Communication Domain Research Articles

Auditory N1 event-related potential amplitude is predictive of serum concentration of BPN14770 in fragile X syndrome

Fragile X syndrome (FXS) is a rare neurodevelopmental disorder caused by a CGG repeat expansion ≥ 200 repeats in 5’ untranslated region of the FMR1 gene, leading to intellectual disability and cognitive difficulties, including in the domain of communication. A recent phase 2a clinical trial testing BPN14770, a phosphodiesterase 4D inhibitor, showed improved cognition in 30 adult males with FXS on drug relative to placebo. The initial study found significant improvements in clinical measures assessing cognition, language, and daily functioning in addition to marginal improvements in electroencephalography (EEG) results for the amplitude of the N1 event-related potential (ERP) component. These EEG results suggest BPN14770 improved neural hyperexcitability in FXS. The current study investigated the relationship between BPN14770 pharmacokinetics and the amplitude of the N1 ERP component from the initial data. Consistent with the original group-level finding post-period 1 of the study, participants who received BPN14770 in period 1 showed a significant correlation between N1 amplitude and serum concentration of BPN14770 measured at the end of period 1. These findings strengthen the validity of the original result, indicating that BPN14770 improves cognitive performance by modulating neural hyperexcitability. This study represents the first report of a significant correlation between a reliably abnormal EEG marker and serum concentration of a novel pharmaceutical in FXS.

Integration of Foundation Models and Federated Learning in AIoT-Based Aircraft Health Monitoring Systems

The study presents a comprehensive framework for integrating foundation models (FMs), federated learning (FL), and Artificial Intelligence of Things (AIoT) technologies to enhance aircraft health monitoring systems (AHMSs). The proposed architecture uses the strengths of both centralized and decentralized learning approaches, combining the broad knowledge capture of foundation models with the privacy-preserving and adaptive nature of federated learning. Through extensive simulations on a representative aircraft fleet, the integrated FM + FL approach demonstrated consistently superior performance compared to standalone implementations across multiple key metrics, including prediction accuracy, model size efficiency, and convergence speed. The framework establishes a robust digital twin ecosystem for real-time monitoring, predictive maintenance, and fleet-wide optimization. Comparative analysis reveals significant improvements in anomaly detection capabilities and reduced false alarm rates compared to traditional methods. The study conducts a systematic evaluation of the benefits and limitations of FM, FL, and integrated approaches in AHMS, examining their implications for system robustness, scalability, and security. Statistical analysis confirms that the integrated approach substantially enhances precision and recall in identifying potential failures while optimizing computational resources and training time. This paper outlines a detailed aviation ecosystem architecture integrating these advanced AI technologies across centralized processing, client, and communication domains. Future research directions are identified, focusing on improving model efficiency, ensuring generalization across diverse operational conditions, and addressing regulatory and ethical considerations.

Modelling Bilinguals’ Language Shift Intentions: Towards the Development of the “Context-Dependent Theory of Language Shift”

The goal of this study was to create a theoretical framework (the ‘Context-Dependent Theory of Language Shift’) that explains how school-related linguistic practices and ideologies influence students’ language shift intentions in varying communicative domains. Data obtained from 560 high school students in Cape Coast, Ghana were analysed using partial least squares structural equation modelling (PLS-SEM) to test the proposed theoretical framework. The results indicated that language attitudes, parental pressure, and English performance anxiety significantly influence students’ language shift intentions in formal communicative domains. Nonetheless, apart from attitude, these variables do not influence students’ language shift intentions in informal domains. Based on this statistical insight, our theoretical proposition is that the language shift behaviours of students in Ghana and Africa tend to be fluid and context-dependent. This presupposes that factors that may compel them to shift from their L1 to English in a given context may not compel them to shift in different contexts.

Predicting language, cognition, and social skills in individuals with Autism spectrum disorder using the Arabic validation of Gilliam Autism Rating scale-Third Edition

The Gilliam Autism Rating Scale-Third Edition (GARS-3) has emerged as a pivotal instrument in the diagnostic assessment of Autism Spectrum Disorder (ASD), with its utility extending across linguistic and cultural boundaries. This study endeavors to adapt and validate the GARS-3 for the Arabic-speaking population, addressing the paucity of culturally congruent diagnostic tools in the Arab world. The primary objective is to validate the Arabic version of GARS-3 (A-GARS-3) to assess children with and without ASD, ensuring the scale’s reliability and validity within the target population. A methodical cross-sectional study design was employed, encompassing a sample of 178 participants from both educational and clinical settings in Saudi Arabia. The process involved direct translation, expert panel review, back-translation, and pilot testing to ensure semantic equivalence and cultural relevance. Data were collected using the A-GARS-3, and analyses included Exploratory and Confirmatory Factor Analysis (EFA and CFA), internal consistency reliability measures, and a One-Way Analysis of Variance (ANOVA) to establish concurrent validity. The A-GARS-3 demonstrated high internal consistency (Cronbach’s alpha = 0.971; McDonald’s omega = 0.972) and strong construct validity, with factor loadings and model fit indices substantiating the factor structure. Predictive validity was confirmed through significant correlations between the Autism Index and the subscales, particularly in the domains of social interaction and communication. The A-GARS-3 is a psychometrically sound instrument that offers reliable assessment for ASD within the Arab cultural context. The positive validation outcomes indicate that the scale is an effective, culturally adapted tool for the localized diagnosis of ASD. The validated scale has significant implications for enhancing ASD screening and diagnostic practices in Arabic-speaking regions, potentially improving early diagnosis and intervention strategies.

What Generative AI Means for the Media Industries, and Why it Matters to Study the Collective Consequences for Advertising, Journalism, and Public Relations

How should scholars make sense of the rapid growth of generative artificial intelligence in media work? In this commentary, we argue that researchers can begin by stepping outside of their intellectual silos to see how the challenges and opportunities posed by generative AI are commonly shared across the media industries. We focus on three primary mass communication domains—advertising, journalism, and public relations—to illustrate how media professionals across these fields are adopting similar AI technologies (e.g., machine learning, natural language processing, and recommender systems) for often similar purposes (e.g., content creation, audience engagement, and business operations). Even more, the uptake of AI has profound consequences—for ethical norms as well as roles and relationships of humans and machines—that may be best understood across media industries more so than within them in isolation. Ultimately, a more cross-industry approach to scholarship could develop a more encompassing picture about AI's impact on media work and media consumption.

Level of Gamification Instruction in Language, Literacy, and Communication Domains for Kindergarten

This study aimed to assess the level of gamification instruction in language, literacy, and communication domains for kindergarten, in private schools, in a highly urbanized city in Central Philippines during the school year 2023-2024. Data for this descriptive study was collected from 34 kindergarten teachers using a self-made data-gathering instrument that underwent a stringent validity and reliability test with scores of 4.51 and 0.848, respectively. The results reveal that teachers’ level of gamification instruction was generally very high. Subsequent analysis indicated no significant difference in the level of gamification instruction in auditory perception and discrimination, oral language, alphabet knowledge, and study skills when grouped by age, area of concentration, length of service, and number of trainings attended. Meanwhile, a significant difference was observed in auditory perception and discrimination, visual perception discrimination, alphabet knowledge, and study skills when grouped by highest educational attainment. Likewise, there was a significant difference in visual perception and discrimination when grouped by highest educational attainment and length of service. Hence, this study recommends professional development for younger teachers, tailored gamified activities pieces of training, and the creation of a climate conducive to learning in the research environment. Keywords: Gamification Instruction, Language, Literacy, Communication, Kindergarten

Managing Induced Seismicity Risks From Enhanced Geothermal Systems: A Good Practice Guideline

AbstractGeothermal energy is a green source of power that could play an important role in climate‐conscious energy portfolios; enhanced geothermal systems (EGS) have the potential to scale up exploitation of thermal resources. During hydraulic fracturing, fluids injected under high‐pressure cause the rock mass to fail, stimulating fractures that improve fluid connectivity. However, this increase of pore fluid pressure can also reactivate pre‐existing fault systems, potentially inducing earthquakes of significant size. Induced earthquakes are a significant concern for EGS operations. In some cases, ground shaking nuisance, building damages, or injuries have spurred the early termination of projects (e.g., Basel, Pohang). On the other hand, EGS operations at Soultz‐sous‐Forêts (France), Helsinki (Finland), Blue Mountain (Nevada, USA), and Utah FORGE (USA) have adequately managed induced earthquake risks. The success of an EGS operation depends on economical reservoir enhancements, while maintaining acceptable seismic risk levels. This requires state‐of‐the‐art seismic risk management. This article reviews domains of seismology, earthquake engineering, risk management, and communication. We then synthesize “good practice” recommendations for evaluating, mitigating, and communicating the risk of induced seismicity. We advocate for a modular approach. Recommendations are provided for key technical aspects including (a) a seismic risk management framework, (b) seismic risk pre‐screening, (c) comprehensive seismic hazard and risk evaluation, (d) traffic light protocol designs, (e) seismic monitoring implementation, and (f) step‐by‐step communication plans. Our recommendations adhere to regulatory best practices, to ensure their general applicability. Our guidelines provide a template for effective earthquake risk management and future research directions.

Assessment of Adaptive Functioning and the Impact ofSeizures in KBG Syndrome.

This study aimed to examine the adaptive functioning status and the impact of epileptic seizures on neurocognitive outcomes in KBG syndrome, a rare genetic neurodevelopmental disorder characterized by pathogenic variants in ANKRD11. A single clinician interviewed individuals and families with genetically confirmed cases of KBG syndrome. Trained professionals also conducted assessments using the Vineland-3 Adaptive Behavior Scales. The assessment covered the domains of communication, daily living skills, socialization, and maladaptive behaviors, and then compared individuals with and without epilepsy. Further comparisons were made with data from interviews and participants' medical records. Thirty-nine individuals (22 males, 17 females) with KBG syndrome, confirmed through genetic analysis, were interviewed via videoconferencing, followed by Vineland-3 assessment by trained raters. Individuals with KBG syndrome came from 36 unique families spanning 11 countries. While the KBG cohort displayed lower overall adaptive behavior composite scores compared with the average population, several members displayed standard scores at or higher than average, as well as higher scores compared with those with the neurodevelopmental disorder Ogden syndrome. Within the KBG cohort, males consistently scored lower than females across all domains, but none of these categories reached statistical significance. While the group with epilepsy exhibited overall lower scores than the nonseizure group in every category, statistical significance was only reached in the written communication subdomain. Our research provides insights that can aid in epilepsy screening and inform assessment strategies for neurocognitive functioning in those with this condition. The cohort performed overall higher than expected, with outliers existing in both directions. Although our results suggest that seizures might influence the trajectory of KBG syndrome, the approaching but overall absence of statistical significance between study groups underscores the need for a more extensive cohort to discern subtle variations in functioning.

Associations of inflammation related prenatal adversities with neurodevelopment of offspring in one year: a longitudinal prospective birth cohort study

BackgroundThe recent Maternal Immune Activation (MIA) theory suggests maternal systemic inflammation may serve as a mediator in associations between prenatal maternal adversities and neurodevelopmental diseases in offspring. Given the co-exposure to multiple adversities may be experienced by pregnant person, it is unclear whether a quantitative index can be developed to characterize the inflammation related exposure level, and whether this index is associated with neurodevelopmental delays in offspring.MethodsBased on Jiangsu Birth Cohort (JBC), a total of 3051 infants were included in the analysis. Inflammation related Prenatal Adversity Index (IPAI) was constructed using maternal data. Neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development, third edition, screening test in one year. Multivariate linear regression and Poisson regression model were performed to analyze the associations between IPAI and neurodevelopment in offspring.ResultsCompared with “low IPAI” group, offspring with “high IPAI” have lower scores of cognition, receptive communication, expressive communication, and fine motor. The adjusted β were − 0.23 (95%CI: -0.42, -0.04), -0.47 (95%CI: -0.66, -0.28), -0.30 (95%CI: -0.49, -0.11), and − 0.20 (95%CI: -0.33, -0.06). Additionally, the elevated risk for noncompetent development of cognition and receptive communication among “high IPAI” group was observed. The relative risk [RR] and 95% confidence interval [CI] were 1.35 (1.01, 1.69) and 1.37 (1.09, 1.72).ConclusionsOur results revealed a significant association between higher IPAI and lower scores across cognition, receptive communication, expressive communication, and fine motor domains, and an increased risk of noncompetent development in the cognition and receptive communication domains.

Numerical investigation of the late-time tails of the solutions of the Fackerell–Ipser equation

The late-time behaviour of the solutions of the Fackerell–Ipser equation (which is a wave equation for the spin-zero component of the electromagnetic field strength tensor) on the closure of the domain of outer communication of sub-extremal Kerr spacetime is studied numerically. Within the Kerr family, the case of Schwarzschild background is also considered. Horizon-penetrating compactified hyperboloidal coordinates are used, which allow the behaviour of the solutions to be observed at the event horizon and at future null infinity as well. For the initial data, pure multipole configurations that have compact support and are either stationary or non-stationary are taken. It is found that with such initial data the solutions of the Fackerell–Ipser equation converge at late times either to a known static solution (up to a constant factor) or to zero. As the limit is approached, the solutions exhibit a quasinormal ringdown and finally a power-law decay. The exponents characterizing the power-law decay of the spherical harmonic components of the field variable are extracted from the numerical data for various values of the parameters of the initial data, and based on the results a proposal for a Price’s law relevant to the Fackerell–Ipser equation is made. Certain conserved energy and angular momentum currents are used to verify the numerical implementation of the underlying mathematical model. In the construction of these currents a discrete symmetry of the Fackerell–Ipser equation, which is the product of an equatorial reflection and a complex conjugation, is also taken into account.

Propagation of spatiotemporal Airy-Laguerre complex-variable-function Gaussian wave packets in a chiral medium

We analyze the propagation of spatiotemporal Airy-Laguerre complex-variable-function Gaussian (ALCG) wave packets using phase modulation. These wave packets can split into left circularly polarized ALCG (LCP-ALCG) and right circularly polarized ALCG (RCP-ALCG) components due to circular birefringence in a chiral medium. Our discussion primarily focuses on the effects of polynomial order, angle parameters, distribution factor, cross-phase factor, first-order chirp factor, and chiral parameter on the ALCG wave packets. The distinct LCP-ALCG and RCP-ALCG wave packet characteristics are obtained, and the radiation forces on Rayleigh dielectric particles are investigated. Our results emphasize the influence of various parameters in the propagation properties of ALCG wave packets, unveiling their potential for advancements in optical communication and optical trapping domains.

A TED Talk style patient video education intervention to improve care coordination for rural patients with early-stage cancer: A feasibility study.

236 Background: Effective care coordination is a key component of high-quality, patient-centered cancer care. However, cancer patients residing in rural areas often experience substantial barriers to care and suboptimal care coordination. To date, there is a paucity of interventions to improve care coordination for rural cancer patients. In this pilot trial, we assessed the feasibility and preliminary efficacy of a remote, tablet-based patient video education intervention focused on cancer care coordination among rural patients in Hawaii. Methods: We conducted a single-arm pilot study to assess the preliminary effects of a novel, TED-talk style patient video education intervention presented by clinicians and a patient advocate. Video content focused on cancer basics, care coordination, and self-advocacy. Eligible participants were newly diagnosed with early-stage cancer (I-III), within one month of starting adjuvant chemotherapy, able to speak/read English, and residing in rural areas (defined as RUCA ≥ 4). We assessed the feasibility and patient-reports of acceptability and satisfaction using semi-structured interviews. Validated instruments were administered at baseline and post-intervention and used to assess the preliminary effects of the intervention on patients’ perceptions of care coordination (CCI; Care Coordination Instrument) and self-advocacy (adapted Cancer Self-Advocacy Scale; Hagan et al. 2018). Descriptive statistics were used to assess study outcomes. Results: From 01/2022 to 12/2022, 19 patients enrolled on the study (21 approached); 74% were female, 42.1% identified as two or more races, 26.3% Asian, and 21.1% White. Mean age was 52.2. The majority of participants were receiving treatment for breast cancer. Five patients became ineligible after enrolling on the study (disease progression, relocation). 71.4% of eligible patients completed all assessments. No changes were observed in the overall perceptions of care coordination. Improved scores were observed for the CCI communication domain (+4.5; Cohen’s d = -0.76, 95% CI: -1.45, -0.03). For self-advocacy, there was an overall trend for improved scores for the informed decision making and connected strengths subscales. All participants reported high satisfaction with the intervention. Conclusions: Results support the preliminary feasibility, satisfaction, and acceptability of this intervention for rural patients. Although the effects on the overall perceptions of care coordination are unclear, preliminary data suggest that the intervention may improve communication aspects of care coordination and self-advocacy. Further study is needed to evaluate the intervention in other rural areas. Funding support: The HOPE Foundation for Cancer Research/SWOG. Clinical trial information: NCT05162404 .

Implications of Positive Effects of Early Childhood Education for Education Policy

Emerging research on the benefits of early childhood education has sparked interest in making preschool education universal to improve children's readiness for school and their subsequent achievement of social, economic, and professional success. The implementation of early childhood education (ECE) programs, which aim to prepare 4-year-old children for school, has resulted in an increase in public funding. This increase can be attributed to the positive effects of the ECE program on children, as demonstrated by the academic skills of the children measured, which fall within the national average. These abilities include the ability to read and write, speak and understand mathematics, and recognize patterns in numbers. "Investing as early as possible, from birth through age five, in disadvantaged families yields the highest rate of return in early childhood development." Thus, the community and local government are required to actively involved in managing preschool structures, enhance the supervision and management of early childhood education. Common challenges encountered recorded nearly half of all teachers acknowledged to having significant levels of stress and burnout over the previous several years, mental health issues, low compensation, etc. Furthermore, NIEER research findings reveals only five states Hawaii, Michigan, Rhode Island, Alabama, and Mississippi meet all ten national program quality standards, which include putting child development guidelines into practice and offering professional development to teachers. Thus, this paper recommends that when formulating schools' improvement strategies, the Department of Education should take into account the enrollment rate in early learning and kindergarten institutions. All early childhood professional development programs aim to improve children's learning in the behavioral, social-emotional, communicative, and cognitive domains over the long run through indirect means.

Meeting the Needs of People With Severe Quadriplegia in the 21st Century: The Case for Implanted Brain-Computer Interfaces.

In recent decades, there has been a widespread adoption of digital devices among the non-disabled population. The pervasive integration of digital devices has revolutionized how the majority of the population manages daily activities. Most of us now depend on digital platforms and services to conduct activities across the domains of communication, finance, healthcare, and work. However, a clear disparity exists for people who live with severe quadriplegia, who largely lack access to tools that would enable them to perform daily tasks digitally and communicate effectively with their environment. The purpose of this piece is to (i) highlight the unmet needs of people with severe quadriplegia (including cases for medical necessity and perspectives from the community), (ii) present the current landscape of assistive technology for people with severe quadriplegia, (iii) make the case for implantable BCIs (how they address needs and why they are a good solution relative to other assistive technologies), and (iv) present future directions. There are technologies that are currently available to this population, but these technologies are certainly not usable with the same level of ease, efficiency, or autonomy as what has been designed for the non-disabled community. This hinders the ability of people with severe quadriplegia to achieve digital autonomy, perpetuating social isolation and limiting the expression of needs, opinions, and preferences. Most importantly, the gap in digital equality fundamentally undermines the basic human rights of people with severe quadriplegia.

Impact of orthodontic treatment with aligners on the oral health-related quality of life of patients with trisomy 21.

To assess the impact of treatment with orthodontic aligners (OA) on oral health-related quality of life (OHRQoL) in patients with trisomy 21 (T21) compared to non-syndromic patients. The sample consisted of 30 patients, both sexes, aged between 11 and 35 years, divided into two groups: T21 (n=10, patients with T21, treated prospectively) and CONTROL (n=20, control group, non-syndromic patients, from the Orthodontic Laboratory of UNOPAR). In both groups, patients were treated with Invisalign orthodontic aligners (Align Technology), following the same treatment parameters. Participants, assisted by their caregivers, when necessary, answered Oral Health Impact Profile (OHIP-14) instrument and the patient's guardians answered the Oral Health Scale for People with Down's syndrome (OHDS) instrument, before (T0) and after 30 (T1), 180 (T2), and 365 (T3) days from the start of treatment. Friedman tests with Bonferroni correction and Mann-Whitney tests were used (p<.05). For the OHDS instrument, it was observed that for the eating and communication domains and an overall score, the treatment with OA positively impacted the lives of T21 patients (p<.05). Regarding the OHIP-14 instrument, the intragroup evaluation showed that in the CONTROL group, there was no significant difference between the evaluated times; while for the T21 group, there was a significant positive impact (p<.05). The results showed that the treatment with aligners positively impacted the OHRQoL of T21 patients, and these results were perceived by caregivers, mainly in relation to issues related to eating and communication.

Cross-cultural adaptation and validation of a French version of the Measure of Stroke Environment (MOSE) in stroke survivors in Sub-Saharan Africa

Purpose To investigate the psychometric properties of the MOSE-Benin, a French-language version of the Measure of Stroke Environment (MOSE) for Sub-Saharan Africa. Materials and methods The original English version of the MOSE has been translated into French following the guidelines for cross-cultural adaptation. The resulting questionnaire (MOSE-Benin) was administered to a convenience sample of participants recruited in Benin, a French-speaking country. Results Eighty-two stroke survivors (41 females; mean ± SD: 54.94 ± 11.6 years old) participated in the study. Internal consistency of each domain of the MOSE-Benin and the overall questionnaire was high (Cronbach’s α: 0.78 to 0.92). Test-retest reliability was excellent (n = 31; ICC: 0.977 to 0.998). Overall, the standard error of measurement (SEM) and the minimum detectable change (MDC) showed very low values (SEM = 0.85; MDC = 2.35). Convergent validity demonstrated moderate correlations for the three domains in separate comparison respectively with the ACTIVLIM-Stroke questionnaire, the Participation Measurement Scale, and the communication domain of the Stroke Impact Scale (r or ρ: 0.42 to 0.54; p < 0.0001). Conclusion MOSE-Benin has good evidence regarding psychometric properties (i.e., content validity, convergent validity, internal consistency, and test-retest reliability) that can support its use for the assessment of perceived environmental barriers after stroke in a French-speaking Sub-Saharan African country, such as Benin.

Collaborative last-hop scheduling strategy for large-scale LEO constellation routing

The transmission of data packets from satellites to Earth Stations (ESs) is the last hop of satellite network routing. As the final stage of packet transmission, the use of different scheduling strategies directly affects the throughput of the satellite network. Traditionally, researchers have attempted to enhance network performance by investigating inter-satellite routing protocols or inter-satellite data offloading strategies. However, these approaches have failed to address scheduling issues in the last hop of large-scale Low Earth Orbit (LEO) constellations. In this paper, we present the first Cooperative Last-Hop Scheduling (CLHS) strategy for routing in large-scale LEO constellations based on a bidirectional communication domain. In this strategy, we first utilize the bidirectional communication domain to determine the communication ranges of satellites and ESs. Subsequently, an information flow is established to interact with ESs and satellites. The ESs receive and reconstruct the Information Matrix (IM) from the information flow. Moreover, we propose the Maximum Decision Value Priority (MDVP) algorithm, which takes the reconstructed IM as input and computes the scheduling commands for satellites within the communication range of the ESs. To address the issue of multiple ESs simultaneously scheduling the same satellite, we introduce the Collision Avoidance Algorithm (CAA). Finally, to enhance the data packet transmission efficiency of the scheduled satellites, we propose the Weighted First-In-First-Out (WFIFO) algorithm, which is specifically designed for satellite packet dequeuing. We validate the CLHS through simulations on two satellite constellations: the first-generation Starlink constellation with 4409 satellites and the GW-2 constellation with 6912 satellites. The results show that CLHS can achieve better network throughput than traditional strategies. CLHS provides a novel method of scheduling the last hop in large-scale satellite constellations.

Perceived factors influencing the success of pain neuroscience education in chronic musculoskeletal pain: a meta-synthesis of qualitative studies

Purpose We aimed to identify the factors influencing the success of Pain Neuroscience Education (PNE) in chronic musculoskeletal (MSK) pain from the perspective of those experiencing PNE first-hand. Materials and Methods We conducted a meta-synthesis of qualitative studies. Articles were found on MEDLINE via Pubmed, EMBASE, Cochrane Library, CINHAL, and PsycINFO up to April 2023. Eligible qualitative studies focussed on adults (>16 years old) with a diagnosis of chronic primary or secondary MSK pain who performed PNE. Thematic synthesis by Thomas and Harden was followed. The Critical Appraisal Skills Programme (CASP) tool ensured the quality of the studies, while the Confidence in Evidence from the Reviews of Qualitative Research (CERQual) approach facilitated data confidence assessment. Results Nine studies were included (188 participants). Three analytical themes were developed: (i) “Efficient Communication of Information”, emphasising the importance of accurate content transmission; (ii) “Emotional Support and Well-being”, recognising emotional aspects as integral to treatment; and (iii) “Empowerment Promotion”, focusing on information retention and personal transformation. The studies showed good quality, with moderate confidence in the evidence. Conclusions The perceived factors influencing the success of PNE are intricately related to the domain of communication, the emotional dimension of personal experience, and the capacity to be empowered.

SparseComm: An Efficient Sparse Communication Framework for Vehicle-Infrastructure Cooperative 3D Detection

Collaborative perception, aiming at achieving a comprehensive perception range through inter-agent communication, faces challenges such as high communication costs and domain gaps between multiple agents. This paper introduces SparseComm, an innovative sparse communication collaborative perception framework designed to mitigate these challenges. SparseComm efficiently operates in sparse feature spaces and aggregates features related to the same objects by a sparse instance communication module. Meanwhile, a sparse 3D cooperation module is incorporated to enhance 3D feature representation during communication, thus improving detection performance. Furthermore, a bounding box restoration module is designed to recover undetected bounding boxes due to feature fusion and to address the quality drop issue caused by domain gaps at minimal additional communication cost. Extensive experiments conducted on the DAIR-V2X and V2XSet demonstrate the efficacy of SparseComm, achieving 47.12% at 211.46 communication bytes on DAIR-V2X and 78.03% at 216.63 communication bytes on V2XSet. Notably, SparseComm reduces communication consumption from 10× to 1000× compared with the prior methods while maintaining the detection performance.

A dearth of disability-related competencies in Accreditation Council for Graduate Medical Education's Milestones 2.0.

Despite the high prevalence of disability and the frequency with which people with disabilities encounter the health care system, physicians report inadequate knowledge regarding caring for their patients with disabilities. To determine the number and type of disability-related competencies in the Accreditation Council for Graduate Medical Education's Milestones 2.0. Cross-sectional analysis of publicly available data to identify, via key word search, the presence of disability-related competencies using disability-related terms derived from the World Health Organization's International Classification of Functioning Disability and Health. Accreditation Council for Graduate Medical Education's Milestones 2.0. N/A INTERVENTIONS: N/A MAIN OUTCOME MEASURE: Presence of disability-related competencies. Over one-third (37.5%) of specialties had zero disability-related competencies. Nineteen (59.4%) included an Interpersonal and Communication Skills Milestonethat mentions disability as a potential barrier to communication. No specialties had Systems-Based Practice or Practice-Based Learning and Improvement disability-related competencies. Physical medicine and rehabilitation (PM&R) had six disability-related competencies, preventive medicine occupational and environmental medicine had three, and otolaryngology and transition year each had two. A minority of medical and surgical specialties had disability-related competencies outside of the Interpersonal and Communication domain. With the rising prevalence of disability and the lack of physicians with expertise in the care of people with disability, the time is now to integrate disability competencies into residencies, especially for the primary care specialties.