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Background and aims: First-time mothers often need help with breastfeeding and may feel isolated and uncertain about whom they can turn to for help with breastfeeding challenges. Exploration of whether access to breastfeeding advice helps new mothers initiate and continue breastfeeding is necessary. This study investigated the associations between ease of access to breastfeeding advice for first-time mothers and breastfeeding initiation and duration. Methods: This was a prospective, longitudinal cohort study of 3,006 women who delivered their first child in Pennsylvania, USA; with prenatal and postpartum interviews. At 1-month postpartum participants reported the extent to which they had access to "Someone to give you advice about breastfeeding if you needed it", via a 5-point scale ranging from "none of the time" to "all of the time". Results: There were 132 women (4.4%) who reported that they had access to someone to give them advice about breastfeeding "none of the time"; 697 (23.3%) reported access "a little of the time" or "some of the time"; and 2,167 (72.3%) reported access "most of the time" or "all of the time". While the majority of the new mothers were breastfeeding at 1-month postpartum (72.5%), less than half were still breastfeeding at 6-months postpartum (44.5%). The higher the level of access to advice about breastfeeding the more likely women were to establish breastfeeding by 1-month postpartum and to still be breastfeeding at 6-months. Conclusions: For first-time mothers, ease of access to someone who can give them advice about breastfeeding facilitates breastfeeding establishment and continuation. [ABSTRACT FROM AUTHOR]

Background: Hyperemesis gravidarum (HG) affects about 2% of pregnancies and is at the severe end of the spectrum of nausea and vomiting of pregnancy. HG causes severe maternal distress and results in adverse pregnancy outcomes long after the condition may have dissipated. Although dietary advice is a common tool in management, trial evidence to base the advice on is lacking. Methods: A randomized trial was conducted in a university hospital from May 2019 to December 2020. 128 women at their discharge following hospitalization for HG were randomized: 64 to watermelon and 64 to control arm. Women were randomized to consume watermelon and to heed the advice leaflet or to heed the dietary advice leaflet alone. A personal weighing scale and a weighing protocol were provided to all participants to take home. Primary outcomes were bodyweight change at the end of week 1 and week 2 compared to hospital discharge. Results: Weight change (kg) at end of week 1, median[interquartile range] -0.05[-0.775 to + 0.50] vs. -0.5[-1.4 to + 0.1] P = 0.014 and to the end of week 2, + 0.25[-0.65 to + 0.975] vs. -0.5[-1.3 to + 0.2] P = 0.001 for watermelon and control arms respectively. After two weeks, HG symptoms assessed by PUQE-24 (Pregnancy-Unique Quantification of Emesis and Nausea over 24 h), appetite assessed by SNAQ (Simplified Nutritional Appetite Questionnaire), wellbeing and satisfaction with allocated intervention NRS (0–10 numerical rating scale) scores, and recommendation of allocated intervention to a friend rate were all significantly better in the watermelon arm. However, rehospitalization for HG and antiemetic usage were not significantly different. Conclusion: Adding watermelon to the diet after hospital discharge for HG improves bodyweight, HG symptoms, appetite, wellbeing and satisfaction. Trial registration: This study was registered with the center's Medical Ethics Committee (on 21/05/2019; reference number 2019327–7262) and the ISRCTN on 24/05/2019 with trial identification number: ISRCTN96125404. First participant was recruited on 31/05/ 2019. [ABSTRACT FROM AUTHOR]

The use of invasive placebo controls in surgical trials can be challenging. The ASPIRE guidance, published in the Lancet in 2020, provided advice for the design and conduct of surgical trials with an invasive placebo control. Based on a more recent international expert workshop in June 2022, we now provide further insights into this topic. These include the purpose and design of invasive placebo controls, patient information provision and how findings from these trials may be used to inform decision-making. [ABSTRACT FROM AUTHOR]

Drawing on a motivated information processing model, we tested the hypothesis that groups' receptivity to outside advice is facilitated by their epistemic motivation—the desire to gain an accurate understanding of the world. Epistemic motivation was measured by proxy in Study 1 using a team task reflexivity measure, and was experimentally manipulated in Studies 2 and 3 by varying, respectively, either the amount of time allotted to complete the task or whether a consensus judgment was required before receiving advice. Receptivity to advice was operationalized as group advice seeking in Studies 1 and 2, and as advice utilization in Study 3. In support of our hypothesis, groups with higher levels of epistemic motivation consistently sought out and utilized advice more than those with lower levels of epistemic motivation. Moreover, epistemic motivation affected judgment accuracy via groups' receptivity to advice. [ABSTRACT FROM AUTHOR]

Marine population modeling, which underpins the scientific advice to support fisheries interventions, is an active research field with recent advancements to address modern challenges (e.g., climate change) and enduring issues (e.g., data limitations). Based on discussions during the 'Land of Plenty' session at the 2021 World Fisheries Congress, we synthesize current challenges, recent advances, and interdisciplinary developments in biological fisheries models (i.e., data-limited, stock assessment, spatial, ecosystem, and climate), management strategy evaluation, and the scientific advice that bridges the science-policy interface. Our review demonstrates that proliferation of interdisciplinary research teams and enhanced data collection protocols have enabled increased integration of spatiotemporal, ecosystem, and socioeconomic dimensions in many fisheries models. However, not all management systems have the resources to implement model-based advice, while protocols for sharing confidential data are lacking and impeding research advances. We recommend that management and modeling frameworks continue to adopt participatory co-management approaches that emphasize wider inclusion of local knowledge and stakeholder input to fill knowledge gaps and promote information sharing. Moreover, fisheries management, by which we mean the end-to-end process of data collection, scientific analysis, and implementation of evidence-informed management actions, must integrate improved communication, engagement, and capacity building, while incorporating feedback loops at each stage. Increasing application of management strategy evaluation is viewed as a critical unifying component, which will bridge fisheries modeling disciplines, aid management decision-making, and better incorporate the array of stakeholders, thereby leading to a more proactive, pragmatic, transparent, and inclusive management framework–ensuring better informed decisions in an uncertain world. [ABSTRACT FROM AUTHOR]

Discharges against medical advice (AMA) make up a significant number of hospital discharges in the United States, and often involve vulnerable patients who struggle to obtain adequate medical care. Unfortunately, much of the AMA discharge process focuses on absolving the medical center of liability for what happens to these patients once they leave the acute setting. Comparatively little attention is paid to the ethical obligations of the medical team once an informed decision to leave the acute care setting AMA has been made. Via a case narrative, we offer an ethical framework that we believe can help guide an ethically defensible AMA discharge process. By emphasizing our duty to provide the best care possible under the circumstances, we contend, our ethical obligations to promote the patient's best interests can still be met despite their decision to leave the acute setting against medical advice. [ABSTRACT FROM AUTHOR]

Research suggests that patients with borderline personality disorder (BPD) share a range of cognitive biases with patients with psychosis. As the disorder often manifests in dysfunctional social interactions, we assumed associated reasoning styles would be exaggerated in a social setting. For the present study, we applied the Judge-Advisor System by asking participants to provide initial estimates of a person's age and presumed hostility based on a portrait photo. Afterwards, we presented additional cues/advice in the form of responses by anonymous previous respondents. Participants could revise their estimate, seek additional advice, or make a decision. Contrary to our preregistered hypothesis, patients with BPD (n = 38) performed similarly to healthy controls (n = 30). Patients sought the same number of pieces of advice, were equally confident, and used advice in similar ways to revise their estimates. Thus, patients with BPD did trust advice. However, patients gave higher hostility ratings to the portrayed persons. In conclusion, patients with BPD showed no cognitive biases in seeking, evaluating, and integrating socially provided information. While the study implies emotional rather than cognitive biases in the disorder, cognitive biases may still prove to be useful treatment targets in order to encourage delaying and reflecting on extreme emotional responses in social interactions. [ABSTRACT FROM AUTHOR]

Active learning can play an important role in low-resource settings (i.e., where annotated data is scarce), by selecting which instances may be more worthy to annotate. Most active learning approaches for Machine Translation assume the existence of a pool of sentences in a source language, and rely on human annotators to provide translations or post-edits, which can still be costly. In this article, we apply active learning to a real-world human-in-the-loop scenario in which we assume that: (1) the source sentences may not be readily available, but instead arrive in a stream; (2) the automatic translations receive feedback in the form of a rating, instead of a correct/edited translation, since the human-in-the-loop might be a user looking for a translation, but not be able to provide one. To tackle the challenge of deciding whether each incoming pair source–translations is worthy to query for human feedback, we resort to a number of stream-based active learning query strategies. Moreover, because we do not know in advance which query strategy will be the most adequate for a certain language pair and set of Machine Translation models, we propose to dynamically combine multiple strategies using prediction with expert advice. Our experiments on different language pairs and feedback settings show that using active learning allows us to converge on the best Machine Translation systems with fewer human interactions. Furthermore, combining multiple strategies using prediction with expert advice outperforms several individual active learning strategies with even fewer interactions, particularly in partial feedback settings. [ABSTRACT FROM AUTHOR]

The reproducibility crisis is the ongoing methodological crisis, where it is difficult or impossible to reproduce the results of many scientific studies. Because the reproducibility of scientific results is an essential part of science, such failures undermine the credibility of the theories and potentially call into question a substantial part of scientific knowledge. There are several ways to strengthen the reproducibility of results, such as proper reporting and dissemination, e.g., preregistration of research, registered reports, open data, open code, open research notes, or open access. In this paper, I propose incorporating preregistration into the theses writing process for undergraduate students, which should lead to enhanced reproducibility, transparency, and openness of research results in the context of final theses. Pre-registration is a data-marked, predetermined, read-only research roadmap that, in most cases, is created before the study and published in a public repository. Preregistration increases the credibility, transparency, openness, and robustness of students' results in writing their theses. It also serves as a tremendous educational and communicative element of the thesis writing process that raises the level of student theses and demonstrates a certain level of student knowledge and skills. In this paper, I propose a timeframe for incorporating pre-registration into theses writing processes and discuss the challenges surrounding this process from the perspective of key stakeholders - policymakers, universities, theses supervisors, and students. The article also presents practical advice on where to find support and further guidance on pre-registration aspects. This paper thus pioneers the idea of incorporating preregistration into the normal thesis writing process. [ABSTRACT FROM AUTHOR]

Skin diseases are one of the most common problems seen in veterinary practices around the world. Many patients are presented with severe and/or chronic lesions, often refractory to treatment, and collection of skin biopsies is often beneficial to obtain or confirm a diagnosis and to help guide a management plan for patients. To obtain valuable information from skin biopsies, practitioners should follow recommended guidelines based on drug withdrawal and washout period, identification, and proper collection of skin lesions, which should be at different stages of progression, as well as include a thorough clinical history and differential list. These different steps taken prior to the submission of samples will often increase the chances of a more accurate diagnosis. Practitioners should also understand it may not always be possible for pathologists to provide a definitive diagnosis, but the information provided with skin biopsies can often be used to guide an appropriate treatment plan. This review will present general guidelines and suggestions to help obtain the most diagnostic skin samples for histopathological evaluation. [ABSTRACT FROM AUTHOR]

Background Arm pain is common amongst working-aged adults and causes substantial work disability. The results of a population-based randomized controlled trial (the ARM trial) suggested that advice to remain active reduced disability after 6 months. Aims To verify ARM trial results amongst people in paid employment. Methods The ARM trial recruited adults with distal arm pain referred for physiotherapy and randomized equally to three groups: wait-listed for physiotherapy (advised to rest); wait-listed for physiotherapy (advised to remain active) or early physiotherapy. The primary outcome was absence of disability at 26 weeks. Secondary analyses were undertaken amongst participants in paid employment. Results Amongst 538 trial participants, 347 (64%) were in paid employment, mean age 46.1 years and 47% in manual work. Employed participants were randomized equally to the three arms. Amongst the 271 (78% workers with 26-week data), 43% of those advised to remain active were free from disability, as compared with 37% of those advised to rest. Forty per cent of those who waited for physiotherapy were disability-free as compared with 35% of those treated rapidly. Advice to rest was associated with lower chances of recovery amongst workers who lift/carry weights and those who believed work had caused their symptoms (P = 0.023). Conclusions Although not powered as a trial for workers only, our findings suggest that advising activity was as beneficial for people currently in paid work and may be superior to advice to rest in reducing disability. Addressing harmful beliefs about causation of symptoms has the potential to reduce disability. [ABSTRACT FROM AUTHOR]

Purpose: This study explores whether farmers across England believe that advice on diffuse water pollution from agriculture (DWPA) which is currently provided for free at the point of delivery is credible, relevant, and legitimate ('CRELE') enough to justify paying towards. Methodology: A mixed-methods study consisting of an online questionnaire survey (n = 225) and telephone interviews of farmers (n = 60) and farm advisors (n = 50) was conducted. Findings: Across all methods (n = 330), 63.3% of participants (n = 208) responded negatively to the prospect of paying towards DWPA advice, with just 10% expressing a clear willingness to contribute. The main negative themes related to categorical unwillingness, financial constraints, the presence of alternative sources of advice, the accountability of farmers, and exclusion risk. Factors which may increase willingness included the delivery of high quality, farm-salient advice, or where compliance requires engagement. Practical implications: This paper concludes that governments should continue to provide free advice on DWPA if water quality goals are to be met. Originality/value: This is the first known European study which explores farmer willingness to pay towards advice for DWPA. Theoretical implications: The use of the 'CRELE' framework is novel as it is typically used to explore science-policy interfaces. [ABSTRACT FROM AUTHOR]

Background: Community pharmacies are easily accessible for self-care advice. Guidelines for providing self-care advice were introduced in several countries, including the Netherlands in the 1990s. Previous studies have indicated room for improvement in self-care advice in daily pharmacy practice. Aim: To identify barriers and facilitators for providing self-care advice. Method: Semi-structured interviews were conducted face-to-face or online with pharmacists and pharmacy assistants using a topic guide based on the Theoretical Domains Framework. The interviews were audio-recorded and transcribed verbatim. The transcripts were deductively analysed to identify barriers and facilitators for self-care counselling. COREQ guidelines were followed. Results: In total, 13 pharmacists and 12 pharmacy assistants were interviewed to reach data saturation. In general, most themes addressed by pharmacists and pharmacy assistants belonged to similar domains. The following domains were frequently mentioned: environmental context and resources (e.g. priority for prescription drugs, privacy, collaboration with general practitioners, access to patients' records), intentions (providing reliable advice), skills (communication, decision-making), knowledge (ready guideline knowledge), beliefs about consequences (patient safety), social influences (patient awareness of pharmacist role), reinforcement (lack of reimbursement for relatively time-consuming advice). Conclusion: This study identifies barriers and facilitators for evidence-based self-care advice. Pharmacists should first support pharmacy assistants by helping them keep their knowledge and skills up to date and creating suitable pharmacy preconditions to facilitate improvements in self-care counselling. Second, collaboration with general practitioners regarding minor ailments should be improved. [ABSTRACT FROM AUTHOR]

Responding to those who have read and critiqued your work, such as editors and reviewers, is a central part of academic exchange. To be able to explain and defend the choices you have made in a response letter is also a key skill that takes time to develop. It is my hope that this essay will help you reflect on the process of writing these responses and provide some useful tips toward getting published. [ABSTRACT FROM AUTHOR]

For nearly 20 years, Politics & Gender has been a leading outlet for research on women, gender, and politics. As past and current editors,1 we are happy to share our advice for early career researchers interested in submitting manuscripts to the journal. We believe that as the official journal of the Women, Gender, and Politics Section of the American Political Science Association, the content of Politics & Gender should reflect the diversity of authors, methods, and topics found across the broader gender and politics research community. However, not all authors have the full information on how to best prepare their manuscripts—or, indeed, what to expect during different parts of the review process (see Anlar and Phillips 2023). [ABSTRACT FROM AUTHOR]

This paper addresses the need to ensure the sustainable use of water, in line with the United Nations' Sustainable Development Goals. Using statistical methods, this paper analyses whether the ownership of the water utility is an explanatory factor for (1) the provision of water conservation advice on utilities' websites; and (2) how comprehensive this advice is in terms of tips on (i) installing efficient technology and (ii) adopting sustainable habits and behaviours. The paper focuses on the Spanish water industry, which is considered particularly appropriate for the analysis due to the coexistence of utilities with different ownership structures. The results reveal statistically significant differences according to the ownership of the operator and the size of the population served. For example, more private companies provide some advice on their websites, while public companies offer more tips per online advice section. The evidence should encourage national governments and regulatory authorities to pass a regulation that establishes guidelines on how these companies, both public and private, should provide water conservation advice on their websites. [ABSTRACT FROM AUTHOR]

Speaking is the ability to convey information or expressing to convey everything in their mind orally. Therefore, it is important for students to master speaking in their daily life because through speaking students can express their ideas, feelings, opinions, and knowledge. There were some problems faced by the students in speaking in Second grade of SMP ADHYAKSA namely: the students lacked vocabularies, and the students are not able to deliver their suggestion and advice. Therefore, to overcome the problems, the researcher conducted this research by using "Whip Around" Strategy in second grade of SMP ADHYAKSA. The purpose of the research is to increase the students' ability in speaking by using whip around Strategy at the second grade of SMP adhyaksa. To achieve the purpose, the researcher conducted CAR Method. The result of the data in Cycle I showed the average of students' value was 60, the maximum score was 78 and the minimum score was 41. While in Cycle II 20 students (100%), the student got the maximum score was 83 and the minimum score was 75. From the result o the research, it can be concluded that "Whip Around" Strategy increases the students' speaking ability in second grade of SMP adhyaksa. Finally, the researcher suggested all English teacher to use this strategy in teaching speaking skill because "Whip Around" Strategy is effective to increase the students' ability in speaking. "Whip Around" Strategy encourages the students' to express their suggestion and advice orally and engaged the student high motivation during the teaching and learning process. [ABSTRACT FROM AUTHOR]

Copyright of Firat University Faculty of Theology / Fırat Üniversitesi İlahiyat Fakültesi Dergisi is the property of Firat University 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.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco 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.)

On the material of the texts of the spiritual writer B. I. Gladkov, the features of the implementation of the speech genre “interpretation of the Gospel” are considered. The specificity of the embodiment of the ideas of Orthodoxy is indicated. Significant features of the functioning of religions and tropes in the presented speech genre are revealed. Conclusions are drawn about its distinctive features. Particular attention is paid to the typology and functioning of Christian religions, the use of which is considered as one of the features of the church-religious functional style. The novelty of the study lies in the fact that for the first time it examines in detail the types of religions that exist in the genre of “interpretation of the Gospel”, provides illustrations of their use, indicates the functions they perform (characterological, emotive, evaluative, prescriptive, etc.). It has been established that in the analyzed texts the most common types of religion names are theonyms; biblonyms; hagioanthroponyms; names of biblical events; names of gospel heroes, etc. It is shown that the author’s use of a combination of such intra-genres as “opinion”, “comment-explanation”, “advice” belongs to the main features of the “interpretation of the Gospel” genre. The results of the study are of interest for theolinguistics, stylistics, and rhetoric.

This research is entitled Advice in the Book of Ayyuhal Walad by Imam Al-Ghazzali (Julia Kristeva Intertextual Semiotics Study). The Book of Ayyuhal Walad by Imam Al-Ghazzali is a literary work in the form of a treatise, namely a letter containing advice given by Imam Al-Ghazzali to his students related to science and charity. The aims of this study are: 1. To find out what texts are referred to by the text of the book of Ayyuhal Walad by Imam Al-Ghazzali. 2. Understanding the relationship in the text of the book Ayyuhal walad with the reference text. 3. Describe the meaning of the message in the text of the book of Ayyuhal walad, along with the reference text. This research uses descriptive analysis method. The technique of collecting data in this study is based on the results of studying and reviewing data sources in the Ayyuhal walad book, the Qur'an and hadith. Then the approach used is Julia Kristeva's semiotic perspective with intertextual theory, namely the new sign system (Text II) → Transposition → Reference sign system (Text I). Based on the analysis, this study shows that there are 39 advices, which include: 39 advices in the book of Ayyuhal walad, 39 verses of the Qur'an, 39 hadiths. Among them contain wise advice that can be used as a guide for humans to become individuals who have noble character.

Abstract Background Physical inactivity is a global health pandemic. Allied healthcare providers, including chiropractors, are well placed to integrate individual physical activity (PA) promotion into routine care. A previous systematic review identified that approximately 90% of chiropractors held a positive opinion towards healthier patient lifestyles; however, the extent to which chiropractors promote PA to their patients within routine care is unclear. This systematic review aimed to describe chiropractors' attitudes towards and current practice in advising, counselling, discussing, supporting, or recommending PA to patients. Methods Five databases were searched from inception to December 2021 for cross-sectional surveys that explored PA promotion by chiropractors in practice. We assessed the risk of bias of the included studies with the ‘Risk of Bias in Cross-Sectional Surveys of Attitudes and Practices’ tool. Descriptive data were extracted, grouping similar survey questions and responses into emerging categories. Chiropractors’ views regarding the perceived importance and/or their preparedness to counsel and provide PA or exercise information are reported. Results From 661 studies, 15 met the selection criteria. Surveys included 7999 chiropractors primarily from the USA, UK, Australia, and Sweden. All studies were rated as moderate-to-high risk of bias, with methodological weaknesses characterised by inconsistent reporting of missing data, non-representative samples, low response rates (i.e., less than 60%), and unknown validity of survey instruments. Chiropractors frequently recognised the importance of PA promotion, as demonstrated by the proportion of respondents reporting that they: (1) support the importance of providing PA or exercise information and counselling (64% to 100%); (2) are prepared to provide PA or exercise information and/or counselling to patients (91% to 92%,); (3) frequently obtain PA or exercise information from patients (87% to 97%,); 4) frequently discuss PA or exercise and/or provide PA or exercise information to patients (68% to 99%); and 5) frequently provide PA counselling to patients (50% to 81%.). Conclusion A large majority of practising chiropractors actively engage with PA promotion. However, the results should be interpreted with caution owing to the moderate-to-high risk of bias of the included studies. Forthcoming research initiatives should explore unbiased surveys, further PA education and training as well as capitalising on chiropractors’ own PA participation.

Abstract Background There is much evidence to implement physical activity interventions for medical reasons in healthcare settings. However, the prescription of physical activity as a treatment, referring to as ‘Exercise is Medicine’ (E = M) is currently mostly absent in routine hospital care in The Netherlands. To support E = M prescription by clinicians in hospitals, this study aimed: (1) to develop an E = M-tool for physical activity advice and referrals to facilitate the E = M prescription in hospital settings; and (2) to provide an E = M decision guide on key decisions for implementation to prepare for E = M prescription in hospital care. Methods A mixed method design was used employing a questionnaire and face-to-face interviews with clinicians, lifestyle coaches and hospital managers, a patient panel and stakeholders to assess the needs regarding an E = M-tool and key decisions for implementation of E = M. Based on the needs assessment, a digital E = M-tool was developed. The key decisions informed the development of an E = M decision guide. Results An online supportive tool for E = M was developed for two academic hospitals. Based on the needs assessment, linked to the different patients’ electronic medical records and tailored to the two local settings (University Medical Center Groningen, Amsterdam University Medical Centers). The E = M-tool existed of a tool algorithm, including patient characteristics assessed with a digital questionnaire (age, gender, PA, BMI, medical diagnosis, motivation to change physical activity and preference to discuss physical activity with their doctor) set against norm values. The digital E = M-tool provided an individual E = M-prescription for patients and referral options to local PA interventions in- and outside the hospital. An E = M decision guide was developed to support the implementation of E = M prescription in hospital care. Conclusions This study provided insight into E = M-tool development and the E = M decision-making to support E = M prescription and facilitate tailoring towards local E = M treatment options, using strong stakeholder participation. Outcomes may serve as an example for other decision support guides and interventions aimed at E = M implementation.