Research Focus Areas Research Articles

Experimental Studies of Bioinspired Shark Denticles for Drag Reduction.

Shark skin is composed of denticles, or complex scale-like features, which have been shown to reduce drag in turbulent and laminar flow. The denticle crown features undulating structures called riblets that interact with the turbulent boundary layer to reduce drag. Two mechanisms thought to contribute to the drag-reducing properties of riblets include the lifting of streamwise vortices and the hampering of spanwise vortex interactions to reduce crossflow, which could translate to similar flow mechanisms for denticles. Because of the varied morphologies of dermal denticles on different shark species, which also depend on body location, the impact of these denticle geometries on flow is of interest to the biology community, including related fields such as fluid mechanics and oceanography. This review highlights the past 15 years of manufacturing techniques and experimental measurements of drag over denticle-inspired surface structures, including real shark skin samples and engineered denticles and riblets. State-of-the-art additive manufacturing and other techniques are primarily limited to mm-length denticle scales, which have demonstrated drag reduction in lower flow speeds, under 1 m s-1. New manufacturing approaches can create sub-mm length denticles and nanotextured surface structures, which have achieved reported drag reductions of up to 31%. We synthesize results from the literature to illustrate the drag reduction properties of bioinspired denticles and riblets according to their geometry and flow conditions. Using these trends, we suggest design features and focus areas for future research, such as increasing studies of different denticle morphologies, hydrophobicity, antifouling properties, and acoustic noise reduction. Continued work on bioinspired denticles for drag reduction has wider implications in comparative biology and applications to design more energy-efficient, persistent vehicles for environmental monitoring.

The research trend of hyperprolactinemia from 2011 to 2023 was analyzed by bibliometrics.

The objective of this study is to conduct a bibliometric analysis of research trends in hyperprolactinemia from 2011 to 2023. This analysis aims to provide researchers with insights into the current hotspots and frontiers related to hyperprolactinemia. It is worth noting that there are currently no existing reports on bibliometric analyses of hyperprolactinemia. The Social Science Citation Index (SSCI) and Science Citation Index Expanded (SCIE) databases of the Web of Science Core Collection were systematically searched for "articles" and "review articles" related to the topic of hyperprolactinemia from 2011 to 2023. VOSviewer was employed to conduct bibliometric analysis, aiming to analyze the research trends in hyperprolactinemia over the past 13 years. A total of 1865 eligible articles were retrieved, with contributions from 9544 scholars representing 83 countries in the field of research. The United States had the highest number of publications, followed by China. The keywords were categorized into six clusters: (1) etiology of hyperprolactinemia and other related endocrine and metabolic diseases. (2) Hyperprolactinemia and mental illness. (3) Diagnosis and management of hyperprolactinemia. (4) Treatment of hyperprolactinemia and prolactinoma. (5) Detection of macroprolactin and macroprolactinemia. (6) Symptoms of male hyperprolactinemia. Over the past 13 years, there has been a consistent and slightly increasing trend in the number of research papers focusing on hyperprolactinemia. The primary areas of research focus are centered around the diagnosis and treatment of hyperprolactinemia caused by antipsychotic drugs or prolactinoma.

Macrophages and pulmonary fibrosis: a bibliometric and visual analysis of publications from 1990 to 2023.

The role of macrophages in the symptomatic and structural progression of pulmonary fibrosis (PF) has garnered significant scholarly attention in recent years. This study employs a bibliometric approach to examine the present research status and areas of focus regarding the correlation between macrophages and PF, aiming to provide a comprehensive understanding of their relationship. The present study employed VOSviewer, CiteSpace, and Microsoft Excel software to visualize and analyze various aspects such as countries, institutions, authors, journals, co-cited literature, keywords, related genes, and diseases. These analyses were conducted using the Web of Science core collection database. A comprehensive collection of 3,479 records pertaining to macrophages and PF from the period of 1990 to 2023 was obtained. Over the years, there has been a consistent increase in research literature on this topic. Notably, the United States and China exhibited the highest level of collaboration in this field. Through careful analysis, the institutions, authors, and prominent journals that hold significant influence within this particular field have been identified as having the highest publication output. The pertinent research primarily concentrates on the domains of Biology and Medicine. The prevailing keywords encompass pulmonary fibrosis, acute lung injury, idiopathic pulmonary fibrosis, and others. Notably, TGFβ1, TNF, and CXCL8 emerge as the most frequently studied targets, primarily associated with signaling pathways such as cytokine-cytokine receptor interaction. Additionally, cluster analysis of related diseases reveals their interconnectedness with ailments such as cancer. The present study employed bibliometric methods to investigate the knowledge structure and developmental trends in the realm of macrophage and PF research. The findings shed light on the introduction and research hotspots that facilitate a more comprehensive understanding of macrophages and PF.

Global research trends on the relationship between IBD and CRC: a bibliometric analysis from 2000 to 2023

ObjectiveThis study aimed to conduct a bibliometric analysis of research articles on the relationship between inflammatory bowel disease (IBD) and colorectal cancer (CRC) using CiteSpace to summarize the current research status, hotspots, and trends in this field and present the results visually.MethodResearch articles on the relationship between IBD and CRC published from 2000 to 2023 and in English were selected from the Web of Science Core Collection (Woscc) database. The articles were downloaded as “full record and references”. CiteSpace was used to conduct cooperative, cluster, co-citation, and burst analyses.ResultsThe literature search revealed 4244 articles; of which, 5 duplicates were removed, resulting in the inclusion of 4239 articles in this study. The United States of America had the highest number of publications, with Mayo Clinic and Harvard University being the most active institutions, and Bas Oldenburg being the most active author. Collaboration among core authors was inadequate. JA Eaden was the most cited author, and CRC was the most common keyword. Burst analysis indicated that Sun Yat-sen University might be one of the institutions with a large contribution to this research field in the future. Cluster analysis showed that earlier research focused more on microsatellite instability, whereas “gut microbiota” and “oxidative stress” are considered current research hotspots and trends.ConclusionAt present, the primary focus areas of research are “gut microbiota” and “oxidative stress”. With the improvement of healthcare policies and standards, regular endoscopic monitoring of patients with IBD has become an indispensable diagnostic and therapeutic practice. More drugs will be developed to reduce the risk of progression from IBD to CRC. The findings of this study provide valuable insights into the relationship between IBD and CRC for researchers in the same field.

Research Characteristics and Approaches Taken to Follow up with Students Exposed to Bullying: A Scoping Review

AbstractThis scoping review enhances the understanding of follow-up actions taken to reduce consequences from bullying, in terms of both what such actions currently entail and what they can or should encompass. Based on a comprehensive literature search of six databases, the review examines 20 peer-reviewed articles. The results highlight that there has been little empirical research on follow-up actions towards students exposed to bullying, but the existing research has been conducted worldwide and at different educational levels. When synthesized, follow-up work is not a unified concept within the literature. The examined studies were predominantly quantitative and experimental, using richly diverse measurements primarily assessing different mental health outcomes through self-report questionnaires. No common timepoint for initiate follow-up actions was shared amongst the authors. The most commonly used approach within follow-up work was to offer psychosocial support to reduce the impact of bullying on students. Less attention has been given to systemic work, particularly in the classroom environment, and to studies combining systemic and individual support. Thus, this overview contributes to the knowledge on how follow-up actions are understood and used in research and identifies important areas of focus for further research aiming to prevent prolonged consequences from bullying.

Floods and droughts research progress and its contributions toward sustainability

In 2015, the United Nations General Assembly launched seventeen Sustainable Development Goals (SDGs), aimed at being achieved by 2030. The SDGs 6 (clean water & sanitation) and 13 (climate actions) are two critically important goals concerning water resources that need to be addressed. This study used the Scopus database to explore climate extremes, specifically droughts and floods, in East Asia and highlight the region's efforts and contributions towards achieving SDGs 6 and 13. We found that even before the implementation of SDGs, the topics related to solving the problems of water resources, water quality, and treatment of wastewater using different conceptual models and methodologies were the main concerns in the region. The adoption of SDGs has led to a heightened focus on water and climate sustainability in East Asia, with the considerable surge in climate-related studies after 2019. Under SDG 13, all countries have contributed substantially to climate action research. Keyword analysis indicates that climate change, water management, water treatment, water quality, and adsorption remain prominent. SDGs 6 and 13 have emerged as crucial areas of focus for research and initiatives as the global community grapples with escalating water resources and climate challenges. Under specific keywords search, China has 2nd place in the search with climate and water during the SDGs period, accounting for 21 % of the entire publication from 2015 to 2023. Japan and South Korea account for of 4 % and 3 %, respectively. The research on floods and droughts has garnered significant attention, with half of the ten highly co-cited literature examining the changing pattern of drought, the influence of extreme events on crop yield, and other related topics. Despite the positive contribution of the East Asia region towards SDGs 6 and 13, there is still an urgent need for a more robust framework to improve the complex interconnections between climate actions, clean water, and sanitation for a sustainable soil-water-plant-atmosphere ecosystem.

Current trends and research topics regarding organoids: A bibliometric analysis of global research from 2000 to 2023

The use of animal models for biological experiments is no longer sufficient for research related to human life and disease. The development of organ tissues has replaced animal models by mimicking the structure, function, development and homeostasis of natural organs. This provides more opportunities to study human diseases such as cancer, infectious diseases and genetic disorders. In this study, bibliometric methods were used to analyze organoid-related articles published over the last 20+ years to identify emerging trends and frontiers in organoid research. A total of 13,143 articles from 4125 institutions in 86 countries or regions were included in the analysis. The number of papers increased steadily over the 20-year period. The United States was the leading country in terms of number of papers and citations. Harvard Medical School had the highest number of papers published. Keyword analysis revealed research trends and focus areas such as organ tissues, stem cells, 3D culture and tissue engineering. In conclusion, this study used bibliometric and visualization methods to explore the field of organoid research and found that organ tissues are receiving increasing attention in areas such as cancer, drug discovery, personalized medicine, genetic disease modelling and gene repair, making them a current research hotspot and a future research trend.

EJEL Editorial 2024: The Allure of AI in Education

The objectives of this editorial are to provide a brief overview of the themes of EJEL papers published in 2023, compare these themes with the areas of work suggested in the previous Editorial (Charbonneau-Gowdy, et al., 2023), and propose new areas of focus for future research. The present Editorial will primarily concentrate on the main challenges arising from the release and use of GPT-3 and GPT-4 in 2023.

Toward Sustainable Diets-Interventions and Perceptions Among Adolescents: A Scoping Review.

Adolescence is an important life stage during which shifts toward more healthy and sustainable diets can be promoted. Adolescents have increasing influence over their food choices, informed by their developing personal knowledge and values, affecting long-term dietary behaviors into adulthood. The recent literature regarding adolescents' (1) perceptions of environmentally sustainable diets and (2) interventions to support adolescents to eat sustainably was reviewed in this study. We reviewed published literature that focused on adolescent participants and their perceptions of, or interventions to support, sustainable dietary habits. Five electronic databases were searched to include studies published since 2012 that met the inclusion criteria, including reporting of participants aged between 11 and 18 years, reporting on adolescents' perceptions of sustainable diets or interventions implemented to improve the sustainability of adolescents' diets, and framed in the context of sustainability. Data were extracted, including study and participant characteristics, methodology, and results in relation to each of the 2 research focus areas. Twenty-eight articles were included in the review. Findings suggest that adolescents' understanding of what constitutes sustainable eating is poor. Adolescents who had previously received education regarding sustainable diets valued nature and health, or were from a rural or indigenous community, were more likely to value environmentally sustainable-food choices. Interventions which target adolescents' understanding of and aspiration to make sustainable-food choices appears to improve their attitudes toward sustainable food, whereas interventions to increase the availability of sustainable foods improved the environmental sustainability of adolescents' dietary intake. Multicomponent, tailored, and community-based interventions were most effective; however, the long-term effect of these interventions remains unclear. More research is needed in low- and middle-income countries, with consideration of adolescents' level of autonomy in food choice in local food environments and the long-term effectiveness of interventions. Systematic Review Registration: Open Science Framework identifier osf.io/h3jz6.

Development of a Semi-Automated Approach for the Quantification of Neuronal Cells in the Spiral Ganglion of the Whole Implanted Gerbil Cochlea, Acquired by Light-Sheet Microscopy.

Assessing cochlear implantation's impact on cell loss and preventing post-implant cochlear damage are key areas of focus for hearing preservation research. The preservation of auditory neuronal and sensory neural hearing cells has a positive impact on auditory perception after implantation. This study aimed to provide details on a semi-automated spiral ganglion neuronal cell counting method, developed using whole implanted gerbil cochlea acquisitions with light-sheet microscopy. Mongolian gerbils underwent right cochlear implantation with an electrode array whose silicone was loaded with dexamethasone or not and were euthanized 10 weeks after implantation. The cochleae were prepared according to a 29-day protocol, with the electrode array in place. Light-sheet microscopy was used for acquisition, and Imaris software was employed for three-dimensional analysis of the cochleas and semi-automatic quantification of spiral ganglion cells. The imaJ software was used for the manual quantification of these cells. Six cochleae were acquired by light-sheet microscopy, allowing good identification of cells. There was no significant difference between the mean number of spiral ganglion cells obtained by manual and semi-automatic counting (p = 0.25). Light-sheet microscopy provided complete visualization of the spiral ganglion and cell identification. The semi-automated counting method developed using Imaris software tools proved reliable and efficient and could be applied to a larger sample to assess post-cochlear implant cell damage and the efficacy of protective drugs delivered to the inner ear.

Advancing collaboration in health professions education in the general practice domain, developing a national research agenda

BackgroundHealth professions education (HPE) research in the General Practice domain (GP-HPE) is vital for high-quality healthcare. Collaboration among GP-HPE researchers is crucial but challenging. Formulating a research agenda, involving stakeholders, and fostering inter-institutional collaboration can address these challenges and connect educational research and practice.MethodsWe used Q-methodology to explore perspectives on GP-HPE research of participants from all Dutch postgraduate GP training institutes. Participants individually sorted statements based on the relevance of future GP-HPE research for educational practice. Data analysis comprised inverted factor analysis, rotation, and qualitative interpretation of configurations of all statements. The National Meeting on Educational Research took a participatory approach.ResultsWe included 73 participants with diverse involvement in GP-HPE research. We identified five distinct perspectives, each representing a research focus area for developing and innovating GP education: the clinician scientist, the socially engaged GP, the specific GP identity, the GP as an entrepreneur, and the GP engaged in lifelong learning.DiscussionThe resulting five perspectives align with General Practice hallmarks. Q-methodology and a participatory approach facilitated collaboration among stakeholders. Successful inter-institutional collaboration requires a common goal, neutral leadership, participant commitment, regular meetings, audit trail support, process transparency, and reflexivity. Future research should address evidence gaps within these perspectives.ConclusionUsing Q-methodology turned out to be valuable for compiling a national research agenda for GP-HPE research. The research process helped to cross boundaries between researchers in different institutions, thus putting inter-institutional collaborative advantage center stage. Our approach could provide a conceivable procedure for HPE researchers worldwide.

Bibliometric Analysis of Nitrogen Removal in Constructed Wetlands: Current Trends and Future Research Directions

Nitrogen pollution in water environments has reached critical levels globally, primarily stemming from agricultural runoff, industrial discharges, and untreated sewage. The excessive presence of nitrogen compounds poses a significant threat to water quality, leading to adverse impacts on ecosystems and human health. Reaching a breakthrough in the technology of constructed wetlands (CWs) for mitigating nitrogen pollution is hindered by existing knowledge gaps regarding the mechanisms involved in the removal process. Reaching this understanding, we offer a comprehensive summary of current advancements and theories in this research field. Initially, bibliometric techniques were employed to identify yearly patterns in publications and areas of research focus. Subsequently, the chosen documents underwent statistical analysis using VOSviewer_1.6.20 to determine countries’ annual productivity, significant publication years, influential authors, keyword clustering analysis, and more. Finally, a comprehensive overview is provided on the elimination of nitrogen through CWs, encompassing insights into microbial communities and structure types. This analysis aims to uncover potential strategies for optimizing the rate of nitrogen removal. Furthermore, this study elucidates the current research trend concerning the nitrogen removal performance of CWs and identifies challenges and future research directions in this field.

Strategies of Public University Building Maintenance—A Literature Survey

In this article, comprehensive insights into the field of building maintenance, emphasizing the importance of keywords, collaborative efforts among authors, and the evolving research landscape, are provided. The use stage, as the longest phase in a building’s life cycle, involves economic, technical, and social activities. Numerous authors have contributed to the broader topic of building maintenance, covering aspects such as maintenance prioritization, improvement actions, decision-making guidelines, factors affecting success, cost estimation models, and BIM usage in maintenance. The study conducts a thorough literature review using Scopus as a search engine, employing the full-counting method for authorship, and uses VOSviewer 1.6.20 software for bibliometric analysis to identify gaps and outline future research directions. The results reveal distinct data sets focusing on building maintenance from general to specific, with each set reflecting unique aspects and considerations. Bibliometric maps illustrate author collaboration and keyword connections within each set, highlighting evolving research trends and areas of focus. Overall, the analysis highlights the importance of prioritizing maintenance, integrating technology, and fostering collaboration to enhance building maintenance in educational institutions. The study concludes with recommendations for future research, emphasizing the ongoing need for exploration and development in building maintenance, especially on maintenance strategies and Life Cycle Costs of university buildings.

Influence of Amino Acids and Exercise on Muscle Protein Turnover, Particularly in Cancer Cachexia.

Cancer cachexia is a multifaceted syndrome that impacts individuals with advanced cancer. It causes numerous pathological changes in cancer patients, such as inflammation and metabolic dysfunction, which further diminish their quality of life. Unfortunately, cancer cachexia also increases the risk of mortality in affected individuals, making it an important area of focus for cancer research and treatment. Several potential nutritional therapies are being tested in preclinical and clinical models for their efficacy in improving muscle metabolism in cancer patients. Despite promising results, no special nutritional therapies have yet been validated in clinical practice. Multiple studies provide evidence of the benefits of increasing muscle protein synthesis through an increased intake of amino acids or protein. There is also increasing evidence that exercise can reduce muscle atrophy by modulating protein synthesis. Therefore, the combination of protein intake and exercise may be more effective in improving cancer cachexia. This review provides an overview of the preclinical and clinical approaches for the use of amino acids with and without exercise therapy to improve muscle metabolism in cachexia.

Research trends in lipid-lowering therapies for coronary heart disease combined with hyperlipidemia: a bibliometric study and visual analysis.

Cardiovascular disease (CVD) poses a significant global health and economic challenge, with atherosclerosis being a primary cause. Over the past 40years, substantial research has been conducted into the prevention and reversal of atherosclerosis, resulting in the development of lipid-lowering agents such as statins and fibrates. Despite the extensive literature and formulation of numerous therapeutic guidelines in this domain, a comprehensive bibliometric analysis of the current research landscape and trends has not been performed. This study aimed to elucidate the evolution and milestones of research into lipid-lowering treatments for coronary heart disease (CHD) in conjunction with hyperlipidemia through bibliometric analysis, offering insights into future directions for treatment strategies. This study examined publications from 1986 to 2023 retrieved from the Web of Science database (Core Collection). Utilizing tools such as VOSviewer, Pajek, and CiteSpace, we analyzed publication and citation numbers, H-indexes, contributions by countries and institutions, authorship, journal sources, and keyword usage to uncover research trajectories and areas of focus. Our analysis of 587 publications revealed a recent surge in research output, particularly post-2003. The American Journal of Cardiology published the highest number of studies, with 40 articles, whereas Circulation received the highest number of citations (6,266). Key contributors included the United States, Japan, and China, with the United States leading in citation numbers and the H-index. Harvard University and Leiden University emerged as pivotal institutions, and Professors J. Wouter Jukema and Robert P. Giugliano were identified as leading experts. Keyword analysis disclosed five thematic clusters, indicating a shift in research towards new drug combinations and strategies, signaling future research directions. The last 4decades have seen a notable rise in publications on lipid-lowering therapies for CHD and hyperlipidemia, with the United States retaining world-leading status. The increase in international collaboration aids the shift towards research into innovative lipid-lowering agents and therapeutic approaches. PCSK9 inhibitors and innovative combination therapies, including antisense oligonucleotides and angiopoietin-like protein 3 inhibitors, provide avenues for future research, intending to maximize the safety and efficacy of treatment approaches.

Emotional labour in nursing research: A bibliometric analysis.

This study aims to conduct a comprehensive bibliometric analysis to explore the trajectory and thematic developments of emotional labour research in nursing. Utilizing descriptive and bibliometric analysis techniques. The data analysis and graphical presentation were conducted using the Bibliometrix Package in R software. The Web of Science Core Collection (WoSCC) database was searched on October 20, 2023. From 1992 to 2023, 842 authors published relevant articles, yielding 779 author keywords. There has been a general upward trend in the number of articles published over the past 30 years, with an annual growth rate of 11.71%. Keyword co-occurrence cluster analysis revealed the main focus areas of research on emotional labour antecedents and consequences, regulatory modalities, training and education, as well as research methods and application scenarios. Emotional labour significantly influences nursing staff's well-being and patient care outcomes. Effective management and education regarding emotional labour are crucial for enhancing nursing staff performance and patient care quality. Future research should focus on long-term effects, training efficacy, regulatory strategies across clinical settings, and innovative approaches to address current challenges. This study provides valuable insights into the unique trajectory and thematic developments of emotional labour research in nursing. The findings underscore the importance of addressing emotional labour in nursing practice and education to improve patient care outcomes and nursing staff well-being. Adherence to recognized bibliometric reporting methods, following relevant EQUATOR guidelines. This study is based solely on existing literature and did not involve patients or the public in its design, conduct, analysis, interpretation, or preparation.

Precision agriculture in the United States: A comprehensive meta-review inspiring further research, innovation, and adoption

Precision agriculture has emerged as a dominant force in the United States, with widespread adoption of advanced technologies and decision support systems (DSS) since the 1980s. Key tools such as variable rate application (VRA), autopilot systems, and remote sensing have become integral for U.S. farmers, offering invaluable insights from crop, soil, and weather information to optimize agricultural production while minimizing environmental impact. To synthesize and categorize the extensive research available on precision agriculture, a systematic review protocol has been designed. Our objective is to offer clear and authoritative insights into the nature, scope, and volume of this field. Implementing a rigorous search strategy, we utilized renowned databases such as Scopus® and Web of ScienceTM to gather relevant and significant materiality. The retrieval process involved the use of indexing terms and Boolean operators, with a focus on ’precision agriculture’ and ’precision farming’, striking a balance between specificity and comprehensiveness. To ensure the credibility of our findings, only peer-reviewed papers authored by individuals affiliated with U.S. institutions have been included. Expert reviewers with deep knowledge in the field independently assessed the selected papers, thoroughly evaluating titles, abstracts, keywords, methods, conclusions, and declarations. Consistency and eligibility were paramount in determining which papers met the criteria for inclusion. Any discrepancies or disagreements were resolved through rigorous consensus-building discussions among the reviewers. Through this comprehensive meta-review, we provide a scientific contribution that enhances our understanding of precision agriculture, highlighting focus areas for further research and development (R&D). By synthesizing and categorizing the existing literature, we offer authoritative insights into the research landscape, informing future investigations and fostering innovation. Focusing specifically on the U.S., we shed light on the unique aspects and pioneering advancements in precision agriculture within the country. Ultimately, our findings have the potential to drive progress, contributing to sustainable development, increased productivity, enhanced environmental sustainability, and responsible agricultural practices.

Autism in girls: ‘Camouflaging,’ social functioning, and diagnostic dilemmas

The subject of autism spectrum disorder (ASD) diagnosis in girls has become an important area of clinical and research focus. For years, the male:female ratio of ASD has been estimated as approximately 4:1, with affected girls historically presenting with a higher likelihood of significant intellectual impairments. Clinicians and researchers have increasingly questioned this ratio, with findings indicating that girls with average or higher intellectual and/or verbal functioning have a different phenotype than males affected with ASD.

Financial medicine: A multi-dimensional concept moving towards contextually specific working definitions for use in the South African prehospital setting

IntroductionThe phenomenon that has been described as Financial Medicine has been occurring within the South African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no organised body of knowledge or formulated working definitions to guide knowledge sharing and theorisation within this research focus area. The practice of Financial Medicine exerts a deleterious effect on the South African prehospital healthcare system, and represents an area in dire need of focused research efforts. Establishing appropriate working definitions and associated taxonomy is an important first step in supporting further research efforts into this aspect of South African prehospital healthcare systems. MethodsA qualitative research methodology following a constructivist grounded theory design was used. Participants voluntarily consented to be enrolled into one-on-one in-depth interviews, and were selected using purposive and theoretical sampling techniques. Data was subjected to validated coding procedures and analysed using the constant comparative analysis approach, analytical diagramming, and supported by researcher theoretical sensitivity. ResultsA working definition for Financial Medicine is provided. Six new terms are introduced, with associated working definitions, namely Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion, Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning. ConclusionThe working definitions and suggested taxonomy presented in this article are the first step in formally conceptualising and theorising the phenomenon of Financial Medicine, in order to support further research and collaboration in this space.

Toward a General Theory of Classroom Teachers’ Movement Integration

The use of regular classroom time during school to increase children’s and adolescents’ daily physical activity—a practice known as movement integration (MI)—has gained substantial traction in research internationally as an evidence-based strategy for enhancing students’ health and academic performance, yet it remains underutilized and largely subject to teachers’ discretion. Understanding and explaining teachers’ use of MI are, therefore, key areas of focus for researchers, teacher educators, and interventionists. Research on MI implementation is informed by multiple theoretical lenses, but the discipline lacks cohesion. The proposed unifying framework in this article coalesces three relevant strands of inquiry: (a) stages of influence on MI, (b) factors of influence on MI, and (c) conceptualizing MI. The framework reflects the burgeoning knowledge base related to MI implementation and is an attempt to advance the field toward a general theory that can more clearly and coherently guide research and professional practice.