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21 pages, 1372 KB  
Review
Creative Airs: Using Art to Raise Awareness About Particulate Matter Pollution
by Jeiser Rendón Giraldo, Henry Alonso Colorado Lopera, David Aguiar Gil and Mauricio Andrés Correa Ochoa
Sustainability 2025, 17(18), 8143; https://doi.org/10.3390/su17188143 - 10 Sep 2025
Viewed by 447
Abstract
This scoping review examines how art has been used as an educational and awareness-raising strategy against particulate matter (PM) pollution. PRISMA-ScR guidelines and the SPIDER framework were applied to structure a search of the Scopus and ScienceDirect databases, identifying 19 studies exploring diverse [...] Read more.
This scoping review examines how art has been used as an educational and awareness-raising strategy against particulate matter (PM) pollution. PRISMA-ScR guidelines and the SPIDER framework were applied to structure a search of the Scopus and ScienceDirect databases, identifying 19 studies exploring diverse forms of artistic expression linked to environmental awareness. The documented interventions include immersive installations, participatory theater, murals, music, photography, eco-art design, poetry, and self-published publications (zines), encompassing experiences in urban contexts in Europe, the Americas, Asia, Africa, and Oceania. These artistic practices were aimed at diverse audiences—from vulnerable communities and schoolchildren to citizens in public spaces—and acted as mediators between scientific knowledge and social perceptions of environmental risk. The results show that art enhances ecological literacy, stimulates citizen participation, and contributes to the construction of effective and collective responses to the invisible effects of PM. This review highlights the value of art as a channel for integrating knowledge, generating critical awareness, and supporting innovative educational strategies in the face of complex environmental challenges. Full article
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14 pages, 741 KB  
Article
Acceptability Among Healthcare Providers of In Situ, Low-Dose, High-Frequency Neonatal Resuscitation Simulation Training Using Innovative Tools: Evidence from the Safer Births Bundle of Care
by Florence Salvatory Kalabamu, Vickfarajaeli Daudi, Robert Deogratias Moshiro, Dunstan R. Bishanga, Benjamin Kamala, Paschal Mdoe, Hege Ersdal and Rose Mpembeni
Children 2025, 12(9), 1150; https://doi.org/10.3390/children12091150 - 29 Aug 2025
Viewed by 605
Abstract
Introduction: Newborn mortality is unacceptably high, especially in low- and middle-income countries. The Safer Births Bundle of Care (SBBC) was implemented in Tanzania, including training of healthcare workers on neonatal resuscitation by means of frequent in situ simulation training using improved training [...] Read more.
Introduction: Newborn mortality is unacceptably high, especially in low- and middle-income countries. The Safer Births Bundle of Care (SBBC) was implemented in Tanzania, including training of healthcare workers on neonatal resuscitation by means of frequent in situ simulation training using improved training tools. We aimed to assess the acceptability of this training model among healthcare providers in selected health facilities under SBBC intervention. Methods: A cross-sectional study was conducted among healthcare workers in labor wards and obstetric theaters in selected facilities one year after the introduction of the SBBC model. The theoretical framework for assessment of the acceptability of healthcare interventions was used to assess the acceptability of the training model and accompanying tools. The chi-square test was used to assess the association between acceptability in specific constructs and average individual practice per month, while a modified Poisson regression analysis was used to assess factors associated with acceptability in specific framework constructs. Results: A total of 227 healthcare workers were enrolled in the study. Overall, 223 (98.2%) accepted the intervention. However, 207 (91.2%) reported that the intervention increased their work burden, while 39 (17.2%) reported that it interfered with other equally important activities. The level of health facility was independently associated with the reporting that engaging in simulation practice interfered with other equally important activities. Conclusions: In situ, low-dose, high-frequency facility-based simulation training for neonatal resuscitation was highly acceptable among healthcare providers. However, the perceived increased work burden of this intervention and interference with other equally important activities were identified as potential threats to successful implementation. Full article
(This article belongs to the Section Pediatric Neonatology)
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21 pages, 329 KB  
Article
Digital Drama-Based Interventions in Emergency Remote Teaching: Enhancing Bilingual Literacy and Psychosocial Support During Polycrisis
by Konstantinos Mastrothanasis, Emmanouil Pikoulis, Maria Kladaki, Anastasia Pikouli, Evika Karamagioli and Despoina Papantoniou
Psychol. Int. 2025, 7(2), 53; https://doi.org/10.3390/psycholint7020053 - 13 Jun 2025
Cited by 2 | Viewed by 1830
Abstract
The COVID-19 pandemic necessitated an urgent shift to emergency remote learning, significantly affecting the education of bilingual students. This study examines the use of technology-enhanced drama-based methods, specifically digital Readers Theater, as an emergency measure to enhance reading literacy and psychosocial support during [...] Read more.
The COVID-19 pandemic necessitated an urgent shift to emergency remote learning, significantly affecting the education of bilingual students. This study examines the use of technology-enhanced drama-based methods, specifically digital Readers Theater, as an emergency measure to enhance reading literacy and psychosocial support during the pandemic amid multiple concurrent crises. Using an action research approach, 37 Greek teachers implemented remote literacy activities involving digital drama in their virtual classrooms over a period of four weeks. Data were collected from semi-structured interviews, teachers’ reflective journals, and student participation and were analyzed through Ajzen’s Theory of Planned Behavior. The findings indicate that, despite technological challenges and adaptation difficulties, the creative use of digital drama activities contributed to improvements in students’ reading skills, motivation, and engagement. The intervention also fostered students’ emotional expression and social connection, contributing to their psychosocial support during the disruption. This study highlights the dual role of technology as both an enabler and a barrier, emphasizing the need for better digital infrastructure and comprehensive teacher training for effective emergency response. The results stress the value of technology-supported, arts-based approaches in maintaining student engagement and promoting bilingual literacy in crisis contexts. These findings provide useful guidance for teachers and school leaders on how to support students’ learning and well-being, both during crises and in everyday practice. Full article
15 pages, 790 KB  
Review
Global Communication Practices and Their Impact on Patient Caregivers’ Satisfaction in the Surgical Waiting Area: A Scoping Review
by Dnyata Dhanajirao Pandit, Sai Bhavana, Anitha Nileshwar, Latha T, Kirthinath Ballala, Elstin Anbu Raj, Somu G and Rajesh Kamath
Healthcare 2025, 13(12), 1408; https://doi.org/10.3390/healthcare13121408 - 12 Jun 2025
Viewed by 1428
Abstract
Background/Objectives: Effective communication between healthcare professionals and patient caregivers is paramount in the surgical waiting area, particularly during periods of heightened stress and emotional vulnerability. Globally, communication practices exhibit considerable variability, from traditional face-to-face interactions to integrating advanced digital technologies. Despite innovations, a [...] Read more.
Background/Objectives: Effective communication between healthcare professionals and patient caregivers is paramount in the surgical waiting area, particularly during periods of heightened stress and emotional vulnerability. Globally, communication practices exhibit considerable variability, from traditional face-to-face interactions to integrating advanced digital technologies. Despite innovations, a comprehensive understanding of the impact of diverse communication strategies on patient caregiver satisfaction remains underdeveloped. This scoping review was designed to systematically map the existing literature on healthcare communication practices and identify strategies that may influence satisfaction among patient caregivers. Methods: A thorough search of multiple databases—Scopus, PubMed, CINAHL, Embase, ProQuest, Web of Science, the Cochrane Library, and clinical trial registries—was conducted. Only studies published in English or those for which an English full text was accessible were included. Eligible studies were those undertaken in hospital settings, including operating theaters, surgical units, surgical waiting areas, postoperative intensive care units, emergency departments, and other clinical areas focusing on patient caregivers. The review adhered to the methodological framework recommended by the Joanna Briggs Institute for scoping reviews and was reported following the most recent PRISMA-ScR guidelines. Results: Ultimately, five studies met the inclusion criteria. The selection process involved a structured search utilizing Medical Subject Headings (MeSH), keywords, and index terms, supplemented by manual reference list screening. Initial screening was performed based on titles and abstracts, followed by full-text evaluation using a standardized selection form. Data extraction focused on the communication methods, study designs, and outcomes related to patient caregiver satisfaction. The findings are synthesized narratively and presented through tables and figures, offering a comprehensive overview of global communication practices and their influence on patient caregiver satisfaction in surgical environments. Across the five included studies, digital communication interventions such as SMS, mobile apps, or video updates reported improved patient caregiver satisfaction (e.g., 70.8% in Canada and 97% in Switzerland) and also reduced patient caregiver anxiety (e.g., STAI score ≥ 44) in 74.2% of Ethiopian patient caregivers. Worldwide evidence highlights the practical importance of tailored digital communication practices to support providing timely and accessible information to patient caregivers, while also revealing gaps linked to insurance status, digital literacy, and various communication approaches in healthcare systems. Conclusions: The five studies included showed considerable variation in communication practices across surgical settings. The main findings reveal that structured, timely, and transparent communication, mainly via digital tools such as SMS updates and mobile applications, enhanced patient caregiver satisfaction and alleviated their emotional distress too. Nevertheless, gaps were identified in postoperative communication, and challenges, such as technological accessibility, digital literacy skills of patient caregivers, and inconsistent methods for measuring satisfaction outcomes, were noted across studies. This scoping review identified the different types of healthcare communication practices adopted globally in surgical care settings and also demonstrated their influence on patient caregiver satisfaction. Traditional and digital communication practices both have their significant impact on patient caregiver experiences in surgical healthcare settings, focusing more on timely and consistent real-time updates and culturally sensitive information. Addressing the existing communication gaps and having tailored communication approaches to specific contexts may lead to improved patient caregiver support and surgical outcomes. Full article
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18 pages, 266 KB  
Article
To Blanch an Ethiop: Motifs of Blackness in The Tempest and Ben Jonson’s Masque of Blackness
by Christina Lynn Gutierrez-Dennehy
Humanities 2025, 14(6), 115; https://doi.org/10.3390/h14060115 - 29 May 2025
Viewed by 546
Abstract
In the period between 2021 and 2022 immediately following the COVID-19 lockdowns, there were 37 professional or academic productions of The Tempest in the United States. The play was by far the most produced of Shakespeare’s works in this timespan, and those 37 [...] Read more.
In the period between 2021 and 2022 immediately following the COVID-19 lockdowns, there were 37 professional or academic productions of The Tempest in the United States. The play was by far the most produced of Shakespeare’s works in this timespan, and those 37 productions represent a 280% increase compared to 2019, in which there were 13 such productions. Considering The Tempest’s hyper-popularity within the context of the Black Lives Matter Movement and the birth of We See You White American Theatre’s calls for reform in 2020, this paper seeks to understand anew the way in which Shakespeare constructs blackness in the play. Indeed for all of its beauty and magic, The Tempest stages a violent anti-blackness in its treatment of Caliban. In particular, I argue an unexplored connection between The Tempest and Ben Jonson’s 1605 court masque, The Masque of Blackness, itself an exploration of the construction of race for a particular early modern audience. My exploration here began as a partial answer to a question posed by Robin Alfriend Kello: “how do you balance [an] attraction to the richness of Shakespearian verse against these layered histories of racial violence and exclusion?” A deeper understanding of Shakespeare’s version of blackness may grant insights into areas of intervention for those theaters reaching for The Tempest amidst national calls for anti-racist theatrical work. Full article
20 pages, 2958 KB  
Article
Advanced Assessment of Oxidative Stress and Inflammation in Military Personnel: Development of a Novel IIRPM Score Using Artificial Intelligence
by Florina-Diana Mihai, Emil-Tiberius Trasca, Patricia-Mihaela Radulescu, Razvan Mercut, Elena-Irina Caluianu, Eleonora Daniela Ciupeanu-Calugaru, Dan Marian Calafeteanu, Georgiana-Andreea Marinescu, Suzana Danoiu and Dumitru Radulescu
Diagnostics 2025, 15(7), 832; https://doi.org/10.3390/diagnostics15070832 - 25 Mar 2025
Cited by 1 | Viewed by 828
Abstract
Background/Objectives: The health of military personnel in modern operational settings is critical for sustaining defense readiness. Extended exposure to extreme conditions can cause oxidative stress and systemic inflammation, potentially affecting performance. To address this problem, we developed an innovative diagnostic tool, the Post-Mission [...] Read more.
Background/Objectives: The health of military personnel in modern operational settings is critical for sustaining defense readiness. Extended exposure to extreme conditions can cause oxidative stress and systemic inflammation, potentially affecting performance. To address this problem, we developed an innovative diagnostic tool, the Post-Mission Integrated Risk Index (IIRPM), which integrates hematologic markers with key clinical variables. A novel aspect of the approach is the incorporation of ΔNLR, thus quantifying the change in the neutrophil-to-lymphocyte ratio measured before and after deployment, thereby providing a sensitive indicator of the inflammatory impact of operational stress. Methods: In this retrospective study, we analyzed comprehensive clinical and biological data from 443 military personnel over a ten-year period, with measurements taken before and after missions. We applied robust statistical techniques, including paired t-tests and Pearson correlation analyses, to assess variations in hematologic and metabolic parameters. Data segmentation was performed using Gaussian mixture models, and the predictive performance of the resulting model was validated with a multi-layer perceptron (MLP) neural network. Results: The analysis revealed significant post-mission increases in both the baseline NLR and ΔNLR, accompanied by notable shifts in metabolic markers. Data segmentation identified three distinct profiles: a reference profile characterized by stable immunologic parameters, an acute inflammatory response profile, and a proinflammatory metabolic profile marked by elevated cholesterol levels and higher mean age. Remarkably, the MLP model achieved 100% accuracy on the test set, with an average cross-validation accuracy of 97%. Conclusions: The IIRPM—which incorporates ΔNLR, age, mission duration, and cholesterol levels—offers a novel strategy to assess inflammatory risk among military personnel, thus facilitating personalized preventive interventions. Further validation in multicenter and longitudinal studies is anticipated to consolidate the clinical utility of this tool, ultimately fostering a more adaptive approach in military medicine to address the complex challenges of modern operational theaters. Full article
(This article belongs to the Special Issue Artificial Intelligence for Health and Medicine)
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13 pages, 1651 KB  
Article
Evaluation of Non-Invasive Hemoglobin Monitoring in Perioperative Patients: A Retrospective Study of the Rad-67TM (Masimo)
by Philipp Helmer, Andreas Steinisch, Sebastian Hottenrott, Tobias Schlesinger, Michael Sammeth, Patrick Meybohm and Peter Kranke
Diagnostics 2025, 15(2), 128; https://doi.org/10.3390/diagnostics15020128 - 8 Jan 2025
Cited by 2 | Viewed by 2294
Abstract
Background: Hemoglobin (Hb) is a crucial parameter in perioperative care due to its essential role for oxygen transport and tissue oxygenation. Accurate Hb monitoring allows for timely interventions to address perioperative anemia and, thus, prevent morbidity and mortality. Traditional Hb measurements rely [...] Read more.
Background: Hemoglobin (Hb) is a crucial parameter in perioperative care due to its essential role for oxygen transport and tissue oxygenation. Accurate Hb monitoring allows for timely interventions to address perioperative anemia and, thus, prevent morbidity and mortality. Traditional Hb measurements rely on invasive blood sampling, which significantly contributes to iatrogenic anemia and poses discomfort and increased infection risks. The advent of non-invasive devices like Masimo’s Rad-67™, which measures Hb using pulse CO-oximetry (SpHb), offers a promising alternative. This study evaluates the accuracy of SpHb compared to clinical standard blood gas analysis (BGA) in perioperative patients. Methods: This retrospective study analyzed 335 paired Hb measurements with an interval <15 min between SpHb and BGA in the operating theater and post-anesthesia care unit of a university hospital. Patients experiencing hemodynamic instability, acute bleeding, or critical care were excluded. Statistical analysis included Bland–Altman plots and Pearson correlation coefficients (PCCs) to assess the agreement between SpHb and BGA. Potential confounders, e.g., patient age, skin temperature, sex, perfusion index (PI), and atrial fibrillation, were also analyzed. Results: The bias of the SpHb compared to BGA according to Bland–Altman was 0.00 g/dL, with limits of agreement ranging from −2.70 to 2.45 g/dL. A strong correlation was observed (r = 0.79). Overall, 57.6% of the paired measurements showed a deviation between the two methods of ≤±1 g/dL; however, this applied to only 33.3% of the anemic patients. Modified Clark’s Error Grid analysis showed 85.4% of values fell within clinically acceptable limits. Sex was found to have a statistically significant, but not clinically relevant, effect on accuracy (p = 0.02). Conclusions: The Rad-67TM demonstrates reasonable accuracy for non-invasive SpHb, but exhibits significant discrepancies in anemic patients with overestimating low values. While it offers potential for reducing iatrogenic blood loss, SpHb so far should not replace BGA in critical clinical decision-making. Full article
(This article belongs to the Special Issue Wearable Sensors for Health Monitoring and Diagnostics)
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17 pages, 1762 KB  
Article
Indoor Air Quality in an Orthopedic Hospital from Romania
by Flaviu Moldovan and Liviu Moldovan
Toxics 2024, 12(11), 815; https://doi.org/10.3390/toxics12110815 - 13 Nov 2024
Cited by 3 | Viewed by 1359
Abstract
Inside hospitals, there is a trend of increasing levels of air pollutants. However, only the indoor air quality in operating theaters is carefully monitored. Therefore, we set the goal of this study to evaluate the indoor air quality in areas of an orthopedics [...] Read more.
Inside hospitals, there is a trend of increasing levels of air pollutants. However, only the indoor air quality in operating theaters is carefully monitored. Therefore, we set the goal of this study to evaluate the indoor air quality in areas of an orthopedics department and to compare the indoor air quality indices that characterize these areas. We used a monitoring system based on the Internet of Things with uRADMonitor model A3 sensors, with which we prospectively measured indoor air quality in the facilities of the orthopedic emergency hospital of Targu Mures in Romania, between 1 February 2023, and 31 January 2024. The primary target pollutants investigated in the emergency room, outpatient room and ward were carbon dioxide (CO2), nitrogen dioxide (NO2), volatile organic compounds (VOCs) and particles with a diameter smaller than 2.5 μm (PM2.5). We compared the effectiveness of the intervention for emergency rooms where air purifiers were working or not. The concentrations of CO2, VOCs and PM2.5 were significantly higher in the emergency room than in the outpatient room or ward. The indoor air quality was worst in winter, when the CO2, NO2 and VOC concentrations were at their highest. Air purifiers can help reduce the concentration of PM2.5 in emergency rooms. Medical staff and patients in orthopedic hospitals, especially in emergency rooms, are frequently exposed to polluted ambient air, which can affect their health. Orthopedic medical practice guidelines should address issues relating to the protection of personnel through the application of measures to improve indoor air quality. Full article
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12 pages, 1270 KB  
Article
Senior Theater Projects: Enhancing Physical Health and Reducing Depression in Older Adults
by Ayuto Kodama, Nobuko Watanabe, Hitomi Ozawa, Shinsuke Imamura, Yoko Umetsu, Manabu Sato and Hidetaka Ota
Int. J. Environ. Res. Public Health 2024, 21(10), 1289; https://doi.org/10.3390/ijerph21101289 - 26 Sep 2024
Viewed by 2505
Abstract
Background: The aim of this study was to clarify the effects of a theater training program intervention on the physical and cognitive functions in community-dwelling older people. Methods: Of the 59 participants, 30 were the control group, and 29 were the intervention group. [...] Read more.
Background: The aim of this study was to clarify the effects of a theater training program intervention on the physical and cognitive functions in community-dwelling older people. Methods: Of the 59 participants, 30 were the control group, and 29 were the intervention group. We assessed physical and mental/cognitive functions and criteria of physical frailty. Results: Statistical analysis showed that the usual walking speed (UWS) (p < 0.01), grip strength (GS) (p < 0.01), and GDS-15 (p < 0.05) improved significantly in the intervention group, whereas the Geriatric Depression Scale short-form (GDS-15) (p < 0.01) worsened significantly in the control group. Cognitive function was not significantly different between the two groups. Physical frailty was unchanged in the control group but significantly improved in the intervention group (p < 0.05), and a significant interaction was found for GDS-15 in ANOVA (F = 5.76, p < 0.05). Conclusions: The results of this study suggest that a theater intervention for the older adults may be effective in preventing and improving depression and physical frailty in old age. Full article
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18 pages, 1469 KB  
Article
Building Student Sustainability Competencies through a Trash-Practice Nudge Project: Service Learning Case Study in Kuwait
by Ali Aljamal and Mark Speece
Sustainability 2024, 16(18), 8102; https://doi.org/10.3390/su16188102 - 17 Sep 2024
Viewed by 1739
Abstract
This discussion describes an experimental behavioral economics class implemented in a service learning format. Students implemented two nudge interventions to influence public trash behavior, which is an issue throughout the Middle East/North Africa (MENA). The aim in one project was to encourage more [...] Read more.
This discussion describes an experimental behavioral economics class implemented in a service learning format. Students implemented two nudge interventions to influence public trash behavior, which is an issue throughout the Middle East/North Africa (MENA). The aim in one project was to encourage more use of trash bins in a multi-screen theater and in the other to sort plastic, glass, and paper when throwing trash in the public bins at a university. These two organizations paid the implementation costs, which were quite low, as common for most nudges. The class was co-taught by two university faculty and several personnel from governmental and UN offices responsible for building nudge capabilities in Kuwait. In each case, results in the student projects demonstrated that nudging resulted in a substantial improvement. Students gained strong competencies in applying sustainability principles to a specific problem and in carrying out a real-world project. They learned the importance of collaborating with stakeholders and got to see that their work was actually used in policy formation by the Kuwait government and the UNDP’s Kuwait office. Full article
(This article belongs to the Special Issue Transformative Pedagogies for Sustainability Competence Development)
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13 pages, 759 KB  
Article
Say Something, Do Something: Evaluating a Forum Theater Production to Activate Youth Violence Prevention Strategies in Schools
by Keon L. Gilbert, Elizabeth A. Baker, Karen Bain, Julia Flood and John Wolbers
Int. J. Environ. Res. Public Health 2024, 21(1), 39; https://doi.org/10.3390/ijerph21010039 - 27 Dec 2023
Cited by 2 | Viewed by 3070
Abstract
Background: Youth violence that takes place within school settings exposes youth to serious social, mental and physical consequences that affect education performance, and life opportunities. Previous work shows positive youth development frameworks can promote social-emotional learning by enhancing empathy and building problem-solving and [...] Read more.
Background: Youth violence that takes place within school settings exposes youth to serious social, mental and physical consequences that affect education performance, and life opportunities. Previous work shows positive youth development frameworks can promote social-emotional learning by enhancing empathy and building problem-solving and conflict management skills. Theater-based interventions have been shown to enhance social emotional development by privileging youth voices, and building youth capacities and strengths. The current manuscript presents the evaluation of an arts-based and public health framework conducted to assess the development, implementation and impact of a forum theater production, Say Something, Do Something (SSDS) in St. Louis, Missouri. Methods: An iterative mixed methods approach was used, starting with observations of productions. Using convenience sampling, we then conducted post interviews of the theater team (n = 8) and school personnel (n = 10). Results: Respondents highlighted that as a result of engagement of school personnel in program development, the language and scenarios presented were relevant to students. Data indicated that SSDS increased student knowledge and changed attitudes, developed student conflict management and problem-solving skills, and improved interpersonal behavior. SSDS also raised awareness of the importance of, and created the foundation for, additional system and policy changes in the schools. Conclusion and implications: Forum theater is an approach that can enhance socio-emotional learning and conflict management among youth. Collaborative initiatives between public health and the arts are poised to uniquely engage community partners, animate interventions, and impact critical public health issues including youth violence prevention. Full article
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13 pages, 912 KB  
Article
The “DrownSafe” Project: Assessing the Feasibility of a Puppet Show in Teaching Drowning Prevention to Children and Parents
by Lucía Peixoto-Pino, Roberto Barcala-Furelos, Begoña Paz-García, Cristina Varela-Casal, Miguel Lorenzo-Martínez, Adrián Gómez-Silva, Javier Rico-Díaz and Antonio Rodríguez-Núñez
Children 2024, 11(1), 19; https://doi.org/10.3390/children11010019 - 23 Dec 2023
Cited by 1 | Viewed by 2618
Abstract
Drowning remains a prominent global pediatric health concern, necessitating preventive measures such as educational initiatives for children and caregivers. In this study, we aimed to assess the feasibility and educational effectiveness of an interactive puppet show centered on teaching water safety to children [...] Read more.
Drowning remains a prominent global pediatric health concern, necessitating preventive measures such as educational initiatives for children and caregivers. In this study, we aimed to assess the feasibility and educational effectiveness of an interactive puppet show centered on teaching water safety to children and parents. A 30 min original theater performance, featuring two actors and three puppets (a girl, a crab, and a lifeguard), was conducted. Subsequently, 185 children (aged 4 to 8) and their 160 parents (134 mothers and 26 fathers) participated in this quasi-experimental study. Pre- and post-show tests were administered to evaluate knowledge and behaviors regarding aquatic environments. Prior to the puppet show, 78% of the children exhibited basic aquatic competency. Only 33% considered swimming alone risky. Following the intervention, 81.6% of the children changed their perception of the risks of solo beach activities, showing improved knowledge regarding contacting an emergency number (from 63.2% to 98.9%, p < 0.001). The intervention increased parents’ intention to visit lifeguard-patrolled beaches and improved their CPR knowledge with regard to drowning victims by 58.8%. In conclusion, a drowning prevention puppet show positively impacted children and parents, potentially enhancing safety behaviors during water-related leisure activities, warranting its consideration part of comprehensive drowning prevention strategies. Full article
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10 pages, 200 KB  
Article
Apsara Aesthetics and Belonging: On Mixed-Race Cambodian American Performance
by Tiffany J. Lytle
Genealogy 2023, 7(4), 97; https://doi.org/10.3390/genealogy7040097 - 8 Dec 2023
Viewed by 3360
Abstract
The image of the Apsara, a celestial dancer in Cambodian myth, is closely associated with Cambodian cultural preservation practices like Cambodian classical dance. The Apsara, its aesthetic features and its association with Cambodian cultural preservation have taken on new meaning in Cambodia’s diasporic [...] Read more.
The image of the Apsara, a celestial dancer in Cambodian myth, is closely associated with Cambodian cultural preservation practices like Cambodian classical dance. The Apsara, its aesthetic features and its association with Cambodian cultural preservation have taken on new meaning in Cambodia’s diasporic communities. In the diaspora, Apsara aesthetics have come to symbolize Cambodian heritage, history and identity, becoming a major feature of performances by Cambodian diasporic artists. However, orientalist expectations of Asian performers in the diaspora, paired with both the forgotten history of colonial intervention in Cambodian arts and state-sanctioned initiatives towards Cambodian nationalism, contributes to orientalist (and thus racialized) expectations of Cambodian diasporic performance. Mixed-race artists fail to fit neatly into the dominant narratives of Cambodian performance and have been marginalized by the Cambodian diasporic community’s dominant conceptions of performance that are rooted in cultural preservation. As people that sit outside of the aestheticized markers of Cambodian-ness, mixed-race artists often struggle to have their work and their subjectivities recognized by their communities. To circumvent questions of their racial legibility, mixed-race Cambodian American artists construct performances that are strategically padded with markers of Khmer identity by engaging with Apsara aesthetics. This article will explore how three different SoCal-based artists have negotiated their Cambodian American identity and cultural politics through performance and/or performance related materials (ads, images, etc.). I will be using examples from the work of music artist and violinist Chrysanthe Tan, theater practitioner Kalean Ung, and autoethnographic engagement with my own creative projects to show how examining the work of multi-racial Cambodian American performing artists can bring forth the complex dynamics of Cambodian diasporic cultural politics and belonging. Full article
13 pages, 535 KB  
Systematic Review
Theater-Based Interventions in Social Skills in Mental Health Care and Treatment for People with Autism Spectrum Disorder: A Systematic Review
by Manuel Martí-Vilar, Nuria Fernández-Gómez, Sergio Hidalgo-Fuentes, Francisco González-Sala, César Merino-Soto and Filiberto Toledano-Toledano
Sustainability 2023, 15(23), 16480; https://doi.org/10.3390/su152316480 - 1 Dec 2023
Cited by 3 | Viewed by 6784
Abstract
This study is intended to determine, from a systematic review, the importance and effectiveness of different interventions aimed at improving social skills in people with autism spectrum disorder (ASD) through theatrical techniques. For this purpose, a systematic review of the literature published from [...] Read more.
This study is intended to determine, from a systematic review, the importance and effectiveness of different interventions aimed at improving social skills in people with autism spectrum disorder (ASD) through theatrical techniques. For this purpose, a systematic review of the literature published from 2011 to 2021 in the ERIC, Web of Science, EuropePMC, PubPsych, Índices-Csic, Redalyc, Roderic, Scopus, PubMed, Scielo, and Dialnet databases was carried out, and a total of 29 articles were reviewed. The results indicate an improvement in socioemotional functioning, self-esteem, emotion management, empathy and listening, communication and social interaction, adaptive skills, as well as an increase in body awareness in people with ASD. It can be concluded that theater creates a safe environment in which people with ASD can engage with their own emotions and those of others, thereby offering a therapeutic setting in which to promote mental health in different aspects of both prevention and treatment. Full article
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10 pages, 1043 KB  
Article
Combining Minimally Invasive Direct Coronary Artery Bypass Grafting with Transapical Aortic Valve Implantation—The Next Level Heart Team Approach
by Jules Miazza, Ion Vasiloi, Luca Koechlin, Brigitta Gahl, David Santer, Denis Berdajs, Thomas Nestelberger, Christoph Kaiser, Friedrich Eckstein and Oliver Reuthebuch
J. Clin. Med. 2023, 12(21), 6890; https://doi.org/10.3390/jcm12216890 - 1 Nov 2023
Cited by 1 | Viewed by 1580
Abstract
We present the results of a combined approach for transapical aortic valve replacement and minimally invasive coronary artery bypass grafting (taTAVI-MIDCAB) in patients with combined aortic stenosis and coronary artery disease. Background: For patients presenting with aortic stenosis and coronary artery disease, a [...] Read more.
We present the results of a combined approach for transapical aortic valve replacement and minimally invasive coronary artery bypass grafting (taTAVI-MIDCAB) in patients with combined aortic stenosis and coronary artery disease. Background: For patients presenting with aortic stenosis and coronary artery disease, a simultaneous procedure addressing both diseases is recommended to reduce operative risk. In high-risk patients with hostile femoral or coronary axis, taTAVI-MIDCAB can be an alternative minimally invasive approach, offering the benefits of left interior mammary artery to left anterior descending coronary artery (LIMA-LAD) grafting. Methods: From 2014 to 2022, 10 patients underwent taTAVI-MIDCAB for combined coronary and severe aortic stenosis in the hybrid operation theater at our institution. We assessed perioperative outcomes and follow-up outcomes. Results: The median age was 83 years (81 to 86). The procedure was successfully performed in all patients without conversion to sternotomy. The median length of hospital and intensive care unit stay was 9 days (7 to 16) and 2.5 days (1 to 5), respectively. The median flow over the coronary artery bypass was 31 (22 to 44) mL/min, with a pulsatility index (PI) of 2.4 (2.1 to 3.2). Mild paravalvular leak occurred in 2 patients (10%). There were no neurological events nor acute kidney injury. Pacemaker implantation was required in 1 patient (10%). Conclusions: Simultaneous surgical coronary revascularization and interventional valve implantation in the setting of a hostile femoral and coronary axis appears to be safe and beneficial. Full article
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