Search Results (13)

Background/Objectives: Routine preventive care, including physical examinations, mammography, and cervical cancer screening, is critical for long-term health maintenance and recurrence surveillance among breast cancer survivors. Community-based organizations (CBOs) may play a key role in supporting adherence to these services through education, navigation, and survivorship care planning. Methods: A secondary analysis was conducted using data from N = 777 breast cancer survivors who contacted a national cancer-focused CBO for resources, including no-cost patient navigation. Preventive care adherence was measured via a composite index based on self-reported receipt of physical exams, mammograms, and Pap smears at guideline-recommended intervals. Patient-reported outcomes were assessed 30 days post-contact, including Survivorship Care Planning (SCP) receipt and quality of life (QoL). Results: Adherence to all three guideline-based screenings was reported by 66% of BCS, 29% adhered to two, and 6% to one or fewer. Physical exams had the highest adherence rate (97%), followed by mammograms (88%) and Pap smears (73%). Bivariate analyses showed higher adherence among younger survivors (t = 4.59, df = 711, p < 0.001), non-white survivors (t = −3.27, df = 267, p < 0.001), those in partnered relationships (t = 1.76, df = 54, p < 0.05), and individuals with better QoL (r = −0.09, p < 0.01). Receipt of SCP components was associated with a trend toward improved adherence: 56% received a care summary, 64% received follow-up instructions, and 45% received written materials (r = 0.05, p < 0.10). In multivariable regression adjusting for partnership status and SCP receipt, younger age (B = 1.13, p < 0.001), non-white race/ethnicity (B = 1.00, p < 0.01), and higher QoL scores (B = 0.09, p < 0.05) were significantly associated with greater adherence. Conclusions: Engagement with a CBO was associated with high levels of adherence to preventive care among breast cancer survivors—especially those who were younger, non-white, and with better QoL. SCP, particularly when delivered in written form with follow-up instructions, may support improved adherence. These findings highlight the value of CBO-led survivorship support in promoting long-term health maintenance for breast cancer survivors. Full article

In the rapidly evolving landscape of digital marketing and electronic commerce, short-form content—particularly on platforms like Twitter (now X)—has become pivotal for real-time branding, community engagement, and product promotion. The rise of Non-Fungible Tokens (NFTs) and Web3 ecosystems further underscores the need for domain-specific, engagement-oriented social media content. However, automating the generation of such content while balancing linguistic quality, semantic relevance, and audience engagement remains a substantial challenge. To address this, we propose RL-TweetGen, a socio-technical framework that integrates instruction-tuned large language models (LLMs) with reinforcement learning (RL) to generate concise, impactful, and engagement-optimized tweets. The framework incorporates a structured pipeline comprising domain-specific data curation, semantic classification, and intent-aware prompt engineering, and leverages Parameter-Efficient Fine-Tuning (PEFT) with LoRA for scalable model adaptation. We fine-tuned and evaluated three LLMs—LLaMA-3.1-8B, Mistral-7B Instruct, and DeepSeek 7B Chat—guided by a hybrid reward function that blends XGBoost-predicted engagement scores with expert-in-the-loop feedback. To enhance lexical diversity and contextual alignment, we implemented advanced decoding strategies, including Tailored Beam Search, Enhanced Top-p Sampling, and Contextual Temperature Scaling. A case study focused on NFT-related tweet generation demonstrated the practical effectiveness of RL-TweetGen. Experimental results showed that Mistral-7B achieved the highest lexical fluency (BLEU: 0.2285), LLaMA-3.1 exhibited superior semantic precision (BERT-F1: 0.8155), while DeepSeek 7B provided balanced performance. Overall, RL-TweetGen presents a scalable and adaptive solution for marketers, content strategists, and Web3 platforms seeking to automate and optimize social media engagement. The framework advances the role of generative AI in digital commerce by aligning content generation with platform dynamics, user preferences, and marketing goals. Full article

Focus on form (FonF) teaching interventions have been widely employed to help second language learners notice a target grammatical form while their attention is on meaning, i.e., establishing new form–meaning connections. These interventions can be input-based, focusing on the processing of input (i.e., Processing Instruction), or output-based, focusing on production within communicative activities (i.e., Dictogloss). The current pilot study explored whether such teaching interventions would be beneficial for children with DLD. The study employed Processing Instruction and Dictogloss for the teaching of passives in two groups of Greek school-aged children with DLD. The study applied pre-tests and (delayed) post-tests to explore (a) the potential (long-term) effectiveness of the interventions, and (b) potential differences in their effectiveness within this population. The findings indicate that both Processing Instruction and Dictogloss can be promising interventions for Greek children with DLD since they both led to learning gains and retention two weeks after the interventions across all tasks (comprehension, production, and sentence repetition). However, Dictogloss was more effective in production, while Processing Instruction in sentence repetition (when accuracy scores are measured). Full article

In this paper, we propose adequate methodological approaches for Serbian as a heritage language based on the critical analysis of the existing Serbian Ministry of Education’s Curriculum for Serbian as a foreign language. This curriculum is recommended for use in Serbian heritage language education; however, it has been shown to be insufficiently effective in the classroom. The methods in question should benefit heritage speakers the most, such as communication-based methods and form-focused instruction, which enhance metalinguistic awareness. Additionally, we suggest an integrative model of teaching as we believe that cross-cultural approaches positively impact both types of students. Full article

Objective: This scoping review aims to map the available literature and provide an overview of the published articles discussing the impact of electronic prescribing on medication errors and pharmacy workflow. Methods: The literature search was conducted using PubMed^®, Web of Science^®, and the Cochrane Database of Systematic Reviews^®, as well as grey literature reports, using the search terms and related components of “pharmacists”, “electronic prescribing”, “medication errors”, and “efficiency”. The search included all articles that were published from January 2011 to September 2023. Twenty-two relevant articles were identified and fully reviewed, ten of which were included in this review. Results: Electronic prescribing (e-prescribing) provides a solution for some of the challenges that are associated with handwritten and paper prescriptions. However, the implementation of e-prescribing systems has been recognized as a source of new unforeseen medication errors in all the reviewed articles. Productivity in community pharmacies has been affected with receiving electronic prescriptions (e-prescriptions) and having to deal with the issues that arise from them. The pharmacists’ interventions were not eliminated with e-prescriptions compared to other prescription formats. The most frequently reported reason for intervention was related to incomplete instructions in the field of directions of use. Other common challenges with e-prescriptions were related to missing information, quantity, inappropriate dose, dosage form, and drug. Discussion: This review demonstrates the scarcity of research about the impact of electronic prescribing on medication error and efficiency in community pharmacies. In the literature, most of the studies had mainly focused on hospital pharmacies. The literature search demonstrated that there are still some barriers to overcome with e-prescribing systems and that medication errors were not fully eliminated with e-prescriptions. New errors have been identified with e-prescriptions, all of which caused delays in processing, which affected the productivity of the pharmacy staff, and could have negatively impacted patients’ safety if not properly resolved. Conclusion: e-Prescribing solved some of the challenges associated with illegibility of handwritten prescriptions. However, more time is required to allow e-prescribing systems to mature. Further training for prescribers and pharmacists is also recommended before and after the implementation. Full article

Input and context-related factors identified by research as key success variables in L2 pronunciation development in immersion contexts play a very modest role in instructed foreign language (FL) learning environments. Scarce L2 exposure and use and L1-accented input make pronunciation learning extremely challenging. Current L2 speech learning models attribute difficulties in L2 speech acquisition to L2-to-L1 perceptual sound mappings guided by L1-based perception and poor phonological awareness and noticing of cross-language phonetic differences, which are typically not adequately addressed in instruction through pedagogic tasks. Explicit and incidental pronunciation teaching methods have been found effective at improving learners’ pronunciation, but ways to integrate them into communicative approaches to language teaching are still largely unexplored. Thus, language education practices currently lack a research-informed pedagogical approach that incorporates principles of L2 speech learning and task-based language teaching (TBLT) into pronunciation instruction. This article (1) presents an outline of new avenues for research and practice in L2 pronunciation instruction and (2) reports on the findings of an empirical study that implemented a task-based pronunciation teaching (TBPT) approach to teaching a difficult L2 vowel contrast through computerized collaborative map tasks that could be easily integrated into communicative FL classrooms. Full article

This article emerged from my study of three alternative-certification teachers, or teacher learners as they tried to enact culturally responsive practices while navigating their first year of teaching and taking graduate courses for initial certification. These teacher learners worked to develop their understanding and capacities to enact a culturally responsive pedagogy but found that standardization of content and conceptions of what constitutes “good students”, appropriate classroom conduct, and micro-managed professional learning communities all created environments hostile to their attempts to develop as equity-minded educators and culturally responsive practitioners. However, their experiences changed once the COVID-19 pandemic closed these teacher learners’ schools to in-person instruction and sent them home to instruct online for the remainder of the spring 2020 semester. Free from the constrictive macro-structures and socio-political contexts in their physical workplaces, their planning showed them employing more culturally responsive practices and considering those practices more deeply. Once outside the cultures of practice, formed around neoliberal conceptions of success and measuring learning, these teacher learners became the sole mediators of the conflicting knowledge sources of their jobs and their university methods courses. On their own they began to confront the ways educational institutions stubbornly cling to hegemonic concepts of their communities and valorize work centered on concepts of knowledge and ways of knowing that bear little resemblance to society’s current reality. Away from the wider cultures of their schools during the COVID-19 lockdown and aided in mediating their own development using a dialogically structured lesson planning template inspired by—the Heuristic for Thinking About Culturally Responsive Teaching (HiTCRiT)—the teacher learners focused their instruction on their students making both their students’ learning and their own conceptions of CRP more real and their students’ learning more equitable. Full article

Form-focused instruction occupies an important position in China’s secondary schools. However, middle school English teaching has been criticized for the sustainability of form-focused instruction. The new English Curriculum Standards for China’s secondary English teaching suggest that grammar teaching should be integrated into communicative activities, but no precise guidance is provided on how to integrate grammar into communicative activities. This study investigates teachers’ beliefs and practices about form-focused instruction, as well as the factors influencing their beliefs and practices, in the context of China’s secondary schools. Data were collected through 33 classroom observations and interviews with 3 teachers with different levels of experience. The findings reveal that, overall, the teachers preferred form-focused instruction, focus on forms and explicit teaching. The teachers with more teaching experience adopted communicative approaches of form-focused instruction, integrating form and meaning at different times inductively. The teacher with fewer teaching years adopted traditional, isolated, and deductive methods of grammar teaching. The differences between the teachers were found to be influenced by various factors, including teaching and research activities, curriculum standards, examinations, and learning experience. The teachers’ beliefs and practices and the gaps and connections between theoretical domains and classroom practices were discussed and implications were provided. Full article

Among an increasingly remote workforce due to COVID-19 pandemic, sharing photographs as part of internal communication has become something of a paradigm. In this article, exchanging primarily photographs and other quick visual artifacts, such as animated images and short videos, is considered a form of visual discussion among the work community. With a vast and diverse range of official and unofficial internal communication channels, this article focuses on three organizations, their internal communication channels and the visual discussions occurring therein. The semi-structured group interviews and qualitative thematic analysis we conducted shed light on the functions of photographs in different workplaces. The results demonstrate how visual discussions are heavily dependent on the context and nature of the work in question. In official channels, the most important functions of shared photographs are task-related and relevant to such issues as instructing, teaching, safety at work and emphasizing the message to be communicated. Photographs can also have a feeling-driven aspect that includes goals such as raising team spirit and employee commitment. Moreover, photographs are also shared in somewhat obscure unofficial channels with functions related to humour and concerning a common interest or hobby. Full article

This paper evaluates India’s first officially approved self-administered rapid antigen test kit against COVID-19, a device called CoviSelf. The context is rural India. Rapid antigen tests (RATs) are currently popular in situations where vaccination rates are low, where sections of the community remain unvaccinated, where the COVID-19 pandemic continues to grow and where easy or timely access to RTPCR (reverse transcription-polymerase chain reaction) testing is not an option. Given that rural residents make up 66% of the Indian population, our evaluation focuses on the question of whether this self-administered RAT could help protect villagers and contain the Indian pandemic. CoviSelf has two components: the test and IT (information technology) parts. Using discourse analysis, a qualitative methodology, we evaluate the practicality of the kit on the basis of data in its instructional leaflet, reports about India’s ‘digital divide’ and our published research on the constraints of daily life in Indian villages. This paper does not provide a scientific assessment of the effectiveness of CoviSelf in detecting infection. As social scientists, our contribution sits within the field of qualitative studies of medical and health problems. Self-administered RATs are cheap, quick and reasonably reliable. Hence, point-of-care testing at the doorsteps of villagers has much potential, but realising the benefits of innovative, diagnostic medical technologies requires a realistic understanding of the conditions in Indian villages and designing devices that work in rural situations. This paper forms part of a larger project regarding the COVID-19 pandemic in rural India. A follow-up study based on fieldwork is planned for 2022–2023. Full article

The Afro-Hispanic creole, Palenquero, has been spoken (together with Spanish) in the village of San Basilio de Palenque, Colombia, for centuries. Until recently, Palenquero was endangered due to prejudice, but language revitalization efforts are underway, and younger speakers are learning Palenquero, but with little reinforcement out of school. The school instruction involves no grammatical explanations, almost no student production, or critical feedback. Adult speakers usually do not address younger speakers in Palenquero, thus leaving school-acquired forms suspended without reinforcement. This represents a unique scenario of heritage acquisition of a language with no bidirectional communication between younger and adult speakers. The present study focuses on the use of preverbal particles and prenominal plural marker by heritage speakers of Palenquero before and after explicit instruction. Communication activities explicitly presented the prenominal plural ma and preverbal particles, such as zero morpheme (simple present), asé (habitual), ta (progressive), a (perfective/simple past) and tan (future). Participants performed better at the post-test and results suggest that explicit explanation of grammatical rules, practice, repetition, and corrective feedback improved the usage of ma and tan. This result lines up with previous studies that posit the amount of time and exposure that learners need in order to acquire complex morphology. Full article

Despite the intense efforts to prevent programmers from writing code with memory errors, memory corruption vulnerabilities are still a major security threat. Consequently, control-flow integrity has received significant attention in the research community, and software developers to combat control code execution attacks in the presence of type of faults. Control-flow Integrity (CFI) is a large family of techniques that aims to eradicate memory error exploitation by ensuring that the instruction pointer (IP) of a running process cannot be controlled by a malicious attacker. In this paper, we assess the effectiveness of 14 CFI techniques against the most popular exploitation techniques, including code reuse attacks, return-to-user, return-to-libc, and replay attacks. We also classify these techniques based on their security, robustness, and implementation complexity. Our study indicates that the majority of the CFI techniques are primarily focused on restricting indirect branch instructions and cannot prevent all forms of vulnerability exploitation. We conclude that the performance overhead introduced, jointly with the partial attack coverage, is discouraging the industry from adopting most of them. Full article

The Internet-of-Things (IoT) revolution has shaped a new application domain where low-power RISC architectures constitute the standard computational backbone. The current de-facto design practice for such architectures is to extend the ISA and the corresponding microarchitecture with custom instructions to efficiently manage the complex tasks imposed by IoT applications, i.e., augmented reality, artificial intelligence and autonomous driving, within narrow energy and area budgets. However, the new IoT application domain also offers a unique opportunity to revisit and optimize the RISC microarchitectural design flow from a more communication- and memory-centric viewpoint. This manuscript critically explores and optimizes the design of a RISC CPU front-end for IoT delivering a two-fold objective: (i) provide an optimized CPU microarchitecture; and (ii) present a set of three design guidelines to steer the implementation of IoT CPUs. The exploration sits on a newly proposed Systems-on-Chip (SoC) and RISC CPU implementing the RISC-V/IMF ISA and accounting for area, timing, and performance design metrics. Such SoC offers a reference design to evaluate pros and cons of different microarchitectural solutions. A wide combination of microarchitectures considering different branch prediction schemes, cache design architectures and on-chip bus solutions have been evaluated. The entire exploration is focused on the FPGA-based implementation due to the renewed interest for this technology demonstrated by both the research community and companies. We note that ARM launched the DesignStart FPGA program to make available the Cortex-M microcontrollers on Xilinx FPGAs in the form of IP blocks. Full article