Adaptation Process Research Articles

The Azerbaijani Adaptation of the Utrecht Work Engagement Scale: Investigating Its Influence on Psychological Distress and Life-Job Satisfaction

Teacher well-being plays a vital role in fostering a positive and productive learning environment, as it directly impacts both their professional performance and the overall success of their students. Consequently, this study aimed to adapt the Utrecht Work Engagement Scale for use among Azerbaijani school principals and to investigate the relationships between work and wellbeing, psychological distress, and life-job satisfaction. Data were gathered from 976 Azerbaijani school principals. The adaptation process involved confirmatory factor analysis, evaluations of criterion-related validity, and reliability testing. Additionally, the relationships between work and wellbeing, psychological distress, and life-job satisfaction were examined through mediational analysis. The confirmatory factor analysis revealed that the questionnaire consisted of 17 items, highlighted three factors, and demonstrated an acceptable model fit. The scale showed satisfactory reliability coefficients for both its individual factors and the overall score. Moreover, the results indicated that work and wellbeing was positively correlated with life-job satisfaction and negatively associated with psychological distress. Lastly, the findings revealed that psychological distress mediated the relationship between work and wellbeing and life-job satisfaction. These outcomes suggest that the Azerbaijani version of the Utrecht Work Engagement Scale possesses strong psychometric properties.

Adaptative and maladaptive cognitive processing of trauma on relationship distress among community couples.

Adaptative and maladaptive cognitive processing of trauma on relationship distress among community couples.

Trajectories of Coping With Persistent Smell and Taste Dysfunction After a Covid‐19 Infection—A Qualitative Interview Study

ABSTRACTAimTo explore trajectories of understanding and managing persistent chemosensory dysfunction after COVID‐19 in patients undergoing clinical treatment.DesignA descriptive qualitative interview study with a realist approach.MethodData were collected in Sweden, from August 2022 to March 2023 through semi‐structured interviews with 30 patients undergoing treatment for long‐lasting smell and taste dysfunction resulting from COVID‐19. Thematic analysis was applied in a process that involved continuous discussions and refinement of codes into themes and subthemes.ResultsThree main themes were identified: (1) Understanding the sensory alterations, which includes subthemes of Searching for validation and Seeking remedies; (2) Practical coping strategies, encompassing Adapted eating and Managing olfactory training and (3) Navigating the emotional landscape, featuring Self‐persuasion and suppression and The ambivalence of acceptance. These themes highlight the cyclic and fluid nature of coping with the dysfunction, reflecting a dynamic process of adaptation. Despite treatment options like olfactory training, participants frequently experienced frustration due to limited perceived improvement and the psychological toll of managing their condition.ConclusionThe study highlights the complex and personal nature of coping with long‐term smell and taste dysfunction post‐COVID‐19. Coping strategies varied widely and evolved over time, reflecting a dynamic process of adaptation. The emotional and psychological impact was profound, underscoring the need for comprehensive treatment approaches that include both physiological and psychological support. There is a need for more effective interventions and support mechanisms to improve the quality of life for those affected by these persistent symptoms.ImplicationsThis study contributes to the understanding of COVID‐19's long‐term effects on smell and taste, highlighting the need for ongoing support from health care, further research into effective interventions, and a comprehensive approach to care for individuals affected by these conditions.ImpactThis study addresses trajectories and challenges of coping with persistent chemosensory dysfunction. Findings emphasise the complexity of managing persistent chemosensory dysfunction and the critical role of personalised care. The study contributes to knowledge for nurses in understanding patients with chemosensory dysfunction.Reporting MethodThis research adheres to the EQUATOR guidelines: Standards for reporting qualitative research (SRQR).Patient or Public ContributionNo patient or public contribution.

Adaptation to climate variability and household welfare outcomes in Uganda

Over the last one decade, most of the empirical studies on climate variability have largely concentrated on assessing the effect of climate variability on agriculture. Little attention has been given to the analysis of what factors determine the decision to adapt to climate variability and what impact does it has on welfare of the adapting households. This paper therefore, assesses the determinants of adaptation to climate variability and how it influences welfare of the farming households in Uganda. To achieve this, the study utilizes six waves of Uganda National Panel survey collected by Uganda Bureau of Statistics spanning over a period of 10 years from 2009 to 2019 and the switching regression model for empirical analysis. The findings indicate that adapting to climate variability is beneficial to adaptors as it safeguards welfare deterioration. On the other hand, presence of climate variability, age of the household head, the value of household assets, location, formal land ownership, having main occupation as agriculture and availability of extension services were identified as key determinants of the decision to adapt to climate variability among farming households in Uganda. These findings thus highlight the importance to have measures to improve adaptation process at the same time enhancing household welfare.

Psychometric Testing of the Cross-Culturally Adapted Thai Version of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale in Caregivers of Patients With Chronic Illnesses.

To evaluate the psychometric properties of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). The CSE-CSC scale was developed congruently with the Caregiver Contribution to Self-Care of Patient with Chronic Illness Inventory (CC-SC-CII) to assess caregiver self-efficacy (CSE), the motivation factor of caregiving. Its applicability in Asian populations, including Thailand, was limited. Psychometric tests were guided by COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) principles. This included translating the English version into Thai, following the principles of good practice for the translation and cultural adaptation process for patient-reported outcome (PRO) measures. Nine nursing experts evaluated the content validity. The analysis included caregivers of patients with chronic conditions from 16 primary care centres in Thailand. We tested the structural validity using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and concurrent validity for CC-SC-CII-v2. We tested the scale's reliability with methods for multidimensional and unidimensional constructs, the intraclass correlation coefficients (ICCs) and measurement error variance. Kappa coefficient (k = 1.00) indicated the scale's excellent content validity. The final analysis included a total of 407 samples. The EFA with the first split-half subsample (n = 194) extracted a two-dimensional structure. One reflected CSE in Maintenance and Monitoring behaviour and another captured CSE in Management behaviour. CFA with the second split-half subsample (n = 213) and the overall sample (n = 407) supported the scale's bidimensional model with high factor loadings. Each dimension and the overall CSE-CSC scale positively correlated with each scale and the overall CC-SC-CII-v2. McDonald's ω and Cronbach's α (both ranged from 0.91-0.94) indicated excellent internal reliability. Test-retest reliability showed ICCs between 0.95 and 0.96. Measurement error yielded satisfactory results. Testing of the Thai CSE-CSC scale supported validity and reliability, indicating that the scale can apply to Thai caregivers. This scale can be used in clinical practice and research to evaluate CSE in contribution to patient self-care.

CBCT-based online adaptive radiotherapy of the prostate bed: first clinical experience and comparison to nonadaptive conventional IGRT.

Conventional image-guided radiotherapy (IGRT) of the prostate bed is challenged by the varying anatomy due to dynamic changes of surrounding organs such as the bladder and rectum. This leads to changed dose coverage of target and surrounding tissue. The novel online adaptive radiotherapy (oART) aims to improve target coverage as well as reduce dose exposure to surrounding healthy tissues by daily reoptimization of treatment plans. Here we set out to quantify the resulting changes of this adaptation for patients and treatment team. Atotal of 198 fractions of radiotherapy of the prostate bed (6patients) were treated using oART with the Ethos accelerator (Varian Medical Systems, Palo Alto, CA, USA). For each fraction, volumes and several dose-volume parameters of target volumes and organs at risk were recorded for the scheduled plan (initial plan, recalculated based on daily cone beam computed tomography [CBCT]), the adapted plan, and the verification plan, which is the dose distribution of the applied plan recalculated on the closing CBCT after the adaptation process. Clinical acceptability for all plans was determined using given dose-volume parameters of target volumes. Additionally, the time needed for the adaptation process was registered and compared to the time required for the daily treatment of five conventional IGRT patients. Volumes of target and organs at risk (OAR) exhibited broad variation from day to day. The differences in dose coverage D98% of the clinical target volume (CTV) were significant through adaptation (p < 0.0001; median D98% 97.1-98.0%) and further after verification CBCT (p < 0.001; median D98% 98.1%). Similarly, differences in D98% of the planning target volume (PTV) were significant with adaptation (p < 0.0001; median D98% 91.8-96.5%) and after verification CBCT (p < 0.001; median D98% 96.4%) with decreasing interquartile ranges (IQR). Dose to OAR varied extensively and did not show aconsistent benefit from oART but decreased in IQR. Clinical acceptability increased significantly from 19.2% for scheduled plans to 76.8% for adapted plans and decreased to 70.7% for verification plans. The scheduled plan was never chosen for treatment. The median time needed for oART was 25 min compared to 8 min for IGRT. Target dose coverage was significantly improved using oART. IQR decreased for target coverage as well as OAR doses indicating higher repeatability of dose delivery using oART. Differences in doses after verification CBCT for targets as well as OAR were significant compared to adapted plans but did not offset the overall dosimetric gain of oART. The median time required is three times higher for oART compared to IGRT.

Prickly postglacial pioneers: freshwater plankton community composition influences fatty acid desaturase (FADS2) copy number in southern Greenland threespine sticklebacks

The adaptation of marine fish to freshwater environments includes prodigious examples of rapid evolution.Given the scarcity of ω‐3 long‐chain polyunsaturated fatty acids (LC‐PUFA) in freshwater, we expect selection to be strong on fish transitioning to freshwater habitats and yet the underlying ecological causes of genomic and phenotypic differentiation are poorly understood for traits associated with lipid content and composition. Threespine stickleback Gasterosteus aculeatus have repeatedly colonized, and adapted to, freshwater habitats across the Northern Hemisphere. These freshwater populations often show elevated copy number of the fatty acid desaturase 2 gene (FADS2), which increases the biosynthetic capacity of LC‐PUFA. The starkly lower content of LC‐PUFA in freshwater compared to marine prey, especially docosahexaenoic acid (DHA), likely imposes strong positive selection on freshwater fish for either increased biosynthesis or greater dietary acquisition of LC‐PUFA. The recently colonized and relatively undisturbed threespine stickleback populations in postglacial coastal lakes of southern Greenland offer an exceptional opportunity to study how variation in the copy number of FADS2 is related to abiotic and biotic conditions of lakes and their morphometry. As expected, given its position on the stickleback X chromosome, we found strong sexual dimorphism in FADS2 copy number in all populations (19 freshwater, 1 marine and 1 brackish), and an increased dimorphism in some freshwater populations. We also found that FADS2 copy number was negatively correlated, for both males and females, with the abundance of copepods, which are a DHA‐rich food source in the zooplankton community. Overall, our results suggest that the prey community context of lakes might influence the process of metabolic adaptation of marine fish colonizing freshwater ecosystems.

Residual channel attention based sample adaptation few-shot learning for hyperspectral image classification.

Few-shot learning (FSL) uses prior knowledge and supervised experience to effectively classify hyperspectral images (HSIs), thereby reducing the cost of large numbers of labeled samples. However, existing few-shot methods ignore the correlation between cross-domain feature channels, and the feature representation ability is insufficient. To address above issue, this paper proposes a novel Residual Channel Attention Based Sample Adaptation Few-Shot Learning for Hyperspectral Image Classification(RCASA-FSL) for hyperspectral image classification (HSIC), which can capture and enhance cross-domain dependencies through multi-layer residual connection and random-based feature recalibration. Specifically, a Deep Residual Feature Channel Attention Mechanism (DRFCAM) is designed to obtain cross-domain dependencies by residual concatenation, and further the residual structure is stacked for mining depth discrimination information. Furthermore, a new Random-based Feature Recalibration Module (RFRM) is proposed to reassign the feature weights via random matrix, which fully explore feature weight relationships to guide the sample adaptation process. Besides, we design a joint loss function with combining the FSL loss and domain adaptive loss for further optimization model. Experiments conducted on several standard hyperspectral datasets demonstrate that the proposed RCASA-FSL is superior to other FSL techniques in both quantitative and qualitative aspects.

Comparison of the Effects of Mucosa Tissue Healing with Chlorhexidine Digluconate and Choline Salicylate in Patients Wearing a Removable Prosthetic Restoration—A RCT

Background and Objectives: A randomized, double-blind clinical trial was conducted based on the CONSORT study protocol for randomized clinical trials (NCT06531720) to compare the effectiveness of oral mucosa healing properties of 0.2% chlorhexidine digluconate (CHX) and 8.7% choline salicylate (CHS), as well as a control group (CON) with no intervention, in patients with delivered partial removable dentures (PRDs). Materials and Methods: Patients (n = 27) who were enrolled in the study were healthy subjects according to the inclusion/exclusion criteria, and they received new PRDs to complement Kennedy’s class III and IV deficiencies. During the process of adaptation to new prosthetic restorations, OMLs were formed and treated with one of two selected preparations, either CHX = 0.2% or CHS = 8.7%, in relation to the control group (CON). The wound surface area (WSA) (mm2) was measured on repeatable intraoral images taken in accordance with the examination protocol on the first control visit on day 1, day 3, day 7, day 10, and day 14 with the assistance of computer software. Results: There were no statistically significant differences between groups. The fastest effect of WSA complete reduction was observed in the CHX group after 7 days (WAS = 0.78, SD = 1.18) in comparison to CHS = 10 days (WAS = 0.44, SD = 0.90) and CON = 14 days (WAS = 0.22, SD = 0.67). The decrease in the WSA after 7 days of observation was 85.1% in the CHX group, 70.1% in the CHS group, and 59.2% in the CON group. Conclusions: The WSA decreased most rapidly after 7 days of treatment with 0.2% chlorhexidine digluconate (CHX), slightly more slowly after 10 days of treatment with 8.7% choline salicylate (CHS), and relatively most slowly in the CON group, who were not treated with any topical medication after 14 days. Oral mucosa lesions (OMLs) therapy during the process of adaptation to new removable prosthetic restorations is a very important element supporting the whole process. Topical medications containing 0.2% chlorhexidine digluconate are indicated as adjunctive therapy in the process of the supportive treatment and disinfection of oral mucosa lesions. However, this does not release the dentist from liability for the careful adjustment of the removable prosthetic restoration.

Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version

PurposeThis study aimed to develop and validate the Brief Eating Self-Efficacy Scale (ESEBS-BR) in Brazilian Portuguese, addressing the lack of tools to assess eating self-efficacy beliefs in Portuguese-speaking populations.MethodThe study sought to cross-culturally adapt the scale, evaluate its internal structure, validate its reliability and validity, and explore potential associations between eating self-efficacy and eating behaviors. The cross-cultural adaptation process involved translation and back-translation, expert committees, and pre-testing. Scale validation was conducted with 228 participants, including reliability analyses, confirmatory factor analysis, and correlations with established measures of eating behavior.ResultsThe ESEBS-BR, maintaining all 8 original items, demonstrated high reliability, with a two-factor structure model confirmed by confirmatory factor analysis. Significant correlations were found between ESEBS-BR scores and measures of binge eating and eating behaviors, validating its criterion validity.ConclusionsThe development and validation of the ESEBS-BR represent a significant contribution to the assessment of eating self-efficacy in the Brazilian population. The scale proved to be sensitive, reliable, and valid, offering an important tool for research and clinical interventions related to eating behavior.Level of evidence: V, descriptive cross-sectional study.

Automatic Detection of Trees using Airborne LiDAR Data Based on Geometric Characteristics

Abstract. One of the essential factors in analyzing urban environments is the presence of trees. Thus, the development of automatic or semi-automatic tree detection strategies is important for monitoring and providing data for municipal authorities’ planning efforts. In this context, we propose an automatic method for detecting trees using LiDAR data collected by airborne platforms. The proposed strategy uses the omnivariance as a key attribute, which is estimated locally from eigenvalues. Additionally, it utilizes an adaptive process to determine the optimal radius, followed by successive filtering based on the majority filter and mathematical morphology operators. The effectiveness of the proposed approach was evaluated on six study areas from two distinct datasets (Presidente Prudente/Brazil and Palmerston/New Zealand). In general, the results indicate a completeness rate around 99% and a correctness rate around 91%, resulting in an average Fscore of 95%. These findings suggest that the proposed approach has potential to detect trees in urban regions using airborne LiDAR data. Compared to related works, the proposed strategy tends to have a better result in terms of completeness.

Motivating Medical Students: Adaptation of the Academic Motivation Scale within the Framework of the Self-Determination Theory

Introduction: Motivation plays a crucial role in the academic success and professional development of medical students. Understanding the intricacies of motivation within the context of medical education is essential for designing effective interventions and support systems. The aim of this study was to explore the adaptation of the Academic Motivation Scale within the framework of the self-determination theory and of the self-efficacy theory to assess motivation among medical students.Methods: The study adapted the Academic Motivation Scale to the Portuguese context, drawing upon insights from the self-determination theory. Two existing Portuguese scales, MATAMS and Ribeiro et al scale, served as foundational frameworks for the adaptation process. The study included qualitative interviews, which informed the creation of the Minho Medical Academic Motivation Scale – Minho-MEDAMS. This scale was applied to 281 medical students. To assess the scale’s validity, we used the exploratory and confirmatory factor analyses, and the Cronbach’s alpha to measure internal consistency.Results: The exploratory factor analysis showed strong results with a KMO of 0.862, leading to five factors and the removal of two items. The initial confirmatory factor analysis indicated poor fit, prompting the removal of items with low R-squared values. The final Minho-MEDAMS includes 18 items: six for intrinsic motivation, nine for extrinsic motivation and three for amotivation. This refined scale demonstrates high internal consistency (α = 0.831), making it a reliable tool for assessing medical students’ motivation.Conclusion: The successful adaptation of the Academic Motivation Scale within the self-determination theory framework presents a valuable instrument for assessing motivation in medical students. The Minho-MEDAMS offers a comprehensive understanding of motivational dynamics, facilitating targeted interventions and support mechanisms to enhance student engagement and success. Its validity and reliability render it a practical tool for educators, administrators, and researchers in the field of medical education. Ultimately, the Minho-MEDAMS contributes to the advancement of strategies aimed at cultivating motivated and proficient healthcare professionals.

Quantitative assessment of the effectiveness of adaptive spatial processing algorithms in searching for low-noise underwater vehicles in surface shipping conditions of different density

The article describes the methodology and provides the results of a model quantitative assessment of the effectiveness of solving the problem of detecting and tracking a low-noise underwater object using three algorithms for spatial signal processing at the output of a multi-element antenna — the non-adaptive Bartlett algorithm, the Capon algorithm, and the Capon algorithm combined with a projection procedure limiting the signal power of strong local sources.

How a New Sufi Movement Globalized

When a charismatic Sri Lankan holy man moved to Philadelphia in the early 1970s and set up a new branch of his movement, he began a process of adaptation to the North American context that has continued since his death. Within the new Bawa Muhaiyaddeen Fellowship, adherents in favor of a more liberal style of worship have clashed with a stricter official interpretation of the founder’s views on Islamic requirements, while relations with the original Sri Lankan organization have also experienced frictions. The history of the fellowship is a case study in how the globalization of religion results in heterogeneous versions of a common faith.

Adaptive Threshold Wave Front Sensing for Portable Adaptive Optics System Driven by Hybrid Parallel Technique

Our Portable Adaptive Optics (PAO) system designed for high-contrast imaging of exoplanets with current 2–4 m class telescopes achieves a correction speed of nearly 1000 Hz, utilizing a Shack–Hartmann Wave Front Sensor (WFS) in a 9 × 9 sub-aperture configuration. As we look towards adapting the PAO system for larger telescopes, an increase in the number of sub-apertures in the WFS and enhanced precision in wave front detection are imperative. Originally programmed in LabVIEW, our initial PAO software is based on a traditional centroid calculation module for nighttime wave front sensing and lacks adaptive processing of background noise. To address these limitations and to boost the PAO system's performance and accuracy in wave front detection, we propose a compressive neural network (Th-Net) combined with a specialized hybrid parallel programming approach for wave front detection. Our experimental results indicate that this hybrid parallel technique and Th-Net significantly enhance the PAO system's operational speed and wave front detection precision under uneven background noise. This work paves the way so that a duplicable and low-cost PAO system can be used for direct imaging of exoplanets with large telescopes.

Fe (II)/Fe (III) regulated adaptive biofilm responses and microbial metabolic mechanisms for enhanced cycloalkane biodegradation

Oxidation of organic contaminants by iron-cycling microorganisms is an effective remediation strategy for contaminated environments. However, studies on the removal of cycloalkane using this method have been limited, and little is known about how microbes adapt to iron concentrations and how the latter stimulates contaminant degradation. Here, we investigated the biodegradation of cyclohexane (CyH) in three sequencing batch bioreactors (SBRs) with different iron concentrations (SBRs are named: Low 2.5 μM, Suit 7.5 μM, High 75 μM). The Suit reactor showed a more efficient CyH removal performance (average 98.61 ± 0.62 %) than the Low reactor (average 55.75 ± 3.38 %), which was associated with more extracellular polymeric substances (EPS) release and improved biofilm structure. The High reactor exhibited a gradual adaptation process due to the apparent accumulation of reactive oxygen species (ROS) under iron stress, with an average removal efficiency of (86.83 ± 18.81 %). However, the High reactor had a higher microbial activity (1.08-fold increase in ATPase activity) and electron transport system activity (1.18-fold increase) to facilitate direct electron transfer in the presence of insoluble iron compared to the Suit one, largely due to the dominant genus Novosphingobium. Metagenomics and metatranscriptomics analyses revealed lactone (a key intermediate) formation as a potential degradation pathway across three SBRs in our study under iron regulation. Notably, there were differences in the key functional genes expressed under different iron concentrations: genes related to anti-oxidative stress and iron-driven pathways, biofilm regulation-related pathways, and encoding protein complexes III and IV were found in the High, Suit, and Low reactors, respectively. This study enhances understanding of microbiota adaptation mechanisms to iron-disturbed conditions and provides a new insight into iron-cycling mediated biofilm formation and inhibition.

Grapevine and maize: Two guard cell shaped strategies to cope with repeated drought stress

Adaptation of crops to recurrent drought stress is crucial for maintaining agricultural productivity and achieving food security under changing climate. Guard cells, pivotal regulators of plant water usage and assimilation, are central to this adaptation process. However, the metabolic dynamics of guard cells under drought stress remain poorly understood, particularly in grapevine, a prominent crop grown in arid regions, and maize, a staple crop with substantial water requirements. In this study, differences in guard cells metabolism during drought stress of grapevine and maize were investigated by performing physiological and metabolomic analyses. Metabolomic analysis highlighted differential responses in amino acids and sugars, with grapevine guard cells displaying greater stability in amino acid and sugar signatures, while maize showed marked increases in sugar levels. These findings suggest two distinct adaptive strategies, a vigorous acclimation of guard cells, as observed in maize, and an attenuated acclimation of guard cells, shown in grapevine. Understanding these metabolic adjustments is helpful for enhancing drought resilience in agricultural systems.

The Effect of Multi-Ingredient Protein versus Collagen Supplementation on Satellite Cell Properties in Males and Females

ABSTRACT Introduction Skeletal muscle satellite cells (SC) contribute to the adaptive process of resistance exercise training (RET) and may be influenced by nutritional supplementation. However, little research exists on the impact of multi-ingredient supplementation on the SC response to RET. Purpose We tested the effect of a multi-ingredient supplement (MIS) including whey protein, creatine, leucine, calcium citrate, and vitamin D on SC content and activity as well as myonuclear accretion, SC and myonuclear domain compared with a collagen control (COL) throughout a 10-wk RET program. Methods Twenty-six participants underwent a 10-wk linear RET program while consuming either the MIS or COL supplement twice daily. Muscle biopsies were taken from the vastus lateralis at baseline and 48 h after a bout of damaging exercise, before and after RET. Muscle tissue was analyzed for SC and myonuclear content, domain, acute SC activation, and fiber cross-sectional area (fCSA). Results MIS resulted in a greater increase in type II fCSA following 10 wk of RET (effect size (ES) = 0.89) but not myonuclear accretion or SC content. Change in myonuclei per fiber was positively correlated with type I and II and total fiber hypertrophy in the COL group only, indicating a robust independent effect of MIS on fCSA. Myonuclear domain increased similarly in both groups, whereas SC domain remained unchanged following RET. SC activation was similar between groups for all fiber types in the untrained state but showed a trend toward greater increases with MIS after RET (ES = 0.70). Conclusions SC responses to acute damaging exercise and long-term RET are predominantly similar in MIS and COL groups. However, MIS can induce greater increases in type II fCSA with RET and potentially SC activation following damage in the trained state.

A Review on Personalization of Gamified Learning Environments*

This study explores the personalization of gamification in educational contexts, particularly adaptive approaches to meet diverse learner needs. The study examines terminologies and offer definitions for adaptive, tailored, personalized, and customized gamification. Personalization serves as an umbrella term covering any changes in the process. Customization is the changes performed by the user/learner; tailored gamification involves adjustments made at the beginning and adaptive gamification involves system-driven changes as things progress. The analysis of adaptive gamification studies is structured around adaptation criteria, adaptation process, adaptation data, and adaptive intervention. Adaptation criteria includes player types, personality models, learning styles, and hybrid profiles. Adaptation process includes user-controlled and system-controlled adaptation. User-controlled adaptation refers to customization; system-controlled adaptation is examined under static adaptation, dynamic adaptation, and combination of these two. Adaptation data is categorized under explicit and implicit information collection. Lastly, recommendations, and adjusting game elements and mechanics are discussed under adaptation intervention. The review highlights the commonly used player typologies, including Bartle, Hexad, and BrainHex, and personality models such as Big Five and Myers-Briggs Type Indicator. The review identifies limitations in current frameworks, stressing the importance of standardized models and guidelines to implement adaptive gamification and incorporating gamification analytics to sustain adaptation and automation.

Women With Breast Cancer in Malaysia: Social Work Perspectives on the Challenges and Social Support

It has been reported that breast cancer is the most common type of cancer affecting women in Malaysia. A diagnosis of breast cancer will usually bring upon a set of issues and challenges affecting the well-being of these women. The aim of this article is to provide a literature review regarding the biopsychosocial issues, challenges, social support and adaptation process experienced by women with breast cancer, with an application to the Malaysian setting focusing on the Malaysian sociocultural backgrounds. The discussion of this article focuses on the importance of social support in adaptation process such as from immediate family members, support group and the medical team following the challenges faced by the patients such as ones stemming from their cultural background, their biological issues and their refusal to seek treatments. The overall review of the literature is aligned with the social work values in addressing human wellbeing, including the recognition of the psychosocial and sociocultural backgrounds as powerful components of health in practice and policies. Finally, this article will provide insights for the helping profession in the country such as medical social workers in providing social work assessments and interventions suitable for Asian women with breast cancer.