Focal Areas Research Articles

Adjusting the 15-method to Danish general practice: identification of barriers, facilitators, and user needs

BackgroundThe 15-method is an opportunistic screening and brief intervention tool for alcohol-related problems in primary healthcare. A Danish feasibility study of the 15-method indicated that adjustments were needed to improve its contextual fit to Danish general practice. This adjustment process was conducted in two parts. The first part focused on identifying barriers, facilitators, and user needs for addressing alcohol using the 15-method. The second part will address the identified barriers and user needs to finalize a Danish version of the method. This study reports on part one of the adjustment process.MethodsSemi-structured individual interviews and focus group interviews with healthcare professionals (n = 8) and patients (n = 5) from general practice in Denmark. Data analysis was conducted using thematic content analysis. The results were condensed into two focus areas that will form the basis for user workshops in part two of the adjustment process.ResultsThe main barriers for addressing alcohol using the 15-method were patients and healthcare professionals not having the same agenda, having difficulty opening a conversation on alcohol, and workflow in the practices. Main facilitators included high interpersonal skills, taking the patient’s perspective, and good routines and interdisciplinary work. Suggested adjustments and additions to the method included digitalization, visual icebreakers, quotes and examples, and development of a quick guide. The identified focus areas for user workshops were Communication and Material, and Integration to Workflows.ConclusionHealthcare professionals found the opportunistic screening approach exemplified by the 15-method to be beneficial in identifying and addressing alcohol-related problems. They appreciate the method’s structured framework that assists in presenting treatment options. Identified adjustment areas to the 15-method will lay the groundwork for future efforts to develop a finalized Danish version of the 15-method.

Biomarkers in the Immuno-oncology Interface of Triple Negative Breast Cancer: A Scoping Review with Perioperative Considerations.

Identification of biomarkers for immunotherapy treatment in triple negative breast cancer remains crucial for improving outcomes and optimising regimes, particularly in the perioperative setting. There is a need to conduct a scoping review to provide an overview of current research, explore the wider context, and highlight future research considerations in this field. The most commonly assessed biomarkers are PD-L1, TILs and CD8 + cells with correlation to outcomes mainly focused on survival. There is a growing interest in evaluating genetic markers. Conclusions are currently limited by knowledge gaps around contextual factors. Important areas of focus for future research include a greater understanding of complex cellular, genetic and metabolic interactions in the perioperative tumour microenvironment, including patient-specific immune profiles. An important challenge remains elucidating the clinical significance of the immunological effects of interventions at each stage of the perioperative period, including the use of anaesthetic agents.

The Landscape of Care for Women Veterans with Cancer: An Evidence Map.

Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique needs and care coordination challenges to provide evidence-based care. The purpose of this review is to map the quantity, distribution, and characteristics of literature describing cancer and its treatment among WVs. We searched MEDLINE (via PubMed), Embase (Elsevier), and Web of Science Core Collection (Clarivate) from inception through January, 2024. Publications were eligible that reported gender-specific data on any aspect of cancer care among WVs. Data was abstracted by a single investigator with over-reading. Forty-six reports were included; 44 were observational and 19 had a women-only sample. There were no interventional reports and no qualitative reports had a patient sample. Breast cancer was the most commonly addressed (n = 19). There were six additional reports on sex-specific cancers. Many reports used large VA databases or previous trial data, creating the potential for patient overlap between reports. Among VA-specific areas of interest, only three reports evaluated the potential implications of racial differences and only two included a transgender population. No reports examined the effects of toxic exposures on cancer. Within the NCI Cancer Control Continuum, crosscutting areas were more commonly represented; over half (25) of the reports addressed epidemiology. There were few reports on focus areas and little overlap between focus and crosscutting areas. Existing literature provides an inadequate understanding of the population of WVs with cancer. There is scant information regarding the population of WVs with cancer, their care preferences or experiences, or how to best identify and address unmet healthcare needs. It is imperative to expand research to provide evidence-based care for this population.

Systematic review of culturally adapted SEL interventions for racially and ethnically minoritized preschool children

Social-emotional skills are a growing area of focus for early childhood educators due to their contributions to young children's school readiness and long-term positive outcomes. Current research also highlights the need to confront biases leading to the overestimation of challenging behaviors in racially and ethnically minoritized children. When enacted into policy and practices, biases and overestimation of challenging behaviors result in disproportional, exclusionary disciplinary practices towards children from racially minoritized and economically marginalized backgrounds in early childhood educational settings. Thus, it is necessary to select and implement social-emotional learning interventions that have been designed for or culturally adapted to meet specific needs of children from these backgrounds. In the present study, we uncovered the characteristics of social-emotional learning (SEL) interventions that have been designed or culturally adapted for racially and ethnically minoritized preschool-aged children (ages 3–5 years). Using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines with no restrictions on study dates, we conducted a systematic review of the literature. Our results indicate the implementation of culturally adapted SEL programs among preschool-age children from racially and ethnically minoritized backgrounds is in the preliminary stages with only six studies meeting inclusionary criteria. Overall, children demonstrated improved outcomes after participation in SEL programs. There were significant variations in the SEL curricula used. Frequent types of adaptions included reviewing the program from the original intervention, ensuring that the intervention is delivered in children's home language, and selecting or training qualified implementers.

Application of Artificial Intelligence in Rehabilitation Science: A Scientometric Investigation Utilizing Citespace

This study presents a scientometric analysis of the intersection between rehabilitation science and artificial intelligence (AI) technologies, using data from the Web of Science (WOS) database from 2002 to 2022. The analysis employed a comprehensive search query with key AI-related terms, focusing on a wide range of publications in rehabilitation science. Utilizing the Citespace tool, the study visualizes and quantifies the relationships between key terms, identifies research trends, and assesses the impact of AI technologies in rehabilitation science. Findings reveal a significant increase in AI-related research in this field, particularly from 2017 onwards, peaking in 2021. The United States has been a leading contributor, followed by countries like England, Australia, Germany, and Canada. Major institutional contributions come from Harvard University and the Pennsylvania Commonwealth System of Higher Education, among others. A keyword co-occurrence network constructed through Citespace identifies nine distinct hot topics and various research frontiers, highlighting evolving focus areas within the field. Burst analysis of keywords indicates a shift from performance and injury-related research to an increasing emphasis on AI and deep learning in recent years. The study also predicts the potential impact of papers, spotlighting works by Kunze KN and others as significantly influencing future research directions. Additionally, it examines the evolution of knowledge bases in AI-related rehabilitation science research, revealing a multidisciplinary core that includes neurology, rehabilitation, and ophthalmology, extending to complementary fields such as medicine and social sciences. This scientometric analysis provides a comprehensive overview of AI's application in rehabilitation science, offering insights into its evolution, impact, and emerging trends over the past two decades. The findings suggest strategic directions for future research, policy-making, and interdisciplinary collaboration in rehabilitation science and AI.

Potential value and research frontiers of virus in neuroinflammation: a bibliometric and visualized analysis

BackgroundNeuroinflammation represents the immune response of the central nervous system to nerve injury, infection, toxin stimulation, or autoimmunity and is implicated in a wide range of neurological disorders. Viruses play a pivotal role as extrinsic biological drivers in neuroinflammation; however, numerous aspects remain unexplored. In this study, we employed bibliometric analysis to assess the current status of viral research in neuroinflammation and anticipate future research directions and emerging trends.MethodsConduct a comprehensive search for scholarly publications within the Web of Science Core Collection database, with search terms on neuroinflammation and virus. Apply Microsoft Excel Office, Hiplot, R (version 4.3.1), VOSviewer (version 1.6.20) and CiteSpace (6.2.R6, advanced) software for the bibliometric analysis and visualization.ResultsA total of 4230 articles and reviews on virus and neuroinflammation were identified, demonstrating a consistent upward trend over time. The United States was the country that contributed the most publications. Approximately 22274 authors from 4474 institutions contributed to the research. Johns Hopkins University leads with the highest number of publications and citations. The top three authors with the most published articles on this field are Power, C., Lane, T. E., and Buch, S. The Journal of Neuroinflammation is the most authoritative choice for researchers. The main research focuses in this field include multiple sclerosis, Parkinson’s disease, blood-brain barrier, COVID-19, Alzheimer’s disease, gene therapy. In recent years, stress have emerged as hot keywords, particularly depression, human immunodeficiency virus-associated neurocognitive disorders, blood-brain barrier, gut microbiota related directions, indicating a potential shift in research focus.ConclusionResearch on the virus and neuroinflammation has attracted increasing attention in the past decade. European and American countries have been pivotal in conducting research on virus and neuroinflammation, while China has produced a significant number of publications, its impact is still limited. Stress is likely to emerge as the next area of focus in this field. The association and regulation between viral infection and psychiatric disorders are not fully understood, and further research is needed to explore the role of neuroinflammation caused by different types of viral infection and psychiatric disorders.

Primary pulmonary myxoid sarcoma in the interlobar fissure of the left lung lobe: a case report

BackgroundPrimary pulmonary myxoid sarcoma (PPMS) is a rare, low-grade malignant tumor, constituting approximately 0.2% of all lung tumors. Despite its rarity, PPMS possesses distinctive histological features and molecular alterations, notably the presence of EWSR1-CREB1 gene fusion. However, its precise tissue origin remains elusive, posing challenges in clinical diagnosis.Case demonstrationA 20-year-old male patient underwent a routine physical examination 6 months prior, revealing a pulmonary mass. Following surgical excision, microscopic evaluation unveiled predominantly short spindle-shaped tumor cells organized in a fascicular, beam-like, or reticular pattern. The stromal matrix exhibited abundant mucin, accompanied by lymphocytic and plasma cell infiltration, with Russell bodies evident in focal areas. Immunophenotypic profiling revealed positive expression of vimentin and epithelial membrane antigen in tumor cells, whereas smooth muscle actin and S-100, among others, were negative. Ki-67 proliferation index was approximately 5%. Subsequent second-generation sequencing identified the characteristic EWSR1-CREB1 gene fusion. The definitive pathological diagnosis established PPMS. The patient underwent no adjuvant chemotherapy or radiotherapy and remained recurrence-free during a 30-month follow-up period.ConclusionsWe report a rare case of PPMS located within the left lung lobe interlobar fissure, featuring Russell body formation within the tumor stroma, a novel finding in PPMS. Furthermore, the histomorphological characteristics of this case highlight the diagnostic challenge it poses, as it may mimic inflammatory myofibroblastic tumor, extraskeletal myxoid chondrosarcoma, or hemangiopericytoma-like fibrous histiocytoma. Therefore, accurate diagnosis necessitates an integrated approach involving morphological, immunohistochemical, and molecular analyses.

Ultrasound with Elastography versus MRI in Diagnosis of Rotator Cuff Tendinopathy

Abstract Background tendinopathies and tendon injuries that are due to overload, are important and extremely widespread problem in musculoskeletal diseases. Real-time Sonoelastography (SE) is used to evaluate the tissue elasticity. Aim This study assessed the role of sonoelastography in evaluation of tendon stiffness in comparison to the magnetic resonance imaging (MRI) in diagnosis of patients with rotator cuff (RC) tendinopathy. Methods cross sectional study with 36 adult patients that were clinically suspected to have supraspinatus tendinopathy with no past history of trauma and performed MRI of the shoulder were selected for our study. SE images were taken and assessed for focal soft areas. The supraspinatus (SSP) tendinopathy was graded (Grade 0, normal; Grade I, mild tendinopathy; Grade II, moderate tendinopathy; and Grade III, marked tendinopathy). Results the examined population, by MRI examination of supraspinatus tendon findings categorized as 7 patients (19.4%) had grade 0, and 17 patients (47%) had grade 1, 11 (30.6%) had grade 2, and 1 (2.8%) had grade 3. On the other hand, by Sonoelastography, there was 8 patients (22.2%) had grade 0, and 18 patients (50%) had grade 1, 9 (25%) had grade 2, and 1 (2.8%) had grade 3. Perfect positive correlation (r = 0.83) was found between the MRI and Sonoelastography grading. The association between the two modalities was statistically significant (p < 0.01). Conclusions SE showed good correlation with MRI in identifying supraspinatus tendon intratendinous alterations.

A collaborative pharmacist-led intervention to prevent hospital readmissions among elderly patients discharged from the emergency department: a retrospective cohort study

Unplanned hospital readmission is a safety and quality healthcare measure, conferring significant costs to the healthcare system. Elderly individuals, particularly, are at high risk of readmissions, often due to issues related to medication management. Pharmacists play a pivotal role in addressing medication-related concerns, which can potentially reduce readmissions. This retrospective single-centre cohort study, conducted from November 2022 to February 2023 in an emergency department, aimed to determine if integrating emergency medicine pharmacists into Emergency Department care models reduces unplanned hospital readmissions within 28 days and to identify the interventions they employ. The inclusion criteria included patients aged ≥ 65, taking ≥ 3 medications, and presenting with falls, cognition changes, or reduced mobility and were planned for discharge to home from the emergency department. Collaborating with the Emergency Department Aged Care Service Emergency Team, a pharmacist provided comprehensive medication management consultations, discharge liaison services, and other pharmacy related interventions to eligible participants whenever the pharmacist was available. Patients who met the eligibility criteria but did not receive pharmacist interventions due to the pharmacist's unavailability served as the control group. This method was chosen to ensure that the control group consisted of comparable patients who only differed in terms of receiving the pharmacist intervention. The study included 210 participants, with 120 receiving pharmacist interventions and 90 acting as controls. The results revealed a significant reduction in unplanned hospital readmissions among participants who received pharmacist interventions (10.0%, n = 12) compared to controls (22.2%, n = 20), with a notable difference of 12.2% (95% confidence interval 2.4–23.4%, p = 0.01). A total of 107 interventions were documented, emphasising medication selection recommendations (28.0%) and identification of adverse drug reactions/drug-drug interactions (21.5%) as primary areas of focus. These findings suggest that integrating skilled pharmacists into Emergency Department Aged Care Service Emergency Team (ASET) lowered the rate of unplanned hospital readmission within 28 days resulting in improved hospital performance metric outcomes. This highlights the potential role of pharmacists in addressing medication-related issues and enhancing the quality and safety of healthcare delivery, particularly for elderly patients transitioning from the ED to home care settings.

An examination of global research trends for exploring the associations between the gut microbiota and nonalcoholic fatty liver disease through bibliometric and visualization analysis

BackgroundNonalcoholic fatty liver disease (NAFLD) is increasingly recognized as a significant health issue. Emerging research has focused on the role of the gut microbiota in NAFLD, emphasizing the gut-liver axis. This study aimed to identify key research trends and guide future investigations in this evolving area.MethodsThis bibliometric study utilized Scopus to analyze global research on the link between the gut microbiota and NAFLD. The method involved a search strategy focusing on relevant keywords in article titles, refined by including only peer-reviewed journal articles. The data analysis included bibliometric indicators such as publication counts and trends, which were visualized using VOSviewer software version 1.6.20 for network and co-occurrence analysis, highlighting key research clusters and emerging topics.ResultsAmong the 479 publications on the gut microbiota and NAFLD, the majority were original articles (n = 338; 70.56%), followed by reviews (n = 119; 24.84%). The annual publication count increased from 1 in 2010 to 118 in 2022, with a significant growth phase starting in 2017 (R2 = 0.9025, p < 0.001). The research was globally distributed and dominated by China (n = 231; 48.23%) and the United States (n = 90; 18.79%). The University of California, San Diego, led institutional contributions (n = 18; 3.76%). Funding was prominent, with 62.8% of the articles supported, especially by the National Natural Science Foundation of China (n = 118; 24.63%). The average citation count was 43.23, with an h-index of 70 and a citation range of 0 to 1058 per article. Research hotspots shifted their focus post-2020 toward the impact of high-fat diets on NAFLD incidence.ConclusionsThis study has effectively mapped the growing body of research on the gut microbiota-NAFLD relationship, revealing a significant increase in publications since 2017. There is significant interest in gut microbiota and NAFLD research, mainly led by China and the United States, with diverse areas of focus. Recently, the field has moved toward exploring the interconnections among diet, lifestyle, and the gut-liver axis. We hypothesize that with advanced technologies, new opportunities for personalized medicine and a holistic understanding of NAFLD will emerge.

Exploring the role of interaction in older-adult service innovation: insights from the testing stage

In the context of global aging trends, service innovation targeting older adults is becoming increasingly crucial. Because the traditional focus areas of service innovation have predominantly been design and implementation, a significant gap in the existing literature overlooks the criticality of the testing phase. This oversight is particularly notable in relation to the unique attributes of the older adult population and their interaction dynamics with technology teams in service innovation. To bridge this lacuna, this study introduces a comprehensive framework, meticulously crafted for the testing stage of service innovation tailored to older adults. To validate this framework, a rigorous, four-year empirical research project was undertaken with one of the foremost service providers for older adults in Beijing. The findings robustly support the efficacy of the proposed framework, revealing the indispensable role of the testing phase in ensuring service innovations are aptly aligned with the needs and preferences of the aging demographic. This research enriches the discourse in service innovation, thus underscoring the imperative to integrate the testing phase as a fundamental component in the holistic approach aimed at catering effectively to an aging population.

Bulk water services delivery challenges in the Dr. Ruth Segomotsi Mompati district municipality in South Africa's North West Province

AbstractThis study thoroughly examines the difficulties in providing bulk water services in Dr. Ruth Segomotsi Mompati district municipality in the North West Province, with the end goal of giving comprehensive suggestions for operational and strategic improvements. The study adopted a qualitative research approach, employing semistructured interviews for gathering data from officials of various municipalities responsible for overseeing infrastructure within the geographical confines of the municipalities they serve. The findings identified themes indicative of the focus areas contributing to the bulk water services delivery challenges. These emphasized the importance of fostering a collaborative work environment, thus promoting organizational learning, and implementing effective change management to elevate service delivery standards. It identifies the necessity for heightened operational efficiency and advocates for a cultural shift within municipal operations. Strategic planning, marked by the creation and regular refinement of master plans, is highlighted alongside the implementation of robust project management practices. The study emphasizes the critical need for synchronizing municipal planning processes with statutory requirements and the changing demands of the local community. The research advocates for a flexible and responsive approach to master planning, which is indispensable for adapting to shifts in administrative frameworks and community needs. The study recommends the development of a dynamic master plan for water services, one that is regularly reviewed and updated to reflect the evolving legislative landscape and community priorities. It also suggests that municipal authorities should ensure that the planning process remains inclusive and responsive to the residents' needs. Furthermore, training and capacity‐building initiatives for municipal officials could be instrumental in enhancing their ability to adapt to these changing demands and legislative environments.

An elusive search for skills: assessing debates, practices, and experiences in South Africa

ABSTRACT Planning and identifying skills need is mediated by pre-existing social relations and structures of power in the society. The South African state has explored various methods, policies, programmes, and systems to understand the skills needs of the country. The uneven success of these different attempts can be explained by understanding the complexity of undergoing the task of identifying skills priorities due to the contested nature of the notion of skill and varying ideas about what ought to be prioritized through these processes. The article has three focus areas: 1) assesses three sets of critiques of skills planning in South Africa; 2) shows why the process of identifying skills needs has become elusive; and 3) discusses two illustrative case studies that show examples of initiatives that are excluded from the skills planning processes but are crucial in understanding experiences of Black youth in marginalized communities in relation to education and skills.

Review on Nutritional Potential of Underutilized Millets as a Miracle Grain.

The current situation, which includes changes in eating habits, an increasing population, and the unrestricted use of natural resources, has resulted in a lack of resources that could be used to provide nourishing food to everyone. Natural plant resources are quickly being depleted, so it is necessary to consider new alternatives. In addition to the staple grains of rice and wheat, many other crops are being consumed that need to be utilized to their full potential and have the potential to replace the staple crops. Millets are one of the most important underutilized crops that have the potential to be used as a nutricereal. Millets have a high nutritional value, do not produce acids, do not contain gluten, and can contribute to a healthy diet. Due to a lack of awareness regarding the nutritional value of millets, their consumption is still restricted to the population that adheres to conventional diets and is economically disadvantaged even though millets contain a significant amount of nutrients. Millets are becoming increasingly unpopular due to a lack of processing technologies, food subsidies, and the inconvenience of preparing food with millets. Millets are a Nutricereal rich in carbohydrates, dietary fibers, energy, essential fatty acids, proteins, vitamin B, and minerals such as calcium, iron, magnesium, potassium, and zinc. These nutrients help to protect against post-translational diseases such as diabetes, cancer, cardiovascular disease, and celiac disease, among others. Millets are beneficial for controlling blood pressure, blood sugar level, and thyroid function; however, despite these functional properties, millets consumption has declined. Utilizing millets and other staple food crops to develop alternative food sources has become a new area of focus for businesses in the food industry. In addition, millet consumption can help foster immunity and health, which is essential in strengthening our fight against malnutrition in children and adolescents. In this article, the authors examine the potential of millets in terms of their nutricereal qualities.

Numerical study on the gas-solid diffusion characteristics of airflow and dust particles in metal mine blasting excavation under three hybrid ventilation modes

Dust pollution has long been a challenge in the blasting excavation of underground metal mines, and uncontrolled diffusion of dust particles seriously endangers the health and safety of workers as well as the environment in underground space. Most existing research on dust diffusion focuses on fully mechanized coal mining face or borehole drilling, where the dust source emission characteristics differ significantly from metal mine blasting excavation. Furthermore, it is still unclear how the ventilation modes of Far-Pressing-Far-Absorption (FPFA), Near-Pressing-Far-Absorption (NPFA), and Far-Pressing-Near-Absorption (FPNA) affect the mechanism of dust diffusion in the breathing zone. In this work, gas-solid flow characteristics in a typical metal mine blasting tunnel are numerically studied based on Euler-Lagrange method. The interphase forces between airflow and dust particles are comprehensively modeled, and the particle diffusion effect caused by fluid turbulence is described by the discrete random walk model. Five typical regions for airflow disorder phenomena in the working tunnel are predicted, including the jet development region, the return airflow core region, the airflow reversal region, the airflow recirculation region, and the secondary flow region. The spatial distribution of dust exhibits nonuniform characteristics under turbulent airflow transport. The time results of the monitored dust concentration reveal that the junction of the working tunnel and the return airway is a key area of focus for the prevention and control of dust pollution. Among the three ventilation modes, the Far-Pressing-Near-Absorption (FPNA) ventilation mode has the best dust removal efficiency. The supply vent further from the blasting face allows the jet to fully develop, while the exhaust vent closer to the blasting face allows dust particles to be drawn in and discharged earlier. Under the condition of fixed total power consumption for the supply and exhaust fans, a larger exhaust airflow velocity helps remove dust from the breathing zone.

Accessing Rehabilitation after Upper Limb Reconstructive Surgery in Cervical Spinal Cord Injury: A Qualitative Study

Objectives: To investigate the barriers and facilitators to rehabilitation experienced by individuals with cervical SCI after upper limb (UL) reconstructive surgery. Methods: We conducted a prospective cohort study with a follow-up period of up to 24 months. Data collection occurred at two academic and two Veterans Affairs medical centers in the United States. Participants were purposively sampled and included 21 adults with cervical SCI (c-SCI) who had received nerve or tendon transfer surgeries and 15 caregivers. We administered semi-structured interviews about participants' experiences of accessing rehabilitation services after surgery. Results: Four themes emerged from the data: (1) participants encountered greater obstacles in accessing therapy as follow-up time increased; (2) practical challenges (e.g., insurance coverage, opportunity costs, transportation) limited rehabilitation access; (3) individuals with c-SCI and their caregivers desired more information about an overall rehabilitation plan; and (4) external support systems facilitated therapy access. Conclusion: Individuals with c-SCI experience multilevel barriers in accessing rehabilitation care after UL reconstructive surgeries in the United States. This work identifies areas of focus to mitigate these challenges, such as enhancing transparency about the overall rehabilitation process, training providers to work with this population, and developing, testing, and disseminating rehabilitation protocols following UL reconstruction among people with c-SCI.

Transformation of the Three Pillars of Agri-Food Sustainability around the COVID-19 Crisis—A Literature Review

The COVID-19 crisis has disrupted economies and societies and the sustainability characteristics of agri-food due to a significant decline in turnover, difficulties in transportation, and changes in market and contact habits. An analysis was carried out using the PRISMA protocol and the Scopus, Web of Science, and Science Direct electronic databases. The aim of this research is to present the main research issues in agri-food sustainability (economic, environmental, and social issues) in the pre-COVID-19 period, to compare it with the research trends in the COVID-19 period, and to explore the influence of the epidemic. This research looks for research gaps and possible future research directions. Research before COVID-19 was primarily concerned with environmental and economic sustainability. The main focus areas were business development and environmental issues. During COVID-19, the focus shifted to economic sustainability. Survival was the primary issue. The main research areas were financial, inventory, waste management, and innovation issues. Food safety and digitalisation were highlighted. Precision agriculture, short food supply chains, and collaboration increased efficiency. The role of trust has increased. The COVID-19 experience is valuable for almost all disciplines. Policy, health, and economic decision-makers can apply better solutions to future crises.

Pengembangan Teknologi Supercritical Geothermal: Potensi dan Strategi untuk Energi Bersih dan Berkelanjutan

Development of supercritical geothermal technology is a complex and challenging process that requires significant investment in research, technology development, and collaboration. However, the potential benefits of this technology include low carbon footprint, high efficiency, and the potential to provide reliable electricity, making it an important focus area for the future of clean energy production. This study is qualitative and uses literature study methods involving data collection and analysis from various literature sources, including scientific journals, books, and reports. The literature study was conducted by searching and collecting several relevant and accurate sources such as scientific journals, books, and official publications on the topic. Data collection was carried out by analyzing the content of each available source. The supercritical geothermal well drilling method can generate electricity of 3-5 MW per well. Several successful energy development projects include exploration well drilling in Mexico, Italy, Iceland, USA, Kenya, and Japan. Supercritical energy development technology is also continuously being developed, such as closed-loop and CO2 utilization. The development of supercritical geothermal technology is a complex and challenging process that requires significant investment in research, technology development, and collaboration. However, the potential benefits of this technology include low carbon footprint, high efficiency, and the potential to provide reliable electricity, making it an important focus area for the future of clean energy production. Keywords: energy; geothermal; supercritical; technology; development; efficiency

Patient-centered care for mental health in patients with heart failure in the intensive care unit: A systematic review

AimTo assess basic data for developing appropriate interventions by examining the effects of patient-centered care (PCC) on the mental health of patients with heart failure in the intensive care unit (ICU). BackgroundPatients with heart failure are frequently admitted to ICUs, and ICU stays are associated with prolonged mental health problems. MethodsWe conducted a systematic review using the CINAHL, Cochrane Library, Embase, MEDLINE, PsycINFO, and gray literature databases. Inclusion criteria were studies with participants aged ≥18 years with heart failure in the ICU who received a PCC intervention, and studies that described the outcomes for mental health problems. Data were extracted from five selected studies published after 2020 and analyzed. ResultsPCC is classified into three areas: comprehensive nursing, multidisciplinary disease management, and targeted motivational interviewing with conventional nursing. The two specific areas of focus for PCC regarding mental health were integrated mental healthcare and specific psychological nursing. Specific psychological nursing comprised relationship building, therapeutic communication, relaxation and motivational techniques, active therapeutic cooperation, psychological status evaluation, music therapy, and environmental management. ConclusionsThis review provides a distinctive understanding of multidisciplinary and multicomponent PCC interventions for patients with heart failure in the ICU as an effective approach for improving their mental health. Future PCC intervention strategies aimed at patients with heart failure in the ICU should consider their preferences and family participation.

Bibliometric visualization analysis of teachers' work stress

Teacher work stress has been a matter of great concern for scholars. To better comprehend the current state of research on teacher work stress, it is essential to present an overview of the literature on this topic. Through bibliometric analysis, 212 pieces of literature on teacher work stress retrieved from the Scopus database were scientifically analysed. Statistical analyses of the selected literature indicate that research on teacher work stress has exhibited a gradually increasing trend in recent years. The previous research focuses on job satisfaction, teacher self-efficacy, and job burnout. In addition, job burnout, turnover intention, resilience, university teachers, gender, and job performance are the current cutting-edge themes. Bibliometric analyses of the literature on teacher work stress can provide insight into the current state of related research and reveal hotspots and trends. This study could serve as a valuable reference for future researchers, helping them to gain a better understanding of the field's development direction and to devise effective strategies for managing work stress.Examining bibliometric data on teacher work stress can offer valuable insights into the present status of relevant research and identify key areas of focus and emerging patterns. This study could be a helpful resource for future researchers, both in their comprehension of the field's development trajectory and in the creation of effective ways for handling work stress.