercourse was enjoyed by many and rarely found to be painful. The paper concludes by highlighting the importance of an intersex-specific approach to sexual health for this population. [ABSTRACT FROM AUTHOR]

Engaging in 'reflexive practice' throughout the research process (Benson and O'Reilly, 2022) and a 'reflexivity of discomfort' (Hamdan, 2009) through an intersectional lens, this article presents a reflective account of accessing and conducting observations and interviews at a South Asian women's organisation, in North England, to explore Pakistani and Bangladeshi Muslim (PBM) lone motherhood. It critically explores how researchers' own subjectivities and intersecting identities – in this case, my intersecting identities and positionalities as a young British Pakistani Muslim women, researcher and volunteer – impact interactions in different circumstances with different groups of participants and the importance of having continuous critical self-awareness. Moving beyond simplistic insider–outsider debates, the paper contributes towards further developing reflexivity debates taking an 'intersectional reflexivity' approach. It argues for thinking about the research process and engagements in the field as socially constructed, changing, adapting and negotiated overtime and to utilise intersectionality to unpick broader categories. Finally, it encourages researchers to adopt reflexivity in their research practices. [ABSTRACT FROM AUTHOR]

Decisions with risky consequences at multiple points in time are driven not only by risk attitudes and time preferences but also by attitudes toward intertemporal correlation (i.e., the correlation between outcomes at different points in time). This paper proposes a model-free method to measure degrees of intertemporal correlation aversion. We disentangle attitudes toward positive and negative intertemporal correlation, which can differ if expected intertemporal utility is violated. In an experiment, subjects on average exhibited correlation aversion both for lotteries with positive correlation and for lotteries with negative correlation. That is, they disliked positive correlations and liked negative correlations. At the individual level, we found heterogeneity and remarkably, many subjects being insensitive to intertemporal correlations. Moreover, for most subjects, expected intertemporal utility was violated because attitudes toward positive and negative correlation differed. This paper was accepted by Ilia Tsetlin, behavioral economics and decision analysis. Funding: Erasmus Research Institute of Management provided financial support. Supplemental Material: The data files and online appendix are available at https://doi.org/10.1287/mnsc.2023.4863. [ABSTRACT FROM AUTHOR]

Currently popular theories of epistemic responsibility rest on the (perhaps implicit) assumption that justification and excuse exhaust the relevant normative categories. One gets the sense that, once we've laid down the conditions for justified belief, and once we've laid down the conditions of excusably unjustified belief, the work is done; all that's left is to clock out. Against this backdrop, one is naturally led to think that if an agent's doxastic state—her various beliefs and belief-like attitudes, or a subset thereof—fails to be justified, it is thereby unjustified, perhaps excusably so. The aim of this paper is to argue that that natural thought is mistaken; some agents are epistemically incompetent, and in virtue of their incompetence, their doxastic states are neither justified nor unjustified (even excusably). Instead, the doxastic states of such agents are exempt from epistemic evaluation altogether. I argue that what underlies this point about exemptions is that epistemic competences or abilities play an important and typically overlooked role in epistemology, especially in theories of epistemic responsibility. Here, I am interested in uncovering that role and explaining what it is, and also in explaining how one could accommodate it within various epistemological frameworks. [ABSTRACT FROM AUTHOR]

This paper is a review of the recent literature on attitudes toward consensual non-monogamy (CNM). These attitudes are constrained to evaluations of people who practice CNM, CNM relationships, and CNM concepts; willingness to engage in or personal interest in practicing CNM is not included in this review. Relevant published research was located through database searches, as well as by perusing references and citations. Based on over two dozen investigations, it is concluded that average attitudes toward CNM are around neutral, with some slightly negative and some slightly positive. Studies taking a comparative perspective—whereby monogamous couples are pitted against CNM couples—overwhelmingly find more favorable attitudes toward monogamy. This literature supports assertions of the prevalence of monocentrism/compulsory monogamy. Further, some researchers investigated sociodemographic and psychological variables as predictors of CNM attitudes. Considering demographic characteristics, those who identify as monogamous and heterosexual tend to be more negative toward CNM relative to their counterparts, and most of the research suggests there are no gender differences in CNM attitudes. In terms of psychological variables, those reflecting authoritarian ideological values tended to predict CNM attitudes the best. The psychological variables are interpreted within the broader dual-process motivational model of prejudice with attention to authoritarianism and social dominance. To conclude, measurement issues are discussed, existing instruments are critiqued, and recommendations are made for which instruments are appropriate for different research goals. Specifically, the Attitudes towards Polyamory scale is a concise, unidimensional instrument with sound psychometric properties, making it a good general assessment of polyamory or CNM. Created using excellent test construction techniques, the Multidimensional Measurement of Attitudes toward Consensual Non-Monogamy (MACS) is a very promising belief-based CNM attitudes scale with three factors. Finally, directions for future research are discussed with an emphasis on differentiating between beliefs and attitudes as suggested by attitude theory, with most CNM attitude scales conflating the former with the latter. [ABSTRACT FROM AUTHOR]

Art evokes a wide range of effects, including emotional, cognitive, and behavioral outcomes. Despite the growing recognition of the role of art in tourism and hospitality, there is a gap in understanding how the different attributes of visual art influence guests' responses. This perspective paper aims to address this gap by introducing a conceptual framework of the effects of visual art attributes on guests' perceptions and behavioral intentions and calls for future research on the effects of different art characteristics in hospitality settings. Various attributes of visual art, such as the style, content, size, context, color palette, and thematic relevance of artworks, can serve as antecedents to guest experiences. Several factors can moderate the relationships between different art attributes and perceptions of art, including socio-demographic characteristics, personality traits, cultural differences, familiarity with art, and prior experiences. Hotel or vacation rental characteristics, including price, service quality, ratings, amenities, and other factors, can also interact with art perceptions in shaping attitudes toward the accommodation and behavioral intentions. A combination of survey methods, interviews, experience sampling, experiments, and emerging techniques can be applied in future studies to explore the effects of visual art and its attributes on guest and business outcomes. The proposed framework brings important implications for both academic scholarship and industry practice. [ABSTRACT FROM AUTHOR]

The present paper aims to introduce a constructivist narrative intervention for Narrative Identity Reconstruction (NIR) in working with clients with a history of stressful life events (SLE). This intervention is based on a proposed conceptual framework explaining how SLE affects narrative identity. First, we provide a conceptual model to show the theoretical links between SLE and narrative identity through the three functions of making meaning, unity, and purpose. The present conceptualization proposes that concepts of meaning-making, self-concept clarity, and agency should improve for narrative identity reconstruction. For designing therapy steps, we were inspired by the procedure of the Life Design process for reconstructing narrative identity. We defined the following steps: (a) construct self-story through small stories, (b) deconstruct these stories, (c) reconstruct them into an identity narrative or life portrait, and (d) co-construct intentions that lead to the next action episode in the real world. We hope NIR can help clients construct a robust self-narrative in which the SLE is not a confusing and distressing experience leading to a broken narrative; instead, it can make sense and integrate into the bigger picture of self-narrative. It is suggested that future research empirically examine the NIR to explore the feasibility and effectiveness of the intervention in mental health settings. [ABSTRACT FROM AUTHOR]

In this paper, we present findings from four separate studies using different data sources and methods to examine Chinese attitudes toward the United States amid the COVID-19 pandemic. The empirical results consistently indicate a marked and significant decline in Chinese attitudes toward the US between late 2019 and the end of 2022. Using a quasi-experimental design and granular survey data that exploit daily variations in public opinion, we offer additional evidence that the decline in Chinese attitudes toward the United States followed a distinct pattern not true for Chinese attitudes toward other countries. Specifically, the rise in Chinese unfavorability toward the United States closely corresponded to the heightened Chinese attention to the pandemic's progression in the United States. These results collectively suggest a causal effect of COVID-19, shedding light on how public health crises, international relations, and media jointly shape the increasing enmity between the two great powers. [ABSTRACT FROM AUTHOR]

Context: The COVID-19 pandemic has reignited a commitment from the health policy and health services research communities to rebuilding trust in healthcare and created a renewed appetite for measures of trust for system monitoring and evaluation. The aim of the present paper was to develop a multidimensional measure of trust in healthcare that: (1) Is responsive to the conceptual and methodological limitations of existing measures; (2) Can be used to identify systemic explanations for lower levels of trust in equity-deserving populations; (3) Can be used to design and evaluate interventions aiming to (re)build trust. Methods: We conducted a 2021 review of existing measures of trust in healthcare, 72 qualitative interviews (Aug-Dec 2021; oversampling for equity-deserving populations), an expert review consensus process (Oct 2021), and factor analyses and validation testing based on two waves of survey data (Nov 2021, n = 694; Jan-Feb 2022, n = 740 respectively). Findings: We present the Trust in Multidimensional Healthcare Systems Scale (TIMHSS); a 38-item correlated three-factor measure of trust in doctors, policies, and the system. Measurement of invariance tests suggest that the TIMHSS can also be reliably administered to diverse populations. Conclusions: This global measure of trust in healthcare can be used to measure trust over time at a population level, or used within specific subpopulations, to inform interventions to (re)build trust. It can also be used within a clinical setting to provide a stronger evidence base for associations between trust and therapeutic outcomes. [ABSTRACT FROM AUTHOR]