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The purpose of this study was to investigate the impact of mLearning or mobile device practice on the attention and accuracy of student's use of math concepts, specifically, telling time. A single subject, alternating treatment design was used to compare mLearning to paper and pencil practice in four 3rd grade male students. Results were mixed; two children were observed to be more on-task during the mLearning practice, and two children were observed to perform similarly across both conditions. Additionally, two children performed similarly on correctly completed problems across both conditions, and two children performed better using paper and pencil practice. All students completed more math problems during the paper and pencil practice.

When toilet paper disappeared from store shelves across Japan in November 1973, the housewives who searched their neighborhood markets and stood in long lines for the scarce packs were described as unwitting perpetrators of a “toilet paper panic.” The word “panic” evoked well-established notions of a social frenzy, irrational and overwrought. This article overturns a conception of panic laden with condescension and adopts, instead, a more empathetic approach to examining why a run on toilet paper and other daily necessities occurred in late 1973, and why it resonated so deeply across Japan as a “panic.” In the broader context of the early 1970s, the toilet paper scare and its characterization as a “panic” can be understood as responses to sweeping and multifaceted economic challenges that destabilized daily life and threatened to upend middle-class lifestyles. After more than fifteen years of high economic growth, that sense of middle-class comfort and security was shaken by shortages and inflation as well as mounting evidence of government ineptitude and corporate profiteering. Buffeted by insecurity and uncertainty, Japanese “middle-classness” as both an experience and an ideal had never seemed as vulnerable as it did in the early 1970s.

Social networks string everyone together. In the world affected by the COVID-19 pandemic, residents left their houses less often and maintained their connections online. Preparing for longer periods at home, some customers stockpiled supplies, the most discussed of which being toilet paper. When internet users came across videos of empty store shelves and people boasting about the amount of toilet paper they obtained, public contempt exploded over these supposed “panicked buyers.” From February to May of 2020, patterns of reaction against panic buying matched the description of a moral panic as presented by sociologist Stanley Cohen. The media is an agent of contagions in a social network. During COVID-19, news headlines often detailed shortages of supplies around the world. Meanwhile, social media became a platform for videos of stockpiling consumers, like those who built thrones out of toilet paper boxes. These behaviors from the media further escalated a small issue of temporary toilet paper shortage to almost a national emergency, while drawing attention away from shortages of crucial medical supplies and test kits.

This project will conduct a systematic review of conference papers that had been presented at the Japanese Psychological Association and the Japanese Society of Social Psychology.

This project will conduct a systematic review of conference papers that had been presented at the Japanese Psychological Association and the Japanese Society of Social Psychology. This is a revised version (revision 1) of our protocol preregistered at https://osf.io/9u8fg.

This project will conduct a systematic review of conference papers that had been presented at the Japanese Psychological Association and Japanese Society of Social Psychology. This is a protocol for the stage 2 data collection.

Feedback is beneficial to students’ learning process and overall achievement, but one of the common complaints from students about college education is regarding feedback. So, this study aimed to examine whether digital written feedback positively influences students’ learning experience and attitude toward learning. Digital written feedback refers to feedback provided through a learning management system as handwritten feedback added to a scanned copy of the student’s paper-based assessment using a smart pad and smart pencil. The study surveyed a diverse set of college students’ (n = 175) perceptions regarding feedback satisfaction, learning satisfaction, the usefulness of digital written feedback, and perceived achievement via an online survey. A one-way analysis of variance found a significant difference between feedback satisfaction and learning satisfaction according to the feedback method. A multiple regression analysis indicated the satisfaction and perceived usefulness of digital written feedback predicted perceived achievement. From the students’ open responses regarding the benefits of digital written feedback, five themes emerged, namely usability, psychological relief, accessibility, self-regulation, and acceptance. The implications for digital written feedback are discussed.

Human trafficking is a pandemic human rights violation with an emerging paradigm shift that reframes an issue traditionally seen through a criminal justice lens to that of a public health crisis, particularly for children. Children and adolescents who are trafficked or are at risk for trafficking should receive evidence-based, trauma-informed, and culturally responsive care from trained health care providers (HCPs). The purpose of this article was to engage and equip pediatric HCPs to respond effectively to human trafficking in the clinical setting, improving health outcomes for affected and at-risk children. Pediatric HCPs are ideally positioned to intervene and advocate for children with health disparities and vulnerability to trafficking in a broad spectrum of care settings and to optimize equitable health outcomes.

In this article the author outlines his understanding of self-psychology as an independent psychoanalytic treatment paradigm created by the late Heinz Kohut and initially geared toward the psychoan...

Summary Numerous studies are published on the benefits of electric hand dryers vs paper towels (PT) for drying hands after washing. Data are conflicting and lacking key variables needed to assess infection risks. We provide a rapid scoping review on hand‐drying methods relative to hygiene and health risks. Controlled vocabulary terms and keywords were used to search PubMed (1946–2018) and Embase (1947–2018). Multiple researchers independently screened abstracts for relevance using predetermined criteria and created a quality assessment scoring system for relative study comparisons. Of 293 papers, 23 were included in the final analysis. Five studies did not compare multiple methods; however, 2 generally favoured electric dryers (ED); 7 preferred PT; and 9 had mixed or statistically insignificant results (among these, 3 contained scenarios favourable to ED, 4 had results supporting PT, and the remaining studies had broadly conflicting results). Results were mixed among and within studies and many lacked consistent design or statistical analysis. The breadth of data does not favour one method as being more hygienic. However, some authors extended generalizable recommendations without sufficient scientific evidence. The use of tools in quantitative microbial risk assessment is suggested to evaluate health exposure potentials and risks relative to hand‐drying methods. We found no data to support any human health claims associated with hand‐drying methods. Inconclusive and conflicting results represent data gaps preventing the advancement of hand‐drying policy or practice recommendations.

Following Swales’ (1990) influential study on research article (RA) introductions, some attention has increasingly been paid to other rhetorical units of both expert and learners’ writing, including titles. A key and effective discursive means through which titles are constructed and presented is the syntactic configuration. The present study, thus, investigates the syntactic structures employed by authors of conference paper titles (CPTs) in Applied Linguistics. A qualitative content analysis was employed to study a corpus of 592 CPTs from a popular conference for researchers, scholars, and practitioners of Applied Linguistics worldwide, supported by some descriptive statistics. The analysis of data study identified three main title styles: Single Unit Title, Compound Unit Title, and Complex Unit Title. The analysis showed that, out of these three title styles, Compound Unit Titles were preferred by researchers. Further, the colon was the dominantly used punctuation mark in separating the components of Compound Unit titles. The final point was that authors preferred prepositional phrases in the post modification of the noun phrase structure of CPTs. The findings of this study have implications for the scholarship on titlelogy, academic writing pedagogy as well as further research.

Background: Although some have noted that combining technical and marketing content is precarious, technical communication professionals are increasingly involved in content marketing, which includes the creation of white papers. Literature review: The little existing literature on white papers provides conflicting guidance about managing the combination of technical and marketing content. Both soft-sell and hard-sell marketing approaches have been recommended. One source of such inconsistent guidance may be the lack of agreement about definitions. Research on print advertisements has described hard and soft selling as multidimensional rather than binary aspects of persuasive appeals. Research question: Which dimensions of hard- and soft-sell appeals are predominant in white papers? Research methodology: To complete our descriptive study, we collected a corpus of documents labeled as white papers in TechRepublic, and then selected and trained three raters to complete a series of judgments about dimensions of persuasive appeals in the corpus. We aggregated those ratings, calculating the mean and standard deviation for the dimensions to describe their distribution across the corpus. Results/discussion: Overall, hard-sell dimensions were more prevalent than soft-sell dimensions. However, the soft-sell category of “implicitness” was also dominant. Conclusion: Our results demonstrate the value of treating hard and soft selling as multidimensional, complementary, and combinatory marketing appeals that allow, for example, a single white paper to be both “subjective” (soft sell), and “precise” (hard sell), or both “creative” (soft sell) and “informative” (hard sell).

This paper examines the role of yoga therapy in comprehensive integrative pain management (CIPM). The pain crisis is described, and how yoga therapists can contribute to its solution is explained. Yoga therapy can be an essential component of the multidisciplinary undertaking that will be required to improve patient outcomes and alter the trajectory of the global public health crisis constituted by an epidemic of poorly understood and inadequately addressed pain. Additional context and evidence are presented to document the effectiveness of yoga therapy interventions to support people living with pain. The white paper concludes by listing recommendations to providers, consumers, payers, and legislators, who together can address systemic and structural barriers to CIPM, as well as suggestions for enabling the yoga therapy profession to more fully participate in these solutions.

Background There is a scarcity of studies exploring the preparation and training of lead researchers prior to ‘entering the field’. This paper provides a critique of the necessary formal training undertaken by the lead researcher in preparation for engaging refugees in a research project. In this study, the [professional training organisation’s] ‘core concepts’ framework was modified and implemented by the lead researcher during in-depth interviews with people who came to Australia as refugees and became Registered Nurses (RNs). Aim To provide practical insights into the preparation and implementation of a modified ‘core concepts’ framework when interviewing refugee participants. Methods Discussion paper. Findings The lead researcher describes the preparation and implementation of a modified ‘core concepts’ framework when conducting interviews with five nurse participants with refugee backgrounds. Discussion This paper highlights the process of acknowledging the nuances of the refugee experience, identifying and minimising factors that exacerbate undue harm, while maintaining positive experiences among participants who have long since resettled and work in a caring profession. Conclusion The importance of formal training and preparation for researchers engaging refugees in sensitive research should not be overlooked. Conversely, it is the researchers’ contention that a lack of training and preparation widens the possibility of unethical, yet preventable harm toward participants and researchers. This study highlights an exemplar of applying professional training with participants who potentially have traumatic memories. Further these considerations can extend to RNs working with colleagues, clients and patients who are refugees.

While the use of blogs has gained increasing popularity among second language (L2) writers, research into their role in developing L2 writing ability is yet underdeveloped. In particular, investigations into the use and effectiveness of peer feedback on L2 blogs are limited. The current study sought to fill this gap by comparing the provision of peer feedback in blogs versus on paper. Participants were a class of ESL students in a TESL university program in Quebec who produced written texts both in blogs and on paper, received peer feedback, and then revised their texts. Altogether, the findings suggest that while both blogs and paper can be influential mediums for L2 writing, they may inspire different types of errors, elicit different types and degrees of feedback, and lead to differences in subsequent revisions.

Computer-based testing (CBT), which refers to delivering assessments with computers, has been widely used in large English proficiency tests worldwide. Despite an increasing CBT in China, limited research is available concerning whether CBT can be used for the Test for English Majors-Band 4 (TEM 4). The current study investigated whether testing mode impacted TEM 4 score and factors (i.e., computer familiarity level and attitude towards CBT) that might correlate with performance on CBT of TEM 4. Overall 92 Chinese undergraduate students were randomly assigned to one of the groups, i.e., CBT or paper-based testing (PBT), and took the test. A mixed method was employed, including (1) quantitative and qualitative analysis of test performance in two modes, as well as CBT group participants’ computer familiarity and attitudes towards the mode; and (2) thematic analysis of semi-structured interviews. The results revealed that (1) test scores in CBT and PBT were comparable; (2) two items in the computer familiarity questionnaire, i.e., comfort level of reading articles on the computer and forgetting time when using computers, positively correlated with CBT scores; and (3) participants’ attitude towards CBT did not impact test performance.

This Position Paper from the Academy of Nutrition Sciences is the first in a series which describe the nature of the scientific evidence and frameworks that underpin nutrition recommendations for health. This first paper focuses on evidence which underpins dietary recommendations for prevention of non-communicable diseases. It considers methodological advances made in nutritional epidemiology and frameworks used by expert groups to support objective, rigorous and transparent translation of the evidence into dietary recommendations. The flexibility of these processes allows updating of recommendations as new evidence becomes available. For CVD and some cancers, the paper has highlighted the long-term consistency of a number of recommendations. The innate challenges in this complex area of science include those relating to dietary assessment, misreporting and the confounding of dietary associations due to changes in exposures over time. A large body of experimental data is available that has the potential to support epidemiological findings, but many of the studies have not been designed to allow their extrapolation to dietary recommendations for humans. Systematic criteria that would allow objective selection of these data based on rigour and relevance to human nutrition would significantly add to the translational value of this area of nutrition science. The Academy makes three recommendations: (i) the development of methodologies and criteria for selection of relevant experimental data, (ii) further development of innovative approaches for measuring human dietary intake and reducing confounding in long-term cohort studies and (iii) retention of national nutrition surveillance programmes needed for extrapolating global research findings to UK populations.

The field of sport-related concussion (SRC) is evolving quickly, and psychological aspects affecting athletes’ recovery and well-being are now recognized as an important component for research and ...

Effective integration of learning technology tools in classrooms is a key component of 21st century higher education classrooms. The goal of the position paper is to provide a discussion from the results of the research study and to uncover the faculty members’ views and perceptions about implementing learning technology tools. Insights from this study revealed that it is a teaching technique and style of the faculty members in the use of these learning technology tools that determined the nature of their perception of success rather than the learning tools themselves.

The instructional value of rubrics for promoting student learning and aiding teacher feedback to student performance has been extensively reached in the educational literature. There is nonetheless a dearth of studies on students' rubric use in second/foreign language contexts. And fewer studies have investigated the factor affecting rubrics' effectiveness for promoting student learning. The paper Reports a classroom-based inquiry unto students' perceptions of rubric use in self-assessment in English as a foreign language context and the factors moderating its effectiveness. Eighty students at Chinese university participated in the study. The data collected included their reflective journals and six case study informants' retrospective interviews. Results showed that the rubric was perceived as useful for fostering the students' self-regulation by guiding them through the stages of goal-setting, planning, self- monitoring and self-reflection. Both within-rubric and rubric-user factors were identified as affecting the rubric's effectiveness in student self-assessment. The findings are discussed with reference to the design features of rubrics implications are drawn for formative rubric use in student self-assessment

This research investigates the use of Data-driven learning (DDL) tasks in the teaching and learning of acronyms in a specialised corpus. Our target population is professional military staff (n=16). The researchers collected and analysed the Salvage and Rescue of Submarines Corpus (SAR) where the patterning of acronyms, neglected in English for Specific Purposes (ESP), plays a substantial role. Using a mixed-methods methodology, this research looked at the students’ interaction with DDL, as well as at the subsequent interviews with the students. Deductive and inductive paper-based DDL tasks with concordance lines of acronyms were used with two groups of students of different rank. Both groups found the tasks challenging and showed mixed reactions towards concordance lines. While there has been a much-needed emphasis on tools and corpus methods training in DDL, we suggest that conversations with adult, professional students about the nature of instructed language learning and language patterning are absolutely essential to promote a more active learner role in DDL approaches.

This position paper expresses current and future concerns about the use of robots in nursing. This statement reflects integration of humanoid nurse robots (HNRs) in nursing education, practice, and research. It is imperative nurses be directly involved in decisions about the design, implementation, and evaluation of the use of HNRs in healthcare. As questions arise about the ethical use of robots in nursing situations, caring theories will inform the implementation of HNRs in nursing to ensure the we protect the safety and the dignity of those entrusted to our care.

This article describes the Division of Career Development and Transition’s (DCDT) position regarding Career Technical Education (CTE) and provides recommendations regarding more intense collaboration to improve access to and persistence in CTE for students with disabilities. Professional groups, such as the DCDT and the Association for Career and Technical Education, as well as policy makers, should strengthen collaboration in this area. This position paper: (a) explores CTE’s effectiveness as a secondary special education and transition service; (b) summarizes relevant federal legislation; and (c) presents key recommendations for policy, practice, personnel preparation and professional development, and research. Policy and practice recommendations emphasize access and equity, personnel preparation and professional development recommendations promote an understanding of related legislation and instructional practices, and research recommendations emphasize collaborative high-quality research.

Background: Journal articles published by Iranian dental school faculty members have followed an upward trend Since 2000, based on: (1) the global growth rate; (2) the increase in the number of country’s dental schools and their relatively higher number of faculty members; and (3) the health ministry’s emphasis on research and scientific publications. Hence, it is important to keep ourselves up to date about the trend of scientific articles published by Iranian dental schools. Objectives: This study aimed to extract the number and quantitative value of articles authored by faculty members of Iranian dental schools that are indexed in three databases of SCOPUS, PubMed, and the Web of Science (WoS/ISI) from 2015 to 2019. Methods: A five-year cross-sectional study was conducted on the above-mentioned databases, using a similar strategy for all databases. Words “Iran” and “dent*” were searched in affiliations. The obtained results were investigated in-depth. The details of search results were checked out one by one. Only those articles with at least one author genuinely affiliated to an Iranian dental school were included for further assessment. The “number of articles” authored by at least one author and those with the “first author” affiliated to an Iranian dental school were counted. Then, the “quantitative value” or share of each author was calculated by dividing one by the number of authors of the article. The three variables were compared among databases, dental schools, and study years. Results: A total of 3922, 2473, and 2345 articles were retrieved from SCOPUS, PubMed, and WoS, respectively. Concerning SCOPUS and WoS databased, all three study variables had an increasing trend from 2015 to 2018 but decreased in 2019. In PubMed, however, the decline started from the beginning of the study period. Conclusions: The observed decline in the number of scientific papers produced or published at the end of the study period is worrying. The novel variable of “quantitative value” that was calculated in this study can be regarded as an appropriate and feasible indicator to determine the number of scientific papers published by individuals, dental schools, and the whole country’s dental research society, compared to other variables. Policymakers should rethink facilitating publication in accredited journals, especially those indexed in PubMed.

배경 및 목적: 본 연구는 언어발달지연 아동의 한국판 수용 · 표현 어휘력 검사에서 컴퓨터 기반(태블릿 PC) 매체와 종이 기반 매체를 이용하여 매체의 변화가 아동의 언어 수행력에 차이를 보이는지 알아보고자 하였다. 방법: 연구의 대상은 생활 연령이 만 3-7세의 언어발달지연 아동 27명을 대상으로 하였다. 언어발달지연 정도와 통합언어연령에 따라 각각 두...

There is a growing interest in the health professionals’ performance sustenance and work- related attitudes research. This is primarily because health professionals experience on daily basis some undesirable variables like fatigue, `well-being, stress, emotional drain, psychological need frustration and job dissatisfaction which affect performance and its sustenance. Health managers quest to resolve issues of performance sustenance, have resulted in difficulties in their attempt to motivate health professionals to be highly functional and effective to sustain performance. In a lower-middle income country like Ghana, there has not been a lot of success in this regard considering the enormity of psychological challenges and the seemingly disturbing work environment health professionals engage their services in. These continue to affect performance fundamentally because they keep experiencing negative development psychologically. Additionally, it has been documented severally in the extant literature how these negative psychological developments affect the performance of healthcare professionals which unreservedly requires a new dimension in the way work environment is managed. A gap our study intends to address through the incorporation of positive psychological capital which we seek to use in moderating the work related attitudes that has the capacity to address the negativity that has engulfed work environment among healthcare professionals.

In a modern society, seniors want to be a part of the digital world and the research in progress seeks to present whether through Serious Games can help their learning process and understanding of cybersecurity when online browsing, namely, deciding which actions to make when facing an eminent threat. this position paper aims to presents a new research on how Serious Games can help seniors to become more aware in the cybersecurity theme and how to be more careful when search the web. In this research the methodology apply is the Action Research, by identifying the problem –lack of knowledge that seniors have on the online threats and promoting an action –the Serious Game played to teach and motivate the senior to become safer online.

AimTo discuss ethical issues related to a complex study (PROFID) involving the development of a new, partly artificial intelligence-based, prediction model to enable personalised decision-making about the implantation of an implantable cardioverter defibrillator (ICD) in postmyocardial infarction patients, and a parallel non-inferiority and superiority trial to test decision-making informed by that model.MethodThe position expressed in this paper is based on an analysis of the PROFID trials using concepts from high-profile publications in the ethical literature.ResultsWe identify ethical issues related to the testing of the model in the treatment setting, and to both the superiority and the non-inferiority trial. We underline the need for ethical-empirical studies about these issues, also among patients, as a parallel to the actual trials. The number of ethics committees involved is an organisational, but also an ethical challenge.ConclusionThe PROFID trials, and probably other studies of similar scale and complexity, raise questions that deserve dedicated parallel ethics and social science research, but do not constitute a generic obstacle. A harmonisation procedure, comparable to the Voluntary Harmonization Procedure (VHP) for medication trials, could be needed for this type of trials.

[EN] Human social relationships imply conforming to the norms, behaviors and cultural values of the society, but also socialization of emotions, to learn how to interpret and show them. In multiagent systems, much progress has been made in the analysis and interpretation of both emotions and norms. Nonetheless, the relationship between emotions and norms has hardly been considered and most normative agents do not consider emotions, or vice-versa. In this article, we provide an overview of relevant aspects within the area of normative agents and emotional agents. First we focus on the concept of norm, the different types of norms, its life cycle and a review of multiagent normative systems. Secondly, we present the most relevant theories of emotions, the life cycle of an agent¿s emotions, and how emotions have been included through computational models in multiagent systems. Next, we present an analysis of proposals that integrate emotions and norms in multiagent systems. From this analysis, four relationships are detected between norms and emotions, which we analyze in detail and discuss how these relationships have been tackled in the reviewed proposals. Finally, we present a proposal for an abstract architecture of a Normative Emotional Agent that covers these four norm-emotion relationships., This work was supported by the Spanish Government project TIN2017-89156- R, the Generalitat Valenciana project PROMETEO/2018/002 and the Spanish Goverment PhD Grant PRE2018-084940.

Feedback is integral to the process of education but is not a simple process and in mass education and global systems presents numerous additional challenges. This paper, which is intended as an informative awareness-raising paper, provides a review of recent literature on the challenges that educators and students face when feedback is given and received. It conceptualizes feedback as a process that requires multiple inputs and should support the partnership between educators and students through dialogue and engagement. Feedback literacy that incorporates the role of emotion is seen as a key aspect of professional and student development to motivate and engage students.

The number of citations a peer-reviewed article receives is often used as a measure of its importance and scientific impact. This paper identifies, describes and categorizes the highly cited papers in addiction research on cannabis, heroin, cocaine and psychostimulants. Highly cited papers were identified in the Web of Science Core Collection database. Several bibliometric indicators were calculated. Social network analysis was applied to draw groups of authors and institutions with the greatest number of collaborations and co-words. The number of citations for the top 100 cited articles ranged from 649 to 4,672. The articles were published in 40 journals. The subject category Substance Abuse included 10 papers. The United States was the most productive country (79 papers), followed by the United Kingdom (9). The main funding institutions were the National Institutes of Health in the United States. The network of collaboration between authors distributes the 352 researchers into 53 groups. The three most cited works address the neural basis of drug craving as an incentive-sensitization theory of addiction, the clinical and research uses of the Addiction Severity Index, and the neurocircuitry of addiction. Scientific literature on addictions is widely dispersed both in multidisciplinary and specific journals of neurology, psychiatry and addictions, with relatively few publications providing most of the citations. An ongoing challenge for this field is the concentration of highly cited papers coming from a select number of countries, with the United States being the research hub of the world, with the highest volume of publications and total citations., This work have been funding by Servicio de Drogodependencias (PMD/UPCCA-València). Concejalía de Sanidad y Consumo. Ajuntament de València.

Objective : Most systematic reviews of interventions focus on potential benefits. Common methods and assumptions that are appropriate for assessing benefits can be inappropriate for harms. This paper provides a primer on researching harms, particularly in systematic reviews. Study Design and Setting : Commentary describing challenges with assessing harm. Results : Investigators should be familiar with various terminologies used to describe, classify, and group harms. Published reports of clinical trials include limited information about harms, so systematic reviewers should not depend on these studies and journal articles to reach conclusions about harms. Visualizations might improve communication of multiple dimensions of harms such as severity, relatedness, and timing. Conclusion : The terminology, classification, detection, collection, and reporting of harms create unique challenges that take time, expertise, and resources to navigate in both primary studies and evidence syntheses. Systematic reviewers might reach incorrect conclusions if they focus on evidence about harms found in published reports of randomized trials of a particular health problem. Systematic reviews could be improved through better identification and reporting of harms in primary studies and through better training and uptake of appropriate methods for synthesizing evidence about harms.

The World Association for Infant Mental Health (WAIMH) decided to compose a position paper on infants' rights in wartime, as there is still a general lack of attention paid to the impact of war-related traumas on infants' development and psychological health. Though there are numerous areas of violent conflicts around the globe, there have been few published studies that relate specifically to infants. Consequently, humanitarian aid programs tend to overlook infants' psychological needs and to pay more attention to those of older children. This position paper first reviews the studies identified through a literature search, about the impact of war-related traumas during pregnancy and postnatal periods, then describes the existing recommendations that have been added to the Children Rights Convention and their implications for infant mental health clinicians.

Background and purpose Spirometry is often technically challenging for patients. Previous studies have demonstrated the potential benefits of spirometry in the community pharmacy setting. This study compared pharmacy students' perceptions and attitudes toward performing spirometry, as well as implementing spirometry in clinics and community pharmacies through experiencing spirometry first-hand versus completing paper-based active learning exercises. Educational activity and setting First-year (N = 102) and second-year (N = 70) pharmacy students were provided with the same pre-class materials to learn about the spirometry process. During class, first-year (P1) students performed spirometry tests, while second-year (P2) students completed paper-based active learning exercises about spirometry without performing the test. A survey was provided to each group at the end of the class to: (1) compare students’ perception of the difficulty of performing spirometry, and (2) identify patient, clinic, and pharmacy barriers to implementing spirometry testing. Findings P1 students perceived performing spirometry as significantly more difficult compared to P2 students. Both P1 and P2 students perceived correct posture and breathing technique, and patient discomfort as the most difficult parts of performing spirometry. Significantly more P1 students (91.1%) perceived spirometry as a “helpful and noninvasive tool to screen for pulmonary diseases” than P2 students (54.1%). Summary Students who experienced spirometry perceived it to be more difficult than those who completed paper-based active learning exercises. Incorporating spirometry into a pharmacy curriculum could be an opportunity to increase students’ insight of the difficulty of performing spirometry and their appreciation for the clinical services pharmacists can provide.

Background and aims Children with autism spectrum condition often have specific difficulties with narrative comprehension, a skill which has a strong association with both concurrent and longitudinal reading comprehension. A better understanding of narrative comprehension skills in autism spectrum condition has the potential to provide insight into potential later reading comprehension difficulties and inform early targeted intervention. In the current study, the main objective was to investigate how differences in the medium of story presentation (paper-book vs. e-book) and differences in story narration (adult narration vs. in-app narration) would influence narrative comprehension in general, and between groups (autism spectrum condition and a receptive language-matched control group). We were also interested in how task engagement (visual attention and communication) differed between group and conditions and whether task engagement was related to narrative comprehension. Method Forty-two children with autism spectrum condition and 42 typically developing children were read a story either via a paper-book or an e-book with interactive and multimedia features. The e-book was either narrated by the experimenter (adult narrated iPad condition) or narrated by an in-app voiceover (e-book narrated iPad condition). Children’s behaviour during storybook reading was video recorded and coded for engagement (visual attention and communication). They then completed two measures of narrative comprehension: multiple-choice questions (measuring recall of literal information) and a picture ordering task (measuring global story structure). Results Contrary to predictions, we did not find any significant group or condition differences on either measure of narrative comprehension, and both groups demonstrated a similar level of narrative comprehension across the three conditions. We found differences in engagement between conditions for both groups, with greater visual attention in the e-book conditions compared to the paper-book condition. However, visual attention only significantly correlated with narrative comprehension for the typically developing group. Conclusion Overall, this study suggests that children with autism spectrum condition are just as able as language-matched peers to comprehend a narrative from storybooks. Presenting a story on an iPad e-book compared to a paper-book does not influence narrative comprehension, nor does adult narration of the story compared to in-app narration. However, on-task engagement is linked to narrative comprehension in typically developing children. Implications: Taken together, our findings suggest that e-books may be more successful than paper-based mediums at encouraging visual attention towards the story, but no better at supporting narrative comprehension and eliciting communication.

Person-centred care, with its central focus on the patient in partnership with healthcare practitioners, is considered to be the contemporary gold standard of care. This type of care implies effective communication from and by both the patient and the healthcare practitioner. This is often problematic in the case of the paediatric population, because of the many communicative challenges that may arise due to the child's developmental level, illness and distress, linguistic competency and disabilities. The principle of universal design put forth in conventions and legislation means that the design of products and services should be usable by all people, to the greatest extent possible. Augmentative and alternative communication encompasses strategies, for example pictures and apps, that are typically used with people with communication disability. In this position paper, we argue for the universal use of augmentative and alternative communication to support person-centred communication and care for children, regardless of age or potential disability. Clinical examples are shared from three different paediatric care settings where pictorial supports were applied universally. Interviews were conducted with children and adolescents (with and without disabilities), parents and healthcare practitioners, and the principles of universal design were used as a framework to demonstrate how person-centred communication is supported in paediatric care.

Documentation for paper "Ecological Momentary Assessment and Applied Relaxation: Results of a Randomized Indicated Preventive Trial in Individuals at Increased Risk for Mental Disorders", including study protocol, raw data, and analytic code

“Hot papers” (HPs) are papers which received a boost of citations shortly after publication. Papers with “delayed recognition” (DRs) received scarcely impact over a long time period, before a considerable citation boost started. DRs have attracted a lot of attention in scientometrics and beyond. Based on a comprehensive dataset with more than 5,000,000 papers published between 1980 and 1990, we identified HPs and DRs. In contrast to many other studies on DRs, which are based on raw citation counts, we calculated dynamically field-normalized impact scores for the search of HPs and DRs. This study is intended to investigate the differences between HPs (n = 323) and DRs (n = 315). The investigation of the journals which have published HPs and DRs revealed that some journals (e.g. Physical Review Letters and PNAS) were able to publish significantly more HPs than other journals. This pattern did not appear in DRs. Many HPs and DRs have been published by authors from the USA; however, in contrast to other countries, authors from the USA have published statistically significantly more HPs than DRs. Whereas “Biochemistry & Molecular Biology,” “Immunology,” and “Cell Biology” have published significantly more HPs than DRs, the opposite result arrived for “Surgery” and “Orthopedics.” The results of the analysis of certain properties of HPs and DRs (e.g. number of pages) suggest that the emergence of DRs is an unpredictable process.

Objective : In this methodologic study (Part 2 of 2), we examined the overlap in sources of evidence and the corresponding results for harms in systematic reviews for gabapentin. Study Design & Setting : We extracted all citations referenced as sources of evidence for harms of gabapentin from 70 systematic reviews, as well as the harms assessed and numerical results. We assessed consistency of harms between pairs of reviews with a high degree of overlap in sources of evidence (>50%) as determined by corrected covered area (CCA). Results : We found 514 reports cited across 70 included reviews. Most reports (244/514, 48%) were not cited in more than one review. Among 18 pairs of reviews, we found reviews had differences in which harms were assessed and their choice to meta-analyze estimates or present descriptive summaries. When a specific harm was meta-analyzed in a pair of reviews, we found similar effect estimates. Conclusion : Differences in harms results across reviews can occur because the choice of harms is driven by reviewer preferences, rather than standardized approaches to selecting harms for assessment. A paradigm shift is needed in the current approach to synthesizing harms.

Purpose Administration of questionnaires to assess the diffusion of disordered eating behaviours via the web is becoming common today. The aim of this study is to assess whether two different approaches of administering a test to assess traits of eating disorders (EDs), orthorexia nervosa (ON) and muscle dysmorphia (MD) by email recruitment and online completion (web-based survey—WBS) and by in person recruitment and paper-and-pencil completion (paper-based survey—PBS), gives different results. Methods During 2 consecutive academic years, a self-reported questionnaire consisting of questions about personal characteristics and three tests for the evaluation of ON (ORTO-15), MD (MDDI-ITA), and EDs (EAT-26) were administered to two groups of undergraduates, respectively, as a WBS and a PBS. Results The WBS response rate was 6.7% (N = 137), and the PBS response rate was 86.5% (N = 372). The WBS group showed a statistically significant higher prevalence of students with eating disordered behaviours (21.2% vs 5.4%) and registered a higher mean score on the EAT-26 test (13.5 ± 11.1 vs 6.0 ± 8.0); no differences between the two groups emerged for ON and MD prevalence and test scores. Moreover, in the WBS group, the number of students with one or more tests with test scores above the cut-off values was significantly higher (46.0% vs 32.3%). Conclusion The choice of the approach to administer a questionnaire to assess the diffusion of EDs and related issues must take into account all the factors that can result in selection bias and that can affect the reliability of the results. Level of evidence Level V, descriptive cross-sectional survey.

There is a need for a paradigm shift across mental health in primary care to improve the lives of millions of Europeans. To contribute to this paradigm shift, the European Forum for Primary Care (EFPC-MH) working group for Mental Health, produced a Position Paper for Primary Care Mental Health outlining 14 themes that needed prioritizing. These themes were developed and discussed interactively during the EFPC conferences between 2012 and 2019. The Position Paper on Mental Health gives direction to the necessary improvements over the next ten years. The themes vary from preferable healthcare model to the social determinants highlighting issues such as inequalities. The Statement of Mental Health in Primary Care will be established in cooperation with fellow organizations. ispartof: Primary Health Care Research And Development vol:21 issue:e56 pages:1-8 ispartof: location:England status: published

Recently, the Association of University and College Counseling Center Directors (AUCCCD) published a White Paper on a multidimensional understanding of organizational structures for counseling cent...

School psychologists are increasingly tasked with assessing, supporting, and intervening with dual language learner (DLL) students, their teachers, and their families. Understanding the assets of bilingualism along with multiple issues associated with comprehensive practice with DLL has become paramount. Currently, practitioners often lack the depth in knowledge of cultural variables, dual language acquisition, knowledge of programs to effectively serve DLL students, bilingual assessment, and research and evidence-based practice to serve DLLs competently, as well as depth in second language competence. This white paper, endorsed by the School Psychology Educators of California (SPEC) and the California Association of School Psychologists (CASP), outlines areas of competence deemed to be essential to all psychologists, as well as additional areas of competence for practitioners identifying themselves bilingual school psychologists.

Objective The National Academy of Neuropsychology (NAN), the American Academy of Clinical Neuropsychology (AACN), and the American College of Professional Neuropsychology (ACPN) collaborated to publish an update to their original position statements, confirming the organizations' opposition to third party observer (TPO). Method A review of literature addressing TPO effects, ethical standards, professional organization position statements, test publisher policies and new telemedicine developments was completed to obtain consensus on relevant issues in TPO and recording of neuropsychological evaluations. Results TPO has been shown to impact the cognitive functions most often assessed in forensic or medicolegal settings. Third party observation, whether in person, recorded or electronic, remains a potential threat to the validity and reliability of evaluation results, and violates test security guidelines, ethical principles and standards of conduct in the field. Demands for TPO in the context of medicolegal or forensic settings have become a tactic designed to limit the ability of the consulting neuropsychologist to perform assessment and provide information to the trier of fact. Conclusion The field of neuropsychology opposes the presence of TPO in the setting of medicolegal or forensic neuropsychological evaluations.

Although executive function disorders are among the most prevalent cognitive impairments a consensus on diagnostic criteria has yet to be reached. With a view to harmonizing these criteria, the present position paper (i) focuses on the main dysexecutive disorders, (ii) examines recent approaches in both the behavioral and cognitive domains, (iii) defines diagnostic boundaries for frontal syndrome, (iv) reports on the frequency and profile of the executive function disorders observed in the main brain diseases, and (v) proposes an operationalization of diagnostic criteria. Future work must define the executive processes involved in human adaptive behavior, characterize their impairment in brain diseases, and improve the management of these conditions (including remediation strategies and rehabilitation).