Future Priorities Research Articles

Approaches for supporting adolescents’ reading motivation: existing research and future priorities

Research has consistently demonstrated declines in reading motivation and engagement from childhood to adolescence, with current levels of reading enjoyment and engagement among adolescents at an all-time low. This has led to increased interest in approaches for supporting adolescents’ reading motivation. To date, efforts to support adolescent reading motivation have utilized a variety of approaches, yet there is currently no review which synthesizes existing research in this area and provides recommendations for future research and practice. Drawing upon both narrative and scoping review principles, this review synthesizes 38 peer-reviewed articles and research reports which have evaluated approaches for improving adolescents’ (12–16 years old) reading motivation. The article outlines the breadth and scope of approaches which have been used previously, categorized into five types: (1) reading and literacy skills programs; (2) whole-school reading culture; (3) book clubs; (4) technology-supported interventions; and (5) performance and theater. The review also identifies gaps and issues relating to the current body of research and proposes priorities for future work in this area. Together, the findings and recommendations address calls to dedicate renewed and sustained attention to supporting adolescents’ reading motivation and engagement and provide a point of reference for researchers and education practitioners seeking to select, develop, and implement strategies for supporting adolescents’ reading motivation in the future.

Professional Book Reviews

Elly Roberts, editor of Early Years Educator, reviews a book which discusses the current realities and future priorities for the early years sector. The picture books help reinforce language acquisition, help children to understand their emotions and introduce readers to an important chapter in our history.

Treatment-shortening regimens for tuberculosis: updates and future priorities.

In the past 2 years, remarkable advances have been made in shortening tuberculosis (TB) treatment. In particular, four clinical trials (Study 31/A5349, Nix-TB, ZeNix and TB-PRACTECAL) have provided evidence of the efficacy of regimens based on new and repurposed drugs: the 4-month regimen for drug-susceptible TB, and the 6-month bedaquiline-pretomanid-linezolid regimen with or without moxifloxacin for multidrug-resistant/rifampicin-resistant TB. Even if the evidence at the basis of these new regimens is compelling, several questions remain open, particularly concerning linezolid dose finding, the upsurging threat of bedaquiline-resistant Mycobacterium tuberculosis and the feasibility of applying these results to the paediatric population. Several ongoing trials may fill the remaining gaps and produce further reliable evidence to address the outstanding questions in TB treatment shortening.

A review of New Zealand native frog translocations: lessons learned and future priorities

A review of New Zealand native frog translocations: lessons learned and future priorities

Influence of resampling techniques on Bayesian network performance in predicting increased algal activity

Early warning of increased algal activity is important to mitigate potential impacts on aquatic life and human health. While many methods have been developed to predict increased algal activity, an ongoing issue is that severe algal blooms often occur with low frequency in water bodies. This results in imbalanced data sets available for model specification, leading to poor predictions of the frequency of increased algal activity. One approach to address this is to resample data sets of increased algal activity to increase the prevalence of higher than normal algal activity in calibration data and ultimately improve model predictions. This study aims to investigate the use of resampling techniques to address the imbalanced dataset and determine if such methods can improve the prediction of increased algal activity. Three techniques were investigated, Kmeans under-sampling (US_Kmeans), synthetic minority over-sampling technique (SMOTE), and ‘SMOTE and cluster-based under-sampling technique’ (SCUT). The resampling methods were applied to a Bayesian network (BN) model of Lake Burragorang in New South Wales, Australia. The model was developed to predict chlorophyll-a (chl-a) using a range of water quality parameters as predictors. The original data and each of the balanced datasets were used for BN structures and parameter learning. The results showed that the best graphical structure was obtained by adding synthetic data from SMOTE with the highest true positive rate (TPR) and area under the curve (AUC). When compared using a fixed graphical structure for the BN, all resampling techniques increased the ability of the BN to detect events with higher probability of increased algal activity. The resampling model results can also be used to better understand the most important influences on high chl-a concentrations and suggest future data collection and model development priorities.

Status and conservation challenges of the second-largest seagrass bed in India: Chilika lagoon.

Studies related to seagrass ecology, conservation, and management are sparse and highly biased in India. Even though the geographical distribution of seagrass is diverse in India, about 74% of the scientific publications have been made from Palk Bay and the Gulf of Mannar from Tamilnadu. Chilika, the largest lagoon in Asia, harbors the second largest seagrass meadow in India 22% of the total. The lagoon acts as a potential blue carbon stock and helps in thriving a rich floral and faunal biodiversity. However, the critical role of seagrass in this unique lagoon ecosystem is still poorly understood. This review is aimed at synthesizing the published literature about seagrass in Chilika. We believe this information would encourage more in-depth and diverse seagrass studies in the region and identify future priority areas for research. A total of seven species have been recorded from 169.2 sq. km of seagrass patch in Chilika. For the last two decades, no significant signs of decline in seagrass beds from this lagoon have been reported. Still, various natural and anthropogenic stressors could put this unique ecosystem under severe stress. Moreover, lax enforcement of existing legislation and a general lack of knowledge among the stakeholders about their ecosystem services can be significant impediments to their conservation. More targeted research on Chilika seagrass in changing climate regimes and their sustainable intensification is the need of the hour.

The PID Odyssey 2030: outlooks, unmet needs, hurdles, and opportunities - proceedings from the IPOPI global multi-stakeholders' summit (June 2022).

IPOPI held its first Global Multi-Stakeholders' Summit on 23-24 June 2022 in Cascais, Portugal. This IPOPI initiative was designed to set the stage for a stimulating forward-thinking meeting and brainstorming discussion among stakeholders on the future priorities of the PID community. All participants were actively engaged in the entire Summit, bringing provocative questions to ensure a high level of discussion and engagement, and partnered in identifying the outlooks, unmet needs, hurdles and opportunities of PIDs for 2030. The topics that were covered include diagnosis (e.g., newborn screening [NBS], genomic sequencing- including ethical aspects on the application of genomics on NBS, the role of more accurate and timely diagnostics in impacting personalized management), treatment (e.g., the therapeutic evolution of immunoglobulins in a global environment, new therapies such as targeted therapies, new approaches in curative therapies), the interactions of Primary ID with Secondary ID, Autoinflammatory Diseases and other diseases as the field experiences an incessant evolution, and also the avenues for research in the field of humanities and human sciences such as Patient-Reported Outcome Measures (PROMs), Patient-Reported Experience Measures (PREMs), and Health-Related Quality Of Life (HRQoL). During this meeting, all participants contributed to the drafting of recommendations based on our common understanding of the future opportunities, challenges, and scenarios. As a collection of materials, perspectives and summaries, they are succinct and impactful and may help determine some of the next key steps for the PID community.

The Health Needs of Sexual and Gender Minority Migrant Women in the United States: A Scoping Review.

Purpose: This scoping review characterizes the peer-reviewed evidence on the health of first-generation sexual and gender minority (SGM) migrant women to the United States and identifies research gaps and future priorities. Methods: On February 1, 2022, the following databases were searched: PubMed (MEDLINE), Embase, CINAHL Plus with Full Text, APA PsycINFO, and PAIS Index. Primary research studies based in the United States, in English, on first-generation SGM migrants (i.e., immigrants, refugees, asylum seekers) were included. Gray literature and review articles were excluded. Health outcome data were not extracted from nonbinary populations nor transgender men. Themes were generated using qualitative content analysis. Results: Thirty-three studies were reviewed, most were qualitative, and 11 focused on transgender women migrants (especially from Latin America), while only one was exclusively on sexual minority women (SMW) migrants. Premigration experiences of violence and discrimination were linked to high prevalence rates of post-traumatic stress disorder, depression, and anxiety. Postmigration stressors included lack of educational and employment opportunities, reduced access to social services, and experiences of stigma and discrimination, which were also associated with the development of depressive symptoms. Transgender women migrants reported not seeking formal medical care, given a lack of gender-affirming services and insurance resulting in reliance on unsafe informal care networks for hormone therapy and feminization procedures. Conclusion: Future interventions should focus on fostering social support networks of SGM migrant women to help improve their mental health outcomes. Research priorities should include studies on SMW migrants and more quantitative research that could identify additional health needs (i.e., sexual health) of SGM migrant women.

Ecological risk evaluation and sensitivity analysis of heavy metals on soil organisms under human activities in the Tibet Plateau, China.

The Tibetan Plateau (TP), once considered a pristine environment, is now facing increased heavy metal pollution due to human activities, causing unprecedented ecological risks to soil organisms. However, little is known about the sensitivity and tolerance of different soil organisms to heavy metal toxicity in the high-altitude areas of the TP under the background of human activity intensity and future risk control priorities. In this study, we conducted an ecological risk assessment and threshold calculation for 10 heavy metals in soil for typical soil organisms, including Cd, Co, Cr, Cu, Ni, Pb, Zn, Mn, Sb, and Sn, using the species sensitivity distribution (SSD) method in the zone between Ranwu town and Renlongba glacier on the TP. The results revealed that most sampling sites had average levels of Cd, Sb and Ni exceeding their regional soil environmental background values and were the major contaminants. Impressively, the hitherto undeveloped Renlungba Glacier showed relatively high contamination levels of Sb and Ni. From the view of sensitivity differences, the toxicity risks of Cd, Cr, Cu, Ni and Pb were higher for terrestrial plants than for soil invertebrates based on the fitted heavy metal SSD curve trends. In terms of the ecological risk level, the average potentially affected fraction values of Zn and Ni reached 18.5% and 17.0%, respectively, with significant ecological risk at a few sampling sites. In terms of ecological risk thresholds, the Cd concentration at the 5% hazard concentration (HC5) control level was 0.05 mg/kg, which was the heavy metal with the highest risk in this study. Comparing the HC5 values of each heavy metal with the limit values in the current Chinese soil environmental quality standards, the existing administrative policies as a whole lack a powerful prevention of the potential ecological risk posed by heavy metals to soil organisms.

‘WaSH Futurism’: exploring post-SDG6 targets using the Nominal Group Technique for more equitable global agenda setting

Abstract Sustainable Development Goal 6 (SDG6) is grounded in human rights and derives from international policies refined over decades. We argue that much of this agenda setting and monitoring reflects or gives way to neo-colonialism and neo-liberalism. We implement an online version of the Nominal Group Technique to explore its efficacy for more equitable global agenda setting. We apply the technique to a group of 19 graduate WaSH students – from diverse professional backgrounds and originating from and having worked in all global regions – to gain their insights on future WaSH issues to be included in global targets. This was preceded by preparatory exercises on WaSH progress and influential contextual factors. We thus demonstrate a novel and systematic application of the NGT and discuss its potential to be used in challenging neo-colonial and neo-liberal agenda setting. The results also provide an early assessment of future priorities that could inform post-SDG target setting including: inclusivity among populations and settings, hygiene, menstrual health, sustainability, circular economy, climate resilience, preventing infectious disease transmission, and universal ‘safely managed services’. These are compared with themes highlighted in Joint Monitoring Programme reports, SDG6 indicators and General Comment 15: The Human Right to Water.

'Good, honest food': older adults' and healthcare professionals' perspectives of dietary influences and food preferences in older age in Ireland.

This study aimed to explore older adults' and healthcare professionals' (HCPs) perceptions of dietary influences and food preferences in older age. The research design was phenomenological qualitative description. Semistructured one-to-one interviews and focus groups were held separately with community-dwelling older adults and HCPs involved in care of the older person in Ireland. Data were analysed using inductive thematic analysis. A total of 47 adults aged 55+ years were recruited (50% male; 49% aged 60-69 years; 28% aged above 70 years), and 26 HCPs were involved, comprising dietitians (n = 8); geriatricians (n = 6); clinical therapists (n = 4); and nurses, pharmacists, catering managers and meal delivery service coordinators (n = 2 each). There are strong desires for 'good, honest food' within the diet for an older person; however, gaps in current nutrition priorities, dietary guidance and health promotion were perceived. There were differences in the perspectives held by HCPs and adults aged 55+ years, as some HCPs centred their discussion around nutrition for preventing sarcopenia, frailty or cognitive decline, whereas many adults aged 55+ years desired foods which promote cardiometabolic health and reflect wider personal health and environmental values. Other themes included the impact of health and lifestyle changes accompanying ageing on dietary priorities, the importance of personal and psychosocial values in determining food choice and the impact of the external food environment on accessibility and shopping experiences. Influences on dietary choice for the older person are multifactorial, driven by a range of health, psychological, sociocultural and environmental perspectives. Future nutrition priorities for older adults should encourage health-promoting approaches and not just disease-mitigating efforts.

How can we improve the care of patients with schizophrenia in the real-world? A population-based cohort study of 456,003 patients

An important step to improve outcomes for patients with schizophrenia is to understand treatment patterns in routine practice. The aim of the current study was to describe the long-term management of patients with schizophrenia treated with antipsychotics (APs) in real-world practice. This population-based study included adults with schizophrenia and who had received ≥3 deliveries of an AP from 2012–2017, identified using a National Health Data System. Primary endpoints were real-life prescription patterns, patient characteristics, healthcare utilization, comorbidities and mortality. Of the 456,003 patients included, 96% received oral APs, 17.5% first-generation long-acting injectable APs (LAIs), and 16.1% second generation LAIs. Persistence rates at 24 months after treatment initiation were 23.9% (oral APs), 11.5% (first-generation LAIs) and 20.8% (second-generation LAIs). Median persistence of oral APs, first-generation LAIs and second-generation LAIs was 5.0, 3.3, and 6.1 months, respectively. Overall, 62.1% of patients were administered anxiolytics, 45.7% antidepressants and 28.5% anticonvulsants, these treatments being more frequently prescribed in women and patients aged ≥50 years. Dyslipidemia was the most frequent metabolic comorbidity (16.2%) but lipid monitoring was insufficient (median of one occasion). Metabolic comorbidities were more frequent in women. Standardized patient mortality remained consistently high between 2013 and 2015 (3.3–3.7 times higher than the general French population) with a loss of life expectancy of 17 years for men and 8 years for women. Cancer (20.2%) and cardiovascular diseases (17.2%) were the main causes of mortality, and suicide was responsible for 25.4% of deaths among 18–34-year-olds. These results highlight future priorities for care of schizophrenia patients. The global persistence of APs used in this population was low, whereas rates of psychiatric hospitalization remain high. More focus on specific populations is needed, such as patients aged >50 years to prevent metabolic disturbances and 18–34-year-olds to reduce suicide rates.

The role of perinatal protection of a fetus in preservation of the health of the nation

This review examines the international role of perinatal protection of a fetus in preservation of the health of the nation. Historical perspectives, present-day developments, and future priorities of perinatal medical science are given. The etiology of decompensated placental insufficiency and intrauterine growth restriction is considered. The authors also considered the epidemiology of premature delivery and perinatal outcomes, the problem of development, diagnosis and obstetric management in critical fetal condition is covered in detail. The current review of literature was conducted in order to advance the theoretical knowledge of specialists on modern complex issues of perinatal medicine. The considered practical aspects will contribute to the improvement of interdisciplinary interaction between clinicians of various specialties in the field of perinatal protection of a fetus and, through this, to the preservation of the health of the nation and the multiplication of future generations.

Alkaline Membranes toward Electrochemical Energy Devices: Recent Development and Future Perspectives.

Anion-exchange membranes (AEMs) that can selectively transport OH-, namely, alkaline membranes, are becoming increasingly crucial in a variety of electrochemical energy devices. Understanding the membrane design approaches can help to break through the constraints of undesired performance and lab-scale production. In this Outlook, the research progress of alkaline membranes in terms of backbone structures, synthesis methods, and related applications is organized and discussed. The evaluation of synthesis methods and description of membrane stability enhancement strategies provide valuable insights for structural design. Finally, to accelerate the deployment of relevant technologies in alkaline media, the future priority of alkaline membranes that needs to be addressed is presented from the perspective of science and engineering.

Strategi Badan Usaha Milik Desa (BUMDes) Dalam Upaya Meningkatkan Pendapatan Asli Desa Di Desa Taro, Kecamatan Tegallalang, Kabupaten Gianyar

In the process of increasing village original income by utilizing the natural potential and plantations owned by Taro Village, the active role of the village government is required. One way that can be done is to form a village-owned enterprise (BUMDes). The purpose of this study was to determine the strategy of village-owned enterprises (BUMDes) in an effort to increase village original income (PADes). Based on the study using the theory of strategic management processes according to Wheelen and Hunger (2012) and SWOT analysis according to Rangkuti (2013), The results of this study show that the Sarwada Amwerta Village Owned Enterprise (BUMDes) has carried out a strategic management process, but there are several obstacles that prevent the Sarwada Amerta BUMDes from obtaining maximum income. The results of the SWOT matrix analysis produce three alternative strategies that can be used as alternative strategies for future strategic priorities, namely: (1) increasing BUMDes' human resources in the use of technology; (2) expanding collaboration with related parties; and (3) developing tourism units by collaborating. The results of this study show that researchers provide strategic recommendations for Sarwada Amerta Village-Owned Enterprises (BUMDes) in an effort to increase village original income

Learning health system benefits: Development and initial validation of a framework.

Implementation of research findings in clinical practice often is not realized or only partially achieved, and if so, with a significant delay. Learning health systems (LHSs) hold promise to overcome this problem by embedding clinical research and evidence-based best practices into care delivery, enabling innovation and continuous improvement. Implementing an LHS is a complex process that requires participation and resources of a wide range of stakeholders, including healthcare leaders, clinical providers, patients and families, payers, and researchers. Engaging these stakeholders requires communicating clear, tangible value propositions. Existing models identify broad categories of benefits but do not explicate the full range of benefits or ways they can manifest in different organizations. To develop such a framework, a working group with representatives from six Clinical and Translational Science Award (CTSA) hubs reviewed existing literature on LHS characteristics, models, and goals; solicited expert input; and applied the framework to their local LHS experiences. The Framework of LHS Benefits includes six categories of benefits (quality, safety, equity, patient satisfaction, reputation, and value) relevant for a range of stakeholders and defines key concepts within each benefit. Applying the framework to five LHS case examples indicated preliminary face validity across varied LHS approaches and revealed three dimensions in which the framework is relevant: defining goals of individual LHS projects, facilitating collaboration based on shared values, and establishing guiding tenets of an LHS program or mission. The framework can be used to communicate the value of an LHS to different stakeholders across varied contexts and purposes, and to identify future organizational priorities. Further validation will contribute to the framework's evolution and support its potential to inform the development of tools to evaluate LHS impact.

Race and Gender Shift among Academic Glaucoma Specialists in the Last 5 Decades.

To evaluate the demographic composition of academic glaucoma specialists currently practicing in the United States. Retrospective and observational study. Academic glaucoma specialists identified from ophthalmology residency programs listed on the Doximity database. The American Board of Ophthalmology (ABO) membership directory, Doximity database, publicly available data, and direct communications were used to identify academic glaucoma specialists and their demographics. Information collected included-name, gender, race/ethnicity, geographic location, board certification date, academic affiliation, and academic rank. Ophthalmic age was defined as the number of years since ophthalmology board certification. Underrepresented minority (URM) groups were defined as Hispanics, Black or African Americans, Latinos, American Indians, or Alaskan Natives as defined by San Francisco match. In addition, the temporal, geographic, and academic rank distributions among females and URMs were explored. Women and URMs representations among academic glaucoma specialists across academic ranks, geographic regions, as well as ophthalmic age. There were 457 active academic glaucoma specialists identified from 110 institutions in 38 states. Among them, 185 (40.5%) were women and 42 (9.2%) were URM. The proportion of women glaucoma specialists in academia had increased significantly with a rate of 1.049 in odds ratio (OR) per year (p < 0.001). However, there were no significant changes in the proportion of URMs over time. The earliest year of certification was 1,964 for males and 1,974 for females. When controlled for ophthalmic age, there were no significant differences in the distribution of women or URMs between the different academic ranks (p = 0.572 and p = 0.762, respectively). Among assistant professors, women had a significantly higher ophthalmic age compared to men (p < 0.001), but there was no significant difference in ophthalmic age in both the associate and full professor groups. There were no significant differences in the geographic distribution of gender (p = 0.516) and URM across United States regions (p = 0.238). The proportion of women among academic glaucoma specialists has significantly increased over the past 5 decades; however, the proportion of URMs has been stagnant in the same period. Enhancing URM representation among academic glaucoma specialists deserves to be a future priority. Afzali K, Fujimoto DK, Mohammadi SO, et al. Race and Gender Shift among Academic Glaucoma Specialists in the Last 5 Decades. J Curr Glaucoma Pract 2023;17(2):98-103.

Preclinical testing of antimicrobials for cystic fibrosis lung infections: current needs and future priorities.

A workshop was held by the PIPE-CF strategic research centre to consider preclinical testing of antimicrobials for cystic fibrosis (CF). The workshop brought together groups of people from the CF community to discuss current challenges and identify priorities when developing CF therapeutics. This paper summarizes the key points from the workshop from the different sessions, including talks given by presenters on the day and round table discussions. Currently, it is felt that there is a large disconnect throughout the community, with communication between patients, clinicians and researchers being the main issue. This leads to little consideration being given to factors such as treatment regimes, routes of administration and side effects when developing new therapies, that could alter the day-to-day lifestyles of people living with CF. Translation of numerical data that are obtained in the laboratory to successful outcomes of clinical trials is also a key challenge facing researchers today. Laboratory assays in preclinical testing involve basing results on bacterial clearance and decrease in viable cells, when these are not factors that are considered when determining the success of a treatment in the clinic. However, there are several models currently in development that seek to tackle some of these issues, such as the organ-on-a-chip technology and adaptation of a hollow-fibre model, as well as the development of media that aim to mimic the niche environments of a CF respiratory tract. It is hoped that by summarizing these opinions and discussing current research, the communication gap between groups can begin to close.

European Respiratory Society statement on frailty in adults with chronic lung disease.

Frailty is a complex, multidimensional syndrome characterised by a loss of physiological reserves that increases a person's susceptibility to adverse health outcomes. Most knowledge regarding frailty originates from geriatric medicine; however, awareness of its importance as a treatable trait for people with chronic respiratory disease (including asthma, COPD and interstitial lung disease) is emerging. A clearer understanding of frailty and its impact in chronic respiratory disease is a prerequisite to optimise clinical management in the future. This unmet need underpins the rationale for undertaking the present work. This European Respiratory Society statement synthesises current evidence and clinical insights from international experts and people affected by chronic respiratory conditions regarding frailty in adults with chronic respiratory disease. The scope includes coverage of frailty within international respiratory guidelines, prevalence and risk factors, review of clinical management options (including comprehensive geriatric care, rehabilitation, nutrition, pharmacological and psychological therapies) and identification of evidence gaps to inform future priority areas of research. Frailty is underrepresented in international respiratory guidelines, despite being common and related to increased hospitalisation and mortality. Validated screening instruments can detect frailty to prompt comprehensive assessment and personalised clinical management. Clinical trials targeting people with chronic respiratory disease and frailty are needed.

A bibliometric analysis of research for climate impact on agriculture

Climate anomalies and changes have complex and critical impacts on agriculture. Given global warming, the scientific community has dramatically increased research on these impacts. During 1996–2022, over 3,000 peer-reviewed papers in the Web of Science Core Collection database have investigated the fields. This study conducted a bibliometric analysis of these papers for systematic mapping and inductive understanding to comprehensively review the research’s status, focus, network, and funding. After almost 30 years, the research is now centered in quantifying climate impacts on crop yields and agriculture productivity while seeking effective adaptation solutions. The hot keywords recently emerged include poverty, food security, water resource, climate service, climate-smart agriculture, sustainability, and policy. They suggest increasing concerns on global food and water shortage and pressing needs for action to adapt to climate change and sustain agricultural productivity. Given the uncertainty of climate change and the complexity of agriculture systems, most current studies are interdisciplinary research combining various agricultural fields with climate, environmental, and socioeconomic sciences. The United States, as the world’s leading food commodity producer, has the most diverse funding agencies and provides the largest number of awards to support the research. Future priority research should take the coupled earth system approach with the food-energy-water nexus principles to provide effective, actionable decision supports at local-regional scales to sustain national agricultural productivity and quantify climate-smart agricultural practices to mitigate global warming.