Search Results (385)

Academic anxiety is a negative emotional state experienced by learners of Chinese as a foreign language (CFL) during their Chinese language learning process. To explore the mediating mechanisms of positive and negative emotions and academic self-efficacy between teacher support and academic anxiety, a questionnaire survey was conducted among 1047 CFL learners, and a structural equation model was established to test the mediating effects. The study found that teacher support helps alleviate academic anxiety among CFL learners; teacher support exerts a certain inhibitory effect on learners’ academic anxiety. However, teacher support does not directly reduce academic anxiety but indirectly influences it through the independent mediating roles of self-efficacy and academic emotions, as well as through the chain mediating effect of both. Based on these findings, the paper provides recommendations for maintaining positive emotions, enhancing self-efficacy, implementing tailored teacher support, and constructing comprehensive motivational mechanisms for CFL learners. Full article

Background: Port-a-catheter (PAC) placement is a common procedure in oncology that, despite local anaesthesia, can induce patient discomfort, procedural pain, and anxiety. Virtual reality hypnosis (VRH), combining immersive virtual reality with clinical hypnosis, has been proposed as a non-pharmacological adjunct to reduce peri-procedural distress. Objectives: This pilot study aimed to explore the suitability of VRH during PAC placement and its potential effects on pain, anxiety, and VRH-related experiences, while investigating psychological variables associated with VRH engagement. Methods: In this single-arm interventional monocentric prospective pilot study, twenty oncology patients undergoing first-time elective PAC placement received a VRH intervention delivered via a medical-grade head-mounted display throughout the procedure. Pain, anxiety, and VRH-related dimensions—including absorption, dissociation, automaticity, arousal, and sense of presence—were assessed pre- and post-procedure using self-reported numerical rating scales and questionnaires. Non-parametric Wilcoxon tests evaluated pre–post changes, and correlational analyses (Pearson’s and Spearman’s when necessary) explored associations between variables. Results: VRH was well tolerated by most participants, although three patients required additional pharmacological support, and four could not complete the session due to intolerance or technical issues. Anxiety scores decreased significantly following VRH, whereas pain showed a non-significant trend toward reduction. Post-procedural absorption and dissociation were positively associated with presence, and higher absorption traits were linked to greater immersive engagement and prior VR/hypnosis experience. Cybersickness was negatively associated with absorption. Older age was correlated with lower post-procedural pain, and females reported higher state anxiety. Conclusions: In this pilot, VRH was feasible, well tolerated, and associated with a significant exploratory reduction in procedural state anxiety. Given the single-arm design, these findings constitute directional evidence warranting controlled trial evaluation rather than proof of efficacy. These preliminary results support the rationale for randomised controlled trials to evaluate VRH efficacy, underlying mechanisms, and potential role as a non-pharmacological adjunct in oncology perioperative care. Full article

The accurate inference of hidden states from non-stationary physiological signals remains a significant challenge in stochastic process modeling. This paper proposes an Adaptive Sticky Hidden Markov Model (Sticky-HMM) framework designed to enhance the robustness of state decoding in noisy environments. To address the “state-flickering” issue inherent in traditional HMMs, we incorporate a “Sticky” parameter into the transition matrix, imposing a temporal penalty on spurious state switching to maintain continuity. Furthermore, we introduce a Dynamic Prior Strategy that adaptively calibrates self-transition probabilities by mapping frequency-domain features of the observed sequence to the model’s parameter space. The proposed decoding process employs a two-pass refinement strategy and the Viterbi algorithm in the logarithmic domain to ensure numerical stability. The model’s efficacy was validated using a high-fidelity dataset of simulated apnea events. This work provides a computationally efficient and mathematically rigorous approach that demonstrates strong potential for long-term respiratory health monitoring. Full article

Background: Parents of school-age children with neurodevelopmental and conduct difficulties face elevated stress, reduced self-efficacy and relational strain, yet evidence for scalable, school-embedded support remains limited. Drawing on mentalization theory—which emphasises parents’ capacity to understand behaviour in terms of underlying mental states—this mixed-methods study evaluated a weekly parent learning group integrating psychoeducation, mentalization-based practice and peer support, delivered within an alternative provision school. Methods: A group of twelve parents who attended at least six sessions completed retrospective pretest–posttest questionnaires assessing parental reflective functioning (PRFQ) and parenting self-efficacy (PSOC). Semi-structured interviews explored parents’ subjective experiences and perceived changes in parent–child interactions and parent–school relationships. Quantitative outcomes were analysed using paired t-tests and effect sizes; qualitative data underwent reflexive thematic analysis. Results: Quantitative analyses revealed statistically significant improvements in parental reflective functioning and self-efficacy. Pre-mentalizing scores decreased substantially (d = 1.34), indicating reductions in non-mentalizing, while interest and curiosity about children’s mental states increased markedly (d = 1.83). Parenting self-efficacy improved significantly (d = 1.61). Although a reduction in excessive certainty about mental states approached significance (d = 0.63, p = 0.053), trends suggested greater epistemic balance. Qualitative analysis identified six themes elucidating mechanisms of change, including enhanced mentalizing capacity, reduced parental stress, transformed parent–child interactions and facilitation style as a critical active ingredient. Integration of findings suggests that psychoeducational content provided conceptual grounding for understanding behaviour, facilitator modelling scaffolded reflective practice, and relational safety within the group enabled authentic engagement with challenging experiences. Conclusions: These preliminary findings indicate that a school-based parent learning group combining psychoeducation, mentalization-based practice and peer support is feasible and associated with meaningful improvements in parental reflective functioning and self-efficacy. Parent narratives of transformed relational practices and shifts from reactive to reflective engagement echo broader literature demonstrating that group-delivered mentalization-oriented programmes can enhance reflective capacities and caregiving quality in diverse family contexts. The school setting may extend the reach of such interventions to families not engaged with clinical services and support collaborative parent–school partnerships. Future research should employ larger, controlled designs, incorporate observational and child outcome measures, and explore scalability across educational contexts. Full article

Background/Objective: Mind–body programs teaching mindfulness-based techniques have benefits for incarcerated people, as do programs in which individuals teach yoga to their incarcerated peers. However, there are no studies of comprehensive programs that combine a variety of self-care techniques with group support and enable people in prison to enhance their own well-being and then share what they have learned with their peers. This study evaluated the effects of such a training program in the United States. Methods: Thirty-eight incarcerated men and women began the 8-day mind–body medicine training and 31 completed the training. Mind–body techniques taught included soft belly breathing, meditation, autogenics and biofeedback, guided imagery, mindful eating, self-expression through drawings and writing, and genograms. Outcomes included resilience, depression, anxiety, stress, coping self-efficacy, optimism, meaning in life, and purpose in life. Outcomes were measured before and after the training, and at a 6-month follow-up. Results: There were significant improvements in resilience, depression, anxiety, stress, coping self-efficacy, optimism, the presence of meaning in life, and purpose in life after the training. All of these improvements were maintained at follow-up. The most frequently practiced skills both after the training and at follow-up were soft belly breathing, meditation, and mindful eating. Conclusions: The training provided participants with skills that had a lasting positive benefit on numerous aspects of their own well-being and trained them to teach the skills to their incarcerated peers. The results of this uncontrolled study suggest that the mind–body medicine training program may be helpful to incarcerated people in other prison systems. Full article

With the continuous elevation of aviation safety standards, accurate monitoring of ground support vehicles in aircraft stand areas has become a critical task for enhancing overall aircraft stand operational safety. Given the limitations of existing surface movement radar and multi-camera surveillance systems in terms of cost, deployment complexity, and coverage, this paper proposes a lightweight vision-based framework for vehicle state perception and spatiotemporal behavior analysis oriented toward aircraft stand safety. Leveraging existing fixed monocular monitoring resources in the stand area, the framework first establishes a precise mapping from image pixel coordinates to the physical plane through self-calibration and homography transformation utilizing scene line features, thereby achieving unified spatial measurement of vehicle targets. Subsequently, it integrates an improved lightweight YOLO detector (incorporating Ghost modules and CBAM for noise suppression) with the ByteTrack tracking algorithm to enable stable extraction of vehicle trajectories under complex occlusion conditions. Finally, by combining functional zone division within the stand, a semantic map is constructed, and a behavior analysis method based on a spatiotemporal finite state machine is proposed. This method performs joint reasoning by fusing multi-dimensional constraints including position, zone, and time, enabling automatic detection of abnormal behaviors such as “intrusion into restricted areas” and “abnormal stop.” Quantitative evaluations demonstrate the framework’s efficacy: it achieves an average physical localization error (RMSE) of 0.32 m, and the improved detection model reaches an accuracy (mAP@50) of 90.4% for ground support vehicles. In tests simulating typical violation scenarios, the system achieved high recall (96.0%) and precision (95.8%) rates in detecting ‘area intrusion’ and ‘abnormal stop’ violations, respectively. These results, achieved using only existing surveillance cameras, validate its potential as a cost-effective and easily deployable tool to augment existing safety monitoring systems for airport ground operations. Full article

Objective: This study evaluates the pre–post changes in dental knowledge, attitudes, skills, and behaviors following a community health worker (CHW)-led intervention. Methods: Adult caregivers from migrant worker families living near the United States–Mexico border participated in the five-week, in-person, CHW-led intervention program. The two-hour once/week interactive sessions were held in Spanish and included oral health education, skill-building, and goal-setting. Participants completed pre- and post-surveys about dental knowledge, attitudes, skills, and oral hygiene behaviors (N = 117). Participants self-reported frequency of brushing and flossing in the prior week, which was dichotomized to reflect meeting the American Dental Association (ADA) guidelines of brushing twice/day and flossing once/day. Mean group comparisons and paired t-tests were conducted to assess pre- and post-intervention differences. Intervention feedback was also evaluated. Results: Pre-intervention, most adults met hygiene guidelines, and in the overall sample, there were no significant differences post-intervention. However, there were meaningful behavior change differences observed among subgroups not meeting ADA guidelines at baseline. Among the 32% of adults who did not meet ADA brushing guidelines and the 61% that did not meet ADA flossing guidelines at baseline, there were significant improvements post-intervention and increased weekly frequency for brushing (p < 0.001) and flossing (p < 0.001). Pre-intervention, 30% reported not being taught to properly brush or floss; post-intervention, only 3% reported not being taught this skill (p < 0.001). Knowledge (p < 0.001) and some attitudes, including self-efficacy (p < 0.001), significantly increased post-intervention. Program feedback from participants and CHWs was positive, and 81% of participants shared materials. Conclusions: After the CHW-led intervention, there were increases in the adults’ self-reported dental knowledge, some attitudes, and hygiene skills. Toothbrushing and flossing frequency increased post-intervention among the subgroups of adults that were not already meeting ADA guidelines at baseline. Full article

Today, university counselling services play a crucial role in creating places where personal and professional skills can be developed. Universities provide an environment where people can grow as individuals and improve their quality of life. The aim of the study was to evaluate the impact of a counselling service that uses positive psychology as a theoretical and practical framework on students’ well-being and positive resources. Methods: Seventy students aged between 19 and 54 (M = 24.2; SD = 5.87), of whom 68.6% were women and 31.4% were men, participated in 10 psychological counselling sessions. The sessions focused on academic and general well-being, non-intellectual skills related to academic performance and satisfaction (e.g., academic self-efficacy, motivation, reaction to failure, time management), as well as positive resources (e.g., hope, resilience, courage). Participants completed a questionnaire protocol on these variables before and 6 months after the intervention. Results: The results show a significant increase in almost all indices of general and domain-specific well-being and in positive psychosocial resources. The participants themselves stated that the counselling intervention produced significant changes in their lives in general and as university students. Conclusions: The results seem to suggest that structuring counselling programmes with a positive, well-being-oriented perspective can promote students’ professional and personal development. Building psychological support environments can guide everyone on the path to maximising their potential in life and professional trajectories. The university services must pay constant attention not only to student performance but, above all, to improving their quality of life, preventing distress and promoting well-being. Full article

Background: The clinical translation of natural nanomaterials and smart delivery systems in regenerative dentistry relies heavily on practitioner acceptance; however, end-user perspectives remain under-investigated. Objective: This study evaluated dental practitioners’ self-reported knowledge, attitudes, and perceived barriers regarding these innovations. The questionnaire examined stated intention and self-reported willingness, not clinical behaviour. Methods: A cross-sectional survey using convenience sampling was conducted among 713 Romanian dentists. Statistical analysis included Chi-square tests and odds ratio estimation to identify factors associated with willingness to adopt nano-formulations. Results: Self-reported familiarity was moderate, with only 19.1% of respondents describing themselves as “very familiar” with nanodentistry; nevertheless, 77.3% believed natural nano-formulations could match synthetic efficacy. High costs (36.5%), lack of long-term evidence (35.9%), and staining concerns (46.0%) were identified as primary perceived barriers. Experience with digital technologies (CAD/CAM) was significantly associated with a positive attitude toward adoption (OR = 2.05, 95% CI: 1.41–2.98, p < 0.001). Conclusions: Respondents demonstrated a generally positive attitude toward integrating bioactive nanomaterials, though widespread adoption is currently limited by economic, educational, and evidentiary gaps. Future strategies should focus on establishing clear clinical protocols, providing robust long-term safety data, and improving the aesthetic stability of natural biomaterials. Full article

Hydraulic systems are pivotal components in safety-critical aerospace and industrial applications, making reliable health monitoring essential. However, traditional data-driven diagnosis methods typically rely on static graph structures that fail to capture evolving sensor correlations during different fault modes. Furthermore, existing grid-based models often struggle to extract multi-resolution features and maintain performance under data-limited conditions. To address these challenges, this paper proposes a novel Dynamic Multi-Scale Graph Neural Network (DMS-GNN) for hydraulic system fault diagnosis. The framework integrates a hierarchical multi-scale feature extraction module to capture diverse fault signatures across different frequency bands. Crucially, a self-attention-based dynamic graph learner is introduced to adaptively infer latent sensor topologies end-to-end, eliminating the reliance on predefined physical connections. Experimental validation on a dedicated electro-hydraulic test bench demonstrates that the proposed DMS-GNN achieves a superior diagnostic accuracy of 98.47%, outperforming state-of-the-art baselines such as GraphSAGE, Static GCN, and GAT. The result confirms the efficacy of combining multi-scale temporal learning with dynamic spatial reasoning for robust multi-sensor fusion diagnosis. Full article

(1) Background: Induced After-Death Communication (IADC) therapy is a brief intervention facilitating grief resolution through a perceived experience of communication with the deceased. Despite growing evidence of its efficacy, little is known about which individual characteristics may influence treatment responsiveness. (2) Methods: This pre–post study investigated psychological predictors of IADC outcomes in 73 bereaved adults. Standardized measures assessed grief severity, alexithymia, dissociation, attachment dimensions, and Big Five personality traits. Changes in grief-related distress and continuing bonds were analyzed using paired-sample t-tests and hierarchical regressions. (3) Results: IADC therapy produced substantial reductions in grief-related distress and enhanced continuing bonds. Dissociation, demographic variables, and most personality traits were unrelated to outcomes. Neuroticism showed a marginally negative association, whereas Openness predicted greater improvement. Alexithymia negatively predicted clinical gains, suggesting that limited emotional awareness may interfere with the therapeutic phase of abreaction and, in turn, limit access to the receptive state. Among attachment dimensions, only Need for Approval significantly predicted poorer outcomes, consistent with performance anxiety and self-evaluative control interfering with spontaneous mental processes. (4) Conclusions: IADC therapy appears highly effective across diverse individual profiles. Screening for alexithymia and Need for Approval may help identify these potential sources of therapeutic failure and be followed by targeted strategies aimed at counteracting their impact and mitigating their effects. Full article

(1) Background: Virtual environments (VEs) significantly influence human emotions through various elements such as lighting, color, and terrain. While the effects of lighting and color on emotions within VEs have been extensively studied, the impact of the terrain remains underexplored. This paper addresses this gap by investigating the correlation between terrain characteristics in VEs and users’ emotional states. (2) Methods: We conducted a user study in which participants were exposed to various 3D terrains and used the Self-Assessment Manikin (SAM) to rate their emotional responses (valence, arousal, and dominance). Building on these insights, we propose MoodScape, an automated framework for emotion-informed terrain generation that significantly reduces the need for extensive expertise and manual effort. In the current implementation, continuous SAM valence–arousal targets are discretised into four quadrant-based affect/terrain classes, and this discrete class label conditions DH-CVAE-GAN terrain synthesis. MoodScape designs a generative adversarial network (GAN) architecture called DH-CVAE-GAN, which integrates a dual-head conditional variational autoencoder as the generator alongside a discriminator network to ensure effective and realistic terrain generation. The DH-CVAE-GAN is trained on a satellite-derived digital elevation model (DEM) dataset, which helps the generated terrains reflect realistic geographic patterns. (3) Results: Quantitative and qualitative evaluations on our study sample suggest that MoodScape can generate terrains whose perceived affective tone is broadly consistent with the specified affect-class inputs, indicating potential applications in gaming and exploratory therapeutic Virtual Reality, while formal clinical efficacy remains in future work. Full article

Background/Objectives: Esketamine-related dissociation is a transient, pharmacologically induced altered state that differs from the trait-like pathological dissociation typically observed in trauma-related conditions. While most studies have quantified these effects using the Clinician-Administered Dissociative States Scale (CADSS), patients’ subjective phenomenology and meaning-making remain underexplored. This qualitative exploratory study investigated how patients narrate, interpret, and integrate dissociative experiences occurring during intranasal esketamine treatment for treatment-resistant depression (TRD). Methods: We conducted semi-structured interviews with 36 adults with TRD who were receiving intranasal esketamine in outpatient settings in Northern Italy (2022–2024). Interviews focused on the most salient dissociative experiences during treatment. Transcripts were anonymized and analyzed using inductive thematic analysis. Two researchers coded the data independently; discrepancies were resolved by consensus, and recruitment continued until thematic saturation was reached. Results: Four experiential domains emerged: sensory alteration and perceptual flow (10/36, 27.8%), time suspension and chronological drift (21/36, 58.3%), body and space alteration (20/36, 55.6%), and psychic distance from suffering (30/36, 83.3%). While a minority described transient distress or loss of control, most narratives framed dissociation as neutral or subjectively meaningful, often associated with a temporary reduction in ruminative self-focus and depressive distress. Conclusions: A narrative, phenomenological lens complements quantitative research by clarifying what esketamine-induced dissociation feels like to patients and how it is appraised in context. The findings do not imply a causal or mediating role in antidepressant efficacy. Rather, they suggest that dissociation functions as a transitional subjective state, the clinical relevance of which depends on anticipation, framing, monitoring, and integration. These results support the use of structured psychoeducation, in-session support, and post-session integration within real-world esketamine programs. Full article

Cardiac pacing has undergone a significant transformation in the last decade. Leadless pacing (LP), once only a conceptual idea stemming from the early interest in eliminating lead-related complications of transvenous pacemakers, has now become a reality in clinical practice. Since the introduction of the first human single-chamber asynchronous leadless ventricular pacing in 2012, atrioventricular-synchronized single- or dual-chamber leadless pacing systems have been approved for clinical use since 2020. Leadless cardiac resynchronization therapy (CRT) has shown optimistic results in case series and awaits its full utility in real-world clinical practice. With the successful feasibility study of leadless conduction system pacing, we are eagerly awaiting long-term safety and efficacy data on a large scale. Another important frontier is the development of self-rechargeable LP, which may be an ideal pacemaker for the future and may reduce the burden of multiple device replacements as batteries near the end-of-service. Totally extravascular percutaneous leadless pericardial micro-pacemaker system implantation is under development. In this state-of-the-art review, we examine the evolution of cardiac pacing, emphasizing the development and utility of LP to meet maximum physiological pacing needs, optimize atrioventricular synchrony and cardiac resynchronization, and broaden its indications. Full article

The manufacturing process of ordinary Portland cement (OPC) is highly resource-intensive and significantly contributes to global CO₂ emissions, thereby exacerbating global warming. In this context, researchers are progressively adopting geopolymer concrete owing to its environmentally friendly production process. However, cracks in OPC and geopolymer concrete structures can substantially reduce their lifespan by exposing reinforcement to the external environment, resulting in concrete deterioration. To mitigate these issues, the self-healing capability of concrete presents an innovative solution to restore structural integrity and minimise maintenance costs. This research delineates various healing techniques and their efficacy for geopolymer concrete, including crystalline admixture, fibres, bacteria, and enzymes. This study primarily examines geopolymer compositions to assess the self-healing efficiency of different healing agents. As many healing agents, including crystalline admixtures and enzyme-based systems, were originally developed for OPC-based concrete and remain underexplored in geopolymers, parallel investigations on OPC systems are also conducted to enable a comparative understanding of the underlying healing mechanisms. The current state of research indicates that crystalline admixture was unable to facilitate crack healing within the geopolymer matrix unless an additional 10% Ca(OH)₂ was incorporated into the binder. The inclusion of fibres embedded with healing agents markedly improved the healing efficiency, achieving a crack width of up to 800 µm when utilised with natural fibres and bacteria. The integration of an optimal quantity of various healing agents enhances the compressive, split tensile, and flexural strength of the concrete. The optimal dosages for the crystalline admixture ranged from 1% to 1.5% by weight of the binder, while the concentration of bacteria ranged from 10⁵ to 10⁷ cells/mL. Furthermore, this review delineates the practical applications and limitations of various healing agents. By integrating appropriate healing agents into geopolymer concrete, this research aims to advance a sustainable approach to durable infrastructure. Full article