Search Results (263)

Mycelium is a living material that has gained popularity over the last decade in both architecture and design. Apart from understanding the physical behaviour of novel materials, it is also important to grasp how designers and the general audience perceive them. On the one hand, this study investigated mycelium growth in 3D-printed minimal surface shapes using a wood-based filament, and on the other hand, it examined how both designers and the general public experience interacting with mycelium. Using a material-driven design research method, a workshop with architecture students was conducted where various triply periodic minimal surfaces were designed and 3D printed. These shapes were used as molds and impregnated with mycelium, and the growth of mycelium was analyzed visually and photographically. Data on the experiences of the 30 workshop participants of working with mycelium was collected through a survey and analyzed qualitatively. After exhibiting results of the workshop in a public-facing exhibition, semi-structured interviews with members of the general public about their perceptions of mycelium were conducted. Three-dimensionally printed minimal surfaces with wood-based filaments can function as structural cores for mycelium-based composites, and the density of the minimal surface appears to influence mycelium growth, which binds to wood-based filaments. Students exhibited stronger feelings for living materials compared to non-living ones, displaying both biophilia and, to a lesser extent, biophobia. Introducing hands-on workshops with living and experimental materials in design studio settings can help future generations of designers develop sensibilities for, and a critical approach towards, the impact of their design decisions on the environment and sustainability. The study also contributes empirical data on how members of the general public perceive mycelium as a material for design. Full article

Introduction: It is widely acknowledged that good quality relationships between social workers and children are essential to children’s non-formal inclusion in child protection processes. However, research exploring the perspective of children has shown this relationship to be highly complex, particularly when children are taken into care. Methods: This paper combines insights from two qualitative participatory studies conducted in Italy, both developed out of a collaboration between university, professional social work associations, and the Italian association of care leavers. The two projects explored, respectively, the perspectives of social workers on the one hand and of children in care and care leavers on the other regarding their relationship. Outcomes: The data reveal the complexity of the relationship between children and social workers, showing how both share a mirrored perception of it. Social workers recognise children’s negative feelings toward them and see them as inevitable, especially in cases of tense family dynamics. A relationship marked by hostile attitudes, anger, and distrust not only fuels social workers’ emotional struggles but also makes it harder to engage children effectively. While hostile attitudes and mistrust are often seen as obstacles to positive engagement, we advocate for recognising them not as barriers to be overcome but as realities to be acknowledged and addressed openly. This approach can create space for both children and practitioners to explore alternative forms of agency, fostering more meaningful participation. Full article

Background: The effective use of electronic health records (EHRs) is an essential clinical skill, but medical schools have traditionally provided limited systematic teaching on the topic. Inefficient use of EHRs results in delays in diagnosis, fragmented care, and clinician burnout. This study investigates the impact on medical students’ confidence, efficiency, and proficiency in extracting clinically pertinent information from patient records following an organised EHR teaching programme. Methods: This observational cohort involved 60 final-year medical students from three London medical schools. Participants received a structured three-phase intervention involving an introductory workshop, case-based hands-on practice, and guided reflection on EHR navigation habits. Pre- and post-intervention testing involved mixed-method surveys, simulated case tasks, and faculty-assessed data retrieval exercises to measure changes in students’ confidence, efficiency, and ability to synthesise patient information. Quantitative data were analysed using paired t-tests, while qualitative reflections were theme-analysed to identify shifts in clinical reasoning. Results: All 60 students successfully finished the intervention and assessments. Pre-intervention, only 28% students reported feeling confident in using EHRs effectively, with a confidence rating of 3.0. Post-intervention, 87% reported confidence with a rating of 4.5 (p < 0.01). Efficiency in the recovery of critical patient information improved from 3.2 to 4.6 (p < 0.01). Students also demonstrated enhanced awareness regarding system-related issues, such as information overload and fragmented documentation, and provided recommendations on enhancing data synthesis for clinical decision making. Conclusions: This study emphasises the value of structured EHR instruction in enhancing the confidence and proficiency of medical students in using electronic records. The integration of structured EHR education to medical curricula can better prepare future physicians in managing information overload, improve diagnostic accuracy, and enhance the quality of patient care. Future research should explore the long-term impact of structured EHR training on clinical performance, diagnostic accuracy, and patient outcomes during real-world clinical placements and postgraduate training. Full article

Modern day hardware design is heavily focused on software simulations and verification. ASIC design is complex, and its abstraction may lead to losing motivation to develop knowledge and skills in the field. It is also very costly and inaccessible outside the industry, especially on a larger scale. FPGAs are devices which are affordable and allow unexperienced people, like students, to have an accessible and observable starting point in hardware development. On the other hand, protocol standards and devices nowadays are so complex that one will need to spend years to understand and feel comfortable dealing with corporate methodologies, environments and development process. One of the still evolving, recently developed ISA for example, RISC-V, is a broad area to learn. Often the fastest and in-depth way to learn is by observation, getting familiar with accessible yet challenging design and making modifications to and experimenting with such platforms. Full article

Objective: The aim of this study was to assess the effects of vestibular stimulation (semicircular canals/utricles) compared to cochlear stimulation on phantom pain and depersonalization/derealization symptoms after ≥3 months since traumatic amputation of hand-finger(s). Methods: A total of 125 adults (38.2 ± 8.1 years old) with phantom pain after amputation of one to four fingers agreed to participate. None of them wore prosthetic devices or had history of otology/audiology/vestibular/neurology/rheumatology/orthopedic/psychiatry disorders or psychopharmacological treatment. After a preliminary assessment, in a random order, they were exposed to caloric stimulation (right/left 44 °C/30 °C), centrifuge (right/left), and transient evoked otoacoustic emissions (TOAEs, right/left) with a follow-up of three days in between. Immediately before and after each stimulus, they reported on their pain characteristics and depersonalization/derealization symptoms. Results: After vestibular stimulation, a decrease in pain intensity was reported by at least one-third of the participants, which persisted for at least one day in the majority of them. Less than one-sixth of the participants reported pain decrease after cochlear stimulation. No influence was observed based on the side of the stimulation or the temperature, but the stimuli sequence had an effect. The centrifuge and TOAE effects were related to anxiety/depression symptoms and mainly observed when they were the first stimulus used. After caloric stimulation, pain decrease was independent from the sequence of the stimuli, and it was related to reports of feeling estrangement from the body. Conclusions: Mild caloric vestibular stimulation, whether applied to the right or left side and using warm or cold temperature, can modulate phantom pain after amputation of hand-finger(s) in patients with altered bodily sensations. However, individual cofactors may influence one’s susceptibility to experiencing this effect. Full article

This study aimed to uncover how harm is normalised in migrant communities using rationalisations, power imbalances, and emotional distancing. This research counters the dominant discourse that migrant communities are cohesive, altruistic, and protective by critically analysing the psychological and moral mechanisms of intra-community harm. Migration scholarship has long extolled the contribution of migrant networks to settlement, employment, and integration. Using a qualitative ethnographic approach, data were gathered using participant observation and semi-structured interviews with twelve purposively sampled migrants. The aim of applying a primary qualitative study was to capture a detailed, first-hand understanding of participants’ lived experiences and social relations. It permitted the in-depth examination of how people rationalise and navigate intra-community harm in the actual contexts of their lives. Thematic analysis yielded four significant findings: one, injustices in the community are frequently met with silence and inaction due to fear and moral disengagement; two, assistance is extraordinarily situational and gendered, often falling disproportionately on women or being mediated by institutions; three, internal exploitation—like rent gouging and manipulation of aid—is justified through community narratives; and four, people increasingly feel isolation, emotional burnout, and only symbolic unity at communal events. The research suggests that, although migrant networks can offer critical resources, they are not invulnerable to internal hierarchies and moral collapses. To create effectively inclusive and nurturing settings, future interventions must account for more than mere structural barriers, intra-group processes, and psychological rationalisations allowing intra-community injury. Full article

Silk weighting is a process used to compensate for the weight loss caused by degumming, achieved by adding agents such as metallic salts to enhance the hand feel and appearance of the fibers. With the development of tin weighting procedures (ca. 1870s), the production of weighted silk tremendously increased, as the fast decay of such fabrics was attributed to the process itself. The weighted silk was largely used for evening wear and high-fashion garments, many of which nowadays are stored in textile collections, and often characterized by poor conservation conditions. Within the present work, a multi-analytical and interdisciplinary non-destructive protocol was established for studying the finishing techniques, characterizing the materials as well as the state of preservation of historic tin-weighted silk. The protocol involves a visual and haptic approach typical of conservation professionals, as well as analytical investigations such as X-Ray Fluorescence analyses, 3D digital microscopy, Scanning Electron Microscopy with Energy Dispersive Spectroscopy, and Fourier-transform Infrared Spectroscopy (FTIR) in Attenuated Total Reflection. Elemental analyses are effective for studying the technology of production, while FTIR emerged as a powerful tool for assessing the condition, through the carbonyl and crystallinity indices. Full article

Urban waterfront streets are important mediators that reflect a city’s image and characteristics. They play a positive role in enhancing residents’ cohesion, mental and physical health, and social interactions. Human perceptions represent individuals’ psychological experiences and feelings toward the surrounding environment. Previous studies have explored the impact of urban street-built environmental factors on perceptions; however, research focusing on waterfront street environments and their impacts on human perceptions remains limited. Therefore, exploring the specific impact of waterfront street environmental characteristics on different dimensions of human perception is essential for guiding the development of livable cities. Based on Street View images (SVIs), this study applied artificial neural networks and machine learning semantic segmentation techniques to obtain physical feature data and human perception data of the Murasaki River waterfront line spaces in Kitakyushu, Japan. In addition, correlation and regression analyses were conducted to explore the specific impact of physical features on different dimensions of human perception in waterfront line spaces, and corresponding optimization strategies were proposed. The results show that street greenness significantly enhances perceptions of safety, wealth, and beauty, while effectively reducing boredom and depression. Furthermore, the building visual ratio contributes to increased street vitality. On the other hand, physical features such as openness, spatial indicators, and environmental color diversity have negative effects on positive perceptions, including safety and vitality. In particular, openness significantly increases boredom and depression. This study advances the exploration of urban waterfront street environments from the perspective of human perception, providing a theoretical foundation for improving the spatial quality of waterfront streets and offering references for human-centered urban planning and construction. Full article

Service learning across medical schools is non-standardized and the skills that they learn can vary. Project HEART, a volunteer-based outreach program focused on teaching cardiovascular health and cardiopulmonary resuscitation (CPR) at public high schools, was implemented to encourage greater community engagement and equilibrate skill acquisition across different service projects. This pilot study characterized the benefits of providing service learning opportunities to first-year medical students. First-year medical students at a single institution were recruited to Project HEART. Following service sessions, all students completed a retrospective pre/post survey. They provided self-reported scores on a five-point Likert-type scale, grading their didactic and communication skills before and after the event. Subjective feelings of community engagement were also queried. Overall, 30 students were recruited across nine different community programs. Following participation, significantly increased confidence was seen in performing hands-only CPR (p < 0.001), public speaking (p = 0.003), teaching effectively (p < 0.001), and explaining medical terminology to laypersons (p < 0.001). Volunteers had an increased sense of community engagement (p < 0.001) and 17/30 students expressed greater consideration towards specializing in cardiology, primary care, or entering academia after participation. The study supported the proposal that service learning may promote self-determined altruism, positively influence perceptions of community stewardship, and have positive subjective benefits on medical student education. Full article

It is not uncommon that women residing in Dutch shelters following domestic violence consider returning to their partners during the course of their stay. Social workers cannot prohibit return due to the importance of the client’s autonomy, as stated in the Code of Ethics. Simultaneously, social workers aim to ensure women’s safety and encourage a positive future, which can lead to tensions in their way of support-giving. Based on thirty-five interviews with social workers, this study explores how they navigate these tensions and the support they give in such cases. Building on Martha Nussbaum’s capabilities approach, we distinguish a hands-off and an interventionist approach to autonomy. While the hands-off approach leads to non-intervention and respecting the woman’s decision, the interventionist approach focuses on providing tools and encouraging safer alternatives. The findings show that the hands-off approach is the common type of support, leading to feelings of powerlessness for social workers and often prompting endeavors to intervene more actively. Simultaneously, we argue that, whilst the Code of Ethics demonstrates an ambivalence towards these different forms of autonomy, it is often interpreted by social workers as promoting only a hands-off approach. Consequently, we argue that social workers would benefit from a greater recognition of an interventionist approach to autonomy and more liberty in support-giving. Full article

This study investigates the shopping behavior of Generation Z towards second-hand clothing in Slovakia, focusing on in-store experiences and their relationship with emotions, gender, and environmental awareness. Data were collected from 340 respondents through an online survey conducted between November 2024 and January 2025. The results indicate that feelings such as authenticity, fun, and interest in finding fashionable items are significantly associated with gender. Across all five dimensions, women perceive second-hand clothing shopping more positively than men. The biggest difference between the sexes is that women find this shopping more fun, enjoyable, and authentic. Men tend to be slightly more skeptical in their evaluation, with the lowest average score (2.65) on the question of whether shopping is “fun”. The study also reveals a strong correlation between the shopping experience and consumer attitudes. Individuals with prior experience in buying second-hand clothing exhibit greater environmental awareness, a stronger emotional connection with clothing, and a higher likelihood of participating in clothing swap events. Conversely, those without experience often harbor prejudices related to hygiene and perceive second-hand shopping as time-consuming and inconvenient. These findings highlight the importance of in-store experiences and the role of emotions in shaping consumer behavior towards second-hand clothing. The results have implications for retailers and policymakers seeking to promote sustainable consumption practices and enhance the appeal of the second-hand clothing market. Full article

Many patients with major depressive disorder (MDD) feel worse in the morning than in the evening. To clarify the differences in morning physiological characteristics between patients with MDD and healthy participants, a wearable device that measures peripheral wrist skin temperature and heart rate (HR) was adopted. The device incorporates a thermopile sensor to measure peripheral wrist skin temperature using infrared radiation emitted from the skin surface. In total, 30 patients diagnosed with MDD and 24 healthy individuals were recruited. From 00:00 to 12:00, participants wore a wrist-worn device on their non-dominant hand. It was discovered that, at 09:00, the average peripheral wrist skin temperature of patients with MDD was significantly lower (by 0.1% [2.9 °C]) than that of healthy individuals. The dramatic decrease in morning (09:00) peripheral wrist skin temperature in patients with MDD can be attributed to their morning sympathetic surge and peripheral vascular contraction. The average HR of patients with MDD was significantly higher (by 1% [17 beats/min]) than that of healthy controls. Regression analysis, including peripheral wrist skin temperature and HR at 09:00, showed 83.3% sensitivity and a negative predictive value of 76.2%. The potential impact of these results appears promising for future preliminary morning MDD screening. Full article

Background: Health literacy can impact comprehension, recall, and implementation of stroke-related information, especially in the context of cognitive and communication impairments, cultural-linguistic diversity, or ageing. Yet there are few published lived experience perspectives to inform tailoring of health information. Objectives: We aimed to (i) explore perspectives about the impact of health literacy on information needs and preferences of stroke survivors with diverse characteristics; and (ii) identify ways to better tailor information delivery for stroke survivors with low health literacy. Methods: This qualitative study was conducted using the Ophelia (Optimising Health Literacy and Access) methodology. First, health literacy information was collected from participants. Hierarchical cluster analysis was used to identify different health literacy profiles within the participant sample. Four profiles were identified, from which four case vignettes were created. Second, focus groups and interviews were conducted to explore the health information needs and preferences of the case vignettes. Qualitative data were analysed with reflexive thematic analysis. Results: Nineteen people participated (median (IQR) age = 65 (49, 69), 10 (53%) female); five used interpreters. Participants represented diverse socioeconomic, cultural, and stroke-related characteristics, and generally had low health literacy. Four qualitative themes were generated highlighting the impact of Individual knowledge, capacity, and beliefs about stroke and health services on people’s capacity to engage with stroke-related information; Tailoring and personalisation of information delivery to the patient’s knowledge, capacity, and beliefs; Having a support network to rely on; and patients Feeling like I am in safe hands of clinicians and services. Conclusions: Findings provide several important directions for improving accessible stroke information delivery suitable for people with all levels of health literacy, and to optimise patient understanding, recall, and implementation of healthcare information. Full article

Background/Objectives: Over 5 million youth under the age of 19 provide daily, hands-on care to an ill or injured family member across the United States. Yet how these young carers perceive the care they deliver in the moment, and how these perceptions relate to well-being, is unexplored, particularly in complex neurological conditions. This paper presents initial data on young carers for a family member with amyotrophic lateral sclerosis (ALS). Methods: Ecological momentary assessment (EMA) was used to measure perceptions of care in the moments of care and the cognitive and emotional states of the young carers during those moments. Young carers (n = 15) aged 10–19 were followed for seven days, completing assessments three times per day, which provided 260 total measurements. Young carers reported frequently engaging in caregiving (~39% of assessments). Results: The results indicated that it was not simply performing a caregiving task that related to outcomes, but rather how caregiving moments were perceived that mattered. Caregiving moments perceived as more fulfilling resulted in young carers feeling less discontent and more focused, whereas caregiving moments perceived as lacking resources predicted more discontent and distress. Exploratory analyses highlighted the potential for burden for young carers. They reported high levels of worry when they were not around the care recipient, with this worry predicting feeling more discontent and distressed. Conclusions: Young carers are deeply involved in care and perceive care differently across moments, both positive and negative. These initial data can be used to develop targeting support programs in the moment of care, potentially lessening the negative impacts of care. Full article

Intimate partner violence (IPV) is a public health and social problem worldwide. However, most studies have concentrated on violence against women and not also against men. Interventions for victimized men will only be successful if there is a better understanding of the real experiences, as narrated by the victims themselves, and how these impact their health and wellbeing. This study aimed to investigate the experiences of intimate partner violence, health, and wellbeing among men in east-central Sweden. Data were gathered using eleven in-depth, semi-structured interviews with men who were victims of IPV. Four categories emerged from the analyses: experiences of abuse in the relationship; feelings of isolation, loneliness, and shame; perceived deterioration of health and wellbeing; and negative experiences with public services. The findings indicate that interviewees experienced psychological (rather than physical) violence at the hands of their intimate partner. The abuse had consequences for their health and wellbeing, as they experienced stress, anxiety, depression, and suicidal thoughts. In some instances, it affected their health behavior, as they reverted to alcohol and drug use to cope with the abuse. Moreover, the interviewees felt lonely and unwilling to disclose their suffering because of fear of what family, friends, society, and professionals across different services would think of them. Also, they experienced negative responses from the health and social care services and police when seeking help, which made them even more entrenched in their fear of disclosing the suffering caused by the abuse. Full article