Search Results (296)

We report a case of catheter-associated bloodstream infection caused by a putative novel species in the genus Erwinia, identified using whole-genome sequencing (WGS). A female adolescent receiving long-term home parenteral nutrition via a central venous catheter (CVC) presented with a fever. Gram-negative rods were isolated from two CVC-derived blood culture sets, while peripheral cultures remained negative. Conventional identification methods, including VITEK 2, Phoenix M50, MALDI-TOF MS, and 16S rRNA and rpoB gene sequencing, failed to achieve species-level identification. WGS was performed on the isolate using Illumina MiSeq. Genomic analysis revealed a genome size of 5.39 Mb with 56.8% GC content and high assembly completeness. The highest average nucleotide identity (ANI) was 90.3% with Pantoea coffeiphila, and ≤85% with known Erwinia species, suggesting that it represents a distinct taxon. Phylogenetic analyses placed the isolate within the Erwinia clade but separate from any known species. Antimicrobial susceptibility testing showed broad susceptibility. This case highlights the utility of WGS for the identification of rare or novel organisms not captured by conventional methods and expands the clinical spectrum of Erwinia species. While the criteria for species delineation were met, the phenotypic characterization remains insufficient to formally propose a new species. Full article

This study conducts a systematic qualitative review of empirical research on sense of place within housing contexts, employing the tripartite model of place identity, place attachment, and place dependence. The study employs an expanded model that captures the internal complexity of each indicator by integrating its cognitive, affective, and conative components, which represent the dimensions of human–place interaction. This model conceptualizes sense of place as a multidimensional construct, facilitating thematic synthesis and cross-study comparisons. A structured search of Scopus and Web of Science identified 10 studies that met predefined inclusion criteria. Additionally, eight studies with divergent conceptualizations of sense of place were narratively analyzed to explore the diversity of interpretations across disciplinary perspectives in housing research. The review yields three key findings: (1) The expanded tripartite model provides a framework for understanding the relationships between residents and housing. (2) Sense of place is both a criterion and a catalyst for housing sustainability. (3) The development of a sense of place is influenced by the interaction of physical, spatial, environmental, social, cultural, economic, and institutional housing factors. Sense of place provides insight into how housing becomes home, informing context-dependent strategies that enhance place-based connections and contribute to housing sustainability. Full article

Older people’s social participation is being shaped by the current context of “liquid modernity,” characterized by the erosion of traditional roles and identity, fragile social ties, individualism, economic precariousness, and uncertainty. The challenges entailed by these trends can be exacerbated when a circumstance, such as being the parent of an adult with a physical disability, is combined with old age. This study aimed to explore how this dual condition influences processes of aging and community participation. This work presents the findings of a phenomenological study conducted in 2025 through semi-structured interviews with a sample of 24 elderly people with children diagnosed with spina bifida. The results show that the children’s support needs, especially when they live with their parents, but also if they have become independent, impact the parents’ aging and social participation processes. Likewise, concern for the future is identified as a recurring aspect due to the children’s lack of support from a social network. It was concluded that public administrations and non-profit organizations should develop social intervention strategies aimed at promoting social participation, guaranteeing external assistance in the home, and providing coexistence resources. Full article

Objective: To explore the experiences and self-efficacy of parent-caregivers providing care for a child with a tracheostomy tube. Study Design: Parent-caregivers completed surveys and participated in semi-structured interviews about their experiences learning to care for their child with a tracheostomy tube. Survey data were analyzed using descriptive statistics. Interviews were transcribed verbatim and analyzed thematically through coding. Results: Fifteen parent-caregivers participated in the survey, 13 of whom completed an interview. After receiving a tracheostomy, children were hospitalized a median of 6 months prior to discharge home. At the time of our study, children had been home for a median of 3.5 years. Parent-caregivers felt more prepared to perform routine daily care compared to triaging a change in medical status. Parent-caregiver self-efficacy in performing tracheostomy care skills improved with experience at home. Four themes were identified from interviews: new identity formation, enduring education, child and family biopsychosocial support, and establishing normalcy. Parent-caregivers shared that education was more than just acquiring skills; it also involved discovering diverse ways of learning and building confidence in one’s own abilities to fulfill the many types of roles they serve to successfully care for and keep their child safe while supporting their social and emotional needs as parent-caregivers. Conclusions: Parent-caregivers’ reflections on their experiences provide critical insight into their psychosocial needs and challenges in providing care to children with tracheostomies. Further investigation of lived experiences is vital to shaping a community that can support families of medically complex children. Full article

Throughout history, communities have struggled to build homes in places actively hostile to their presence, a challenge long faced by African descendants in the American diaspora. In cities across the U.S., including Washington, D.C., efforts have often been made to erase Black cultural identity. D.C., once a hub of Black culture, saw its urban fabric devastated during the 1968 riots following Dr. Martin Luther King Jr.’s assassination. Since then, redevelopment has been slow and, more recently, marked by gentrification, which has further displaced Black communities. Amid this context, Black architects such as Michael Marshall, FAIA, and Sean Pichon, AIA, have emerged as visionary leaders. Their work exemplifies Value-Inclusive Design and aligns with Roberto Verganti’s Design-Driven Innovation by embedding cultural relevance and community needs into development projects. These architects propose an intentional approach that centers Black identity and brings culturally meaningful businesses into urban redevelopment, shifting the paradigm of design practice in D.C. This collective case study (methodology) argues that their work represents a distinct architectural style, Black Modernism, characterized by cultural preservation, community engagement, and spatial justice. This research examines two central questions: Where does Black Modernism begin, and where does it end? How does it fit within and expand beyond the broader American Modernist architectural movement? It explores the consequences of the destruction of Black communities, the lived experiences of Black architects, and how those experiences are reflected in their designs. Additionally, the research suggests that the work of Black architects aligns with heutagogical pedagogy, which views community stakeholders not just as beneficiaries, but as educators and knowledge-holders in architectural preservation. Findings reveal that Black Modernism, therefore, is not only a design style but a method of reclaiming identity, telling untold histories, and building more inclusive cities. Full article

Background/Objectives: Imposed sleep restriction leads to increased feelings of appetite and hedonic eating behaviors (or food rewards). No study to date has assessed home-based measures of sleep with appetite and food rewards exclusively in Black emerging adults (ages 18–28 years), despite higher risks of short sleep and obesity in this population. We examined associations between 6-month changes in sleep with changes in appetite and food reward in Black emerging adults. Methods: Fifteen Black emerging adults (12 females; age, 21 ± 2.5 years; body mass index, 25.7 ± 4.5 kg/m²; body fat, 25.8 ± 11.9%) completed two identical 7-day measurement bursts at baseline and 6 months. Sleep (duration, efficiency, and architecture) was captured via 7 days of actigraphy and 2 nights of in-home polysomnography. During a laboratory visit, participants completed appetite measures (desire to eat, hunger, fullness, and prospective food consumption) via visual analog scales before and for 3 h following standard breakfast intake. The food reward for the fat and sweet categories of food was measured before lunch with the Leeds Food Preference Questionnaire. Results: Fasting fullness scores decreased from baseline to 6 months (−8.9 mm, p < 0.01) despite increases in body weight (2.6 kg, p < 0.01) and waist circumference (2.4 cm, p = 0.03). Increases in actigraph-measured sleep duration were associated with decreases in fasting desire to eat (r = −0.58, p = 0.04). Increases in actigraph-measured sleep efficiency were also associated with decreases in explicit liking for sweet foods (r = −0.60, p = 0.03). Conclusions: Our findings suggest that improvements in sleep duration and sleep efficiency may lead to decreased feelings of appetite and food reward in Black emerging adults. Full article

The proliferation of African diaspora churches, especially over the last four decades in Europe and the West, has not gone unnoticed. Over this period, there has been a planting and transporting of independent churches as well as branches of Pentecostal and charismatic churches from sub-Saharan Africa to the West. First-generation members of these churches have often been the pioneers, leaders, and custodians of the church culture and practices from their motherland. These first-generation members continue to hold on to liturgy and practices from ‘home’ (Africa) and seek to replicate them as authentic spirituality and spiritual formation practices. A significant part of the rise of these churches are the second-generation members who have a fluid identity and are finding newer ways to assimilate their parents’ socio-cultural and religious practices with that of their present ‘home’ European/Western nations. For these emerging-generation members, their parents’ culture, which is largely based on an African worldview, continues to shape church liturgy and practices. An integral component of the church’s liturgy and practical ministry is prayer. Prayer in its various forms plays a significant part in both personal and collective worship. This paper examines the impact of emerging generations on the dynamics and praxis of prayer in the Church of Pentecost UK. Prayer holds a significant place in the lives of these emerging generation members and forms part of their socio-religious identity. Against this backdrop of prayer from a generational and liturgical viewpoint, we explore the nature, dynamics, and context of the prayers of the emerging generation members of the Church of Pentecost, UK. We examine areas of continuity and discontinuity and explore how Western influences and modernisation have influenced the prayer language and style of the younger generation. Through participant observations and lived experiences, we argue that though prayer is central to the worship of the younger generation, there are significant variations between the generations within the broader framework of style, language, and content. Full article

Transcranial direct current stimulation (tDCS) is a safe, well-tolerated method of non-invasively eliciting cortical neuromodulation. It has gained recent interest, especially for its positive clinical outcomes in neurodegenerative diseases such as multiple sclerosis (MS). However, its simultaneous (during tDCS) and cumulative effects (following repeated tDCS sessions) on the regional brain activity during rest need further investigation, especially in MS. This study aims to elucidate tDCS’ underpinnings, alongside its therapeutic impact in MS patients, using concurrent tDCS-MRI methods. In total, 20 MS patients (age = 48 ± 12 years; 8 males) and 28 healthy controls (HCs; age = 36 ± 15 years; 12 males) were recruited. They participated in a tDCS-MRI session, during which resting-state functional MRI (rs-fMRI) was used to measure the levels of the fractional amplitude of low-frequency fluctuations (fALFFs), which is an index of regional neuronal activity, before and during left anodal dorsolateral prefrontal cortex (DLPFC) tDCS (2.0 mA for 15 min). MS patients were then asked to return for an identical tDCS-MRI visit (follow-up) after 20 identical at-home tDCS sessions. Simultaneous tDCS-induced changes in fALFF are seen across cortical and subcortical areas in both HC and MS patients, with some regions showing increased and others decreased brain activity. In HCs, fALFF increased in the right pre- and post-central gyrus whilst it decreased in subcortical regions. Conversely, MS patients initially displayed increases in more posterior cortical regions but decreases in the superior and temporal cortical regions. At follow-up, MS patients showed reversed patterns, emphasizing significant cumulative effects of tDCS treatment upon brain excitation. Such long-lasting changes are further supported by greater pre-tDCS fALFFs measured at follow-up compared to baseline, especially around the cuneus. The results were significant after correcting for multiple comparisons (p-FDR < 0.05). Our study shows that tDCS has both simultaneous and cumulative effects on neuronal activity measured with rs-fMRI, especially involving major brain areas distant from the site of stimulation, and it is responsible for fatigue and cognitive and motor skills. Full article

People in multilingual societies develop complex and interconnected food-making and food-discussing networks. On the basis of an experimental course titled “Food at Home, Food on the Move: Globalization and Regionalism in Modern Food Culture” taught at the University of Helsinki, we will show how the acquisition of culinary terminology puts forward the interconnectedness of languages and the dynamics between them in several sociolinguistic contexts. The lectures were grouped geographically: Eating with the Neighbors (Finnish cuisine and Swedish, Russian, Karelian and other influences); From the Baltic to Central Europe (Latvian, Lithuanian, Polish, German, and Hungarian food cultures); Formative Cuisines of the Mediterranean (French, Italian, Greek, Middle Eastern cuisine, etc.); and Eating Outside Europe (food culture influences from the US, Mexico, China, Japan, and India). The assignments included a critical lecture diary, an essay about eating experiences, or additional reading, a conversational analysis of a culinary show, or fieldwork in an ethnic restaurant. Raising awareness of linguistic and cultural diversity, motivating course participants to discuss the role and interaction of languages in their repertoire, makes them reflect on their multilingual identities. It allows educators to explore individuals’ DLCs in different contexts while navigating diverse global and local environments based on the principles of fairness and equality in education. Full article

Migration is a multidimensional process that reshapes identities and communities. This article adopts a polyhedral framework inspired by Pope Francis’s Laudato si’ and Michel Foucault’s concepts of “subjectivation” and the “polyhedron of intelligibility”. Both emphasize spirituality as a transformative force in individuals’ lives and a concept that connects philosophy and theology to support resilience among migrant populations. Using Portugal as a case study, the research examines migration’s historical and contextual landscape and its discursive framework. Through a Lisbon-based research project of interviews with migrants, the study explores the concept of spiritual integration by presenting how spirituality functions to preserve cultural identity while facilitating integration without full assimilation into the host community. Spirituality includes many rules and choices regarding ways of life; therefore, the interview projects’ migrants interpret the concept of spiritual integration in a subjective and polyhedron manner. Creating strong ties to their homes, traditions, cultures, spirituality, sports, and culinary practices, as well as practicing, sharing, and teaching these practices, protects them from total subjection, while learning the host society’s customs and rituals helps them to fit in. The findings show that spirituality serves as an integrational tool, a coping mechanism, and a form of resistance, providing a space for migrants to address and overcome challenges. The article emphasizes the importance of integration policies to create a “safe place” of inclusivity within host communities. Full article

Background/Objectives: Old age and cognitive impairment/dementia are risk factors for falling and fall-related injuries. We have, in a previous study in persons with cognitive impairment, shown that falls were associated with frailty, reduced physical fitness, and cognitive reduction. Falls were independent of the disorders causing the impaired functions. Because most falls are innocent, knowledge of predictors of fall-related injuries seems more clinically relevant than the predictors of falls. Predictors of falls and fall-related injuries are not necessarily identical. The aim of this follow-up study to our previous one in the same population was to explore predictors of fall-related injuries in fallers and compare these predictors with those of falls. Methods: This study and our previous study used data from the “The Norwegian Registry of Persons Assessed for Cognitive Symptoms” (NorCog), a Norwegian research and quality registry with a biobank. The registry included consecutive home-dwelling persons referred to Norwegian specialist healthcare units for assessment of cognitive decline. This study included 3774 persons from our previous study who experienced falls last year and compared persons with and without a fall-related injury. A fall-related injury was defined as admittance to a hospital for the injury. Results: The annual incidence of fall-related injuries in the fallers was 884/3774 (23.4%). Female sex, older age, lower BMI, in need of public health service and walking assistance, and low Hb and Ca were independent predictors of fall-related injuries, indicating reduced physical fitness and state of health and a high burden of comorbidity. Injuries were not associated with the degree of cognitive impairment or the dementia diagnosis. Conclusions: In home-dwelling persons with impaired cognitive functions and falls, fall-related injuries were associated with reduced physical fitness and state of health. In contrast to predictors of falls, neither the degree of cognitive impairment nor the dementia diagnosis was associated with fall-related injuries. The difference is comprehensible. Persons with cognitive impairment or dementia might have reduced power of judgment and be inattentive, unconcerned and careless, which increases the fall incidence but not the risk of injury once falling. Prevention of fall-related injuries should focus on relieving comorbidities, improving physical fitness and general health rather than on cognitive improvement. Full article

This study employs walking interviews to examine the low-carbon practices, cultural adaptation, and policy awareness of older Chinese migrants in the UK within their everyday environments. A total of 20 participants were interviewed in public spaces such as parks, supermarkets, and their homes. Using contextual thematic analysis, the study identifies key factors influencing their environmental behaviors. The findings reveal the following: (1) Language barriers, economic pressures, and social isolation limit migrants’ understanding of environmental policies. Many participants rely on self-sufficient ethnic community networks rather than engaging with mainstream sources; (2) Generational differences are evident—younger migrants demonstrate greater theoretical awareness of environmental policies, whereas older migrants exhibit stronger low-carbon behaviors through energy conservation and waste reduction; (3) A balance between cultural identity and consumption habits—while some migrants adjust their dietary, spending, and linguistic habits, core cultural values such as frugality and family responsibility remain unchanged. This study highlights the value of walking interviews in capturing situational insights into low-carbon behaviors and cultural adaptation. It provides empirical evidence for government agencies and community organizations, advocating for cross-cultural environmental education and improved policy communication. Recommendations include targeted environmental training, community-based volunteer initiatives, intergenerational environmental education, and policy dissemination through WeChat, Chinese communities, and ethnic networks. These measures can help bridge the generational gap in policy awareness and promote social integration among older Chinese migrants. Full article

In Jordan, where aging at home reflects Islamic cultural values, elderly populations face housing environments that fail to meet their needs, challenging sustainable aging-in-place objectives. This study explores how space personalization enhances autonomy and control among Jordan’s elderly using a mixed-methods approach combining surveys and interviews across multiple governorates. Findings reveal that space personalization strengthens elders’ sense of control over daily activities and household decisions, with private room allocation emerging as particularly significant. While conflicts between generations present barriers to control, cherished objects, such as heirlooms and religious artifacts, play a vital role in maintaining emotional connections and territorial identity. The study highlights the need for culturally sensitive housing modifications that respect cultural traditions while addressing practical needs, recommending community-based care programs and intergenerational dialogue initiatives. These insights contribute to sustainable urban development strategies that support dignified aging while preserving socio-cultural heritage, offering lessons for similar communities facing rapid demographic transitions. Full article

The resettlement of development-induced migrants is a complex socioeconomic and cultural process. The levels of place identity among migrants may profoundly affect their long-term stability and sustainable development in host communities. For long-distance displaced migrants, their social relations undergo drastic changes, and the extent of social-relations reconstruction determines their place identity in the resettlement area. Previous studies mainly concentrated on migrant compensation schemes, housing, and land allocation, and livelihood restoration. However, insufficient attention has been paid to the mechanism by which social-relations reconstruction shapes place identity. Drawing on sample survey data collected during 2022–2023 from migrants displaced from the Three Gorges Dam (TGD) in China to various other provinces, this study conceptualizes place identity in three dimensions: group identity, permanent settlement intention, and expectations for children. A structural equation model (SEM) was employed to investigate how social relations, categorized as geographical, home-tied, and carried-over relations, mediate the influence of multiple factors on place identity. The findings are that: (1) among development-induced migrants, social relations exerted significant positive effects on place identity, along with personal characteristics, socioeconomic characteristics, land, and housing factors. Moreover, family features, socioeconomic characteristics, and land and housing factors all had a significantly positive impact on social relations; (2) social relations acted as a full mediator between family features and place identity, and a partial mediator between socioeconomic characteristics/land and housing factors and place identity; (3) among geographical, home-tied, and carried-over social relations, geographical social relations had the largest effect on place identity, followed by carried-over relations. However, continuous dependence on home-tied social relations negatively affected the migrants’ development of place identity in new resettlement areas. This study elucidates the role of social relations in the socioeconomic and cultural reconstruction during migrant resettlement, offering insight for improving resettlement policies and promoting sustainable community integration. Full article

The deployment of autonomous AI agents in smart environments has accelerated the need for accurate and privacy-preserving human identification. Traditional vision-based solutions, while effective in capturing spatial and contextual information, often face challenges related to high deployment costs, privacy concerns, and susceptibility to environmental variations. To address these limitations, we propose IdentiFi, a novel AI-driven human identification system that leverages WiFi-based wireless sensing and contrastive learning techniques. IdentiFi utilizes self-supervised and semi-supervised learning to extract robust, identity-specific representations from Channel State Information (CSI) data, effectively distinguishing between individuals even in dynamic, multi-occupant settings. The system’s temporal and contextual contrasting modules enhance its ability to model human motion and reduce multi-user interference, while class-aware contrastive learning minimizes the need for extensive labeled datasets. Extensive evaluations demonstrate that IdentiFi outperforms existing methods in terms of scalability, adaptability, and privacy preservation, making it highly suitable for AI agents in smart homes, healthcare facilities, security systems, and personalized services. Full article