1
|
MacPherson SE, Gilmour VAW. The influence of interruptions and planning on serial everyday multitasking in older adults. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn 2024; 31:496-523. [PMID: 37184382 DOI: 10.1080/13825585.2023.2210814] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 05/02/2023] [Indexed: 05/16/2023]
Abstract
Cognitive aging research has studied the influence of healthy aging on the ability to multitask. Yet, little is known about the factors that might improve or impair serial multitasking performance in older adults. Three experiments involving younger and older adults assessed the impact of interruptions and planning on a prop-based test of multitasking. In Experiment 1, 26 younger adults and 25 older adults' multitasking abilities were assessed; older adults performed significantly more poorly than younger adults. In Experiment 2, 19 younger and 22 older adults were randomly allocated to a group who experienced a one minute unexpected interruption while multitasking or a group with no interruption. The results showed that, when there was an interruption, the age difference disappeared. In Experiment 3, 32 younger and 30 older adults were randomly allocated to a group who were given 3 minutes to write an outline describing how they intended to approach the multitasking task, and another group who were given 3 minutes to label pictures of everyday objects prior to multitasking. Again, when participants were encouraged to plan, no age difference was found. These results highlight the advantage that interruptions and planning might have on serial everyday multitasking performance in older adults.
Collapse
Affiliation(s)
- Sarah E MacPherson
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh, Edinburgh, UK
| | - Vairi A W Gilmour
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh, Edinburgh, UK
| |
Collapse
|
2
|
Muschialli L, Coduri-Fulford S, Garbett Z, Connolly DJ. Twelve tips for LGBT+-inclusive undergraduate and postgraduate medical education. Med Teach 2024:1-7. [PMID: 38652880 DOI: 10.1080/0142159x.2024.2344617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 04/15/2024] [Indexed: 04/25/2024]
Abstract
Sexual and gender minority (LGBT+) populations continue to experience worse health outcomes and reduced healthcare access compared to their cisgender, heterosexual counterparts, perpetuated by a lack of sufficient LGBT+-specific healthcare education within medical schools. Developing educational material that encourages self-reflective, proactive, and affirmative practice has been identified as a mechanism for increasing the quality of doctor-patient relationships and breaking down barriers in healthcare access for LGBT + communities. In this article, we provide twelve tips for those designing and delivering undergraduate and postgraduate medical curricula. We summarise evidence-based approaches to inclusive care, key overarching concepts that curricula should include and common issues to be avoided. We hope these tips provide a standard against which existing curricula and teaching practices can be appraised and form the basis of future educational material.
Collapse
Affiliation(s)
- Luke Muschialli
- University of Cambridge, Cambridge, United Kingdom
- UCL Medical School, UCL, London, United Kingdom
| | | | - Zoë Garbett
- North Central London Integrated Care Board, London, United Kingdom
| | - Dean J Connolly
- Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
| |
Collapse
|
3
|
Buck O, Found T, Weldon R, Lim LW, Aquili L. Dietary tyrosine consumption modulates the effects of tDCS, but not tRNS, on planning behaviour. Brain Stimul 2024:S1935-861X(24)00072-X. [PMID: 38648971 DOI: 10.1016/j.brs.2024.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 04/18/2024] [Accepted: 04/19/2024] [Indexed: 04/25/2024] Open
Affiliation(s)
- Oliver Buck
- College of Health and Education, School of Psychology, Murdoch University, Perth, Australia
| | - Tenielle Found
- College of Health and Education, School of Psychology, Murdoch University, Perth, Australia
| | - Rachel Weldon
- College of Health and Education, School of Psychology, Murdoch University, Perth, Australia
| | - Lee Wei Lim
- School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China
| | - Luca Aquili
- College of Health and Education, School of Psychology, Murdoch University, Perth, Australia; School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, SAR, China.
| |
Collapse
|
4
|
Bradford CPJ, O'Malley CL, Moore HJ, Gray N, Townshend TG, Chang M, Mathews C, Lake AA. 'Acceleration' of the food delivery marketplace: Perspectives of local authority professionals in the North-East of England on temporary COVID regulations. NUTR BULL 2024. [PMID: 38605430 DOI: 10.1111/nbu.12672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 02/28/2024] [Accepted: 03/25/2024] [Indexed: 04/13/2024]
Abstract
In January 2021, we assessed the implications of temporary regulations in the United Kingdom allowing pubs and restaurants to operate on a takeaway basis without instigating a change of use. Local authorities (LAs) across the North-East of England were unaware of any data regarding the take-up of these regulations, partially due to ongoing capacity issues; participants also raised health concerns around takeaway use increasing significantly. One year on, we repeated the study aiming to understand the impact of these regulations on the policy and practice of key professional groups. Specifically, we wanted to understand if LAs were still struggling with staff capacity to address the regulations, whether professionals still had public health trepidations, and if any unexpected changes had occurred across the local food environment because of the pandemic. We conversed with 16 public health professionals, planners and environmental health officers across seven LAs throughout the North-East of England via focus groups and interviews. Data collated were analysed via an inductive and semantic, reflexive-thematic approach. Through analysis of the data, three themes were generated and are discussed throughout: popular online delivery services as a mediator to increased takeaway usage; potential long-term health implications and challenges; continued uncertainty regarding the temporary regulations. This paper highlights important changes to local food environments, which public health professionals should be aware of, so they are better equipped to tackle health inequalities across urban and sub-urban areas.
Collapse
Affiliation(s)
- Callum P J Bradford
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Claire L O'Malley
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Helen J Moore
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UK
| | - Nick Gray
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UK
| | - Tim G Townshend
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- School of Architecture, Planning & Landscape, Newcastle University, Newcastle upon Tyne, UK
| | - Michael Chang
- Department of Health and Social Care, Office for Health Improvement and Disparities, London, UK
| | - Claire Mathews
- Department of Health and Social Care, Office for Health Improvement and Disparities, London, UK
| | - Amelia A Lake
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| |
Collapse
|
5
|
Meng Y, Zhu T, Chen W, Zhou H, Tao L, Wang X, Li M, Zhang X, Wang D, Wu X, Luo S, Hu C. Understanding physical exercise among individuals with substance use disorders using an integrated theoretical perspective of the health action process approach and theory of planned behavior. Front Psychol 2024; 15:1377430. [PMID: 38659689 PMCID: PMC11041632 DOI: 10.3389/fpsyg.2024.1377430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 03/22/2024] [Indexed: 04/26/2024] Open
Abstract
Introduction Physical exercise is considered a useful non-pharmacological adjunctive treatment for promoting recovery from substance use disorders (SUD). However, adherence to physical exercise treatments is low, and little is known about what factors are associated with the initiation and maintenance of physical exercise behaviors. The aim of this study was to explore the psychosocial factors underlying these behaviors in individuals with SUD using an integrated theoretical model based on the health action process approach (HAPA) and the theory of planned behavior (TPB). Methods A total of 1,197 individuals with SUDs (aged 37.20 ± 8.62 years) were recruited from 10 compulsory isolation drug rehabilitation centers in Zhejiang Province via convenience sampling according to a set of inclusion criteria. Self-reported data were collected to assess task self-efficacy (TSE), maintenance self-efficacy (MSE), recovery self-efficacy (RSE), outcome expectations (OE), action planning (AP), coping planning (CP), social support (SS), subjective norms (SN), attitude behavior (AB), behavioral intention (BI), perceived behavioral control (PBC), risk perception (RP), exercise stage, and exercise behavior in this integrated model. ANOVA and structural equation modeling (SEM) were used to evaluate this model. Results One-way ANOVA revealed that the majority of the moderating variables were significantly different in the exercise phase. Further SEM showed that the model fit the data and revealed several important relationships. TSE, RP, SS, AB, and SN were indirectly associated with physical exercise behavior in individuals with SUD through the BI in the SUD initiation stage. In addition, PBC was directly related to physical exercise behavior in individuals with SUD. In the maintenance stage, MSE, AP, CP and exercise behavior were significantly related. Moreover, AP and CP were mediators of BI and MSE. Conclusion This study is the first attempt to integrate patterns of physical exercise behavior in individuals with SUD. The HAPA-TPB integration model provides a useful framework for identifying determinants of physical exercise behavioral intentions and behaviors in individuals with SUD and for explaining and predicting the initiation and maintenance of physical exercise behaviors in these individuals. Moreover, the model provides scientific guidance for the enhancement of physical exercise adherence in individuals with SUD.
Collapse
Affiliation(s)
- Yong Meng
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
- Legal Department, Zhejiang Drug Rehabilitation Administration, Hangzhou, China
| | - Ting Zhu
- Mental Health and Guidance Center, Ningbo University, Ningbo, China
| | - Wei Chen
- School of Education, Tianjin University, Tianjin, China
| | - Hongjie Zhou
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Lanping Tao
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Xiaoteng Wang
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Mengya Li
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Xiaofang Zhang
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Dongshi Wang
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Xingyue Wu
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Shaochen Luo
- Faculty of Sports Science, Ningbo University, Ningbo, Zhejiang, China
| | - Cheng Hu
- Shiliping Compulsory Isolated Detoxification Center, Quzhou, China
| |
Collapse
|
6
|
Anderson‐Kittow R, Keagan‐Bull R, Giles J, Tuffrey‐Wijne I. Co-designing resources to support older people with intellectual disabilities and their families plan for parental death and transitions in care. Health Expect 2024; 27:e14000. [PMID: 38432852 PMCID: PMC10909614 DOI: 10.1111/hex.14000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 12/09/2023] [Accepted: 02/13/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND Older people with intellectual disabilities and their families report a lack of support for planning for parental death and transitions in care. This article aims to demonstrate the process of co-designing resources to support older people with intellectual disabilities and their families to plan for the future. METHODS Following interviews and focus groups with older people with intellectual disabilities and their families, we used an adapted experience-based co-design process to develop planning ahead resources. This included a 'trigger film' summarising findings from the earlier interview study, 12 co-design workshops and a user feedback phase. RESULTS The co-design group developed a set of 102 'Planning Ahead Cards' to help families to talk about the future and prepare for meetings with social care professionals. The group made decisions about the content, format and design of resources, and how co-design workshops would run. The user feedback phase led to changes to the cards, and families and stakeholder groups suggested that they would be useful for planning ahead. CONCLUSION The Planning Ahead Cards may facilitate planning for parental death and transitions in care for older people with intellectual disabilities and their families. The co-design approach was key to ensuring that the resources were useful and accessible for families. PATIENT OR PUBLIC CONTRIBUTION People with intellectual disabilities and their families contributed to the design of the resources through the co-design workshops and feedback phase. The research team includes a research assistant with intellectual disabilities who co-facilitated co-design workshops and co-authored this article.
Collapse
Affiliation(s)
- Rebecca Anderson‐Kittow
- Faculty of Health, Science, Social Care and Education, School of NursingKingston UniversityKingston upon ThamesUK
| | - Richard Keagan‐Bull
- Faculty of Health, Science, Social Care and Education, School of NursingKingston UniversityKingston upon ThamesUK
| | - Jo Giles
- Faculty of Health, Science, Social Care and Education, School of NursingKingston UniversityKingston upon ThamesUK
| | - Irene Tuffrey‐Wijne
- Faculty of Health, Science, Social Care and Education, School of NursingKingston UniversityKingston upon ThamesUK
| |
Collapse
|
7
|
Shierlaw E, Penfold M, Crain R, Santos AM, Penfold SN. Dosimetric comparison of gantry and horizontal fixed-beam proton therapy treatment plans for base of skull chordoma. J Med Radiat Sci 2024; 71 Suppl 2:19-26. [PMID: 38037893 PMCID: PMC11011589 DOI: 10.1002/jmrs.742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 11/10/2023] [Indexed: 12/02/2023] Open
Abstract
INTRODUCTION Australia's first proton beam therapy (PBT) centre will house a fixed-beam room and two gantry rooms. As the only PBT facility in Australia for at least the short term, there is a need to efficiently allocate treatment appointments between the gantry and fixed-beam rooms. This planning study assesses the dosimetric differences between fixed-beam and gantry-based treatment plans for base of skull chordoma, one of the core indications likely to be referred for PBT in Australia. METHODS Retrospective gantry-based and fixed-beam treatment plans were generated for five patients with base of skull chordoma. Fixed-beam plans were generated with a conventional horizontal patient positioning system. Robust intensity modulated proton therapy (IMPT) optimisation and evaluation techniques were used for both delivery systems. Plans were designed to maximise target coverage while adhering to maximum dose constraints to neighbouring critical organs at risk. RESULTS Robust target coverage and integral dose were found to be approximately equivalent for the gantry-based and fixed-beam plans. Doses to specific organs at risk could be reduced with the gantry-based geometry; however, the gantry-based plans did not exhibit a general decrease in doses to organs at risk. CONCLUSION A fixed-beam treatment plan was found to be non-inferior to a gantry-based treatment plan for all base of skull patients included in the current study.
Collapse
Affiliation(s)
- Emma Shierlaw
- Australian Bragg Centre for Proton Therapy and ResearchAdelaideSouth AustraliaAustralia
- Radiation OncologyCentral Adelaide Local Health NetworkAdelaideSouth AustraliaAustralia
| | - Melanie Penfold
- Australian Bragg Centre for Proton Therapy and ResearchAdelaideSouth AustraliaAustralia
| | - Rosanna Crain
- Australian Bragg Centre for Proton Therapy and ResearchAdelaideSouth AustraliaAustralia
- Radiation OncologyCentral Adelaide Local Health NetworkAdelaideSouth AustraliaAustralia
| | - Alexandre M.C. Santos
- Australian Bragg Centre for Proton Therapy and ResearchAdelaideSouth AustraliaAustralia
- Radiation OncologyCentral Adelaide Local Health NetworkAdelaideSouth AustraliaAustralia
- Department of PhysicsUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - Scott N. Penfold
- Australian Bragg Centre for Proton Therapy and ResearchAdelaideSouth AustraliaAustralia
- Department of PhysicsUniversity of AdelaideAdelaideSouth AustraliaAustralia
| |
Collapse
|
8
|
Bischofreiter M, Sacan E, Gattringer M, Gruber MS, Breulmann FL, Kindermann H, Heuberer P, Mattiassich G, Ortmaier R. The Value of Computed Tomography-Based Planning in Shoulder Arthroplasty Compared to Intra-/Interobserver Reliability of X-ray Planning. J Clin Med 2024; 13:2022. [PMID: 38610787 PMCID: PMC11012767 DOI: 10.3390/jcm13072022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 03/24/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
Background: Reversed total shoulder arthroplasty (RTSA) is an established surgery for many pathologies of the shoulder and the demand continues to rise with an aging population. Preoperative planning is mandatory to support the surgeon's understanding of the patient's individual anatomy and, therefore, is crucial for the patient's outcome. Methods: In this observational study, we identified 30 patients who underwent RTSA with two- and three-dimensional preoperative planning. Each patient underwent new two-dimensional planning from a medical student and an orthopedic resident as well as through a mid-volume and high-volume shoulder surgeon, which was repeated after a minimum of 4 weeks. The intra- and interobserver reliability was then analyzed and compared to the 3D planning and the implanted prosthesis. The evaluated parameters were the size of the pegged glenoid baseplate, glenosphere, and humeral short stem. Results: The inter-rater reliability showed higher deviations in all four raters compared to the 3D planning of the base plate, glenosphere, and shaft. The intra-rater reliability showed a better correlation in more experienced raters, especially in the planning of the shaft. Conclusions: Our study shows that 3D planning is more accurate than traditional planning on plain X-rays, despite experienced shoulder surgeons showing better results in 2D planning than inexperienced ones.
Collapse
Affiliation(s)
- Martin Bischofreiter
- Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
- Department of Orthopedic and Trauma Surgery, Clinic Diakonissen Schladming, 8970 Schladming, Austria
| | - Edanur Sacan
- Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
| | - Michael Gattringer
- Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
| | - Michael S. Gruber
- Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
| | - Franziska L. Breulmann
- Department of Orthopedic Sports Medicine, Klinikum Rechts der Isar, Technical University of Munich, 81675 Munich, Germany
| | - Harald Kindermann
- Department of Marketing and Electronic Business, University of Applied Sciences Upper Austria, 4400 Steyr, Austria
| | | | - Georg Mattiassich
- Department of Orthopedic and Trauma Surgery, Clinic Diakonissen Schladming, 8970 Schladming, Austria
| | - Reinhold Ortmaier
- Department of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
| |
Collapse
|
9
|
de Souza IS, de Paiva FT, Pereira RCDFG, Shimocomaqui GB, da Paz ACP, Paresque MAC, Eshriqui I. Characterization of teaching-learning tutors in public health services and topics of interest for their work. Rev Esc Enferm USP 2024; 58:e20230268. [PMID: 38558024 PMCID: PMC10983846 DOI: 10.1590/1980-220x-reeusp-2023-0268en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 01/17/2024] [Indexed: 04/04/2024] Open
Abstract
OBJECTIVE To describe the profile of teaching-learning tutors in public health services and investigate which topics are of greatest interest in development spaces for these actors. METHOD Cross-sectional study. Eligible tutors of Health Care Planning. Data collection using an electronic questionnaire composed of closed questions on sociodemographic characteristics, training and performance. Chi-square test used to compare proportions according to tutor typologies. RESULTS A total of 614 tutors worked in Brazil's five geographic regions, the majority in primary care (82%), followed by state/regional work (13%) and specialized outpatient care (5%). The majority reported being female, of brown skin color, from the nursing field, having worked as a tutor for less than a year, and with no previous experience in preceptorship or similar. The most important topics were Health Care Networks, risk stratification for chronic conditions and the functions of specialized outpatient care. CONCLUSION The predominance of certain characteristics among tutors was identified, with differences between the types of work. The findings can support managers in the process of selecting and developing tutors in Health Care Planning.
Collapse
Affiliation(s)
- Isadora Siqueira de Souza
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| | - Francisco Timbó de Paiva
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| | | | - Guilherme Barbosa Shimocomaqui
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| | - Ana Cláudia Pereira da Paz
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| | - Marcio Anderson Cardozo Paresque
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| | - Ilana Eshriqui
- Hospital Israelita Albert Einstein, Centro de Estudos Pesquisa e Prática em Atenção Primária à Saúde e Redes, São Paulo, SP, Brazil
| |
Collapse
|
10
|
Pumar-Méndez MJ, Lopez-Dicastillo O, Hernantes N, Antón-Solanas I, Zabaleta-Del-Olmo E, Rodríguez-Roca B, Subirón-Valera AB, Juvinyà-Canal D, Mujika A. Mapping health promotion practices across key sectors and its intersectoral approach at the local level: Study protocol. J Adv Nurs 2024. [PMID: 38523570 DOI: 10.1111/jan.16147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Revised: 02/23/2024] [Accepted: 03/02/2024] [Indexed: 03/26/2024]
Abstract
AIMS This study outlines a protocol aimed at identifying and mapping health promotion practices in need of development from the perspectives of key sectors responsible for it at the local level and from an intersectoral perspective across four Spanish regions. DESIGN A complementary multi-method study combining survey methods and qualitative interviews will be adopted. METHODS Purposive snowball sampling will be employed to select potentially rich informants from city councils, primary care centres, primary and secondary schools, and public health and civil society organizations in 12 municipalities sensitive to local health. Data on the degree of execution of health promotion activities, the level of intersectorality in their implementation, and their origins will be collected using PromoACTIVA questionnaires, an intersectoral typology model and an interview protocol. A parallel mixed analysis encompassing descriptive statistics and a 'framework analysis' will be performed. DISCUSSION This study is expected to yield thorough and reliable insights into health promotion practices and omissions at the local level by focusing on key stakeholders, both individually and collaboratively. This information can enhance health promotion planning and improve its effectiveness, efficiency and contextual relevance. The development and testing of a methodology for the integration and interpretation of these data will ensure sustainable capacity building. IMPACT Managers and practitioners interested in health promotion planning in the researched settings can benefit from a comprehensive map of the current state of their practices and insights into the starting points of collaboration. In addition, planners from other local settings will gain access to tools and methodologies to replicate and expand these maps to their own contexts. STAKEHOLDER ENGAGEMENT Engaging key stakeholders with experience working in or with primary care centres, public health organizations, primary and secondary schools, civil society organizations, and city councils was vital to ensure the study's relevance and feasibility.
Collapse
Affiliation(s)
- María J Pumar-Méndez
- Department of Health Sciences, Public University of Navarra, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- CreaP Research Group, Public University of Navarra, Pamplona, Spain
| | - Olga Lopez-Dicastillo
- Department of Health Sciences, Public University of Navarra, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- CreaP Research Group, Public University of Navarra, Pamplona, Spain
| | - Naia Hernantes
- Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Donostia, Spain
- SILO Research Group, University of the Basque Country UPV/EHU, Donostia, Spain
| | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
| | - Edurne Zabaleta-Del-Olmo
- Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
- Gerència d'Atenció Primària Barcelona Ciutat, Institut Català de la Salut, Barcelona, Spain
- Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain
| | - Beatriz Rodríguez-Roca
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
| | - Ana B Subirón-Valera
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
- Research Group Safety and Care (GIISA0021), Institute of Research of Aragon, Zaragoza, Spain
| | - Dolors Juvinyà-Canal
- Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain
- Grup de Recerca Salut i Atenció sanitària, Universitat de Girona, Girona, Spain
- Càtedra de Promoció de la Salut, Universitat de Girona, Girona, Spain
| | - Agurtzane Mujika
- Nursing II Department, Faculty of Medicine and Nursing, UPV/EHU, Donostia, Spain
- SILO Research Group, University of the Basque Country UPV/EHU, Donostia, Spain
| |
Collapse
|
11
|
Jackson E, Markovic LE, Perlini M. Comparison of two-dimensional imaging to three-dimensional modeling of intrahepatic portosystemic shunts using computed tomography angiography. Vet Radiol Ultrasound 2024; 65:130-137. [PMID: 38279771 DOI: 10.1111/vru.13337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 11/28/2023] [Accepted: 12/28/2023] [Indexed: 01/28/2024] Open
Abstract
Computed tomography angiography (CTA) is used for the diagnosis of intrahepatic portosystemic shunts (IHPSS). When planning for transcatheter intervention, caudal vena cava (CVC) measurements are typically obtained from two-dimensional (2D) imaging to aid in stent selection. We hypothesized that clinically applicable three-dimensional (3D) IHPSS models can be generated, and CVC measurements will not differ between 2D images and 3D models. Computed tomography angiography datasets from client-owned dogs with IHPSS at the University of Georgia Veterinary Teaching Hospital from 2016 to 2022 were analyzed. Materialise Mimics 25.0 and 3-matic 17.0 were used for 3D modeling. Caudal vena cava diameters were measured in 2D dorsal and transverse planes 20 mm cranial and caudal from the shunt ostium and were compared with CVC diameters from 3D models. Length was measured in the 2D dorsal plane between midpoints of each diameter and compared to the 3D model length. Data are presented as mean (SD), and intraclass correlation coefficients were performed. Three-dimensional models were generated for 32 IHPSS (15 right-, 12 left-, and five central-divisional). Two-dimensional dorsal and transverse area-associated diameter measurements were 16.7 mm (5.6) and 15.5 mm (4.2) cranial; 14.9 mm (4.2) and 14.3 mm (3.7) caudal. Three-dimensional area-associated diameter measurements were 15.3 mm (4.4) cranial and 14.0 mm (3.6) caudal. The 2D length was 61.5 mm (7.1) compared with 3D 59.9 mm (7.2). Intraclass correlation coefficients comparing 2D and 3D diameters were all >0.80, indicating very good agreement, with good agreement (>0.60) for length. Clinically applicable 3D IHPSS models can be generated using engineering software. Measurements from 3D models are consistent with 2D planar imaging. Both 2D CTA and 3D virtual models can be utilized for preprocedural planning, depending on clinician preference.
Collapse
Affiliation(s)
- Erin Jackson
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| | - Lauren E Markovic
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| | - Michael Perlini
- Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
| |
Collapse
|
12
|
Anderson-Kittow RJ, Keagan-Bull R, Giles J, Tuffrey-Wijne I. 'There's a timebomb': Planning for parental death and transitions in care for older people with intellectual disabilities and their families. J Appl Res Intellect Disabil 2024; 37:e13174. [PMID: 38093532 DOI: 10.1111/jar.13174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 10/11/2023] [Accepted: 10/23/2023] [Indexed: 02/20/2024]
Abstract
BACKGROUND Increasing numbers of older adults with intellectual disabilities are living with ageing parents. These families need support to plan for the future to avoid crisis interventions following parental death. METHOD Interviews and focus groups were conducted with people with intellectual disabilities (aged 40+) (N = 9), parents (N = 11) and siblings (N = 16) to understand their perspectives about living with parents and future planning. Data were analysed using framework analysis. RESULTS Four themes were identified: 'What matters to me', 'When should we plan', 'What are the options' and 'Who will help'. Participants knew they needed to make plans but did not feel supported to do so. While they viewed moving as an opportunity for independence, they feared there were no viable alternatives. CONCLUSION Person-centred resources and support are needed for families to plan for transitions in care, including proactive approaches from social services and help to prepare for conversations with social care professionals.
Collapse
Affiliation(s)
- Rebecca J Anderson-Kittow
- Faculty of Health, Science, Social Care & Education, School of Nursing, Kingston University, London, UK
| | - Richard Keagan-Bull
- Faculty of Health, Science, Social Care & Education, School of Nursing, Kingston University, London, UK
| | - Jo Giles
- Faculty of Health, Science, Social Care & Education, School of Nursing, Kingston University, London, UK
| | - Irene Tuffrey-Wijne
- Faculty of Health, Science, Social Care & Education, School of Nursing, Kingston University, London, UK
| |
Collapse
|
13
|
Oar B, Brown A, Newman G, Boles A, Rumley CN, Doyle R, Baines J, Tan A. Improvement in male pelvis magnetic resonance image contouring following radiologist-delivered training. J Med Radiat Sci 2024; 71:114-122. [PMID: 37740640 PMCID: PMC10920942 DOI: 10.1002/jmrs.727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 09/07/2023] [Indexed: 09/24/2023] Open
Abstract
INTRODUCTION The magnetic resonance linear accelerator (MRL) combines both magnetic resonance imaging and a linear accelerator, allowing for daily treatment adaptation. This study aimed to assess the impact of radiologist-delivered training in magnetic resonance (MR) contouring of relevant structures within the male pelvis. METHODS Two radiation oncologists, two radiation oncology registrars and seven radiation therapists completed contouring on 10 male pelvis MR datasets both pre- and post-training. A 2-hour MR anatomy training session was delivered by a radiologist, who also provided the 'gold standard' contours. The pre- and post-training contours were compared against the gold standard with Dice similarity coefficient (DSC) and Hausdorff distances calculated; and the pre- and post-confidence scores and timing were compared. RESULTS The improvement in DSC were significant in prostate, rectum and seminal vesicles, with a post-training median DSC of 0.87 ± 0.06, 0.92 ± 0.04 and 0.80 ± 0.14, respectively. The median Hausdorff improved with a median of 1.46 ± 0.78 mm, 0.52 ± 0.32 mm and 1.11 ± 0.86 mm for prostate, rectum and seminal vesicles, respectively. Bladder concordance was high both pre- and post-training. Urethra contours improved post-training, however, remained difficult to contour with a median post-DSC of 0.51 ± 0.24. Overall, confidence scoring improved (P < 0.001) and timing decreased by an average of 4.4 ± 16.4 min post-training. CONCLUSION Radiologist-delivered training improved concordance of male pelvis contouring on MR datasets. Further work is required in the identification of urethra on MRs. These findings are of importance in the MRL adaptive workflow.
Collapse
Affiliation(s)
- Bronwyn Oar
- Townsville University HospitalTownsvilleQueenslandAustralia
| | - Amy Brown
- Townsville University HospitalTownsvilleQueenslandAustralia
- Queensland University of TechnologyBrisbaneQueenslandAustralia
- James Cook UniversityTownsvilleQueenslandAustralia
| | - Glen Newman
- Townsville University HospitalTownsvilleQueenslandAustralia
| | - Alan Boles
- Queensland XRayTownsvilleQueenslandAustralia
| | - Christopher N. Rumley
- Townsville University HospitalTownsvilleQueenslandAustralia
- James Cook UniversityTownsvilleQueenslandAustralia
| | - Rachel Doyle
- Townsville University HospitalTownsvilleQueenslandAustralia
| | - John Baines
- Townsville University HospitalTownsvilleQueenslandAustralia
- James Cook UniversityTownsvilleQueenslandAustralia
| | - Alex Tan
- Townsville University HospitalTownsvilleQueenslandAustralia
- James Cook UniversityTownsvilleQueenslandAustralia
| |
Collapse
|
14
|
Lai AT, Espinosa G, Wink GE, Angeloni CF, Dombeck DA, MacIver MA. A robot-rodent interaction arena with adjustable spatial complexity for ethologically relevant behavioral studies. Cell Rep 2024; 43:113671. [PMID: 38280195 DOI: 10.1016/j.celrep.2023.113671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 10/19/2023] [Accepted: 12/26/2023] [Indexed: 01/29/2024] Open
Abstract
Outside of the laboratory, animals behave in spaces where they can transition between open areas and coverage as they interact with others. Replicating these conditions in the laboratory can be difficult to control and record. This has led to a dominance of relatively simple, static behavioral paradigms that reduce the ethological relevance of behaviors and may alter the engagement of cognitive processes such as planning and decision-making. Therefore, we developed a method for controllable, repeatable interactions with others in a reconfigurable space. Mice navigate a large honeycomb lattice of adjustable obstacles as they interact with an autonomous robot coupled to their actions. We illustrate the system using the robot as a pseudo-predator, delivering airpuffs to the mice. The combination of obstacles and a mobile threat elicits a diverse set of behaviors, such as increased path diversity, peeking, and baiting, providing a method to explore ethologically relevant behaviors in the laboratory.
Collapse
Affiliation(s)
- Alexander T Lai
- Department of Biomedical Engineering, Technological Institute E311, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA
| | - German Espinosa
- Department of Computer Science, Northwestern University, Seeley Mudd 3219, 2233 Tech Drive, Evanston, IL 60208, USA
| | - Gabrielle E Wink
- Department of Mechanical Engineering, Technological Institute B224, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA
| | - Christopher F Angeloni
- Department of Neurobiology, Northwestern University, Hogan 2-160, 2205 Tech Drive, Evanston, IL 60208, USA
| | - Daniel A Dombeck
- Department of Neurobiology, Northwestern University, Hogan 2-160, 2205 Tech Drive, Evanston, IL 60208, USA.
| | - Malcolm A MacIver
- Department of Biomedical Engineering, Technological Institute E311, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA; Department of Computer Science, Northwestern University, Seeley Mudd 3219, 2233 Tech Drive, Evanston, IL 60208, USA; Department of Mechanical Engineering, Technological Institute B224, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA; Department of Neurobiology, Northwestern University, Hogan 2-160, 2205 Tech Drive, Evanston, IL 60208, USA.
| |
Collapse
|
15
|
Hodel S, Hasler J, Roth TA, Flury A, Sutter C, Fucentese SF, Fürnstahl P, Vlachopoulos L. Validation of a Three-Dimensional Weight-Bearing Measurement Protocol for Medial Open-Wedge High Tibial Osteotomy. J Clin Med 2024; 13:1280. [PMID: 38592100 PMCID: PMC10931564 DOI: 10.3390/jcm13051280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 02/16/2024] [Accepted: 02/20/2024] [Indexed: 04/10/2024] Open
Abstract
Three-dimensional (3D) deformity assessment and leg realignment planning is emerging. The aim of this study was to (1) validate a novel 3D planning modality that incorporates the weight-bearing (WB) state (3D WB) by comparing it to existing modalities (3D non-weight-bearing (NWB), 2D WB) and (2) evaluate the influence of the modality (2D vs. 3D) and the WB condition on the measurements. Three different planning and deformity measurement protocols were analyzed in 19 legs that underwent medial open-wedge high tibial osteotomy (HTO): (1) a 3D WB protocol, after 2D/3D registration of 3D CT models onto the long-leg radiograph (LLR) (3D WB), (2) a 3D NWB protocol based on the 3D surface models obtained in the supine position (3D NWB), and (3) a 2D WB protocol based on the LLR (2D WB). The hip-knee-ankle angle (HKA), joint line convergence angle (JLCA), and the achieved surgical correction were measured for each modality and patient. All the measurement protocols demonstrated excellent intermodal agreement for the achieved surgical correction, with an ICC of 0.90 (95% CI: 0.76-0.96)) (p < 0.001). Surgical correction had a higher mean absolute difference compared to the 3D opening angle (OA) when measured with the WB protocols (3D WB: 2.7 ± 1.8°, 3D NWB: 1.9 ± 1.3°, 2D WB: 2.2 ± 1.3°), but it did not show statistical significance. The novel planning modality (3D WB) demonstrated excellent agreement when measuring the surgical correction after HTO compared to existing modalities.
Collapse
Affiliation(s)
- Sandro Hodel
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| | - Julian Hasler
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| | - Tabitha Arn Roth
- Research in Orthopedic Computer Science, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (P.F.)
| | - Andreas Flury
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| | - Cyrill Sutter
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| | - Sandro F. Fucentese
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| | - Philipp Fürnstahl
- Research in Orthopedic Computer Science, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (P.F.)
| | - Lazaros Vlachopoulos
- Department of Orthopedics, Balgrist University Hospital, Forchstrasse 320, 8008 Zurich, Switzerland (A.F.)
| |
Collapse
|
16
|
Willis R. Use of evidence and expertise in UK climate governance: the case of the Cumbrian Coal Mine. UCL Open Environ 2024; 6:e068. [PMID: 38332983 PMCID: PMC10851706 DOI: 10.14324/111.444/ucloe.000068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 12/20/2023] [Indexed: 02/10/2024]
Abstract
There is an overall scientific consensus that no new coal mines can be developed, if the Paris Agreement to limit global temperature rises is to be met. Yet in December 2022, following a lengthy Public Inquiry, the UK Government approved the development of Woodhouse Colliery in Cumbria. In doing so, it accepted the claim that the coal mine would be 'zero carbon' and could even result in lower global emissions overall. As this paper demonstrates, there is no independent evidence to support these claims, whilst a large body of independent evidence comes to the opposite conclusion. This paper uses the example of Woodhouse Colliery to examine the use of evidence and expertise in climate governance processes. It finds that the nature of expertise and evidence is not properly considered, and that there is ambiguity and confusion surrounding the implementation of the UK's climate legislation, particularly the Climate Change Act. It also finds that the ways in which the decision-making process solicited and assessed evidence was flawed, promoting a 'false balance'. This ambiguity and false balance provide scope for developers to argue the case for destructive developments, even while claiming adherence to climate ambitions. The paper concludes by suggesting reforms to governance processes, to provide a more transparent and credible implementation of policies to achieve the UK's net zero target. Suggested reforms include clearer rules governing fossil fuel phase-out; greater transparency and better handling of conflicts of interest in decision-making; and devolution of climate responsibilities to local areas.
Collapse
Affiliation(s)
- Rebecca Willis
- Lancaster Environment Centre, Lancaster University, Lancaster, UK
| |
Collapse
|
17
|
Enomoto H, Fujita Y, Matsumoto S, Nakajima Y, Nagai M, Tonari A, Ebara T. Dosimetric impact of MLC positional errors on dose distribution in IMRT. J Appl Clin Med Phys 2024; 25:e14158. [PMID: 37722769 PMCID: PMC10860456 DOI: 10.1002/acm2.14158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 08/07/2023] [Accepted: 09/04/2023] [Indexed: 09/20/2023] Open
Abstract
Optimizing the positional accuracy of multileaf collimators (MLC) for radiotherapy is important for dose accuracy and for reducing doses delivered to normal tissues. This study investigates dose sensitivity variations and complexity metrics of MLC positional error in volumetric modulated arc therapy and determines the acceptable ranges of MLC positional accuracy in several clinical situations. Treatment plans were generated for four treatment sites (prostate cancer, lung cancer, spinal, and brain metastases) using different treatment planning systems (TPSs) and fraction sizes. Each treatment plan introduced 0.25-2.0 mm systematic or random MLC leaf bank errors. The generalized equivalent uniform dose (gEUD) sensitivity and complexity metrics (MU/Gy and plan irregularity) were calculated, and the correlation coefficients were assessed. Furthermore, the required tolerances for MLC positional accuracy control were calculated. The gEUD sensitivity showed the highest dependence of systematic positional error on the treatment site, followed by TPS and fraction size. The gEUD sensitivities were 6.7, 4.5, 2.5, and 1.7%/mm for Monaco and 8.9, 6.2, 3.4, and 2.3%/mm (spinal metastasis, lung cancer, prostate cancer, and brain metastasis, respectively) for RayStation. The gEUD sensitivity was strongly correlated with the complexity metrics (r = 0.88-0.93). The minimum allowable positional error for MLC was 0.63, 0.34, 1.02, and 0.28 mm (prostate, lung, brain, and spinal metastasis, respectively). The acceptable range of MLC positional accuracy depends on the treatment site, and an appropriate tolerance should be set for each treatment site with reference to the complexity metric. It is expected to enable easier and more detailed MLC positional accuracy control than before by reducing dose errors to patients at the treatment planning stage and by controlling MLC quality based on complexity metrics, such as MU/Gy.
Collapse
Affiliation(s)
- Hiromi Enomoto
- Department of RadiologyKyorin University HospitalMitakaTokyoJapan
- Department of Radiological SciencesKomazawa UniversitySetagayaTokyoJapan
| | - Yukio Fujita
- Department of Radiological SciencesKomazawa UniversitySetagayaTokyoJapan
| | - Saki Matsumoto
- Department of RadiologyKyorin University HospitalMitakaTokyoJapan
| | - Yujiro Nakajima
- Department of Radiological SciencesKomazawa UniversitySetagayaTokyoJapan
| | - Miyuki Nagai
- Department of Radiation OncologyKyorin UniversityMitakaTokyoJapan
| | - Ayako Tonari
- Department of Radiation OncologyKyorin UniversityMitakaTokyoJapan
- Department of Medical Radiological TechnologyFaculty of Health SciencesKyorin UniversityMitakaTokyoJapan
| | - Takeshi Ebara
- Department of Radiation OncologyKyorin UniversityMitakaTokyoJapan
| |
Collapse
|
18
|
Hervo R, Kinuthia G. [Sexual health and vulnerable populations, some background information]. Rev Infirm 2024; 73:16-19. [PMID: 38346823 DOI: 10.1016/j.revinf.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Abstract
Taking an interest in the sexual health of vulnerable populations also means taking into account the notion of risky behavior. The aim here is to support and promote these behaviors and reduce the risks that may arise. Faced with such challenges, the public authorities have put this issue on the agenda by developing strategic and operational tools to achieve the objectives defined for 2030.
Collapse
Affiliation(s)
- Romaric Hervo
- Ehesp, 15 avenue du Professeur-Léon-Bernard, 35043 Rennes, France.
| | | |
Collapse
|
19
|
Sun L, Ma H, An H, Wei Q. An Individual Prosthesis Control Method with Human Subjective Choices. Biomimetics (Basel) 2024; 9:77. [PMID: 38392123 PMCID: PMC10887058 DOI: 10.3390/biomimetics9020077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/09/2024] [Accepted: 01/18/2024] [Indexed: 02/24/2024] Open
Abstract
An intelligent lower-limb prosthesis can provide walking support and convenience for lower-limb amputees. Trajectory planning of prosthesis joints plays an important role in the intelligent prosthetic control system, which directly determines the performance and helps improve comfort when wearing the prosthesis. Due to the differences in physiology and walking habits, humans have their own walking mode that requires the prosthesis to consider the individual's demands when planning the prosthesis joint trajectories. The human is an integral part of the control loop, whose subjective feeling is important feedback information, as humans can evaluate many indicators that are difficult to quantify and model. In this study, trajectories were built using the phase variable method by normalizing the gait curve to a unified range. The deviations between the optimal trajectory and current were represented using Fourier series expansion. A gait dataset that contains multi-subject kinematics data is used in the experiments to prove the feasibility and effectiveness of this method. In the experiments, we optimized the subjects' gait trajectories from an average to an individual gait trajectory. By using the individual trajectory planning algorithm, the average gait trajectory can be effectively optimized into a personalized trajectory, which is beneficial for improving walking comfort and safety and bringing the prosthesis closer to intelligence.
Collapse
Affiliation(s)
- Lei Sun
- College of Intelligence Science and Technology, National University of Defense Technology, Changsha 410073, China
| | - Hongxu Ma
- College of Intelligence Science and Technology, National University of Defense Technology, Changsha 410073, China
| | - Honglei An
- College of Intelligence Science and Technology, National University of Defense Technology, Changsha 410073, China
| | - Qing Wei
- College of Intelligence Science and Technology, National University of Defense Technology, Changsha 410073, China
| |
Collapse
|
20
|
Solla F, Ilharreborde B, Clément JL, Rose EO, Monticone M, Bertoncelli CM, Rampal V. Patient-Specific Surgical Correction of Adolescent Idiopathic Scoliosis: A Systematic Review. Children (Basel) 2024; 11:106. [PMID: 38255419 PMCID: PMC10814112 DOI: 10.3390/children11010106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 01/03/2024] [Accepted: 01/11/2024] [Indexed: 01/24/2024]
Abstract
The restoration of sagittal alignment is fundamental to the surgical correction of adolescent idiopathic scoliosis (AIS). Despite established techniques, some patients present with inadequate postoperative thoracic kyphosis (TK), which may increase the risk of proximal junctional kyphosis (PJK) and imbalance. There is a lack of knowledge concerning the effectiveness of patient-specific rods (PSR) with measured sagittal curves in achieving a TK similar to that planned in AIS surgery, the factors influencing this congruence, and the incidence of PJK after PSR use. This is a systematic review of all types of studies reporting on the PSR surgical correction of AIS, including research articles, proceedings, and gray literature between 2013 and December 2023. From the 28,459 titles identified in the literature search, 81 were assessed for full-text reading, and 7 studies were selected. These included six cohort studies and a comparative study versus standard rods, six monocentric and one multicentric, three prospective and four retrospective studies, all with a scientific evidence level of 4 or 3. They reported a combined total of 355 AIS patients treated with PSR. The minimum follow-up was between 4 and 24 months. These studies all reported a good match between predicted and achieved TK, with the main difference ranging from 0 to 5 degrees, p > 0.05, despite the variability in surgical techniques and the rods' properties. There was no proximal junctional kyphosis, whereas the current rate from the literature is between 15 and 46% with standard rods. There are no specific complications related to PSR. The exact role of the type of implants is still unknown. The preliminary results are, therefore, encouraging and support the use of PSR in AIS surgery.
Collapse
Affiliation(s)
- Federico Solla
- Paediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, France; (J.-L.C.); (C.M.B.); (V.R.)
| | - Brice Ilharreborde
- Paediatric Orthopaedic Unit, Hôpital Robert Debré, AP-HP, 75019 Paris, France;
| | - Jean-Luc Clément
- Paediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, France; (J.-L.C.); (C.M.B.); (V.R.)
| | - Emma O. Rose
- Krieger School of Arts & Sciences, Homewood Campus, John Hopkins University, Baltimore, MD 21218, USA
| | - Marco Monticone
- Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, Italy;
| | - Carlo M. Bertoncelli
- Paediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, France; (J.-L.C.); (C.M.B.); (V.R.)
| | - Virginie Rampal
- Paediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, France; (J.-L.C.); (C.M.B.); (V.R.)
| |
Collapse
|
21
|
Lightfoot KL, Frost E, Burford JH, England GCW, Freeman SL. Use of human behaviour change models to investigate horse owner intention to adopt emergency colic recommendations. Equine Vet J 2024; 56:147-158. [PMID: 37227166 DOI: 10.1111/evj.13955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 05/05/2023] [Indexed: 05/26/2023]
Abstract
BACKGROUND Behavioural models are widely used within human medicine to understand beliefs and intention associated with major health interventions. OBJECTIVES To investigate horse-owner beliefs and practices associated with emergency colic planning. STUDY DESIGN Cross-sectional study. METHODS An online survey incorporating the Trans-Theoretical Model of behaviour change and the Theory of Planned Behaviour was developed to assess owner intention to adopt three areas of emergency colic planning: (1) prevention/recognition, (2) involvement of others and (3) personal preparation. Participants were recruited using a snowball sampling strategy; multivariable logistic regression of data was performed. RESULTS There were 701 horse-owners who completed the survey. Respondents fell into one of two categories: no intention to adopt or already implementing emergency planning recommendations. Most agreed that emergency colic plans would improve their horse's welfare (68%) and aid in decision making (78%). Most disagreed that colic was inevitable (66%) and that treatment options were not within their control (69%). Multivariable analysis showed that those who believed emergency plans were worth creating were more likely to adopt preventive (OR: 2.33, 95% CI: 1.27-4.30, p = 0.007) and personal preparation (OR: 1.61, 95% CI: 1.31-1.97, p < 0.001) recommendations. Preventive recommendations were also associated with 'REACT' campaign awareness (OR 2.36, 95% CI: 1.40-3.97, p = 0.001). Favourable behavioural beliefs, such as the acknowledgement of welfare and decision-making benefits, were linked to the involvement of others in planning (OR: 2.93, 95% CI: 1.78-4.81, p < 0.001). MAIN LIMITATIONS Potential response bias and small sample size. CONCLUSIONS The majority of owners were either unwilling to adopt suggested recommendations or believed that their approach was currently sufficient. Most owners perceived veterinary professionals as most influential on their decision to plan for a colic emergency, highlighting their importance in any educational campaign.
Collapse
Affiliation(s)
- Katie L Lightfoot
- School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK
| | - Ellie Frost
- School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK
| | - John H Burford
- School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK
| | - Gary C W England
- School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK
| | - Sarah L Freeman
- School of Veterinary Medicine and Science, University of Nottingham, Leicestershire, UK
| |
Collapse
|
22
|
Geuter G, Beiwinkel T, Oesterle L, Reyer M, Bödeker M, Haack M, Scriba S, Preuss M. [The contribution of health conferences and health regions to regional planning and management in health care: an overview at the federal states level]. Gesundheitswesen 2024; 86:67-86. [PMID: 37816385 PMCID: PMC10798829 DOI: 10.1055/a-2098-3496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023]
Abstract
Demands for increased health care coordination and cooperation have been raised for a long time in Germany. Over the past years, the public health services in the federal states have initiated networks at the regional level dealing with health-related topics, namely health conferences and health regions. In the areas of health promotion and prevention, health care services and nursing care sector, these networks make an important contribution to regional planning and management by setting up networks among relevant municipal players and developing a more comprehensive approach. This narrative review, worked out in collaboration with experts from the German federal states, aims to present an overview of the characteristics, key topics and results of health conferences and health regions. Furthermore, we describe differences and similarities between the approaches in the federal states as well as the respective supporting measures in the context of funding programmes and the legal basis. The results show that health conferences and health regions are established in a great number of administrative districts in the federal states. There have been many health conferences and health regions since years and, according to the evaluations, show positive impacts on regional cooperation across departmental, sectoral and professional boundaries. They deal with a wide range of topics related to local needs and problems aiming to use synergies and meet challenges in the regional provision of healthcare and prevention measures. Besides building network capacities, the assessment of local needs and the development of strategies, health conferences and health regions also initiate numerous local cooperation projects to improve the health of the population. Against the background of expected future challenges that will have to be faced by the public health services, we finally discuss the significance of regional planning and management functions of the public health services. We also we provide some recommendations related to the conditions for setting up health conferences and health regions and discuss their future development.
Collapse
Affiliation(s)
- Gunnar Geuter
- Sachgebiet GP3: Bayerische Gesundheitsagentur, Gesundheitsversorgung,
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit,
Nürnberg, Germany
| | - Till Beiwinkel
- Sachgebiet GP3: Bayerische Gesundheitsagentur, Gesundheitsversorgung,
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit,
Nürnberg, Germany
| | - Lea Oesterle
- Fachteam Kommune und Gesundheit, Landesvereinigung für
Gesundheit und Akademie für Sozialmedizin Niedersachsen Bremen
e. V., Hannover, Germany
| | - Maren Reyer
- Abteilung 7 Landesgesundheitsamt, Referat 74 Gesundheitsplanung,
Gesundheitsförderung und Prävention, Versorgung, Ministerium
für Soziales, Gesundheit und Integration Baden-Württemberg,
Stuttgart, Germany
| | - Malte Bödeker
- Sachgebiet GP3: Bayerische Gesundheitsagentur, Gesundheitsversorgung,
Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit,
Nürnberg, Germany
| | - Marius Haack
- Fachteam Kommune und Gesundheit, Landesvereinigung für
Gesundheit und Akademie für Sozialmedizin Niedersachsen Bremen
e. V., Hannover, Germany
| | - Steffen Scriba
- Fachteam Kommune und Gesundheit, Landesvereinigung für
Gesundheit und Akademie für Sozialmedizin Niedersachsen Bremen
e. V., Hannover, Germany
| | - Maren Preuss
- Fachteam Kommune und Gesundheit, Landesvereinigung für
Gesundheit und Akademie für Sozialmedizin Niedersachsen Bremen
e. V., Hannover, Germany
| |
Collapse
|
23
|
Newell AD, Foldes CA, Haddock AJ, Ismail N, Moreno NP. Twelve tips for using the Understanding by Design ® curriculum planning framework. Med Teach 2024; 46:34-39. [PMID: 37334694 PMCID: PMC10728343 DOI: 10.1080/0142159x.2023.2224498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
BACKGROUND Health professions faculty engaged in curriculum planning or redesign can struggle with developing courses or programs that align desired learner outcomes, such as competencies to be applied in a clinical setting, with assessment and instruction. AIMS Our medical school implemented the Understanding by Design (UbD) framework to achieve alignment of outcomes, assessments and teaching during the renewal of our four-year curriculum. This article shares our strategies and practices for implementing UbD with teams of faculty curriculum developers. DESCRIPTION The UbD framework is a 'backward' approach to curriculum development that begins by identifying learner outcomes, followed by the development of assessments that demonstrate achievement of competencies and concludes with the design of active learning experiences. UbD emphasizes the development of deep understandings that learners can transfer to novel contexts. CONCLUSIONS We found UbD to be a flexible, adaptable approach that aligns program and course-level outcomes with learner-centred instruction and principles of competency-based medical education and assessment.
Collapse
Affiliation(s)
- Alana D. Newell
- Department of Education, Innovation and Technology, Baylor College of Medicine, Houston, TX, USA
- School of Health Professions, Baylor College of Medicine, Houston, TX, USA
| | - Cara A. Foldes
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Alison J. Haddock
- Department of Education, Innovation and Technology, Baylor College of Medicine, Houston, TX, USA
- Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Nadia Ismail
- Department of Education, Innovation and Technology, Baylor College of Medicine, Houston, TX, USA
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Nancy P. Moreno
- Department of Education, Innovation and Technology, Baylor College of Medicine, Houston, TX, USA
- School of Health Professions, Baylor College of Medicine, Houston, TX, USA
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, USA
| |
Collapse
|
24
|
Moore HJ, Lake AA, O’Malley CL, Bradford C, Gray N, Chang M, Mathews C, Townshend TG. The impact of COVID-19 on the hot food takeaway planning regulatory environment: perspectives of local authority professionals in the North East of England. Perspect Public Health 2024; 144:52-60. [PMID: 35929588 PMCID: PMC10757382 DOI: 10.1177/17579139221106343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS Planning regulations have been used to prevent the over-proliferation of hot food takeaways, minimising the impact of local obesogenic environments. To help mitigate the effects of lockdown, the UK government introduced temporary changes in March 2020 to Planning Regulations for England, allowing food retailers to open for takeaway services beyond 'ancillary' level without needing to apply for planning permission through permitted development rights (PDR). Businesses are required to notify their local authority (LA) when they implement PDRs. To better understand the impact of regulations on the policy and practice of key professional groups, Public Health England commissioned Teesside University to undertake scoping research in the North East of England. METHODS A focus group and interviews were conducted with 15 professionals from 7 of 12 North East LAs. Professions included Planners, Public Health Leads, Environmental Health Officers and Town Centre Managers. Data were analysed using a codebook thematic analysis approach. An interpretation meeting with some participants was conducted. RESULTS LAs were not aware of most businesses notifying them of new regulation adherence despite taking up PDRs, but were considered low-priority with many lacking formal recording procedures. There were concerns about health consequences of the changes, and consensus relating to ongoing issues with capacity across all professional groups, largely due to the continuing pandemic and absence of a strategy out of temporary measures. Concerns existed around ensuring cessation of restaurants trading as takeaways, and hygiene inspections backlog. Many (personally) saw new takeaways as a lifeline, offering broader menus and preserving local economies. CONCLUSION Lack of information around the number of restaurants/pubs using PDR to trade as takeaway services, ongoing capacity issues of LAs and, at the time, the absence of a strategy post regulation changes, meant there were high levels of uncertainty regarding the impacts of these temporary measures.
Collapse
Affiliation(s)
- HJ Moore
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - AA Lake
- Centre for Public Health Research, School of Health & Life Sciences, Teesside University, Middlesbrough TS1 3BA, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - CL O’Malley
- Centre for Public Health Research, School of Health & Life Sciences, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - C Bradford
- Centre for Public Health Research, School of Health & Life Sciences, Teesside University, Middlesbrough, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - N Gray
- School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UK
| | - M Chang
- Healthy Places, Public Health England, London, UK WHO Collaborating Centre for Healthy Urban Environments, University of the West of England, Bristol, UK
| | - C Mathews
- Health and Wellbeing, North East, Public Health England, Newcastle upon Tyne, UK
| | - TG Townshend
- School of Architecture, Planning & Landscape, Newcastle University, Newcastle upon Tyne, UK
- Fuse, The Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| |
Collapse
|
25
|
Aagaard-Hansen J, Bloch P. Settings, populations, and time: a conceptual framework for public health interventions. Front Public Health 2023; 11:1297019. [PMID: 38169651 PMCID: PMC10758471 DOI: 10.3389/fpubh.2023.1297019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 11/22/2023] [Indexed: 01/05/2024] Open
Abstract
This paper presents a conceptual framework displaying how combinations of settings and populations seen in a long-term perspective may guide public health and health promotion planning and research. The notion of settings constitutes a key element of health promotion as stipulated by the Ottawa Charter from 1986. The setting approach highlights the individual, social and structural dimensions of health promotion. Likewise, the notion of populations and how they are selected forms a center pillar of public health. By joining the two perspectives, four combinations of intervention strategies appear by addressing: (1) a single population segment within a single setting, (2) multiple population segments within a single setting, (3) a single population segment within multiple settings or (4) multiple population segments within multiple settings. Furthermore, the addition of a time dimension inspired by the life-course perspective illustrates how trajectories of individuals and projects change settings and population segments as time goes by. The conceptual framework displays how systematic awareness of long-term, multi-setting, multi-population trajectories allow health promotion planners and researchers to systematically develop, plan and analyze their projects.
Collapse
Affiliation(s)
- Jens Aagaard-Hansen
- Diabetes Prevention Research, Department for Prevention, Health Promotion and Society, Steno Diabetes Center Copenhagen, Herlev, Denmark
- SA MRC Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Paul Bloch
- Diabetes Prevention Research, Department for Prevention, Health Promotion and Society, Steno Diabetes Center Copenhagen, Herlev, Denmark
| |
Collapse
|
26
|
Muhle-Karbe PS, Sheahan H, Pezzulo G, Spiers HJ, Chien S, Schuck NW, Summerfield C. Goal-seeking compresses neural codes for space in the human hippocampus and orbitofrontal cortex. Neuron 2023; 111:3885-3899.e6. [PMID: 37725981 DOI: 10.1016/j.neuron.2023.08.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 05/10/2023] [Accepted: 08/18/2023] [Indexed: 09/21/2023]
Abstract
Humans can navigate flexibly to meet their goals. Here, we asked how the neural representation of allocentric space is distorted by goal-directed behavior. Participants navigated an agent to two successive goal locations in a grid world environment comprising four interlinked rooms, with a contextual cue indicating the conditional dependence of one goal location on another. Examining the neural geometry by which room and context were encoded in fMRI signals, we found that map-like representations of the environment emerged in both hippocampus and neocortex. Cognitive maps in hippocampus and orbitofrontal cortices were compressed so that locations cued as goals were coded together in neural state space, and these distortions predicted successful learning. This effect was captured by a computational model in which current and prospective locations are jointly encoded in a place code, providing a theory of how goals warp the neural representation of space in macroscopic neural signals.
Collapse
Affiliation(s)
- Paul S Muhle-Karbe
- Department of Experimental Psychology, University of Oxford, Oxford OX2 6GG, UK; School of Psychology, University of Birmingham, Birmingham B15 2SA, UK; Centre for Human Brain Health, University of Birmingham, Birmingham B15 2SA, UK.
| | - Hannah Sheahan
- Department of Experimental Psychology, University of Oxford, Oxford OX2 6GG, UK; Google DeepMind, London EC4A 3TW, UK
| | - Giovanni Pezzulo
- Institute of Cognitive Sciences and Technologies, National Research Council, 00185 Rome, Italy
| | - Hugo J Spiers
- Department of Experimental Psychology, University College London, London WC1E 6BT, UK
| | - Samson Chien
- Max Planck Research Group NeuroCode, Max Planck Institute for Human Development, 14195 Berlin, Germany
| | - Nicolas W Schuck
- Max Planck Research Group NeuroCode, Max Planck Institute for Human Development, 14195 Berlin, Germany; Max Planck UCL Centre for Computational Psychiatry and Aging Research, 14195 Berlin, Germany; Institute of Psychology, Universität Hamburg, 20146 Hamburg, Germany
| | - Christopher Summerfield
- Department of Experimental Psychology, University of Oxford, Oxford OX2 6GG, UK; Centre for Human Brain Health, University of Birmingham, Birmingham B15 2SA, UK.
| |
Collapse
|
27
|
Whitaker WK, Brannon LA. Mindfulness and Implementation Planning: Promoting Self-Reported and Behavioral Forgiveness. Psychol Rep 2023; 126:2707-2728. [PMID: 35514084 DOI: 10.1177/00332941221100450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The current research examined mindfulness and implementation planning as practices that promote interpersonal forgiveness. A unique contribution of this work includes the investigation of motives and techniques that might promote both self-reported and behavioral forgiveness. Young adults (N = 80; M = 19.2 years) completed a task in which a standardized, interpersonal transgression occurred without the participants' knowledge. Results indicate that individuals who received training in either a mindfulness practice (i.e., mindful breathing) or implementation planning practice (i.e., developing "if-then" plan statements) reported better overall mood following the standardized transgression. Interestingly, mindful breathing appeared to be the most beneficial practice to enhance positive attitudes toward the forgiveness process and promote self-reported and behavioral forgiveness. Findings are consistent with prior research investigating the effectiveness of mindful breathing and implementation planning following an actual interpersonal transgression. Implications as well as future research directions within the context of forgiveness and relationships are discussed.
Collapse
|
28
|
Gomez SH, Overholser J, McGovern C, Silva C, Stockmeier CA. The role of premeditation in suicide: Identifying factors associated with increased planning among suicide decedents. J Clin Psychol 2023; 79:2768-2780. [PMID: 37539866 PMCID: PMC10838361 DOI: 10.1002/jclp.23577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 06/28/2023] [Accepted: 07/19/2023] [Indexed: 08/05/2023]
Abstract
INTRODUCTION Suicide premeditation is a critical factor to consider when assessing suicide risk. Understanding which individuals are more or less likely to plan their suicidal behavior can shed light on how suicidal thoughts turn into actions. METHOD The present study used psychological autopsy data to identify factors associated with level of premeditation among 131 adults who died by suicide. RESULTS Logistic regression analyses indicated that suicide decedents with higher premeditation scores had higher odds of being diagnosed with a depressive disorder and choosing a violent suicide method, specifically a firearm. Individuals with lower premeditation scores had higher odds of being diagnosed with a polysubstance use disorder. CONCLUSION Suicide decedents exhibiting greater premeditation before their deaths were different in several ways from suicide decedents exhibiting less premeditation. A better understanding of suicide premeditation can ultimately aid in the development of improved risk assessments and targeted safety interventions for those struggling with suicidal thoughts.
Collapse
Affiliation(s)
- Stephanie H Gomez
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - James Overholser
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Christopher McGovern
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Christiana Silva
- Department of Psychological Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Craig A Stockmeier
- Department of Psychiatry and Human Behavior, The University of Mississippi Medical Center, Jackson, Mississippi, USA
| |
Collapse
|
29
|
Youderian AR, Greene AT, Polakovic SV, Davis NZ, Parsons M, Papandrea RF, Jones RB, Byram IR, Gobbato BB, Wright TW, Flurin PH, Zuckerman JD. Two-year clinical outcomes and complication rates in anatomic and reverse shoulder arthroplasty implanted with Exactech GPS intraoperative navigation. J Shoulder Elbow Surg 2023; 32:2519-2532. [PMID: 37348780 DOI: 10.1016/j.jse.2023.05.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/05/2023] [Accepted: 05/07/2023] [Indexed: 06/24/2023]
Abstract
INTRODUCTION We compared the 2-year clinical outcomes of both anatomic and reverse total shoulder arthroplasty (ATSA and RTSA) using intraoperative navigation compared to traditional positioning techniques. We also examined the effect of glenoid implant retroversion on clinical outcomes. HYPOTHESIS In both ATSA and RTSA, computer navigation would be associated with equal or better outcomes with fewer complications. Final glenoid version and degree of correction would not show outcome differences. MATERIAL AND METHODS A total of 216 ATSAs and 533 RTSAs were performed using preoperative planning and intraoperative navigation with a minimum of 2-year follow-up. Matched cohorts (2:1) for age, gender, and follow-up for cases without intraoperative navigation were compared using all standard shoulder arthroplasty clinical outcome metrics. Two subanalyses were performed on navigated cases comparing glenoids positioned greater or less than 10° of retroversion and glenoids corrected more or less than 15°. RESULTS For ASTA, no statistical differences were found between the navigated and non-navigated cohorts for postoperative complications, glenoid implant loosening, or revision rate. No significant differences were seen in any of the ATSA outcome metrics besides higher internal and external rotation in the navigated cohort. For RTSA, the navigated cohort showed an ARR of 1.7% (95% CI 0%, 3.4%) for postoperative complications and 0.7% (95% CI 0.1%, 1.2%) for dislocations. No difference was found in the revision rate, glenoid implant loosening, acromial stress fracture rates, or scapular notching. Navigated RTSA patients demonstrated significant improvements over non-navigated patients in internal rotation, external rotation, maximum lifting weight, the Simple Shoulder Test (SST), Constant, and Shoulder Arthroplasty Smart (SAS) scores. For the navigated subcohorts, ATSA cases with a higher degree of final retroversion showed significant improvement in pain, Constant, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), SST, University of California-Los Angeles shoulder score (UCLA), and Shoulder Pain and Disability Index (SPADI) scores. No significant differences were found in the RTSA subcohort. Higher degrees of version correction showed improvement in external rotation, SST, and Constant scores for ATSA and forward elevation, internal rotation, pain, SST, Constant, ASES, UCLA, SPADI, and SAS scores for RTSA. CONCLUSION The use of intraoperative navigation shoulder arthroplasty is safe, produces at least equally good outcomes at 2 years as standard instrumentation does without any increased risk of complications. The effect of final implant position above or below 10° of glenoid retroversion and correction more or less than 15° does not negatively impact outcomes.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Bruno B Gobbato
- Department of Orthopedic Surgery, Idomed University, Jaragua do Sul, Brazil
| | - Thomas W Wright
- Department of Orthopaedics, University of Florida, Gainesville, FL, USA
| | | | | |
Collapse
|
30
|
Zhao H, Yu F, Hu X, Xiong Z, Shang J, Gu F. Editorial: Brain-inspired navigation and sensing for robots. Front Neurorobot 2023; 17:1329324. [PMID: 38053537 PMCID: PMC10694443 DOI: 10.3389/fnbot.2023.1329324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Accepted: 10/31/2023] [Indexed: 12/07/2023] Open
Affiliation(s)
- Hui Zhao
- School of Computer Science, China University of Geosciences, Wuhan, China
- College of Computer Science, Chongqing University, Chongqing, China
| | - Fangwen Yu
- Department of Precision Instrument, Tsinghua University, Beijing, China
| | - Xuke Hu
- Institute of Data Science, German Aerospace Center (DLR), Jena, Germany
| | - Zhi Xiong
- College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China
| | - Jianga Shang
- School of Computer Science, China University of Geosciences, Wuhan, China
| | - Fuqiang Gu
- College of Computer Science, Chongqing University, Chongqing, China
| |
Collapse
|
31
|
Støvland VR, Amundsen R, Paulsen G, Dalen-Lorentsen T. Prepare to fail or failing to prepare? Acute performance after the 11+ with and without strength exercises. BMJ Open Sport Exerc Med 2023; 9:e001634. [PMID: 37937306 PMCID: PMC10626785 DOI: 10.1136/bmjsem-2023-001634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2023] [Indexed: 11/09/2023] Open
Abstract
Objectives The 11+ is an effective injury prevention warm-up programme but is often poorly adopted in practice. One reason for low compliance is the claim that the strength training part of the programme acutely impairs muscle performance before the football activity. This study aims to compare the acute effects of the 11+ with (WU+S) or without (WU-S) the strength training part on performance. Methods Fifteen female junior football players completed WU+S and WU-S on two separate days in randomised order. Maximal voluntary torque in knee extension and flexion (60°/s and 180°/s) and countermovement jump (CMJ) were tested before and after performing the warm-up protocol. Sprint performance and rating of perceived exertion (RPE) were assessed post-warm-up. Results Warm-up with strength training reduced peak torque in knee flexion at 180°/s more than WU-S, while no differences were found at 60°/s. Knee extension work was reduced more with WU+S than WU-S at 180°/s, but no differences at 60°/s. Peak torque angle and CMJ were unaffected. Players were slower on 20 and 30 m sprints after WU+S than WU-S. The RPE was higher after WU+S than WU-S, but there were no differences in readiness to train between the two protocols. Conclusion Performing the 11+ programme as a warm-up routine with the strength training part can impair subsequent knee flexion torque at high velocity and sprint performance in female junior football players compared with performing the 11+ warm-up without the strength part.
Collapse
Affiliation(s)
| | - Roar Amundsen
- Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
| | - Gøran Paulsen
- Department of Physical Performance, Norwegian School of Sports Sciences, Oslo, Norway
| | - Torstein Dalen-Lorentsen
- Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
- Department of Smart Sensors and Microsystems, SINTEF Digital, Trondheim, Norway
| |
Collapse
|
32
|
Rosenberg S, Carulla LS, Rosen A. Mental health reform in Australia - unfinished business. BJPsych Int 2023; 20:99-101. [PMID: 38029430 PMCID: PMC10659841 DOI: 10.1192/bji.2023.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/24/2023] [Accepted: 06/08/2023] [Indexed: 12/01/2023] Open
Abstract
Australia was one of the first countries to develop a national mental health strategy. This article reviews the progress of reform, outlining some strengths, weaknesses and prospective challenges.
Collapse
Affiliation(s)
- Sebastian Rosenberg
- Senior Lecturer, Brain and Mind Centre, University of Sydney, Camperdown, New South Wales, Australia. Email
| | - Luis Salvador Carulla
- Professor, Health Research Institute, University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Alan Rosen
- Professor, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| |
Collapse
|
33
|
Ho MK, Cohen JD, Griffiths TL. Rational Simplification and Rigidity in Human Planning. Psychol Sci 2023; 34:1281-1292. [PMID: 37878525 DOI: 10.1177/09567976231200547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023] Open
Abstract
Planning underpins the impressive flexibility of goal-directed behavior. However, even when planning, people can display surprising rigidity in how they think about problems (e.g., "functional fixedness") that lead them astray. How can our capacity for behavioral flexibility be reconciled with our susceptibility to conceptual inflexibility? We propose that these tendencies reflect avoidance of two cognitive costs: the cost of representing task details and the cost of switching between representations. To test this hypothesis, we developed a novel paradigm that affords participants opportunities to choose different families of simplified representations to plan. In two preregistered, online studies (Ns = 377 and 294 adults), we found that participants' optimal behavior, suboptimal behavior, and reaction time were explained by a computational model that formalized people's avoidance of representational complexity and switching. These results demonstrate how the selection of simplified, rigid representations leads to the otherwise puzzling combination of flexibility and inflexibility observed in problem solving.
Collapse
Affiliation(s)
- Mark K Ho
- Department of Psychology, Princeton University
- Department of Computer Science, Princeton University
| | | | - Thomas L Griffiths
- Department of Psychology, Princeton University
- Department of Computer Science, Princeton University
| |
Collapse
|
34
|
De La Haye A, Jones A, van Herk S, Rofin-Serra M, Lake AA, Moore HJ. Mapping healthy planning frameworks. Perspect Public Health 2023:17579139231205494. [PMID: 37905945 DOI: 10.1177/17579139231205494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Abstract
AIMS The aim of this research was to map available healthy planning frameworks to discover the range, composition, design, and implementation of healthy planning frameworks. METHODS A systematic scoping review with date, location, and usability limitations was augmented by a grey literature search. Data were extracted on key details, design, outcomes considered, and implementation features of the final 61 frameworks. RESULTS Data extracted indicated that most frameworks tend to focus on one element of the built environment, with active mobility, active environments, and transport being the most prevalent ones (34%). Most frameworks (40) stated their intended outcomes on health in general terms, rather than targeting specific health outcomes. Very few frameworks (12%) were aimed at the public, and only 11% of frameworks included an evaluation. CONCLUSIONS While there are a wide variety and number of frameworks available in the field of healthy urban planning, they are generally siloed, focusing on highly specific individual urban determinants, and rarely consider health outcomes in detail. There is significantly less provision available for citizen and community use. Frameworks tend to offer limited updating mechanisms and very rarely include ongoing evaluation processes, making their success difficult to assess.
Collapse
Affiliation(s)
- A De La Haye
- Bax & Company, Carrer de Casp 118, Barcelona, 08013, Spain
| | - A Jones
- University of East Anglia, Norwich, UK
| | | | | | | | - H J Moore
- Teesside University, Middlesbrough, UK
| |
Collapse
|
35
|
Vale M, Leite F, Madeira C. Risk Management in Clinical Trials: Assessment of Current Practices at Portuguese Clinical Trial Sites. Risk Manag Healthc Policy 2023; 16:2187-2196. [PMID: 37881165 PMCID: PMC10595157 DOI: 10.2147/rmhp.s426411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 10/02/2023] [Indexed: 10/27/2023] Open
Abstract
Purpose Over the last years, in response to the increasing complexity and demand of clinical trials, there has been a growing concern with the application of efficient risk management methodologies. The main objective of this work is to assess the current level of implementation of risk management activities by clinical trials sites' teams and identify points of improvement. Methods A cross-sectional study was conducted through an original, non-validated questionnaire created to assess the risk management practices at Portuguese clinical trial sites. The web-based survey was sent by e-mail to the clinical trial sites identified, and it was available for one month. Descriptive statistics were used to summarize the findings. Results In total, 46 clinical trial sites accepted to participate in this study. The surveys' answers showed that although 57.0% of sites reported the use of a systematic risk management tool, only nine sites (19.6%) described a standard tool or document that captured systematically the analysis of risks at the site level. Most of the sites (87.0%) showed willing to use a risk management tool specifically tailored for their operational needs, with the lack of knowledge about risk management being the main reason against its implementation. Conclusion This work indicates that the surveyed clinical trial sites generally recognize the importance of risk management methodologies as an opportunity to anticipate difficulties in the trial conduct and optimize the use of sites' resources. However, mainly due to lack of experience with risk management methodologies, sites are not currently implementing these strategies in the management of their trial-related operations. The development of a risk management tool for sites can be useful in this context.
Collapse
Affiliation(s)
- Margarida Vale
- NOVA Medical School, Universidade NOVA de Lisboa, Lisboa, Portugal
| | - Francisca Leite
- Associação CoLAB TRIALS, Évora, Portugal
- Hospital da Luz Learning Health, Lisboa, Portugal
| | - Catarina Madeira
- NOVA Medical School, Universidade NOVA de Lisboa, Lisboa, Portugal
- Associação CoLAB TRIALS, Évora, Portugal
- CHRC, NOVA Medical School, Universidade NOVA de Lisboa, Lisboa, Portugal
| |
Collapse
|
36
|
Tanguay AFN, Gardam O, Archibald J, Ayson G, Atance CM. Using an episodic specificity induction to improve children's future thinking. Front Psychol 2023; 14:1249090. [PMID: 37928570 PMCID: PMC10622774 DOI: 10.3389/fpsyg.2023.1249090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 09/28/2023] [Indexed: 11/07/2023] Open
Abstract
Episodic future thinking (EFT) is the ability to subjectively pre-experience a specific future event. Future-oriented cognition in young children positively predicts physical health and financial status later in life. Can EFT be improved in children, even temporarily? Developmental research emphasizes the importance of thinking about one's own near future to enhance EFT, whereas research in adults suggests benefits reside in constructing a richly detailed event. We bridged the two perspectives to examine whether a procedure, the "episodic specificity induction" (ESI), could be adapted to encourage an episodic mode of thinking in children, benefitting performance on a variety of subsequent EFT tasks. The present study implemented a child-friendly ESI in which children mentally simulated a future event and were probed for specific details about it. We randomly assigned 66 children aged 6 and 7 years to one of two conditions: (1) ESI, in which children imagined "having breakfast tomorrow" in detail, describing surroundings, people, and actions, or (2) a Control condition (i.e., no construction), in which children simply viewed and described a picture of another child having breakfast. Children then completed a series of future thinking tasks assessing prospective memory, recollection/imagination of events, delay of gratification, and planning. Our ESI was successful in promoting the construction of a detailed event, and subsequently increasing the number of details of recollected and imagined events on an outcome task as compared to a control condition. Nonetheless, the effect of ESI was smaller than expected - a finding that fits with recent work suggesting that such interventions may be too cognitively taxing for young children and/or that benefits may hinge on further development in episodic processes. We discuss possible modifications to the induction and implications for EFT amelioration in young children.
Collapse
Affiliation(s)
| | | | | | | | - Cristina M. Atance
- School of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, ON, Canada
| |
Collapse
|
37
|
Stoner L, Paterson C, Perry L, Higgins S, Woolard N, Pagan Lassalle P, Cowley E, Lassalle Y. Sciducio: a practical framework for guiding the development and leadership of the academic research environment. Front Res Metr Anal 2023; 8:1205874. [PMID: 37876577 PMCID: PMC10591073 DOI: 10.3389/frma.2023.1205874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 09/12/2023] [Indexed: 10/26/2023] Open
Abstract
The goal of this paper is to introduce Sciducio, a practical framework for guiding the development and leadership of an academic research environment. The principal audience for this framework is new academics, that is individuals beginning a tenure-track position in the U.S or a lecturing position elsewhere in the world. However, we also believe this framework will be of use to established academics searching for structure, academics moving to a new institution, and can serve as a training tool for doctoral and postdoctoral mentees. We briefly describe the theory supporting Sciducio, outline the framework and its individual components (blocks), then provide suggested instructions for use. We provide suggested instructions (i.e., descriptive rather than prescriptive), because there is no one-size-fits-all approach for ensuring success. Sciducio incorporates three domains (Plan, Manage, and Deliver), encompasses eight blocks, and is intended to fit on one-sheet of paper or one screen. The Plan domain includes the blocks: value, strategy, and leadership. The Manage domain includes the blocks: activities, key resources, and finances. The Deliver domain includes the blocks: solution and channels. Considering each of the framework blocks is complex, we cannot provide full justice to each component. This paper serves as a general overview and subsequent papers will be more topic specific. Additionally, we encourage others to contribute to and advance this framework.
Collapse
Affiliation(s)
- Lee Stoner
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Department of Epidemiology, The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Craig Paterson
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Lane Perry
- School of Marketing, Entrepreneurship, Sports Management, and Hospitality and Tourism, College of Business, Western Carolina University, Cullowhee, NC, United States
| | - Simon Higgins
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Nathan Woolard
- Collins College of Business, University of Tulsa, Tulsa, OK, United States
| | - Patricia Pagan Lassalle
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Emma Cowley
- Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | | |
Collapse
|
38
|
Sergiou SC, Georgiou GK, Charalambous CY. Domain Specific and Cross Domain Associations between PASS Cognitive Processes and Academic Achievement. Behav Sci (Basel) 2023; 13:824. [PMID: 37887474 PMCID: PMC10604536 DOI: 10.3390/bs13100824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 09/30/2023] [Accepted: 10/05/2023] [Indexed: 10/28/2023] Open
Abstract
The purpose of this study was to examine the role of intelligence-operationalized in terms of Planning, Attention, Simultaneous, and Successive (PASS) processing skills-in reading and mathematics. Two hundred and forty-two Grade 6 Greek-speaking students (114 boys and 128 girls, Mage = 135.65 months, SD = 4.12 months) were assessed on PASS processes, speed of processing (Visual Matching), reading (Wordchains and CBM-Maze), and mathematics (Mathematics Achievement Test and Mathematics Reasoning Test). The results of the hierarchical regression analyses showed that, after controlling for family's socioeconomic status and speed of processing, Attention and Successive processing predicted reading and Planning and Simultaneous processing predicted mathematics. Taken together, these findings suggest that different PASS processes may account for individual differences in reading and mathematics.
Collapse
Affiliation(s)
- Sergios C. Sergiou
- Department of Primary Education, University of Cyprus, 4071 Nicosia, Cyprus;
| | - George K. Georgiou
- Department of Educational Psychology, University of Alberta, Edmonton, AB T6G 2G5, Canada;
| | | |
Collapse
|
39
|
Kanninen JC, Holm A, Koivisto AL, Hietasalo P, Heikkilä AM, Kunvik S, Bergman J, Airaksinen M, Puustinen J. Development of a Preventive Health Screening Procedure Enabling Supportive Service Planning for Home-Dwelling Older Adults (PORI75): Protocol for an Action Research Study. JMIR Res Protoc 2023; 12:e48753. [PMID: 37788079 PMCID: PMC10582811 DOI: 10.2196/48753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 08/11/2023] [Accepted: 08/17/2023] [Indexed: 10/04/2023] Open
Abstract
BACKGROUND In Finland, at least 1 in 4 residents will be >75 years of age in 2030. The national aging policy has emphasized the need to improve supportive services to enable older people to live in their own homes for as long as possible. OBJECTIVE This study aimed to develop a preventive health screening procedure for home-dwelling older adults aged 75 years to enable the use of clinical patient data for purposes of strategic planning of supportive services in primary care. METHODS The action research method was applied to develop the health screening procedure with selected validated health measures in cooperation with the local practicing interprofessional health care teams from 10 primary care centers in the Social Security Center of Pori, Western Finland (99,485 residents, n=11,938, 12% of them >75 years). The selection of evidence-based validated health measures was based on the national guide to screen factors increasing fall risk and the national functioning measures database. The cut-off points of the selected health measures and laboratory tests were determined in consecutive consensus meetings with the local primary care physicians, with decisions based on internationally validated measures, national current care guidelines, and local policies in clinical practice. RESULTS The health screening procedure for 75-year-old residents comprised 30 measures divided into three categories: (1) validated self-assessments (9 measures), (2) nurse-conducted screenings (14 measures), and (3) laboratory tests (7 measures). The procedure development process comprised the following steps: (1) inventory and selection of the validated health measures and laboratory tests, (2) training of practical nurses to perform screenings for the segment of 75-year-old residents and to guide them to possible further medical actions, (3) creation of research data from clinical patient data for secondary use purposes, (4) secondary data analysis, and (5) consensus meeting after the pilot test of the health screening procedure for 75-year-old residents procedure in 2019 based on the experiences of health care professionals and collected research data. CONCLUSIONS The developed preventive health screening procedure for 75-year-old residents enables the use of clinical patient data for purposes of strategic planning of supportive services in primary care if the potential bias by a low participation rate is controlled. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/48753.
Collapse
Affiliation(s)
- Jonna Carita Kanninen
- Faculty of Technology, Satakunta University of Applied Sciences, Pori, Finland
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
- Satasairaala Central Hospital, Pori, Finland
| | - Anu Holm
- Faculty of Technology, Satakunta University of Applied Sciences, Pori, Finland
| | | | | | | | - Susanna Kunvik
- Faculty of Health and Welfare, Satakunta University of Applied Sciences, Pori, Finland
| | - Jussi Bergman
- Faculty of Technology, Satakunta University of Applied Sciences, Pori, Finland
| | - Marja Airaksinen
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
| | - Juha Puustinen
- Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
- Unit of Neurology, Satasairaala Central Hospital, Satakunta Wellbeing County, Pori, Finland
| |
Collapse
|
40
|
More S, Bampidis V, Benford D, Bragard C, Hernández‐Jerez A, Bennekou SH, Koutsoumanis KP, Lambré C, Machera K, Mullins E, Nielsen SS, Schlatter J, Schrenk D, Turck D, Younes M, Kraft A, Naegeli H, Tsaioun K, Aiassa E, Arcella D, Barizzone F, Cushen M, Georgiadis M, Gervelmeyer A, Lanzoni A, Lenzi P, Lodi F, Martino L, Messens W, Ramos Bordajandi L, Rizzi V, Stancanelli G, Supej Š, Halldorsson TI. Guidance on protocol development for EFSA generic scientific assessments. EFSA J 2023; 21:e08312. [PMID: 37908452 PMCID: PMC10613941 DOI: 10.2903/j.efsa.2023.8312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023] Open
Abstract
EFSA Strategy 2027 outlines the need for fit-for-purpose protocols for EFSA generic scientific assessments to aid in delivering trustworthy scientific advice. This EFSA Scientific Committee guidance document helps address this need by providing a harmonised and flexible framework for developing protocols for EFSA generic assessments. The guidance replaces the 'Draft framework for protocol development for EFSA's scientific assessments' published in 2020. The two main steps in protocol development are described. The first is problem formulation, which illustrates the objectives of the assessment. Here a new approach to translating the mandated Terms of Reference into scientifically answerable assessment questions and sub-questions is proposed: the 'APRIO' paradigm (Agent, Pathway, Receptor, Intervention and Output). Owing to its cross-cutting nature, this paradigm is considered adaptable and broadly applicable within and across the various EFSA domains and, if applied using the definitions given in this guidance, is expected to help harmonise the problem formulation process and outputs and foster consistency in protocol development. APRIO may also overcome the difficulty of implementing some existing frameworks across the multiple EFSA disciplines, e.g. the PICO/PECO approach (Population, Intervention/Exposure, Comparator, Outcome). Therefore, although not mandatory, APRIO is recommended. The second step in protocol development is the specification of the evidence needs and the methods that will be applied for answering the assessment questions and sub-questions, including uncertainty analysis. Five possible approaches to answering individual (sub-)questions are outlined: using evidence from scientific literature and study reports; using data from databases other than bibliographic; using expert judgement informally collected or elicited via semi-formal or formal expert knowledge elicitation processes; using mathematical/statistical models; and - not covered in this guidance - generating empirical evidence ex novo. The guidance is complemented by a standalone 'template' for EFSA protocols that guides the users step by step through the process of planning an EFSA scientific assessment.
Collapse
|
41
|
Betancourt MC, Araújo C, Marín S, Buriticá W. The Quantitative Impact of Using 3D Printed Anatomical Models for Surgical Planning Optimization: Literature Review. 3D Print Addit Manuf 2023; 10:1130-1139. [PMID: 37886412 PMCID: PMC10599434 DOI: 10.1089/3dp.2021.0188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
3D printing has entered the medical field as a visualization tool that allows the manufacture of three-dimensional (3D) models that physically represent the anatomy of a patient in need of analysis to improve surgical results. This article analyzes the literature around reported study cases that make use of anatomical models for their surgical processes' planning, focusing on obtaining the quantitative results of each one of them. A search of case studies was carried out in the main medical databases such as PubMed, ScienceDirect, SpringerLink, among others; to obtain the most relevant results of the 56 selected articles, the information of each study was analyzed and categorized. These articles presented figures and data about the benefits that are considered more representative to measure the positive impact of this technology. These benefits are summarized in variables such as the decrease in surgical time, greater accuracy in the diagnosis of pathology, blood loss reduction, and decreasing operating room costs; owed to an improvement in the surgery planning. It was found that in all the cases analyzed there was an improvement in the surgical results related to these variables, which were summarized in macro figures that combine this improvement quantitatively. In the analyzed studies, it was evident that there is great potential in the use of 3D printing for presurgical planning, being as the results of these analyzed interventions were better when using this technology. In addition, it was found that the results obtained initially, before applying the inclusion and exclusion criteria, were mostly of a qualitative nature; expressing the perception of researchers regarding the positive use of this tool in the field and evidencing an opportunity for this research to focus on concrete and technical information to show in numerical terms the effectiveness of this tool, to demonstrate the cost-benefit that it has for the field.
Collapse
|
42
|
Kollndorfer K, Novak A, Nenning KH, Fischmeister FPS, Seidl R, Langs G, Kasprian G, Prayer D, Bartha-Doering L. Cortical thickness in the right medial frontal gyrus predicts planning performance in healthy children and adolescents. Front Psychol 2023; 14:1196707. [PMID: 37794918 PMCID: PMC10546024 DOI: 10.3389/fpsyg.2023.1196707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 09/08/2023] [Indexed: 10/06/2023] Open
Abstract
The ability to plan is an important part of the set of the cognitive skills called "executive functions." To be able to plan actions in advance is of great importance in everyday life and constitutes one of the major key features for academic as well as economic success. The present study aimed to investigate the neuroanatomical correlates of planning in normally developing children, as measured by the cortical thickness of the prefrontal cortex. Eighteen healthy children and adolescents underwent structural MRI examinations and the Tower of London (ToL) task. A multiple regression analysis revealed that the cortical thickness of the right caudal middle frontal gyrus (cMFG) was a significant predictor of planning performance. Neither the cortical thickness of any other prefrontal area nor gender were significantly associated with performance in the ToL task. The results of the present exploratory study suggest that the cortical thickness of the right, but not the left cMFG, is positively correlated with performance in the ToL task. We, therefore, conclude that increased cortical thickness may be more beneficial for higher-order processes, such as information integration, than for lower-order processes, such as the analysis of external information.
Collapse
Affiliation(s)
- Kathrin Kollndorfer
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Developmental and Interventional Imaging (DIN) Lab, Vienna, Austria
- Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
| | - Astrid Novak
- Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
| | - Karl-Heinz Nenning
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Computational Imaging Research Lab (CIR), Vienna, Austria
- Center for Biomedical Imaging and Neuromodulation, Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, United States
| | - Florian Ph S. Fischmeister
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Developmental and Interventional Imaging (DIN) Lab, Vienna, Austria
- Institute of Psychology, University of Graz, Graz, Austria
- BioTechMed-Graz, Graz, Austria
| | - Rainer Seidl
- Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
| | - Georg Langs
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Computational Imaging Research Lab (CIR), Vienna, Austria
| | - Gregor Kasprian
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Daniela Prayer
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Lisa Bartha-Doering
- Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
| |
Collapse
|
43
|
Rackemann LJ, Hamilton K, Keech JJ. Evaluation of an implementation intentions intervention for managing university student stress. Stress Health 2023. [PMID: 37724051 DOI: 10.1002/smi.3318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 07/12/2023] [Accepted: 08/14/2023] [Indexed: 09/20/2023]
Abstract
University students consistently report high levels of stress, which has been associated with a range of adverse outcomes. Promoting adaptive coping behaviours, such as problem-focused coping for managing university stress, is therefore a timely area of investigation. Current coping intervention approaches target reasoned cognitive processes; however, recent research has suggested that automatic processes are more strongly associated with problem-focused coping behaviour. The current study examined the effect of an implementation intentions intervention, a technique that can support behaviour to be performed automatically by facilitating continued repetition of a plan, on problem-focused coping behaviour under stress and stress-related outcomes. Following a pilot study (N = 21), a preregistered randomized controlled trial was conducted with university students (N = 154) using an online survey. Participants completed baseline measures of problem-focused coping behaviour, behavioural automaticity, behavioural intentions, action planning, perceived stress, procrastination, and psychological wellbeing; before receiving the intervention or control condition stimuli, and then at a 2-week follow-up. Behavioural intention and action planning were also measured immediately post-intervention. The intervention had a significant medium-sized effect on action planning for problem-focused coping, but no other significant effects were detected. Exploratory assessment of plan quality revealed medium-sized correlations between plan quality and changes in problem-focused coping behaviour. Findings indicate that implementation intentions may be a promising approach for increasing planning for the use of problem-focused coping. Indicators of plan quality found to be associated with changes in problem-focused coping provide valuable avenues for intervention optimisation in future research.
Collapse
Affiliation(s)
- Leah J Rackemann
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
- Health Sciences Research Institute, University of California, Merced, California, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Jacob J Keech
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| |
Collapse
|
44
|
Amdam R. "Health in All Policies" in Norwegian municipalities-Dilemmas and lack of legitimacy and capacity. Int J Health Plann Manage 2023; 38:1345-1359. [PMID: 37208862 DOI: 10.1002/hpm.3664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 12/30/2022] [Accepted: 05/09/2023] [Indexed: 05/21/2023] Open
Abstract
According to the Health in All Policies (HiAP) approach, public health work in Norway is regarded as a multi-actor collaboration based on planning and partnership for the purpose of enabling people to increase their control over their health and its determinants. HiAP builds largely on the governance and communicative turn in the public sector and thus exists in the shadow of a vertical government structure with sectors, silos and a chain of command. In practice, HiAP challenges the established way of thinking and acting in the silos and tries to create a more holistic understanding and handling of problems and needs. In order to successfully involve different sectors and government levels in this work, HiAP requires strong democratic legitimacy and institutional capacity. In this article, we discuss the empirical research data on the HiAP approach in Norway within the context of theory on collaborative planning processes and legitimising political capacity to act. Our research question is whether the HiAP approach in Norwegian municipalities have sufficient democratic legitimacy and institutional capacity to achieve the purpose of public health work. In general, we find that HIAP as practised in Norwegian municipalities does not function as a complete political legitimising and capacity building process. The practice contains several dilemmas, and there is a need to distinguish between different forms of legitimacy and capacity.
Collapse
|
45
|
Ion S, Lightfoot E. Caregivers' perspectives on future planning for their adult children with intellectual disabilities in Romania. J Appl Res Intellect Disabil 2023; 36:1046-1053. [PMID: 37191143 DOI: 10.1111/jar.13114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 04/22/2023] [Accepted: 04/26/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND Much of the research and program innovation regarding future planning for adults with intellectual disabilities has occurred in countries with well-developed disability service systems. This study explored how family caregivers planned for their adult children's future caregiving needs in Romania, a country with a limited array of disability services. METHOD In this exploratory qualitative study, we conducted 30 face-to-face interviews with caregivers of adults with intellectual disabilities in Romania. We used thematic analysis to analyse the transcribed and translated interview data. RESULTS The majority of participants, while believing that future planning was necessary, had not engaged in planning and had no supports for planning. As there were few disability services, the majority of the participants reported that they could not engage in planning, and many avoided thinking about the future. CONCLUSION Romania and other countries with fewer disability services likely need alternative models of future planning than those that have been developed and tested previously.
Collapse
Affiliation(s)
- Sandica Ion
- School of Sociology and Social Work, University of Bucharest, Bucharest, Romania
| | | |
Collapse
|
46
|
Wise T, Charpentier CJ, Dayan P, Mobbs D. Interactive cognitive maps support flexible behavior under threat. Cell Rep 2023; 42:113008. [PMID: 37610871 PMCID: PMC10658881 DOI: 10.1016/j.celrep.2023.113008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 07/11/2023] [Accepted: 08/03/2023] [Indexed: 08/25/2023] Open
Abstract
In social environments, survival can depend upon inferring and adapting to other agents' goal-directed behavior. However, it remains unclear how humans achieve this, despite the fact that many decisions must account for complex, dynamic agents acting according to their own goals. Here, we use a predator-prey task (total n = 510) to demonstrate that humans exploit an interactive cognitive map of the social environment to infer other agents' preferences and simulate their future behavior, providing for flexible, generalizable responses. A model-based inverse reinforcement learning model explained participants' inferences about threatening agents' preferences, with participants using this inferred knowledge to enact generalizable, model-based behavioral responses. Using tree-search planning models, we then found that behavior was best explained by a planning algorithm that incorporated simulations of the threat's goal-directed behavior. Our results indicate that humans use a cognitive map to determine other agents' preferences, facilitating generalized predictions of their behavior and effective responses.
Collapse
Affiliation(s)
- Toby Wise
- Department of Neuroimaging, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK; Department of Humanities and Social Sciences, California Institute of Technology, Pasadena, CA, USA.
| | - Caroline J Charpentier
- Department of Humanities and Social Sciences, California Institute of Technology, Pasadena, CA, USA; Department of Psychology, University of Maryland, College Park, MD, USA; Brain and Behavior Institute, University of Maryland, College Park, MD, USA
| | - Peter Dayan
- Max Planck Institute for Biological Cybernetics, Tübingen, Germany; University of Tübingen, Tübingen, Germany
| | - Dean Mobbs
- Department of Humanities and Social Sciences, California Institute of Technology, Pasadena, CA, USA; Computation and Neural Systems Program, California Institute of Technology, Pasadena, CA, USA
| |
Collapse
|
47
|
Kim TW, Won JS. Anatomical Study of the Lateral Tibial Spine as a Landmark for Weight Bearing Line Assessment during High Tibial Osteotomy. Medicina (Kaunas) 2023; 59:1571. [PMID: 37763690 PMCID: PMC10533072 DOI: 10.3390/medicina59091571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/25/2023] [Accepted: 08/26/2023] [Indexed: 09/29/2023]
Abstract
Background: Accurate pre-operative planning is essential for successful high tibial osteotomy (HTO). The lateral tibial spine is a commonly used anatomical landmark for weight-bearing line assessment. However, studies on the mediolateral (M-L) position of the lateral tibial spine on the tibial plateau and its variability are limited. Purpose: This study aimed to (1) analyze the M-L position of the lateral tibial spine on the tibial plateau and its variability, (2) investigate radiologic parameters that affect the position of the lateral tibial spine, and (3) determine whether the lateral tibial spine can be a useful anatomical landmark for weight-bearing line assessment during HTO. Materials and Methods: Radiological evaluation was performed on 200 participants (64% female, mean age 42.3 ± 13.2 years) who had standing anterior-posterior plain knee radiographs with a patellar facing forward orientation. The distances from the medial border of the tibial plateau to the lateral spine peak (dLSP) and lateral spine inflection point (dLSI) were measured using a picture archiving and communication system. The medial-lateral inter-spine distance (dISP) was also measured. All parameters were presented as percentages of the entire tibial plateau width. The relationships between the parameters were also investigated. Results: The mean value of dLSP was 56.9 ± 2.5 (52.4-64.5)%, which was 5% lower than the Fujisawa point (62%). The mean value of dLSI was 67.9 ± 2.2 (63.4-75.8)%, which was approximately 5% higher than the Fujisawa point. The values of the dLSP and dLSI were variable among patients, and the upper and lower 10% groups showed significantly higher and lower dLSP and dLSI, respectively, than the middle 10% group. The mean value of dISP was 16.5 ± 2.4%, and it was positively correlated with dLSP and dLSI. Conclusions: On average, the dLSP and dLSI were located -5% and +5% laterally from the conventional Fujisawa point, and they may be useful landmarks for correction amount adjustment during HTO. However, it should be noted that correction based on the lateral tibial spine can be affected by anatomical variations, especially in patients with small or large inter-spine distances.
Collapse
Affiliation(s)
- Tae Woo Kim
- Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Boramae Medical Center, Seoul 07061, Republic of Korea;
| | | |
Collapse
|
48
|
Aoki S, Nagatani F, Kagitani-Shimono K, Ohno Y, Taniike M, Mohri I. Examining normative values using the Cambridge neuropsychological test automated battery and developmental traits of executive functions among elementary school-aged children in Japan. Front Psychol 2023; 14:1141628. [PMID: 37663362 PMCID: PMC10469330 DOI: 10.3389/fpsyg.2023.1141628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 07/20/2023] [Indexed: 09/05/2023] Open
Abstract
The Cambridge Neuropsychological Test Automated Battery (CANTAB) is a computerized and child-friendly neuropsychological assessment battery that includes subtests aimed at evaluating some aspects of executive functions. Using the CANTAB, this study aims to establish normative values based on the aspects of executive functions among school-aged children in Japan. The participants included 234 children (135 boys and 99 girls aged 6-12 years) enrolled in regular classes, without any clinical records of developmental disorders or educational support. The participants were grouped according to age (6-7, 8-9, and 10-12 years). Four CANTAB subtests, including spatial working memory (SWM) to assess spatial working memory, Stockings of Cambridge (SOC) to evaluate planning, intra/extradimensional set shift (IED) to evaluate attentional set shifting and flexibility, and stop signal task (SST) to evaluate inhibition, were administered to each participant. The results showed that performance in all the CANTAB subtests administered changed with age. Among the subtests, compared with performances in the SOC and IED, those in the SWM and SST improved earlier, thereby indicating that spatial working memory and inhibition develop earlier than planning as well as attentional set shifting and flexibility. Additionally, in the SST subtest, girls made fewer errors than boys did in the 6-7 years group. This study presents normative data of four CANTAB subtests according to age and sex among school-aged children in Japan. We expect that the findings will be used to develop effective tools for the early detection of and support for children with executive dysfunction.
Collapse
Affiliation(s)
- Sho Aoki
- Department of Child Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
| | - Fumiyo Nagatani
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
| | - Kuriko Kagitani-Shimono
- Department of Child Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Yuko Ohno
- Department of Health Sciences, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Masako Taniike
- Department of Child Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Ikuko Mohri
- Department of Child Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| |
Collapse
|
49
|
Scionti N, Zampini L, Marzocchi GM. The Relationship between Narrative Skills and Executive Functions across Childhood: A Systematic Review and Meta-Analysis. Children (Basel) 2023; 10:1391. [PMID: 37628390 PMCID: PMC10453360 DOI: 10.3390/children10081391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/05/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023]
Abstract
Executive functions (EFs) and narrative competence (NC) are two important predictors of many outcomes in human development. To date, however, it is unclear whether these skills develop synergistically-supporting or opposing each other-or whether they are independent of each other. The purpose of this meta-analysis is to understand if these skills are related to over development and if the magnitude of their association changes over time; differs in typical and atypical development; and changes with EF (inhibition, working memory, flexibility, planning) and NC (oral, written; micro and macrostructural level). For this purpose, 30 studies containing 285 effect sizes were selected and combined. The results show that EFs and NC are weakly associated with each other (r = 0.236, p < 0.001) and that this association decreases with age (b(267) = -0.0144, p = 0.001). They are more associated in preschool and early elementary school grades, becoming more independent after seven years old. Between 3 and 7 years of age, the association seems stronger in atypically developing children and for macrostructural NC. Additionally, before 7 years old, the various EF domains seem to associate indistinctly with NC, and only later specific links between EFs and NC would be observed.
Collapse
Affiliation(s)
| | | | - Gian Marco Marzocchi
- Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy (L.Z.)
| |
Collapse
|
50
|
Zhang M, Andersson B, Greiff S. Investigating Planning and Non-Targeted Exploration in PIAAC 2012: Validating Their Measures Based on Process Data and Investigating Their Relationships with Problem-Solving Competency. J Intell 2023; 11:156. [PMID: 37623539 PMCID: PMC10455856 DOI: 10.3390/jintelligence11080156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 06/30/2023] [Accepted: 08/02/2023] [Indexed: 08/26/2023] Open
Abstract
Problem-solving is a critical aspect of intelligence that has become increasingly important in modern society. Mapping out the determinants of success in problem-solving helps understand the underlying cognitive processes involved. This article focuses on two key cognitive processes in problem-solving: non-targeted exploration and planning. We generalize previously defined indicators of planning and non-targeted exploration across tasks in the 2012 Programme for the International Assessment of Adult Competencies and examine the internal construct validity of the indicators using confirmatory factor analysis. We also investigate the relationships between problem-solving competency, planning, and non-targeted exploration, along with the specific dependence between indicators from the same task. The results suggest that (a) the planning indicator across tasks provides evidence of internal construct validity; (b) the non-targeted exploration indicator provides weaker evidence of internal construct validity; (c) overall, non-targeted exploration is strongly related to problem-solving competency, whereas planning and problem-solving competencies are weakly negatively related; and (d) such relationships vary substantially across tasks, emphasizing the importance of accounting for the dependency of measures from the same task. Our findings deepen our understanding of problem-solving processes and can support the use of digital tools in educational practice and validate task design by comparing the task-specific relationships with the desired design.
Collapse
Affiliation(s)
- Maoxin Zhang
- Centre for Educational Measurement, Faculty of Educational Sciences, University of Oslo, 0316 Oslo, Norway;
| | - Björn Andersson
- Centre for Educational Measurement, Faculty of Educational Sciences, University of Oslo, 0316 Oslo, Norway;
| | - Samuel Greiff
- Department of Behavioral and Cognitive Sciences, University of Luxembourg, L-4366 Esch-sur-Alzette, Luxembourg;
| |
Collapse
|