Persistent neck pain is a leading cause of years lived with disability. The aim of the current study is to describe and evaluate cognitive functional therapy for patients with persistent neck pain. We recruited 74 patients (73% women) aged 22-76 years, with persistent neck pain. The outcomes were neck pain at activity and rest measured by 11-point numeric rating scales (NRS), disability by Neck Disability Index (NDI) (0-100), Fear Avoidance Beliefs Questionnaire (FABQ), Hopkin Symptom Check List (HSCL-10) at baseline and post-treatment. The treatment program included 5 sessions and focused on cognitive strategies and exposure to physical activities. Sixty (81%) patients had follow-ups. Neck pain during activity was reduced by a mean of 3.3 (95% Confidence interval (CI) 2.6 to 3.2) and 2.5 (95% CI 1.9 to 3.1) at rest. NDI was reduced by 16.3 (95% CI 12.0-20.5). Similar large improvements were observed for FABQ and HSCL-10. Ninety-eight percent of the participants reported that they would recommend the program to other patients. Clinically relevant improvements were observed in pain, disability, fear-avoidance beliefs, and emotional distress following CFT in patients with persistent neck pain.

Difficulties in emotion regulation lie at the core of many mental health challenges. The Difficulties in Emotion Regulation Scale Short Form (DERS-SF) is a widely used tool for measuring such difficulties. Although it has been translated into several languages and validated across various countries worldwide, its psychometric properties have not been thoroughly examined in Scandinavian populations. This study aimed to replicate the original multidimensional six-factor DERS-SF model in a Norwegian sample, compare it with alternative models, and examine its correlation with psychological distress. As part of a randomized controlled trial (RCT), 138 parents of children with mental health disorders completed the DERS-SF and the 10-item Symptom Check List (SCL-10). Confirmatory factor analyses (CFAs) were conducted to compare the six-factor model with a five-factor model and two hierarchical models. CFAs supported the six-factor, five-factor and hierarchical models. All showing good model fit. The six-factor model was preferred over the five-factor model based on theoretical considerations regarding the inclusion of the Awareness factor. Reliability analysis yielded McDonald's omega values ranging from 0.61 to 0.94. A positive correlation between emotion regulation difficulties and psychological distress was observed (r = 0.445, p < 0.001). The findings supported the applicability of the DERS-SF in a Norwegian population and its utility for clinical and research purposes. However, as the sample consisted of parents of children receiving mental health care, caution is required when interpreting these results due to potential limitations regarding external validity and generalizability. Trial Registration: ClinicalTrials.gov, identifier: NCT04885036.

The "3 ACE Check List" is an innovative framework that aims to guide clinicians in selecting appropriate anti-obesity therapy. The 3ACE list consists of nine factors, attractively, alliteratively and accurately listed in three columns. These facets represent the entire biopsychosocio- environmental spectrum of determinants of obesity. It simplifies decision making, by helping clinicians match therapeutic choices with individual patient characteristics, so as to optimize outcomes and satisfaction. We suggest the use of this model in obesity counselling and care..

Pediatric functional seizures: Demographics, clinical and psychological characteristics and risk factors.

The aim of the work is to check the correctness of the software implementations of the asymmetric RSA and ECDSA algorithms as part of cryptographic libraries with open source code. And also to form a list of checks for the parameters of the RSA and ECDSA algorithms, the implementation of which will allow obtaining correct software implementations. The RSA encryption algorithm is based on modular arithmetic and works with large numbers in finite fields. The complexity of the algorithm is based on the complexity of the factorization problem, that is, the com­plexity of decomposing a number into prime factors. The ECDSA algorithm is a digital signature algorithm based on the use of elliptic curves. The ECDSA algorithm is based on the mathematics of cyclic groups of elliptic curves over finite fields. The main advantage of the ECDSA algorithm is the use of numbers several times smaller than in RSA, while maintaining approximately the same margin of reliability. Particular emphasis is placed on the description of the mathematical subtleties of the algorithms under consideration, which should be taken into account in the form of checks of the parameters used when performing software implementations, such as: the quality and dimension of the prime numbers used, the correct choice of initial parameters, the correct implementation of the operations performed, and others. A number of cryptographic libraries with open source code for various programming languages are con­sidered. It is shown that from the list of libraries considered, only the cpenssl library meets all security requirements. The recommendations presented in the article will be useful both for those developers who choose a cryptographic library for their implementation, and for those who want to implement the RSA and ECDSA encryption algorithms themselves.

Nocturnal entomofauna are less investigated although they are more in numbers. Aim of this research was to investigated the species richness of nocturnal entomofauna in Jhalawar district of Rajasthan state (India). The light trap and light sheet methods were used for individual’s collection. The collection of individuals was carried out between the periods of August, 2020 to March, 2021. Total 145 species of nocturnal entomofauna belonging to 7 orders, 36 families and 132 genuses were collected from the research sites. In the present research species richness was maximum from order Lepidoptera (Heterocera) with 111 species 18 families followed by Coleoptera (beetles) 17 species of 6 families, Hemiptera (bugs) 11 species 6 families. Only 2 species were collected from order Orthoptera, Similarly 2 species of order Neuroptera with one species each from family Ascalaphidae and Chrysopidae were collected. One species from Diptera order and one species observed from Hymenoptera.

IntroductionHypoxic training protocols have been used to improve athletes' performance by influencing both physiological and emotional responses. The aim of the present study was two-fold. First, to evaluate the post-exercise emotional response on the increasing intensity exercise (O2max) in normoxia and hypoxia. Second, to assess the emotional responses of two hypoxic training protocols (Sleep High-Train Low, SH-TL; Sleep Low-Train High, SL-TH) during increasing intensity exercise (O2max) in both normoxia and hypoxia.MethodsTwenty-seven physically active males ranging in age from 18 to 30 years volunteered to participate in the study. The participants were randomly assigned into two different hypoxic training protocols (SH-TL, SL-TH), and a control group. Participants performed a protocol to evaluate O2max in hypoxia and in normoxia. The emotional responses were evaluated based the Activation Deactivation Adjective Check List and the Multidimensional Fatigue Inventory. Repeated measure analysis of variance was applied to examine the differences on participants' mood state and fatigue (energy, tiredness, tension, calmness, general fatigue, physical fatigue, reduced activity, reduced motivation, emotional fatigue) before and after the of O2max before (pre-test), in the middle (middle-test), and in the end (post-test) of each training protocol.ResultsA significant change in energy in the SL-TH after O2max was revealed compared to the other groups, between pre- and post-test. In the SH-TL condition, significant differences were found in energy and tension in normoxia, and in tension in hypoxia conditions. In the SL-TH group, significant differences were indicated in tiredness and calmness in normoxia. In hypoxic condition, significant changes were found in tiredness, tension, calmness and general fatigue.DiscussionThese findings point towards the effectiveness of SL-TH in managing fatigue and maintaining positive emotions. The effect of hypoxic training was noticed in participants mood state, highlighting the importance of a proper design aiming to improve humans' performance in hypoxic and normoxic conditions.

This manuscript focuses on selecting and testing subjective assessment methods to measure mental strain in control rooms. Based on interviews with energy sector workers, our framework includes activation, mental workload, and attention, as they were closely linked to experienced mental stress during critical decision-making situations. Consequently, we translated the Activation-Deactivation Adjective Check List (AD-ACL) and the Workload Profile (WP) into German and validated them alongside the Flow Experience questionnaire. To assess their applicability, 96 volunteers performed two tasks (single-task and multitask) of varying difficulty at different times of day. Exploratory and confirmatory factor analyses supported the internal structure of the AD-ACL and Flow scales, while internal consistency was adequate across all instruments. Convergent and discriminant validity were verified through correlations between self-report measures and task performance. Additionally, all instruments showed sensitivity to task difficulty manipulations. These findings support the use of these tools in human-computer interaction research and their potential for assessing adaptive assistance systems in control rooms.

ObjectiveMajor depressive disorder (MDD) significantly impairs college students’ functioning. Inter-parental conflict (IPC) is a recognized risk factor for mental health issues, yet gender-specific mechanisms linking IPC to MDD in college students remain unclear. This study aimed to examine the association between IPC and new-onset MDD among Chinese university students, and to test whether this association differs by gender.MethodsA retrospective controlled study was conducted between April 2018 and October 2019 among 8079 first-year students from two medical universities in Shandong Province, China, using cluster sampling.The Adolescent Self-rating Life Events Check List (ASLEC) assessed stressful life events, the lifetime severe traumatic events questionnaire evaluated traumatic experiences, the Egna Minnen Beträffande Uppfostran (EMBU) measured parenting styles, and the Composite International Diagnostic Interview (CIDI-3.0) diagnosed MDD based on DSM-IV criteria. With descriptive statistics computed by gender and logistic regression models employed to assess IPC’s impact on MDD risk.ResultsThe overall incidence of new-onset MDD was 2.4% (2.1% in males, 2.6% in females). Multivariate analysis revealed that occasional physical violence (OR=2.114, 95% CI:1.059–4.222) and chronic emotional neglect (OR=2.252, 95% CI:1.074–4.724) during IPC significantly increased MDD risk in male students. Among female students, seeking help from relatives during parental conflicts was independently associated with increased MDD risk (OR=2.14, 95% CI:1.09–4.20).ConclusionIPC is significantly associated with new-onset MDD among Chinese college students, and this relationship is moderated by gender. While male students show vulnerability to physical conflict and emotional neglect, female students face increased risk when involving relatives in conflict resolution. The findings support the development of gender-specific intervention strategies to mitigate familial risk and promote student mental health.

PurposeThe goal of this research was to examine the relationship between self-reported circadian disruption during the week and on weekends, and self-diagnosis of mental illness. It was hypothesized that circadian disruption would be associated with mental illness self-diagnosis.MethodsUsing previously collected data wherein undergraduate students completed a series of questionnaires we examined Weekday bedtime/waketime variability, measured via question two from the Sleep Disorders Symptom Check List – 25, and calculated social jetlag score, examining these as a function of Mental Illness Diagnosis Category and Sex.ResultsIncreased circadian disruption was significantly associated with more self-diagnosed mental illnesses (r = .10, p < .01), as well as with increased uncertainty about mental health status (r = .10, p = .004), while decreased circadian disruption was associated with fewer mental illnesses. Women reported more self- (Women X = 0.47, sd = 0.74; Men X = 0.26, sd = 0.67) and clinical (Women X = 0.61, sd = 1.0; Men X = 0.24, sd = 0.24) mental illness diagnoses than men.ConclusionsIt is not known if the circadian disruption-mental illness self-diagnosis and uncertainty relationship is directly casual, or mediated by negative behaviors associated with such disruption, including social media usage or sleep loss. Regardless, the findings have implications for shift workers, college students, and for other individuals who do not maintain a ‘regular’ sleep schedule.

During the development of the Core Sets for deafblindness, using the World Health Organization’s (WHOs) International Classification of Functioning, Disability, and Health (ICF), the last preparatory study consists of a multisite cross-sectional clinical assessment. Its purpose is to use standardized tests of functioning that have been identified during a systematic literature review, and that have been most frequently used with deafblind individuals. These measures need to be available at no cost, standardized and validated, and not interfere with protected professional acts. Here, we explore the administration of the Mini-Mental State Exam (MMSE), the Lawton-Brody Instrumental Activities of Daily Living Scale, and the Center for Epidemiological Studies Depression Scale for this purpose. Participants were 29 deafblind adults (14 men, 15 women), ranging in age from 20 to 74 ( M = 47.29, SD = 16.31), with a wide range of severity and diagnostic criteria, and from 15 countries distributed across the six WHO regions. They were invited to a structured online clinical assessment based on the ICF Check List of assessment categories, in addition to the administration of the three identified standardized measures. Participants demonstrated varying levels of independence in daily tasks, with the highest independence in managing laundry and medications and greater dependency in financial management and transportation. Nearly half (48%) showed signs of clinical depression. MMSE completion rates were low ( n = 6), with significant non-responses in visually demanding items; among those who completed it, 67% scored within the normal range. A positive correlation between cognitive status and functional independence was found. These findings underscore the heterogeneity of deafblind individuals. None of these most frequently used measures were designed to be administered to individuals living with combined vision and hearing difficulties, underscoring the importance of tailored assessment tools and interventions to support this population.

Check lists of insect pests of soybean and their succession in relation to crop stages are scanty in Bangladesh. A study was conducted during January to April 2023 at the Department of Entomology, Gazipur Agricultural University (GAU), Gazipur to know the prevalence of the insect pests and their status on soybean. According to rate of plant infestation, flea beetle (35.7%), jassid (34.4%), whitefly (27.5%), soybean looper (33.6%) and pod borer (36.9%) were categorized as the major pests while leaf miner (15.5%), leaf beetle(15.2%), epilachna beetle (15.8%), grasshopper (17.6%), aphid (11.8%), green stink bug (11.2%), hairy caterpillar (16.7%), leaf roller (17.0%), stem fly (19.5%), thrips (13.1%) and weevil (13.9%) were categorized as the minor pests. The pest insects were most abundant in mid-March (24.7±5.3) when the plant was pod initiation stage. The richness (2.5±0.1), diversity (2.6±0.1) and evenness (0.94±0.2) of insect pests were also the highest in mid-March. The rank abundance of the harbored arthropods showed that the pod borer occupied the top rank (19.0%) in soybean field. Ann. Bangladesh Agric. 29(1): 13-22

Older adults with diabetes mellitus are at a higher risk of frailty, which can lead to disability and death; therefore, effective frailty screening is necessary in such populations. However, evidence linking sway meter indices to frailty or functional capacity remains limited. This cross-sectional study aimed to investigate the association of postural stability, assessed using a sway meter, with frailty and functional capacity in older patients with and without diabetes. Data from 362 older outpatients (149 with diabetes and 213 without) who visited the Frailty Clinic between 2021 and 2022 were analyzed. The Kihon Check List was used to define frailty and the Short Physical Performance Battery to assess functional capacity. The sway meter indices included locus length (Lo) and area of the center of pressure (Ao) with open eyes, locus length (Lc) and area of center of pressure (Ac) with closed eyes, and the Romberg ratio (Ac/Ao). Univariate and multivariate analyses were performed to determine associations. All sway meter indices were higher in patients with diabetes. In this group, Lo, Ao, and Ac levels were significantly higher in those with frailty, while Lo, Lc, Ao, and Ac levels were higher in those with low functional capacity. Receiver operating characteristic analyses showed that Ao and Ac had relatively high area under the curve for both diagnoses. Binominal logistic regression analyses revealed that Ac was significantly associated with frailty in patients with diabetes after adjusting for age, sex, HbA1c, cognitive function, number of medications, and several diabetic complication indices, including loss of Achilles tendon reflexes (odds ratio, 1.107; 95% confidence interval, 1.001–1.225; p = 0.048). Ac was also significantly associated with low functional capacity. These findings suggest that the area of the center of pressure, especially in a closed-eye setting, is associated with frailty and functional capacity in older adults with diabetes.

Introduction: Operating room safety is a major imperative. The surgical safety checklist (CL), developed by the World Health Organization (WHO), is an essential tool to reduce surgical risks and improve patient safety. Objective: This study aimed to assess the level of knowledge and use of the checklist among healthcare professionals in operating rooms in Senegal. Methods: This was a multicenter cross-sectional study conducted over three months, from September to December 2024. Data were collected using an anonymous questionnaire, available in both paper and digital formats. Data analysis was performed with SPSS v.29 and Excel 2021. Results: The study included 110 professionals, with 56% based in Dakar and 44% in other regions. Participants were mainly surgeons (45%), anesthesiologists (35%), and paramedical staff (25%), with an average professional experience of 6.7 years. Although 94% of professionals were aware of the checklist, only 36% used it systematically. The main barriers identified were lack of training (53%), workload (31%), and resistance related to work habits (16%). Furthermore, 92.7% of participants emphasized that training initiatives (workshops, online sessions, or a combination) could facilitate adoption and implementation of the checklist. Finally, 98.5% of participants perceived a positive impact of the checklist on patient safety. Conclusion: The checklist is an essential tool to improve patient safety in the operating room. Its integration must be part of a broader quality improvement strategy. However, adoption in Senegal is hindered by lack of training, organizational constraints, and entrenched work habits. To optimize its use, it is crucial to strengthen training, improve working conditions, and promote a systemic approach centered on safety.

This study examines the relationship between personality traits and foreign language speaking anxiety among pre-service French as a Foreign Language (FLE) teachers. Using a mixed-methods approach, data were collected through the Adjective Check List (ACL) and semi-structured interviews, then analyzed using the thematic analysis method. The findings reveal that specific personality traits, such as low self-esteem, pronounced perfectionism, introversion, a strong need for social approval, and an adaptive infantile role, deepen the various dimensions of speaking anxiety and influence its manifestation in different ways. These psychological and social factors shape how learners perceive and cope with their anxiety when speaking a foreign language. These results highlight the importance of considering psychological and social dimensions in foreign language teaching and learning processes. They also suggest the need for implementing pedagogical strategies that help reduce speaking anxiety and foster a more supportive and inclusive learning environment. Cite this article as: Özperçin, A. (2025). Traits de personnalité et anxiété langagière en production orale: etude auprès des futurs enseignants de fle. HAYEF: Journal of Education, 22, 0010, doi:10.5152/ hayef.2025.25010.

The aim of the INveStigating ProblEmatic Clinical Trials in Systematic Reviews (INSPECT-SR) project is to develop a tool to identify problematic RCTs in systematic reviews. In stage 1 of the project, a list of potential trustworthiness checks was created. The checks on this list must be evaluated to determine which should be included in the INSPECT-SR tool. We attempted to apply 72 trustworthiness checks to randomized controlled trials (RCTs) in 50 Cochrane reviews. For each, we recorded whether the check was passed, failed, or possibly failed or whether it was not feasible to complete the check. Following application of the checks, we recorded whether we had concerns about the authenticity of each RCT. We repeated each meta-analysis after removing RCTs flagged by each check and again after removing RCTs where we had concerns about authenticity to estimate the impact of trustworthiness assessment. Trustworthiness assessments were compared to Risk of Bias and Grading of Recommendations Assessment, Development and Evaluation (GRADE) assessments in the reviews. Ninety-five RCTs were assessed. Following application of the checks, assessors had some or serious concerns about the authenticity of 25% and 6% of the RCTs, respectively. Removing RCTs with either some or serious concerns resulted in 22% of meta-analyses having no remaining RCTs. However, many checks proved difficult to understand or implement, which may have led to unwarranted skepticism in some instances. Furthermore, we restricted assessment to meta-analyses with no more than five RCTs (54% contained only 1 RCT), which will distort the impact on results. No relationship was identified between trustworthiness assessment and Risk of Bias or GRADE. This study supports the case for routine trustworthiness assessment in systematic reviews, as problematic studies do not appear to be flagged by Risk of Bias assessment. The study produced evidence on the feasibility and impact of trustworthiness checks. These results will be used, in conjunction with those from a subsequent Delphi process, to determine which checks should be included in the INSPECT-SR tool. Systematic reviews collate evidence from randomized controlled trials (RCTs) to find out whether health interventions are safe and effective. However, it is now recognized that the findings of some RCTs are not genuine, and some of these studies appear to have been fabricated. Various checks for these "problematic" RCTs have been proposed, but it is necessary to evaluate these checks to find out which are useful and which are feasible. We applied a comprehensive list of "trustworthiness checks" to 95 RCTs in 50 systematic reviews to learn more about them and to see how often performing the checks would lead us to classify RCTs as being potentially inauthentic. We found that applying the checks led to concerns about the authenticity of around 1 in three RCTs. However, we found that many of the checks were difficult to perform and could have been misinterpreted. This might have led us to be overly skeptical in some cases. The findings from this study will be used, alongside other evidence, to decide which of these checks should be performed routinely to try to identify problematic RCTs, to stop them from being mistaken for genuine studies and potentially being used to inform health care decisions.

Objective: The objective of this study is to evaluate the negative environmental impacts of drought on dairy production in the Margarida Maria Alves settlement, located in the municipality of Pombal-PB. Theoretical Framework: Dairy farming in the Northeast, predominantly in family farming, is essential for the subsistence and development of the region, but faces challenges with climate change. Method: The research was conducted through questionnaires, simplified environmental diagnosis, qualitative and quantitative analysis of impacts and proposal of control measures. Environmental Impact Assessment methods were applied, such as Ad Hoc, Check Lists, Interaction Matrix and Impact Index. Results and Discussion: The results identified 26 negative impacts and 87 interactions in the physical, biological and anthropic environments, with the anthropic environment being the most affected (38 interactions), followed by the biological (36) and physical (13). The most impacted components were water resources, fauna, ecosystems, animal welfare, public health and economy. Nine control measures were proposed: five adaptation measures and four mitigation measures. Research Implications: Drought affects dairy production by reducing water, damaging pastures and animal welfare, creating challenges for producers. Understanding these impacts helps to create sustainable strategies. Originality/Value: The study provides an unprecedented assessment of the impacts of drought on family dairy production in a semiarid region, proposing practical strategies for local sustainability.

El presente estudio analizó el impacto de las enfermedades ocupacionales asociadas al riesgo ergonómico en el ausentismo laboral del personal docente de las carreras de servicios del ISTT durante el año 2025. La problemática se centró en la ausencia laboral en las docentes causadas por dolencias musculoesqueléticas derivadas al riesgo ergonómico. El objetivo fue identificar estadísticamente la relación entre dichos factores y el ausentismo laboral. Se empleó una metodología mixta, mediante encuestas y entrevistas aplicadas a los docentes, complementadas con las herramientas de evaluación ergonómica ROSA y Check List OCRA, y se utilizó el análisis ANOVA para determinar la significancia de las variables. Los resultados evidenciaron que los docentes presentaron ausencias por dolencias como dolor de espalda, cuello, hombros y muñecas. Asimismo, los encuestados reportó no contar con mobiliario ergonómico, lo que incrementó la exposición al riesgo. Se concluyó que existe una relación directa entre las enfermedades musculoesqueléticas y el ausentismo laboral, lo cual afecta la continuidad académica, la productividad y la salud del personal docente.Palabras clave: Riesgo ergonómico, enfermedades ocupacionales, ausentismo laboral, evaluación ergonómica, docentes, análisis estadístico.

ABSTRACTObjectivePreterm infants frequently experience short apneas which can occur in isolation or in a repetitive pattern termed periodic breathing. We assessed the consequences of the amount of time spent with short apneas on developmental outcomes at 2 years of age.MethodsPreterm infants (N = 23) born between 28 and 32 weeks gestational age were studied during daytime sleep in the supine position at 32–36 weeks post menstrual age (PMA), 36‐40 weeks PMA, 3 months and 6 months corrected age. The percentage of total sleep time (TST) spent with apneas at each study was calculated. Infants were divided into those below and above the median cumulative time spent with apneas over the 4 studies (28.4% TST) and developmental assessments (Bayley Scales of Infant Development III, Early Childhood Behavior Questionnaire, Child Behavior Check List) at 2 years of age were compared with ANCOVA.ResultsThe above median group tended to have lower unadjusted scores for motor composite, social emotional composite and adaptive behavior composite on the Bayley's. After adjusting for confounders and %TST spent with apneas, the motor composite score was significantly lower in the above median group (p < 0.05). Perceptual Sensitivity was lower in the above median group (p < 0.05).ConclusionsIn clinically stable very preterm infants, who had been discharged home with no concerns of respiratory instability, those infants who spent more time with short apneas, particularly periodic breathing, had reduced motor outcomes at 2 years of age. Our findings add to a growing literature suggesting that short apneas and periodic breathing are not benign.

Background: The Covid-19 pandemic led to several mental health challenges. Among students’ depression and anxiety were the most common. This study explores the coping strategies in dealing with depression and anxiety among college students during COVID-19 pandemic. Methods: Using a descriptive design with a stratified sample of 702 students aged 18 and 25 years were enlisted for data collection from Pune. Standardized measures like Hopkins Symptoms Check List, Shortened Ways of Coping and Brief RCOPE were administered. Conclusion: Findings indicate a significant negative correlation between positive religious coping and depression (r = -.14**, p&lt;.01), significant negative correlation between positive religious coping and anxiety (r = -.17**, p&lt;.01). A significant negative relationship between practical thinking and depression (r= -.11**, p&lt;.01) and a significant negative relationship between practical thinking and anxiety (r= -.16**, p&lt;.01). In conclusion, exploring coping strategies helps in identifying the effective strategies in dealing with mental health challenges and in developing interventions.