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Purpose: To explore the effect of adding an allogeneic soft tissue graft at the time of single implant placement using a fully digital workflow for implant placement and restoration without making either analog or digital impressions. Materials and Methods: A prospective randomized clinical study was performed enrolling 39 participants requiring single-tooth implants. The patients were randomized into one of two groups: (1) the graft group, which received an allogeneic dermal graft at the time of implant placement (n = 19), or (2) the nongraft group (n = 20). A fully digital surgical and restorative protocol was implemented for both groups. Intraoral scans were taken before implant placement (T0), at the time of final crown delivery (T1), and 1 year after placement (T2). Intraoral scans were aligned using Geomagic Control X 2020 software, and linear and volumetric changes in buccal tissues were measured at T0, T1, and T2. Implant survival, probing depths (PDs), and complications were recorded. Participants were asked to complete an Oral Health Impact Profile (OHIP)-14 survey at T0 and T2. Marginal bone levels were measured at T0 and T2 on periapical radiographs. Results: Overall, 39 participants completed surgery and restoration in the incisor, canine, premolar, and molar sites. Two early failures were recorded in central incisor positions (95% survival). Crown delivery without complication from the digital workflow (impressionless) was achieved for 36 out of 39 cases (92%), and implant depth control was the main challenge. At 1 year, 37 participants attended the follow-up appointment. Both groups showed gain in buccal tissue thickness without significant differences between the two groups for both linear and volumetric measurements (P > .05). Soft tissue grafting was associated with minimal added morbidity. The interproximal marginal bone changes were recorded as follows: -0.16 mm mesial and -0.12 mm distal for the graft group and -0.01 mm mesial and -0.11 mm distal for the nongraft group (P = .07 for mesial and .83 for distal). The OHIP score was significantly reduced at T2 compared to T0 (P = .003) for the entire cohort. Conclusions: Augmentation of the alveolar mucosa on the buccal aspect of single-tooth implants is associated with clinically favorable outcomes. A fully digital workflow has been validated to permit crown delivery on CAD/CAM abutments without implant impressions. [ABSTRACT FROM AUTHOR]

In 2004, South Africa was awarded the opportunity to host the 2010 FIFA World Cup. The opportunity to reshape their national identity in the spotlight of the World Cup came at a particularly useful time for South Africa. Despite the country's seemingly miraculous transition from apartheid to democracy—a transition lauded around the world—the country's reputation was soon dragged down by concerns about crime, unemployment, and a rising rate of HIV infections. Although a number of scholars have looked at the long- and short-term effects of South Africa's effort at creating a national identity during the 2010 FIFA World Cup, questions of process remain to be explored. What rhetorical strategies were employed to build this national image? What role did developing social media platforms play in the World Cup campaign? What were the communication tactics that led to a successful World Cup campaign? Using the theory of dialectical vernacular, I argue that South Africa was able to use the stage and emotional setting of the World Cup, in combination with a unique moment in time in branding and social media, to cultivate and deploy user-generated content to create a sense of authenticity that successfully sold a positive image of South Africa to the world. Essentially, South Africa was able to take digital material that was submitted by citizens around the country, and around the world, and use it to build a campaign that was vernacular, transnational, and embodied in nature. This allowed them to manufacture a national identity that effectively (at least in the short term) redirected conversations away from the more complicated issues affecting the country to, instead, showcase South Africa as a successful democratic nation. [ABSTRACT FROM AUTHOR]

BACKGROUND: To address needs for emotional well-being resources for Californians during the COVID-19 pandemic, the Together for Wellness/Juntos por Nuestro Bienestar (T4W/Juntos) website was developed in collaboration with multiple community partners across California, funded by the California Department of Health Care Services Behavioral Health Division federal emergency response. OBJECTIVE: This qualitative study was designed to explore and describe the perspectives of participants affiliated with California organizations on the T4W/Juntos website, understand their needs for web-based emotional health resources, and inform iterative website development. METHODS: After providing informed consent and reviewing the website, telephone interviews were conducted with 29 participants (n=21, 72% in English and n=8, 28% in Spanish) recruited by partnering community agencies (October 2021-February 2022). A 6-phase thematic analysis was conducted, enhanced using grounded theory techniques. The investigators wrote reflexive memos and performed line-by-line coding of 12 transcripts. Comparative analyses led to the identification of 15 overarching codes. The ATLAS.ti Web software (ATLAS.ti Scientific Software Development GmbH) was used to mark all 29 transcripts using these codes. After examining the data grouped by codes, comparative analyses led to the identification of main themes, each with a central organizing concept. RESULTS: Four main themes were identified: (1) having to change my coping due to the pandemic, (2) confronting a context of shifting perceptions of mental health stigma among diverse groups, (3) Feels like home-experiencing a sense of inclusivity and belonging in T4W/Juntos, and (4) Its a one-stop-shop-judging T4W/Juntos to be a desirable and useful website. Overall, the T4W/Juntos website communicated support and community to this sample during the pandemic. Participants shared suggestions for website improvement, including adding a back button and a drop-down menu to improve functionality as well as resources tailored to the needs of groups such as older adults; adolescents; the lesbian, gay, bisexual, transgender, and queer community; police officers; and veterans. CONCLUSIONS: The qualitative findings from telephone interviews with this sample of community members and service providers in California suggest that, during the COVID-19 pandemic, the T4W/Juntos website was well received as a useful, accessible tool, with some concerns noted such as language sometimes being too professional or clinical. The look, feel, and content of the website were described as welcoming due to pictures, animations, and videos that showcased resources in a personal, colorful, and inviting way. Furthermore, the content was perceived as lacking the stigma typically attached to mental health, reflecting the commitment of the T4W/Juntos team. Unique features and diverse resources, including multiple languages, made the T4W/Juntos website a valuable resource, potentially informing dissemination. Future efforts to develop mental health websites should consider engaging a diverse sample of potential users to understand how to tailor messages to specific communities and help reduce stigma.

Purpose: To compare the 3D accuracy of three scanning strategies and conventional impressions using an edentulous model with six implants. Materials and Methods: An edentulous maxillary master model was fabricated with six equigingival internal connection implants at 0 degrees of angulation. Ten conventional open-tray splinted implant-level impressions were made and poured in stone. A master model and conventional casts were digitized with a reference scanner. Digital impressions were made by calibrated clinicians with a TRIOS 3 intraoral scanner ([IOS] 3Shape) according to three scanning strategies: DIG1 (occlusal-palatal-lingual), DIG2 (S-type motion from buccal to palatal), and DIG3 (scanning two half arches and connecting them at the midline). Each technique was repeated 10 times on the master model. Deviations from the STL datasets (N = 40) were compared to those of the reference master model using the Hexagon Metrology software system PC-DMIS CAD++. Linear distortions (dX, dY, dZ), global linear distortion (dR), and angular distortions (Absdθx, Absdθy) were calculated. Kruskal-Wallis test and mixed linear and logistic regression models were used to compare the original and binary distortion measures between the techniques. Results: The mean dR ranged from 91 μm (conventional method) to 183 μm (DIG1). The mean angular distortion ranged from 0.20 degrees (Absdθx for DIG2) to 0.69 degrees (Absdθy for DIG3). No scan pattern resulted in a more accurate reproduction in any of the measured parameters than the conventional impression method. There were significant differences between the methods for all distortion measures. Conclusions: No group reproduced the 3D position of the six-implant master model below the thresholds for both global linear and angular distortions. All the digital strategies tested were less accurate than the conventional open-tray splinted implant-level impression technique. [ABSTRACT FROM AUTHOR]

BACKGROUND: Social connections have a significant impact on health across age groups, including older adults. Loneliness and social isolation are known risk factors for Alzheimers disease and related dementias (ADRD). Yet, we did not find a review focused on meta-analyses and systematic reviews of studies that had examined associations of social connections with cognitive decline and trials of technology-based and other social interventions to enhance social connections in people with ADRD. STUDY DESIGN: We conducted a scoping review of 11 meta-analyses and systematic reviews of social connections as possible determinants of cognitive decline in older adults with or at risk of developing ADRD. We also examined eight systematic reviews of technology-based and other social interventions in persons with ADRD. STUDY RESULTS: The strongest evidence for an association of social connections with lower risk of cognitive decline was related to social engagement and social activities. There was also evidence linking social network size to cognitive function or cognitive decline, but it was not consistently significant. A number of, though not all, studies reported a significant association of marital status with risk of ADRD. Surprisingly, evidence showing that social support reduces the risk of ADRD was weak. To varying degrees, technology-based and other social interventions designed to reduce loneliness in people with ADRD improved social connections and activities as well as quality of life but had no significant impact on cognition. We discuss strengths and limitations of the studies included. CONCLUSIONS: Social engagement and social activities seem to be the most consistent components of social connections for improving cognitive health among individuals with or at risk for ADRD. Socially focused technology-based and other social interventions aid in improving social activities and connections and deserve more research.

Private renting increasingly comprises a complex ecosystem of actors who assemble housing within the market, and collect rental income and data from tenants, and data on the material assets themselves. Our analysis – at the intersection of rentier and platform capitalism – focuses on landed (material real estate) and technological (digital infrastructure and data) property in Australia’s private rental system. Drawing out relationships between the various actors – landlords, rental property managers and real estate agencies, software developers and providers, property developers and investors – and both their properties and their uses of Proptech (property technology), we show how housing and technology are being leveraged for profit in new ways. In Australia, landed property retains its precedence for established (individual and institutional) landlords, whose interest in Proptech relates to enhancing or value-adding to rental housing assets. For Proptech and institutional real estate players seeking to consolidate both landed and technology property, capturing the tech landscape is increasingly important; indeed, securing control and/or consolidation of technology property is a key motivation for building and/or using Proptech among the largest property developers. Our findings show how rent extraction operates across and between different types and scales of property and market actors, and in new ways that differentiate the figure of the rentier while upholding the dynamics of the rentier model.

BackgroundFrontotemporal lobar degeneration (FTLD) is a leading cause of dementia in individuals aged

This study aimed to develop a digital interactive supplementary material in Biotechnology for Grade 8 learners. It aimed to help the learners in coping with the lessons and improve their performance in selected lessons in Biotechnology. Twenty-seven (27) learners from Grade 8 Special Science Class of Angono National High School in the School Year 2023-2024 were purposively selected as respondents of the study. The Digital Interactive Supplementary Material in Biotechnology was developed based on the competencies in Biotechnology during the third quarter. It sought to determine the level of performance and the significant difference in the level of performance of the learners before and after exposure to the developed supplementary material. The mean and standard deviation were utilized to determine the level of performance of the students as revealed in their pretest and posttest results. Additionally, dependent t-test was used to determine the significant difference in the level of performance of the students. The research method used was quasi-experimental design to determine the level of performance of learners in the pretest and posttest results and the difference between the pretest and posttest scores before and after the exposure to the developed material. The validity of the digital interactive material was validated by master teachers and experts Science instructors and professors. The data gathered before and after exposure to the developed material revealed from "Average" to "High" verbal interpretations in which the developed digital interactive supplementary material was utilized with respect to the different competencies which showed an improved performance of the learners after the exposure to the developed material. The result of the t-test revealed that there was a significant difference between the performance of the Grade 8 learners before and after exposure to the developed digital interactive supplementary material in Biotechnology. The researcher concluded that the level of performance of the Grade 8 learners had a significant difference before and after utilizing the developed digital interactive supplementary material in Biotechnology. Hence, the supplementary material improved the level of performance of the learners in all the competencies in which the developed material was used. [ABSTRACT FROM AUTHOR]

Research reveals a significant gap between young people’s lived experience with digital technologies and the scripted content of online safeguarding programmes that focus on young people’s rational, individual decision-making regarding safe and responsible use. Rarely do online safeguarding programmes engage with the wider gender and sexual norms shaping young people’s digital cultures. This paper outlines how experimenting with speculative fiction offers generative possibilities for digital sexualities research and education. Drawing on group interviews and arts-based data produced by five girls aged 11–12 years old, it explores the competing and contradictory demands of contemporary digitally-networked girlhood. The paper briefly outlines how girls are promoted as empowered, choice-making agents in contemporary digital culture before examining the difficulties girls encounter when expressing their frustration at enduring gender and sexual inequities at school and online. It moves to explore how experimenting with speculative fiction through arts-based methods allowed new forms of voicing to emerge which challenged the vision of girls as vanguards of a new socio-economic order. By engaging in a diffractive analysis of the cut-up poem ‘Test Subject 15066’ and the fabricated future girl figure produced by three girls in the study, this paper explores alternative figurations of future girlhood. [ABSTRACT FROM AUTHOR]

This research has exposed the importance of digital skills in allowing the entrepreneur to achieve a greater degree of work-life balance and their role in influencing the intention to become an entrepreneur. A questionnaire was developed, comprising control variables and sections on the level of administrative digitalization, team management, digital training and the use of digital tools, communication and marketing, and the work-life balance of self-employed entrepreneurs. Utilizing a statistical model, significant constructs were identified for the digitalization intention of entrepreneurs, mainly from small and medium-sized enterprises (SMEs). In the results obtained, the constructs were "entrepreneur digitalization level" (0.203), "management digital communication" (0.275), and "work-life balance" (0.710). The main conclusion is that despite the COVID-19 pandemic, many studies show that digitalization would enhance SMEs. However, although the level of digitalization is a key determinant for encouraging technological progress in business, traditional management methods continue to prevail. On the other hand, although many entrepreneurs are becoming more digital, they still have less time to spend with their families. Being able to manage their own communications (social networks, online management) is a positive benefit of the digitalization of the business, while communications carried out by external entities are not significant. Finally, this article expands the theoretical framework of digital entrepreneurship and offers a current vision of new entrepreneurs in the wake of the COVID-19 pandemic and the strong and growing trend of business digitalization. [ABSTRACT FROM AUTHOR]

This study developed and evaluated a digital learning material in 2D Animation for First Year Drafting Technology Students of the Marikina Polytechnic College for the academic year 2023-2024. The developed digital learning material in 2D Animation was evaluated by two (2) groups of respondents composed of fifteen (15) experts and fifteen (15) industry practitioners. A survey questionnaire was utilized to gather the data, and it covered the following variables: quality of content and technical aspects. The findings revealed that the two groups of respondents evaluated the developed digital learning material in 2D Animation as Highly Acceptable with respect to quality of content with a grand weighted mean of 3.83 and 3.69, respectively. In terms of technical aspects, it gained grand weighted means of 3.88 and 3.76, respectively. In addition, there was no significant difference between the evaluations of the two groups of respondents on the developed digital learning material in 2D Animation in terms of quality of content with a computed t value of 1.76, 1.12, 1.85, 0.98, 1.16, and 1.79, respectively. In terms of technical aspects, it gained a computed t value of 1.26, 1.37, 1.27, and 0.72, respectively. The insightful comments and suggestions provided by both groups of respondents hold significant potential for enhancing the quality and effectiveness of the developed digital learning material in 2D Animation. Furthermore, it was recommended that the School Administrators may encourage Instructors in other fields of specialization to explore on developing instructional materials that will help facilitate learning and improve the performance of their respective students. [ABSTRACT FROM AUTHOR]

Digital empowerment is a recurrent theme in the discourse of educational technology in post-pandemic Higher Education and a leitmotif of organisational strategy. Yet, despite its prevalence, digital empowerment is a poorly understood concept. As organisations reimagine themselves as the digital Universities of the future, attention must turn to strategy and its role in defining the digitally empowered student, teacher, and organisation, and how such definitions manifest through policy. This study combines a synthesis of institution-level digital strategies from UK Higher Education with the voices of the strategy-maker, including senior leaders. This study reveals that conceptualisations of digital empowerment are underpinned by an assemblage of neoliberal narratives, including those associated with marketisation, metrics, and modernisation. The findings of this study are illustrative of the role that strategy plays in the alignment of Higher Education with neoliberalism and why notions of digital empowerment therein are inherently problematic. [ABSTRACT FROM AUTHOR]

Background: Globally, digital transformation has been sweeping through healthcare in recent years. Reflecting this global change, Australia's health and social care sector is also undergoing rapid digitalisation. Digital approaches can enhance care planning and coordination activities, as well as improve efficiencies in documentation and coordination of care. As the aged care environment continues to become digitalised into the future, there is an expectation that nurses practise the delicate art and science of compassionate caregiving in a technology-proliferated environment where care planning, provisioning, and documenting require digital knowledge and skills. Aim: To explore the perspectives and expectations of nurses working in residential aged care setting regarding the utilisation of technology to enhance care at the end-of-life. Methods: A qualitative descriptive research study design based on the secondary analysis of data collected as part of a larger study. Data collection was conducted using six semi-structured interviews and 11 focus group discussions with care workers, nurses, and nursing managers working in Australian residential aged care setting. Results: A total of 64 participants took part in this study. Overall, four themes were generated from the data as following: engagement with various digital systems and platforms; 2) ambivalence toward technology; 3) challenges and concerns in technology use; and 4) anticipated technology roles in end-of-life care. This study found that, nurses in Australian RAC are open to engage with technologies for end-of-life provision, despite some ambivalence and challenges encountered in the process. Conclusion: Nurses in residential aged care have an important role in end-of-life care of many older Australians. Digital approaches offer care and coordination opportunities however require the aged care sector and nurses to take up these opportunities. While nurses demonstrate openness to technology, focus needs to be placed on technology use support. This presents an opportunity for nurses to actively shape the future of digital innovations in aged care, ensuring high-quality, compassionate care for residents in their final stages of life. [ABSTRACT FROM AUTHOR]

Aim: Identify the skills and knowledge future nurse and midwife leaders might require in the next 6 years. Design/methodology/approach: An online questionnaire elicited health professionals' perspectives on the future requirements for nurse and midwife leaders. Qualitative data were generated in response on health care and the likely leadership skills for the future. Data were extracted and analysed using qualitative content analysis. Findings: Four generic categories were abstracted from the core category 'Nursing and Midwifery Leadership'. These were values/traits; creating positive healthcare cultures; digital capability/competence; and systems thinking. Limitations/implications. This first stage evaluation has gained a wide variety of perspectives regarding the perceived skills and knowledge future nurse and midwife leaders might need. This is important to enable those who deliver leadership development programmes to plan appropriately, ensuring their programmes are designed and adjusted in response to the needs of a shifting health and care landscape. However, over 50% of respondents were White, so the data may not be representative of the diversity of registered nurses and midwives. The findings may not have direct relevance to the global context due to geographical limitations. [ABSTRACT FROM AUTHOR]

With the rise of digital technologies, a political‐economic configuration recognised as “platform capitalism” has raised concerns over monopolistic tendencies, lack of accountability, expanded rentiership, workers’ precarity, and more. Existing analyses, however, show a distinctly urban bias—centring on housing, transportation, retail, and gig labour—and have yet to engage with the agrarian dimensions of this phenomenon despite considerable potential impacts on the future of farming. Here we begin the process of theorising agrarian platform capitalism, offering a typology of platforms in the agri‐food sector, and bringing together critiques of platform capitalism with the distinctive features of agrarian political economy. Our analysis identifies four prominent characteristics of agrarian platform capitalism which largely corroborate existing critiques albeit with some distinctive contours. As in other sectors, platforms intensify rentiership regarding both real estate and digital assets. Agricultural platforms also display a familiar tendency to thrive in spaces of regulatory retreat and are in some cases even endorsed by regulatory agencies, highlighting the potential for public–private platformisation. Some agricultural platform companies deploy populist rhetoric beyond established tropes of consumer welfare, latching onto farmers’ deep frustrations with the highly concentrated agribusiness sector. Efforts to reign in agrarian platform power may be further constrained by legitimising discourses of hunger relief and sustainability. [ABSTRACT FROM AUTHOR]

This quasi-experimental study investigated the efficacy of technology integration to multigrade learners. Poor numeracy and literacy have been a problem for multigrade learners. Having multiple grade levels present in the classroom, managing a multigrade setting can be challenging. For this purpose, 22 Grade 1 to Grade 3 multigrade students of New Malinao Elementary School were selected as the subjects of the study. This paper found out that there is a significant difference between the pretest and posttest scores in numeracy of the control group multigrade learners with p = .001 which is lesser than .05 level of significance and implies that there is improvement of the numeracy of the control group after employing the traditional method of teaching. Furthermore, there is a significant difference between the pretest and posttest scores in literacy of the experimental group of multigrade learners with p = .003 which is lesser than .05 level of significance and implies that there is improvement in the literacy of the experimental group of multigrade learners after the intervention of technology. This study recommended teachers should receive ICT usage training and the assistance they require to work well in a multigrade setting. Teachers must possess the necessary knowledge and abilities to use technology to change the way they teach and generate new learning possibilities if they are to be digitally connected and guarantee ICT integration in the teaching and learning process. [ABSTRACT FROM AUTHOR]

Digital games are an increasingly dominant form of digital entertainment with billions of players globally. While most of these games have a commercial focus, fields like public health and education have seen a growth of "serious games," which aim to solve real world problems. In the context of biodiversity conservation, mobile games have been controversial, with some raising concerns around the way digital channels risk replacing the very nature they portray, therefore deepening a "nature‐deficit disorder." We ran a randomized controlled trial to evaluate the impact of the mobile game "Kākāpō Run" on pro‐environmental behaviors amongst a cohort of 200 participants in New Zealand. Kākāpō Run was developed by a UK conservation charity, and aims to increase the support for Kākāpō conservation, as well as to increase pro‐environmental behaviors linked to Kākāpō conservation. Study participants completed a 10‐minute questionnaire before spending 1 hour playing their assigned mobile game over seven days. This was monitored by asking participants to share screenshots of their app usage for the duration of the experiment. After this, all participants re‐took the questionnaire. We found a positive impact across some knowledge and attitudes questions, behavioral intentions linked to willingness to volunteer time and support policies aiming to remove invasive predators, as well as manage pet cats actively. However, we found no change in willingness to donate or actual donations. This research showcases both the potential of mobile games for conservation outreach and marketing, and the importance of rigorous impact evaluation. We call for conservationists engaged in designing and promoting mobile games to approach game design and evaluation in a more research‐centered way to help develop an evidence base around the intended and unintended consequences of game playing. This mainstreaming of gaming science across conservation will be critical to allow mobile games to realize their potential as a leading communication channel. [ABSTRACT FROM AUTHOR]

Sports cardiology is an evolving field in cardiology, with several topics remaining controversial. Beyond the several well-known benefits of regular exercise practice, the occurrence of adverse clinical events during sports in apparently healthy individuals, especially sudden cardiac death, and the described long-term adverse cardiac adaptations associated to high volume of exercise, remain challenging. The early identification of athletes with increased risk is critical, but the most appropriate preparticipation screening protocols are also debatable and a more personalized evaluation, considering individual and sports-related characteristics, will potentially optimize this evaluation. As the risk of major clinical events during sports is not zero, independently of previous evaluation, ensuring the capacity for cardiopulmonary resuscitation, especially with availability of automated external defibrillators, in sports arenas, is crucial for its prevention and to improve outcomes. As in other areas of medicine, application of new digital technologies, including artificial intelligence, is promising and could improve in near future several aspects of sports cardiology. This paper aims to review the methodology of athletes' preparticipation screening, emphasizing current controversies and future challenges, in order to improve early diagnosis of conditions associated with sudden cardiac death. [ABSTRACT FROM AUTHOR]

The question of how the digital economy responds to ecological issues has gained salience in recent years. So far, though, social scientists have primarily taken interest in the ecological positionings of tech entrepreneurs. Little attention has been paid to the middle-class fraction of 'tech workers' who are responsible for programming, designing, and managing the digital technologies that reconfigure socio-material relations. Based on 52 interviews with data scientists and user experience designers, the article analyzes the ecological habitus of this new professional segment. Four central ecological schemas are identified: (1) managing limited resources, (2) critical techno-optimism, (3) academic concern, and (4) lifestyle struggles. Simultaneously, the article discusses how these four schemas relate to the different forms of capital held by tech workers. This mapping of the ecological habitus of tech workers shows how social relationships with nature are underpinned by class positions. The article thus pursues dual aims, contributing to research on green capitalism as well as to debates on how the middle class relates to climate change. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate a co-designed intervention using digital resources "Vietnam Cancer Caring Coping" (V-CCC) on the health literacy, depression, and quality of life of caregivers supporting a cancer patient in oncology hospitals in Vietnam. Methods: A pre-post quantitative evaluation with adult cancer caregivers across regional Oncology hospitals in Vietnam (Ho Chi Minh City, Da Nang, Can Tho, and Hue). Participants completed baseline and follow-up measures of health literacy (HLS-SF12) depression (PHQ-9) and Health-related Quality of Life (5Q-5D-5L). Participants accessed and reviewed V-CCC for a 2-week period. Results: Two hundred and thirty-four caregivers completed pre and post-tests. Most participants were female (n = 143, 61%), married (n = 165, 70%), aged 18–44 (n = 155, 66%), lived rurally (n = 157, 67%). All health literacy scores of participants in post-intervention were significantly higher than that in pre-intervention across all domain's healthcare, disease prevention, and health promotion as well as the total score (p < 0.001). A significant reduction in the proportion of caregivers reporting PHQ-9 moderately severe/severe depression post-intervention was demonstrated (10.2 vs. 6.1%, respectively (p ≤ 0.001). No significant differences were observed pre and post-intervention across four 5Q-5D-5L health dimensions: mobility, self-care, usual activities, and pain/discomfort. Regarding anxiety/depression as measured by 5Q-5D-5L the proportion of participants who reported having moderate, severe, and extreme problems in pre- and post-intervention was statistically significant (32 vs. 24%), respectively (p = 0.0028). Conclusion: Co-designed digital resources can reduce health literacy inequities and improve psychological outcomes for cancer caregivers. [ABSTRACT FROM AUTHOR]

Prior literature has shown that brands can use digital storytelling (DST) to reduce uncertainty among consumers and thus increase sales. As such, it is important to understand the elements of storytelling and its role in marketing a product. Extant studies have not explored the elements of DST in terms of the technological convenience of the consumer. This study, therefore, examines the mediating impact of DST elements through factors such as perceived efficiency, social interaction, effort expectancy, and facilitating conditions. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was employed as a theoretical base for the study. A sample of 305 respondents who had made an online purchase were shown a digital story of a known brand. The results indicate that the elements of storytelling significantly impact the factors of the UTAUT model. Further, these factors mediate the relationship between DST and two dependent variables (behavioral intention and perceived brand image). [ABSTRACT FROM AUTHOR]

Introduction: The use of digital dentistry is rapidly increasing in prosthodontics. However, most dental students are not familiar with applying digital technologies in dental clinics. Thus, the aim of the current study was to assess the perception of dental students at different educational years towards digital impressions in comparison to conventional impressions. Materials and Methods: A cross‐sectional questionnaire‐based study was conducted on various educational years of dental students in the College of Dentistry, Imam Abdulrahman Bin Faisal University, between February and April 2023. The students had performed at least one intraoral scan (Trios 3shape) and another conventional polyether impression for phantom casts/patients. The questionnaire assessed students' perceptions of digital impressions using a 5‐point scale ranging from strongly agree to strongly disagree. Mann–Whitney U and Kruskal–Wallis tests were used to compare students' perceptions of digital impressions according to gender and educational year, respectively. Results: The study included 122 students. About 55% were females with a mean (SD) age = 22.51 (3.36). Most students thought that digital impressions are faster and more user‐friendly compared to conventional impressions. Significantly more female students thought that the handpiece was too big for intraoral use (p = 0.04) and that the process of the software was time‐consuming and complicated. In general, higher educational year students were more satisfied with the digital impressions than lower educational year students. Conclusions: Digital impressions were perceived by most students as being faster and easier than conventional ones. However, male students and those with higher educational years showed better perception of digital impression. [ABSTRACT FROM AUTHOR]

Ethnic minority healthcare workers (EMHCW) are at high risk of COVID-19 infection and adverse health outcomes, but vaccine uptake is low among ethnic minority communities, including EMHCW. We explored the views of EMHCW towards COVID-19 Vaccine Education (CoVE), a digital training resource to improve knowledge and confidence for promoting the COVID-19 vaccine. Thirty EMHCW completed CoVE, then participated in a semi-structured qualitative interview. Principles of framework analysis were used to deductively analyse data using concepts from the Kirkpatrick New World Model of training evaluation. CoVE was viewed to be engaging, accessible and relevant to EMHCW. This training increased EMHCW perceived knowledge and confidence to provide evidence-based information to others, dispel myths, and reduce vaccine hesitancy. Participants reported changes in vaccine promotion behaviours and vaccine uptake. CoVE could be used to help improve vaccine literacy among EMHCW, enhance health communications about vaccines, and ultimately help facilitate uptake of occupational vaccination programs. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to reveal consumer purchase intentions for Software-as-a-Service (SaaS) lifetime deals and the role of service offerings in shaping these intentions. Design/methodology/approach: Lifetime deals − an aggressive market penetration strategy − have the potential to allow startups to gain market share, user base and the cash necessary for growth. However, startups need to mitigate consumer concerns for which service offering design plays a key role. Drawing on expectancy-value and signaling theories, this study developed a research model and then conducted empirical research on 2,173 consumers via choice-based conjoint analysis to reveal the critical service offering attributes for consumer utility in lifetime deals in the SaaS presentation tool market context. After using the hierarchical Bayes model to derive each respondent's part-worth utilities for service offering attributes, the hypotheses were tested via the factor score regression method. Findings: The results show that the service offering attributes of low price, refund option, human support and feature updates enhance consumer utility in SaaS lifetime deals. Three of these four attributes, namely, low price, refund option and feature updates, enhance consumers' purchase intentions by reducing their concerns about the service's performance, seller and lifespan, respectively. Originality/value: This study elucidates consumer purchase intentions for SaaS services in digital marketplaces. By investigating a widespread market entry strategy − lifetime deals − it shows consumer preferences and behavior for these deals in the fast-growing online tools market. This study also shows how startups can use lifetime deals through a well-designed service offering to mitigate various consumer concerns. [ABSTRACT FROM AUTHOR]

The debate about competition concerns in the digital economy cumulated in the adoption of new legislation, Section 19a GWB in Germany and the Digital Markets Act at the EU level. At around the same time, a new term gained prevalence in the competition law discourse—the 'ecosystem'. Often, it is not quite clear, what is meant by it or what the economics behind it are. In this article, I look to the strategic management literature, whose scholars have developed a coherent ecosystem concept. I will explain the economic benefits of the ecosystem structure and the essential role governance plays in it. From the economics of the ecosystem, several insights can be won for competition law. These insights will be applied to the new legislation in the second part. It will be analysed to what extent the DMA and Section 19a GWB are based on the ecosystem concept, whether they identify the problematic actors as addressees, and whether they capture the restrictive conduct. Although both legislative responses do not build on the ecosystem concept, they do not completely fail to address the right issues. Their neglect of the concept, though, could lead to serious enforcement failures. [ABSTRACT FROM AUTHOR]

The article from the Journal of Strategic Marketing explores the future of marketing and communications in the digital era, focusing on data analytics, digital narratives, and consumer engagement. It highlights the importance of personalized marketing, ethical considerations, and the role of narratives in engaging consumers. The research delves into influencer marketing, search engine marketing, customer journey analysis, B2B loyalty, and digital leadership, offering insights for marketers to navigate the complexities of the digital landscape effectively. The study emphasizes the need for agile, data-savvy, and narrative-focused strategies to succeed in the evolving digital marketing environment. [Extracted from the article]

Family-history assessment can identify individuals above population-risk for cancer to enable targeted Screening, Prevention and Early Detection (SPED). The online patient-facing cancer Family History Questionnaire Service (cFHQS) is a digitalised, resource efficient tool for family history data capture to facilitate this. The capturing of digital data from cFHQS allows for data interrogation of patients referred to Clinical Genetics for the purposes of service improvement. Digital data from 4,044 cFHQS respondents over a three-year period was collected and interrogated with respect to the number and type of familial tumour diagnoses to enable service improvement and streamlining of referral pathways. 81% of colorectal and 71% of breast screening assessments were population- or moderate-risk. Most patients who completed cFHQS reported more than one diagnosis of cancer/tumour/polyps in their family. 2.5% of family history assessment patients had a second indication that required assessment that would have been missed if single tumour type assessment was undertaken. Implementation of an innovative, digital family history data collection pathway has allowed large scale interrogation of referral patterns and assessment outcomes to enable service development. The high volume of inappropriate referrals to Clinical Genetics for population and moderate risk patients highlighted the need for dedicated secondary care pathway provision for these patients. The use of cFHQS streamlined family history assessment allows for redistribution of resources to improve equity and access to genetic cancer risk assessment. [ABSTRACT FROM AUTHOR]

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Community resource mapping (CRM) is a process for identifying community resources vital to the successful post-secondary transition to adulthood for youth with extensive support needs (ESN). By adopting the four-step process delineated in the National Center on Secondary Education and Transition's Essential Tool: Community Resource Mapping, we present an adaptable digital CRM process that aligns with transition services as an outcome-based process. This is shown through enhancing internal and external collaboration efforts with various agencies, school staff, and families in identifying community resources in a streamlined and accessible process for youth with ESN. [ABSTRACT FROM AUTHOR]

Background: In response to the growing need for effective programmes to promote healthy eating habits among children in real-world settings, we conducted a qualitative study. Our aim was to explore the content-related needs of early childhood education and care (ECEC) staff regarding the core components of an upcoming digital "healthy eating" resource. This resource, designed for real-world implementation through the Nutrition Now project, seeks to enhance children's nutrition and health within ECEC settings. Methods: Twelve individual semi-structured interviews with ECEC staff in a Norwegian municipality were conducted. Subsequently, we conducted two focus group discussions, involving five participants, to encourage reflection on the preliminary findings from the individual interviews. Qualitative thematic analysis was conducted using Nvivo software. Data from the interviews and focus groups were transcribed verbatim and analysed thematically to identify and summarise staff's subjective experiences and reasoning. Results: Six themes were identified for the development of the upcoming digital "healthy eating" resource: (1) A comprehensive recipe bank, and menu suggestions, (2) Tips for easy and quick cooking, simple hygiene and allergy management, (3) Age-appropriate food learning ideas, (4) Strategies for mealtime learning and engagement, (5) Alignment with the national ECEC curriculum, and (6) Parent-friendly access and content. Conclusions: This research provides valuable guidance and informs the adaptation of an expert-led digital "healthy eating" intervention to better suit ECEC staff and the ECEC context, consequently enhancing its feasibility and effectiveness. Trial registration: This study was not registered in a trial registry as it is not a clinical trial or intervention study but serves as a pilot for the Nutrition Now study, trial identifier ISRCTN10694967 (https//doi.org/10.1186/ISRCTN10694967), registration date 19/06/2022. [ABSTRACT FROM AUTHOR]

Smart technologies and connected health are providing opportunities for improved healthcare for chronic conditions. Acceptance by healthcare professionals (HCPs) and patients is crucial for successful implementation. Evidence-based standards, technological infrastructure and regulatory processes are needed to integrate digital tools into clinical practice. Personal health records provide continuity and aid decision-making, while machine-learning algorithms may help in optimizing therapies and improving outcomes. Digital healthcare can negate geographical barriers, enabling patients in remote areas to access specialist endocrine expertise. We review available and developing digital tools to manage care for patients requiring growth hormone (GH) therapy for growth failure conditions. GH is most often administered via daily injections over several years; continuous adherence is necessary but may become insufficient. Future development and integration of electronic platforms for GH therapy requires involvement of all stakeholders in design-thinking approaches and human-factor testing. Growzen Connect is an innovative digital ecosystem designed to increase the management and monitoring of GH therapy, comprising the easypod device and connected mobile apps. It provides a real-time overview of a patient's therapy, including adherence and growth response, which aids decision-making by HCPs and empowers patients to engage in their therapy journey. Incorporating prediction models for adherence and growth in the ecosystem helps patients build treatment habits and allows issues to be addressed in a timely fashion. A connected ecosystem for GH therapy can enhance outcomes and empower patients, fostering a collaborative and patient-centered approach that is more proactive, beyond the traditional clinic-based approach. [ABSTRACT FROM AUTHOR]

Introduction: Health literacy is defined as the capacity, resources and insight to seek information, ask critical questions and be an advocate for one's health. Sexual literacy is framed in similar terms, relating to the capacity to navigate emotionally and physically safe sexual encounters and to hold a critical and assertive stance on relationship dynamics, gender and consent. In this paper, we present findings from a qualitative study that explored how young people's use of the internet develops sexual literacy. Methods: In-depth interviews were conducted with 22 young people (aged 18-25). Interviews explored the ways in which young people participate in online spaces to learn about sex, relationships, bodies and other aspects of sexual health. Data were analysed using qualitative, inductive thematic coding techniques. Results: Young people described learning about sexual health online as a process of exploring ideas, topics or experiences (going down 'rabbit holes'). It was rarely the case that young people searched for specific information. Young people described engaging with multiple sources of content and multiple people online to learn about relationships or sex. This was often personal. Young people wanted to understand their own experiences and hear stories from people with similar experiences. Engaging with multiple sources, stories and people enabled critical reflection and peer-based learning. Discussion: Building sexual health literacy is not simply about providing young people with sexual health information. Rather, it is about supporting young people to develop critical insight and capacity to reflect deeply on experiences and issues that affect their sexual relationships. The online environment supports sexual literacy as it enables critical inquiry, access to multiple perspectives, peer connection and personal reflection. [ABSTRACT FROM AUTHOR]

The challenges and drawbacks of manual weeding and herbicide usage, such as inefficiency, high costs, time-consuming tasks, and environmental pollution, have led to a shift in the agricultural industry toward digital agriculture. The utilization of advanced robotic technologies in the process of weeding serves as prominent and symbolic proof of innovations under the umbrella of digital agriculture. Typically, robotic weeding consists of three primary phases: sensing, thinking, and acting. Among these stages, sensing has considerable significance, which has resulted in the development of sophisticated sensing technology. The present study specifically examines a variety of image-based sensing systems, such as RGB, NIR, spectral, and thermal cameras. Furthermore, it discusses non-imaging systems, including lasers, seed mapping, LIDAR, ToF, and ultrasonic systems. Regarding the benefits, we can highlight the reduced expenses and zero water and soil pollution. As for the obstacles, we can point out the significant initial investment, limited precision, unfavorable environmental circumstances, as well as the scarcity of professionals and subject knowledge. This study intends to address the advantages and challenges associated with each of these sensing technologies. Moreover, the technical remarks and solutions explored in this investigation provide a straightforward framework for future studies by both scholars and administrators in the context of robotic weeding. [ABSTRACT FROM AUTHOR]

Africa still struggles to end hunger, partly because not all Africans have access to nutritious food. Although studies have established the connection between digital technologies and food security, the reality in Africa is that, despite the laudable feat in the use of digital technologies, the accessibility and utilization of food still face challenges. Digital agriculture, or technology, is a data-driven innovation that predicts agricultural outcomes and guides food producers throughout the different phases of operations on the farm. The literature documents the efficacy of digital agriculture in food production and availability well, but it has hardly examined how it enhances food accessibility and utilization. And even though studies that have examined food accessibility and utilization have merely assessed income as a tool that guarantees food accessibility and utilization, not much attention has been paid to how digital resources can aid in the access to and utilization of food. Drawing on information asymmetry theory and the systematic qualitative method, this article investigates how digital agriculture, through the internet and mobile phones, enhances efforts towards the accessibility and utilization of food as prerequisites for the attainment of SDG 2 in Africa. The findings provide an understanding of the potential of digital technologies in promoting the accessibility and utilization of food. It advocates strategies through which stakeholders in the agricultural sector can utilize technology in ways that aid Africa's strategic efforts to attain food security and zero hunger. [ABSTRACT FROM AUTHOR]

BackgroundMethodsResultsConclusionsThe COVID-19 outbreak meant that people were unable to attend art-based community classes such as dance. In response, activities transitioned to digital modes of delivery. In this study, we aimed to explore the feasibility, inclusivity, and impact of transitioning to an online dance class.Thirty community-dwelling older adults (59–84 years old) were recruited from community groups in Yorkshire (UK). Participants completed an online survey at baseline and after attending 8 weeks of online dance classes. The survey captured perceived benefits on physical activity and mental wellbeing. Two separate focus groups (N = 12) were conducted to explore if the online dance transition could be an opportunity to keep this group active and socially connected.Survey data revealed no significant difference in the amount of time engaged in physical activity, but mental wellbeing significantly improved. Themes from the focus groups included holistic wellbeing related to the experience of dance, inclusive participation of online dance, and online dance facilitating social connection and sense of belonging.The research provided insight into the online transition of a dance class for older adults, especially regarding inclusivity, sense of belonging and social connection. [ABSTRACT FROM AUTHOR]

Background: Common clinical sense would suggest that individuals with milder obsessive-compulsive disorder (OCD) symptoms should be the most suitable for guided internet-delivered cognitive behaviour therapy (CBT), with more intensive forms of treatment reserved for more severe or complex cases. Results: In this secondary data analysis of a non-inferiority clinical trial comparing internet-delivered CBT with in-person CBT for young people with OCD (N = 152), we found that higher baseline symptom severity predicted worse treatment outcomes in the in-person group but not the internet-delivered CBT group. Additional analyses showed that among individuals with milder symptoms, internet-delivered CBT was associated with worse outcomes than in-person CBT. Conclusions: If replicated, these results would question the axiom that internet-delivered CBT is most suitable for milder cases. Trial registration: The original trial was registered at ClinicalTrials.gov ID NCT03263546. Date of registration 2017–08–28. [ABSTRACT FROM AUTHOR]

Digitization has carved out the migration patterns of immigrants over the recent years of increased technological interventions in human mobility. Migration infrastructures, which typically refer to the physical, commercial, humanitarian, and governmental modes of operation, are multidimensional in nature. Digital infrastructures are equally important to the physical ones as digital technologies facilitate these migration processes through agents like hardware, software, and mediating actors. Amongst the multiple forms of migration, the concept of return-writing and nostalgia-struck-returnees encompass individuals whose life trajectories run parallel to the homeland. The narrative of return to the homeland emerges aβs a dominant motif in literature due to the rising trends of globalization, the writers' reflection on their own migrant experiences, and publishing trends meeting the demand of the global book market. The objective is to assess the role of digital migration infrastructures in return migrations to India through a close reading of the selected texts and review of postcolonial literary theories by using conditional operation in Python. The study here explores the varied nuances of return migration with a primary focus on the external conditions of travel in migration literature. The paper aims to analyze the genre of return-writing in Indian English literature, through three novels over a period of two decades, i.e., from 2000-2023. The selected texts, beginning with Amit Chaudhuri's A New World (2000), Gun Island (2019) by Amitav Ghosh, and Devika Rege's novel Quarterlife (2023), offer a panoramic view of return migration. These novels are extensive in the time period of technological interventions and in depiction of return migration. The Python code examines the extent of existence of a set of digital migration infrastructure keywords by analyzing the content of the novels and creates bar plots and charts to offer a visual representation of the classification results. The resulting trend traces the increased intervention of Digital Migration Infrastructure in the recent migration literature. [ABSTRACT FROM AUTHOR]