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To assess community needs for public information during a bioterrorism-related crisis, we simulated an intentional Rift Valley fever outbreak in a community in the southern part of the United States. We videotaped a series of simulated print and television "news reports" over a fictional 9-day crisis period and invited various groups (e.g., first-responders and their spouses or partners, journalists) within the selected community to view the videotape and respond to questions about their reactions. All responses were given anonymously. First-responders and their spouses or partners varied in their reactions about how the crisis affected family harmony and job performance. Local journalists exhibited considerable personal fear and confusion. All groups demanded, and put more trust in, information from local sources. These findings may have implications for risk communication during bioterrorism-related outbreaks.

Gastrocnemius contracture may be a significant cause of many foot disorders. Gastrocnemius tension can be estimated clinically by measuring maximum ankle dorsiflexion during full knee extension. Such measurements, when made with currently available goniometric devices, are subject to high levels of intra- and inter-observer variability. We have designed a device to more consistently measure ankle dorsiflexion, using three dimensional tracking sensors on the leg and foot. The applied dorsiflexion torque is kept constant by a computer, and the computer also monitors hindfoot position to maintain a neutrally aligned foot during testing. Repeated measurements on 26 feet were taken to determine the consistency of the device. The correlation coefficient for the measurements was 0.96, indicating very low intra-observer variability. The standard deviation of the repeated measures was 2 degrees. Based on the 95% confidence interval, the device can be considered accurate to within 4 degrees. Given this accuracy, this instrument could be used to assess gastrocnemius tension, its role in foot pathology, and the effectiveness of surgical lengthening. Compared to other currently available measuring devices, this instrument is the most reliable in estimating ankle dorsiflexion, since it is capable of controlling hindfoot position and applied dorsiflexion torque, and it can be easily constructed by other laboratories.

Objective: This article highlights the mental health consequences of a domestic terrorist incident involving chemical or biological weapons., Method: The author reviews the literature on the neuropsychiatric effects of selected chemical and biological weapon agents, on the psychological sequelae of mass disasters, and on approaches to crisis intervention., Results: Disturbances of behavior, affect, and cognition can result directly from the pharmacological actions of some chemical and biological weapon agents. In addition, an incident involving these agents can have considerable psychological effects on individuals and the community. In either case, some disorders are acute and others are prolonged or delayed in onset. Effective therapeutic intervention involves a broad range of clinical, social, and administrative actions., Conclusions: Psychiatrists have an important role in the management of a chemical or biological terrorist incident and, along with their other medical colleagues, should train and prepare for it.

This is a retrospective review of 49 subtalar arthroscopies performed between 1989 and 1996. Patients were evaluated in the following areas: (1) preoperative diagnosis, (2) preoperative tests and clinical evaluation, (3) intraoperative findings, (4) postoperative diagnosis,(5) complications, and (6) clinical outcome. Particular attention was paid to the accuracy of the preoperative diagnosis, subtalar instability, intraoperative findings in sinus tarsi syndrome, and clinical outcome. Overall, this study demonstrated a success rate of 94% good and excellent results in the treatment of various types of subtalar pathologic conditions with arthroscopic techniques. The Workers' Compensation cases reported 90% good and excellent results. The complication rate was low, with five minor complications reported. The most common complication was a transient neuropraxia involving branches of the superficial peroneal nerve. Of the 14 feet that had a preoperative diagnosis of sinus tarsi syndrome, all the diagnoses were changed at the time of arthroscopy. The postoperative diagnoses included 10 interosseous ligament tears, two cases of arthrofibrosis, and two degenerative joints. Based on these findings, "sinus tarsi syndrome" seems to be an inaccurate term that should be replaced with a specific diagnosis. Arthroscopy is the tool that will allow the orthopaedic surgeon to make a more accurate diagnosis.

Because Armed Forces Reserve members, especially combat support units, were rapidly mobilized during Operation Desert Shield/Desert Storm, they were at higher risk for anxiety and stress-related disorders. Personnel in reserve units in the military force structure are at greater risk for psychologic stress due to rapid mobilization and demobilization, which allows minimal time to process adverse experiences or fears. The unexpected disruption of families and careers and resulting financial pressures are magnified in older age groups who have increased personal and family commitments. Personnel in combat support units are at greatest risk when they lack necessary training, cohesion, and leadership. Prevention efforts in reserve units should involve education regarding the potential for activation and associated disruption of family and career plans. Support networks for reserve families should be encouraged. Additional training in an appropriate context regarding risks of biologic and chemical exposure, with the goal of developing confidence in training and equipment, should be stressed. Finally, group processing before demobilization and recall within 90 days of return to emphasize unit cohesion and readjustment to civilian life may be of benefit.

Purpose: Sinus tarsi syndrome (STS) is caused by various pathologies. However, the exact etiology of STS remains controversial. This study evaluated the imaging and arthroscopic findings of patients who underwent surgical treatment after conservative treatment for STS failed. Materials and Methods: Between December 2014 and August 2018, 20 patients (21 cases) who underwent surgical treatment for STS were included in the study. The clinical results were analyzed using the visual analog scale (VAS) and the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional scale. The radiographic results were analyzed using Meary's angle, calcaneal pitch angle, and hindfoot alignment angle. The pathologic conditions of sinus tarsi were confirmed by magnetic resonance imaging (MRI) and subtalar arthroscopy. Synovitis, bone edema, and accessory anterolateral talar facet (AALTF) were evaluated on MRI. Synovial thickening, cartilage damage, interosseous talocalcaneal ligament (ITCL) and cervical ligament rupture, soft tissue impingement, AALTF, and accessory talar facet impingement (ATFI) were evaluated by subtalar arthroscopy. Results: The mean duration of symptoms was 28.7 months (4~120). All patients showed significant improvement in the VAS and AOFAS ankle-hindfoot scale. Significant improvements in hindfoot alignment angle and Meary's angle postoperatively were noted in patients who underwent medial displacement calcaneal osteotomy. MRI confirmed synovitis in all patients, AALTF in 19 cases (90.5%), and ATFI with bone edema in seven cases (33.3%). In subtalar arthroscopy, pathologic conditions were observed in the following order: synovitis in 21 cases (100%), AALTF in 20 cases (95.2%), ITCL partial rupture in nine cases (42.9%), and soft tissue impingement in seven cases (33.3%). All cases had two or more pathological conditions, and 15 (71.4%) had three or more. Conclusion: In cases of STS that do not respond to conservative treatment, a comprehensive examination of the lesions of the tarsal sinus and lesions around the subtalar joint is essential. [ABSTRACT FROM AUTHOR]

School nurses are uniquely positioned to support lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ) students. One approach is involvement in Gender and Sexuality Alliances (GSAs). GSAs have been found to improve outcomes for LGBTQ students. The purposes of this quality improvement project were to build infrastructure for GSAs by implementing a GSA Support Plan including a digital resource binder, GSA advisor trainings, and establishment of an Advisor Leadership Committee and increase the number of schools with a GSA. The binder was distributed electronically to 95 advisors. Forty-nine participants attending virtual trainings. A statistically significant increase in all measures of participant confidence occurred between the pre- and post-training surveys. The Advisor Leadership Committee was established. This paper adds to the literature by showing that support for GSAs is important to aiding LGBTQ students. Further, authors suggest ways in which school nurses can harness their expertise to be involved with GSAs. [ABSTRACT FROM AUTHOR]

In Kenya, aquaculture plays a significant role in enhancing the livelihoods of rural communities by boosting the local economy and diversifying protein sources. Although Vihiga County in Western Kenya boasts considerable potential for aquaculture, it paradoxically experiences some of the highest levels of poverty and malnutrition in the country. The profitability of fish farming has also been affected by inefficiencies and poor resources, disproportionately affecting the income and nutritional value of rural poor who rely on Aquaculture as a source of cheap protein. The study was conducted in Vihiga County to assess the cost–benefit of aquaculture production, selecting 100 fish farmers through a stratified random sampling technique from five sub‐counties. A descriptive research design was employed, and data analysis was conducted using correlation and regression analysis with SPSS. Budgetary techniques were used for the cost–benefit analysis. Data presentation was by comparing the mean and standard deviation in US dollars of different pond size production. The research findings indicated that the size and type of pond do not have a significant correlation and differences in production (p‐value >.05). There is a strong positive correlation between the size of the pond and the stocking density. The variable cost (VC) has a positive correlation with pond productivity meaning that an increase in VC leads to an increase in production. And is not statistically significant (p‐value =.21827, p‐value >.05). Moreover, the total cost (TC) correlation is statistically significant (p‐value =.0351, p <.05). Larger ponds are more profitable but require higher costs production than smaller ponds. The study concludes that pond size significantly impacts productivity, advocating for smaller ponds to achieve higher net returns with lower production costs. Major challenges include high costs of feeds, inputs, fish diseases, and post‐harvest losses. Key policy variables influencing aquaculture in Vihiga County include infrastructure, fish feed production, capital, and fisheries extension services. Adequate financial support from both National and County governments is crucial for sustainable aquaculture in alignment with Kenya's Vision 2030 and Global Sustainable Development Goals. Policymakers are urged to assist small‐scale farmers with financing, training, and market information to optimize returns on investment. [ABSTRACT FROM AUTHOR]

This qualitative study examines current IPV service providers' perspectives on service delivery methods that best reach and serve IPV survivors from culturally diverse communities. Semi-structured interviews were conducted with 11 service providers, and transcripts were analyzed for themes related to service providers' experiences. Five themes emerged from the data that suggest best practices for reaching and serving survivors from culturally diverse backgrounds, including understanding survivors' backgrounds, promoting trust and inclusivity, building community relationships, providing culturally responsive education on IPV, and supporting current and future staff with training. Study findings provide implications for the education and training of future service providers. [ABSTRACT FROM AUTHOR]

The metallurgical sector is one of the most emission- and energy-intensive industries. The possibility of using fossil carbon substitutes has been investigated to reduce the environmental impact of the steelmaking sector. Among others, biochar emerged as a promising fossil coal/coke substitute. We conducted a literature review on biochar use in the metallurgical sector and its potential environmental benefits. The possibility for biochar as a coal/coke substitute is influenced by the source of biochar production and the process within which it can be used. In general, it has been observed that substitution of biochar ranging from a minimum of 5% to a maximum of 50% (mostly around 20–25%) is possible without affecting, or in some cases improving, the process, in coke making, iron sintering, blast furnaces and electric furnaces application. In some studies, the potential CO2 reduction due to biochar use was estimated, ranging from 5% to about 50%. Despite there still being an area of further investigation, biochar appeared as a promising resource with a variety of uses in the metallurgical sector, contributing to the lowering of the environmental impact of the sector. [ABSTRACT FROM AUTHOR]

This article presents the results of an integrative review of the literature on domestic violence shelter practices, drawing upon 23 studies conducted in five countries from 25 peer-reviewed articles published between 2005 and 2020. The purpose of the review was to understand the impacts of intervention practices on abused women during their stay at a domestic violence shelter. Seven inclusion criteria were used to assess the studies included in the review. A thematic analysis revealed seven themes, divided into two main categories: formal interventions and practices related to shelter culture. These results highlight important implications for policy, research, and practices in domestic violence shelters that are discussed in this article. [ABSTRACT FROM AUTHOR]

Introduction: Children and adolescents receiving inpatient psychiatric services have disproportionately high levels of exposure to trauma and adversity. The National Child Traumatic Stress Network Trauma-Informed Organizational Assessment (TIOA) is a comprehensive tool intended to guide implementation of trauma-informed care, but it has not yet been applied in inpatient settings. Aims: The purpose of this quality improvement project was to describe trauma-informed care in inpatient child/adolescent psychiatry with the TIOA, examine relatedness among trauma-informed care domains, and explore barriers or facilitators to applying trauma-informed care. Methods: This quality improvement project used mixed methods. We conducted a web-based survey in Summer 2022 with staff members (clinical and administrative) at two inpatient child/adolescent psychiatric units in California to assess trauma-informed care practices with the TIOA (87 items). Qualitative follow-up interviews were offered to interested participants. A correlation matrix and cluster analyses were used to examine relationships among TIOA domains; qualitative data were analyzed thematically. Results: There were 69 survey respondents and seven qualitative interviews. TIOA domain scores ranged from a low of 2.3 to a high of 3.2, indicating that practices were occurring only "rarely" to "sometimes." There were two major themes identified from qualitive interviews: (a) barriers to trauma-informed care in an inpatient context that can be resource-constrained or coercive; and (b) discovering strategies to provide trauma-informed care despite structural barriers. Conclusion: Organizational interventions targeting any domains of trauma-informed care are needed in inpatient settings given limited uptake of trauma-informed care. [ABSTRACT FROM AUTHOR]

In the United States alone, 10 million people are affected by family and domestic violence (DV). DV survivors experience many forms of victimization, including physical, psychological, and sexual abuse resulting in trauma. The DV workforce, including healthcare providers, social workers, advocates, and other providers, utilize trauma-informed care in a variety of settings to help DV survivors heal and recover from their traumatic experiences. Given the intensity of DV work and occupational stressors associated with navigating complex survivor cases and systems of care, health and mental health professionals can experience burnout, compassion fatigue, and secondary traumatic stress. The purpose of this qualitative study was to explore how professionals in the DV workforce, including healthcare and mental health professionals, experience and mitigate occupational stress. Twenty in-depth interviews were conducted with DV professionals, who worked in medical settings like urban hospitals as well as DV shelters and rape crisis centers in Boston, MA. A semistructured interview guide was developed, and pilot tested and addressed the following topics including experiences of occupational stress, and mitigators of occupational stress. The interviews were audio recorded, transcribed, and analyzed using a thematic analysis approach. Codes were organized into themes and subthemes, which were reviewed and refined during research team discussions. Risk factors of occupational stress included caseload quantity and intensity, workplace isolation, and length of time in the field. Protective factors spanned individual, interpersonal, and organizational level factors. Participants described various strategies for mitigating occupational stress, including training, supervision, and self-care. Findings from this study have the potential to inform policies and practices among healthcare organizations that support professionals in the DV workforce who work with DV survivors. [ABSTRACT FROM AUTHOR]

Background: Talar malignant tumor is extremely rare. Currently, there are several alternative management options for talus malignant tumor including below-knee amputation, tibio-calcaneal arthrodesis, and homogenous bone transplant while their shortcomings limited the clinical application. Three-dimensional (3D) printed total talus prosthesis in talus lesion was reported as a useful method to reconstruct talus, however, most researches are case reports and its clinical effect remains unclear. Therefore, the current study was to explore the application of 3D printed custom-made modular prosthesis in talus malignant tumor. Methods: We retrospectively analyzed the patients who received the 3D printed custom-made modular prosthesis treatment due to talus malignant tumor in our hospital from February 2016 to December 2021. The patient's clinical data such as oncology outcome, operation time, and volume of blood loss were recorded. The limb function was evaluated with the Musculoskeletal Tumor Society 93 (MSTS-93) score, The American Orthopedic Foot and Ankle Society (AOFAS) score; the ankle joint ranges of motion as well as the leg length discrepancy were evaluated. Plain radiography and Tomosynthesis-Shimadzu Metal Artefact Reduction Technology (T-SMART) were used to evaluate the position of prosthesis and the osseointegration. Postoperative complications were recorded. Results: The average patients' age and the follow-up period were respectively 31.5 ± 13.1 years; and 54.8 months (range 26–72). The medium operation time was 2.4 ± 0.5 h; the intraoperative blood loss was 131.7 ± 121.4 ml. The mean MSTS-93 and AOFAS score was 26.8 and 88.5 respectively. The average plantar flexion, dorsiflexion, varus, and valgus were 32.5, 9.2, 10.8, and 5.8 degree respectively. One patient had delayed postoperative wound healing. There was no leg length discrepancy observed in any patient and good osseointegration was observed on the interface between the bone and talus prosthesis in all subjects. Conclusion: The modular structure of the prosthesis developed in this study seems to be convenient for prosthesis implantation and screws distribution. And the combination of solid and porous structure improves the initial stability and promotes bone integration. Therefore, 3D printed custom-made modular talus prosthesis could be an alternative option for talus reconstruction in talus malignant tumor patients. [ABSTRACT FROM AUTHOR]

Steel slag is a by-product of the steel industry and usually contains a high amount of f-CaO and f-MgO, which will result in serious soundness problems once used as a binding material and/or aggregates. To relieve this negative effect, carbonation treatment was believed to be one of the available and reliable methods. By carbonation treatment of steel slag, the phases of f-CaO and f-MgO can be effectively transformed into CaCO3 and MgCO3, respectively. This will not only reduce the expansive risk of steel slag to improve the utilization of steel slag further but also capture and store CO2 due to the mineralization process to reduce carbon emissions. In this study, based on the physical and chemical properties of steel slag, the carbonation mechanism, factors affecting the carbonation process, and the application of carbonated steel slag were reviewed. Eventually, the research challenge was also discussed. [ABSTRACT FROM AUTHOR]

Osseous stress injuries are common in athletes. Specifically, lower extremity injuries are prevalent in running athletes and upper extremity injuries are prevalent in throwing athletes. Such injuries are suspected when there is focal bone tenderness and increased pain with the inciting activity. In elite athletes, osseous stress injuries are a relatively common culprit in lost play time. Thus rapid diagnosis and treatment is imperative to expedite return to play (RTP). The radiologist's role in these cases is not only for diagnosis, but also to grade the injury, which has implications in determining a treatment regimen. The high sensitivity and specificity of magnetic resonance imaging is thus the preferred imaging modality. This article discusses common osseous stress injuries, the imaging findings, and how different treatment regimens affect RTP. [ABSTRACT FROM AUTHOR]

Return to play (RTP) following surgery is a complex subject at the interface of social and internal pressures experienced by the athlete, psychological readiness, and intrinsic healing of the surgically repaired structures. Although functional testing, time from surgery, clinical examination, and scoring metrics can help clarify an athlete's readiness to return to sport, imaging can allow for a more direct assessment of the structures in question. Because imaging is often included in the diagnostic work-up of pain following surgery, the radiologist must be familiar with the expected postsurgical imaging appearance, as well as the associated complications. We briefly review such findings following anterior cruciate ligament reconstruction, Achilles tendon repair, syndesmotic fixation, and ulnar collateral ligament reconstruction in the context of the athlete, highlighting issues related to RTP. [ABSTRACT FROM AUTHOR]

Radiologists are frequently called on for guidance regarding return to play (RTP) for athletes and active individuals after sustaining a musculoskeletal injury. Avoidance of reinjury is of particular importance throughout the rehabilitative process and following resumption of competitive activity. Understanding reinjury risk estimation, imaging patterns, and correlation of clinical and surgical findings will help prepare the radiologist to identify reinjuries correctly on diagnostic imaging studies and optimize management for a safe RTP. [ABSTRACT FROM AUTHOR]

A small body of research spanning more than a decade finds that survivors of human trafficking may not want to prosecute their traffickers for myriad reasons. An integrated framework combining principles of therapeutic jurisprudence, survivor centered practice, anti-oppressive practice and restorative justice provides an important theoretical lens for examining and offering alternatives to traditional prosecution in human trafficking cases. Specifically, this theoretical essay aims to draw attention to prosecutorial challenges in human trafficking cases and argues for an alternative or enhancement to traditional prosecution. Alternatives that are discussed emphasize the following: mitigating revictimization; supporting survivors' input, aims and goals; providing opportunities for therapeutic moments, repairing harm, and restitution; and incorporating cultural humility and cultural competency in the prosecution process. [ABSTRACT FROM AUTHOR]

Background: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure. The purpose of this study is to evaluate the clinical results of a surgical technique for gastrocnemius lengthening with a needle, as previously described in cadaver specimens. Methods and results: We performed a prospective study of ultrasound-guided gastrocnemius tendon lengthening in level II using a needle in 24 cases (19 patients) of gastrocnemius contracture. The study population comprised 12 males and 7 females. Mean age was 41 years (18–64). All but 5 recessions were bilateral and occurred simultaneously. The indication for the procedure was gastrocnemius contracture; although the patients also presented other conditions such as non-insertional Achilles tendinopathy in 6 patients (2 were bilateral), insertional Achilles calcifying enthesitis in 4 (1 was bilateral), metatarsalgia in 4, flexible flat foot in 1 and plantar fasciitis in 5 (2 were bilateral). The inclusion criteria were the failure of a previous conservative protocol, that the Silfverskiöld test was positive, and that the pathology suffered by the patient was within the indications for surgical lengthening of the patients and were described in the scientific literature. The exclusion criteria were that the inclusion criteria were not met, and patients with surgical risk ASA 3 or more and children. In these patients, although possible, it is preferable to perform the procedure in the operating room with monitoring, as well as in children since they could be agitated during the procedure at the office. We used the beveled tip of an Abbocath needle as a surgical scalpel. All patients underwent recession of the gastrocnemius tendon, as in an incomplete Strayer release. We evaluated pre- and postoperative dorsiflexion, outcomes, and procedural pain (based on a visual analog scale and the American Orthopedic Foot and Ankle Society scores), as well as potential complications. No damage was done to the sural bundle. Results: Ankle dorsiflexion increased on average by 17.89°. The average postoperative visual analog score for pain before surgery was 5.78, 5.53 in the first week, 1.89 at 1 month, and 0.26 at 3 months, decreasing to 0.11 at 9 months. The mean postoperative American Orthopedic Foot and Ankle Society Ankle-Hindfoot score the average was 50.52 before surgery, 43.42 at 1 week, 72.37 at 1 month, 87.37 at 3 months, and 90.79 at 9 months. Conclusion: Ultrasound-guided needle lengthening of the gastrocnemius tendon is a novel, safe, and effective technique that enables the surgeon to check all the structures clearly, thus minimizing the risk of neurovascular damage. The results are encouraging, and the advantages of this approach include absence of a wound and no need for stitches. Recovery is fast and relatively painless. A specific advantage of ultrasound-guided needle lengthening of the gastrocnemius tendon is the fact that it can be performed in a specialist's office, with a very basic instrument set and local anesthesia, thus reducing expenses. [ABSTRACT FROM AUTHOR]

Neurodevelopmental conditions can be associated with decreased health-related quality of life; however, the predictors of these outcomes remain largely unknown. We characterized the predictors of health-related quality of life (HRQoL) in a sample of neurodiverse children and youth. We used a cross-sectional subsample from the Province of Ontario Neurodevelopmental Disorders Network (POND) consisting of those children and young people in the POND dataset with complete study data (total n = 615; 31% female; age: 11.28 years ± 2.84 years). Using a structural equation model, we investigated the effects of demographics (age, sex, socioeconomic status), core features (Social Communication Questionnaire, Toronto Obsessive Compulsive Scale, Strengths and Weaknesses of attention deficit/hyperactivity disorder (ADHD)-symptoms and Normal Behavior), co-occurring symptoms (Child Behaviour Checklist), and adaptive functioning (Adaptive Behaviour Assessment System) on HRQoL (KINDL). A total of 615 participants had complete data for this study (autism = 135, ADHD = 273, subthreshold ADHD = 7, obsessive–compulsive disorder (OCD) = 38, sub-threshold OCD = 1, neurotypical = 161). Of these participants, 190 (31%) identified as female, and 425 (69%) identified as male. The mean age was 11.28 years ± 2.84 years. Health-related quality of life was negatively associated with co-occurring symptoms (B = − 0.6, SE = 0.20, CI (− 0.95, − 0.19), p = 0.004)) and age (B = − 0.1, SE = 0.04, CI (− 0.19, − 0.01), p = 0.037). Fewer co-occurring symptoms were associated with higher socioeconomic status (B = − 0.5, SE = − 0.05, CI (− 0.58, − 0.37), p < 0.001). This study used a cross-sectional design. Given that one's experiences, needs, supports, and environment and thus HrQoL may change significantly over the lifespan and a longitudinal analysis of predictors is needed to capture these changes. Future studies with more diverse participant groups are needed. These results demonstrate the importance of behavioural and sociodemographic characteristics on health-related quality of life across neurodevelopmental conditions. [ABSTRACT FROM AUTHOR]

Objective: This article outlines the development and validation of the Informal Supporter Readiness Inventory (ISRI), based on the model developed by the present authors in (Davies, 2023). This scale assesses the readiness of informal supporters to intervene or provide support in situations of intimate partner violence (IPV). Methods: The research followed a three-phased procedure of item development, scale development, and scale evaluation; adhering to best practice guidelines for psychometric development and validation. This process provided empirical substantiation for the domains of the Model of Informal Supporter Readiness (Davies, 2023). Results: The 57-item ISRI incorporates four primary factors: normative, individual, goodman-emotional, and situational-assessment. These factors demonstrated robust internal consistency and factor structures. Additionally, the ISRI evidenced strong test-retest reliability, and both convergent and divergent validity. Although aligning closely with the Model of Informal Supporter Readiness, the scale revealed a nuanced bifurcation of situational factors into situational-emotional and situational-assessment. Discussion: The ISRI offers an important advancement in IPV research by highlighting the multifaceted nature of informal supporter intervention. The findings have several implications, from tailoring individualised supportive interventions to strengthening support networks and empowering survivors. The present study's findings underscore the potential of adopting a social network-oriented approach to interventions in IPV scenarios. Applications for research and practice are discussed. [ABSTRACT FROM AUTHOR]

Cutaneous squamous cell carcinoma (cSCC) is an increasingly common malignancy of the skin and the leading cause of death from skin cancer in adults over the age of 85. Fibroblast growth factor receptor 2 (FGFR2) has been identified as an important effector of signaling pathways that lead to the growth and development of cSCC. In recent years, there have been numerous studies evaluating the role FGFR2 plays in multiple cancers, its contribution to resistance to anticancer therapy, and new drugs that may be used to inhibit FGFR2. This review will provide an overview of our current understanding of FGFR2 and potential mechanisms in which we can target FGFR2 in cSCC. The goals of this review are the following: (1) to highlight our current knowledge of the role of FGFR2 in healthy skin and contrast this with its role in the development of cancer; (2) to further explain the specific molecular mechanisms that FGFR2 uses to promote tumorigenesis; (3) to describe how FGFR2 contributes to more invasive disease; (4) to describe its immunosuppressive effects in skin; and (5) to evaluate its effect on current anticancer therapy and discuss therapies on the horizon to target FGFR2 related malignancy., (© 2024 Wiley Periodicals LLC.)

There is a certain contradiction between the formability and strength of auto parts. In this work, the whole-process processing technology of hot stamping soft steel was designed, and 500 MPa grade mild steel (500HS) with uniform microstructure was prepared. To take into account the strength and formability of hot stamping soft steel, here, based on laser welding technology, 500 MPa grade soft steel, and 1500 MPa grade hard steel are benignly composited, and by adjusting the laser welding speed and heat treatment process, the loss of mechanical properties caused by the weld seam is eliminated. A soft/hard composite steel for automobiles with excellent strength, ductility and formability is obtained. To maintain excellent deformation resistance and bonding force of the weld, the heat-affected zone of 500HS retains part of bainite and pearlite, which is beneficial to the strain compatibility and stress partitioning with the microstructure of the base metal, and the hardness is low. After heat treatment, which helps to transfer the stress concentration effect to the 500HS base metal with strong energy absorption capacity, so that the clad steel has excellent comprehensive mechanical properties. This process is developed based on existing industrialized equipment and has broad application prospects. [ABSTRACT FROM AUTHOR]

In order to promote school safety for sexual and gender minority youth (SGMY), many schools implement strategies such as SGM-focused policies and gender-sexuality alliances (GSAs). Little is known about the effects such strategies have over time on feelings of safety at school for SGMY. Hierarchical Linear Models were conducted using longitudinal data from 417 SGMY attending secondary schools to examine trajectories of feelings of safety and the effects of SGM-focused policies, GSA presence, or GSA membership on feelings of safety. Findings indicate that SGM-focused policies and GSAs had direct benefits for safety at school SGMY, both independently and in combination; however, GSA membership was not. Schools should implement a combination of school strategies to promote safer environments for SGMY., (© 2024 Society for Research on Adolescence.)

Background: Adolescent ineffective stress management has been associated with negative health outcomes, such as anxiety and depression. Comprehensively evaluating the effects of stress management interventions is needed. Aims: The aim of this study was to quantitatively evaluate the effects of stress management interventions on mental health outcomes (stress, anxiety, depression, and positive and negative affect) and perform moderation analysis to identify moderators of intervention effects on stress, anxiety, and depression among U.S. high school adolescents. Methods: Four databases (CINAHL, ERIC, PubMed, and PsycINFO) were searched. After literature screening, 24 articles describing 25 studies were retained. Hedge's g was calculated using random-effects models. Exploratory moderation analyses were performed to identify moderators. Results: The pooled effects on reducing stress were −0.36. The interventions had small effects on decreasing anxiety (g = −0.31) and depression (g = −0.23). Long-term follow-up effects were −0.77 on perceived stress, −0.08 on anxiety, and −0.19 on depression. Mind-body and cognitive-behavioral interventions had moderate effects on reducing anxiety (g = −0.51). Interventions with longer duration (>8 weeks) were more effective in reducing anxiety (−0.39 vs. −0.26) and depression (−0.36 vs. −0.17). Conclusions: These findings support the short-term effectiveness of stress management interventions in improving mental health among high school adolescents in the United States. Subsequent research efforts should focus on sustaining long-term effects. [ABSTRACT FROM AUTHOR]

The incidence of microbial infections in orthopedic prosthetic surgeries is a perennial problem that increases morbidity and mortality, representing one of the major complications of such medical interventions. The emergence of novel technologies, especially 3D printing, represents a promising avenue of development for reducing the risk of such eventualities. There are already a host of biomaterials, suitable for 3D printing, that are being tested for antimicrobial properties when they are coated with bioactive compounds, such as antibiotics, or combined with hydrogels with antimicrobial and antioxidant properties, such as chitosan and metal nanoparticles, among others. The materials discussed in the context of this paper comprise beta-tricalcium phosphate (β-TCP), biphasic calcium phosphate (BCP), hydroxyapatite, lithium disilicate glass, polyetheretherketone (PEEK), poly(propylene fumarate) (PPF), poly(trimethylene carbonate) (PTMC), and zirconia. While the recent research results are promising, further development is required to address the increasing antibiotic resistance exhibited by several common pathogens, the potential for fungal infections, and the potential toxicity of some metal nanoparticles. Other solutions, like the incorporation of phytochemicals, should also be explored. Incorporating artificial intelligence (AI) in the development of certain orthopedic implants and the potential use of AI against bacterial infections might represent viable solutions to these problems. Finally, there are some legal considerations associated with the use of biomaterials and the widespread use of 3D printing, which must be taken into account. [ABSTRACT FROM AUTHOR]

The 2019 coronavirus disease (COVID-19) and the recommended social isolation presented a challenge to people's mental health status. Optimism is a psychological factor that plays a key role in the evaluation of stressful situations. The purpose of this study was to investigate the mediating role of perceived stress and Covid-19-related stress anticipation in the relationship between optimism and post-traumatic stress symptoms. Our sample included 1015 participants ranging in age from 18 to 79 years, 80% of whom were Spaniards. At the beginning of the worldwide pandemic, participants were confined to their homes for at least seven days and completed an online survey measuring various sociodemographic and psychological variables. We found an indirect effect of optimism on intrusion and hyperarousal through perceived stress and stress anticipation. In addition, we observed an indirect effect of optimism on avoidance through perceived stress. Finally, the results showed a significant indirect effect of optimism on the total post-traumatic stress symptoms score through perceived stress and stress anticipation. Our results indicate that positive beliefs inherent to optimism are related to less psychological impact of the COVID-19 outbreak. [ABSTRACT FROM AUTHOR]

The consequences on the Italian steel sector following the conversion of the sole integrated steel plant and the establishment of a direct reduction/electric arc furnace (DR/EAF) grid in the period 2022–2050 were analyzed. Imported natural gas (pathway 0), green hydrogen (pathway 1) and biomethane (pathway 2) were studied as possible reducing gases to be exploited in the DR plant and to be introduced as a methane substitute in EAFs. The results showed that the environmental targets for the sustainable development scenario could be achieved in both 2030 and 2050. In particular, the main reduction would occur by 2030 as a result of the cease of the integrated plant itself, allowing for an overall reduction of 71% of the CO2 emitted in 2022. On the other hand, reaching the maximum production capacity of the DR plants by 2050 (6 Mton) would result in final emission reductions of 25%, 80% and 35% for pathways 0, 1 and 2, respectively. Finally, the creation of a DR/EAF grid would increase the energy demand burden, especially for pathway 1, which would require three times as much green energy as pathway 0 and/or 2 (36 TWh/y vs. ca. 12 TWh/y). [ABSTRACT FROM AUTHOR]

In this study, an upper sheet of an A6061 aluminum alloy and a lower sheet of Q235 steel were welded by resistance element welding with a steel rivet. The temperature field during welding was calculated using ABAQUS numerical simulation software, and the interfacial microstructure was observed. A nugget was formed between the rivet shank and the lower sheet. With increases in welding current and welding time, the tensile shear load of the joint increased first and then decreased slightly. When the welding current was 14 kA and the welding time was 300 ms, the tensile shear load of the joint reached a maximum of 7.93 kN. The smaller the distance from the position to the lower sheet along the interface between the rivet shank and upper sheet, the longer the high-temperature duration and the higher the peak temperature during welding. At the junction of the rivet shank, upper sheet, and lower sheet in the joint, the high-temperature duration was the longest, at about 392 ms, and the peak temperature was the highest, at about 1237 °C. The results show that the smaller the distance from the position to the lower sheet along the interface between the rivet shank and the upper sheet in the joint, the thicker the reaction layer generated there, and that the thickness of the reaction layer was about 2.0 μm at the junction of the rivet shank, upper sheet, and lower sheet in the joint. [ABSTRACT FROM AUTHOR]

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Onion waste, particularly onion skin, is a widely generated waste material, and harnessing its potential for energy storage aligns with sustainable development goals. Despite the high specific surface area exhibited by biocarbon derived from onion skin, its Li-ion storage performance is not desirable. In this study, biocarbon derived from purple onion skin serves as the substrate for accommodating cobalt oxide (Co3O4) through a hydrothermal method, employing Co(NO3)2·6H2O at various concentrations, and with and without prior activation using KOH treatment. The resulting samples undergo comprehensive analyses, including phase, morphological, surface, and electrochemical characterizations. The Co3O4 decoration on activated carbon derived from onion skin, synthesized using Co(NO3)2·6H2O at a concentration of 1 M, reveals a porous structure with a surface area of 702 m2/g, featuring predominant pore sizes of less than 5 nm. Significantly, the Li-ion storage performance of this sample surpasses that of alternative samples, demonstrating a remarkable reversible capacity of 451 mAh/g even after 500 cycles at an elevated current density of 2000 mAh/g. The charge transfer resistance of the sample (110.3 Ω) is found to be substantially lower than that of the sample prepared using carbonized onion skin biomass without activation. This research introduces an innovative approach leveraging onion skin waste as a template for Co3O4 decoration, thereby fabricating high-performance anodes for lithium-ion batteries. [ABSTRACT FROM AUTHOR]

This study is a multiscale experimental investigation into the embrittlement of Al-Zn-Mg aluminum alloy (7075-T6) caused by liquid metal gallium. The results of the experiment demonstrate that the tensile strength of the 7075-T6 aluminum alloy significantly weakens with an increase in the embrittlement temperature and a prolonged embrittlement time, whereas it improves with an increase in the strain rate. On the basis of the analysis of the experimental data, the sensitivity of the embrittlement of 7075-T6 aluminum alloy by liquid gallium to the loading strain rate is significantly higher compared to other environmental factors. In addition, this study also includes several experiments for microscopic observation, such as Scanning Electron Microscope (SEM) observation, Energy-Dispersive Spectrometer (EDS) spectroscopy, and Electron Back Scatter Diffraction (EBSD) analysis. The experimental observations confirmed the following: (1) gallium is enriched in the intergranular space of aluminum; (2) the fracture mode of 7075-T6 aluminum alloy changes from ductile to brittle fracture; and (3) the infiltration of liquid gallium into aluminum alloys and its enrichment in the intergranular space result in the formation of new dislocation nucleation sites, in addition to the original dislocations cutting and entanglement. This reduces the material's ability to undergo plastic deformation, intensifies stress concentration at the dislocation nucleation point, and, ultimately, leads to the evolution of dislocations into cracks. [ABSTRACT FROM AUTHOR]

The Lisfranc joint connects the forefoot to the midfoot. Tarsometatarsal (TMT) arthrodesis is commonly employed for Lisfranc joint injuries; however, there is active discussion regarding the optimal method of fixation for TMT arthrodesis. The purpose of this systematic review is twofold: to assess the stability of various constructs used in TMT arthrodesis and to evaluate joint motion and force distribution in the foot following arthrodesis. The PubMed, CINAHL, MEDLINE, and Web of Science databases were searched for articles evaluating biomechanical and kinetic properties of TMT arthrodesis constructs in accordance with PRISMA guidelines. The preliminary search yielded 367 articles and the final review included 14 articles with 195 cadaveric and 70 synthetic bone constructs. Plantar plates and intramedullary screw fixation at the first TMT joint were consistently found to bear significantly greater loads and resist diastasis more effectively than crossed screws. Furthermore, whole foot and lateral column arthrodesis significantly elevate calcaneocuboid and lateral column pressures. This increase was not observed with isolated fourth or fifth TMT arthrodesis. TMT arthrodesis should aim to avoid the lateral column and fuse as few joints as possible. Overall, plantar plates are an effective construct for first TMT arthrodesis due to their ability to withstand both compressive and tensile forces while maintaining stable alignment of the foot via reinforcement of the transverse arch. Intramedullary fixation devices are an alternative option that provide a high degree of active compression across the joint space while avoiding irritation of surrounding soft tissue structures. [ABSTRACT FROM AUTHOR]

Youth with conduct problems have poorer academic outcomes than their typically developing peers. The objective of the current study was to examine how sexual minority status was associated with trajectories of teacher-rated mathematics and language arts (i.e., reading and writing) achievement in seven consecutive years across the transition to adolescence among youth with childhood histories of conduct problems (N = 383). Sexual minority status (as assessed via indicators of identity, attraction, or behavior during adolescence in the eighth year of the study) was not associated with initial mathematics or language arts performance at time 1, but was associated with declining mathematics achievement during the transition to adolescence. These findings suggest that sexual minority status is linked to change in some aspects academic achievement among youth already at risk for poorer academic achievement (i.e., youth with conduct problems). [ABSTRACT FROM AUTHOR]

Grain boundary wetting as a preliminary stage for zinc-induced grain boundary weakening and embrittlement in a Zn-coated press-hardened 20MnB8 steel was analyzed using electron backscatter diffraction, Auger electron spectroscopy, energy dispersive X-ray analysis, atom probe tomography and transmission electron microscopy. Microcracks at prior austenite grain boundaries were observed. Structures that developed after microcrack formation were identified: for example, Zn/Fe intermetallic phases with grain sizes smaller than 100 nm were present at the crack surfaces and the wedge-shaped crack tips. An electrolytically coated reference sample that underwent the same heat treatment as the press-hardened material but without the application of tensile stress was investigated in order to find the initial cause of the microcracks. On this sample, Zn, in the order of one atomic layer, was found along prior austenite grain boundaries several micrometers away from the actual Zn/Fe phases in the coating. The resulting grain boundary weakening with the Zn wetting of prior austenitic grain boundaries during austenitization and/or hot forming is a necessary precondition for microcrack formation. [ABSTRACT FROM AUTHOR]

In the study of the liquid metal embrittlement (LME) of the T91/lead-bismuth eutectic (LBE) system, it is observed that LME occurs in a temperature interval which is similar to the temperature range where dynamic strain aging (DSA) is observed. However, the potential correlation between DSA and LME has not yet been satisfactorily investigated. This investigation for the T91/LBE system is exactly the topic of this work. For the evaluation of DSA and LME, slow strain rate tensile tests are conducted in the temperature range between 200 °C and 450 °C with strain rates of 5 × 10 − 5 s − 1 and 5 × 10 − 6 s − 1 in reference and a molten oxygen-depleted LBE environment. The resulting tensile properties, as well as the fracture surfaces and lateral surfaces of the failed samples, suggest a correlation between DSA and LME in the T91/LBE system. The maximum mechanical degradation of T91 is observed in the case where the effects of both DSA and LME on material properties are found to be at maximum. However, the observation of DSA was not identified as a prerequisite for LME to take place. Therefore, these results may indicate that DSA partly contributes to the ductility minimum observed in the T91/LBE system. In addition, the results of this work show that changes in the fracture surface and lateral surface are more sensitive features to claim for the potential occurrence of LME than the changes in total elongation. [ABSTRACT FROM AUTHOR]

This paper is devoted to studying the thermochemical properties of carbon sources (laboratory-scale conventional coke, biocoke with 5 wt.%, and 10 wt.% wood pellet additions) and the influence of these properties on foamy slag formations at 1600 °C. Thermogravimetric analysis (TGA) conducted under air unveiled differences in mass loss among carbon sources, showing an increasing order of coke < biocoke with 5 wt.% wood pellets < biocoke with 10 wt.% wood pellets. The Coats–Redfern method was used to calculate and reveal distinct activation energies among these carbon sources. Slag foaming tests performed using biocoke samples resulted in stable foam formation, indicating the potential for biocoke as a carbon source to replace those conventionally used for this process. Slag foaming characters for biocoke with 5 wt.% wood pellets were improved more than coke. Using biocoke with 10 wt.% wood pellets was marginally worse than coke. On the one hand, for biocoke with 5 wt.% wood pellets, due to increased reactivity, the foaming time was reduced, but it was sufficient and optimal for slag foaming. Conversely, biocoke with 10 wt.% wood pellets reduced foaming time, proving insufficient and limiting the continuity of the foaming. This study highlights that thermochemical properties play a significant role, but comprehensive assessment should consider multiple parameters when evaluating the suitability of unconventional carbon sources for slag foaming applications. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has had a major impact on family relationships, as several families have lost family members due to COVID-19 pandemic and become physically and emotionally estranged due to lockdown measures and critically economic periods. Our study contrasted two hypotheses: (1) family functioning changed notably before and after the COVID-19 pandemic initiation in terms of cohesion, flexibility, communication and satisfaction; (2) balanced families have a greater capacity to strictly comply with quarantine (i.e., social confinement), compared to unbalanced families. We performed an observational study comparing family functioning between two independent groups, evaluated before and during the first wave of the COVID-19 pandemic in Peru. A total of 7,980 participants were included in the study. For the first hypothesis, we found that, during the pandemic, families became more balanced in terms of cohesion (adjusted before-during mean difference or β1 = 1.4; 95% CI [1.0-1.7]) and flexibility (β2 = 2.0; 95% CI [1.6-2.4]), and families were less disengaged (β3 = â'1.9; 95% CI [â'2.3 to â'1.5]) and chaotic (β4 = â'2.9; 95% CI [â'3.3 to â'2.4]). Regarding the second hypothesis, we confirmed that families with balanced cohesion (adjusted prevalence ratio or aPR = 1.16; 95% CI [1.12-1.19) and flexibility (aPR = 1.23; 95% CI [1.18-1.27]) allowed greater compliance with quarantine restrictions; while disengaged (aPR = 0.91; 95% CI [0.88-0.93]) and chaotic families (aPR = 0.89; 95% CI [0.87-0.92]) were more likely to partially comply or not comply with the quarantine. Finally, family communication (aPR = 1.17; 95% CI [1.11-1.24]) and satisfaction (aPR = 1.18; 95% CI [1.11-1.25]) also played a role in favouring quarantine compliance. This new evidence enlightens the family systems theory while informing future interventions for improving compliance with quarantine measures in the context of social confinement. [ABSTRACT FROM AUTHOR]

Individuals and communities worldwide have been affected by COVID-19, resulting in stress and emotional instability. Families faced a massive disruption of daily routines, with increased psychological problems for both parents and children. In this cross-sectional study, we explored the emotional impact that health crises have had on Italian families, and in particular on mothers. Nine hundred and seventy-five Italian mothers of children aged 3–18 years participated in this study by completing a survey about maternal and child mental health. The mother's psychological state was assessed using the GHQ and the PSS, while the children's psychological state with the SDQ. We also collected family socio-demographic information. We conducted a path analysis through structural equation modeling on this data, with the hypothesis that socio-demographic variables and mothers' psychological state were related, as well as mothers' psychological condition and children's well-being. Our results demonstrated how, during the lockdown, mothers reported a worsening in their psychological state. Furthermore, we found that both educational level and housing type were positively associated with maternal psychological well-being, while remote working was associated with decreased well-being. Maternal mental health had a strong relationship with reported children's psychological problems. Mothers' perceived stress was related to decreased prosociality and increased hyperactivity, emotional difficulties, and behavioral problems, while mothers' general discomfort and depression were related to increased peer problems and emotional problems. This result supports helping mothers find a new balance between work, family, and children as a way to improve family functioning and well-being, as well as children's mental health and resilience. Highlights: The psychological state reported by Italian mothers worsened during the COVID-19 lockdown. Working conditions was a significant factor in determining mothers' sense of self-efficacy, with mothers working remotely at home reporting a lower level of psychological well-being. Maternal stress predicted a higher level of children's hyperactivity and conduct problems, while maternal ill-being was mostly related to children's emotional problems. Mothers' well-being was related to improvement in all the areas of children's mental health investigated through the SDQ. Supporting mothers' well-being would increase their capacity to support children during adversity such as the COVID-19 pandemic and lockdown. [ABSTRACT FROM AUTHOR]