Adaptation Process Research Articles

Dyadic adjustment of persons with albinism and their significant other: A Bayesian mediation model of the Actor-Partner Interdependence (APIMeM).

Limited standardized empirical research exists in France on the psychosocial implications of albinism, prompting an investigation into how affected persons adapt to their disabilities. Recent advancements in health psychology have led researchers to adopt a systemic approach, considering disabilities and involving close relatives in the adaptation process. The aim of this study was to explore the mediating role of dyadic coping within family dyads, where one is a person with albinism (PWA) and the other is a close relative. The study included 38 family dyads with each member responding individually to an online standardized protocol. Participants were recruited through convenience sampling, facilitated by a patient association (Genespoir) and professionals from medical referral centers involved in the project. Dyads with a PWA born, raised, or residing in Africa during the study were excluded. Three statistical models based on Actor-Partner Interdependence Mediation Model (APIMeM) were Bayesian-tested using weakly informative priors. Models 2 and 3 emerged as the most effective at explaining the data. Model 2 showed the mediating role of common dyadic coping between the quality of the relationship and anxiety level and suggested that PWAs tend to feel more anxious when they report high levels of shared adaptation with their close relative. Model 3 highlighted the role of albinism-related emotional impact in mediating the relationship between stigma consciousness and overall quality of life, but this was observed only among PWAs. Greater consciousness of stigma among PWAs was associated with increased emotional impact, resulting in a more impaired quality of life. Social implications of albinism seem to be crucial in dyadic adjustment to albinism. Personal perceptions and the associated stigma (i.e., ableism) linked to albinism may influence the ambivalent manner in which individuals adapt to their condition. Future studies should further investigate these intricate mechanisms, as outlined by our proposed conceptual model.

Resilience in Black/African American Partner Caregivers of Persons With Alzheimer's Disease and Related Dementias.

To explore cultural factors related to resilience among Black/African American Alzheimer's disease and related dementias (ADRD) partner caregivers. This study used a qualitative design. An adapted Resilience Framework informed the in-depth interviews with 10 Black/African American ADRD partner caregivers. Four major themes emerged: Unfolding Process of ADRD Discovery, Resilience is Multifaceted in Caregiving, Resilience is an Adaptive Process, and Cultural Heritage Shapes Caregivers' Resilience Experiences. The major themes include a total of 18 subthemes. Findings provide an in-depth understanding of how race, ethnicity, and cultural positive adaptive factors influence resilience among diverse ADRD partner caregivers. [Research in Gerontological Nursing, 18(1), 21-28.].

The Relationship Between Resilience and Mental Health Status Among Nurses With Workplace Violence Experiences: A Cross-Sectional Study.

Nurses encounter many stressors and challenges at work, which can negatively affect their mental and physical health. Modern theories of resilience suggest that resilience is a dynamic process of positive adaptation to adversity. This process involves personal growth through adversity, developing effective coping strategies and inculcating the ability to cope with stress. The resilience process involves individual characteristics, social support and environmental factors, including workplace culture. Strengthening nurses' resilience can help them cope with adversity, maintain their mental health and well-being and support their provision of care. The aim of this study was to examine the associations between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence. The study objectives were to analyse the relationships between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence and to investigate the effects of resilience on nurses' mental health outcomes. In this cross-sectional study, full-time nurses at a medical centre in Taiwan completed a questionnaire survey. Of 600 distributed questionnaires, 334 nurses were identified to have experienced workplace violence. The questionnaires included items on workplace violence, resilience, metal health status (burnout and mental distress), sleep quality, work characteristics (job control, psychological job demands and workplace justice) and demographic characteristics. Data were analysed through chi-square tests and multivariate logistic regression. Nurses with low resilience tended to be younger, work more rotating/night shifts and perceive lower levels of job control and workplace justice. They also reported higher risks of burnout and mental distress and lower sleep quality. Multivariate logistic regression revealed that psychological job demands, workplace justice and resilience significantly influenced nurses' mental health status. Nurses with high resilience exhibited a lower risk of mental distress and higher sleep quality. However, resilience was not associated with burnout. The findings revealed how workplace factors and resilience influence nurses' mental health. The findings help nurse managers and policymakers develop strategies to promote nurses' resilience and mental health and mitigate the adverse effects of negative workplace events.

Cross-cultural adaptation, reliability, validity and responsiveness of the hand assessment tool (HAT-Sp) in Spain.

The HAT is a questionnaire designed to measure activity limitations in patients with hand and wrist injuries, without assistance. This study aimed to translate, culturally adapt, and validate the psychometric properties of the HAT-validity, reliability, and responsiveness-for different hand conditions in Spain. Cultural adaptation followed recommendations from the American Academy of Orthopaedic Surgeons (AAOS). Validation adhered to the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines and involved 262 hand patients. Reliability was assessed with Cronbach's alpha and intraclass correlation coefficient (ICC) (2,1), for test-retest reliability, the standard error of measurement (SEM) and the smallest detectable change (SDC) were used to assess measurement error. Confirmatory factor analysis (CFA) and construct validity using Pearson's correlation coefficient evaluated validity. Responsiveness was measured using effect size (ES) and standardised response mean (SRM). The adaptation process showed no significant changes, with strong expert agreement (Kendall's W=0.81, p<0.001) and patient difficulty below 15%. Reliability was confirmed with an excellent Cronbach's alpha of 0.91, ICC values of 0.99, and low measurement error (SEM of 0.72 and SDC of 1.41). CFA showed a good model fit (RMSEA of 0.04, SRMR of 0.05). HAT showed a high correlation with DASH (r=0.78, p<0.001) and a weak correlation with EQ-5D (r=-0.07, p>0.05). Responsiveness, assessed in 222 patients, yielded a moderate ES of -0.62 and an SRM of -0.72. The HAT-Sp is a well-adapted and widely accepted tool among both Spanish patients and experts. The study demonstrated its strong reliability, validity, and responsiveness in activity limitation without assistance in patients with various hand and wrist injuries following physiotherapy.

Immigration of medical personnel from Ukraine to Poland - Context, regulations, and trends.

The migration of healthcare professionals is common phenomenon and shows upwards trends. Poland, which used to be a source country with marginal immigration, has in the past few years received more immigrants due to the simplified access to the labour market for professionals from outside the European Union. We aimed to analyse the immigration of healthcare workforce to Poland with an emphasis on legislative changes regarding the right to practice of medical personnel from outside the EU (mainly from Ukraine). This analysis included the description of legislative changes in the recognition of qualifications of doctors, dentists, nurses, and midwives. Data on the number of non-EU citizens who took up employment in Poland were analysed concerning three periods reflecting these changes: (1) before 2020, (2) during the Covid-19 pandemic (2020-2022), and (3) after the Russian invasion of Ukraine (since February 2022). Also, the medical education systems in Poland and Ukraine were compared. The number of Ukrainian health workers seeking employment in Poland has increased significantly in recent years, mainly due to the geopolitical context of the war in Ukraine. This has been supported by the simplification of legal regulations for obtaining a licence to practice. It is necessary to implement a comprehensive adaptation process for migrant health workers to maintain the quality of provided services and patient safety.

Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs.

Adolescence is a critical period for developing risk behaviors such as substance use, which can impact health in adulthood. Culturally adapted evidence-based programs (EBPs) are promising for prevention. This review explores the processes for culturally adapting EBPs targeting alcohol, tobacco, or cannabis use, and/or anxiety or depression in adolescents. We searched multiple databases, grey literature, and relevant websites for studies detailing the cultural adaptation process of EBPs. We then categorized common adaptation steps, classified adaptations using the cultural sensitivity model, identified prevalent adaptation techniques, and determined effectiveness assessment methods. We reviewed the cultural adaptation processes of 43 EBPs. These programs were implemented in schools (51%), followed by family settings (30%), community settings (14%), and multi-component settings (5%). Eleven key steps were identified across the documents: local needs assessment, program selection, understanding of the program's curriculum, advisory group establishment, first draft of initial adaptation changes, staff selection and training, pilot study, enhanced cultural adaptation, implementation, evaluation and monitoring, and dissemination. Most programs integrated both surface (e.g., use of local images, material translation) and deep adaptations (e.g., incorporation of cultural values like "familismo"). Despite the common use of the cultural sensitivity model, detailed adaptation frameworks were often lacking. The field has advanced, but clearer documentation is needed to improve research and practical application.

Adaptation Study of Pragmatics Profile to Turkish

Introduction: Pragmatic skills play an important role in communicating and being involved in social life. It is known that children with special needs have difficulty with pragmatic skills, which is called the social use of language. Measurement and evaluation processes are very important to plan the educational processes of children with special needs, prepare effective intervention programs, and determine the steps to be followed in education processes. Accordingly, it is important to determine which functions of the pragmatic component children with special needs have difficulty with in terms of the development of both language skills and other related skills to develop appropriate solutions. It is known that evaluations made through interviews with parents are very useful, especially in early childhood and in studies with children with special needs. In this respect, it is thought that it is very important to adapt The Pragmatics Profile for People who Use Alternative and Augmentative Communication to Turkish since few evaluation tools in Türkiye allow the pragmatic skills of children with both special needs and typical development to be evaluated as a result of interviews with parents. In this direction, the study aims to adapt the Pragmatics Profile to Turkish. Method: The study is a measurement tool adaptation study. In cross-cultural adaptation studies, the adaptation process and the translators and experts involved in the process are very important. In this study, the adaptation process meticulously adhered to the steps of initial translation, synthesis of translations, back-translation, expert committee review, and testing of the pre-final version. Findings: It is thought that both the linguistic equivalence and structural validity of the tool are ensured in the context of the linguistic competencies of the translators involved in the adaptation study, the experiences of the field experts in research methods and techniques, their expertise in the measurement and evaluation of language skills, and the completeness of the adaptation process. Discussion: The adapted Pragmatic Profile was found to be a valid and reliable measurement tool for the assessment of pragmatic language skills of children with hearing loss and hearing children. It is thought that the assessments to be made with the Pragmatic Profile will provide comprehensive information to special education specialists and researchers about the pragmatic difficulties experienced by children.

Deep learning-based quick MLC sequencing for MRI-guided online adaptive radiotherapy: a feasibility study for pancreatic cancer patients.

One bottleneck of MRI-guided Online Adaptive Radiotherapy (MRoART) is the time-consuming daily online replanning process. The current leaf sequencing method takes up to 10 minutes, with potential dosimetric degradation and small segment openings that increase delivery time. This work aims to replace this process with a fast deep learning-based method to provide deliverable MLC sequences almost instantaneously, potentially accelerating and enhancing online adaption.&#xD;Approach: Daily MRIs and plans from 242 daily fractions of 49 abdomen cancer patients on a 1.5T MR-Linac were used. The architecture included: 1) a recurrent conditional Generative Adversarial Network (rcGAN) model to predict segment shapes from a fluence map (FM), recurrently predicting each segment's shape; and 2) a linear matrix equation module to optimize the monitor units (MU) weights of segments. Multiple models with different segment numbers per beam (4-7) were trained. The final MLC sequences with the smallest relative absolute errors were selected. The predicted MLC sequence was imported into treatment planning system for dose calculation and compared with the original plans.&#xD;Main results: The gamma passing rate for all fractions was 99.7±0.2% (2%/2mm criteria) and 92.7±1.6% (1%/1mm criteria). The average number of segments per beam in the proposed method was 6.0±0.6 compared to 7.5 ± 0.3 in the original plan. The average total MUs were reduced from 1641 ± 262 to 1569.5 ± 236.7 in the predicted plans. The estimated delivery time was reduced from 9.7 minutes to 8.3 minutes, an average reduction of 14% and up to 25% for individual plans. Execution time for one plan was less than 10 seconds using a GTX1660TIGPU.&#xD;Significance: The developed models can quickly and accurately generate an optimized, deliverable leaf sequence from a FM with fewer segments. This can seamlessly integrate into the current online replanning workflow, greatly expediting the daily plan adaptation process.&#xD;&#xD.

Diversity and dynamics of multiple symbionts contribute to early development of broadcast spawning reef-building coral Dipsastraea veroni.

Sexual reproduction and recruitment enhance the genetic diversity and evolution of reef-building corals for population recovery and coral reef conservation under climate change. However, new recruits are vulnerable to physical changes and the mechanisms of symbiosis establishment remain poorly understood. Here, Dipsastraea veroni, a broadcast spawning hermaphrodite reef-building coral, was subjected to settlement and juvenile growth in flow-through in situ seawater at 27.93 ± 0.96°C. Symbiosis of Symbiodiniaceae, bacteria, and/or archaea by horizontal acquisition and/or hypothetical vertical transmission through the mucus with symbionts from the parent appears to be a heritable process of selection and adaptation in D. veroni at the egg, larva, juvenile (5 days post settlement, d p.s. and 32 d p.s.) stages. Symbiodiniaceae was dominated by the genera Cladocopium, Durusdinium, Symbiodinium, with increasing relative abundance of Durusdinium at 5 d p.s. and Symbiodinium at 32 d p.s. Mixed acquisition of the dominant phyla Pseudomonadota, Bacteroidota, Cyanobacteriota, Bacillota, Planctomycetota, and Actinomycetota in egg, larva, and/or juvenile showed a winnowing and regulated bacterial diversity and dynamics, resulting in stage-abundant orders Pseudomonadales and Bacillales in egg and Rhodobacterales, Rhodospirillales, Cyanobacteria, and Cyanobacteriales in larva and/or juvenile. The photoautotrophic Chloroflexales, Cyanobacteriales, and Chlorobiales were abundant in adults. The stable archaeal community contained predominant Crenarchaeota, Halobacterota, Nanoarchaeia Thermoplasmatota, and eight rare phyla, with increased relative abundance of the genera Bathyarchaeota, Candidatus_Nitrosopumilus, Candidatus_Nitrocosmicus, Nitrosarchaeum, Candidatus_Nitrosotenuis, Candidatus_Nitrosopelagicus, Cenarchaeum, Haladaptatus, Halogranum, Halolamina, and Woesearchaeales and GW2011-AR15 in juveniles. All results revealed flexible symbiotic mechanisms in D. veroni during early ontogeny for coral survival and evolution.IMPORTANCEFlexible symbioses of Symbiodiniaceae, bacteria, and archaea appear to be a heritable process of selection and adaptation in Dipsastraea veroni in the field, benefiting early coral development and facilitating coral population recovery and reef conversation.

A comparison of force adaptation in toddlers and adults during a drawer opening task

Adapting movements to rapidly changing conditions is fundamental for interacting with our dynamic environment. This adaptability relies on internal models that predict and evaluate sensory outcomes to adjust motor commands. Even infants anticipate object properties for efficient grasping, suggesting the use of internal models. However, how internal models are adapted in early childhood remains largely unexplored. This study investigated a naturalistic force adaptation task in 1.5-, 3-year-olds, and young adults. Participants opened a drawer with temporarily increased resistance, creating sensory prediction errors between predicted and actual drawer dynamics. After perturbation, all age groups showed lower peak speed, longer movement time, and more movement units with trial-wise changes analyzed as adaptation process. Results revealed no age differences in adapting peak speed and movement units, but 1.5- and 3-year-olds exhibited higher trial-to-trial variability and were slower in adapting their movement time, although they also adapted their movement time more strongly. Upon removal of perturbation, we found significant aftereffects across all age groups, indicating effective internal model adaptation. These results suggest that even 1.5-year-olds form internal models of force parameters and adapt them to reduce sensory prediction errors, possibly through more exploration and with more variable movement dynamics compared to adults.

Validity and Reliability Study of the Turkish Adaptation of the "Medical Office Survey on Patient Safety Culture".

The safety culture within health care organizations is essential for ensuring patient well-being and optimizing health care delivery. This study addresses the pressing need to establish a culture of patient safety within primary health care settings. The aim is to conduct a comprehensive validity and reliability study for the Turkish adaptation of the "Medical Office Survey on Patient Safety Culture" (MOSPSC) scale, designed to assess patient safety culture in primary care medical offices. The research model follows rigorous methodology, including a systematic translation and adaptation process aligned with World Health Organization guidelines. A diverse sample of 402 family physicians from primary health care centers across Turkey participated in the study. Descriptive results highlight participants' characteristics, work environments, and experiences in primary care. The scale's construct validity is evaluated using the Kaiser-Meyer-Olkin (KMO) and Bartlett tests, while its reliability is assessed through internal consistency analyses, including Cronbach α, split-half reliability, and item-total correlation. Results indicate strong internal consistency, with Cronbach α values ranging from 0.42 to 0.91 for scale dimensions and an overall value of 0.89. Construct validity assessment attests to the scale's appropriateness for assessing patient safety culture. Challenges in conducting factor analysis due to participant responses are discussed. The study contributes to the field by providing a validated and reliable tool specifically tailored for assessing patient safety culture in primary care medical offices. The Turkish adaptation of the MOSPSC scale offers health care professionals and organizations a valuable instrument for enhancing patient safety culture, identifying areas for improvement, and ultimately optimizing patient care within primary health care settings.

Self-Adaptive Polarized Photoresponse in Organic Single-Crystal Phototransistors for Bionic Night-Time Polarization Perception.

The emerging semiconductor micro/nanocrystals with intrinsic anisotropy have provided new perspectives for low-cost and simplified polarimetry. However, the low polarization sensitivity of state-of-the-art polarimeters based on anisotropic semiconductors under weak and partially polarized light severely hinders their practical application in complex dim environments. Here, a photo-adaptive polarization-sensitive organic phototransistor (POL-OPT) is demonstrated for bionic weak-light polarization perception. The combination of highly anisotropic organic crystals with charge-storage accumulative effect enables a self-adaptive polarized photoresponse of the phototransistor to imitate the bionic scotopic adaptation process. Consequently, an ultrahigh dichroic ratio (DR) of over 105 is achieved through time accumulation under an ultraweak light intensity of 200 nW cm-2, which is among the highest in polarization-sensitive photodetectors. Furthermore, POL-OPT array is constructed for effective polarization perception in an artificial moonlit environment with a low degree of linear polarization (DoLP) down to 0.26, reaching the detection threshold of night-active dung beetles. This study offers a new opportunity for the development of new-generation high-performance polarimeters for polarization imaging, bionic navigation, and artificial visual systems.

Turkish validity and reliability study of the psychological food involvement scale: PFIS-TR

BackgroundThis study aimed to adapt the Psychological Food Involvement Scale (PFIS) to Turkish culture and test its validity and reliability. The PFIS measures individuals’ psychological, emotional, and social relationships with food, which significantly impact eating behaviors and health.MethodsThe study was conducted with 478 participants aged 18–65. The PFIS underwent a six-stage translation and cultural adaptation process. Data collection was carried out via Google Forms, with participants completing a general information form, PFIS, and the Addiction-like Eating Behavior Scale (ALEBS). Reliability was assessed using the test-retest method. SPSS 24 was used for statistical evaluation, including internal consistency coefficient calculations, factor analysis, and correlation tests.ResultsThe Kaiser-Meyer-Olkin value was 0.94, indicating an adequate sample size, and Bartlett’s test of sphericity was significant (p < 0.05). Exploratory factor analysis revealed a four-factor structure explaining 79% of the variance, with factor loadings > 0.40 and eigenvalues > 1. Confirmatory factor analysis showed good fit indices: χ2 /sd = 2.28, GFI = 0.95, AGFI = 0.93 CFI = 0.98, NFI = 0.94, RMSEA = 0.05, SRMR = 0.04). Internal consistency analysis showed high reliability, with Cronbach’s Alpha coefficients ranging from 0.86 to 0.94 across subscales.ConclusionThe Turkish version of the PFIS was found to be a valid and reliable tool for assessing psychological food involvement in the studied sample of the Turkish adult population.

Interaction in a time of crisis: buyer-supplier adaptation in public healthcare

Purpose This paper aims to examine adaptation in buyer–seller relationships in a time of crisis and to explore what consequences adaptation has for the actors involved. The authors are particularly interested in examining how suppliers and public buyers adapt in turbulent situations where public policy opens for interaction in a mode represented by studies in the industrial marketing and purchasing research approach. The COVID-19 pandemic represents such a unique research setting, as it opens up insights into how buyers and suppliers had to adapt in a matter of days in response to rapid and turbulent changes in their business environment. In this paper, the authors seek insights into the following research questions: What role do the actors’ interpretation of the situation play in the adaptation process? How do adaptation processes unfold in a time of national crisis? What are the actor and relationship-specific outcomes from adaptation in such a situation? Design/methodology/approach To answer these questions, the authors present data from an exploratory case study of intra- and interfirm adaptation processes between public buyers and private suppliers in the health-care sector during the COVID-19 pandemic. The pandemic opened for access to a unique data from personal interviews and secondary data, from public reports and newspaper/media coverage at intervals during the outbreak and at the aftermath of the pandemic. Findings The authors find that the actors’ interpretation of the situation and their motivation to engage in adaptations play an important role in the adaptation processes. In particular, a normative commitment based on a moral duty to contribute to dealing with the turbulent situation of society is found to be a main driver. In these situations, shared sensemaking and alignment of mental models help to mobilise actors, resources and activities into new interaction patterns. At the same time, mutual affective commitment between the buyer and suppliers is not significant over time, thus constraining and eventually terminating the adaptation processes. Originality/value This study contributes to the understanding of interaction between public buyers and suppliers during turbulent situations. Changes in the adaptation context opens for extensive interaction, thus enabling actors to combine and exploit resources of value, but temporary adaptations do not create long-term effects on the ability to develop buyer–supplier interaction in public markets.

Adaptive path and process planning method for multi-layer and multi-pass welding of medium-thick plates with robots

Abstract Large steel structures inherently have errors such as clamping and continuous thermal deformation, which complicate traditional robotic multi-layer multi-pass (MLMP) welding of medium-thick plates to ensure quality, efficiency, and universality. To address these conditions, this paper proposes an adaptive process and path planning method for MLMP welding of V-grooves utilizing line laser displacement sensors. First, dimensions and profile of the groove are obtained, feature points are extracted, and the robotic path and welding process for the root welding are planned based on the V-groove’s feature information. Then, reference process parameters is used for filling and cover welding. After each pass/layer, feature points of the V-groove will be extracted, and the previous pass/layer formation will be analyzed. And then algorithm proposed in this paper will be used to adjust the process and robotic path to ensure that, before cover welding, the average groove depth will remain within a specific range. Finally, MLMP experiments have been conducted on two V-grooves of different sizes. The results indicate that this method effectively fills the groove. Maintain the average remaining depth of the groove between 1 and 2.5 mm before cover welding, meeting the requirements of different sizes of V-grooves. The entire surface and cross-section of the weld seam are free of defects, and the fusion between the weld seam and the sidewall exceeds 1.5mm, meeting the requirements for industrial use.&amp;#xD;

One state's journey with a reflective supervision professional development series: Development, implementation, and adaptation.

Reflective supervision (RS) has been viewed as best practice and is therefore incorporated-and often mandated-as a key feature of many relationship-based infant and early childhood serving programs. To promote the implementation of high-quality RS for infant and early childhood professionals, it is critical that a focus is placed on how infant and early childhood professionals are trained to build RS capacities. To this end, we describe Rhode Island, United States's journey developing, implementing, and iteratively adapting an RS professional development series. We describe the structure of the curricula as well as the content and learning objectives, which strive to bridge the gap between the theoretical concepts foundational to RS, process-oriented self-reflection, and the practical application of RS skills and strategies. We also outline the development and process of iterative adaptation that has refined the curricula over the past decade. Finally, we chronicle the history of coordination and collaboration that promoted the development and implementation of this series, which has been disseminated within home visiting and early care and education settings. This narrative can serve as a model for organizations, systems, and states that are undertaking efforts to provide professional development focused on RS.

Neurophysiological Markers of Adaptation and Compensation Following Lower Limb Amputation: An Analysis of EEG Oscillations and Clinical Predictors from the DEFINE Cohort Study

Background: Neuroplasticity, involving cortical and subcortical reorganization, plays a critical role in the adaptation and compensation process post-amputation. However, underlying neurophysiological changes remain unclear, particularly in brain oscillations. Methods: This is a cross-sectional analysis that includes baseline data from 48 individuals with lower limb amputation from our DEFINE Cohort Study project. EEG data were collected using a 64-channel system during a 5-min resting-state period. Preprocessed data were analyzed for delta and alpha oscillations across frontal, central, and parietal regions. Logistic regression models examined associations between EEG oscillations and clinical variables, including cognition (MoCA), functional independence (FIM), and phantom limb sensations (PLS). Results: The multivariate logistic regression analysis revealed distinct patterns of association between EEG oscillations and clinical variables. Delta oscillations were inversely associated with cognitive scores (OR: 0.69; p = 0.048), while higher delta power was related to the absence of PLS (OR: 58.55; p &lt; 0.01). Frontal alpha power was positively linked to cognitive function (OR: 1.55; p = 0.02) but negatively associated with functional independence (OR: 0.75; p = 0.04). Conclusions: These findings suggest that lower frequencies, such as delta oscillations, play a role as potential compensatory brain rhythms. In contrast, alpha oscillations may reflect a more adapted pattern of brain reorganization after amputation.

Convening Hispanic/Latino Caregiving Advisors for Inclusive Research in Dementia Palliative Care.

Background: Dementia clinical trials often fail to include diverse and historically minoritized groups. Objective: We sought to adapt the Alzheimer's Disease and Related Dementias-Palliative Care (ADRD-PC) clinical trial to improve enrollment and address the cultural needs of people with late-stage ADRD who identify as Hispanic or Latino and their family caregivers. Design: Bilingual, bicultural research team members adapted study materials and processes using the Cultural Adaptation Process Model. Investigators and research staff held three meetings with eight Hispanic/Latino advisors-seven dementia caregivers and one health care professional. The first two meetings informed linguistic and cultural adaptation of study materials and processes. After piloting the adapted materials with Hispanic/Latino patient-caregiver dyads in the ADRD-PC study, the third meeting focused on refining protocols for recruitment. Results: Key reflections from advisor meetings guided cultural adaptation: lived experiences on dementia caregiving; patient, caregiver, and clinician interactions in the health care system; and limited knowledge and misconceptions of palliative care. Adaptations to the ADRD-PC study materials included specific consideration of preferred language, word choices (i.e., "palliative care" and "caregiver"), and recruitment considerations related to potential barriers to palliative care or research in general. Conclusions: Cultural adaptation of the ADRD-PC dementia palliative care clinical trial protocol depended on participatory methods and collaboration between Hispanic/Latino caregiver advisors and researchers, including bilingual, bicultural team members. Comparable methods may inform future culturally inclusive approaches to clinical research and thus improve representation of minoritized groups in dementia care research.

Detecting the Phenological Threshold to Assess the Grassland Restoration in the Nanling Mountain Area of China

The dynamics of vegetation changes and phenology serve as key indicators of interannual changes in vegetation productivity. Monitoring the changes in the Nanling grassland ecosystem using the remote sensing vegetation index is crucial for the rational development, utilization, and protection of these grassland resources. Grasslands in the hilly areas of southern China’s middle and low mountains have a high restoration efficiency due to the favorable combination of water and temperature conditions. However, the dynamic adaptation process of grassland restoration under the combined effects of climate change and human activities remains unclear. The aim of this study was to conduct continuous phenological monitoring of the Nanling grassland ecosystem, and evaluate its seasonal characteristics, trends, and the thresholds for grassland changes. The Normalized Difference Phenology Index (NDPI) values of Nanling Mountains’ grasslands from 2000 to 2021 was calculated using MOD09A1 images from the Google Earth Engine (GEE) platform. The Savitzky–Golay filter and Mann–Kendall test were applied for time series smoothing and trend analysis, and growing seasons were extracted annually using Seasonal Trend Decomposition and LOESS. A segmented regression method was then employed to detect the thresholds for grassland ecosystem restoration based on phenology and grassland cover percentage. The results showed that (1) the NDPI values increased significantly (p &lt; 0.01) across all grassland patches, particularly in the southeast, with a notable rise from 2010 to 2014, and following an eastern to western to central trend mutation sequence. (2) the annual lower and upper NDPI thresholds of the grasslands were 0.005~0.167 and 0.572~0.727, which mainly occurred in January–March and June–September, respectively. (3) Most of the time series in the same periods showed increasing trends, with the growing season length varying from 188 to 247 days. (4) The overall potential productivity of the Nanling grassland improved. (5) The restoration of the mountain grasslands was significantly associated with the grassland coverage and mean NDPI values, with a key threshold identified at a mean NDPI value of 0.5 for 2.1% grassland coverage. This study indicates that to ensure the sustainable development and conservation of grassland ecosystems, targeted management strategies should be implemented, particularly in regions where human factors significantly influence grassland productivity fluctuations.

Translation and linguistic validation of the Glasgow Benefit Inventory into Danish

Background The Glasgow Benefit Inventory (GBI) is a widely used patient-reported outcome measure in otorhinolaryngology. A Danish version would serve as a validated tool for assessing quality of life among Danish patients after otorhinolaryngological interventions, enabling both cross-intervention, cross-country and cross-cultural comparisons. Aims/objectives This study aimed to translate, culturally adapt and linguistically validate the GBI into Danish. Materials and methods We followed the guidelines of the Quality of Life Special Interest Group – Translation and Cultural Adaptation Group established by ISPOR, to ensure a rigorous adaptation process. Results A Danish version of the GBI was developed in accordance with the guidelines. Minor adjustments were made to enhance clarity, consistency, and ease of use for Danish respondents. These modifications were carefully considered to preserve the original concepts and intent of the original questionnaire. Conclusions and significance The GBI has been successfully translated, culturally adapted, and linguistically validated for use in Danish. This version provides a valuable tool for evaluating the impact of otorhinolaryngological operations/treatments by measuring the patient-reported outcomes in Danish otorhinolaryngology patients.