Familiar Situation Research Articles

Analogy use in textbook introductions to isostasy: Presentations, perceptions and physics

In teaching, analogies can be used to support the introduction of a new concept or idea with reference to a more familiar one. This relies on the learner’s correct understanding of the (supposedly) familiar situation, their identification of the relevant similarities (structural relations) between the two situations, and of the limits of the similarities. Without these, analogies may reinforce or introduce misconceptions. Through content analysis of 14 introductory textbooks, semi-structured interviews with four students, and analysis of two analogies, we explore how analogies are used as part of introductions to isostasy in introductory geoscience textbooks. Analogies were ubiquitous, but prior knowledge of the source domain was typically assumed and the majority were not elaborated (explained to the learner). Interviews indicate that, in the absence of sufficient elaboration, students turn to superficial similarities for clues on how to apply the analogies. Many textbooks used analogies amenable to this approach, indicating an alignment between textbook strategy and student reactions. However, giving precedence to superficial similarities over explicit elaboration of structural relations may favor a novice approach to learning. Analyzing an analogy using free-body diagrams demonstrates how an apparently relevant analogy can introduce misconceptions, both in terms of the underlying physics (introducing a fictitious force) and the Earth application (unnatural behavior of the lithosphere) when not sufficiently, or correctly, elaborated. We conclude that the introductory textbooks place much of the responsibility for appropriate use of their analogies, and for avoiding misconceptions, on the learners and their teachers.

A Contrastive Analysis of Diglossia in Japanese and Javanese

This study aims to describe the linguistic situation of the use of Japanese and Javanese varieties in a diglossic situation. This research uses descriptive qualitative method by using data analysis method of pairing method. The method used in data collection is the listening method embodied in the tapping technique and when necessary the researcher uses the listening technique with the recording technique. The results showed that the findings in Japanese in jougei kankei (seniority relationship) determine the type of language used in communication. Language levels include the variety of ordinary forms (Futsu) in informal conversations and polite forms (Teinei) respectful forms (Keigo) in formal conversations. The finding of Javanese language that the situation of diglossia between speakers of Javanese speech community in Asahan dominantly occurs in familiar symmetrical and familiar asymmetrical situations. In the familiar symmetrical situation, all language varieties used are ngoko lugu variant forms. The relationship of social factors that are parallel and the relationship of familiar closeness between speakers causes the use of ngoko varieties with the variant form of ngoko lugu between speakers, while in familiar asymmetrical situations it is dominated by using the form of ngoko lugu, the rest are variant forms of ngoko alus and ngoko alus-ngoko lugu and lugu krama varieties.

Beyond Fictionality

According to Gérard Genette, frame narratives are one of few reliable textual markers of fictionality. While very different from the corpus studied by Genette, al-Tanūkhī’s (d. 384/994) compilation al-Faraj baʿd al-shidda includes many anecdotes featuring at least one instance of narrative framing, as well as many more anecdotes told on a single narrative level (after the usual introductory chain of transmitters). As such, the compilation presents a good case study for the link between fictionality and narrative levels in a premodern Arabic context. On the strength of many examples drawn from the compilation, this article describes three uses of frame narratives in the Faraj and argues that even if some of the compiled material thematizes questions of reports’ plausibility (rather than “fictionality”), narrative levels are not a reliable marker of stories considered to be more implausible. One use of the frame narrative in the Faraj is indeed in addressing a report’s plausibility (1), but other anecdotes achieve this without any such framing. Moreover, frame narratives also take on other functions whereby they neither flag nor are reliably associated with a story’s lesser plausibility. Such functions include anchoring a story’s narration within a familiar situation and highlighting the message of a narrative by setting up parallels between its different levels (2). Another function is to negotiate the incorporation of less familiar voices and content, remote in social milieu or geography from al-Tanūkhī’s life, into the world of the compilation (3). These different uses show that frame narratives are not reliable markers of fictionality in the Faraj, and that they were not artificially affixed onto the Faraj’s less plausible plots. Instead, they served different functions, introducing a wide variety of content and shaping the reception of stories by questioning their plausibility, yes, but also by exploiting and manipulating readers’ expectations, and by pushing the limits of spaces and perspectives incorporated into the Faraj’s overall message of deliverance after hardship. Key words: Frame narratives, fictionality, plausibility, foreignness, al-Tanūkhī, al-Faraj baʿd al-shidda, compilation, Abbasid literature.

Clinical features and factors related to suicidal ideation in adult patients with benzodiazepine use disorder

IntroductionBenzodiazepine use disorder (BUD) has been associated with the presence of suicidal ideation (SI) in general population. It seems there is an overall increase in the risk of attempting suicide due to the increase of impulsivity, rebound and withdrawal of those who use benzodiazepines(1). However, this association has been scarcely studied.ObjectivesTo explore the prevalence, clinical features and factors related to lifetime SI in adults with BUD.MethodsA cross-sectional study was conducted in an outpatient center for addiction treatment between 01/01/2010 and 12/31/2021. Adult patients who met criteria for active BUD were included. Patients with language barriers, cognitive impairments and those who were participating in any clinical trial were excluded. All patients were evaluated with an ad-hoc questionnaire, EuropASI (European Addiction Severity Index), BDI (Beck Depression Inventory) and HRQoL SF-36 (Health-related quality of life according to SF-36). Univariate and bivariate analyses were performed comparing BUD patients with or without SI.Results554 patients were included (65.2% males; M age 42.6±12.6 years). SI was reported in 57.2% of the patients. Regarding the sociodemographic variables, any type of lifetime abuse was correlated with SI (67.8%, 73.5% and 77.8% of the patients with emotional, physical and sexual abuse respectively). Considering the different psychiatric features studied, having any psychiatric diagnosis increased SI up to 64%. Depressive and cluster B personality disorders were the ones with a higher presence of SI (67.1% and 68.1% respectively). Anxiety and cluster A personality disorders had also higher proportions of SI (56.1% and 58,7% respectively). Regarding the different assessment instruments used, a higher punctuation on BDI score was seen in the group of patients with SI (23.73±12.86). The scores also showed a worse perception of the mental quality of life of those people with SI, measured by HRQoL (13.76 and 36.82±31.93 in patients with SI and no SI respectively). Considering the EuropASI, there was an increased proportion of SI in those patients with a worse familiar situation (0.44±0.30), a higher alcohol consumption (0.26±0.28) and a worse psychological condition (0.48±0.24).ConclusionsThe prevalence of SI in patients with BUD is significative and is related to several clinical factors. Those factors should be taken into account in daily clinical practice, research, and any health policies on suicide. Further research should be developed.1. Dodds, T.J. ‘Prescribed benzodiazepines and suicide risk’, The Primary Care Companion For CNS Disorders 2017; 19(2).Disclosure of InterestNone Declared

Higher-order asymptotic corrections and their application to the Gamma Variance Model

We present improved methods for calculating confidence intervals and p values in situations where standard asymptotic approaches fail due to small sample sizes. We apply these techniques to a specific class of statistical model that can incorporate uncertainties in parameters that themselves represent uncertainties (informally, “errors on errors”) called the Gamma Variance Model. This model contains fixed parameters, generically denoted by ε\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\varepsilon $$\\end{document}, that represent the relative uncertainties in estimates of standard deviations of Gaussian distributed measurements. If the ε\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\varepsilon $$\\end{document} parameters are small, one can construct confidence intervals and p values using standard asymptotic methods. This is formally similar to the familiar situation of a large data sample, in which estimators for all adjustable parameters have Gaussian distributions. Here we address the important case where the ε\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\varepsilon $$\\end{document} parameters are not small and as a consequence the first-order asymptotic distributions do not represent a good approximation. We investigate improved test statistics based on the technology of higher-order asymptotics (modified likelihood root and Bartlett correction). The effective application of higher-order corrections removes an important computational barrier to the use of the Gamma Variance Model.

Undergraduate Students' Perception on The Use of Role-Play In Speaking Class

This study aims to analyze the undergraduate students’ perception of role-play in speaking class that focuses on self-concept and speaking ability. The researchers employed a case study of twenty-five undergraduate students who had attended speaking subject with role play as the activity in the learning process. The data were collected by distributing 25-item questionnaires and open-ended interviews to confirm the questionnaire data. The researchers analyzed the questionnaire data quantitatively with mean formulation followed by range score category for the interview data descriptively. The results reported that the student’s perception of the use of role-play and their self-concept gained a high score. The students perceived that role play is a suitable and effective technique in speaking class. It helps them to communicate effectively through the use of a script. It also builds self-confidence and motivation to improve their speaking ability. In speaking activities, role play is perceived to create satisfaction and a comfortable and interesting atmosphere. The students are challenged to perform better due to the massive space of practice with their friends with the real life and familiar situation brought to the activity. This study implies that speaking activities with role play to be conducted more frequently and cover more meaningful and contextual topics for the students. This study suggests a comprehensible investigation of the factors underlying the students’ confidence in speaking with role play as the activity.

Leadership dynamics and Covid-19 crisis management in Singapore: a contingency approach

PurposeThe goal of this study is to explore the role leadership play by Singapore’s government in the handling of the Covid-19 crisis and to suggest recommendations around the leadership dynamics in solving similar challenges experienced by businesses, organizations and societies.Design/methodology/approachThis review was conducted using a case study and a desk review, a systematic review as well as a narrative method where physical books, web searches, online platforms, patterns in related occurrences and related literature were used to support the study. The review was anchored on the contingency approach and the stakeholder theory. Two hypotheses were developed and tested using qualitative comparative analysis. The study finding showed that the Singapore government used an all-inclusive functional leadership approach in curtailing the effect of the pandemic on Singaporeans. The study recommends that in decision-making, being proactive and timely is critical, and developing more conceivable and holistic crisis response plans through an integrated orientation is paramount to the successful achievement of a goal.FindingsDespite some flaws, it was found that the Singaporean government had conveniently used a contingency leadership approach through an all-inclusive functional leadership to mitigate the effect of Covid-19 through the use of social media, messaging apps and effective communication, effective pandemic control techniques, albeit in a proactive manner. As a result, Singapore's mortality rate was relatively lower than that of other nations that were adversely affected by the epidemic, earning them a prime position in the crisis response. The study, therefore, contends that their proactive response to containing the pandemic can be used as a model for people, businesses, the political system and society to lessen incidents of a similar nature in the future.Practical implicationsPolicymakers, scholars and frontline workers may have sufficient reason to devote time to developing a more viable, comprehensive crisis response plan by pursuing an integrated learning strategy, through the use of contingency approaches and drawing on past experiences in dealing with global health emergencies. Apart from this, Singapore’s experience will serve as a lesson for the management of businesses and leaders of societies to take proactive steps in dealing with challenges as soon as they arise.Originality/valueThis review showed that contingency is a reality faced by every society and organization and people’s collective responsibility is a necessity during such time. Therefore, when an organization/institution is in a familiar situation, policymakers, academics and business management/leaders need to be proactive and also reflect on past experiences to deal with current and future mistakes in the course of daily operations in an organization/society.

Properties of the non-Hermitian SSH model: role of symmetry

The present work addresses the distinction between the topological properties of symmetric and non- symmetric scenarios for the non-Hermitian Su–Schrieffer–Heeger model. The non- symmetric case is represented by non-reciprocity in both the inter- and the intra-cell hopping amplitudes, while the one with symmetry is modeled by a complex on-site staggered potential. In particular, we study the loci of the exceptional points, the winding numbers, band structures, and explore the breakdown of bulk-boundary correspondence (BBC). We further study the interplay of the dimerization strengths on the observables for these cases. The non- symmetric case denotes a more familiar situation, where the winding number abruptly changes by half-integer through tuning of the non-reciprocity parameters, and demonstrates a complete breakdown of BBC, thereby showing non-Hermitian skin effect. The topological nature of the symmetric case appears to follow closely to its Hermitian analogue, except that it shows unbroken (broken) regions with complex (purely real) energy spectra, while another variant of the winding number exhibits a continuous behavior as a function of the strength of the potential, while the conventional BBC is preserved.

When to Return to Normal? Temporal Dynamics of Vigilance in Four Situations

Vigilance is an important behaviour to monitor the environment from detecting predators to tracking conspecifics. However, little is known about how vigilance changes over time either without disturbance (vigilance decrement) or after a change occurred. The time course of vigilance can indicate how animals perceive a situation and the potential mechanism used to deal with it. I investigated the time course of vigilance in Gouldian Finches in four situations (familiar environment, two changed environments–novel object at a neutral location (exploration trial) or above the feeder (neophobia trial), novel environment). The frequency of head movements was assessed in four consecutive 15-min blocks in same sex pairs with a high frequency generally seen as indicative of high vigilance. Vigilance decreased over time in the familiar situation indicating vigilance decrement with a similar time course in the exploration trial. Vigilance was consistently high in the neophobia trial and only returned to normal in the last block. Finally, vigilance plummeted in the novel environment and did not return to normal within an hour. Results suggest that perceived threats affected vigilance and that information gathering reduced uncertainty allowing vigilance to return to normal levels but with different time courses depending on the situation.

The Relationship between Students' Mimetic Approaches and Learning Styles in Architectural Design Education

Architects' attitudes most likely get from the common values obtained during their education and these values are acquired within the period of architectural education i.e., from the first year to the last year. In this sense, design problems are mostly defined with the help of mimetics and it is believed that thinking through mimetics enables the student to explain and understand an unknown situation relative to a familiar situation. So, believing that each student in the design studio uses certain language codes and develops them with knowledge, in this paper the design preferences of four architecture students at three different stages of their education are cross-sectionally analysed using the method called "Metaphorical Reasoning: Context and Depth" and the design approaches of each student are revealed. As shown in this study, some students have an excellent ability to use abstract concepts and have been able to switch between resources (between-domain sources and within-domain sources) very boldly. In the process, the accumulation of knowledge and education changed their mimetic behaviour, and the abstract concepts of some novices became more complex as their education progressed. On the other hand, some other novices who took tangible design approaches remained almost unchanged until the end. Considering that these different mimetic approaches of students are related to their learning styles, Kolb's Learning Style Inventory (LSI) method was used and learning styles of four students were revealed. The learning styles of the students obtained by Kolb's Learning Style Inventory (LSI) method support all the findings.

Longing for homelikeness: A hermeneutic phenomenological analysis of patients' lived experiences in recovery from COVID-19-associated intensive care unit acquired weakness.

AimsTo explore lived experiences of patients recovering from COVID‐19‐associated intensive care unit acquired weakness and to provide phenomenological descriptions of their recovery.DesignA qualitative study following hermeneutic phenomenology.MethodsThrough purposeful sampling, 13 participants with COVID‐19‐associated intensive care unit acquired weakness were recruited with diversity in age, sex, duration of hospitalization and severity of muscle weakness. Semi‐structured in‐depth interviews were conducted from 4 to 8 months after hospital discharge, between July 2020 and January 2021. Interviews were transcribed verbatim and analysed using hermeneutic phenomenological analysis.ResultsThe analysis yielded five themes: ‘waking up in alienation’, ‘valuing human contact in isolation’, ‘making progress by being challenged’, ‘coming home but still recovering’ and ‘finding a new balance’. The phenomenological descriptions reflect a recovery process that does not follow a linear build‐up, but comes with moments of success, setbacks, trying new steps and breakthrough moments of achieving mobilizing milestones.ConclusionRecovery from COVID‐19‐associated intensive care unit acquired weakness starts from a situation of alienation. Patients long for familiarity, for security and for recognition. Patients want to return to the familiar situation, back to the old, balanced, bodily self. It seems possible for patients to feel homelike again, not only by changing their outer circumstances but also by changing the understanding of themselves and finding a new balance in the altered situation.ImpactMuscle weakness impacts many different aspects of ICU recovery in critically ill patients with COVID‐19‐associated intensive care unit acquired weakness. Their narratives can help nurses and other healthcare professionals, both inside and outside of the intensive care unit, to empathize with patient experiences. When healthcare professionals connect to the lifeworld of patients, they will start to act and communicate differently. These insights could lead to optimized care delivery and meeting patients' needs in this pandemic or a possible next.

Uncovering the course of analogical mapping using eye tracking

Analogical mapping – the core component of analogical reasoning – consists of establishing the relational structure shared by two analogous situations and inferring the missing elements in a less familiar situation from a more familiar one. Several existing models of analogy predicted that the complete relational structure can be considered in parallel. Other models postulated that mapping can be less or more incremental – it can access only a relatively small part of the structure, and needs to move to its other parts in steps in order to construct the final relational correspondence. However, the precise time course of analogical mapping, especially in sufficiently complex analogies, to date was rarely studied empirically. In two studies, eye tracking was used to assess in a rigorous way the extent to which mapping can be incremental. In a newly designed geometric A:B::C:D task, pattern D was generated from C according to the same shape transformations that generated pattern B from A. The six possible response options differed systematically in the number of correct transformations, from no transformation matching, via partial relational match, up to the full match. In Study 1, the relational match of options fixated on by participants was initially low but increased monotonically over the course of analogy. The number of corresponding eye fixations predicted 68% variance in relational match of the final response. The correct option was chosen only if fixated on for a sufficiently long time. Study 2 replicated the findings using a more ecologically valid and less demanding task variant that required to map the changes in people's appearance. The results support these theoretical models of analogy which postulate strictly incremental mapping.

Hippocampal-amygdala memory circuits govern experience-dependent observational fear.

The empathic ability to vicariously experience the other's fearful situation, a process called observational fear (OF), is critical to survive in nature and function in society. OF can be facilitated by both prior similar fear experience in the observer and social familiarity with the demonstrator. However, the neural circuit mechanisms of experience-dependent OF (Exp OF) remain unknown. Here, we demonstrate that hippocampal-basolateral amygdala (HPC-BLA) circuits in mice without involving the anterior cingulate cortex, considered a center of OF, mediate Exp OF. Dorsal HPC neurons generate fear memory engram cells in BLA encoding prior similar fear experiences, which are essential for Exp OF. On the other hand, ventral HPC neurons respond to the familiar demonstrator's aversive situation during Exp OF, which reactivates the fear memory engram cells in BLA to elicit Exp OF. Our study provides new insights into the memory engram-dependent perception-action coupling that underlies empathic behaviors like Exp OF.

138. How Much is too Much? Screen Time Among Young Adolescents in Switzerland

The literature indicates that adolescents should spend less than two hours a day in front of a screen, although more recent research indicates that up to 4 hours would be acceptable and recommends an update of this limit regarding the generalized access to screens. The aim of this research was to compare the characteristics of adolescents depending on self-reported daily screen time. Data were collected in school among tenth graders (N=3006; mean age 13.6) between October 2019 and February 2020. Three groups were created according to self-reported daily screen time: under 2 hours (G<2), between 2 and 4 hours (G2-4), and over 4 hours (G>4). Groups were compared at the bivariate level and all significant variables (p<.05) were entered in a backwards multinomial logistic regression using G<2 as the reference category. Results are presented as relative risk ratios (RRR). Although significant in the bivariate analysis, considering oneself a below average student, relationship with mother, self-reported low socioeconomic status, relationship with father, and living with both parents were subsequently eliminated in the stepwise regression process. At the multivariate level, and compared to G<2, those in G2-4 were older (RRR: 1.20), and more likely to report lower emotional well-being (RRR: 1.40), being overweight (RRR: 2.05), to consider their screen time as excessive (RRR: 4.80) and reporting sleeping troubles (RRR: 1.46). No differences were found for gender, problematic internet use, or extracurricular sport practice. Compared to G<2, those in G>4 were older (RRR: 1.87) and more likely to be males (RRR: 1.48), overweight (RRR: 4.23), problematic internet users (RRR: 3.50), to consider that their screen time as excessive (RRR: 12.94) and reporting sleeping troubles (RRR: 1.97). They were also less likely to practice extracurricular sport (RRR: .57). No differences were found for emotional well being. Our results indicate that young adolescents tend to do less well as screen time increases, especially males. Nevertheless, this effect seems to be independent of their familiar, academic or economic situation. It is worth noting that they are well aware that their screen time is excessive. This finding could imply that self-content might be a better approach than just limiting time. Prevention strategies should probably be less strict on the 2-hour limit and take advantage of the self-assessment of young adolescents regarding their screen time. Such strategies should also be gender-specific. Moreover, prevention should be more focused on content that merely on duration.

Various sources of distraction during analogical reasoning

Reasoning by analogy requires mapping relational correspondence between two situations to transfer information from the more familiar (source) to the less familiar situation (target). However, the presence of distractors may lead to invalid conclusions based on semantic or perceptual similarities instead of on relational correspondence. To understand the role of distraction in analogy making, we examined semantically rich four-term analogies (A:B::C:?) and scene analogies, as well as semantically lean geometric analogies and the matrix task tapping general reasoning. We examined (a) what types of lures were most distracting, (b) how the two semantically rich analogy tasks were related, and (c) how much variance in the scores could be attributed to general reasoning ability. We observed that (a) in four-term analogies the distractors semantically related to C impacted performance most strongly, as compared to the perceptual, categorical, and relational distractors, but the two latter distractor types also mattered; (b) distraction sources in four-term and scene analogies were virtually unrelated; and (c) general reasoning explained the largest part of variance in resistance to distraction. The results suggest that various sources of distraction operate at different stages of analogical reasoning and differently affect specific analogy paradigms.

Jesus and Illocutionary Forces: Common Functions of Conditionals in the Gospels

In this paper we look at the various functions of conditionals in Jesus’ speech as recorded in the gospels. We will show how Jesus often uses conditionals to describe hypothetical situations, frequently as illustrations to support a teaching point. We will also look at the way in which Jesus uses conditionals to argue from a known fact to a novel proposition, often using a familiar concrete situation to illustrate a novel spiritual truth. Differences between the ways that the gospel writers use the Greek conditional constructions are also noted.

514 - Practice-based intervention to implement Person Centered care in long-term care facilities for people with Dementia

Healthcare professionals working with people with dementia (PwD) have increasingly been moving away from task-oriented models of healthcare towards person-centered care (PCC). Several studies have showed positive results of PCC on quality of life of PwD. Also, it shows positive effects on self-esteem and work satisfaction of healthcare professionals (HCP).We developed an successful practice-oriented intervention to implement PCC in long-term care facilities (LTCFs), based on the theory of Kitwood. The intervention consists of different components and learning methods: 1)Management of the facility is trained. They have an important role in motivating HCPs and safeguarding PCC-policy in the future.2)Dementia Care Mapping (DCM)-observations are carried out to gain understanding of the LTCF. DCM is an evidence-based observational method and aims to give a good understanding of the quality of life of PwD.3)The training of staff starts with a Kick-off-meeting. During a ‘Mirror theater’ with professional actors, an act representing a familiar care situation is performed. Staff participates in the act to become aware of PCC. The kick-off also serves as a warming-up on PCC knowledge.4)After this, staff complete an interactive e-learning on the basic theory of PCC. The e-learning contains practical videos and exercises.5)Finally, staff follow two consecutive, practical-oriented team-trainings. They will learn what PCC means for their daily practice and how to reflect on it. The most effective part is the reflection on examples of their own clients, and get more aware of their own behavior. In between trainings, HCP will carry out a practice exercise and provide feedback in session two.In an early stage of the intervention we discuss the possibilities and adjust the approach to the needs and situation (culture, level of knowledge etc.) of the LTCF. Involvement of all the staff in the intervention is essential, so everyone speaks the same ‘language’ and staff can rely on each other. Based on experience, these factors contributes to a sustainable way to implement PCC in LTCFs.

Privacy and artificial intelligence: challenges for protecting health information in a new era

BackgroundAdvances in healthcare artificial intelligence (AI) are occurring rapidly and there is a growing discussion about managing its development. Many AI technologies end up owned and controlled by private entities. The nature of the implementation of AI could mean such corporations, clinics and public bodies will have a greater than typical role in obtaining, utilizing and protecting patient health information. This raises privacy issues relating to implementation and data security.Main bodyThe first set of concerns includes access, use and control of patient data in private hands. Some recent public–private partnerships for implementing AI have resulted in poor protection of privacy. As such, there have been calls for greater systemic oversight of big data health research. Appropriate safeguards must be in place to maintain privacy and patient agency. Private custodians of data can be impacted by competing goals and should be structurally encouraged to ensure data protection and to deter alternative use thereof. Another set of concerns relates to the external risk of privacy breaches through AI-driven methods. The ability to deidentify or anonymize patient health data may be compromised or even nullified in light of new algorithms that have successfully reidentified such data. This could increase the risk to patient data under private custodianship.ConclusionsWe are currently in a familiar situation in which regulation and oversight risk falling behind the technologies they govern. Regulation should emphasize patient agency and consent, and should encourage increasingly sophisticated methods of data anonymization and protection.

Evaluation of shoulder balance in early onset scoliosis after definitive fusion and comparison with adolescent idiopathic scoliosis shoulder balance.

The Children Spine Study Group registry was queried for early onset scoliosis (EOS) patients who had final definitive spinal fusion after their scoliosis was managed with either growing rods or VEPTR. The Harms Study Group registry was queried for adolescent idiopathic scoliosis (AIS) patients who had definitive fusion OBJECTIVE: The goal is to assess shoulder alignment in EOS patients after a definitive fusion and how these radiographic outcomes relate to the more familiar situation of post-definitive fusions shoulder alignment in AIS patients. EOS is a challenging pathology to manage. Numerous components are important in the success of spinal surgery for this population. Shoulder balance is a one of the components that is easily seen by the patient. Recently, the importance of its relationship to patient satisfaction has received greater attention. Sample size: n = 145 (EOS (n = 34) and AIS (n = 111)). Shoulder balance parameters (SBP) of clavicular angle (CA), coracoid height difference (CHD), clavicular tilt angle difference (CTAD), and clavicle-rib cage intersection difference (CRID) measurements were measured from the reviewed radiographs and documented pre-definitive, post-definitive and 2-year follow-up measures. Shoulder balance parameters were compared between EOS and AIS cohorts at documented intervals. EOS mean pre-definitive fusion SBPs (CA, CTAD, CRID, CHD) were significantly higher compared to AIS, p = 0.004, 0.003, < 0.001, < 0.001, respectively. Significant post-definitive fusion corrections were noticed for CTAD (0.01), CHD (0.01), nearly significant CA (0.07), non-significant CRID in EOS patients. In AIS patients, no significant corrections were noticed for CA, CTAD, CHD and but significant for CRID (0.02). At post-definitive and 2-year follow-up, CA, CRID, CHD were not significant between cohorts, but CTAD (< 0.01) was significantly higher in EOS cohort at final follow-up. Post-definitive and 2-year follow-up shoulder balance for EOS patients was not significantly different from AIS patients. III.

A Game of Covid: Strategic Thoughts About a Ludified Pandemic.

Many aspects of handling the COVID-19 pandemic bear a resemblance to patterns found in games. We observe point displays and leader boards, the visible assumption of roles, classic archetypes, the collection of resources, and spatial awareness. We argue that these patterns manifest spontaneously as a form of analogical reasoning, because people lack cultural and individual norms as well as cognitive scripts for a pandemic. Trying to find systematic similarities between a novel and a familiar situation is an essential cognitive strategy and a cultural tool, resulting in a spontaneous ludification of this crisis. Unfortunately, most institutions, the media and policymakers focus on attributes that are easy to communicate, not on relations and causal chains. This results in shallow analogies, where the mechanisms and dynamics of COVID-19 are not addressed. This can cause a sense of helplessness, where many people remain passive viewers. A pandemic, however, calls for cooperative action of people who understand the relations between different factors and stakeholders in order to mitigate several negative effects linked to such a crisis. We propose a psychologically founded “Strategic gamification” (here in the context of a pandemic), a form of sense-making that builds on spontaneously emerging ludic elements. By extending upon those elements through the lens of game design, we can shape the mechanics, dynamics and esthetics of a serious context in a more meaningful way. The resulting analogies have better predictive power and are suited to utilize positive aspects of gamification like engagement, elaboration and collaboration.