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Negative attitudes toward offenders may hinder the rehabilitation process. The present study examines the relationship between attitudes toward sex offenders and stated acceptance of offenders and non‐offenders into various aspects of daily life. Sixty female members of the public (18–50 years old, UK residents, recruited by word of mouth and via social media) completed an attitudes towards sex offenders (ATS) scale and indicated for each of eight vignettes describing ex‐offenders and non‐offenders whether they would accept them in various situations (housing, employment, day‐to‐day activities). Results indicate that in this group of female participants, harsher attitudes toward sex offenders are associated with lower acceptance of sex offenders (around 50% less acceptance) and other offenders (around 25% less acceptance), but not non‐offenders, suggesting a tight coupling between attitudes and acceptance. The observed coupling between attitudes toward sex offenders and acceptance of offenders suggests that it will be difficult to change one without changing the other. [ABSTRACT FROM AUTHOR]

Using an experimental vignette design, the study investigates the effects of criminal records on the hiring decisions of a convenience sample of 221 human resource (HR) managers in Ghana. The HR managers were randomly assigned to read one of four vignettes depicting job seekers of different genders and criminal records: male with and without criminal record, female with and without criminal record. The evidence shows that a criminal record reduces employment opportunities for female offenders but not for their male counterparts. Additionally, HR managers are willing to offer interviews to job applicants, irrespective of their criminal records, if they expect other managers to hire ex‐convicts. The implications of these findings are discussed. [ABSTRACT FROM AUTHOR]

Emotions are omnipresent in any court of law. In this short take, I suggest applying the Articulated Thought in Simulated Situations (ATSS) paradigm as a useful addition to supplement methodologies like interviewing and observations. ATSS, which originated in social sciences to study cognitive–behavioral topics, can be easily adapted for use in legal settings because of the flexibility of the vignettes used. Based on my own experience in criminal justice, I formulate recommendations for using ATSS: to avoid participant distraction, to pretest each study and to give clear instructions to participants, and to embed research in the workflow of the legal professional. All three recommendations tap into the same strength: coming as close as possible to actual emotion work of the professional. [ABSTRACT FROM AUTHOR]

Objective: Conspiracy beliefs (CBs) can have substantial consequences on health behaviours by influencing both conventional and non‐conventional medicine uptake. They can target powerful groups (i.e. upward CBs) or powerless groups (i.e. downward CBs). Considering their repercussions in oncology, it appears useful to understand how CBs are related to the intentions to use conventional, complementary and alternative medicines (CAM). Design and Methods: This paper includes two pre‐registered online correlational studies on a general French population (Study 1 N = 248, recruited on social media Mage = 40.07, SDage = 14.78; 205 women, 41 men and 2 non‐binaries; Study 2 N = 313, recruited on social media and Prolific, Mage = 28.91, SDage = 9.60; 154 women, 149 men and 10 non‐binaries). We investigated the links between generic and chemotherapy‐related CBs and intentions to use conventional, complementary and alternative medicines. Study 2 consisted of a conceptual replication of Study 1, considering the orientation of CBs. Results: Generic CBs and chemotherapy‐related CBs appear strongly and positively correlated, negatively correlated with intentions to take conventional medicine and positively with intentions to take CAM. The link between generic CBs and medication intention is fully mediated by chemotherapy‐related CBs. When distinguished, upward CBs are a stronger predictor of chemotherapy‐related CBs than downward CBs. Conclusions: The findings suggest that intentions to use medicine are strongly associated with CBs. This has several important implications for further research and practice, notably on the presence and effects of CBs on medication behaviours in cancer patients. [ABSTRACT FROM AUTHOR]

Objective: The European League Against Rheumatism recommends that the disease activity of systemic lupus erythematosus should be stable before pregnancy because complications and disease flares increase if pregnancy occurs while disease activity is high. However, some patients have ongoing serological activity even after treatment. Herein, we investigated how physicians decide on the acceptability of pregnancy in patients showing only serological activity. Methods: A questionnaire was administered from December 2020 to January 2021. It included the characteristics of physicians, facilities, and the allowance for pregnancies of patients using vignette scenarios. Results: The questionnaire was distributed to 4946 physicians, and 9.4% responded. The median age of respondents was 46 years, and 85% were rheumatologists. Pregnancy allowance was significantly affected by the duration of the stable period and status of serological activity [duration: proportion difference 11.8 percentage points (p.p.), P < .001; mild activity: proportion difference −25.8 p.p., P < .001; high activity: proportion difference −65.6 p.p., P < .001]. For patients with high-level serological activity, 20.5% of physicians allowed pregnancy if there were no clinical symptoms for 6 months. Conclusions: Serological activity had a significant effect on the acceptability of pregnancy. However, some physicians allowed patients with serological activity alone to become pregnant. Further observational studies are required to clarify such prognoses. [ABSTRACT FROM AUTHOR]

This article explores anticolonial memory and anticolonial archiving as entry points into broader questions of time, temporality, and the politics of the present. Thinking with Egypt's project of decolonization in the mid-twentieth century, it demonstrates the varying ways in which anticolonial pasts express themselves in the present, and what this might suggest about the future. It thinks through two forms of anticolonial memory: one fleeting and fragmented, the other institutionalized and material, and asks how these different forms of memory constitute different types of anticolonial archives. Both forms of memory and practices of archiving appear in the present, albeit in vastly differing ways. The first form is a series of vignettes around Gamal Abdel Nasser and Patrice Lumumba, and the connections between them, their families, and anticolonial Egypt and anticolonial Congo during the 1950s and 1960s. The second form is the practice of economic nationalization that was a central pillar of Nasser's project in Egypt throughout the 1950s and 1960s. Through these two forms, the article demonstrates both the urgency of the past and the present in Egypt, as well as the ways in which the crisis of the anticolonial past has structured the crisis of the postcolonial present. [ABSTRACT FROM AUTHOR]

Objective: Cognitive‐behavioral therapy (CBT), which includes a decided emphasis on exposure and response/ritual prevention (ERP) and between‐session practice of treatment principles, has consistently demonstrated efficacy for the treatment of obsessive‐compulsive disorder (OCD) and is a gold standard, recommended first‐line treatment. CBT with ERP has been successfully adapted to fit the needs of autistic individuals with OCD. The present article provides a brief overview of CBT for OCD and outlines special considerations and adaptations needed when working with patients with OCD and comorbid autism, with an emphasis on the importance of between‐session homework. Method: A case vignette is presented. Results: This case study illustrates the role of homework in the exposure‐based treatment of an adult autistic individual with comorbid OCD. Conclusion: Implications of this case vignette are discussed, and recommendations are offered for clinicians working with autistic individuals with OCD, especially in regard to bolstering completion of between‐session ERP homework. [ABSTRACT FROM AUTHOR]

Given the growing concern about perpetration of violence against women (VAW) amongst young adults, this article examines how a sample (n = 27) of Irish young adults (18–24 years) construct the term VAW. Participants drew on personal experiences to describe the term and were cognisant of the gendered perpetration of domestic, psychological, and sexual violence. A group of participants, however, constructed narrow understandings of VAW that did not align with their routinized experiences of unwanted touching and sexual microaggressions. We call for initiatives to enable young adults to name and link together different forms of VAW. [ABSTRACT FROM AUTHOR]

Summary Accurate clustering of mixed data, encompassing binary, categorical, and continuous variables, is vital for effective patient stratification in clinical questionnaire analysis. To address this need, we present longmixr, a comprehensive R package providing a robust framework for clustering mixed longitudinal data using finite mixture modeling techniques. By incorporating consensus clustering, longmixr ensures reliable and stable clustering results. Moreover, the package includes a detailed vignette that facilitates cluster exploration and visualization. Availability and implementation The R package is freely available at https://cran.r-project.org/package=longmixr with detailed documentation, including a case vignette, at https://cellmapslab.github.io/longmixr/. [ABSTRACT FROM AUTHOR]

Self-Efficacy from Being-Touched What is self-efficacy? I would like to discuss this question using a clinical example. While using the case vignette, I first examine the life movements of the preverbal phase and distinguish receptivity from passivity. From an Adlerian perspective I distinguish the life movement of selfefficacy from ego activity. Being moved and touched is considered from the perspective of life phenomenology. From this philosophical perspective I study self-efficacy in the therapeutic approach of the Italian psychoanalyst Gianni Nebbiosi and develop a definition from it. The final point is a contemplation of the »Event«, a term of the philosopher John D. Caputo. [ABSTRACT FROM AUTHOR]

There are potentially multiple sources that make it difficult to compare the typical survey measure of the left-right self-placement cross-nationally. We focus on differential item functioning (DIF) due to the different use of response scales when the left-right is framed as an aggregate dimension of policies. We also examine whether and to what extent ordinary citizens' use of the scale is cross-nationally comparable. Our goal is twofold. First, we assess the cross-national comparability of the left-right self-placement scale using the anchoring vignette method used in nine European countries. Second, we propose a measure that quantifies the extent of DIF at the country level. Our original survey and other benchmark studies suggest that the size of cross-national DIF (CN-DIF) in citizens' use of a left-right scale is relatively small when the left-right concept is considered in policy terms and when a comparison is made between Western European countries. [ABSTRACT FROM AUTHOR]

Children’s learning attitudes and social emotional skills can be shaped by their family background and school experiences. This study compares 832 children aged 10–11 years old attending primary and middle schools in England and Pakistan, who completed a survey of non-cognitive skills and learning attitudes. Any comparison is cross-sectional and does not necessarily imply a causal relationship. The findings suggest that children in the sample from England were more developed than their counterpart sample in Pakistan in teamwork, social engagement, adaptability, problem solving and empathy. However, the children from Pakistan showed higher resilience and reported more happiness with general life than their counterparts in England. Policy level changes are suggested for Pakistan to give schools more mixed intakes of children and environments where they feel safe, cared for, and are fairly treated by teachers. Improving children’s resilience in academic activities can be useful for schools in England. [ABSTRACT FROM AUTHOR]

Exposure to traumatic events increases the risk for mental health problems which may remain undiagnosed and intensify over time. This study uses qualitative methods and culturally relevant vignettes describing depression, anxiety, and PTSD. Interviews with fourteen Syrian refugee women and seven resettlement service providers offer insight into their health and mental health needs and barriers to accessing and utilizing care. Recurrent responses that expressed denial, emotional avoidance and stigma were indicative of the women's traumatic experiences. Findings suggest that resettled refugee women must be provided with a context for mental health prior to engaging them in discussions regarding these needs. [ABSTRACT FROM AUTHOR]

Aims: Medical case vignettes play a crucial role in medical education, yet they often fail to authentically represent diverse patients. Moreover, these vignettes tend to oversimplify the complex relationship between patient characteristics and medical conditions, leading to biased and potentially harmful perspectives among students. Displaying aspects of patient diversity, such as ethnicity, in written cases proves challenging. Additionally, creating these cases places a significant burden on teachers in terms of labour and time. Our objective is to explore the potential of artificial intelligence (AI)‐assisted computer‐generated clinical cases to expedite case creation and enhance diversity, along with AI‐generated patient photographs for more lifelike portrayal. Methods: In this study, we employed ChatGPT (OpenAI, GPT 3.5) to develop diverse and inclusive medical case vignettes. We evaluated various approaches and identified a set of eight consecutive prompts that can be readily customized to accommodate local contexts and specific assignments. To enhance visual representation, we utilized Adobe Firefly beta for image generation. Results: Using the described prompts, we consistently generated cases for various assignments, producing sets of 30 cases at a time. We ensured the inclusion of mandatory checks and formatting, completing the process within approximately 60 min per set. Conclusions: Our approach significantly accelerated case creation and improved diversity, although prioritizing maximum diversity compromised representativeness to some extent. While the optimized prompts are easily reusable, the process itself demands computer skills not all educators possess. To address this, we aim to share all created patients as open educational resources, empowering educators to create cases independently. [ABSTRACT FROM AUTHOR]

Three links between poetry and psychoanalysis are highlighted in this paper. These refer to the presence, in the clinical hour, of (i) poetic sentiment, (ii) poetic speech, and (iii) poetic specimen. Each is elucidated in detail and with the help of socio-clinical vignettes. The aim of the paper is to demonstrate that, through the affirmative holding and partial unmasking of the instinctual-epistemic conflation in verse and free-association, both poetry and psychoanalysis seek to transform the private into shared, the hideous into elegant, and the unfathomable into accessible. [ABSTRACT FROM AUTHOR]

Seemingly benign extradyadic behaviors (e.g., buying/receiving gifts or talking on the phone) may be perceived as infidelity under certain circumstances, therefore causing distress and conflict in romantic relationships. A policy-capturing method was used to illuminate the relative role of contextual factors (secrecy, frequency of the behavior, and the victim's familiarity with the rival) in perceiving whether a mundane, everyday extradyadic act is perceived to cross the line from benign to infidelity. In two sessions, 135 participants completed individual difference measures and rated 30 different vignettes in which the extradyadic behavior (i.e., direct messaging on social media) was held constant, but levels of contextual factors varied. Participants perceived secrecy as the most important contextual factor in deciding whether a mundane extradyadic behavior constituted infidelity, followed by frequency. The victim's familiarity with the rival was deemed least important. Higher reactive jealousy predicted higher perception of the behavior as infidelity and greater anticipated emotional distress following the behavior. Implications for how couples discuss the boundaries of their relationships and understand the source of emotional distress experienced after seemingly benign extradyadic behaviors are discussed. [ABSTRACT FROM AUTHOR]

Health literacy measurement studies are important for the success of health promotion efforts targeting adolescents. However, the majority of health literacy measurement tools were originally developed for adult populations and may not be reflective of health literacy in the context of adolescence. The present study sought to co-design a health literacy questionnaire and vignettes for adolescents in Ireland aged 12–18 years. This article describes the qualitative phase of the study. In 2019–2021, eight adolescents from the Irish Heart Foundation's Youth Advisory Panel participated in two concept mapping workshops during which they defined healthy living. Results of the thematic analysis indicated that adolescents defined 'healthy living' as a life that was balanced, prioritizing mental health and sleep. According to their definition, healthy living was comprised of six main constructs, namely, knowledge; sources of quality health information; facilitators and barriers; influence of others; self-efficacy, self-management and resilience; and citizenship and communication. These constructs were used to develop vignettes and items for the Adolescent Health Literacy Questionnaire (AHLQ). These were tested on a sample of 80 adolescents to check whether the respondents understood the items and vignettes as intended. Results of the nine cognitive interviews indicated that the adolescents understood the content of the 10 vignettes and 41 items. While the vignettes and AHLQ were developed with Irish adolescents, the approaches taken can be generalized to adolescents living in other countries. This will allow for the development of tailored and relevant solutions for health literacy development and health promotion for this sub-population. [ABSTRACT FROM AUTHOR]

Objectives: To experimentally investigate whether more urgent patient presentations elicit greater compassion from health care professionals than less urgent, facilitating future research and thinking to address systemic barriers to compassion in health care. Design: This is a pre‐registered online study with an experimental, within‐subjects repeated‐measure study design. Two clinical vignettes that systematically varied the urgency of patient presentation were utilized. Both vignettes depicted a patient with difficult behaviours typically associated with lower compassion. Methods: Health care professionals (doctors, nurses and allied health practitioners) recruited from all 20 District Health Boards across Aotearoa/New Zealand completed two vignettes in a counterbalanced order. Paired‐sample t‐tests were used to test the effect of the presentation urgency on indices of compassion. Results: A total of 939 participants completed the vignettes (20% doctors, 47%, nurses and 33% allied health professionals). As expected, participants reported greater care and motivation to help the more urgent patient. However, the more urgent patient was also perceived as less difficult, and exploratory analyses showed that perceived patient difficulty was associated with lower caring and motivation to help, particularly in the less urgent patient. Conclusions: This is the first work to experimentally test the relationship between the urgency of patient presentation and compassion in health care. Although the association between urgency and difficulty is complex, our findings are consonant with evolutionary views in which urgent distress elicits greater compassion. A system‐wide orientation towards efficiency and urgency may exacerbate this 'bias' which must be addressed to ensure more equitable compassion in health care. [ABSTRACT FROM AUTHOR]

A survey was conducted to evaluate how clinicians worldwide manage scabies. The survey included different scenarios and settings, and most respondents were dermatologists. The study found that there was a wide variation in the first-line treatment proposed depending on the scenario, with oral ivermectin and permethrin 5% cream being the most popular choices. The study also highlighted the lack of consensus on treatment recommendations and the widespread use of decontamination measures, despite their questionable value. The limitations of the study included the use of a vignette-based survey and the predominantly dermatologist participants from high-income settings. Further research is needed to assess the effectiveness of different treatments and approaches in various locations and healthcare settings. [Extracted from the article]

Why do people in authoritarian countries think more positively of their governments than people in democratic countries? Existing research suggests three explanations: (1) people in authoritarian countries lie; (2) people in authoritarian countries are indoctrinated; and (3) authoritarian governments have better performance than their democratic counterparts. In this study, I explore a fourth explanation – people in authoritarian countries apply lower standards. To test it, I apply the anchoring vignettes method developed by Gary King and others to original data from China, Vietnam, Russia, Mexico, and the United States, and from the cities of Beijing and Taipei. Adding a case study of Taiwan's economic trajectory as a robustness check, I conclude that people in authoritarian countries tend to use lower standards when reporting political trust and government responsiveness, but the lower standards are likely to be caused by fast economic growth rather than authoritarianism. [ABSTRACT FROM AUTHOR]

Background: Complicated treatments for skin disease are linked to owner‐caregiver burden and poorer perception of the veterinarian–client relationship, regardless of disease severity. Hypotheses/Objectives: Using experimental vignettes, we explored the impact on owner perception of the interaction of treatment complexity and skin disease outcomes. We hypothesised that: (i) vignette conditions involving injection therapy would result in lower burden, better veterinary–client relationship and greater satisfaction relative to multimodal therapy conditions; (ii) the vignette condition of injection therapy with a completely effective outcome would be superior to all other conditions; (iii) ineffective vignette conditions would be inferior to all other conditions; and (iv) the vignette condition injection with a mostly effective outcome would be similar or superior to the multimodal therapy with a completely effective outcome condition. Participants: Three hundred and nine owners of pruritic dogs recruited from a general veterinary practice, pet‐related podcast, or social media dog allergy group. Materials and Methods: Participants were presented with six counterbalanced online vignettes representing three levels of treatment effectiveness (Completely Effective, Mostly Effective, Ineffective) and two treatment regimens (Multimodal, Injection). Measurements of participant perceptions of caregiver burden, veterinarian–client relationship and satisfaction were recorded. Results: Injection with perfect outcome was superior to other conditions (p < 0.001). Conditions with poor effectiveness were inferior (p < 0.001). Comparison of Injection with a mostly effective outcome to Multimodal treatment with perfect outcome yielded small‐to‐medium effects of preference for the latter in veterinarian–client relationship and satisfaction (p < 0.01); no difference was observed for caregiver burden. When good effectiveness was assured, injection was preferred (p < 0.001). Conclusions and Clinical Relevance: Owners preferred a Completely Effective outcome and were prepared to select the Injection regimen or Multimodal therapy to achieve this; Injection was preferred when effectiveness was assured. Background – Complicated treatments for skin disease are linked to owner‐caregiver burden and poorer perception of the veterinarian–client relationship, regardless of disease severity. Hypotheses/Objectives – Using experimental vignettes, we explored the impact on owner perception of the interaction of treatment complexity and skin disease outcomes. We hypothesised that: (i) vignette conditions involving injection therapy would result in lower burden, better veterinary–client relationship and greater satisfaction relative to multimodal therapy conditions; (ii) the vignette condition injection therapy with a completely effective outcome would be superior; (iii) ineffective vignette conditions would be inferior to all conditions; and (iv) the vignette condition injection with a mostly effective outcome would be similar or superior to the multimodal therapy with a completely effective outcome condition. Conclusions and Clinical Relevance – Owners preferred a Completely Effective outcome and were prepared to select the Injection regimen or Multimodal therapy to achieve this; Injection was preferred. [ABSTRACT FROM AUTHOR]

Realist evaluation methodology aims to understand social programmes by revealing what works, for whom, in what circumstances, and how and why. Realist evaluation starts with generating initial programme theories (IPTs), which are subsequently tested and refined systematically using a multi-methods approach. This article describes a case study of the utilisation of vignettes, or short hypothetical stories, as part of the teacher-learner cycles recommended within realist evaluation. First, we explore the methodological alignment between vignettes and realist evaluation. We then present a specific case example of the application of vignettes as a data collection tool and discuss the potential advantages and the challenges of using vignettes within realist evaluation. Finally, we offer recommendations for researchers who wish to employ vignettes as a powerful instrument that can be used to better explain IPTs to participants and, in turn, enrich their participation in theory refinement within the realist evaluation framework. [ABSTRACT FROM AUTHOR]

Purpose: To discuss the features of an artifact on optical coherence tomography angiography (OCTA), termed “pupil vignetting artifact,” and describe how it may masquerade as true chorioretinal pathology. Design: This was a retrospective, observational case series. Methods: The authors studied 12 eyes at a vitreoretinal clinic in Eastern India, reviewing a dark shadow such as an artifact on OCTA images. Results: In all 12 eyes, there was an appearance of a dark shadow on OCTA imaging, located at the macula, superior, superotemporal, or superonasal to the fovea, which did not correspond to any ischemic area responsible for flow‑void or any media opacity casting a posterior shadow. It was believed to be an artifact caused by the vignetting effect of the pupil as the incident OCT beam clips the iris during OCTA scanning, and therefore reduces the amount of total light incident on the retina. The variability in the size, shape, and location of the artifact is contributed by a few factors such as variable angle of incident light on the pupil, pupillary dynamics, and curvature of the retinal surface. Conclusion: Pupil vignetting artifact is a unique undescribed phenomenon appearing at the macula on OCTA imaging that can masquerade as numerous true chorioretinal pathologies. This article aims to describe this artifact to avoid misinterpretation and further confusion in real‑life clinical practice. [ABSTRACT FROM AUTHOR]

What happens when nation-builders in an independent state imagine themselves to have fallen behind kinfolk living under imperial oppression, and how does this affect their vision of a future of national unity? This paper explores the shapes that critical self-comparison could take among Romanians in the Kingdom of Romania around the turn of the twentieth century by considering three interconnected vignettes. First, it outlines the context in which politicized notions of mutual interdependence between the Kingdom and Transylvania allowed for comparison as self-criticism to take root and gain salience in the public sphere. It explores the implications that comparison as self-criticism had on ascribing agency and apportioning blame for causes of the disparity between state and kinfolk. Second, it examines two Transylvanian travelogues produced by major political and cultural figures on the fringes of the Romanian establishment, and, in a reflexive move, contrasts their politics of comparison. Third, it offers a grassroots perspective on how the travelogues of teachers and priests, as rank-and-file nation-builders, expressed these topoi. The article contributes to the nascent trend of considering historical comparisons in actors' own terms, and as historical processes unto themselves. [ABSTRACT FROM AUTHOR]

Previous research has pointed out that feminist humor or subversive humor against sexism is an important precursor to collective action for gender equality. This effect has been found contrasting subversive humor with neutral humor, however, to date, no study has explored the impact of the message format. Thus, we conducted two experiments to analyze the effect of exposure to a subversive humorous vignette against sexism (vs. subversive serious information against sexism and neutral humorous vignette) on involvement in collective action for gender equality, considering participants' feminist identification. In Study 1 (n = 135 men and n = 198 women), participants with lower feminist identification reported a greater proclivity toward collective action after being exposure to both a subversive humorous vignette and subversive serious vignette (vs. neutral humorous vignette). In Study 2 (n = 157 men and 188 women), we replaced the subversive serious vignette with a subversive serious discourse. The results revealed that exposure to a subversive humorous vignette (vs. subversive serious discourse and neutral humorous vignette) increased participants' collective action proclivity, but only in participants with weaker feminist identification. Both studies highlight a new pathway to motivate collective action for gender equality, as well as the potential effect of humor to promote a change in attitudes. [ABSTRACT FROM AUTHOR]

Grossmark describes enactments as arising from the patient's own unknown, unrepresented history, that remains unmarked by time or place – the patient's "unpast"- to be delivered to the analyst in enactive "untellings." This discussion extends the idea of mutual enactment suggesting that the analyst necessarily shapes and contributes to the enactment and might need to access and call forward their own unpast for transformation to occur. Using a vignette from the film Hiroshima mon amour, the necessity of introducing separation and distinction, not just companioning, is highlighted. [ABSTRACT FROM AUTHOR]

The careers of the Mayo brothers, Harvey Cushing, and Sir William Osler greatly shaped medical and surgical practice in the late 19th century and early 20th century and created a legacy to influence decades of physicians to follow. Additionally, these individuals were instrumental in the founding of neurosurgery as a distinct surgical specialty. Alongside these great men, Dr. Albert L. Rhoton Jr., revolutionized neurosurgical practice through his study of neuroanatomy and development of microsurgical technique in the second half of the 20th century. This review of the interactions and relationships between the Mayo brothers, Cushing, and Osler and their influences on Rhoton highlights the 100-year-long interconnectedness shared between these giants in the history of neurosurgery. [ABSTRACT FROM AUTHOR]

In an era where an increasing number of people find it challenging to grasp scientifically accurate environmental data, the need for more engaging museum exhibits to convey this information has never been more crucial. This article discusses Daptec Flat Holm which is a data physicalisation technology project on Flat Holm Island, Wales. Flat Holm Island is designated as a site of special scientific interest and is a local nature reserve. This project aims to understand how we might improve people's engagement with environmental data through a multi-sensory museum exhibit. To achieve this, the project team applied a new creative approach to make the presentation of environmental data more engaging to a diverse science museum audience. Employing a user-centered methodology, this study reveals insights derived from three distinct user experience investigations conducted during the summer of 2022. The main contribution lies in how the researchers have extracted the nuances from the audience reactions and then identified potential audience types, their points of engagement, as well as their challenges. In detail, the findings illustrate how the application of a vignette data analysis technique revealed distinct audience types, including passive observers, active users, engaged ambassadors, disinterested participants, critical friends, and enthusiastic collaborators. In summary, the paper offers recommendations into how we might further engage a broader audience in technology mediated environmental museum exhibitions. [ABSTRACT FROM AUTHOR]

Purpose: This qualitative study set within Northern Ireland aims to explore professional perspectives on the application of evidence-informed practice to the adult safeguarding threshold screening process. Design/methodology/approach: Data was gathered from seven social workers in one health and social care trust area, who perform the designated adult protection role, through individual semi-structured interviews in one region of Northern Ireland. The interview schedule comprised of a series of questions examining the role of the designated adult protection officer and included three vignettes (Appendix). A thematic analysis was undertaken using NVIVO software. Findings: This paper reports main findings under the themes of: the role of the designated adult protection officer, threshold decision-making, evidence-informed practice and service improvement. One of the main findings was that professionals viewed the current process as too bureaucratic, and there was a desire to engage in more preventive safeguarding in collaboration with service users. There was a need to promote awareness of evidence-informed practice as it applies to the threshold screening process. Furthermore, the study raised the question of the need to consider the application of models or methods of assessment to the threshold screening process. Originality/value: This in-depth exploration of the role of designated adult protection officers in Northern Ireland provides a valuable insight into the complexity involved in managing adult safeguarding referrals and investigations. This study adds to the existing knowledge base, identifies potential service improvements and highlights the gap in evidence-based practice as it applies to the threshold screening process. Threshold screening of adult safeguarding referrals remains a subjective process and is open to interpretation and differences in professional judgement. The study highlights the need to consider the application of quality improvement methodology to the threshold screening assessment and the need to promote the exchange of safeguarding knowledge. [ABSTRACT FROM AUTHOR]

Summary The SOHPIE   R package implements a novel functionality for "multivariable" differential co-abundance network (DN, hereafter) analyses of microbiome data. It incorporates a regression approach that adjusts for additional covariates for DN analyses. This distinguishes from previous prominent approaches in DN analyses such as MDiNE and NetCoMi which do not feature a covariate adjustment of finding taxa that are differentially connected (DC, hereafter) between individuals with different clinical and phenotypic characteristics. Availability and implementation SOHPIE with a vignette is available on CRAN repository https://CRAN.R-project.org/package=SOHPIE and published under General Public License (GPL) version 3 license. [ABSTRACT FROM AUTHOR]

This article discusses the treatment of complete rectal prolapse using the TEO platform, which is a transanal endoscopic operation. Rectal prolapse is a condition that primarily affects young men and older women, and surgical repair is often necessary for severe cases. The most common procedure is laparoscopic ventral mesh rectopexy, but perineal procedures may be more suitable for certain patients. The video vignette provides a step-by-step demonstration of the transanal minimally invasive approach using the TEO platform, which can be an alternative to other procedures. The article highlights the feasibility and potential benefits of this approach, such as avoiding abdominal entry and the use of mesh. The case study presented in the video shows successful results with no recurrence observed at an 18-month follow-up. The authors suggest that this approach could be considered in selected cases by experienced surgeons. [Extracted from the article]

This article discusses bowel preserving surgery for stricturing jejunoileal Crohn's disease, specifically focusing on the Heineke-Mikulicz strictureplasty technique. The Heineke-Mikulicz technique is a minimally invasive option for Crohn's strictures that involves opening the stricture longitudinally, closing it transversely, and suturing the enterotomy. The article provides a step-by-step video vignette demonstrating the technique. It also discusses the use of adjuncts such as stricture biopsy and marking each strictureplasty with metallic clips. The article emphasizes the importance of documenting the number and location of strictures, as well as the length of small bowel resected and left in situ. The article concludes by mentioning the postoperative recovery process and the lack of funding for the study. [Extracted from the article]

Key Points: Question: How is diagnostic accuracy impacted when clinicians are provided artificial intelligence (AI) models with image-based AI model explanations, and can explanations help clinicians when shown systematically biased AI models? Findings: In this multicenter randomized clinical vignette survey study, diagnostic accuracy significantly increased by 4.4% when clinicians reviewed a patient clinical vignette with standard AI model predictions and model explanations compared with baseline accuracy. However, accuracy significantly decreased by 11.3% when clinicians were shown systematically biased AI model predictions and model explanations did not mitigate the negative effects of such predictions. Meaning: AI model explanations did not help clinicians recognize systematically biased AI models. Importance: Artificial intelligence (AI) could support clinicians when diagnosing hospitalized patients; however, systematic bias in AI models could worsen clinician diagnostic accuracy. Recent regulatory guidance has called for AI models to include explanations to mitigate errors made by models, but the effectiveness of this strategy has not been established. Objectives: To evaluate the impact of systematically biased AI on clinician diagnostic accuracy and to determine if image-based AI model explanations can mitigate model errors. Design, Setting, and Participants: Randomized clinical vignette survey study administered between April 2022 and January 2023 across 13 US states involving hospitalist physicians, nurse practitioners, and physician assistants. Interventions: Clinicians were shown 9 clinical vignettes of patients hospitalized with acute respiratory failure, including their presenting symptoms, physical examination, laboratory results, and chest radiographs. Clinicians were then asked to determine the likelihood of pneumonia, heart failure, or chronic obstructive pulmonary disease as the underlying cause(s) of each patient's acute respiratory failure. To establish baseline diagnostic accuracy, clinicians were shown 2 vignettes without AI model input. Clinicians were then randomized to see 6 vignettes with AI model input with or without AI model explanations. Among these 6 vignettes, 3 vignettes included standard-model predictions, and 3 vignettes included systematically biased model predictions. Main Outcomes and Measures: Clinician diagnostic accuracy for pneumonia, heart failure, and chronic obstructive pulmonary disease. Results: Median participant age was 34 years (IQR, 31-39) and 241 (57.7%) were female. Four hundred fifty-seven clinicians were randomized and completed at least 1 vignette, with 231 randomized to AI model predictions without explanations, and 226 randomized to AI model predictions with explanations. Clinicians' baseline diagnostic accuracy was 73.0% (95% CI, 68.3% to 77.8%) for the 3 diagnoses. When shown a standard AI model without explanations, clinician accuracy increased over baseline by 2.9 percentage points (95% CI, 0.5 to 5.2) and by 4.4 percentage points (95% CI, 2.0 to 6.9) when clinicians were also shown AI model explanations. Systematically biased AI model predictions decreased clinician accuracy by 11.3 percentage points (95% CI, 7.2 to 15.5) compared with baseline and providing biased AI model predictions with explanations decreased clinician accuracy by 9.1 percentage points (95% CI, 4.9 to 13.2) compared with baseline, representing a nonsignificant improvement of 2.3 percentage points (95% CI, −2.7 to 7.2) compared with the systematically biased AI model. Conclusions and Relevance: Although standard AI models improve diagnostic accuracy, systematically biased AI models reduced diagnostic accuracy, and commonly used image-based AI model explanations did not mitigate this harmful effect. Trial Registration: ClinicalTrials.gov Identifier: NCT06098950 This randomized clinical vignette study examines whether providing AI explanations to biased AI models enhances clinician diagnostic accuracy. [ABSTRACT FROM AUTHOR]

Background: Studying clinician-patient communication can be challenging, particularly when research seeks to explore cause-and-effect relationships. Video vignettes – hypothetical yet realistic scenarios – offer advantages to traditional observational approaches by enabling standardisation and manipulation of a clinician-patient encounter for assessment by participants. While published guidelines outline stages to create valid video vignette studies, constructing high quality vignettes which are accessible to a wide range of participants and feasible to produce within time and budget restraints remains challenging. Here, we outline our methods in creating valid video vignettes to study the communication of diagnostic uncertainty. We aim to provide practically useful recommendations for future researchers, and to prompt further reflection on accessibility issues in video vignette methodology. Methods: We produced four video vignettes for use in an online study examining the communication of diagnostic uncertainty. We followed established guidelines for vignette production, with specific consideration of how these might be applied pragmatically to save time and resources. Scripts were pilot-tested with 15 laypeople, and videos with 14 laypeople; pilot-testing involved both quantitative and qualitative analysis. Results and discussion: We demonstrate the usefulness of existing guidelines, while also determining that vignette production need not necessarily be expensive or time-consuming to be valid. Our vignettes were filmed using an iPhone camera, and featured a physician rather than a professional actor; nonetheless, pilot-testing found them to be internally and externally valid for experimental use. We thus propose that if care is taken in initial script development and if pragmatic choices are made regarding filming techniques and pilot-testing, researchers can produce valid vignettes within reasonable time and budget restraints. We also suggest that existing research fails to critically examine the potential benefits and harms of online video vignette methodology, and propose that further research should consider how it can be adapted to be inclusive of those from underserved backgrounds. Conclusions: Researchers creating video vignette studies can adapt the video vignette development process to suit time and budget constraints, and to make best use of available technology. Online methods may be harnessed to increase participant accessibility, but future research should explore more inclusive vignette design. [ABSTRACT FROM AUTHOR]

Purpose: To discuss the features of an artifact on optical coherence tomography angiography (OCTA), termed "pupil vignetting artifact," and describe how it may masquerade as true chorioretinal pathology. Design: This was a retrospective, observational case series. Methods: The authors studied 12 eyes at a vitreoretinal clinic in Eastern India, reviewing a dark shadow such as an artifact on OCTA images. Results: In all 12 eyes, there was an appearance of a dark shadow on OCTA imaging, located at the macula, superior, superotemporal, or superonasal to the fovea, which did not correspond to any ischemic area responsible for flow-void or any media opacity casting a posterior shadow. It was believed to be an artifact caused by the vignetting effect of the pupil as the incident OCT beam clips the iris during OCTA scanning, and therefore reduces the amount of total light incident on the retina. The variability in the size, shape, and location of the artifact is contributed by a few factors such as variable angle of incident light on the pupil, pupillary dynamics, and curvature of the retinal surface. Conclusion: Pupil vignetting artifact is a unique undescribed phenomenon appearing at the macula on OCTA imaging that can masquerade as numerous true chorioretinal pathologies. This article aims to describe this artifact to avoid misinterpretation and further confusion in real-life clinical practice. [ABSTRACT FROM AUTHOR]

Women and racially minoritized college students report frequent experiences of being targets of gender and race-based microaggressions in the classroom context. However, while much research has focused on reports of experiences by targets, less is known about how observers would evaluate and make sense of these microaggressive experiences. Thus the present study used vignettes based on real-life situations to ascertain how 272 college students (76% White, 52% ciswomen) in the United States interpreted gender-based and intersectional microaggressions occurring in the classroom. Thematic analysis revealed that microaggressions were deemed acceptable when participants believed: (1) the situation humorous, (2) the instructor did not cause the situation, or (3) the stereotype/statement to be true. Microaggressions were evaluated negatively when: (1) the topic was deemed sensitive, (2) the classroom was perceived as unsuitable, or the instructor was seen as: (3) making students uncomfortable, (4) being defensive, or (5) teaching misinformation. The findings highlight the complexity involved in observers evaluating and interpreting gender-based and intersectional microaggressions. [ABSTRACT FROM AUTHOR]

In this thought-provoking exploration, the author examines Grotstein's seminal work, "The Seventh Servant: The Implications of a Truth Drive in Bion's Theory of 'O'" (2004), and its relevance to the psychoanalytic concepts of truth and lies. Drawing on Bion's K-link and Klein's epistemophilia, the paper argues that Grotstein's concept of a "truth drive" is part of a transformative paradigmatic shift in psychoanalysis, emphasizing a focus on ontology and the process of being with the analysand. The commitment to truth in psychoanalytic practice demands ongoing examination, open-mindedness, and a willingness to embrace bodily sensations, proto-emotions, and new thoughts. Grotstein proposes that the truth drive is a universal human force that compels individuals towards emotional growth and explains why analysands can accept the analyst's interpretation of painful psychical realities. The intersection between curiosity and evolving 'O' exceeds epistemophilia, bridging knowledge and the unknown for optimal truth-seeking. The paper briefly explores the connections between Heidegger's "Dasein," "Aletheia," and Foucault's "Parrhesia," further supporting Grotstein's discovery. Additionally, it addresses the challenge of distinguishing healthy truth pursuit from pathological manifestations and presents a captivating clinical vignette illustrating Grotstein's response to this question. Finally, the paper delves into Bion's puzzling observation that all thoughts as ordinarily known are lies, augmenting the notion of universal emotional truth and its complexities in the clinical context. [ABSTRACT FROM AUTHOR]

The paper develops a critical evaluation of sociocultural positivism by contrasting it with universal positivism, on the one hand, and with unique authorial dialogism, stemming from Bakhtin's dialogical framework, on the other hand. I will bring three research vignettes to make my analysis more grounded: on universal positivism, on sociocultural positivism, and on authorial ethical dialogism. Sociocultural positivism is not rebuked or rejected, but rather it must be limited in search for the boundary of its legitimate use and existence. A complementary framework based on Bakhtin's philosophical framework of dialogism that would deepen sociocultural positivism is proposed. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine factors important to older adults who agreed with a deprescribing recommendation given by a general practitioner (GP) to a hypothetical patient experiencing polypharmacy. We conducted an online, vignette‐based, experimental study in the United Kingdom, United States and Australia with participants ≥65 years. The primary outcome was an agreement with a deprescribing recommendation (6‐point Likert scale; 1 = strongly disagree and 6 = strongly agree). We performed a content analysis of the free‐text reasons provided by participants who agreed with deprescribing (score of 5 or 6). Among 2656 participants who agreed with deprescribing, approximately 53.7% shared a preference for following the GP's recommendation or considered the GP the expert. The medication was referred to as a reason for deprescribing by 35.6% of participants. Less common themes included personal experience with medicine (4.3%) and older age (4.0%). Older adults who agreed with deprescribing in a hypothetical vignette most frequently reported a desire to follow the recommendations given the GP's expertise. Future research should be conducted to help clinicians efficiently identify patients who have a strong desire to follow the doctor's recommendations related to deprescribing, as this may allow for a tailored, brief deprescribing conversation. [ABSTRACT FROM AUTHOR]

Educated individuals are believed to be more tolerant towards ethnic minorities—a finding widely inferred from standard survey items. We propose a new approach that helps mitigate the risk of socially desirability bias (SDB), using a multifactorial survey experiment with name-based vignette dimensions. The experiment is strategically inserted into a question about a social dilemma not related to ethnicity. By embedding our experiment into an established survey—the Swedish part of the European Values Survey—we show that individuals with a high level of education are more tolerant towards ethnic minorities, even under a lower risk of SDB. The study strengthens findings in prior research and supports the hypothesis that education can further ethnic tolerance. [ABSTRACT FROM AUTHOR]

The innovative use of vignettes in quantitative surveys offers a novel means of assessing attitudes, capturing individuals' responses across diverse life domains to measure voice and agency more directly. Utilizing the use of scales and vignette-based inquiries, this study explores voice and agency on making marital decisions among 458 adolescents in India and Nepal. Regression analysis revealed that higher voice and agency scores correlated significantly with reduced odds of endorsing early marriage and increased support for continued education post-marriage. In vignette scenarios, greater voice and agency scores were linked to advocating against early sibling marriage and making independent choices for their own futures. These findings highlight that improved self-perception of agency empowers adolescents to assert independent decisions. Utilizing vignettes proved beneficial in this context as they enabled adolescents to understand community norms through storytelling, offering insights into their likely behaviour in specific situations, rather than drawing on abstract concepts. [ABSTRACT FROM AUTHOR]

Background: In tethered cord syndrome due to filum terminale pathology, the surgical approach to achieve detethering of the spinal cord may vary. Traditionally, sectioning the filum through a laminectomy at the lumbosacral level is performed. Method: A microsurgical technique at a higher level to approach the filum below the conus tip is performed. This allows for removal of the entire distal portion of the filum through a limited interlaminar approach and dural opening. Conclusion: We propose a technique to transect the filum terminale below the conus tip and extract the distal filum by releasing it from its intradural attachments to minimize any remnants of the filum terminale. [ABSTRACT FROM AUTHOR]

This essay discusses the initial period of work in a clinical case undertaken by a first‐year psychological therapies trainee. It describes the challenges of beginning such work in tragic circumstances, how the therapist and the institution managed that, and the emergence of creative possibilities alongside painful and deadening experiences. Developmental implications for the child are reflected on, as the themes of the work and the therapeutic relationship are described and illustrated with vignettes. The value of the psychological therapist's observant thoughtful presence, and naming and containing the child's emotional experiences is noted, and alongside a supportive network, considered to facilitate a more creative engagement with life for this young child. [ABSTRACT FROM AUTHOR]

This paper explores how the process of learning to harness one's creativity in analytic listening can be analogous to the process of learning to do so in painting. It draws on clinical work with one client divided into two vignettes. The first describes the author's attempts to listen analytically by paying attention to form and content; narrative structure and use of language; and by paying attention to transference and countertransference communications. The second vignette explores what happened between therapist and client as the author had grown sufficiently confident to respond more intuitively to her client's communications. It describes how the process of becoming sufficiently familiar with theory was, paradoxically, what enabled her to respond to unconscious communications more loosely and creatively in the analytic encounter. It then explores what happened when she communicated this back to the client. The paper also describes how, as a result of the training and personal therapy, a parallel process of learning to let go and play was unfolding in the author's experience of painting. It concludes that learning to harness creativity in the therapeutic encounter can have an unexpected and welcome impact on the therapist's own artistic endeavours. [ABSTRACT FROM AUTHOR]

Due to the limitation of the number of sensor pixels, optical splicing is commonly used to improve the imaging width of remote sensing satellites, and this optical stitching can cause vignetting in the image data of adjacent sensors. The weak energy, low signal-to-noise ratio, and poor response stability of vignetting are key factors that restrict the relative radiometric correction of optical splicing remote satellites. This paper proposes a stability analysis method and a relative radiometric correction method for vignetting. First, we analyzed the stability of the response and the noise impact of vignetting. Massive data from the Jilin-1 GF03D satellites was used to analyze the stability of the response using the vignetting stability analysis method. Secondly, the data on the deep sea during nighttime (DDSN) of Jilin-1 GF03D satellites was used to obtain the characteristics of the sensors' noise. Thirdly, by building a noise drift model, we calculated the coefficient of the noise drift according to its characteristics. Using the coefficient to eliminate the noise drift of each pixel in vignetting can improve the response stability of vignetting. The average response stability increased by 37.64% by this method. Finally, the automatic relative radiometric correction method was completed through histogram matching. Furthermore, we proposed color aberration metrics (CAMs) to evaluate the multi-spectral images after relative radiometric correction, and massive data from the 16 satellites of Jilin-1 GF03D was used to verify the effectiveness and generality. The experimental results show that the average CAM of the images increased by 15.97% using the proposed method compared to the traditional method. [ABSTRACT FROM AUTHOR]

The pterional craniotomy is a workhorse of cranial surgery that provides access to the anterior and middle fossae. However, newer "keyhole" approaches, such as the micropterional or pterional keyhole craniotomy (PKC) can offer similar exposure for many pathologies while reducing surgical morbidity. The PKC is associated with shorter hospitalizations, reduced operative time, and superior cosmetic outcomes. Furthermore, it represents an ongoing trend toward smaller craniotomy size for elective cranial procedures. In this historical vignette, we trace the history of the PKC from its origins to its current role in the neurosurgeon's armamentarium. [ABSTRACT FROM AUTHOR]

This article discusses the use of the da Vinci SP (dVSP) robot in transanal excision of rectal lesions. The dVSP platform allows surgeons to control three instruments and an endoscope through a single port, providing greater precision and flexibility. The article describes two cases where rectal lesions were successfully excised using the dVSP platform. The authors believe that the dVSP platform has the potential to enhance the resection of rectal lesions, but further research is needed to understand the risks and benefits of this technique. [Extracted from the article]

BACKGROUND: Several public interventions have been designed in recent years to urge the intake of vitamin D supplements among the senior population to avoid the direct and indirect consequences associated with vitamin D deficiency. However, the effectiveness of these public campaigns remains quite limited. In an online survey, the current study investigates attitudes towards vitamin D supplements intake and associated behaviours in a representative sample of Danish senior citizens (N = 554) – that is, individuals aged 55 years and above. RESULTS: Approximately half of the sample reported taking vitamin D supplements in the preceding year. Furthermore, being male and having a positive perception of individuals' own health status increased the probability of being a non‐user. Increasing confidence in the information provided by health authorities (such as medical doctors and pharmacies) is particularly critical for enhancing the likelihood of non‐users to purchase vitamin D supplements. However, also encouraging the uptake of vitamin D supplements in specialized supermarkets with stands and promotions seems an appealing and practical solution to increase seniors' uptake of vitamin D supplements. CONCLUSIONS: The present study outlines the characteristics of senior Danish non‐users of vitamin D supplements. Additionally, the research provides information on the strategies that could be applied by public organizations to foster vitamin D supplements intake among this target segment of the population. © 2023 The Authors. Journal of The Science of Food and Agriculture published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry. [ABSTRACT FROM AUTHOR]

Part-work is a skill through which an individual performs and maintains one musical part while another part is performed at the same time. Rich and varied part-work experiences feature prominently in the musical lives of children. Despite this, elementary general music teachers often frame part-work as a skill needed in the short term to perform specific concert repertoire or as a skill needed in preparation for future participation in choirs, bands, and orchestras. In this article, three vignettes involving part-work in general music are juxtaposed with vignettes involving part-work beyond school settings. These narratives are offered in an effort to reframe part-work pedagogy as a means of enabling personally meaningful engagements with and through music. Practical considerations of this reframing are explored using Georgia Newlin's teaching sequences for part-singing development as a foundation. [ABSTRACT FROM AUTHOR]

To develop an equity‐centered orientation in teacher education programs, it is essential teacher educators recognize what prospective teachers attend to in classroom events and how they relate these events to mathematics instruction. In this study, we conceptualize the Equity Noticing Framework and use it as an analytic tool to examine what prospective teachers notice in a classroom vignette focused on cultural and racial biases. The Equity Noticing Framework focuses on understanding what prospective teachers recognize—or overlook—as bias, oppression, and privilege that permeate educational systems, analyze those events that contribute to inequities, and support prospective teachers in becoming change agents who implement strategies that can eradicate systemic barriers. The results from this study reinforce the importance of devoting time to supporting prospective teachers to become more cognizant of their own beliefs about equity and equitable mathematical practices and providing opportunities to analyze these beliefs through research‐proven attitudes and practices. [ABSTRACT FROM AUTHOR]