Course Of Development Research Articles

Development of health care expenditures in Finland up to 2040

Abstract Background Increasing health care expenditures are threatening public health by complicating the supply of adequate health services. Exploration of possible future developments of the expenditures is needed to understand how to prepare for future or to change an unwanted course of development. We provided projections by health care sectors taking into account demographic and other developments. Methods We used national data on the realized expenditures per capita by age group, sex and health care sectors from 2017 to 2020, and official forecasts of the population in Finland up to 2040. Future per capita expenditures were projected with Bayesian linear regression models incorporating a priori dependency structure for the slope parameters of the age groups such that the time trends of adjacent groups would be more similar than other groups. These projections were then combined with the population forecasts to estimate the total expenditures. Results The greatest increase (164%) was estimated for the total costs of the primary outpatient healthcare: from 2153 to 5677 million euros in 2020-2040, such that 7% of the growth was attributed to demographic developments. The estimated growths were 68% for the primary inpatient healthcare, 14% for the specialised somatic healthcare, and 52% for the urgent and emergency health services, of which 91%, 98% and 21% were attributed to demographic developments, respectively. Conclusions Notable increases in expenditures are expected in all considered health care sectors, but there are great differences in the proportions of the growth attributed to demographic developments. Due to the limited role of demographic changes, it is worth focusing on controlling the impacts of other developments by, e.g., improving the population health and the efficiency of the health care system. Key messages • Notable increases are expected in health care expenditures up to 2040. • Impacts of demographic changes varies markedly between health care sectors.

Co-designing health literacy actions: Connecting the dots to create meaningful impact

Abstract In closing the workshop, this presentation will bring together the participatory research recommendations for promoting and developing healthy literacy in Ireland, which will be led by Slaintécare Healthy Communities in practice, dissemination and scale up. In particular, a worked example from a third Slaintécare Healthy Community (Westmeath) will be presented; a healthy literacy “Train the Trainer” professional development course for local health literacy champions. In this presentation, we will also challenge attendees to offer suggestions of how to support and facilitate other recommendations suggested by our participants, and invite them to consider how this participatory action approach to a health literacy needs analysis could be utilised in their own contexts.

The Evolution of Advertising in Nigeria: Promoting Local Content for Sustainable Development

The complex relationship between advertising and local content promotion in Nigeria is one of the huge challenges to sustainable development. Cultural oversimplification, misrepresentation, and dominance of the West do significant damage to the representation of Nigerian culture authentically in the practice of advertising. This paper, therefore, reviews this relationship by incorporating historical evolution, and technological, cultural, and regulatory dynamics. The qualitative research design followed in this study generated primary data through the use of in-depth interviews conducted on key players in the Nigerian advertising industry. The primary data collected underwent a thematic analysis, while the historical analysis was supported by multiple sources, including historical records, publications from the industry itself, and scholarly literature. This research shall, therefore, be located within the understanding of the Cultural Imperialism Theory and the Development Media Theory as a lens to critically analyse the complexity of representations of local content in advertising. The results showed that there were positive and negative perceptions toward the integration of local content in Nigerian advertisements, as most consumers appreciate culturally authentic content. It identifies challenges and also shows how to use opportunities: bridging Nigeria's multicultural identity and digital platforms for sustainable development. This research underlines the need for a balance between global advertising practices and the local cultural nuances of impactful, sensitive campaigns that shall help lead the course of sustainable development and preserve the rich cultural heritage of this great nation.

Teaching with ChatGPT as a linguistically responsive tool for multilingual learners

This study investigates the instructional applications of ChatGPT and other AI tools in the context of K-12 multilingual learner (ML) education in US public schools. Framed within a translanguaging lens, the research seeks to empirically document how these technologies are used by teachers to support language and literacy learning among MLs. Data was collected from two cohorts of in-service teachers enrolled in a professional development course focused on culturally and linguistically responsive pedagogy, with classroom observations and post-observation interviews conducted with 42 teachers across various grade levels and content areas. The findings reveal several key practices, including using ChatGPT to facilitate communication, differentiate content, provide structured support for prompting, and engage in multimodal literacy experimentation. These practices align with dimensions of translanguaging pedagogy, particularly in terms of affordances, production, and co-labor, although gaps remain in the areas of assessment and reflection. The study highlights the potential of AI tools to enhance MLs’ linguistic responsiveness and agency, while also emphasizing the need for critical engagement and explicit instruction to address the challenges and ethical considerations associated with AI integration in education.

Development and evaluation of an online professional development course to support delivery of tiered school-based rehabilitation services

Purpose The Facilitating Integration of Rehabilitation Services Through Training (FIRST) Course provides online professional development on tiered service delivery models for rehabilitation professionals working in education settings. Created by content and e-learning experts, this study describes our use of the Analysis, Design, Development, Implementation, Evaluation (ADDIE) instructional design model and the Successive Approximation Model (SAM) to develop, implement, and evaluate the FIRST Course, and reports the findings of an initial program evaluation. Method Rehabilitation professionals who completed the FIRST Course were invited to complete a cross-sectional survey to evaluate its utility. Results Between May 1, 2020, and August 11, 2023, 314 occupational therapists, 54 physiotherapists, and 170 speech-language pathologists completed the online course and survey. Respondents perceived the FIRST Course content to be relevant to their practice and to meet their learning needs regarding tiered services in education settings. Most respondents viewed the course positively and would recommend it to colleagues. More experienced respondents suggested a need for training on tiered service delivery models beyond an introductory level. Conclusions The ADDIE and SAM instructional design models were successfully applied to develop, implement, and evaluate online professional development for school-based rehabilitation professionals who wish to learn about tiered service delivery models.

Successional changes in aphyllophorales macromycetes at different stages of coniferous xylolysis

The state of modern protective plantations in coniferous-deciduous forests of the Non-Chernozem zone is characterized by great heterogeneity. Currently, both protective forest plantations and protective tree plantations are managed by an extensive method, often without taking into account biological relationships in the agrophytocenosis. Successional changes in Aphyllophorales macromycetes (AFMM) at different stages of xylolysis of large tree debris represent a complex biochemical process. The limiting conditions for the active growth of fungal mycelium inside wood include light, access to moisture and air, violations in water transport. As mycogenic xylolysis develops, there is an increase in the biodiversity of AFMM species, which reaches a maximum at stage III–IV. On a large data set of 332 model trees and 3,543 basidiomes of xylotrophic basidiomycetes, the presence of correlations between the settlement on the substrate of various ecological groups of AFMM involved in xylolysis was established. It has also been shown that the fruit bodies of fungi are actively formed under conditions of abiotic stress and their number increases in subsequent seasons. When using AFMM as indicators of the xylolysis stage of coniferous species, it is necessary to take into account that the development of mycelium depends on the structural features of the wood. The course of mycelium development in the trunk cross-section is associated with both the action of external environmental factors and interference processes between species. At the same time, the frequency of basidioma formation and their age are of great importance in field identification.

Probe into the Symbolic Significance of Cultural Symbols and Traditional Crafts of Huizhou Lacquerware

Through the analysis of the development course and regional characteristics of Huizhou lacquerware, this paper reveals its unique artistic characteristics and the profound cultural value behind it. This paper introduces the whole process of Huizhou lacquerware from raw material selection to finished product production in detail, and discusses the inheritance status and challenges of this process in contemporary society. It is found that Huizhou lacquerware is not only a fine work of art, but also an important medium to convey the essence of China culture.

Peripheral CaV2.2 channels in skin regulate prolonged heat hypersensitivity during neuroinflammation.

Neuroinflammation can lead to chronic maladaptive pain affecting millions of people worldwide. Neurotransmitters, cytokines, and ion channels are implicated in neuro-immune cell signaling but their roles in specific behavioral responses are not fully elucidated. Voltage-gated CaV2.2 channel activity in skin controls rapid and transient heat hypersensitivity induced by intradermal (id) capsaicin via IL-1α cytokine signaling. CaV2.2 channels are not, however, involved in mechanical hypersensitivity that developed in the id capsaicin animal model. Here, we show that CaV2.2 channels are also critical for heat hypersensitivity induced by id Complete Freund's Adjuvant (CFA). Id CFA, a model of chronic neuroinflammation, involves ongoing cytokine signaling for days leading to pronounced edema and hypersensitivity to sensory stimuli. Peripheral CaV2.2 channel activity in skin was required for the full development and week-long time course of heat hypersensitivity induced by id CFA but, paw edema and mechanical hypersensitivity were independent of CaV2.2 channel activity. CFA induced increases in several cytokines in hind paw fluid including IL-6 which was also dependent on CaV2.2 channel activity. Using IL-6 specific neutralizing antibodies in vivo we show that IL-6 contributes to heat hypersensitivity and, neutralizing both IL-1α and IL-6 was even more effective at reducing the magnitude and duration of CFA-induced heat hypersensitivity. Our findings demonstrate a functional link between CaV2.2 channel activity and the release of IL-6 in skin and show that CaV2.2 channels have a privileged role in the induction and maintenance of heat hypersensitivity during chronic forms of neuroinflammation in skin.Significance statement Neuroinflammation can lead to chronic maladaptive pain. Neurotransmitters, ion channels, cytokines, and cytokine receptors are implicated in neuron-immune signaling, but their importance in mediating specific behavioral responses are not fully elucidated. We show that the activity of peripheral CaV2.2 calcium ion channels in skin play a unique role in the induction and maintenance of heat hypersensitivity in the CFA model of prolonged neuroinflammation, but they are not involved in the development of edema and mechanical hypersensitivity. Blocking peripheral CaV2.2 channel activity reduces local cytokine levels in hind paws injected with CFA including IL-6, and neutralizing IL-6 reduces CFA-induced heat hypersensitivity. Our studies define key signaling molecules that act locally in skin to trigger and maintain heat hypersensitivity during chronic neuroinflammation.

Advancing inclusive practices in higher education: possibilities and limitations of a social justice professional development course

ABSTRACT Research on widening the participation of historically underrepresented university students tends to focus on student preparation and the structural adjustments needed to attract and retain them. Few studies have examined how to prepare university staff for the diversity of students that comes with such widening participation programmes. This paper contributes to this gap by discussing the impact that a professional development course on practising inclusion in higher education had on academic and professional staff participants’ understanding of equitable and inclusive practices. Using interview data, we found that participants developed a more nuanced and sensitive practice and greater confidence to act for change as they acquired new skills and knowledge associated with social inclusion practices, reflected on their professional identity changes, and gained critical insights into their roles. These findings support the need for this type of professional development to prepare all higher education staff to genuinely support university students from underrepresented groups. They also highlight the need for these professional development offerings to foster greater reflexivity about taken-for-granted assumptions, a deeper understanding of structural power and inequity in higher education, and higher education staff members’ capacity to enact change within these structures.

New risk factors and predictions of the development of retinal vein occlusion after cardiac surgeries with the use of artificial circulation

Background. Cardiovascular diseases are one of the risk factors for the development of retinal vein occlusion (RVO). Cardiac interventions with artificial circulation (AC) can be associated with perioperative complications, including retinal vessel occlusion. The actual task of modern ophthalmology is to determine the frequency of retinal vessel occlusions, clinical features, risk factors, the role of markers of inflammation and endothelial dysfunction in RVO in patients with cardiovascular diseases after surgeries with artificial circulation. The purpose of the study was to investigate new risk factors and predict the development of retinal vein occlusions after cardiac surgeries using artificial circulation. Materials and methods. Three hundred and ninety-four patients (638 eyes) were under observation. Of them, 220 people (405 eyes) had cardiovascular diseases and underwent heart surgeries with the use of AC. In these patients, we determined the nature, frequency and features of the development and clinical course of RVO after cardiac surgery with AC in the early and late periods of observation (3 and 6 months). Also, a study was conducted of 174 patients (233 eyes) with cardiovascular diseases who underwent cardiac surgeries with AC, and the serum levels of markers of inflammation (IL-6 and IL-8) and endothelial dysfunction (VE-cadherin) were determined before and after operations depending on the time of RVO occurrence. The main group included 126 patients (137 eyes) who were diagnosed with occlusion of the central retinal vein (CRV) or its branches after surgery with AC; the comparison group — 43 patients (86 eyes) who did not have retinal vein occlusion during the entire observation period; the control group — 5 patients (10 eyes) who had the same degree and duration of the underlying disease, indications for surgery with AC, but were examined before the operation, and within 180 days after it, and did not have RVO. The patients were examined by an ophthalmologist 2, 7, 30, 60, 90 and 180 days after cardiac surgery. The content of IL-6, IL-8 and VE-cadherin in blood serum was determined by the enzyme immunoassay (Bender MedSystems, Austria). Statistical data were processed using the Statistica 10 program (StatSoft Inc., USA), regression analysis was performed with the help of the GLZ software package. Results. As a result of the research, it was found that the frequency of retinal vein occlusions after cardiac surgeries with the use of artificial circulation was 0.99 % on the 2nd day, 3.95 % on the 7th day, 10.2 % after 3 months, 1.4 % after 6 months. The conducted discriminant analysis showed that the type of occlusion was determined by age, lower visual acuity, and the order of occlusion of the CRV branches. An increase in the macular volume of the retina was also significant, reflecting the development of macular edema. The regression model for predicting the type of occlusion based on visual acuity, the order of occlusion of the CRV branches and age had a prediction accuracy of 82.5 %. Cardiac surgeries with the use of AC caused an increase in interleukin content in the early period (IL-6 on days 2 and 7, and IL-8 — up to day 30), while the content of VE-cadherin was slightly increased during almost the entire observation period. In the presence of RVO, IL-6 content was significantly higher at all stages of occlusion development, IL-8 content — up to 30 days, and VE-cadherin content — mostly after 7 days. Regression analysis showed that after 1–2 days, the occurrence of RVO was directly related to the content of IL-6 and IL-8 in the blood, on days 3–7 — to the content of only IL-8, on days 8–30 — to the content of all markers, and later — to the content of IL-6 and VE-cadherin. The prediction accuracy for the presence or absence of RVO in the corresponding term according to the calculated regression models is at least 78 % (p < 0.001), which proves the influence of markers on the development of RVO. Conclusions. The conducted study shows the importance of acute inflammation and endothelial dysfunction in the occurrence of RVO when using AC, which justifies the use of preventive measures in the early stages of limiting the activity of the inflammatory process, in the later stages — preventing the development of endothelial dysfunction.

Effect of Age and Gender on Categorical Perception of Vocal Emotion Under Tonal Language Background.

Categorical perception (CP) manifests in various aspects of human cognition. While there is mounting evidence for CP in facial emotions, CP in vocal emotions remains understudied. The current study attempted to test whether individuals with a tonal language background perceive vocal emotions categorically and to examine how factors such as gender and age influence the plasticity of these perceptual categories. This study examined the identification and discrimination performance of 24 Mandarin-speaking children (14 boys and 10 girls) and 32 adults (16 males and 16 females) when they were presented with three vocal emotion continua. Speech stimuli in each continuum consisted of 11 resynthesized Mandarin disyllabic words. CP phenomena were detected when Mandarin participants perceived vocal emotions. We further found the modulating effect of age and gender in vocal emotion categorization. Our results demonstrate for the first time that a categorical strategy is used by Mandarin speakers when perceiving vocal emotions. Furthermore, our findings reveal that the categorization ability of vocal emotions follows a prolonged course of development and the maturation patterns differ across genders. This study opens a promising line of research for investigating how sensory features are mapped to higher order perception and provides implications for our understanding of clinical populations characterized by altered emotional processing. https://doi.org/10.23641/asha.27204057.

Exploring EFL teachers’ beliefs and practices about translanguaging pedagogy: A qualitative study from Iran

In the past decade, research on EFL teachers’ beliefs about translanguaging has significantly grown. However, little qualitative research has been done on teachers’ translanguaging beliefs and practices and the congruity between them. To address this gap in the literature, the current study investigated Iranian EFL teachers’ beliefs and practices, and the correspondence between these beliefs and practices. Data was collected from ten teachers who taught English as a foreign language through semi-structured interviews and classroom observations (three per teachers). The data was analyzed based on the principles of thematic analysis. The results showed that the teachers perceived six dimensions of translanguaging, including diverse beliefs of translanguaging, perceived relevance of translanguaging, pedagogical beliefs and approaches, attitudes toward benefits, concerns and challenges of applying translanguaging, and student-centered approaches. In regard to their practice, the teachers practiced translanguaging in various contexts and through different instructional strategies in their classes. Regarding the correspondence between beliefs and practices, it was found that there was a mainly direct correspondence between beliefs and practices. The study provides implications for teacher educators in running professional development courses that enhance teachers’ awareness of using translanguaging in their classes.

Systematic Review of the Effect of Financial Management Practices on Service Delivery in Secondary Schools

In this systematic review analysis design, we explore the available peer-reviewed literature on the effect of financial management practices on service delivery in African secondary schools. Specifically, we reviewed the effect of budgeting, auditing and financial internal control on the service delivery in secondary schools. Study findings reveal that budgeting ensures effective implementation of education programs. In addition, the activities in the secondary school system are adequately planned and allocate resources apportioned to ensure effective execution and implementation. Besides, audits of school accounts result in good financial management and effective control mechanism that ensures overall operational efficiency. From the results of this review, we hereby suggest that Head teachers need to manage financial resources more responsively for effective performance and fulfilling of institutional needs, those of the teachers, students and other stakeholders of respective secondary schools. It is very crucial for school administrators and support staff in charge of finances and resource mobilization to regularly attend professional development course in order to acquire relevant financial skills and competencies required for effective management of resources in the school so as to tremendously improve on the quality of secondary schools’ service delivery.

Ways of Social Inclusion and Integration of Children with Autism in Secondary Education, Inside and Outside the School Context, In the Region Thessaly

The aim of this study is to advocate the aggregate development of the future adults with autism, in terms of social integration. Thus, in order to study the autistic people’s course of development through the interaction between primary and secondary education, it focuses on school-based as well as out-of-school activities and interventions used by special education stuff in the Thessaly region. 99 people (mental health providers, trainers and relatives of people with autism) took part is the research, which combines qualitative and quantitative methods aiming to shed light on different perspectives of the issue. Early intervention, customized teaching methods and inclusive education seem to be of great significance, while the need for creating restricted programs and school-mental health services networks, along with a proper resource allocation play a significant role in the socialintegration of autistic people.

The Development of a Flexible Humidity Sensor Using MWCNT/PVA Thin Films.

The exponential demand for real-time monitoring applications has altered the course of sensor development, from sensor electronics miniaturization, e.g., resorting to printing techniques, to low-cost, flexible and functional wearable materials. Humidity sensing has been used in the prevention and diagnosis of medical conditions, as well as in the assessment of physical comfort. This paper presents a resistive flexible humidity sensor composed of silver interdigitated electrodes (IDTs) screen printed onto polyimide film and an active layer of multiwall carbon nanotubes (MWCNT) dispersed in a water-soluble polymer, polyvinyl alcohol (PVA). Different MWCNT/PVA sensor sizes and MWCNT percentages are tested to study their effect on the initial electrical resistance (Ri) values and sensor response at different humidity percentages. The results show that the Ri values decrease with the increase in % MWCNT. The sensor size did not influence the sensor response, while the % MWCNT affected the sensor behavior upon relative humidity (RH) increments. The 1% MWCNT/PVA sensor showed the best response, reaching a relative electrical resistance, ΔR/R0, of 509% at 99% RH. Comparable with other reported sensors, the produced MWCNT/PVA flexible sensor is simpler, greener and shows a good sensitivity to humidity, being easily incorporated in wearable monitoring applications, from sports to medical fields.

The Influence Of Culture, Education, And Entrepreneurial Innovation On Entrepreneurial Intention With Entrepreneurial Mindset As Intervening Variable On Management And Business Administration Students Class Of 2020

The study aims to examining the connections among entrepreneurial culture, education, innovation on entrepreneurial intention with entrepreneurial mindset as intervening variable. Questionnaire data are distributed to 102 students from business management and business administration class of 2020 Telkom University who enrolled in small startup business development course for business management and entrepreneurship for business admnistration students, which was taken using snowball sampling methods with a helps from SmartPLS 3. The findings reveal that the the entrepreneurial culture significantly impacts entrepreneurial intention, mindset, and education, while entrepreneurial education has positive influence to entrepreneurial mindset and innovation. Furthermore, entrepreneurial innovation influenced both entrepreneurial mindset and intention. The study also confirmed the direct effects of entrepreneurial mindset to entrepreneurial intention as the final hypothesis.

From social-emotional learning to social-emotional competence in Israeli-Palestinian teachers’ professional development

ABSTRACT This qualitative study investigated the contribution of a tailored 30-hour teachers’ professional development (TPD) course in social-emotional learning (SEL) to developing the social-emotional competence (SEC) of 50 Israeli-Palestinian teachers. The course incorporated active learning practices such as mindfulness, simulations, and puppet theater grounded in the CASEL framework and ecological theory. Analysis of semi-structured interviews and reflective texts revealed the course’s effectiveness in improving teachers’ SEL knowledge, self-awareness, self-management, decision-making, social awareness, and relationship skills. It also promoted understanding of conducting culturally situated SEL to address issues such as violence and meet parents’ needs during COVID-19. Overall, incorporating experiential SEL practices into TPD can develop teachers’ SEC and wellbeing. Recommendations include further research on adapting SEL for minority communities to enable transformative education.

«Зеленая» экономика в контексте международных инвестиционных соглашений

The matters of green economics within the framework of the environmental transformation of the energy sphere (the energy transition), reduction of the anthropogenic impact on the environment in the course of socioeconomic development, give investment opportunities for international business but at the same time pose specific systemic and structural challenges to investors, states that receive investments, researches and individuals that witness the consequences of the dynamic change of the environment in the contemporary conditions. The presented article studies the evolution of approaches to international law regulation of investment activities from the standpoint of solution of environmental protection and conservation tasks in order to analyze opportunities with regards to the named challenges. Such analysis is used as a basis to conclude that the historical and legal method of studying the problems in question gives an opportunity for a systemic and structural evaluation of the original prerequisites for the logic of development of the international law architecture of regulation of investment activities in respect of goals and tasks of publicly significant environmental protection and conservation interests including the sphere of green economics and minimization of negative consequences of the anthropogenic impact as a result of investment activities, and evaluate the logic and limits of application of international investment agreements to achieve the environmental protection and conservation goals.

Profiling Geoguides at Stong Geopark: Enhancing Local Expertise for Sustainable Ecotourism

Stong Geopark is a prominent natural attraction site in Kelantan, characterized by its rich biodiversity and variety of species, catering to diverse visitor interests such as wildlife enthusiasts and tourists. Geoguides play a vital role in helping visitors comprehend the significance of the geopark's geological features, the interconnectedness of the ecosystem, and the knowledge of indigenous communities. However, the tourism industry faces challenges in meeting the requirements for various forms of tourism services, including geoguiding. This study aims to profile the geoguides at Stong Geopark and better understand their areas of expertise. The research employs a quantitative approach, surveying 39 geoguides, to provide a comprehensive profile. The findings reveal three distinct clusters of geoguides' areas of expertise: Cluster 1 - Nature and Adventure, Cluster 2 - Nature, and Cluster 3 - Adventure. The study also highlights the need for the majority of geoguides to receive additional training in English communication skills and continuous professional development courses. Overall, this study offers valuable insights into the profiles of geoguides at Stong Geopark, emphasizing the importance of supporting and developing local geoguides' expertise to enhance the effectiveness of geopark management and visitor satisfaction. Furthermore, the study provides a spatial understanding of Stong Geopark by highlighting the locations of active geoguides in relation to the distribution of geosites. The findings can inform policymakers, tourism authorities, and geopark management in developing targeted strategies for capacity building and professionalization of geoguides, ultimately contributing to the sustainable development of Stong Geopark as a thriving ecotourism destination.

Developmental change, bricolage, and how a lot of things develop: Mechanisms and changes in attachment across the lifespan.

Under the leadership of its founding editor, Dante Cicchetti, Development and Psychopathology has been recognized for decades as the foremost journal integrating developmental theory and clinical research programs. Contributors have often highlighted the implications of attachment theory and research for understanding developmental processes and pathways, and as a testing ground for intervention strategies. In this paper we reflect on the strengths and limitations of the traditional developmental perspective. We suggest that behavioral, cognitive, and emotional development are better understood as a process of bricolage (construction within constraints). This perspective is illustrated in an analysis of change mechanisms, and behavioral and representational changes, in attachment development from pre-locomotor infancy to later adulthood. Special emphasis is placed on ordinary learning and cognitive processes, rather than those specific to attachment, and on the roles that socialization pressures and changing circumstances play in shaping the course of attachment development.