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Objective: Physical and cognitive workloads and performance were studied for a corrective shared control (CSC) human–robot collaborative (HRC) sanding task. Background: Manual sanding is physically demanding. Collaborative robots (cobots) can potentially reduce physical stress, but fully autonomous implementation has been particularly challenging due to skill, task variability, and robot limitations. CSC is an HRC method where the robot operates semi-autonomously while the human provides real-time corrections. Methods: Twenty laboratory participants removed paint using an orbital sander, both manually and with a CSC robot. A fully automated robot was also tested. Results: The CSC robot improved subjective discomfort compared to manual sanding in the upper arm by 29.5%, lower arm by 32%, hand by 36.5%, front of the shoulder by 24%, and back of the shoulder by 17.5%. Muscle fatigue measured using EMG, was observed in the medial deltoid and flexor carpi radialis for the manual condition. The composite cognitive workload on the NASA-TLX increased by 14.3% for manual sanding due to high physical demand and effort, while mental demand was 14% greater for the CSC robot. Digital imaging showed that the CSC robot outperformed the automated condition by 7.16% for uniformity, 4.96% for quantity, and 6.06% in total. Conclusions: In this example, we found that human skills and techniques were integral to sanding and can be successfully incorporated into HRC systems. Humans performed the task using the CSC robot with less fatigue and discomfort. Applications: The results can influence implementation of future HRC systems in manufacturing environments. [ABSTRACT FROM AUTHOR]

Potential health risks for male athletes in professional road cycling are numerously investigated. For female athletes, necessary information is missing and thus there is a lack of equipment meeting their specific needs. The different pelvic anatomy of women compared to men suggests different saddle designs, different cycling short pads, and even different types of material to avoid pain and health problems. To collect data for a systematic development of pads specifically for women, we performed a study with 29 ambitious female athletes, who road cycle long distances (>90 min) at least once a week. First, we documented each athlete's recent cycling situation, including the perceived comfort, grievances and the equipment used. Second, molds of the pelvis-saddle interfaces were generated using a previously developed measurement saddle to analyze pressure distributions during both static and dynamic loading. Measures were taken using the idmatch system following a bike fitting, which suggested a bicycle setup incorporating, among other factors, the individual athlete's anthropometric data. Molds were subsequently digitized with a calibrated 3D scanner. Third, the digital pressure data resulting from the molds was analyzed considering its ability to represent interindividual differences, which validated the developed measurement saddle. Finally, a novel lattice-based pad prototype was designed based on the measured pressure data. Finite element analyses (FEA) were carried out to observe mechanical loads in the lattice structure and enable an optimization of the design. The prototype was additively manufactured using stereolithography (SLA). [ABSTRACT FROM AUTHOR]

This study evaluates a newly developed harvesting basket used in manual pineapple harvesting work in Malaysia, specifically focusing on its impact on physiological workload, body part discomfort, perception of harvesters and risk level of musculoskeletal disorders (MSD). An experimental study was conducted among pineapple harvesters in Muar, Johor. Data from 25 harvesters were collected using questionnaires, including the Borg CR-10 Scale, to assess body part discomfort using traditional rattan and newly developed harvesting baskets. The physiological workload was measured to record heart rates and calculate the workload. The risk level of awkward posture during harvesting tasks was assessed using the Rapid Entire Body Assessment (REBA) tool for both baskets. Descriptive analysis was used to analyze respondents' perceptions, while statistical tests determined performance differences between the two baskets. The results revealed that workers experienced a significant reduction in physiological workload between the use of rattan (6.6 ± 0.9 kJ-min) and prototype baskets (5.0 ± 1.1 kJ-min). Harvesters experienced reduced discomfort when using new harvesting baskets. The postural analysis indicated a decrease in the risk level of awkward posture from high (rattan) to medium (prototype) when harvesting. Most harvesters perceived that the new harvesting basket fulfilled their needs. In conclusion, the newly developed harvesting basket demonstrated the potential to improve work posture, discomfort and physiological workload of pineapple harvesters, thereby reducing the potential of obtaining MSD disease. Adopting economically designed work tools aligns with the MyGAP policy and supports improving workers' health in pineapple harvesting operations. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Energy consumption and efficiency, along with occupant well-being, are key global challenges across various sectors, especially in the industrial and residential domains. Building automation, which exists at multiple levels, plays a crucial role in addressing these challenges. This study evaluates three distinct levels of automation—scheduling-based, sensor-based, and IoT-enabled control—allowing a clear comparison of each system’s effectiveness in managing energy consumption and enhancing occupant comfort. This approach simplifies the decision-making process by identifying the level of control that optimally balances energy efficiency with thermal comfort requirements, particularly in residential contexts. The integration of the Internet of Things (IoT) into building control systems, a hallmark of the Fourth Industrial Revolution, further enhances these capabilities. Building automation and control systems can be categorized into standard and advanced systems. Conventional control methods fall short of meeting the increasingly complex demands of smart buildings. However, leveraging IoT in smart building design can significantly enhance quality of life by making smart systems more efficient, optimizing resource allocation, and improving management capabilities and services. A key application of IoT in smart buildings is the efficient management of HVAC (heating, ventilation, and air conditioning) systems, which enhances occupant comfort while reducing energy consumption. This paper presents a simulation of a residential building in Ilam, where energy consumption and occupant comfort levels are analyzed across various scenarios. The study identifies optimal conditions for both energy efficiency and resident well-being. By evaluating a residential building, this research compares energy consumption and comfort across basic scheduling, sensor-based control, and advanced IoT-enabled automation levels. Optimal configurations that improve energy savings and occupant comfort are identified, highlighting the effectiveness of IoT integration in HVAC management. The results demonstrate that advanced automation, particularly IoT-based control, offers significant advantages for energy management and comfort optimization in residential buildings.

Introduction: This study aimed to investigate the psychotherapeutic effects of listening to Quran recitation on the perception of discomfort and fear in patients undergoing dental treatment. Methods: This research was designed as a randomized controlled trial in which 30 participants (20 females and 10 males) were assigned randomly to either an experimental (Quran listening) or a control group. Fear and discomfort were assessed before, during, and after the treatment session using a questionnaire specifically prepared for the study and based on the Dental Anxiety Scale. Results: The differences in the outcome variables were not statistically significant between the two groups, except for fear perception prior to the local anesthetic injection (P = 0.02). The decrease in mean ranks of fear and discomfort perception in the Quran listening group was statistically significant (P = 0.003 and 0.021 for fear and discomfort, respectively). Conclusion: Listening to Quran recitation during dental appointments can help to decrease patients’ fear and, consequently, their discomfort.

Background/Objectives: Pattern glare, associated with cortical hyperexcitability, induces visual distortions and discomfort, particularly in individuals susceptible to migraines or epilepsy. While previous research has primarily focused on transient EEG responses to patterned stimuli, this study aims to investigate how continuous presentation of pattern-glare stimuli affects neural adaptation over both fine (seconds) and coarse (entire experiment) temporal scales. Methods: EEG recordings were obtained from 40 healthy participants exposed to horizontal square-wave gratings at three spatial frequencies presented continuously for three seconds each across multiple trials. Participants’ susceptibility to visual stress, headaches, and discomfort was assessed using questionnaires before and during the experiment. The experiment employed a two-by-two design to evaluate habituation (exponentially decreasing response) and sensitisation (exponentially increasing response) effects at two different time granularities. Mass univariate analysis with cluster-based permutation tests was conducted to identify significant brain response changes during the period of constant stimulation, which we call the DC-shift period. Results: Significant effects were observed during the DC-shift period, indicating sustained hyper-excitation to the medium-pattern glare stimulus. In particular, the mean/intercept analysis revealed a consistent positive-going response to the medium stimulus throughout the DC-shift period, suggesting continued neural engagement. Participants reporting higher discomfort exhibited sensitisation at fine temporal granularity and habituation at coarser temporal granularity. These effects were predominantly localised to the right posterior scalp regions. Conclusions: The study demonstrates that individuals sensitive to pattern-glare stimuli exhibit dynamic neural adaptation characterised by short-term sensitisation and long-term habituation. These findings enhance the understanding of cortical hyperexcitability mechanisms and may inform future interventions for visual-stress-related conditions, such as migraines and epilepsy. Further research is needed to explore the underlying neural processes and validate these effects in clinical populations.

Abstract Background The importance of interprofessional education (IPE) programs is increasing due to the complexity and multidimensional aspects of discomfort in long-term care facilities (LTCFs). The social constructivist approach, which is helpful in IPE, has received considerable attention in education. This study aimed to develop and identify the effects of an interprofessional discomfort management online education program using a social constructivist approach. Methods Using the Network-Based Instructional System Design model, five steps were employed for online educational program development: analysis, design, production, implementation, and evaluation. We modified the framework of interprofessional discomfort care and a C3 (case-based, collaborative, and contextual learning) instructional model to construct the program. The study used a non-equivalent control group pre-post-test design with 54 interprofessional participants from four LTCFs. Results The pre-post outcomes were statistically significant for proactivity in problem-solving (t = − 2.244, p = 0.030), team outcomes (t = − 2.457, p = 0.017), and transactive memory system (t = − 3.229, p = 0.002). The results of the learners’ educational program-related satisfaction were as follows: overall degree of satisfaction, 3.67 ± 0.67; difficulty, 3.56 ± 0.82; suitability for practice, 3.83 ± 0.64, content, 3.69 ± 0.75; and educational method, 3.46 ± 0.86. Conclusions These findings support the effectiveness of the social constructivist approach education program for the awareness of discomfort care in LTCF healthcare professionals and can contribute to the improvement of IPE.

Recommendation systems are used in various fields of e-commerce and can bring many benefits to consumers but consumers’ trust in recommendation systems (CTRS) is lacking. Recommendation system transparency (RST) is an important factor that affects CTRS. Applying a three-layered trust model, this paper discusses the influence of RST on CTRS in the e-commerce domain, demonstrating the mediating role of perceived effectiveness and discomfort and the moderating role of consumers’ domain knowledge. We recruited 500 participants for an online hypothetical scenario experiment. The results show that consumers’ perceived effectiveness and discomfort can mediate the relationship between RST and CTRS. Specifically, RST (vs. non-transparency) leads to higher perceived effectiveness ( promoting CTRS) and lower levels of discomfort (which inhibits CTRS), in turn increasing CTRS. Domain knowledge positively moderates the positive impact of RST on perceived effectiveness, while negatively moderating the negative impact of RST on discomfort. Further, gender has a negative impact on CTRS when consumers are purchasing experience products but there is no effect when purchasing search products.

OBJECTIVE: This study evaluated the effectiveness of the promotion of postural shift intervention using a dynamic seat cushion on the 6-month incidence of neck and low-back pain among high-risk office workers. METHODS: In a cluster-randomized controlled trial (RCT), 133 office workers were randomly assigned, at cluster level, to intervention (N=67) and control (N=66) groups. The intervention group received a dynamic seat cushion to encourage postural shifts during sitting, while the control group received a placebo seat pad. Primary outcomes were 6-month incidence of neck and low-back pain. Secondary outcomes included sitting discomfort, pain intensity, disability, and trunk muscle performance. Analyses utilized Cox proportional hazard models. RESULTS: During the 6-month period, 15% of participants in the intervention group developed neck pain and 10% developed low-back pain. For the control group, this was 65% and 59%, respectively. Hazard rate (HR) ratios, after adjusting for biopsychosocial factors, indicated a protective effect of the intervention for neck pain [HR_adj 0.19, 95% confidence interval (CI) 0.09–0.39, P

Abstract Background During the COVID-19 pandemic, masks proved to be an effective measure in preventing virus transmission. However, many people have reported discomfort and negative perceptions toward wearing masks, especially during physical activity. This study aims to evaluate the discomfort and adverse perceptions related to various mask types among young, healthy adults during light exercise, including sitting, stationary stepping, and stair climbing. The study also examines the extent to which masks influence physiological indicators of physical well-being. Methods The study was conducted in two stages at the campus hospital of Shantou University. In Stage 1, 20 healthy college students (10 males, 10 females) were recruited to identify the mask with the most substantial physiological and psychological impact among four types: KN95 respirators, surgical masks, cloth masks, and 3D medical masks. These specific types were chosen due to their widespread use and varying levels of filtration and breathability. In Stage 2, 14 healthy college students (7 males, 7 females) were included to examine the effects of the identified mask across various levels of physical exertion. Subjective perceptions were measured using the Mask-Related Discomfort and Perception Score (MRDPS), and physiological parameters such as body temperature, blood pressure, pulse rate, and vital capacity were recorded. Results The KN95 respirator and cloth mask were associated with the highest MRDPS, indicating significant discomfort among wearers (p

Background: This study aimed to examine the effect of individuals’ personality traits on the perceived effort.Methods: This experimental study was conducted from October 2022 to December 2022 on 30 students using general health questionnaire (GHQ-28), Raven’s intelligence quotient (IQ) test, visual analogue scale (VAS), revised neuroticism, extraversion, openness to experience (NEO) personality inventory, and Jamar hand dynamometer (JHD).Results: A significant positive correlation was found between the exerted force to the JHD (EF-JHD) and perceived effort rated on horizontal VAS (PE-H/VAS) and vertical VAS (PE-V/VAS) in the individuals with low levels of ‘neuroticism’. Considering ‘extraversion’ and ‘agreeableness’ factors of the NEO test, the correlation coefficient between EF-JHD, and PE-H/VAS and PE-V/VAS was higher in the individuals with medium levels compared to those with high levels. This relationship was reverse for the ‘openness to experience’ and ‘conscientiousness’ factors. The results demonstrated a significant strong positive correlation between PE-H/VAS and PE-V/VAS (r=0.97). Multiple linear regression analysis revealed a moderate positive correlation between EF-JHD and PE-H/VAS and between EF-JHD and PE-V/VAS.Conclusion: Individuals’ personality traits are recommended to be considered in assessing the perceived effort by VAS.

Purpose: To analyze changes in tear levels of inflammatory mediators in symptomatic contact lens (CL) wearers after refitting with daily disposable CLs and to identify potential biomarkers of success in CL discomfort (CLD) management. Methods: Symptomatic CL wearers (CLDEQ-8 ≥ 12) were refitted (V1) with daily disposable CLs (Delefilcon A). After one month (V2), participants were classified into the post-fitting non-symptomatic (CLDEQ <12) and symptomatic (CLDEQ ≥12) groups. At each visit, the participants were clinically evaluated, tears were collected, and 20 inflammatory mediators and substance P (SP) were measured using multiplex immunobead analysis and ELISA, respectively. The detection rates and concentrations were compared between visits and groups, and logistic regression models were performed. Results: Forty-three subjects (32 women/11 men; mean age: 23.2 ± 4.9 years) were enrolled. The IL-1β and IL-9 detection rates were higher at V2 (p ≤ 0.044). The detection rates of IL-1β, IL-9, MIP-1α/CCL3, and MMP-9 at V1 (p ≤ 0.045) and IL-17A at V2 (p ≤ 0.014) were higher in the post-fitting symptomatic group. The tear IL-9 concentration was increased at V2 (p = 0.018). The tear concentrations of fractalkine/CX3CL1, IL-2, IL-6, IL-10, MCP-3/CCL7, MIP-1β, NGF, RANTES/CCL5, and TNF-α were higher in the post-fitting symptomatic group (p ≤ 0.044). Additionally, levels of fractalkine/CX3CL1, IL-2, IL-6, IL-10, RANTES/CCL5, and TNF-α at V1 were significantly associated with the post-fitting grouping (p ≤ 0.044). Conclusions: Low tear concentrations of specific inflammatory mediators may be used as a predictive biomarker of success for refitting symptomatic CL wearers with daily disposable CLs. However, complementary treatments might be required for symptomatic CL wearers with higher levels of these inflammatory molecules. [ABSTRACT FROM AUTHOR]

Recommendation systems are used in various fields of e-commerce and can bring many benefits to consumers but consumers' trust in recommendation systems (CTRS) is lacking. Recommendation system transparency (RST) is an important factor that affects CTRS. Applying a three-layered trust model, this paper discusses the influence of RST on CTRS in the e-commerce domain, demonstrating the mediating role of perceived effectiveness and discomfort and the moderating role of consumers' domain knowledge. We recruited 500 participants for an online hypothetical scenario experiment. The results show that consumers' perceived effectiveness and discomfort can mediate the relationship between RST and CTRS. Specifically, RST (vs. non-transparency) leads to higher perceived effectiveness (promoting CTRS) and lower levels of discomfort (which inhibits CTRS), in turn increasing CTRS. Domain knowledge positively moderates the positive impact of RST on perceived effectiveness, while negatively moderating the negative impact of RST on discomfort. Further, gender has a negative impact on CTRS when consumers are purchasing experience products but there is no effect when purchasing search products. [ABSTRACT FROM AUTHOR]

Academic performance is the level of achievement that students reach in their educational activities. It is influenced by several factors that should be analysed and prioritised, especially in engineering courses, characterised by their difficulty and low success rates compared to other careers. This paper analyses the impact of these factors on academic performance during exams in a technical college in southwestern Spain, with a particular focus on environmental conditions, identified as a relevant and independent variable. The results show a significant connection between thermal comfort and academic performance. Temperatures within the comfort range (23–26 °C) improved students' satisfaction with exams. In contrast, those who experienced thermal discomfort pointed to environmental conditions as the main obstacle to their performance, overcoming factors such as prior preparation and coincidence of exams. These findings underline the importance of optimising the classroom's thermal environment through strategies that promote a more favourable learning space, improving both students' well-being and their academic performance. [ABSTRACT FROM AUTHOR]

Background: Despite anatomically correct models (ACMs) being recommended internationally for their ability to serve as real-life, age-appropriate, and practical models in comprehensive sexuality education (CSE) for learners with visual impairment, there is still limited research exploring South African teachers' views regarding their use. Objectives: The aim of this study was to explore how South African teachers of learners with visual impairment view the use of ACMs during their CSE lessons. Method: This study used a qualitative approach and an exploratory, multiple case study research design. A total of 36 teachers from five schools for the blind were convenience sampled and data were generated via focus group discussions. The theory of planned behaviour underpinned this study, while data were analysed thematically. Results: Most teachers reacted with fear and resistance towards the use of ACMs in their teaching. Their responses were based on embarrassment, shame, and discomfort in handling the models. Part of the reason for this was that most teachers had not received prior teacher education about the use of the models. Some teachers falsely believed that ACMs were pleasure-enhancing devices. Others recommended their use only for blind learners, while yet others stated that they would use ACMs because of their practical value. Conclusion: Findings suggest that future research is needed on how best to engage the teachers of learners with visual impairment in self-awareness and desensitisation teacher training. Recommendations for a critical teaching framework, revisions to the CSE curriculum, as well as guidelines for teacher education are provided to facilitate teachers' use of learners with visual impairment ACMs in their CSE lessons. [ABSTRACT FROM AUTHOR]

Background/Objectives: Pattern glare, associated with cortical hyperexcitability, induces visual distortions and discomfort, particularly in individuals susceptible to migraines or epilepsy. While previous research has primarily focused on transient EEG responses to patterned stimuli, this study aims to investigate how continuous presentation of pattern-glare stimuli affects neural adaptation over both fine (seconds) and coarse (entire experiment) temporal scales. Methods: EEG recordings were obtained from 40 healthy participants exposed to horizontal square-wave gratings at three spatial frequencies presented continuously for three seconds each across multiple trials. Participants' susceptibility to visual stress, headaches, and discomfort was assessed using questionnaires before and during the experiment. The experiment employed a two-by-two design to evaluate habituation (exponentially decreasing response) and sensitisation (exponentially increasing response) effects at two different time granularities. Mass univariate analysis with cluster-based permutation tests was conducted to identify significant brain response changes during the period of constant stimulation, which we call the DC-shift period. Results: Significant effects were observed during the DC-shift period, indicating sustained hyper-excitation to the medium-pattern glare stimulus. In particular, the mean/intercept analysis revealed a consistent positive-going response to the medium stimulus throughout the DC-shift period, suggesting continued neural engagement. Participants reporting higher discomfort exhibited sensitisation at fine temporal granularity and habituation at coarser temporal granularity. These effects were predominantly localised to the right posterior scalp regions. Conclusions: The study demonstrates that individuals sensitive to pattern-glare stimuli exhibit dynamic neural adaptation characterised by short-term sensitisation and long-term habituation. These findings enhance the understanding of cortical hyperexcitability mechanisms and may inform future interventions for visual-stress-related conditions, such as migraines and epilepsy. Further research is needed to explore the underlying neural processes and validate these effects in clinical populations. [ABSTRACT FROM AUTHOR]

Objectives Patients and Methods Results Conclusion To investigate patient tolerability and safety (using urinary tract infection (UTI) as a proxy measure) following EndoSheath‐assisted flexible cystoscopy (eFC). EndoSheaths are single‐use, disposable sheaths used in FC. They reduce cystoscope turnaround times as complicated, time‐consuming and costly sterilisation is no longer necessary. This reduces patient waiting times as cystoscope idle time, the most common rate limiting step, is reduced.All adult patients undergoing eFC over a 26‐month period at a single institution were evaluated prospectively. Post‐eFC, participants rated discomfort on a visual analogue scale (discomfort 1 = none, 2–4 = mild, 5–7 = moderate, 8–10 = severe). The diagnosis of UTI was broad and based on any one of patient self‐report, positive urine culture or antibiotic prescription within 30 days of eFC. Data were analysed using chi‐squared testing (P < 0.05, two‐tailed).Of the 1091 eFCs analysed, 33.2% and 48.2% of were ranked as causing no or mild discomfort, respectively, with just 3.1% ranked severe. Discomfort was greater in younger participants but similar between sexes. Overall, post‐eFC UTI incidence was 13.3%, with rates higher in females (18.1%) than males (11.2%). Participants aged ≥65 years reported a higher UTI rate (15.4%) than those aged <65 years (8.8%). No participants developed urosepsis.This large, prospective, unselected, real‐world study reports that eFC is well tolerated. UTI was higher in females than males, and in those aged ≥65 years, in line with other studies using the same broad based diagnostic criteria for UTI. The conclusion is that eFC is both well tolerated and safe. [ABSTRACT FROM AUTHOR]

BackgroundPurposeMethodsFindingsConclusionStudies underline physical education teacher education (PETE) students’ unfamiliarity and discomfort with dance in physical education (PE) and PETE and place dance outside students’ comfort zones. At the same time, research highlights PETE students’ athletic background and how this continues to be rewarded in PE. Hence, many students enter the PETE programme without any experience of failing – not mastering – activities done in PE. When students enter the PETE programme, they are faced with the expectation of being able to teach dance as future PE teachers, and many students experience unfamiliarity with the content and teaching and working methods in PE for the first time. This unfamiliarity creates emotional tension and uneasiness among the students.In this project, we borrow Nancy Stark Smith’s concept of failing successfully to investigate how students’ worries about failure can be turned into more successful achievements and considered valuable for learning processes in higher education. The research question guiding this article is: How can risk-taking and fear of failing become significant assets for gaining teacher competence in PETE?This paper is a combined teaching and research project focusing on PETE students’ experiences as they were given the task of developing and performing breaking series. All students participated in two dance lessons. The data material consists of the PETE educator’s notes, Post-it notes from an emotional poll and the students’ subsequent written reflections.Our analysis shows that all students were worried and even dreaded performing their breaking series. The students’ written reflections revealed that they were challenged on a personal and emotional level. For most students, the assignment changed from being perceived as (almost) impossible to becoming an experience of mastery that exceeded their expectations. The study underlines the importance of risk, conceptualises challenging situations, and makes the process of learning a common concern.This study emphasises that dreading failure and the experience of failing can be turned into success, and such understandings not only allow examining students’ experiences in new ways but also redirect dance teaching in PETE and PE in new, more challenging, and expanded directions. [ABSTRACT FROM AUTHOR]

It is often asserted that to facilitate student engagement, encourage participation and create optimal learning environments, the classroom should be a safe space. In this paper, we explore the idea that 'safety' is at odds with the very nature of academic enquiry. Using data from a qualitative study with staff at a UK University, we illustrate how the expectation of safety is troublesome and works to inhibit learning, particularly in the social sciences which explore difficult and sensitive subject matter. The responsibility for creation and maintenance of safe classrooms is often presumed to lie with teaching staff, and the impact of this is under researched. We consider alternative constructions of the classroom space and ways forward which can potentially support tutors with the challenges of teaching difficult topics. We ultimately advocate for approaches that position students as partners and the creation of learning spaces where differences can co-exist. [ABSTRACT FROM AUTHOR]

Introduction: Pregnant women during pregnancy usually often complain of discomfort, one of which is low back pain, low back pain that is not resolved causes an increase in the intensity of pain after the mother gives birth to her baby, so it is necessary to make non-pharmacological handling efforts with the use of bellywrap. The purpose of the study was to determine the effect of using bellywrap on changes in low back pain levels in pregnant women in Menganti District, Gresik Regency. Materials and methods: The research method used one group pre-test and post-test design, a population of 55 pregnant women and a sample of 48 pregnant women, with simple random sampling techniques. Variable independent use of bellywrap and variable dependent changes in low back pain levels in pregnant women. The research instrument used a pain scale observation sheet (NRS). Data analysis using Wilcoxon signed rank test. Results: The results of the study found that almost all of them (85.4%) experienced changes in the level of low back pain with a mild category. The results of data analysis with the Wilcoxon test, it was found that p (0.00) < α (0.05) that there was an effect of using bellywrap on changes in low back pain levels in pregnant women in Hulaan Village Menganti District, Gresik Regency. Conclusion: The conclusion of this study is that the use of bellywrap can be used as one of the nonpharmacological therapies that can done by pregnant women in reducing low back pain. [ABSTRACT FROM AUTHOR]

Background: Spinal immobilization, a widely used trauma prehospital intervention, is known to cause discomfort, yet little is known about interventions to reduce this discomfort. Objective: This scoping review aims to evaluate prehospital interventions to reduce discomfort from spinal immobilization in adult trauma patients. Method: This scoping review assessed prehospital pharmacological and nonpharmacological interventions to address discomfort from spinal immobilization in adult trauma patients. We searched sources published in English, French, Spanish, and Portuguese without time restrictions. Two reviewers independently screened sources against the inclusion criteria and extracted data using a specified extraction instrument. The databases MEDLINE, CINAHL, Scopus, Embase, APA PsycINFO, International Paramedic Practice, Amber: the Home of Ambulance Service Research, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, RCAAP, and CAPES Thesis Bank were used. Results: Two articles were deemed eligible, identifying two interventions. One focused on the choice of immobilization device, while the other addressed the hemodynamic implications of immobilization discomfort, considering factors such as oxygen saturation, blood pressure, and pulse. Conclusions: Only two interventions were found, and both only indirectly addressed spinal immobilization discomfort. More well-designed research is needed to address patient-centered concerns regarding the discomfort from spinal immobilization in trauma care. [ABSTRACT FROM AUTHOR]

Prolonged sitting is postulated to influence musculoskeletal performance (cervical flexor endurance, balance, and agility), discomfort and alter cervical spine angles during work-based computer use. Stair climbing breaks may be a great addition at typical and home offices however remain unexplored for its impact on musculoskeletal performance. In our counterbalanced pilot crossover trial, 24 adults were randomised to three interventions: (1) prolonged sitting, (2) interrupted by 2 min of self-paced, and (3) externally paced stair climbing for 2 h. Cervical spine angles were measured every 30 min while balance, agility, endurance, and discomfort were assessed before and after 120 min. Stair climbing interruptions have favourable effects on agility (F = 8.12, p = 0.009, ηp2 = 0.26) and musculoskeletal discomfort, but failed to improve other musculoskeletal outcomes associated with prolonged sitting. Brief stair climbing interruptions are effective in improving discomfort and agility while pragmatic trials are warranted for translated effects. Practitioner summary: Stair climbing interventions are known for their cardiovascular benefits, however their impact on musculoskeletal performance remains unclear. In our randomised crossover pilot study, we explored the effects of stair climbing interruptions on cervical posture, endurance, agility, and balance during 120 min of prolonged sitting. Stair climbing interruptions were favourable in reducing time to complete agility tasks and neck/shoulder discomfort score compared to prolonged sitting. However other performance measures remained unaltered. [ABSTRACT FROM AUTHOR]

Introduction: This pilot two-arm, parallel group, randomized clinical trial aimed to compare the efficacy of tooth movement and patient comfort during orthodontic leveling and alignment with the BRIUS™ lingual system (BR) versus labial full fixed appliances (LFFAs). Methods: Patients in the permanent dentition with mild to moderate crowding were recruited at the University at Buffalo and randomly assigned into the BR group (seven patients) or LFFAs group (six patients). The patients' dental arches were scanned before bonding (T1) and after 18 weeks (T2). Digital dental model superimpositions were performed to three-dimensionally evaluate tooth movement. Changes between T1 and T2 were measured in the x, y, and z planes. Little's Irregularity Index (LII) was also assessed at T1 and T2. An electronic questionnaire was completed daily for 7 days after T1 to evaluate the patients' comfort levels. Results: After 18 weeks, similar displacements were observed for all teeth in both groups except for the lower left second premolar (LL5) in the x-axis which showed greater displacement in the BR group (p = 0.016). Groups showed similar changes in LII. Discomfort during the first week after bonding was greater on the tongue in the BR group and on the lips and cheeks in the LFFAs group. Tongue discomfort caused by the BR lasted for around 3 days. Conclusion: The BR and LFFAs showed similar teeth displacements and therefore were equally effective at leveling and aligning teeth. LFFAs caused cheek- and lip-borne discomfort while the BR caused tongue-borne discomfort during the first week after bonding. Larger studies with longer follow-ups are needed to obtain more definitive results. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: During the COVID-19 pandemic, masks proved to be an effective measure in preventing virus transmission. However, many people have reported discomfort and negative perceptions toward wearing masks, especially during physical activity. This study aims to evaluate the discomfort and adverse perceptions related to various mask types among young, healthy adults during light exercise, including sitting, stationary stepping, and stair climbing. The study also examines the extent to which masks influence physiological indicators of physical well-being. Methods: The study was conducted in two stages at the campus hospital of Shantou University. In Stage 1, 20 healthy college students (10 males, 10 females) were recruited to identify the mask with the most substantial physiological and psychological impact among four types: KN95 respirators, surgical masks, cloth masks, and 3D medical masks. These specific types were chosen due to their widespread use and varying levels of filtration and breathability. In Stage 2, 14 healthy college students (7 males, 7 females) were included to examine the effects of the identified mask across various levels of physical exertion. Subjective perceptions were measured using the Mask-Related Discomfort and Perception Score (MRDPS), and physiological parameters such as body temperature, blood pressure, pulse rate, and vital capacity were recorded. Results: The KN95 respirator and cloth mask were associated with the highest MRDPS, indicating significant discomfort among wearers (p < 0.05). The use of KN95 respirators had the largest impact on MRDPS during stair stepping (β = 10.357, 95% CI [5.755, 14.959]). Physiological parameters showed minor variations across different masks, with KN95 respirators significantly associated with reduced diastolic blood pressure (β=-7.806, 95% CI [-12.294, -3.318]) and pulse rate (β=-10.661, 95% CI [-18.896, -2.425]) in Stage 1. However, after controlling for exercise pace in Stage 2, wearing a KN95 respirator did not significantly affect these parameters. Conclusions: KN95 respirators and cloth masks were found to cause the most discomfort during light physical activity, with males reporting higher discomfort levels than females. While these masks are associated with varying levels of perceived discomfort, their impact on physiological indicators is relatively modest. Future research should include larger and more diverse samples , continuous monitoring of physiological parameters during exercise, and exploration of the underlying mechanisms of gender differences in mask discomfort. [ABSTRACT FROM AUTHOR]

Colonoscopy is a commonly performed procedure in the United Kingdom and the gold standard for diagnosis and therapy in the gastrointestinal tract. Increased levels of pain during colonoscopy have been associated with reduced completion rates and difficulties in maintaining attendance for repeat procedures. Multiple factors play a role in causing discomfort intra-procedurally: patient factors, such as gender, anatomy and pre-procedure anxiety; operator factors, such as patient position and level of experience and other factors, such as bowel preparation and total procedure time. A literature search was performed to identify papers that explained how patient, operator and endoscopy factors influenced pain and discomfort in endoscopy. A further search then also identified papers describing solutions to pain and discomfort that have been explored. After review of the literature, key methods are selected and discussed in this paper. Solutions and aids that can resolve and improve pain and discomfort include endoscopic methods such as variable stiffness and ultrathin scopes. Operator improvements in techniques and ergonomics alongside the use of newer technologies such as propelled endoscopy, computer-assisted endoscopy and task distraction. To improve patient experience and outcomes, the investigation and research into improving techniques to reduce pain is crucial. This review aims to identify the modifiable and non-modifiable factors associated with intra-procedural discomfort during colonoscopy. We discuss established methods of improving pain during colonoscopy, in addition to newer technologies to mitigate associated discomfort. [ABSTRACT FROM AUTHOR]

In this article I analyse how Yewande Omotoso's depiction of the suburb as a heterotopic space is instrumental both in exposing its feuding protagonists to discomfort and forcing them to re-evaluate their memories and identities. It is through these experiences that the characters are compelled to contemplate alternative pathways towards a collaborative and symbiotic future. I argue that a heterotopic interpretation of the novel discloses an alternative cognitivespatial realm in which established modes of thought are suspended and there is an opportunity for nuanced exploration of global histories, transnational encounters and trajectories for comprehension and conciliation. [ABSTRACT FROM AUTHOR]

The article proposes the rudiments of a framework for the analysis of social conditions in which time is most likely to be experienced as a problem. To do this, we start from a circumscription of the idea of temporal discomfort, a type of experience of time lived by the actors themselves as a problem or suffering. Based on this clarification ten forms of temporal discomfort are then differentiated, which include different meanings of "lack of time" but also phenomena such as temporal emptiness or problematic relationships with the past and the future. It is then postulated that all these discomforts can be interpreted as a product of contradictions between wanting, duty and power, factors that are socially constituted and are, therefore, different in different structural positions. [ABSTRACT FROM AUTHOR]

Whole body vibration (WBV) is linked to short- and longer-term adverse health outcomes, including cognitive impairment, stress and memory loss, loss of balance, reduced proprioception, visual and vestibular disturbances, gastrointestinal problems, and musculoskeletal disorders. Epidemiological evidence supports the link between WBV and headache and head discomfort, but few experimental studies have examined this relationship, particularly with increased muscle tension, as an intermediary. This study aimed to investigate the relationship between muscle tension and vibration intensity, between perceived neck pain and headache/head discomfort and vibration intensity, and between muscle tension and reported neck pain and headache symptoms from simulated WBV based on field measurements of all-terrain vehicle operation on farm terrain. We observed significantly higher electromyography amplitude in the High condition (equivalent to EU Directive's Exposure Limit Value) compared to both Low (equivalent to EU Directive's Exposure Action Value) and Control (quiet sitting) conditions at the left upper trapezius muscle but there were no significant time effects. Neck pain and headache/head discomfort significantly increased after both Low (91% increase from baseline) and High (154% increase from baseline) vibration conditions but there were no significant differences between conditions. Based on simple regression modeling, the relationship between muscle activity and neck pain or headache was very weak (R 2 = 0–0.093). Given the possibility of multiple factors contributing to headache symptoms, future research should not only consider the role of muscle tension but also sensory conflict, excessive noise, biodynamic responses, and a combination of these factors. [ABSTRACT FROM AUTHOR]

AIM: This descriptive and cross-sectional study investigated the individual factors that affect procedural pain and discomfort in individuals who had nasopharyngeal swabs by nurses. METHODS: A total of 193 participants in two COVID-19 test centers located in a city in Southeastern Türkiye between April and May 2022 were included in this study. Personal information form was used to collect data. The visual analog scale was used to assess the pain and discomfort. Risk factors related to pain and discomfort were investigated through a logistic regression model. RESULTS: During the nasopharyngeal swabbing, it was determined that pain was stronger in women and those who considered nasopharyngeal swabbing as a painful procedure (p < .05). Also, discomfort was stronger in women and those who considered nasopharyngeal swabbing as an uncomfortable procedure (p < .05). It was determined that the participants' discomfort scores were higher than their pain scores. CONCLUSION: Women and individuals with negative opinions about the procedure experienced more pain and discomfort during the nasopharyngeal swabbing. Most of the participants complained more about discomfort than pain. It is recommended to apply alternate test methods and conduct nurse-led information studies to reduce the anticipation of procedural pain/discomfort. [ABSTRACT FROM AUTHOR]

Background: The aim of this systematic review and meta-analysis was to furnish evidence-based recommendations for the utilization of bioceramic-based and resin-based sealers in clinical endodontics, with a focus on reducing postoperative discomfort. Methods: The investigation's methodology was registered on the International Prospective Database of Systematic Reviews (PROSPERO: CRD42022355506) and executed using the 2020 PRISMA protocol. Articles were selected utilizing the PICO technique and applying specific inclusion and exclusion criteria. Articles published between January 2000 and August 2022, PubMed, MEDLINE, and DOAJ were utilized as primary data sources. After the identification of studies, two autonomous reviewers evaluated the titles and abstracts, and data from qualifying studies were extracted. Results: Nine published studies were included in this analysis. The findings indicate that there were no significant differences in the Visual Analog Scale (VAS) scores between resin-based and bioceramic root canal sealers at intervals of 6 hours, 12 hours, 24 hours, and 48 hours after treatment. Conclusion: The findings of this systematic review and meta-analysis suggest that after the utilization of bioceramic sealers during root canal therapy, the pain and discomfort levels were not significantly different from those experienced pain after the use of resin-based sealers. [ABSTRACT FROM AUTHOR]

Plant phenotyping is the science to quantify the quality, photosynthesis, development, growth, and biomass productivity of different crop plants. In the past, plant phenotyping employed methods such as grid count and regression models. However, the grid count method proved to be labor‐intensive and time‐consuming, while the regression model lacked accuracy in calculating leaf area. To address these challenges, a portable automatic platform was developed for precise ground‐based imaging of field plots. This platform consisted of a frame, an RGB camera, a stepper motor, a control board, and a battery. The RGB camera captured images, which were then processed using MATLAB software. Statistical analysis was performed to compare the results obtained from the grid count, regression model, and image processing techniques. The correlation coefficient (r) between the image processing technique and the regression model for sunflower was found to be 0.98 and 0.97, respectively, whereas for kidney bean it was 0.99 and 0.96, respectively. The minimum and maximum values for leaf area density (LAD) of all selected sunflower leaves were determined to be 0.132 and 0.714 m²/m³, respectively. For kidney bean leaves, the minimum and maximum mean LAD values were found to be 0.081 and 0.239 m²/m³, respectively. Ergonomic aspects of the developed automatic system were studied. The developed system had lower physiological parameters, such as working heart rate of 99 beats/min, work pulse of 18 beats/min, oxygen consumption of 786 mL/min, and energy consumption of 11.5 kJ/min compared to the grid count method. Thus, developed automatic ground‐based imaging system would significantly reduce physiological workload and associated hazards. Therefore, the developed method proved satisfactory in comparison to other techniques, offering a quick, efficient, and user‐friendly approach for determining plant phenotypes. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to investigate the psychotherapeutic effects of listening to Quran recitation on the perception of discomfort and fear in patients undergoing dental treatment. Methods: This research was designed as a randomized controlled trial in which 30 participants (20 females and 10 males) were assigned randomly to either an experimental (Quran listening) or a control group. Fear and discomfort were assessed before, during, and after the treatment session using a questionnaire specifically prepared for the study and based on the Dental Anxiety Scale. Results: The differences in the outcome variables were not statistically significant between the two groups, except for fear perception prior to the local anesthetic injection (P = 0.02). The decrease in mean ranks of fear and discomfort perception in the Quran listening group was statistically significant (P = 0.003 and 0.021 for fear and discomfort, respectively). Conclusion: Listening to Quran recitation during dental appointments can help to decrease patients' fear and, consequently, their discomfort. [ABSTRACT FROM AUTHOR]

AIM: To investigate the effects of placement of the absorbable packing material Nasopore around the anastomosis site on postoperative re-bleeding, discomfort, and on the success rate of endoscopic dacryocystorhinostomy(En-DCR).METHODS: Prospective randomized controlled study. A total of 101 patients(101 eyes)diagnosed with chronic dacryocystitis that underwent En-DCR in the ophthalmology department, Renmin Hospital, Hubei University of Medicine from November 2020 to October 2021 were collected. The patients were randomly divided into two groups according to whether they were packed with Nasopore at the end of operation, namely, the packed group(49 eyes)and the non-packed group(52 eyes). The postoperative follow-up was 9 mo, the degree of re-bleeding, discomfort, and postoperative success rate(including anatomical success rate and functional success rate)were compared between the two groups of patients.RESULTS: This study included 94 patients, including 45(45 eyes)and 49(49 eyes)in packed group and non-packed group, respectively. The En-DCR was performed successfully in all patients. Postoperative re-bleeding occurred in 1 eye(2%)in the packed group, and 9 eyes(18%)in the non-packed group(P0.05). The postoperative functional success rate was 89%(40/45)in the packed group and 86%(42/49)in the non-packed group(P>0.05). Other complications such as orbital fat prolapse, cerebrospinal fluid leakage, sinusitis, visual impairment and double vision were not observed in all patients during the follow-up.CONCLUSION: Nasal packing absorbable material Nasopore around the anastomosis at the end of En-DCR operation can reduce postoperative re-bleeding and postoperative discomfort of patients, and it has no obvious effect on the postoperative success rate.

Yawen Mo,1,&ast; Wenjuan Zhang,1,&ast; Xiangcheng Tang,1 Rui Zhang,2 Yinghuan Wang,1 Lingling Zheng3 1Department of Strabismus and Amblyopia, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, People’s Republic of China; 2Department of Anesthesia, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, People’s Republic of China; 3Department of Nursing Administration, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Lingling Zheng, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 7 Jinsui Road, Guangzhou, People’s Republic of China, Email zhenglingling@gzzoc.comPurpose: Strabismus surgery is most commonly performed on children under general anesthesia. However, few studies have focused on the postoperative discomfort in children after strabismus surgery. This study aimed to evaluate postoperative discomfort and the associated risk factors in children who underwent strabismus surgery under general anesthesia.Patients and Methods: A single-center prospective observational study including 300 children who underwent strabismus surgery after general anesthesia was conducted. Patients’ characteristics, preoperative anxiety, surgical and anesthesia data, discomfort within 24 hours after postanesthesia care unit were recorded. The primary outcome was the incidence of postoperative discomfort.Results: Approximately 51.33% of the children complained of at least one of the following types of postoperative discomfort: postoperative nausea and vomiting (PONV) (23.00%), headache (4.33%), dizziness (20.33%) and emergence agitation (EA) (5.33%). Multivariate analysis indicated that history of motion sickness (P< 0.001, odds ratio [OR]=3.72), and surgery in the dominant eye (P=0.010, OR=2.00) were independent predictors of postoperative discomfort; age was an independent predictor of EA (P< 0.001, OR=0.36); prism diopter≥ 40 was an independent predictor of headache (P=0.005, OR=5.53); age (P=0.020, OR=1.12) and history of motion sickness (P=0.001, OR=2.80) were independent predictors of dizziness; history of motion sickness (P=0.001, OR=2.63) and surgery of inferior oblique anterior transposition (IOAT) (P=0.004, OR=3.10) were independent predictors of PONV.Conclusion: The most frequent postoperative symptoms in children after undergoing strabismus surgery under general anesthesia are PONV, dizziness, EA, and headache. Younger age, larger angle of strabismus, history of motion sickness, surgery on the dominant eye, and surgery of IOAT may be additional risk factors for postoperative discomfort.Keywords: strabismus surgery, discomfort, postoperative nausea, vomiting, general anesthesia

In Western thinking, the binary gender system has long held a central position, often side-lining identities that exist beyond this binary framework. This facet of gender discourse frequently leads to the omission of non-binary individuals from discourses not only of gender, but more broadly of societal concern. As a result, it is not unusual for these individuals to experience discomfort, both in respect of their gender identity and in relation to societal expectations, often leading to gender dysphoria. It is no chance, in light of the above, that clinical definitions and comprehension of gender dysphoria predominantly center on a binary understanding of gender, even though the experience of gender dysphoria extends beyond this binary framework. Over the past decade, social-media platforms have emerged as dynamic arenas where non-binary individuals can openly express their gender identities. In this context, social-media holds considerable influence as a potent tool (Angouri, 2021) for the construction and portrayal of non-binary identities online. Within this discourse, the articulation of discomfort with one’s own physical appearance seems to be a recurring theme. This study explores the articulation of emotional discomfort among non-binary YouTubers, in relation to their gender experience. It employs a methodology relying on Corpus Assisted Discourse Studies (Gillings et al., 2023), using the Sketch Engine software (Kilgarrif et al., 2014), to identify distinctive lexical patterns that characterize the expression of discomfort and dysphoria. The dataset includes YouTube videos from five channels owned by non-binary YouTubers, which could be considered, by virtue of their content and stated purpose, as explicit non-binary communicative gender performances. The paper primarily investigates how discourse surrounding suffering and discomfort contributes to the portrayal of non-binary identities in online spaces, and seeks to observe whether the expression of this discomfort can be construed as a means of seeking validation for these identities within the social-media domain.

Purpose. To study the climatic comfort of Ukrainian regions as a basis for further development of recreation and tourism. Research methodology. Comparison of climatic comfort is carried out according to the index of temperature and humidity and the index of wind efficiency with reasonable author's adjustments in accordance with the natural conditions of Ukraine. Results. The study period covers 30 years: from 1991 to 2021. Materials from all regions of Ukraine and the Autonomous Republic of Crimea were used. It was found that for 7 months Ukraine is in the zone of uncomfortable weather (from January to April and from October to December). The discomfort is observed for 1-2 months longer in 8 regions: Rivne, Zhytomyr, Lviv, Ivano-Frankivsk, and Khmelnytsky (9 months from January to May and from September to December) and 8 months from January to April and from September to December in Vinnytsia, Chernihiv, and Sumy. A regularity was found that comfortable weather "migrates" from south to north from May to August. This phenomenon can be explained by the fact that during the transition period, negative subcomfort is observed in almost all regions of Ukraine, unlike the comfortable south. In June, the comfort "moves" to the Central region (Cherkasy, Kirovohrad regions), the Central-Western region (Khmelnytsky, Vinnytsia, Zhytomyr regions), the North-Eastern region (Chernihiv, Sumy, Poltava regions), the North-Western region (only Volyn region), and the South-Western region (only Chernivtsi region). In July, almost the entire territory of Ukraine has subcomfortable weather with positive indicators, and only 3 regions are comfortable (Rivne, Zhytomyr, Ivano-Frankivsk). Comfortable weather in August also "appears" in the Western region (Lviv, Ivano-Frankivsk, Rivne regions) and returns to Chernihiv, Zhytomyr, Khmelnytsky, and Volyn regions.In September, comfort "returns" to the south, as negative subcomfortable and uncomfortable weather prevails in Ukraine. Conclusions. The study has identified periods with comfortable weather for different regions of Ukraine, which can be used for tourism needs: planning excursion routes; creating strategies for the development of recreational activities in the region; creating newsletters and providing information on the "best" time for recreation; organizing seasonal tours to the regions of Ukraine.

Background: In this study, we hypothesized that safety footwear (SF) impacts gait patterns, potentially contributing to the podiatric symptoms reported by workers. The purpose of this work was to compare the gait analyses of workers wearing SF and sneakers using inertial sensors while also examining the occurrence of foot problems. Methods: A consecutive cohort of workers from different occupational sectors who wore SF during their work shifts were prospectively assessed through a gait analysis. The gait analysis was conducted under two conditions: first, while wearing SF, and second, while wearing sneakers. In both conditions, inertial sensors were used (Wiva® MOB). Participants also underwent a podiatric physical examination to evaluate foot problems. Results: This study shows that SF resulted in a worsening gait pattern compared to sneakers in both genders. The impact was particularly pronounced in female participants, resulting in a significant decline in walking speed and cadence. Discomfort was reported by 83.3% of participants, with a higher prevalence in females (46.6% vs. 36.6%). The SF group exhibited an elevated prevalence of foot problems, with no significant gender variations. It seems that foot problems are more likely to occur when a foot deformity, such as flat or cavus foot or hallux valgus, is present. Conclusions: This study suggests that SF may contribute to the reported podiatric symptoms among workers. Certain footwear characteristics, including weight, mis-fit, and inadequate design, may be factors associated with footwear discomfort and adverse gait patterns, potentially leading to increased foot problems among workers.

Background: Botulinumtoxin application in the face is amongst the most common aesthetic procedures in the head and neck region. It also has numerous medical uses. One of the main reasons for patients to refrain from it is the subjective discomfort that is experienced during injections. Objectives: The study at hand aimed to determine whether needles with 33G and 34G offer an advantage in terms of individual pain perception during botulinumtoxin injections. Methods: We conducted a prospective study where patients were asked to grade subjective discomfort on a visual analogue scale for each region (forehead, glabella, temple) that was treated directly after treatment and 15 minutes after. Patients were treated with 30G, 33G or 34G needles, respectively. Results: Ninety-nine patients that underwent treatment of 189 regions were included in the study. Patients were evenly distributed amongst the different needle sizes and regions. Subjective discomfort was greatest in all regions for 30G needles (3.9 ± 1.6 forehead, 4.3 ± 1.7 glabella and 4.0 ± 1.6 temple) followed by 33G (2.7 ± 1.5 forehead, 2.7 ± 1.9 glabella and 2.2 ± 1.2 temple) and 34G (1.7 ± 1.2 forehead, 1.6 ± 1.4 glabella and 1.6 ± 1.4 temple). All differences between needle size were statistically significant (p < 0.05) Conclusion: 33G and 34G needles seem to offer smaller discomfort during BTX treatments of the head and neck, with 34G being superior to 33G. Level of Evidence III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 [ABSTRACT FROM AUTHOR]

Although sleep is essential for (recovery of) health, it is adversely affected by hospitalization, due to disease discomfort, environmental noise, and care routines, causing reduced sleep and increased disturbances. This study evaluates factors affecting sleep quality and quantity in hospitalized children and compares inpatient sleep with sleep at home. Using an observational, prospective study design, we assessed sleep in hospitalized children aged 1–12 years, admitted to a tertiary center, and compared this with home 6–8 weeks after discharge. We measured total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency, awakenings, and subjective sleep quality, using actigraphy, sleep diaries, and PROMIS questionnaires. We explored an array of sleep-disturbing factors. Regression analyses identified key determinants affecting sleep patterns, while mixed linear models compared sleep in hospital to sleep at home. Out of 621 eligible patients, 467 were invited, and 272 (58%) consented to participate. Key determinants of sleep included pain, number of previous admissions, (underlying) chronic illness, and environment-, staff-, and disease-related factors. Parents reported lower perceived sleep quality in the hospital compared to at home, 97-min (SE 9) lower TST, 100-min (5) longer WASO, more difficulties with falling asleep, lower sleep satisfaction, and more awakenings. Actigraphy outcomes revealed shorter TST (20 min (6)), but better sleep efficiency and fewer awakenings in the hospital. Conclusion: Sleep in hospital was compromised in comparison to sleep at home, primarily due to disturbances related to treatment, environment, and staff. These findings underscore the necessity and potential of relative simple interventions to improve sleep quality and minimize sleep disturbances in hospitalized children. [ABSTRACT FROM AUTHOR]