Search Results (221)

Objective: This study aimed to explore the unmet palliative care needs among young and middle-aged (YMA) Chinese patients with advanced cancer. Methods: We used the principle of maximum difference. A total of 16 YMA patients with advanced cancer from cancer hospital were recruited. Semi-structured, in-depth, and face-to-face interviews were conducted from 28 August 2023 to 23 October 2023. The recorded audio of each interview was typed into Word software with each personal code. The interview transcripts were coded using the method of inductive content analysis. Results: Four themes and 14 sub-themes were identified in participants’ descriptions of care needs: (1) symptom management needs: need for pain relief, need for anti-emetics, and need for aid in managing fatigue; (2) psychological support needs: help reducing fear of pain, help achieving a better death, and help with parents’ negative reactions; (3) social support needs: taking care of children, emotional support from family members, consultation and emotional support from other cancer patients, and company and guidance of healthcare personnel; (4) information needs: better understanding of disease trajectory and future care needs, better access to palliative care information, and more participation in medical decision-making. Conclusions: According to the results of this study, the unmet palliative care needs of YMA patients with advanced cancer are diverse, but they have not been fully recognized and met. Therefore, medical staff should develop effective management strategies and explore patients’ needs in an all-around way. Future studies will further develop the scale of unmet needs for palliative care to accurately identify needs and improve patients’ quality of life. Full article

Morphological analysis is the fundamental and preliminary task for Natural Language Processing (NLP) applications, which involve speech and language. Kannada is a low-resource language belonging to the Dravidian language family, which is highly agglutinative and morphologically rich in nature, where dataset development is happening rapidly due to the increasing demands of NLP tools. This study presents a hybrid approach that integrates rule-based and Transformer-based techniques, aiming to maximize their strengths while minimizing the respective limitations. In the Kannada language, the analysis of inflections has been challenging due to morphological richness, and to address this issue, 85 paradigms are created using Lttoolbox of Apertium. Further, a Transformer model is trained with the generated nominal data to generate the morphological analysis for the out-of-vocabulary inflections. The hybrid approach can be easily extended to new words as they are added to the dictionary. The obtained results are on a test set for inflections in Kannada precision: 0.924; recall: 0.925; and F1 score: 0.925. The main contributions include rule extraction for paradigm design at the word level, morphological analysis for nouns, verbs, adjectives, pronouns, and indeclinables on a benchmark dataset and morphological analysis generation using the Transformer architecture. Full article

Measures of sexual orientation and family functioning are widely used among sexual minority populations. However, data on whether these measures are culturally syntonic and responsive to the needs of a particular population, such as Hispanic sexual minority youth (HSMY), are lacking. Therefore, this study assessed whether HSMY understand measures of sexual orientation and family functioning as intended. Authors conducted individual interviews with five HSMY to evaluate the face validity of a measure of sexual orientation (i.e., Klein Sexual Orientation Grid) and measures of family functioning (i.e., Parent–Adolescent Communication Scale, Parenting Practices Scale, Parental Monitoring of Peers). Data were analyzed using a general inductive approach. For the sexual orientation measure, five themes were identified related to the: (1) clarity of questions, (2) challenging nature of questions, (3) difficulty of responses, (4) suggestions to improve response options, and (5) need for questions to include gender identity. For family functioning, three themes were identified: (1) relevance of the measures to sexual minority youth, (2) the importance of understanding family history and cultural context, and (3) capturing the context of how sexual minority status and disclosure impact family functioning. HSMY had generally positive feedback regarding these measures; however, they also suggested specific changes associated with wording and specificity of the measures to make them more relevant to HSMY’s unique needs. Full article

Culinary heritage is central to preserving cultural identity. The present study analyses the content of culinary notebooks from 1946 and 1947 using large language models (LLMs) and a dedicated AI plugin, Linguistic Insight (LI-AI). The general goal was to analyse content in Granny Josie’s Notebooks (the BaJa corpus) with AI tools. The specific objective was to create and test a dedicated analytical tool, an LI-AI ChatGPT plugin for the in-depth analysis of the BaJa corpus, focusing on ingredients, techniques, and recipes. LI-AI identified keywords and main themes in the large textual dataset. It then visualised them as word clouds. Compared to manual tools, LI-AI’s semantic analysis was more precise and comprehensive. This study contributes to the analysis of historical culinary practices in post-war Poland, revealing that cooking had not only a pragmatic role but also a symbolic one as it supported social and family bonds. This finding was not evident in the word clouds. Instead, it emerged from an in-depth semantic analysis. This study has confirmed the practical value of LLMs in historical text interpretation. It also established that the parallel use of AI and manual tools is advisable for a fuller analysis of textual data. Full article

Children with onco-hematological diseases require intensive medical treatments that can affect various aspects of their development. In addition to the disease itself, what influences the course of development most are the neurotoxic effects of therapies and frequent hospitalizations, especially if they occur in the first three years of the child’s life. Among these challenges there is the potential for language delay, a condition that can impact their communication abilities and overall development. Background/Objectives: The aim of this study is to examine communicative and linguistic development in a small group of young children diagnosed with different forms of leukemia, rhabdomyosarcoma, and CNS tumors, recruited through the Hematology–Oncology Clinic of the Department of Child and Woman Health (University of Padova). Methods: Child direct (Griffiths III, PinG, PCGO) and parent indirect assessments (PVB, ABAS-II, ASCB) were provided. Results: Griffiths communication subscale scores in children were mainly below average (55.6%), and 44.4% attested at the clinical level in ABAS-II, with the ability to understand being significantly higher than the production of words. However, the two levels of assertiveness–responsiveness obtained balance in 66.7% of cases, and using the Griffiths personal subscale, only 22.2% of children attested below average. Conclusions: Understanding and addressing children’s communication needs is crucial to improve the quality of life of these young patients and foster optimal communicative and linguistic development despite the obstacles they face in order to implement interventions designed specifically for this type of population and their respective families, if necessary. Full article

This study investigates the impact of family socio-economic status on children’s bilingual oral language and reading abilities. The participants were 92 Arabic–English bilingual children (Mean_age = 8.52 years old) in Grade 3 of primary schools and their parents in the United Arab Emirates. A correlational research design was used. The children completed several bilingual oral language and reading tests, and their parents filled in the family background questionnaire. The results of general regression show that mothers’ education level and family income affected children’s English, but not Arabic, oral language and word reading abilities. Family income was a significant predictor of children’s English oral language skills, and mothers’ education level contributed to children’s English word reading. However, fathers’ education level did not predict children’s bilingual abilities. The contextual influence on children’s language and literacy development is discussed. Full article

Background and Objective. The significance of microRNAs (miRNAs) in relation to neoplastic diseases; such as renal carcinoma carcinoma (RCC); has been brought to light by recent studies. Analyzing the main urinary miRNAs implicated in RCC and their potential diagnostic use was the goal of this systematic review of the literature. Methods. This systematic review was performed following the PROSPERO protocol CRD42024550716. Our literature search strategies were deciding which database to include (Pubmed; EMBASE and Clinicaltrial.gov) and composing strings with words related to urinary miRNA in patients with RCC. Key findings and limitations. After screening; 10 papers were included from the 593 records that the systematic review found. No miRNA was investigated in more than one paper by different authors. The miR-210 and let-7 family were the most investigated and resulted upregulated in RCC cases compared to controls. Five papers reported different expression of miRNAs in urine samples before and after surgery: miR-15a; miR-34a-5p; miR-200a-3p; miR-205-5p; miR-210; miR-210-3p; miR-365a-3p and let-7d-5p levels decreased after nephrectomy. Meta-analysis was not performed since the included studies were heterogeneous; in terms of studied miRNA; of the normalizer used during stabilization phase; and histologic type of RCC (clear cell RCC; papillary RCC; unspecified RCC). Conclusions. Considering the variability and heterogeneity of the obtained results; as well as the vastness of the topic; expanding research in this field appears highly promising. To support further advancements; it would be useful to establish a database that consolidates international findings. Full article

Although the opening series of Bridgerton, a nineteenth-century mixed romance, was celebrated for the casting of Black characters, its use of white–Black inter-marriage is part of UK–US storytelling traditions that treat mixed relationships as worthy of screentime only if they involve a white person—what Derrick Bell in 1980 coined as ‘interest convergence’: when Black people are only allowed to progress with the interests of white peoples. Discussing Bridgerton as part of a wider anti-Black brand of Equality, Diversity, and Inclusion [EDI], this paper argues that the way its Black characters are used and abused on screen is like a digital lynching. Here, white characters use Black people (i.e., to give them children) while simultaneously keeping them mentally dependent on the white family. While there is not a physical death, the place of Black partners in this so-called alt-London is nothing short of a zombification of Black humans. Additionally, this paper encourages readers to think about how the near-exclusive use of white-centring mixed love as representative of all mixed romance is racist. In other words, even in fantasy, Black men are written out of Blackness, forced to take on the culture of their partner. As this “fantasy” occurs in a world “made white” by colonialism, characters like Simon Bassett and Marina Thompson do not “pass” for white, but their world is one where few “see” colour except when Black folks upset white spaces. Those who choose not to “see” are most in fear of losing power, as novelist Toni Morrison writes in Playing in the Dark: Whiteness and the Literary Imagination “it requires hard work not to see”. Full article

The prevalence of non-executable malware is on the rise, presenting a major threat to users, including major public institutions and corporations. While extensive research has been conducted on detecting malware threats, there is a noticeable gap in studying document-type malware compared with executable files. The proposed model will solve this gap by detecting and classifying document-type malware families using script codes, including tags, to write documents and script languages to execute malicious functions. These script codes offer insights into how the malware was constructed and operates on the victim’s system. Additionally, we leverage language models in our approach. Initially, we develop MalCode2Vec to learn associations between source codes and represent them as numeric vectors. Subsequently, we design a Transformer-based model for document malware detection and family classification. Detection is conducted at both the stream and file levels. To solve the class imbalance issue in the malware family, we utilize a generative adversarial network to generate malware samples. Our experimental domain focuses on the Hangul (Korean) word processor, a tool notably used by North Korea in targeting the South Korean government. Full article

Educational leadership plays a pivotal role in fostering effective home reading practices for families with children in kindergarten to Grade 2. This study examines the literacy environments of 135 families across four schools and includes in-depth interviews with 20 parents to identify key challenges in early reading development. The findings reveal that many parents struggle with supporting their children in decoding unfamiliar words, establishing consistent reading habits, and understanding the reading acquisition process. The research highlights the need for targeted guidance and structured strategies to enhance home literacy practices. School leaders and educators are essential in bridging the gap between classroom instruction and home reading support. By strengthening family–school partnerships, enhancing parental engagement, and implementing sustainable systems, educational leaders can empower families and improve early reading outcomes. This study provides practical recommendations for school leaders and administrators to create environments that support collaborative reading efforts, ensuring that children receive the necessary reinforcement both in school and at home. Full article

Background and Objective: Primary Progressive Aphasias (PPAs) are rare neurodegenerative disorders classified within frontotemporal lobar degeneration (FTLD) and typically manifest between 45 and 70 years of age. In Mexico—and many other countries—reliable epidemiological data are lacking; however, estimates suggest that PPA accounts for 0.5–2.5% of neurodegenerative disease cases in Memory Clinics, with an incidence of approximately 1 per 100,000 and an average survival of 8 years. This review aims to provide clinicians with an overview of PPA’s epidemiology, clinical features, and classification, thereby enhancing understanding of its subtypes and distinguishing characteristics from other aphasic conditions, such as vascular aphasia. Methods: This narrative review was conducted through a literature search using databases such as PubMed and Scopus. Relevant studies addressing the epidemiology, clinical presentation, and classification of PPA were identified, selected, and synthesized to offer a broad, clinically oriented overview of the condition. This approach was chosen to inform clinical practice and highlight the need for further targeted investigations, such as future systematic reviews focusing on specific aspects like therapeutic strategies. Key Contents and Findings: (a) Epidemiology: PPA is estimated to affect 0.5–2.5% of patients with neurodegenerative diseases in Memory Clinics, with an incidence of roughly 1 per 100,000. Average survival time is around 8 years (ranging from 3 to 17 years), with a generally balanced gender ratio, though some studies indicate a predominance of men. A positive family history is observed in 20–40% of cases, with about 10% following an autosomal dominant inheritance pattern. (b) Clinical Characteristics and Classification: PPA is marked by a gradual decline in language abilities, differentiating it from vascular aphasias. Subtypes include non-fluent forms (non-fluent progressive aphasia [nfPPA] and logopenic progressive aphasia [lPPA]), fluent forms (progressive fluent aphasia [PFA] and semantic dementia [SD]), and mixed forms (progressive mixed aphasia [PMA]). The neurodegenerative process in PPA extends beyond vascular boundaries, often resulting in presentations that deviate from classical Broca’s and Wernicke’s aphasias. Common symptoms include difficulties in word finding and naming, sometimes mistaken for memory loss, and, in the case of semantic dementia, personality changes that may go unnoticed by the patient. Conclusions: PPA is a heterogeneous and complex group of neurodegenerative disorders with significant clinical variability and a profound impact on patients and their families. While current epidemiological data are limited, this review emphasizes the need for further research to better delineate disease progression and refine diagnostic and therapeutic approaches. Future systematic reviews will be essential to address specific aspects of PPA, such as treatment strategies, to further improve patient care. Full article

The epistle to the Ephesians, like other Christian texts, teaches that life in the new creation, although not yet fully manifest, is already powerfully and sufficiently available to the church. However, this epistle uniquely has the predominant description of this new life in terms of entering into the household, or family, of God. Ephesians 1–5 makes this evident in the specific use of family language, the clustering of certain word groups (such as terms associated with wrath and peace), and the connection between promise and inheritance. This paper focuses on the instructions to children and fathers (Eph 6:1–4), showing that the teaching on the church in familial terms as the locus of the new creation is intended to be the basis for the way children and fathers are commanded to live their new life in their families. The description of the church contrasts with that of those outside the church, indicating that Christians are adopted children of God the Father, while those outside are “sons of disobedience” (2:2) and “children of wrath” (2:3). The instructions for children to be obedient and for fathers not to provoke their children to anger are best understood in this context. Full article

This study analyzes the decision making that underlies the choice of terms we use to refer to companion animals. Three focus groups were developed, including participants from different demographic backgrounds who answered questions about their experience cohabitating with companion animals. The interviews were transcribed and analyzed using Thematic Analysis, carrying out a progressive refinement of the semantic contents until abstracting general themes. This study organizes the results based on three themes: (1) What you mean to me, contemplating human–animal relationships such as multispecies family, pet–owner relationship, human-like relationship, and objectivization; (2) Others’ surveillance, encompassing the role of social pressure in decision making; and (3) A good solution (here and now), focused on the strategic decisions made to balance the prior questions. The analysis shows that companion animals are usually considered part of the family, but that importance is not always freely communicated outside of the household. Often, participants try to nuance the importance of their companion animals, mask this relationship behind jokes, or tend to isolate themselves to avoid hostile social attention. These findings show the dilemmas faced by people who live with animals and point to the urgency of revising hegemonic discourses to improve the integration of these new family models in Spanish society. Full article

Interdisciplinary knowledge flow provides methodological and theoretical support for solving complex problems in higher education. Based on Darcy’s law, this study constructs a three-dimensional analysis framework for knowledge slope, knowledge stickiness, and flow medium, and combines it with bibliometric methods to analyze key words, references, and other information in 10 journals in JCR 1 or 2 higher education research (HER) fields from 2000 to 2022, so as to explore the characteristics and mechanisms of interdisciplinary knowledge flow in HER. The results show that, in the process of interdisciplinary knowledge flow in HER, the spillover amount of knowledge exchange between HER and other disciplines/fields is less than the absorption amount, and the direction of knowledge flow is knowledge-importing. The phenomenon of reciprocal assimilation between HER and other disciplines/fields is significant, and the knowledge network shows the characteristics of family resemblance. Interdisciplinary knowledge flow in HER is influenced by three factors, among which knowledge slope plays a promoting role, knowledge stickiness plays a hindering role, and the flow medium has a gatekeeper effect in the process. Full article

The complexity characteristics of texts written in natural languages are significantly related to the rules of punctuation. In particular, the distances between punctuation marks measured by the number of words quite universally follow the family of Weibull distributions known from survival analyses. However, the values of two parameters marking specific forms of these distributions distinguish specific languages. This is such a strong constraint that the punctuation distributions of texts translated from the original language into another adopt quantitative characteristics of the target language. All these changes take place within Weibull distributions such that the corresponding hazard functions are always increasing. Recent previous research shows that James Joyce’s famous novel Finnegans Wake is subject to such an extreme distribution from the Weibull family that the corresponding hazard function is clearly decreasing. At the same time, the distances of sentence-ending punctuation marks, determining the sentence length variability, have an almost perfect multifractal organization to an extent found nowhere else in the literature thus far. In the present contribution, based on several available translations (Dutch, French, German, Polish, and Russian) of Finnegans Wake, it is shown that the punctuation characteristics of this work remain largely translation-invariant, contrary to the common cases. These observations may constitute further evidence that Finnegans Wake is a translinguistic work in this respect as well, in line with Joyce’s original intention. Full article