Adult Literature Research Articles

Translingual Dialogic Encounters Weekly: A Pakistani Immigrant Youth's Journey of Becoming in South Korea

ABSTRACTThis case study examines how translanguaging, reading, and discussing culturally relevant graphic novels written in English, and dialogic interactions can support immigrant youth's self‐exploration and English learning, especially within English language teaching (ELT) in South Korea (henceforth, Korea). This study illuminates the case of a weekly afterschool sessions designed for Ayra, the only multilingual Pakistani immigrant youth at a Korean‐dominant high school in Korea. Findings from conversations across 10 sessions and observation notes reveal that dialogic translanguaging practices helped Ayra articulate her ideas and deepen her understanding of the graphic novel. This, in turn, led to a deeper understanding of her own life, as she navigated the liminal space between marginality and centrality. This study underscores the value of translingual dialogic interactions and culturally relevant young adult literature in ELT, advocating for inclusive practices that honor immigrant youth's linguistic choices and cultural insights while embracing their intimate stories.

KINDER- UND JUGENDLITERARISCHES ÜBERSETZEN ALS HERAUSFORDERUNG

Literary translation faces significant challenges. The ‘complications’ in relation to translation increase as soon as the texts to be translated belongs to the children’s and youth literature. With a view to the approaches in translation studies, this article aims to examine whether, in the case of children’s and young adult literature translation, literary translation, which attempts to achieve a complete reproduction of the original text in its aesthetic complexity, is also possible. On the other hand, the model of the implicit translator in children’s and youth literature should be critically reflected and modified. The effectiveness of the model is then tested on two children’s and youth historical narratives. These are The Book Thief by Markus Zusak (2005) and Breaking Stalin’s Nose by Eugene Yelchin (2011). The close reading method is used as an analytical method.

“To all the brown kids, queer kids, fat kids”: exploring intersectionality in South-Asian-Irish young adult fiction through Adiba Jaigirdar’s contemporary novels

ABSTRACT Since the 2010s, Irish Young Adult (YA) literature has seen an increase in narratives that deal with intersectionality. Using Adiba Jaigirdar’s realistic contemporary novels – The Henna Wars (2020), Hani and Ishu’s Guide to Fake Dating (2021), and The Dos and Donuts of Love (2023) – as case studies, the article examines how these works challenge traditional coming-of-age narratives through South-Asian-Irish adolescent protagonists who navigate complex intersections of race, sexuality, age, and religion in an Irish context. The article employs an intersectional framework, referencing Kimberlé Crenshaw’s concept, to assess how characters’ identities are shaped by overlapping categories of difference. Theoretical constructs by Marion Gymnich such as “voice,” “gaze,” “body,” and “agency” provide insight into how the texts reflect broader cultural negotiations of identity and belonging. Ultimately, the study illustrates how Jaigirdar’s narratives transcend conventional Irish YA themes, addressing issues of diversity with an emphasis on alterity and acceptance. The article argues that Jaigirdar’s narratives provide stories that positively depict diverse experiences within the Irish adolescent landscape. Furthermore, the article posits that such representations are crucial for an inclusive portrayal of “Irishness,” calling for a broader and more reflective approach to Irish YA literature that acknowledges diverse lived realities.

Race, ethnicity, and representation in Irish children’s and young adult literature and film: an introduction

Race, ethnicity, and representation in Irish children’s and young adult literature and film: an introduction

Iatrogenic Epinephrine Overdose Resulting in Transient Cardiac Dysfunction in a Pediatric Patient.

Iatrogenic Epinephrine Overdose Resulting in Transient Cardiac Dysfunction in a Pediatric Patient.

Biphobia and Bierasure in Contemporary Irish Young Adult Fiction: Claire Hennessy’s Like Other Girls (2017) and Adiba Jaigirdar’s Hani and Ishu’s Guide to Fake Dating (2021)

Bisexuality has been widely invisibilized by binary assumptions that one can only be homosexual or heterosexual (McLean, 2018), and bisexuals have been negatively perceived as confused, indecisive, unfaithful, attention-seekers, and/or going through a phase (Erickson-Schroth & Mitchell, 2009), among other negative stereotypes. In recent years, Irish young adult literature has experienced an increase in its representation of bisexual characters, both as protagonists and as secondary characters. Thus, this article will examine two Irish young adult novels that address bisexuality, bierasure, and biphobia from two different approaches. In Claire Hennessy’s Like Other Girls (2017), Lauren has internalized biphobic discourses, believing bisexuality to be negative and struggling to find her place within the queer community. In Adiba Jaigirdar’s Hani and Ishu’s Guide to Fake Dating (2021), Hani contests her best friends’ biphobia and challenges bierasure through the reaffirmation of her bisexuality. This article will attempt to illustrate how contemporary young adult fiction engages with bisexuality and to demonstrate that this literary category subverts biphobic discourses and instead questions and defies biphobia and bierasure.

Upadacitinib for difficult‐to‐treat paediatric Crohn's disease

AbstractPaediatric‐onset inflammatory bowel disease (IBD) has an enormous impact on healthcare systems as it translates to a lifetime of healthcare. Since the approval of anti‐tumour necrosis factor‐alpha agents, it has become evident that in the long journey of paediatric IBD, there is an absolute need for more treatment options. Emerging evidence from the adult literature suggests that upadacitinib is effective and safe; however, paediatric data are scarce. We present two adolescents with highly refractory to treatment Crohn's disease. One of them had undergone subtotal colectomy. Both patients were treated effectively with upadacitinib.

Development and Validation of POCOKIDS-Q-A Questionnaire to Assess Post COVID-19 Symptoms in Children.

To identify the symptom burden in children and adolescents with post COVID-19, a validated and reliable instrument is needed, particularly to assess symptoms and their impact on the child. The aim of this study was to describe the development, validation, and reliability of the Post COVID-19 in Kids Questionnaire (POCOKIDS-Q), which was designed to assess post COVID-19 symptoms in children and adolescents. The POCOKIDS-Q was developed based on literature, clinical experience, and questionnaires for adults with post COVID-19. The linguistic validation involved 9- to 17-year-old children. Children and adolescents with the onset of post COVID-19 symptoms were asked to complete the final version through a web link. Exploratory and confirmatory factor analyses were performed to identify a factor structure that explains the covariances between the variables. The link to the POCOKIDS-Q was opened 324 times and fully completed by 213 (66%) children and young adults (median age 14 years) with post COVID-19 symptoms. Confirmatory factor analyses revealed four significant and correlated factors: brain fatigue, cognitive impact, physical impact, and emotional impact. The explanatory power of the factor model is high. The POCOKIDS-Q is applicable for assessing post COVID-19 symptoms in children and young adults.

Impact of TP53 mutation on survival outcomes in acute lymphoblastic leukemia at a tertiary center

Mutations in TP53 in acute lymphoblastic leukemia (ALL) predict poor outcomes, however, the literature in adults remains limited. In a retrospective study at Cleveland Clinic, we investigated the outcomes of 72 patients with next-generation sequencing (NGS) at baseline out of 161 patients from January 2017 to August 2023. Eleven patients had TP53 mutations (muTP53-ALL) (15.3%). Patients with muTP53-ALL were older (65 vs 56 years), had more high-risk cytogenetics (45% vs 16%), and no BCR-ABL1 rearrangements (34% vs 0) compared to wild-type TP53 (wtTP53). The muTP53-ALL group had lower flow-cytometry measurable residual disease (MRD)-negative responses (odds ratio: 0.1, 95%CI 0.01–0.47.8, p = .003) and worse 12-month overall survival (OS) compared to wtTP53 ALL (62% vs 90%, p = 0.023). The muTP53-ALL patients are less likely to achieve deep responses to first-line therapy and have worse long-term OS. Future studies should explore early transplants or the use of front-line immunotherapies to improve outcomes.

Defining “early palliative care” for adults diagnosed with a life-limiting illness: a scoping review

BackgroundPalliative care is for people suffering from life-limiting illnesses that focuses on providing relief from symptoms and stress of illness. Previous studies have demonstrated that specialist palliative care consultation delivered earlier in the disease process can enhance patients’ quality of life, reduce their symptom burden, reduce use of hospital-based acute care services and extend their survival. However, various definitions exist for the term early palliative care (EPC).ObjectiveTo investigate how EPC has been defined in the literature for adults with life- limiting illnesses.MethodsThis review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) extension for Scoping Reviews guidelines and follows the Joanna Briggs Institution methodology for scoping reviews. The literature search was conducted using MEDLINE (Ovid), CINAHL (EBSCO), Embase (Ovid), PsycINFO (Ovid), Web of Science Core Collection, Ovid Cochrane Library, and ProQuest (Health and Medicine and Sociology Collections). All articles retrieved were screened by three independent reviewers.Results153 articles met the inclusion criteria between 2008 and 2024. Five categories of definitions for EPC were created to organize definitions: (1) time-based (e.g. time from advanced cancer diagnosis to EPC initiation); (2) prognosis-based (e.g. prognosis or the ‘surprise question’); (3) location-based (e.g. access point within the healthcare system such as outpatient setting); (4) treatment-based (e.g. physician’s judgement or prior to specific therapies); and (5) symptom-based (e.g. using symptom intensity questionnaires). Many studies included patients with cancer (n = 103), with the most common definition category being time-based (n = 53). Amongst studies focusing on multiple or non-cancer diagnoses (n = 50), the most common definition category was symptom-based (n = 16).ConclusionOur findings provide a useful reference point for those seeking to understand the scope and breadth of existing EPC definitions in cancer and non-cancer illnesses and contemplate their application within clinical practice.

Interventions in subacute paediatric inpatient neurorehabilitation: an umbrella review.

Rehabilitation is vital for optimizing recovery following neurological injuries. However, much of what is done for the paediatric population relies heavily on the adult literature or is based on expert opinion. No previous attempt has been made to collate high-quality evidence pertaining to the subacute period. To summarize and appraise the evidence from systematic reviews regarding the efficacy of inpatient neurorehabilitation interventions for paediatric patients in the 6 months immediately following neurological injury. A systematic search was conducted of PubMed, Ovid Medline, Cumulative Index to Nursing and Allied Health Literature, Embase, and Cochrane databases, as well as using Google Scholar. Selection required an appraisal of efficacy of an inpatient rehabilitation intervention delivered within 6 months of injury. 1,250 papers were found. Titles and abstracts were compared against the selection criteria, with 52 papers being selected for full-text review. None of these met the selection criteria. Exclusions were often due to setting and chronicity. This review reveals a critical lack of systematically reviewed evidence within the scope investigated. There is a pressing need for evaluation of current interventions. In the future, alternative approaches to identifying and appraising different forms of available evidence could be considered.

Cinematic Adaptation of Young Adult Literature: From Mirroring Reality to Societal Transformation

Cinematic Adaptation of Young Adult Literature: From Mirroring Reality to Societal Transformation

Risk factors and prevention and treatment methods of anastomotic stricture after esophageal atresia repair: a literature review.

This review examines the common risk factors associated with anastomotic stricture (AS) following esophageal atresia (EA) repair and evaluates the current understanding and clinical practices concerning esophageal dilation, which remains the predominant therapeutic approach. We present emerging evidence on adjunctive therapies for recurrent and refractory strictures, including esophageal stenting, endoscopic incision therapy, mitomycin C application, local steroid injections, cell sheet transplantation, and surgical interventions. A comprehensive literature review was conducted using PubMed, with a cutoff date of December 31, 2024, encompassing all relevant studies and reviews pertinent to this topic, with a particular emphasis on refractory and recurrent strictures. Given the scarcity of evidence-based data on AS in children with EA, we also critically analyze findings from adult literature and studies addressing esophageal strictures caused by various etiologies to provide a more comprehensive understanding. The pathogenesis of AS is multifactorial, with a key contributing factor being the significant gap between the proximal and distal esophageal segments. This anatomical disparity increases anastomotic tension, thereby elevating the likelihood of stricture formation. A thorough identification and detailed understanding of the risk factors associated with AS are crucial for enhancing patient outcomes and developing effective preventive strategies. Currently, the evidence regarding esophageal dilation is insufficient to establish the superiority of any single technique, particularly between balloon and bougie dilators. Recurrent and refractory strictures remain a challenge, as no pharmacological and mechanical adjunctive interventions have demonstrated sufficient feasibility, efficacy, and safety to fundamentally change clinical practice. While some results show promise, transformative outcomes have not yet been achieved, and further research is needed to establish evidence-based best treatment strategies.

Between Openness and Silence: Public Librarians’ Perspectives on Serving LGBTQ+ Youth in Poland

ABSTRACT This study examines public librarians’ perceptions in Poland regarding the informational needs of young adult LGBTQ+ users and their access to library collections. Conducted in a socio-political context marked by conservatism and marginalization, the research employs a checklist analysis of LGBTQ+ young adult literature in library collections and interviews with librarians in south-eastern Poland. Findings highlight limited policies, inadequate librarian training, and barriers from censorship and community conservatism. While some LGBTQ+ materials are available, proactive engagement remains rare. The study emphasizes the need for inclusive practices and resources to better support marginalized youth in Polish public libraries.

Co-Sleeping with a pet: exploring the impact on youth sleep.

Despite a rise in pet ownership and adult literature indicating pet co-sleeping may lead to disrupted sleep, limited research has evaluated the impact of youth co-sleeping with an animal. This study evaluated whether a pet in the bedroom affects youth sleep. 175 families completed measures of screen time, sleep problems, and parental sleep knowledge. Youth (M age = 9.51; 53.1% male) wore an ActiGraph and completed a sleep diary for 2 consecutive weeks. For youth who owned a pet dog, the dog wore an ActiGraph for the same 2 weeks. Youth were separated into 3 groups: those who slept with a pet on the bed, those with a pet in the room but not on the bed, and those with no pet in the bedroom. Results suggest that youth with a pet on the bed have a shorter sleep duration, lower efficiency, and longer sleep onset latency than youth without a pet in the bedroom. A pet on the bed explained unique variance in sleep efficiency, duration, and latency when accounting for factors previously shown to impact youth sleep. Awakenings and self-reported sleep problems did not differ between groups. In dyadic analyses (n = 43), dog movement 1 min prior predicted child movement at night. Results suggest that having a pet on the bed is associated with more restless and shorter sleep. Though results should be replicated, clinicians should begin assessing pet sleeping location when addressing sleep concerns and provide families with information about the potential impact of pets on sleep.

Vertical Breast Reduction Mammaplasty in the Adolescent Population.

Perioperative complications following reduction mammaplasty are well described in adults, yet there is a paucity of literature in the adolescent population, especially for the vertical reduction technique. We performed a retrospective chart review of patients younger than 18 years undergoing bilateral breast reduction with vertical pattern skin resection and a superomedial pedicle at our tertiary care institution (2012-2023). Patients with less than 30 days of follow-up were excluded. A total of 48 patients with a mean age at surgery of 16.5 ± 1.7 years were included. Median time of last follow-up was 58.5 (interquartile range 37.2-232) days. Over the cumulative postoperative period, 12 (25%) patients experienced a complication. The most common complication was minor wound dehiscence (n = 9, 18.7%), followed by bleeding/hematoma (n = 3, 6.2%) and minor infection (n = 1, 2.1%). The complication rate was insignificantly greater in patients undergoing total excisions of 1000 g or more (29.2% versus 20.8%, P = 0.74). Perioperative complications were also higher in patients who were overweight (35.7%) and obese (29.2%) compared with patients with normal (0%) body mass index (P = 0.081), although this difference was not statistically significant. The complication rate after vertical breast reduction in adolescents is comparable to what is reported in the literature for adults, with all complications being minor and not requiring reoperation. Our study supports the safety of this approach in adolescents, although larger resection (≥1000 g) and higher body mass index trend toward higher complication rates.

Measuring Cardiac Interoceptive Accuracy in Infancy: Lessons From the Adult Literature.

Models of interoception, the processing of internal bodily signals, highlight infancy as a key period for interoceptive learning. Given the potential importance of this developmental period, there has been increasing focus on the measurement of cardiac interoceptive accuracy in infancy. In this paper, we argue that despite progress in this area, the current methods for assessing cardiac interoceptive accuracy in infancy suffer from many of the same limitations as tasks of cardiac interoceptive accuracy employed in adult samples. To progress work in this area, this paper critically reviews methods of cardiac interoceptive accuracy employed in adults and infants and provides several recommendations for optimizing the measurement of cardiac interoceptive accuracy in infants. These include, but are not limited to, methodological choices regarding the presentation of stimuli, the use of control tasks, the analysis strategy employed, and the importance of considering state effects.

A developmental perspective on mind wandering and its relation to goal-directed thought.

A developmental perspective on mind wandering and its relation to goal-directed thought.

Racial Match: Black Youth and Pediatric Integrated Primary Care

Objective: Black youth face numerous barriers to equitable mental health care that contribute to service underutilization. Some clinicians and researchers encourage matching Black youth with Black clinicians as a strategy to mitigate the effects of these barriers and improve treatment outcomes and engagement. Evidence in the adult therapy literature demonstrates that racial matching can improve treatment outcomes (i.e., symptom reduction) for Black adults; however, youth research is limited and largely restricted to traditional outpatient treatment models. Pediatric integrated primary care (IPC) aims to improve mental health access by embedding mental health services into primary care clinics; however, little is known about how racial match influences service utilization and delivery in pediatric IPC for Black youth. Method: We utilized retrospective chart review to examine associations between patient–psychology clinician racial match and service utilization and delivery in a pediatric IPC clinic serving predominately Black families ( N = 234, 50% female, 100% Black). Our primary measures of interest were patient–provider racial match, psychology attendance rate, and first encounter diagnosis. Results: Black clinicians were grossly underrepresented in our dataset and families had limited opportunities to receive racially matched care. Black youth attendance rates were unrelated to working with a Black clinician, but youth were more likely to receive a developmental/learning/autism diagnosis during their first encounter when working with a Black clinician. Conclusions: Racially matched care in IPC remains a promising strategy to improve care and warrants further investigation, both in the literature and in clinical practice.

Use of incisional negative pressure wound therapy in reconstructive pediatric and young adult urology to reduce surgical site occurrences: A pilot study.

Use of incisional negative pressure wound therapy in reconstructive pediatric and young adult urology to reduce surgical site occurrences: A pilot study.