Narrative Description Research Articles

The exploration of sensory and multisensory experiences of Hobart’s Salamanca Market and their potential as intangible heritage

ABSTRACT To explore the multisensory experience and heritage potential of the major tourist site Salamanca Market (Hobart, Australia), a mixed-methods approach employed semi-structured interviews and field observations/measurements to uniquely obtain quantitative and qualitative sensory experience data over the 2023 winter period. Interviews (n = 9) and a survey (n = 16) considered local/non-local visitors, stallholders and volunteers, examining sensory experience and perceptions, authenticity relationships, and ascribed values of heritage. To ground experience perceptions, field methods documented the multiplicity of sensory experience on-site (visual, aural, olfactory, gustatory and tactile) through sensory walks (i.e. soundwalks, smellwalks), alongside point measurements, photography/videography, and narrative descriptions. The study identified a multitude of (multi)sensory encounters and found recognition of a unique multisensory atmosphere at Salamanca Market, particularly concerning visual, aural and olfactory components. However, sensory heritage was best reflected in local responses, showing that heritage attribution and potential are not similarly impactful across all market users.

STUDI PENGAPLIKASIAN APPSHEET SEBAGAI MEDIA PENDUKUNG MONITORING PRAKTIK KERJA LAPANGAN PRODI TEKNIK OTOMOTIF SMK N 5 SURAKARTA

<p class="abstrak"><em><span>The duration of the internship program in Indonesia has changed, from 3 months to 6 months. Increasing the duration of the internship program requires a supportive monitoring model, considering the problem of student attendance and the limited costs of monitoring the internship program. The AppSheet platform is a solution that needs to be developed and implemented as a support tool for student monitoring. The research method uses a qualitative phenomenological, to find out the results of implementing the AppSheet application as an online attendance and recap of the attendance of automotive engineering students at SMK N 5 Surakarta during the internship program from April 1 to September 30, 2023. Observation Interview data and documentation are presented in text form descriptive narrative, through interactive analysis techniques. As a result, the AppSheet application helps teachers monitor student attendance during industrial work practices, makes it easier to detect student absences, and becomes the basis for providing personal and group guidance for students who experience problems during the internship program.</span></em></p><p class="abstrak"> </p>

Abstract 4136286: Safety Events with a Large-Bore Aspiration Thrombectomy Device for Pulmonary Embolism: An analysis of the U.S. Food and Drug Administration Manufacturer and User Facility Device Experiences from 2018 to 2024

Introduction: Large bore thrombectomy is increasingly used to treat acute PE. Post-market surveillance using the U.S. FDA Manufacturer and User Facility Device Experience (MAUDE) database may capture serious device adverse events (AE) not described in small pre-market clinical trials. We aim to analyze serious AE associated with use of the Inari Medical (Irvine, California) large bore thrombectomy system to treat PE. Methods: All MAUDE events between January 1, 2018 and May 1, 2024 involving PE treatment with Triever and Flowtriever devices were reviewed and categorized based on device type, incident year, and clinical event. Based on narrative description, AE were placed into categories of cardiac, pulmonary, device malfunction, anemia, and other. Results: A total of 58 AE reports representing 50 unique clinical episodes were included. MAUDE event types were death (n=32), injury (n=23) and malfunction (n=3), and the majority (45/58) involved the larger aspiration catheters (Table 1). Death occurred in 27 of 50 unique episodes. Cardiac injury (n=19) and pulmonary injury (n=18) were most common and included 25 serious perforations. Serious AEs are listed in Table 2. Device malfunction/improper use was rare (n=7) and was not associated with death. Paradoxical embolism was described causing stroke and coronary occlusion. 3 of 4 blood loss AEs occurred prior to 2021. Conclusion: This report includes the largest description of reported AEs with large bore aspiration thrombectomy systems used to treat PE. This report describes serious events, often associated with death, that are likely infrequent and were not detected in pivotal studies or registries. Understanding these AEs may guide future technique and device refinement, and the current findings demonstrate the importance of large post-approval studies.

Communication in the Era of Media Convergence and Tourism Enhancement in Samut Songkhram Province Based on the Digital Economy

This qualitative research aims to explore the problems and obstacles of communication in the era of media convergence for tourism promotion and the ability to enhance tourism in Samut Songkhram Province based on the digital economy. An in-depth interview was used to collect data from 27 people: Samut Songkhram representatives or community leaders, tourists, and communication and tourism scholars. The data was analyzed by content analysis and interpretation to present a descriptive narrative. The findings revealed that problems and obstacles to communication in the era of media convergence include the need for a more concise communication process in tourism. Many steps in coordinating cause inconvenience and slowness, which is considered a high cost and expenditure for communication in tourism. As for communication, the era of media convergence and the ability to enhance the provincial tourism of Samut Songkhram based on the digital economy, the respondents thought that they should use integrated communication that combines all platform media to foster innovation in development and support the economy from the grass root which creates and distributes income to residents in Samut Songkhram community. They should develop technological skills and creativity to achieve excellence so the community can adapt to the current and future changes. In this regard, the discussion revealed interesting information that communication in the era of media convergence, where content is delivered across multiple platforms simultaneously, can be used as a guideline to elevate Samut Songkhram tourism with the concept of "Digital Economy Creative Tourism," which Samut Songkhram communities must adjust to keep up with changes that occur all the time.

Current Trends in the Surgical Management of Yolk Sac Tumors

Mediastinal yolk sac tumors (YST) constitute a highly malignant subtype of primary non-seminomatous germ cell tumors, which are often locally advanced and unresectable at diagnosis. Due to their rarity and aggressiveness, there is not yet a standard optimal treatment approach. A widely employed multimodal strategy involves neoadjuvant cisplatin-based combination chemotherapy followed by consolidation surgery. Tumor infiltration into the lungs and adjacent cardiovascular structures is common, such that surgical intervention typically requires extensive resections, performed either by sternotomy or thoracotomy. For this review, we extensively searched the PubMed and Embase medical databases, identifying articles describing surgical treatment of mediastinal yolk sac tumors. The current literature provides limited details regarding the utilized surgical procedures, leaving clinicians without comprehensive guidance about the demanding nature of these resections. Here, we present a narrative description of the range of current surgical procedures. By highlighting these techniques, we provide a comprehensive overview of the current surgical landscape, thereby helping clinicians understand the potential complexities and considerations involved in managing these rare and aggressive tumors.

CUIDADOS DE ENFERMAGEM EM SITUAÇÕES TRAUMÁTICAS

In Brazil, nursing care in traumatic situations was based on the North American models adopted by the Fire Departments and the Mobile Emergency Care Service (SAMU). Due to issues related to legal aspects, in our country, one of the greatest challenges encountered in emergency care units, and one of the reasons that contributed to the support of several structures. METHODOLOGY: This is a descriptive epidemiological narrative review with a qualitative approach. It is a narrative review of the literature, a method that consists of a syntactic analysis of publications, enabling a synthesis of published studies and eliminating gaps that need to be filled by knowledge, through new bibliographic research. RESULTS AND DISCUSSIONS: Nursing professionals, equipped with solid scientific knowledge, play a crucial role in improving the quality of health services, especially in the care of patients in critical situations. This expertise contributes significantly to a better prognosis for patients, demonstrating that evidence-based practice is essential for positive results. CONCLUSION: With the development of this work, it was possible to evaluate the evidence found from literature on nursing care in traumatic situations and their complications. In addition, during this study, we saw the awareness of the nursing team about the importance of medical record notes, which, when well prepared, present valuable elements for the diagnosis of the patient’s needs and for the planning and evaluation of the assistance provided within the scope of nursing care.

Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA.

Femoral shaft fractures tend to be rare among children; however, these injuries are the most common major paediatric injuries treated by orthopaedic surgeons. The purpose of this study is to characterise the demographics and mechanisms of femoral injury associated with consumer products in the age group treated with spica casting, children 6 months to 6 years, to identify areas for injury prevention. Data from 2012 to 2021 were obtained from the National Electronic Injury Surveillance System maintained by the Consumer Products Safety Commission, documenting emergency department visits for unintentional injuries associated with consumer products. Narrative descriptions were analysed to identify common factors in the injury events such as location, products and mechanisms of action. From 2012 to 2021, the estimated incidence of femur fractures was 23.5 cases per 100 000 children with no significant difference in yearly frequency. The most common mechanism of injury was a fall with the most frequent fracture sources being bed/bunk beds (16.1%), floor (slips/falls, 9.7%) and trampolines (9.7%). Most fractures occurred at the patient's home (58.4%). The incidence of injury outside of the home and frequency of fractures involving play structures/trampolines increased with age. The incidence and demographic characteristics of paediatric femur fractures associated with consumer products have remained consistent over the past 10 years. As home was the most common location of fracture, prevention of femur fractures should focus on caregiver education around high-risk sources of fracture (bed, stairs and trampolines) and manufacturers should consider design alternatives that discourage potential misuse.

Review of national rare disease strategies: innovation driving change

Abstract Background A rare disease affects fewer than 5 in 10,000 people. More than 6,000 known rare diseases affect up to 6% of the European population. A national rare disease strategy sets out a country’s plan to reduce disease burden and improve quality of care for people with rare diseases. This review, requested by the Department of Health in Ireland to inform a new national strategy, described national rare disease strategies in 13 selected countries. Methods Strategies published from 2013 to 2023 were identified via online searches for Austria, Australia, Denmark, England, Finland, France, Germany, Ireland, the Netherlands, Northern Ireland, Portugal, Scotland and Wales. National representatives were contacted to confirm the identified resources. Data were extracted for the domains of: aims, priorities, implementation, governance and funding models. Descriptive analysis and narrative synthesis was undertaken. Results Improving treatment and coordination of care was a common overall aim. Priorities noted in all strategies were: screening and diagnosis; access to healthcare and coordination of services; rare disease research; and patient representation and empowerment. Implementation details varied to reflect the national context and time of strategy development. More recently-developed strategies included more precise actions and greater emphasis on innovations in genomics than older strategies. Strategies were developed, implemented, monitored and evaluated via combinations of newly-established bodies and or existing health authorities. Six countries did not specify a funding model or dedicated budget for strategy implementation. Conclusions National rare disease strategy contents and implementation approaches varied between countries and reflected innovations over time. This review will inform the development of Ireland’s new national rare disease strategy. Key messages • This review provided insights into national rare disease strategies over a 10-year period. • The findings will inform strategy development in Ireland, and are relevant to other countries.

Thermal inequality and heat-related adaptive capacity: A systematic review

Abstract Background Extreme heat is an important public health concern. Heat stress exposure and related adaptive capacity are not equally distributed across social groups, generating thermal inequality. We implemented a systematic review to answer the question: In the general population, what is the effect of social disadvantage on exposure to subjective and objective heat stress and adaptive capacity to prevent/reduce exposure to heat stress? Methods We searched for peer-reviewed journal articles published between 2005 and 2024. Screening and data extraction were conducted by one reviewer, with a second screening and extracting 10% for comparison. Synthesis included identification and description of specific social groups unequally exposed to heat stress and with lower adaptive capacity as well as a narrative description of the evidence and identification of research gaps. Results We identified 114 relevant publications. 53% included evidence on objective heat stress, 19% subjective heat stress, and 58% adaptive capacity. Nearly half came from North America (47%), 24% from Asia, and 17% from Europe. Publishing increased over time, from 0 articles in 2005 to 20 articles in 2023. Most studies considered socioeconomic status (SES) (87%), while fewer focused on race/ethnicity or other social factors. Across global regions, lower-SES populations, immigrants, and racial/ethnic minorities are generally more exposed to heat stress and have lower adaptive capacity, and lower-SES and minority neighborhoods are generally hotter and less green. Most studies of objective heat stress use imprecise measures, such as land surface temperature, which are not representative of experienced temperatures. Conclusions This review summarizes the available evidence on inequalities in heat stress exposure and adaptive capacity for the first time and identifies important research gaps related to heat stress measurement and social factors beyond SES. Key messages • Heat stress exposure and related adaptive capacity are not equally distributed across social groups, generating thermal inequality. • Social inequalities must be considered during climate change adaptation planning.

Content and Effect of Introduction Programmes to Increase Retention and Decrease Turnover of Newly Graduated Nurses in Hospitals: Umbrella Review.

The aim of this study is to combine and compare results from systematic reviews reporting the content and effect of programmes for the introduction of newly graduated nurses employed in hospital settings on increasing retention and decreasing turnover. An umbrella review. The electronic databases of PubMed/MEDLINE, CINAHL and PhycInfo were searched in January 2023 for eligible systematic reviews. The search string consisted of keywords extracted from the PICOS inclusion criteria. The AMSTAR 2 instrument was used for critical appraisal of the methodological quality of the eligible systematic reviews. The process and results of the review were presented using a narrative description of the data. Five systematic reviews, reporting 84 intervention studies evaluating nine types of introduction programmes from 2001 to 2018, were included in the umbrella review. All nine programme types were executed by nurses in a preceptor or mentor role and the content was directed towards training of the preceptor/mentor and introduction of the newly graduated nurses. The nine programmes showed overall positive effects on retention and turnover. Mentorship and Preceptorship were the most frequently evaluated programmes in the included intervention studies of the five reviews. However, the lack of transparency of the reviews and the bias of the intervention studies within the reviews, made it difficult to conclude specific effects of the content of the nine programmes. The protocol for the umbrella review is registered with Open Science Framework (https://OSF.IO/DXYS4). A weak introduction to hospital employment of newly graduated nurses may decrease retention and increase turnover. Structured and personal introduction by a mentor can have an effect on the newly graduated nurses' intentions to stay in their hospital care position. AMSTAR 2. None.

It’s a battlefield! A thematic analysis of narratives shared in Cape Town emergency departments

BackgroundThe Emergency Department(ED) team need to make sense of an ever-changing dynamic environment. The stories people tell about everyday occurrences are central to how sense-making occurs. These stories also contribute...

Prevalence of Bottle‐Feeding Practice and Associated Factors Among Mothers of Children Under Five in the World, 2024: Systematic Review and Meta‐Analysis

ABSTRACTBackgroundChild‐feeding practices, particularly breastfeeding, significantly impact children's health and survival. However, bottle feeding, although historically practiced, presents numerous disadvantages affecting optimal child nutrition and health. Despite World Health Organisation and The United Nations Children's Fund recommendations against bottle feeding, it remains prevalent globally, affecting roughly 59% of infants worldwide and 85% in Australia by 5 months of age.ObjectiveThis study aims to assess the prevalence and determinants of bottle feeding among mothers of children under five globally.MethodsThis systematic review and meta‐analysis adhered to the Preferred Reporting Items for Systematic Review and Meta‐Analysis guidelines. We comprehensively searched electronic databases for English‐language articles published between 2014 and 2024. The quality of studies was assessed using the Joanna Briggs Institute critical appraisal checklist. Data were analysed in STATA version 17, including summary tables, narrative descriptions, forest plots, and statistical heterogeneity and publication bias assessment.ResultsThe pooled prevalence of bottle feeding among mothers was 57%. Subgroup analysis revealed higher prevalence in larger sample sizes (> 2151) and lower prevalence in smaller ones. Factors significantly associated with bottle feeding included mode of delivery (OR = 1.953; 95%, CI: 1.272, 2.635), child hospitalisation (OR = 1.984, CI: 1.593, 2.376), mother's occupation (OR = 1.579; CI: 1.467, 1.690), post‐natal care (OR = 2.965; CI: (1.358, 4.571), age of children (OR = 2.836; CI: 1.895, 3.777), place of residence (OR = 1.423; CI: 0.994, 1.852), and mother's education (OR = 3.366, CI: 1.949, 4.783).ConclusionEfforts to promote optimal child‐feeding practices should address the identified determinants, emphasising the importance of breastfeeding and providing support to mothers, especially those facing challenges such as cesarean delivery, child hospitalisation, and maternal employment.

A longitudinal pre-post study: An evaluation of the Department of the Air Force bundled occupational fall prevention efforts.

Fall injuries are the second leading cause of traumatic injury and death for all US workers and are a leading injury concern for the Department of the Air Force (DAF). Bundled interventions can improve the likelihood of injury reduction, especially in large, heterogeneous working populations. In 2013, the DAF implemented the "Air Force Fall Prevention Focus," a bundled intervention of prevention efforts designed to reduce occupational fall injury events among DAF members. The purpose of this study is to describe the burden and risk factors associated with fall injuries and evaluate the effectiveness of the Fall Prevention Focus in reducing the burden of fall injuries. The National Institute for Occupational Safety and Health (NIOSH) partnered with the US Air Force Safety Center (AFSEC) to examine the impact of the Fall Prevention Focus as a bundled intervention. Injury events included a narrative description of the injury event, demographics, work environment, job tasks, and other structured details. Descriptive statistics and pre-post longitudinal modeling were used to evaluate changes in fall injury rates. The Fall Prevention Focus Implementation (2013-2018) resulted in an annual 10.4% (95% confidence interval [CI]: 8.5%, 12.2%) reduction, and a 6-year cumulative 48.3% (95% CI: 41.4%, 54.3%) reduction in fall injury event rates by 2018. Safety in the DAF involves a comprehensive approach. Documenting the impact of the Fall Prevention Focus may help translate these findings to improve fall prevention efforts in other sectors of the military and high fall-risk industries in the private sector, such as construction.

Success Stories of Multilingual Literacy: A Case Study of Ife 1970 Nigeria’s Project and the 2002 Western Cape’s LOITASA’s Project in South Africa

In a progressively interrelated world, the advancement of strong multilingual literacy skills among learners is of great importance. This article showcases successful multilingual literacy initiatives, analyzing their implementation and impact. The study revealed a great positive influence on communities and individuals after the initiatives. The predominant aim is to give extra weight to the indispensable importance of appreciating and paying attention to linguistic diversity through effective multilingual/translanguaging literacy opening moves. Using a survey design, this study paid attention to documenting instances of multilingualism implementation in educational settings, purposefully selecting South Africa and Nigeria as central points. Using a qualitative approach, the research examined success stories by analyzing reports, publications, archival materials, and scholarly articles associated with the projects. Special attention was paid to the Ife 1970 Nigeria’s Project and the 2002 Western Cape LOITASA’s project and the findings were presented in a descriptive narrative format. The study elaborated on the objectives, strategies, and results of these projects, presenting findings in a descriptive narrative format. Moreover, the study contributes valuable insights to the debates surrounding effective literacy practices in multilingual contexts. By presenting success stories from these African nations, the study provided practical guideposts for policymakers, educators, and practitioners who want to develop or improve multilingual literacy programs. Lastly, the findings stressed the significance of culturally responsive and context-specific approaches to literacy, proposing the adoption of multilingual/translanguaging pedagogies within school systems. Through these, the study will promote inclusive and efficient educational practices that honor and celebrate linguistic diversity. Keywords: Educational Outcomes, Language Diversity, Multilingual Education, Multilingual Literacy, Repertoire Knowledge

The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review

BackgroundSimulation-Based Learning (SBL) serves as a valuable pedagogical approach in nursing education, encompassing varying levels of fidelity. While previous reviews have highlighted the potential effectiveness of SBL in enhancing nursing students’ competencies, a gap persists in the evidence-base addressing the long-term retention of these competencies. This systematic review aimed to evaluate the impact of SBL on nursing students’ knowledge and skill acquisition and retention.MethodA comprehensive search of electronic databases, including CINAHL, PubMed, Embase, Scopus, and Eric, was conducted from 2017 to 2023 to identify relevant studies. The Joanna Briggs critical appraisal tools were used to assess the methodological quality of the included studies. A total of 33 studies (15 RCTs and 18 quasi-experimental) met the inclusion criteria and were included in the review. A descriptive narrative synthesis method was used to extract relevant data.ResultsThe cumulative sample size of participants across the included studies was 3,670. Most of the studies focused on the impact of SBL on life-saving skills like cardiopulmonary resuscitation (CPR) or other life-support skills. The remaining studies examined the impact of SBL on critical care skills or clinical decision-making skills. The analysis highlighted consistent and significant improvements in knowledge and skills. However, the evidence base had several limitations, including the heterogeneity of study designs, risk of bias, and lack of long-term follow-up.ConclusionThis systematic review supports the use of SBL as a potent teaching strategy within nursing education and highlights the importance of the ongoing evaluation and refinement of this approach. While current evidence indicates enhancing knowledge and skill acquisition, limited studies evaluated the retention beyond five months, constraining generalisable claims regarding durability. Further research is essential to build on the current evidence and address gaps in knowledge related to the retention, optimal design, implementation, and evaluation of SBL interventions in nursing education.

Breastfeeding Practices in the Twin Town of India - A Cross-Sectional Study.

The global rise in twinning rates poses health challenges due to increased risks for infants and mothers. Despite the benefits, breastfeeding rates among multiples are low, with exclusive breastfeeding (EBF) particularly scarce compared to singletons. Our study focuses on the mothers of twins in a unique population in Kodinhi village, Kerala, India, known for its high twinning rates, which aims to contribute to existing knowledge of breastfeeding practices and perspectives in a high twinning environment and offer valuable insights to promote optimal breastfeeding among mothers of twins. A retrospective cross-sectional survey was adopted. Seventy-five mothers with twins under 3 years of age from Kodinhi and neighboring areas were interviewed face to face using structured validated tools. Data collection focused on quantitative data supplemented by narrative descriptions. Most women delivered preterm (57.3%), operative delivery (58.7%), and had a late initiation of breastfeeding (32.9% within 24 hours). Colostrum feed was common (86.7%). The EBF rate was 4%, with 47.9% initiating nonexclusive breastfeeding before 3 months, and most of the twins (46.6%) were breastfed for 1-2 years. Fatigue (69.9%) and low milk supply (38.7%) were chief concerns. While 16.4% of mothers opted for a tandem breastfeeding technique, many preferred consecutive feeding as tandem was challenging. Mothers in Kodinhi demonstrated commendable efforts in breastfeeding twins; despite the low rate of EBF, breastfeeding extended to 1-2 years. Evidence-based interventions and personalized support, primarily focusing on maternal perspectives of milk insufficiency, fatigue and breastfeeding techniques, are crucial for sustaining optimal breastfeeding practices among mothers of twins.

Unearthing Vulnerability and Resilience of Novice EFL Teachers in Shaping Their Professional Identity

This study explored the experiences of novice English as a Foreign Language (EFL) teachers in both formal education (FE) and non-formal education (NFE) settings, with a focus on professional identity development. It examined how these experiences contribute to the formation of their professional identity with the research question: What is the impact of vulnerability and resilience on the professional identity development of novice EFL teachers in both FE and NFE settings? This qualitative research adopted a descriptive narrative approach. Data collection was through interviews and literature review. The data collected was analysed through the use of coding and triangulation techniques. Four novice EFL teachers, two of the FE teachers and two of the NFE teachers were selected to participate in this research. The findings identified four impacts of vulnerability and resilience on professional identity development of novice EFL teachers; 1) self awareness, 2) adabtability to challenges, 3) institutional support, and 4) professional commitment.

Stakeholders’ Opinion on Geotourism Characteristics of Hummanaya Destination, Sri Lanka

Geotourism is a niche market that contributes to sustaining and even enhancing the geographical characteristics of a territory, including the abiotic, biotic, and cultural (ABC) attributes of destinations. It uplifts the living standards of local communities and provides opportunities for visitors to understand and appreciate the natural environment and the existing culture of the geosites. The aim of this research was to evaluate the geotourism characteristics of the Hummanaya tourism destination based on stakeholders’ opinions and to investigate the extent to which stakeholders are committed to adhering to geotourism principles. Primary and secondary data sources were utilized to collect the necessary data for this study. For gathering primary data, key informant interviews and participatory observations were conducted in the field using a semi-structured questionnaire, with purposive sampling employed. Unpublished documents served as secondary data. Descriptive statistical analysis and narrative interpretation methods were used to analyze the collected data. The study was able to identify the extent to which geotourism stakeholders adhere to geotourism principles. Specifically, regarding the principles of integrity, community involvement, community benefits, and tourist satisfaction, the informants provided positive responses. The findings reveal that the destination is perceived by tourists as a fascinating and unique tourist attraction in Sri Lanka. Most tourists reported being very satisfied or satisfied with the tourist attractions, facilities, and services provided by local facilitators, indicating that the destination meets tourists’ expectations. However, a significant issue is whether other stakeholders are satisfied with geotourism's contributions to protecting the destination's ABC attributes and improving the socio-economic status of local communities. Negative responses were noted concerning principles such as evolution, market selectivity, interactive interpretation, and market diversity. Therefore, necessary measures must be taken to conserve and develop the destination as a geosite and geotourism site.

Advocating ‘eco-village’ for sustainable development: The dayalbagh way of life

<p class="MsoNormal" style="line-height: 120%; layout-grid-mode: char; mso-layout-grid-align: none; punctuation-wrap: simple; margin: 12.0pt 0cm 6.0pt 0cm;"><span lang="EN-US" style="font-size: 10.0pt; line-height: 120%; mso-fareast-font-family: 'Times New Roman'; color: black; mso-themecolor: text1; mso-font-kerning: 0pt; mso-fareast-language: JA;">India as a country has its identity deeply rooted in its rural culture. Whether we talk about agriculture, tradition, food, art, or music, the rural society of India has always proven itself a representation towards the national front. The Dayalbagh society in Agra city of Uttar Pradesh (India) is engaged to strengthen the nation’s roots through education, technology, sustainability, management, innovation, research, and most importantly, selfless service. The major potential for economic growth in India lies in the development of its rural areas. This article is an attempt to spot the outlook of a society that has its inception for the past 100 years and is continuously making efforts to glorify the message of sustainable development, environmental protection, and rural development through its effective plans in designing an eco-village-based society. Based on the narrative description approach, this article highlights the efforts and strategies employed by the Dayalbagh society to promote sustainable development, environmental protection, and rural development. The focus is on how society integrates education, technology, sustainability, management, innovation, research, and selfless service to achieve these goals. The Dayalbagh society’s initiatives have taken into consideration economic, social, environmental, and human aspects, demonstrating significant contributions towards sustainable development and rural empowerment. The philosophy and successful practices of the Dayalbagh society can inspire and guide others in developing action plans for effective environmental protection and sustainable rural development. By adopting such approaches, other organizations, decision-makers, and individuals can contribute to the overall growth and well-being of rural areas in India.</span></p>

Applied Research in Clinical Audiology with Spanish Speakers in the United States: A Scoping Review.

The Hispanic population is growing, and Spanish is the second most spoken language in the United States. When individuals experience a hearing problem, culturally and linguistically responsive services represent an important part of person-centered care, contributing to wellbeing and intervention outcomes. The purpose was to identify research in clinical audiology conducted with Spanish speakers to illuminate gaps and inform future research. A scoping literature review. A database search was completed in January 2022. Included research was conducted in clinical audiology, had Spanish-speaking deaf or hard-of-hearing (DHH) adults/parents of a DHH child in the United States, Spanish language data collection, and published in English in a peer-reviewed journal. Studies were categorized by the area of audiology and a narrative description provided. The search identified 655 articles. Following screening, 11 studies met the inclusion criteria and 1 article was identified from the reference lists of included articles for a total 12 articles. The articles were published between 1997 and 2021. Most studies were conducted with adults and a few were with parents of DHH children. Research was conducted in four areas: hearing loss experiences, hearing aid experiences, hearing screening, and communication. There is limited research with Spanish-speaking DHH individuals and parents of DHH children. There is an urgent need for future research to inform culturally and linguistically responsive clinical practice, and to provide evidence-based interventions for effective hearing health care management.