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To assess the role of clinical features in diagnosing seizures in children with autism spectrum disorder who present with staring spells. A 10-year retrospective chart analysis of autism spectrum disorder patients aged 3-14 years was performed at a tertiary care children's hospital. Patient demographics, clinical presentation, and epileptic seizure versus non-epileptic spell diagnosis were assessed. Target episodes of staring spells were captured during a long-term electroencephalogram monitoring record. Multilevel likelihood ratios and a receiver operating characteristic curve were determined using 8 of the 11 clinical variables. Among the cohort of 140 patients with autism spectrum disorder, 16% were diagnosed with epileptic seizures with the most common seizure being atypical absence seizures (64%). Clinical semiology differed between those diagnosed with epileptic seizures versus those diagnosed with non-epileptic spells in the average duration of episodes (42 s vs 87 s), frequency of spells per week (6 vs 11.5 spells), increase in frequency of staring spells over time (100% vs 40%), and response to verbal stimulation (0% vs 100%), respectively. Multilevel likelihood ratios based on the receiver operating characteristic curves and clinical semiology features may be helpful in differentiating epileptic seizures from non-epileptic spells in children with autism spectrum disorder.

This study examines the effectiveness of Post-Entry English Language Assessment (PELA) as a predictor of international business students' English writing performance and academic performance. An intervention involving the implementation of contextualised English writing workshops was embedded in a specific business subject targeted at students who performed poorly on the PELA. The results reveal that PELA is a better predictor of students' English writing performance and academic performance than their own perceptions of their English language skills, and the contextualised English writing workshops proved to be a worthwhile intervention. Students with low scores on the PELA showed significant improvement in their overall academic performance in the subject after the intervention. This improvement was reflected in their score on a major written assignment (English writing performance) and their final grade for the subject (academic performance). Moreover, students' perceptions captured through a focus group interview and an online survey indicated a positive correlation between the intervention program and learning outcomes. The implications of this study underscore the need for regular university wide implementation of a PELA to determine students' English writing proficiency and to align English writing workshops with tutorial and assessment activities as a pedagogic response to PELA outcomes. This approach will help students improve not only their English writing skills but also their overall academic performance.

With rates of coercive control (CC) increasing, there is a need to ensure that intervention programs are underpinned by evidence-based research. Current interventions are scarce, with their efficacy rarely established. Most current interventions appear to rely on victims seeking support from formal sources/agencies, despite suggestions that victims are more likely to confide in people they know, such as their friends. Researchers suggest that a victim's friends may provide an effective source of support and intervention. The aim of this study was to fill the gap in the literature exploring whether the closeness of the relationship to the victim, bystander gender, and bystander concerns influenced attitudes toward intervening in CC situations. The study used an experimental design, whereby participants were randomly allocated to read a vignette depicting a CC scenario involving a friend, colleague, or stranger, and quantitative methods were used to examine bystanders' willingness and concerns about intervening. The sample was 340 Australian participants (229 female, 111 male), recruited from social media, namely community Facebook groups. The results indicated that friends were significantly more willing to intervene than colleagues or strangers, while strangers reported the highest concerns about intervening. Females reported significantly higher willingness to intervene than men despite also reporting higher concerns. Exploratory analysis of concerns about intervening revealed that the participants were most concerned about risk of harm and their beliefs in their ability to successfully intervene. These findings have implications for bystander intervention programs and campaigns, including offering a range of potential directions to enhance intervention program content. [ABSTRACT FROM AUTHOR]

The present study explored the role of perceived societal norms of multiculturalism in the engagement of cultural identity styles (hybridising‐HIS and altenating‐AIS) and, in turn, their impact on bicultural identity consolidation and cultural identity conflict. We examined 293 Chinese Americans' perceptions about the extent to which culturally diverse groups are in contact with one another (multicultural contact); whether diversity is valued and appreciated (multicultural ideology); and whether there are policies and practices that support and accommodate diversity (multicultural policies and practices) in the United States. Results from a path analysis showed that multicultural ideology was negatively associated with AIS and cultural identity conflict. Multicultural contact was positively associated with HIS and bicultural identity consolidation. Multicultural policies and practices had no significant associations. The findings underscore the important role of perceived societal acceptance of multicultural ideology and perceived norms of multicultural contact in managing cultural identities. Furthermore, the study highlights that perceived multiculturalism norms as societal‐level factors combined with individual‐level cultural identity styles can influence the identity outcomes of multicultural individuals. Further research into the role of perceived societal norms for both majority and cultural minority individuals in identity integration is warranted. [ABSTRACT FROM AUTHOR]

Background: Dermatology consultations in Québec, Canada, face accessibility challenges, with most dermatologists concentrated in urban areas. Teledermatology, offering remote diagnosis and treatment, holds promise in overcoming these limitations. However, concerns regarding patient-doctor relationships and logistical issues exist. Objectives: This article aims to introduce a dermatology patient learning pathway (PLP) developed by the Centre of Excellence on Partnership with Patients and the Public (CEPPP), focusing on knowledge, abilities, and skills mobilized by patients and their loved ones at key moments of the life course with an illness, as well as emerging educational needs. Methods: The PLP development was co-developed with dermatology patient and caregiver partners, stakeholders, and the CEPPP team. The process encompassed stakeholder engagement, exploration, recruitment of patient and caregiver partners, co-development of the PLP draft, and validation through consensus building. Results: The PLP methodology led to the creation of 44 learning objectives, comprising a total of 107 subobjectives. These objectives were organized into 8 phases of the patient life course with a dermatological condition: (1) prevention and predisposition; (2) discovery, self-examination, or observation of a change; (3) first consultation; (4) wandering; (5) consultation with a dermatologist; (6) diagnosis; (7) treatments; and (8) living with it. Conclusions: The dermatology PLP serves as a resource outlining patient competency across different stages of managing a dermatological condition throughout their life course. In the context of teledermatology, the PLP might facilitate patient and caregiver engagement by helping select appropriate information and tools to support active participation in care. [ABSTRACT FROM AUTHOR]

The influx of international tourists may affect the economic growth of destination countries by influencing the quality of life (QoL) of residents, the effects of which are unclear ex ante. Therefore, this study utilises the autoregressive distributed lag model to examine tourism‐induced growth by taking into consideration the residents' QoL using Singapore as a case study. We also consider the factor of heterogeneous tourism demand by regions of origin in a market‐based analysis using seemingly unrelated regression, motivated by the assumption that consumers from different markets differ widely over their preferences. This study seeks to contribute to an understanding of tourism as a source of sustainable economic development and as such provides important policy implications for practitioners and scholars alike. [ABSTRACT FROM AUTHOR]

Previous intimate partner violence research and social psychological theory have highlighted that ethnicity and level of harm are both factors that have the potential to influence bystander willingness to intervene in, as well as the acceptance of intimate partner violence between couples. Little research has been conducted on the general willingness of bystanders to intervene in, or the level of acceptance of coercive control. This is the first study to explore whether the likelihood of bystander willingness to intervene is influenced by participant gender, the ethnicity of the couple involved in a hypothetical scenario of coercive control, and by differing levels of abusive behavior. In this study, we also explored the influence of participants' acceptance of coercive control. A semi-experimental design was used, utilizing an online community sample sourced through social media of 346 adult participants across Australia. The participants were randomly allocated to read a fictional coercive control scenario detailing either low or high harm instances of coercive control. Within the online survey the ethnicity of the couple was manipulated with participants' randomly allocated to read a scenario about a couple with the same ethnicity as them (Australian of British or European descent) or a couple with Indian Australian ethnicity. The results showed the participants were significantly more willing to intervene in the coercive control scenario when the couple shared the same ethnicity as them. In response to the low harm scenarios, participants were significantly more accepting of coercive control if the couple were Indian Australian. However, males responding to high harm scenarios were more accepting of coercive control if the couple shared the same ethnic identity as them. The implications from these findings for theory and future bystander intervention programs are discussed. [ABSTRACT FROM AUTHOR]

An exploratory action research case study was conducted at Moanalua Middle School from 2006-2009 to examine the impact of Thinking Maps on student achievement. Thinking Maps are not just another set of graphic organizers but a set of eight of unique visual mind maps with each linked to a specific higher-order thinking pattern. This study tells the story of one middle school where a school-wide initiative demonstrated an increase to 86% grade-level reading proficiency within three years. (Contains 5 figures and 1 table.)

To assess the role of clinical features in diagnosing seizures in children with autism spectrum disorder who present with staring spells. A 10-year retrospective chart analysis of autism spectrum disorder patients aged 3–14 years was performed at a tertiary care children's hospital. Patient demographics, clinical presentation, and epileptic seizure versus non-epileptic spell diagnosis were assessed. Target episodes of staring spells were captured during a long-term electroencephalogram monitoring record. Multilevel likelihood ratios and a receiver operating characteristic curve were determined using 8 of the 11 clinical variables. Among the cohort of 140 patients with autism spectrum disorder, 16% were diagnosed with epileptic seizures with the most common seizure being atypical absence seizures (64%). Clinical semiology differed between those diagnosed with epileptic seizures versus those diagnosed with non-epileptic spells in the average duration of episodes (42 s vs 87 s), frequency of spells per week (6 vs 11.5 spells), increase in frequency of staring spells over time (100% vs 40%), and response to verbal stimulation (0% vs 100%), respectively. Multilevel likelihood ratios based on the receiver operating characteristic curves and clinical semiology features may be helpful in differentiating epileptic seizures from non-epileptic spells in children with autism spectrum disorder. It is a common occurrence for children with autism spectrum disorder to be diagnosed with staring spells. Staring spells are defined as periods of time when children "space out" and are subcategorized as either "absence seizures" (brain activity resembling a seizure but with no physical seizure symptoms) or "non-epileptic spells" (inattentiveness or daydreaming). Due to the subtle characteristics of staring spells, they are usually diagnosed via long-term video electroencephalogram. The child is monitored for 3–5 days with an electroencephalogram which records brain waves. An electroencephalogram may be difficult to perform in children with autism spectrum disorder due to behavior, cognitive, or sensory concerns. Therefore, we wanted to investigate other clinical characteristics that may help us differentiate between epileptic seizures versus non-epileptic spells in children with autism spectrum disorder presenting with staring spells. We reviewed 140 charts retrospectively from the years of 2010–2021. We abstracted demographic and clinical information from the electronic medical record system and reviewed electroencephalogram videos to group the 140 children into epileptic seizure diagnosis group versus non-epileptic spell group. Of the 140 children in this study, 22 were diagnosed with epileptic seizures and the remaining were diagnosed with non-epileptic spells. We found that the two groups differed in certain clinical characteristics such as how long the staring spells lasted, how many staring spells the child had in 1 week, and whether they responded to verbal commands. We believe that clinical features may be helpful in differentiating epileptic seizures from non-epileptic spells in children with autism spectrum disorder. [ABSTRACT FROM AUTHOR]

Describes how two middle schools in Hawaii have used a six-step inquiry-based approach to make dramatic improvements in their learning environments. The steps are: (1) inquiry, clarification, goal-setting; (2) examination of alternatives; (3) development of innovation; (4) consideration and adoption; (5) implementation of innovation; and (6) inquiry, clarification, evaluation. (EV)

In this study, we investigate the relationships among contextual variables of perceived diversity norms‐ multiculturalism, assimilation and polyculturalism, identity styles and identity consolidation in bicultural Australians. The Multicultural Identity Styles Scale proposes two identity strategies, hybrid identity style (HIS) and alternating identity style (AIS) as processes through which individuals negotiate their bicultural identities. We test a model whereby perceived diversity norms predict bicultural identity consolidation directly and indirectly via HIS in samples of British (n = 195) and non‐British (n = 181) Australians. Participants (56.9% females, mean age = 41.52) completed an online survey on perceived diversity norms, the MISS and bicultural identity consolidation. Results showed that for non‐British Australians, there was a positive indirect effect of perceived multiculturalism norms on bicultural identity consolidation via HIS. Perceived assimilation was directly (and negatively) linked to bicultural identity consolidation but indirectly via HIS. In British Australians only perceived polyculturalism was directly and indirectly associated to bicultural identity consolidation via HIS, whereas perceived multiculturalism and assimilation norms were negatively associated to bicultural identity consolidation. The results are discussed in terms of the differential roles of perceived diversity norms on bicultural identity processes and consolidation relative to the nature of the cultural group. [ABSTRACT FROM AUTHOR]

Context: During the COVID-19 pandemic, restrictions were imposed on visits in hospitals in the province of Quebec, Canada in an effort to reduce the risk of viral exposure by minimizing face-to-face contact in order to protect patients, visitors and staff. These measures led to social isolation for patients. In order to reduce this isolation, CHUM (the Centre hospitalier de l'Université de Montréal, a teaching hospital) shifted from in-person visits to courtesy telephone calls delivered by volunteers from CHUM's Volunteers, Recreation and Leisure Department. Objectives: To study: (1) the contribution made by these calls to reducing isolation and their limitations, (2) how the calls can be improved, and (3) whether they should be maintained, based on the views of patients and volunteers. Methodology: This study examined two populations. The first one consisted of 189 adult patients hospitalized at CHUM who received a courtesy phone call from a volunteer and the second one consisted of the 25 CHUM volunteers who made these calls. Quantitative data were collected from patients and volunteers through questionnaires and a Smartsheet. The patient questionnaire evaluated isolation, the courtesy phone calls, the relationship of trust with the volunteer and sociodemographic questions. The volunteer questionnaire evaluated the appropriateness of the technology for the intervention, the support and training received, the impacts of the courtesy phone call on both the patients and the volunteers, an experience report and sociodemographic information. In addition, a focus group was held with 7 volunteers. Then the verbatim were transcribed and analyzed using QDA miner software. Results: From April 27, 2020 to September 5, 2020 more than 11,800 calls were made, mainly concerning hospitalization conditions or home follow-ups (n = 83), and relationships with relatives, friends, and family (n = 79). For 73.6% of hospitalized patients, the courtesy calls from volunteers were a good response to their needs, and 72% of volunteers agreed. 64.5% of patients felt less isolated and 40% of volunteers felt useful. Conclusion: Our data suggest that patients felt less isolated during their hospitalization because of the courtesy calls made by the volunteers, that smartphones could also be used for video calls and, finally, that maintaining this type of service seems as relevant after as during a pandemic to provide social interactions to people isolated for medical reasons. [ABSTRACT FROM AUTHOR]

This study aims to investigate the dysfunction and recovery of the lumbopelvic movement and motor control of people with chronic nonspecific low back pain after a structured rehabilitation which emphasizes on re-education and training of movement and motor control. The lumbopelvic movement and motor control pattern of 30 adults (15 with chronic low back pain, 15 healthy controls) were assessed using 3D motion and electromyographic analysis during the repeated forward bending test, in additional to the clinical outcome measures. Regional kinematics and muscle recruitment pattern of the symptomatic group was analysed before and after the 6-week rehabilitation, and compared to healthy controls. Significant improvement in back pain, functional capacity and self-efficacy of the symptomatic group was found after the rehabilitation. Patients with chronic nonspecific low back pain were capable to recover to a comparable level of the healthy controls in terms of their lumbopelvic movement and motor control pattern upon completion of a 6-week rehabilitation program, despite their dysfunction displayed at baseline. Phase specific motor control reorganization in which more profound and positive changes shown during the flexion phase. Our findings indicate that the recovery of the movement and motor control pattern in patients with chronic low back pain achieved to a comparable level of the healthy able-bodies. The improvement of both the physical outcome measures suggest that specific rehabilitation program which emphasizes on optimizing motor control during movements would help promoting the functional recovery of this specific low back pain subgroup. [ABSTRACT FROM AUTHOR]

This article extends existing theoretical perspectives to present a continuum of global citizenship education that can be applied to explore the practice and outcomes of transformative Work-Integrated Learning (WIL) experiences encompassing service-learning. It draws data from three WIL case studies across the disciplines of Business, Social Work and Education to explore how this continuum elucidates understanding of students' engagement with and reflection on critical and transformative notions of global citizenship. Using critical servicelearning theory that positions students as agents of their own transformation, the authors found that global citizenship can be conceptualized as a multifaceted process of becoming underpinned by the development of student agency, rather than a linear destination of 'knowing'. We provide examples of this agency while also considering the complexities in and for transformative learning for global citizenship. [ABSTRACT FROM AUTHOR]

Abstract The devastating earthquake in Sichuan, China on 12 May 2008 left thousands of survivors requiring medical care and intensive rehabilitation. In view of this great demand, the Chinese Speaking Orthopaedic Society established the "Stand Tall" project to provide voluntary services to aid amputee victims in achieving total rehabilitation and social integration. This case report highlights the multidisciplinary rehabilitation of a girl who suffered thoracolumbar vertebral collapse and underwent bilateral transtibial amputation. The rehabilitation team was involved in all stages of the care process from the pre-operative phase, through amputation, into prosthetic training, and during her life thereafter. Despite this catastrophic event, early rehabilitation and specially designed bilateral prostheses allowed her a high level of functional ability. The joint efforts of the multidisciplinary team and the advancement of new technology have revolutionized the care process for amputees.

Objective: To compare central nervous system (CNS) activation in patients with and without diabetic peripheral neuropathy (DPN) during motor and motor imagery tasks and to correlate activation with functional performance.Research Design and Methods: Twenty-six participants (13 with DPN, 13 without DPN) underwent functional MRI during three tasks: ankle dorsi plantar flexion (motor task [MT]) and motor imagery tasks of walking on a smooth surface (SMIT) and rough surface (RMIT). Functional assessment included gait analysis, ankle muscle strength, and ankle range of motion.Results: The tasks activated the sensorimotor, motor preparation, visual processing, and decision-making regions. Activation was significantly lower in patients with DPN than in those without DPN during MT and SMIT but not RMIT. Poor functional performance in patients with DPN was associated with greater activation in motor preparation regions.Conclusions: In patients with DPN, CNS responses appear muted compared with patients without DPN, but they remain capable of enhancing CNS activation when tasks are more challenging or when functional deficits are substantial. [ABSTRACT FROM AUTHOR]

Background: Adenomyosis commonly occurs with abnormal uterine bleeding (AUB) and is associated with subfertility and a higher miscarriage rate. Recent evidence showed abnormal vascularization in the endometrium in patients with adenomyosis, suggesting a role of angiogenesis in the pathophysiology of AUB and subfertility in adenomyosis and providing a possible treatment target.Objective and Rationale: We hypothesized that the level of abnormal vascularization and expression of angiogenic markers is increased in the ectopic and eutopic endometrium of adenomyosis patients in comparison with the endometrium of control patients. This was investigated through a search of the literature.Search Methods: A systematic search was performed in PubMed and Embase until February 2019. Combinations of terms for angiogenesis and adenomyosis were applied as well as AUB, subfertility or anti-angiogenic therapy. The main search was limited to clinical studies carried out on premenopausal women. Original research articles focusing on markers of angiogenesis in the endometrium of patients with adenomyosis were included. Studies in which no comparison was made to control patients or which were not published in a peer-reviewed journal were excluded. A second search was performed to explore the therapeutic potential of targeting angiogenesis in adenomyosis. This search also included preclinical studies.Outcomes: A total of 20 articles out of 1669 hits met our selection criteria. The mean vascular density (MVD) was studied by quantification of CD31, CD34, von Willebrand Factor (vWF) or factor-VIII-antibody-stained microvessels in seven studies. All these studies reported a significantly increased MVD in ectopic endometrium, and out of the six articles that took it into account, four studies reported a significantly increased MVD in eutopic endometrium compared with control endometrium. Five articles showed a significantly higher vascular endothelial growth factor expression in ectopic endometrium and three articles in eutopic endometrium compared with control endometrium. The vascular and pro-angiogenic markers α-smooth muscle actin, endoglin, S100A13, vimentin, matrix metalloproteinases (MMPs), nuclear factor (NF)-kB, tissue factor (TF), DJ-1, phosphorylated mammalian target of rapamycin, activin A, folli- and myostatin, CD41, SLIT, roundabout 1 (ROBO1), cyclooxygenase-2, lysophosphatidic acid (LPA) 1,4-5, phospho signal transducer and activator of transcription 3 (pSTAT3), interleukin (IL)-6, IL-22 and transforming growth factor-β1 were increased in ectopic endometrium, and the markers S100A13, MMP-2 and -9, TF, follistatin, myostatin, ROBO1, LPA1 and 4-5, pSTAT3, IL-6 and IL-22 were increased in eutopic endometrium, compared with control endometrium. The anti-angiogenic markers E-cadherin, eukaryotic translation initiation factor 3 subunit and gene associated with retinoic-interferon-induced mortality 19 were decreased in ectopic endometrium and IL-10 in eutopic endometrium, compared with control endometrium. The staining level of vWF and two pro-angiogenic markers (NF-κB nuclear p65 and TF) correlated with AUB in patients with adenomyosis. We found no studies that investigated the possible relationship between markers of angiogenesis and subfertility in adenomyosis patients. Nine articles reported on direct or indirect targeting of angiogenesis in adenomyosis-either by testing hormonal therapy or herbal compounds in clinical studies or by testing angiogenesis inhibitors in preclinical studies. However, there are no clinical studies on the effectiveness of such therapy for adenomyosis-related AUB or subfertility.Wider Implications: The results are in agreement with our hypothesis that increased angiogenesis is present in the endometrium of patients with adenomyosis compared with the endometrium of control patients. It is likely that increased angiogenesis leads to fragile and more permeable vessels resulting in adenomyosis-related AUB and possibly subfertility. While this association has not sufficiently been studied yet, our results encourage future studies to investigate the exact role of angiogenesis in the etiology of adenomyosis and related AUB or subfertility in women with adenomyosis in order to design curative or preventive therapeutic strategies. [ABSTRACT FROM AUTHOR]

The article introduces the concept of cultural identity styles, strategies that individuals use for decision making about identity-relevant issues, and proposes that blending and alternating are two strategies that acculturating individuals activate to manage multiple cultural identities. Drawing on diverse samples from New Zealand, Mauritius, and Israel, we present two studies. The first describes the construction of the Multicultural Identity Styles Scale (MISS) and the validation of its Hybrid Identity Style (HIS) and Alternating Identity Style (AIS) subscales. HIS was associated with greater blendedness as assessed by the Bicultural Identity Integration Scale (BIIS-1) and was more prominent in second-generation immigrants compared with their first-generation peers. AIS was associated with less BIIS harmony and was stronger in first-generation immigrants. In the second study, we propose, test, and replicate a mediational model, whereby cultural identity outcomes mediate the impact of cultural identity styles on well-being. Path analysis demonstrated that the motivation to integrate predicted the use of both HIS and AIS; however, HIS led to greater cultural identity consolidation and on to higher levels of well-being. In contrast, AIS predicted greater cultural identity conflict and poorer psychological adaptation. The studies advance our theorizing on biculturalism and integration by adopting a process-oriented approach to cultural identity negotiation. [ABSTRACT FROM AUTHOR]

As the world faces complex and unprecedented global challenges, countries are faced with the laborious challenge of remodeling their healthcare systems to offer more effective, more sustainable, and more personalized treatment to people. In order for healthcare systems to successfully address and embrace these complexities, patients, family members, and citizens (PFC) with lived experience must be recognized and integrated as a key stakeholder for health systems transformation. Indeed, PFCs with lived experience of illness and health systems navigation possess a unique and complementary expertise to that of healthcare professionals that is crucial to improving all areas of a health ecosystem. The goal of this presentation is to share some of the work the Centre of Excellence on Partnership with Patients and the Public (CEPPP) has conducted in collaboration with diverse actors in Québec's health ecosystem to mobilize the experiential-based knowledge and skills of patients and integrate these perspectives across many areas of health (in care, medical education, health research, and governance), and highlight some of the key turning points that fueled the growth of the patient partnership movement across Québec. In Québec, the concept of patient partnership was first introduced in the area of health (medical) education, where the concept of patients as partners in their own care was embedded into teaching interprofessional collaboration. In health research, the Canadian Institutes of Health Research (CIHR) supported the implementation of a provincial SPOR SUPPORT Unit with a service platform to support researchers and research organizations to engage patients as partners in research. In the organization of care, the creation of Patient Partnership Offices in each of the 22 regional health centers has driven significant change for involving patients across the healthcare system. The CEPPP has been a leading organization in these efforts and is now developing the concept of partnership in care directly with the public, to help Québec society recognize that empowering everyone as partners in their (and our) own care is the future of health. The patient partnership movement in Quebec is a model for meaningful, systematic integration of lived-experienced towards transforming our health systems. By defining why and how patients are partners in their care and the competencies and knowledge they have and develop, the CEPPP is bridging the gap between experience and care. The patient partner movement is growing exponentially in Quebec and across the world. The Quebec experience demonstrates the importance of taking a transversal and integrated approach to PFC partnership. Looking ahead, issues of patient roles, as well as systematic and strategic inclusion of these perspectives will have to be prioritized. [ABSTRACT FROM AUTHOR]

Introduction: This study is a parallel-arm randomized controlled trial evaluating choral singing’s efficacy and underlying mechanisms in preventing cognitive decline in at-risk older participants. Methods: Three-hundred and sixty community-dwelling, non-demented older participants are recruited for a 2-year intervention. Inclusion criteria are self-reported cognitive complaints, early cognitive impairment based on neuropsychological test scores or multiple risk factors of dementia. Participants are randomized to either weekly choral singing sessions or general health education. The primary outcome is cognitive performance, measured by a composite cognitive test score (CCTS). Secondary outcomes include depression, anxiety and neuropsychiatric symptoms; perceived stress; sleep quality and severity of dementia symptoms. Underlying mechanisms are examined using blood- and urine-based biomarkers and neuroimaging. Results: Screening began in July 2016. The first group of participants (n = 93) have been recruited. Intervention and control treatments are ongoing and will end in December 2019. Discussion: An evidence-based singing intervention for dementia prevention holds potential for healthcare savings and societal welfare. Trial Registration: NCT02919748, IRB Approval Number: NUS 2508. [ABSTRACT FROM AUTHOR]

In social psychology, the background assumption of most of the research on cultural diversity ideologies is that multiculturalism is not in the interest of majority group members while colourblindness is. However, this assumption may not hold in a context in which multiculturalism benefits the majority group. Two studies investigated the association between multiculturalism and in-group bias amongst Hindu majority members in Mauritius. In Study 1, survey data showed that those who highly identified as Hindus reported less bias when they endorsed multiculturalism. Using an experimental design, Study 2 demonstrated that higher compared to lower majority group identifiers showed stronger in-group bias in colourblindness, polyculturalism, and control conditions, but not in a multiculturalism condition. In contrast to the existing research conducted in Western countries, these findings demonstrate that multiculturalism rather than colourblindness can be reassuring for high majority group identifiers. It is concluded that the meaning and impact of cultural diversity ideologies for intergroup relations depend on the national context. [ABSTRACT FROM AUTHOR]

Objective: Approximately 20% of patients admitted to hospital with drug overdose will require intensive care unit (ICU) admission. An understanding of the characteristics of these patients may assist with their management and identify those patients at risk of multiple hospital presentations due to drug overdose. Our aim was to examine the characteristics of patients admitted to ICU following drug overdoses and identify the predictors of multiple hospital presentations due to drug overdose.Methods: Patients admitted to a metropolitan ICU over a three-year period following drug overdoses were identified using ICU patient databases, and their medical records.Results: There were 254 admissions due to drug overdoses. The majority of overdoses were intentional (82.7%) and included multiple agents (68.1%). Two-thirds of patients had psychiatric diagnosis, and 54% had documented history of substance use disorders. In-hospital mortality was 2.8%. Over half of patients admitted had documented history of prior hospital presentation due to overdoses. Personality disorder and schizophrenia were independent predictors of multiple hospital presentations due to overdoses.Conclusion: Personality disorders or schizophrenia were independent predictors of patients with multiple overdose presentations. Preventative strategies focusing on these patients may reduce the incidence of their hospital presentations and ICU admissions. [ABSTRACT FROM AUTHOR]

This study examines the effectiveness of Post-Entry English Language Assessment (PELA) as a predictor of international business students' English writing performance and academic performance. An intervention involving the implementation of contextualised English writing workshops was embedded in a specific business subject targeted at students who performed poorly on the PELA. The results reveal that PELA is a better predictor of students' English writing performance and academic performance than their own perceptions of their English language skills, and the contextualised English writing workshops proved to be a worthwhile intervention. Students with low scores on the PELA showed significant improvement in their overall academic performance in the subject after the intervention. This improvement was reflected in their score on a major written assignment (English writing performance) and their final grade for the subject (academic performance). Moreover, students' perceptions captured through a focus group interview and an online survey indicated a positive correlation between the intervention program and learning outcomes. The implications of this study underscore the need for regular university wide implementation of a PELA to determine students' English writing proficiency and to align English writing workshops with tutorial and assessment activities as a pedagogic response to PELA outcomes. This approach will help students improve not only their English writing skills but also their overall academic performance. [ABSTRACT FROM AUTHOR]

Multiculturalism can be viewed as promoting positive intergroup relations in the public domain (neighbours, classmates) and heritage culture maintenance in the romantic domain (marriage). The present study examined this “two-sidedness” of multiculturalism by focusing on intergroup social distance in relation to endorsement of multiculturalism, group identifications, and group status. The study was conducted in Mauritius amongst 1,784 adolescents from the three main ethnic groups, Hindus (n = 844), Muslims (n = 630), and Creoles (n = 310). In agreement with the “two-sidedness,” participants made a distinction between public and romantic social distance, and intergroup differentiation in social distance was stronger in the romantic compared to the public domain. The endorsement of multiculturalism was associated to lower out-group public distance and lower in-group romantic distance. National identification predicted lower public and romantic out-group social distance. Ethnic identification was associated with higher out-group social distances and lower in-group social distances, particularly for the high-status group of Hindus. [ABSTRACT FROM PUBLISHER]