Search Results (316)

Person-centered navigation (PCN) in healthcare refers to a proactive collaboration among professionals, researchers, patients, and their families to guide individuals toward timely access to screening, treatment, follow-up, and psychosocial support. PCN—which includes professional, peer, and virtual guidance, is particularly crucial for rare cancers, where affected individuals face uncertainty, limited support, financial strain, and difficulties accessing relevant information, testing, and other services. The Canadian Cholangiocarcinoma Collaborative (C3) prioritizes PCN implementation to address these challenges in the context of Biliary Tract Cancers (BTCs). C3 uses a virtual PCN model and staffs a “C3 Research Navigator” who provides clinical and research navigation such as personalized guidance and support, facilitating access to molecular testing, clinical trials, and case reviews through national multidisciplinary rounds. C3 also supports a national network of BTC experts, a patient research registry, and advocacy activities. C3’s implementation strategies include co-design, timely delivery of support, and optimal outcomes across its many initiatives. Future priorities include expanding the C3 network, enhancing user engagement, and further integrating its innovative approach into routine care. Full article

Background/Objectives: Effective teamwork is crucial for minimizing human error in healthcare settings. Medical teams, typically composed of physicians and nurses, supported by auxiliary professionals, achieve better outcomes when they possess strong collaborative competencies. High-quality teamwork is associated with fewer adverse events and complications and lower mortality rates. Based on this background, the objective of this study is to analyze the perception of non-technical skills and immediate learning outcomes in interprofessional simulation settings based on E-CRM items. Methods: A cross-sectional observational study was conducted involving participants from the official postgraduate Medicine and Nursing programs at the Catholic University of Murcia (UCAM) during the 2024–2025 academic year. Four interprofessional E-CRM simulation sessions were planned, involving randomly assigned groups with proportional representation of medical and nursing students. Teams worked consistently throughout the training and participated in clinical scenarios observed via video transmission by their peers. Post-scenario debriefings followed INACSL guidelines and employed the PEARLS method. Results: Findings indicate that 48.3% of participants had no difficulty identifying the team leader, while 51.7% reported minor difficulty. Role assignment posed moderate-to-high difficulty for 24.1% of respondents. Communication, situation awareness, and early help-seeking were generally managed with ease, though mobilizing resources remained a challenge for 27.5% of participants. Conclusions: This study supports the value of interprofessional education in developing essential competencies for handling urgent, emergency, and high-complexity clinical situations. Strengthening interdisciplinary collaboration contributes to safer, more effective patient care. Full article

The present study focuses on investigating the contribution of puppetry as a pedagogical and psychosocial tool in special education, addressing the literature gap in the systematic documentation of the experiences of special education teachers, concerning its use in daily teaching practice. The main objective is to capture the way in which puppetry enhances the learning, social and therapeutic support of students with complex educational and psychosocial needs. The study employs a qualitative phenomenological approach, conducting semi-structured interviews with eleven special education teachers who integrate puppetry into their teaching. Qualitative data were analyzed using thematic analysis. The findings highlight that puppetry significantly enhances cognitive function, concentration, memory and language development, while promoting the active participation, cooperation, social inclusion and self-expression of students. In addition, the use of the puppet acts as a means of psycho-emotional empowerment, supporting positive behavior and helping students cope with stress and behavioral difficulties. Participants identified peer support, material adequacy and training as key factors for effective implementation, while conversely, a lack of resources and time is cited as a key obstacle. The integration of puppetry in everyday school life seems to ameliorate a more personalized, supportive and experiential learning environment, responding to the diverse and complex profiles of students attending special schools. Continuous training for teachers, along with strengthening the collaboration between the arts and special education, is essential for the effective use of puppetry in the classroom. Full article

Background: While some evidence supports the benefits of food-related tasks, research examining their association with psychosocial health in adolescents remains scarce. The aim of this study was to examine the association between Spanish adolescents’ involvement in food-related household tasks and their psychosocial health. Methods: This cross-sectional study used secondary data from the original Eating Healthy and Daily Life Activities (EHDLA) study. The final sample comprised 273 boys (43.0%) and 361 girls (57.0%). Adolescents self-reported their weekly frequency of involvement in two food-related tasks: meal preparation and grocery shopping, with responses ranging from ‘never’ to ‘seven times’. Psychosocial health was assessed using the 25-item self-report version of the Strengths and Difficulties Questionnaire (SDQ), comprising five subscales: emotional problems, conduct problems, hyperactivity, peer problems, and prosocial behavior. A total difficulties score was calculated by summing the first four subscales. Generalized linear models were used to evaluate associations between the frequency of food task involvement (categorized into five levels) and SDQ outcomes. All models were adjusted for age, sex, socioeconomic status, body mass index, sleep duration, physical activity, sedentary behavior, and energy intake. Results: Concerning to the frequency of helping to prepare food for dinner, an inverse association was observed between food preparation involvement and several psychosocial problems. Adolescents who helped seven times per week reported significantly lower scores in conduct problems (B = −2.00; 95% CI −3.30 to −0.69; p = 0.003), peer problems (B = −2.83; 95% CI −4.29 to −1.38; p < 0.001), internalizing problems (B = −3.90; 95% CI −7.03 to −0.77; p = 0.015), and total psychosocial difficulties (B = −5.74; 95% CI −10.68 to −0.80; p = 0.023), compared to those who never helped. Conversely, those who helped seven times per week had higher prosocial behavior than their counterparts who never helped (B = 1.69; 95% CI: 0.14 to 3.24; p = 0.033). Regarding the frequency of helping to shop for food, similar patterns were found, with lower conduct problems (B = −2.11; 95% CI −3.42 to −0.81; p = 0.002), peer problems (B = −2.88; 95% CI −4.34 to −1.42; p < 0.001), internalizing problems (B = −4.16; 95% CI −7.28 to −1.04; p = 0.009), and total psychosocial difficulties (B = −6.31; 95% CI −11.24 to −1.39; p = 0.012) associated with more frequent involvement, especially among those who helped five or more times per week. Conversely, adolescents who helped seven times per week had higher prosocial behavior than their peers who never helped (B = 1.56; 95% CI: 0.01 to 3.11; p = 0.049). Conclusions: Although adolescent psychosocial health is influenced by multiple factors, our findings suggest that regular involvement in food-related household tasks may serve as a protective factor against conduct problems, peer problems, internalizing problems, and total difficulties, while also enhancing prosocial behavior. However, given the cross-sectional design, conclusions regarding causality should be made cautiously, and further longitudinal research is needed to confirm these associations and assess their long-term impact. These results highlight the relevance of daily structured routines, such as meal preparation and grocery shopping, as potential support for mental well-being during adolescence. Full article

Classroom management is an essential yet frequently under-practiced competency in undergraduate teacher education, with important implications for sustainable teacher preparation. This study investigated whether pre-service teachers who feel more capable of managing classrooms also engage more deeply with simulation-based training. Fifty-seven Korean pre-service teachers (15 men, 42 women), all undergraduate students enrolled in a secondary teacher education program at a college of education, completed a five-item classroom-management-efficacy scale, then experienced a 15 min branching simulation that required choosing recognition, punishment, or aggression strategies in response to a disrespectful virtual student. Interest was assessed immediately afterwards with a 24-item instrument covering the four phases of the interest-development model (triggered situational, maintained situational, emerging individual, and well-developed individual). A post-test comparative design and MANOVA revealed that efficacy level had a significant multivariate effect on overall interest (Wilks Λ = 0.78, p = 0.029, partial η² = 0.12). Scheffe contrasts showed that high-efficacy participants outscored their low-efficacy peers on maintained situational and emerging individual interest, p < 0.05, and surpassed the middle-efficacy group in three of the four phases. Repeated measures ANOVA confirmed a general decline from situational to individual interest across all groups (F (3, 52) = 9.23, p < 0.01), underscoring the difficulty of converting short-term curiosity into lasting commitment. These findings position classroom-management efficacy as a key moderator of engagement and support the use of adaptive simulations as sustainable tools for teacher education. By tailoring challenge levels and feedback to participants’ efficacy, guided simulations can foster deeper engagement and promote individualized growth—helping build resilient and well-prepared educators. Full article

Background and Objectives: During exam sessions, many students experience high levels of stress caused by the large volume of material to study, tight deadlines, and pressure to achieve top grades. This study aimed to examine the relationship between academic stress, sleep disturbances, and eating behaviors by using validated questionnaires administered to a student sample. As stress levels increased, the data revealed a higher frequency of insomnia symptoms and disordered eating, including behaviors such as compulsive eating and irregular meal patterns. Materials and Methods: This cross-sectional, correlational study was conducted on a convenience sample of 317 university students from various academic centers across Romania. Participants were recruited via online distribution of a self-administered questionnaire during a four-month period, including exam sessions. The survey included the Perceived Stress Scale (PSS), the Insomnia Severity Index (ISI), and the Eating Disorder Examination Questionnaire (EDE-Q), alongside additional items assessing perceived links between stress, sleep, and eating behaviors, and the use of medication. Data were analyzed using SPSS with Spearman correlations, t-tests, and linear regression. Results: Statistical analyses revealed significant and positive associations between perceived stress levels and insomnia, as indicated by Spearman’s correlation (p < 0.01). A similar significant correlation was identified between perceived stress and disordered eating behaviors among students. Specifically, the feeling of being overwhelmed by academic workload showed a strong positive correlation with a lack of control over eating behaviors (r = 0.568). Furthermore, linear regression analysis confirmed a significant predictive relationship between feeling overwhelmed and the tendency to eat excessively beyond initial intentions, with a standardized regression coefficient B = 0.581 (p < 0.001). A separate regression analysis focusing on exam-related stress and episodes of compulsive eating behavior demonstrated a comparable result (B = 0.573, p < 0.001), indicating a robust positive association. Additionally, independent samples t-tests demonstrated that students experiencing high levels of stress during the exam period reported significantly greater difficulties with sleep initiation and higher levels of disordered eating compared to their peers with lower stress levels. The difference in insomnia scores was highly significant (t = 11.516, p < 0.001), as was the difference in eating behavior scores (t = 10.931, p < 0.001). Conclusions: These findings underscore the need for emotional support services and effective stress management strategies, enabling students to navigate academic demands without compromising their mental or physical well-being. Full article

The construction industry is undergoing a significant transformation due to the increasing influence of digital technology, sustainability requirements, and diverse stakeholder expectations, which highlights the need to update the existing service quality models accordingly. However, the traditional service quality models often fail to address these evolving demands comprehensively. This study systematically reviews 44 peer-reviewed articles to identify the key service quality dimensions and offer clear guidance for future research that can address the complexities of modern construction. The findings reveal that reliability, tangibles, and communication remain the most emphasized dimensions across the reviewed literature, whereas critical areas, such as digital integration, sustainability indicators, and service recovery, are significantly underexplored. This contrast explicitly links the limitations of the classic frameworks to these emerging demands, highlighting their difficulty in accommodating the industry’s growing reliance on real-time data, an environmentally friendly performance, and multi-stakeholder collaboration. Because the construction industry typically contributes 6–10 per cent of the national GDP and underpins wider economic development, inadequate service quality models can propagate cost overruns, productivity losses, and reputational damage across the economy; conversely, improved models enhance project efficiency, and thus support sustained economic growth. This review is limited by its reliance on the Scopus and Web of Science databases, which may exclude relevant regional or non-English studies. Furthermore, many reviewed articles are context-specific, potentially reducing the generalizability of the findings. Despite these limitations, this review offers an evidence-based framework that integrates advanced digital tools, sustainability measures, and diverse stakeholder perspectives. Future studies should demonstrate this framework’s efficacy and applicability in different circumstances. Full article

This systematic review and meta-analysis investigates the application of artificial intelligence (AI) in sports performance analysis. Sixteen peer-reviewed studies spanning 13 distinct sports disciplines were included, employing a variety of AI techniques—from classical machine learning algorithms to advanced deep learning and computer vision models. Methods applied encompassed Convolutional Neural Networks (CNNs), Long Short-Term Memory (LSTM) networks, reinforcement learning, and predictive modeling architectures. The pooled average classification accuracy was 87.78% (95% CI: 82.66–92.90), although substantial heterogeneity was observed across studies (I² = 93.75%). Computer vision and deep learning-based approaches were associated with higher performance metrics in several studies, particularly in movement-intensive sports such as tennis and basketball. Nevertheless, several challenges were identified, including lack of standardization in model evaluation, limited algorithmic transparency, and difficulties in generalizing findings from controlled laboratory environments to real-world competitive settings. The results underscore the promising role of AI in optimizing training protocols, supporting tactical decisions, and enhancing injury prevention strategies. Further research is warranted to address the ethical, methodological, and practical considerations surrounding the deployment of AI in sports contexts. Full article

Background: Autism spectrum disorder (ASD) is a neurodevelopmental condition in children that typically involves challenges in cognition, behavior, and communication. While many children with ASD exhibit significant impairments in both verbal and non-verbal communication, the severity and nature of these difficulties can vary widely. In addition to its impact on overall health, ASD also affects oral health, leading to increased vulnerability to dental disease. Aim: This narrative review aims to summarize key oral health challenges and care strategies for children with ASD, focusing on clinical risks, behavioral barriers, caregiver roles, and effective interventions. Materials and Methods: A comprehensive literature search was conducted using four databases—PubMed, Scopus, Web of Science, and Google Scholar—as well as relevant study registries where applicable. Peer-reviewed articles published in English between 2010 and 2024 were identified using keywords and their synonyms, such as autism spectrum disorder, children, oral care, dental practitioners, and parents. Studies were included based on relevance to oral health challenges and interventions in children diagnosed with ASD. Results: Children with ASD experience a range of sensory sensitivities, attention deficits, hyperactivity, and behavioral resistance, which significantly hinder the performance of adequate oral hygiene practices. These challenges contribute to a lack of effective dental prophylaxis and limited access to regular preventive care, ultimately resulting in poorer oral health outcomes and reduced oral health-related quality of life. Conclusion: Due to the multifaceted characteristics of ASD, children with this condition face significant barriers in accessing appropriate and individualized oral care. This increases their risks of developing oral health disorders, underscoring the need for coordinated efforts between caregivers and dental professionals to improve oral health outcomes in this vulnerable population. Full article

Despite the growing number of bilinguals worldwide, research on how bilingualism influences grammatical development in children with learning disabilities remains limited. This may be due to challenges in assessing language in these children, given the heterogeneity of their disabilities, lack of appropriate tools, and variability in language background and exposure common in bilingual populations. This pilot study investigates grammatical abilities in bilingual versus monolingual children with Down syndrome using the LITMUS Sentence Repetition Task, specifically designed for bilingual populations. Sentence repetition tasks are widely used for assessing grammar in neurotypical children and children with language impairments and are part of many omnibus language assessments. Ten children with Down syndrome aged 5–8 were recruited: five bilingual, speakers of British English and various home languages, and five monolingual, age- and language-matched. Both groups produced a high proportion of ungrammatical repetitions, with more omissions of verbs than nouns, function words than content words, and significant difficulties producing complex structures such as relative clauses, wh-questions, and passives. However, qualitative analyses showed that bilingual children speaking morphologically rich home languages (e.g., Polish, Greek) appeared to have fewer difficulties with some function words (e.g., prepositions) and were able to produce complex structures like passives and wh-questions, unlike their monolingual peers. Although the small sample limits generalisability, two insights emerge: First, sentence repetition may be of limited use in assessing expressive grammar in children with Down syndrome due to frequent ungrammatical responses. Second, while both groups showed similar challenges, bilingualism—especially with richly inflected home languages—may support specific grammatical skills. These findings support existing evidence that bilingualism does not hinder grammatical development in children with Down syndrome and suggest that parents should not avoid dual-language input. Further research is needed to determine whether bilingualism confers specific benefits in grammatical morpheme use and complex syntactic constructions. Full article

Children with intellectual disabilities experience unique developmental, social, and environmental challenges that intersect with adverse childhood experiences (ACEs) and positive childhood experiences (PCEs), shaping their psychosocial outcomes. While prior research has mainly examined single adversities or protective elements, the frameworks of ACEs and PCEs provide a broader understanding of their cumulative and interactive effects. However, these constructs remain underexplored in children with intellectual disabilities. This scoping review maps the range, conceptualization, and impact of ACEs, PCEs, and related concepts on psychosocial outcomes. Following the Joanna Briggs Institute (JBI) methodology, a search of PsycInfo, MEDLINE, CINAHL, Web of Science, and Google Scholar identified studies until October 2024. Two reviewers screened and extracted data using standardized criteria. Findings reveal variability in how ACEs and PCEs are defined and measured. ACE exposure, particularly the cumulative impact of multiple ACEs (polyvictimization), links to adverse psychosocial outcomes, including emotional (e.g., anxiety, depression, Post-Traumatic Stress Disorder), behavioral (e.g., aggression, conduct problems), and developmental (e.g., social and adaptive skill deficits) difficulties. PCEs—such as positive parent–child relationships, teacher–student support, and peer acceptance—mitigate risks, though impact varies by context. Intellectual disabilities severity and socioeconomic adversity shape associations. Further research is needed to inform the adaptation of ACE–PCE frameworks for children with intellectual disabilities. Full article

Pineapple (Ananas comosus) is an important crop worldwide, due to its nutritional properties. It is well known as a rich source of vitamins (A, C, and D) and various minerals that are vital in human diets. The aim of this review was to explore the economic viability of organic fertilizers that improve growth, yield, and quality during pineapple production in Africa. This study was conducted through a comprehensive analysis of the literature from peer-reviewed journals. It was reviewed that organic fertilization is a general agricultural approach that prioritizes environmental sustainability, biodiversity, and soil health through the avoidance of chemicals, including inorganic fertilizers. It was also found that organic fertilizers can effectively improve growth performance, yield, and the quality of the pineapple fruit to levels comparable to those of the fruit grown using inorganic fertilizers. Subsistence and smallholder farmers have adopted organic fertilization more than commercial farmers. Various challenges, including high certification costs, limited market access, high operating costs, inadequate farmer training, and limited knowledge on producing fruit using organic fertilizers, have been reviewed. The potential for higher market prices for organically produced fruit was noted, together with the challenges. Despite higher market prices and environmental benefits from organic fertilization, the economic viability of organic fertilizers for pineapple production is constrained by other factors, such as pest management difficulties, as the policies of conservation agriculture limit the use of chemical pesticides or the introduction of alien species as biocontrol agents. Full article

Background: Recent research has examined the associations between autistic traits and the well-being of students. This research has also included measures of ADHD and mental health. Methods: To understand the association and interaction of well-being and mental health with autistic traits (AQ) and attention deficit hyperactivity disorder (ADHD) traits, a survey was given to 578 secondary school students. The survey used the well-being process questionnaire (WPQ), the autism spectrum quotient, the ADHD self-report scale, and the Strengths and Difficulties questionnaire (SDQ). Results: The analysis conducted using SPSS showed that there was a significant correlation between anxiety, depression, AQ, and ADHD. Anxiety and depression were also significantly correlated with all well-being and SDQ variables. The regression analysis, including psychosocial predictors of well-being, anxiety, depression, ADHD, and AQ, showed that anxiety and depression were strongly associated with well-being outcomes. In contrast, AQ and ADHD were associated with hyperactivity, peer problems, and reduced prosocial behaviour. The associations between anxiety, depression, and well-being outcomes were stronger than with either AQ or ADHD. Conclusions: This study extends previous research from university samples to a secondary school sample. This shows the importance of investigating associations between subclinical traits and psychological symptoms in early adolescence, as this will lead to better-informed prevention and early intervention strategies. Full article

With the growing prevalence of cybercrime, botnets have emerged as a significant threat, infiltrating an increasing number of legitimate computers annually. Challenges arising for organizations, educational institutions, and individuals as a result of botnet attacks include distributed denial of service (DDoS) attacks, phishing attacks, and extortion attacks, generation of spam, and identity theft. The stealthy nature of botnets, characterized by constant alterations in network structures, attack methodologies, and data transmission patterns, poses a growing difficulty in their detection. This paper introduces an innovative strategy for mitigating botnet threats. Employing differential evolution, we propose a feature selection approach that enhances the ability to discern peer-to-peer (P2P) botnet traffic amidst evolving cyber threats. Differential evolution is a population-based meta-heuristic technique which can be applied to nonlinear and non-differentiable optimization problems owing to its fast convergence and use of few control parameters. Apart from that, an ensemble learning algorithm is also employed to support and enhance the detection phase, providing a robust defense against the dynamic and sophisticated nature of modern P2P botnets. The results demonstrate that our model achieves 99.99% accuracy, 99.49% precision, 98.98% recall, and 99.23% F1-score, which outperform the state-of-the-art P2P detection approaches. Full article

Background/Objectives: The preoperative improvement of patients’ functional capacity (prehabilitation) has gained attention in the surgical field, especially for colorectal cancer (CRC) patients. Despite the recognized benefits of prehabilitation programs, patients’ motivation to participate in and adhere to them remains a significant challenge. Several studies reported difficulties in recruiting participants and low adherence rates. This systematic review explored patients’ motivation for participation and adherence to prehabilitation programs for colorectal cancer surgery. Methods: A systematic search was conducted in the PubMed (MEDLINE), Embase, Cochrane, CINAHL, and Web of Science databases. Eligible studies included clinical trials published from inception until December 2024, written in English or Dutch, describing barriers and/or motivators affecting patient participation and adherence in prehabilitation programs. Results: A total of 89 studies, including 34 randomized controlled trials, were included. In total, 13,383 patients were included, with 7162 in the prehabilitation cohort. Participation rates ranged from 0 to 99.4%, and adherence rates ranged from 15% to 100%. Factors limiting participation included logistical issues and a busy schedule. Professional guidance, peer support, and regaining a sense of control improved adherence. Medical reasons, conflicting obligations, and intensive exercise limited adherence. Conclusions: This systematic review analyzed the current literature on participation and adherence in prehabilitation programs for colorectal cancer surgery patients. Overcoming logistical barriers and patient concerns through flexible, patient-centered approaches may improve participation and adherence. Future research should focus on large-scale randomized controlled trials, diverse healthcare settings, and strategies to enhance engagement with prehabilitation programs. Full article