International Review Research Articles

The current status and global trends of clinical trials related to robotic surgery: a bibliometric and visualized study.

Conducting clinical trials can evaluate the effectiveness and safety of surgical robots. To promote the advancement of academic robotic programs in surgery, this study captures the development trend and research hotspots of clinical trials related to surgical robots by bibliometric analysis. Bibliometrix package in R software was used to analyze the publication year, authors, countries, institutes, and journals. The visualization maps of keywords were formed using VOSviewer. The keywords with the strongest citation bursts and the institutional collaboration map were created by CiteSpace. Urology dominates with 31.3% of publications and the controlled clinical trials in urology and orthopedic accounted for the highest proportion, reaching 73%. North America, the USA, and Seoul National University lead in productivity. The most productive country, region and institution are North America, USA and Seoul National University, respectively. The trend of collaboration is regional instead of international. Keyword and burst keyword analysis revealed a primary focus in clinical research on robotic surgery: evaluating process improvements, comparing robotic and traditional surgery, and assessing feasibility. Long-term clinical trials assess surgical robots not only intraoperative performance but also postoperative complications and overall surgical outcomes. The development in the field is unbalanced between regions and countries. To promote multi-center clinical trials, governments can streamline review procedures and establish international consensus review standards, while academic institutions can form academic alliances. Also, the study offers recommendations for the development of academic robotic programs and regional collaboration units in robotic surgery, which may provide researchers with a strong reference for future research.

L7 mastered to nativelike proficiency in adulthood – a case study of simultaneous multiple language acquisition processes challenging Lenneberg’s (1967) critical period hypothesis

ABSTRACT This paper seeks to present the case of successful nativelike proficiency in L7, achieved in adulthood. As a case study of multiple language acquisition processes acquired, both in childhood and adulthood, this study operates in the fields of multilingualism and language acquisition. The author presents her experiences of language acquisition and command of the languages: Mauritian Creole Kreol, French, English, Arabic, Urdu, Italian, and Turkish. The paper is shaped into a narrative as it is stipulated that autobiography can be used as data in linguistics research [Pavlenko (2007). Autobiographic narratives as data in applied linguistics. Applied Linguistics, 28(2), 163–188]. Simultaneous acquisition of five languages, in early childhood, is a phenomenon of success in light of Lenneberg’s theory of Critical Period Hypothesis (CPH) (1967). However, Lenneberg’s CPH is challenged when Turkish is analysed as a chronological L7, acquired successfully in adulthood to nativelike proficiency. This is assessed using an eclectic theoretical framework comprising: the theory of Muñoz on the age of learning languages [(2008). Age-related differences in foreign language learning. Revisiting the empirical evidence. IRAL, International Review of Applied Linguistics in Language Teaching, 46(3), 197]; the Dynamic Model of Multilingualism by Philip Herdina and Ulrike Jessner [(2002). A dynamic model of multilingualism: Perspectives of change in psycholinguistics (Vol. 121). Multilingual Matters]; the Factor Model [Hufeisen (2000). A European perspective: Tertiary languages with a focus on German as L3. In J. W. Rosenthal (Ed.), Handbook of undergraduate second language education (pp. 209–229). Routledge], Hammarberg’s [(2017). Becoming multilingual: The macro and the micro time perspective. International Review of Applied Linguistics in Language Teaching, 55(1), 3–22] theory on time perspectives. While justifying the shift of status of Turkish to second language, the author discusses the processes to multilingual success in communicative competence [Hymes (1972) On communicative competence. In J. B. Pride & J. Holmes (Eds.), Sociolinguistics. Selected readings (pp. 269–293). Penguin] in the discussed languages.

Knowledge and competences in hematological malignancies amongst radiation oncology residents in Germany-results from anational survey.

Radiation oncology is apivotal modality in the treatment of hematologic malignancies. To enable state-of-the-art patient care, structured education during residency is essential. However, given the lack of detailed data, the scope of educational opportunities available to trainees remains elusive. This prompted our group to perform anational survey amongst radiation oncology residents in Germany assessing the status quo of competences in the treatment of lymphoma and leukemia patients. Furthermore, areas of potential improvement were identified to further the goal of competence-based education for residents. Asurvey-based analysis was conducted to assess the knowledge and competence of radiation oncology residents in Germany regarding hematological malignancies. Adecisive questionnaire covering demographics, self-assessment of competences, and areas for improvement was developed in adaption of asurvey by the Association of Residents in Radiation Oncology and distributed amongst 1439 members of the German Society of Radiation Oncology. Responses were collected anonymously via an online survey tool and analyzed using descriptive statistics and chi-square tests. Atotal of 59complete and 22partial responses were collected, yielding a5.6% response rate. Participants' competence varied, with notable experience gaps in pediatric cases, proton therapy, and large-field techniques like total-skin irradiation or pediatric total body irradiation. While participants felt confident in treatment planning and patient counseling, they showed deficiencies in the definition of the planning target volume for modern involved site radiotherapy. Resources for education included national and international guidelines, scientific reviews, and textbooks. Board-certified radiation oncologists and physicians from specialized lymphoma centers demonstrated higher overall competence levels. This survey highlights the diversity of resident education regarding hematological malignancies in German radiation oncology programs. Knowledge gaps exist in key areas, including pediatric cases and specialized techniques. Competence-based education, interactive teaching formats, and rotations to specialized centers are potential strategies to address these gaps. The study contributes to the understanding of the federal educational landscape, underscoring the need for standardized and comprehensive training to ensure optimal patient care in hematological malignancies within the context of radiation oncology. Further research and collaborations are warranted to enhance training and expertise in this critical domain.

Reinventing a training program to support the professional development of inspectors and school principals: Overcoming difficulties and creating new actions through activity analysis

AbstractThis article presents an empirical study on a new training program for the professional development of school inspectors and principals. The international literature reviews show that training based on the learning of managerial skills has limits. Another approach to training based on professional difficulties experienced and on authentic practice is necessary for school inspectors and principals. The study explores the effects of the training program “NeopassCadres” on the professional development of inspectors and school principals. A qualitative research design elaborated from a practice perspective and based on self‐confrontation interviews with inspectors and school principals who participated in the program “NeopassCadres”. The results show the impact of the activity analysis on the professional development of inspectors and principals. The activity analysis is an opportunity to describe professional actions and difficulties, share experiences between peers, engage in professional debates on generic problems, identify progress in the practice, and assess the effectiveness of new actions. The study focuses on a case study in France. The number of participants is low; the results must therefore be supplemented by new studies on the impact of activity analysis on the professional development of inspectors and principals. The study contributes to the evolution of training for novice inspectors and novice school principals. The main contribution concerns the understanding of the process of professional development, linking it with individual and collective activity analysis. The other contribution relates to the evolution of the trainers' posture during viewing and analysis of videos. The study provides knowledge about training based on analyzing the “non‐visible” dimensions of actors' activity at work. The activity analysis method helps inspectors and school principals evoke difficulties, motives, intentions, and emotions.

Management of extreme weather impacts on electricity grids: An international review

Abstract Extreme weather events, such as high winds, storms, flooding and temperature extremes, are a major cause of disruption to the supply of electricity to consumers. System Operators (SOs) are responsible for ensuring stable real-time operation of large-scale power networks, and will act to prevent adverse impacts of such events on consumer supply, contain the extent of supply interruptions that do occur, and restore supply to affected consumers in an efficient and timely manner. SOs will also generally be involved in some way in the long-term planning of the transmission network and generation capacity required to ensure future resilience. In this paper we review some of the strategies adopted by SOs across the globe in ensuring high levels of reliability and resilience to extreme weather, with reference to learning generated from specific recent events. In the face of the potential for both the frequency of such events and for their consequent impacts to increase in the future, we recommend that regulatory control of investment in networks is informed by quantified understanding of the climate-energy interface, including assessment of the potential frequency and impacts of future weather events and shared learning from events experienced by different operators. The statutory role of utilities should include robust assessment of future weather-related risks and appropriate investment in their asset resilience, as well as assisting in the preparedness of supporting agencies to mitigate the impacts of weather-related disturbances on energy consumers.

From Belgium to the world and back? The case of Rieder

ABSTRACT In the 1920s and the 1930s, a large number of Belgian authors were published by a Parisian publishing house, Rieder & Cie. Most of them wrote directly in French, the others in Dutch and were translated. Thanks to Rieder's international drive, all these works were considered part of a system that prefigured World Literature, where local and global belonging were not in contradiction. The ‘Belges de Rieder' were known in Belgium, France and abroad; they were translated into several languages, and they were in contact with other writers from all over the world - for example in the columns of Europe, the international review that Rieder launched and published. The current situation for these same authors is completely different. Some of them are still being reprinted, but their ‘local' side clearly prevails. A study of the publishing circles involved, now and then, shows that is not (only) a corpus, it is mainly a way of circulating and reading literary texts. Some works can aspire to a ‘world' dimension but they struggle to assert themselves for lack of an adequate system of publication, distribution or even critical reading.

Social, Ethical and Regulatory implications of conducting a malaria Vaccine Efficacy trial in a human infection study in Kenya (SERVE-Kenya): A study protocol

Malaria remains an important public health problem in many LMICs, including Kenya – necessitating alternative prevention and control strategies. Malaria human infection studies (HIS) – trials that involve the deliberate infection of healthy volunteers with malaria parasites to assess the efficacy of potential vaccine and drug candidates and to understand the innate and acquired protection against malaria parasites - have become an important approach to fast-track the development of a malaria vaccine. The KEMRI-Wellcome Trust Research Programme (KWTRP) otherwise known as the KEMRI Centre for Geographic Medicine Research (Coast) (KEMRI CGMRC) has developed expertise in setting up and running research on malaria HIS, with two completed and two planned in the coming months. One of the planned studies is an EDCTP-funded Phase IIb malaria vaccine efficacy trial within a HIS. While all scientific proposals at KWTRP are carefully reviewed by national and international science and ethics review bodies and are supported by a well-developed local community engagement platform, research to understand the social, ethical and regulatory issues for HIS from a grounded perspective is in early stages of development, especially in LMICs. Given the particular opportunities provided by the KWTRP’s experience in running HIS, expertise in embedded social science research and the presence of a well-established community engagement platform, we plan to conduct a social science study within the HIS-based Phase IIb malaria vaccine trial. The overall aim is to contribute to the development of locally responsive policies on the ethical conduct of malaria vaccine efficacy studies involving the use of a HIS in Kenya. Data will be collected from a range of HIS stakeholders, including HIS participants, community members, HIS research team, ethics committees, regulatory authorities and policy makers through surveys, interviews, group discussions, participatory workshops, observations and document review. This is an EDCTP-funded Career Development Fellowship project awarded to PCC.

Are Generative Pretrained Transformer 4 Responses to Developmental Dysplasia of the Hip Clinical Scenarios Universal? An International Review.

There is increasing interest in applying artificial intelligence chatbots like generative pretrained transformer 4 (GPT-4) in the medical field. This study aimed to explore the universality of GPT-4 responses to simulated clinical scenarios of developmental dysplasia of the hip (DDH) across diverse global settings. Seventeen international experts with more than 15 years of experience in pediatric orthopaedics were selected for the evaluation panel. Eight simulated DDH clinical scenarios were created, covering 4 key areas: (1) initial evaluation and diagnosis, (2) initial examination and treatment, (3) nursing care and follow-up, and (4) prognosis and rehabilitation planning. Each scenario was completed independently in a new GPT-4 session. Interrater reliability was assessed using Fleiss kappa, and the quality, relevance, and applicability of GPT-4 responses were analyzed using median scores and interquartile ranges. Following scoring, experts met in ZOOM sessions to generate Regional Consensus Assessment Scores, which were intended to represent a consistent regional assessment of the use of the GPT-4 in pediatric orthopaedic care. GPT-4's responses to the 8 clinical DDH scenarios received performance scores ranging from 44.3% to 98.9% of the 88-point maximum. The Fleiss kappa statistic of 0.113 (P = 0.001) indicated low agreement among experts in their ratings. When assessing the responses' quality, relevance, and applicability, the median scores were 3, with interquartile ranges of 3 to 4, 3 to 4, and 2 to 3, respectively. Significant differences were noted in the prognosis and rehabilitation domain scores (P < 0.05 for all). Regional consensus scores were 75 for Africa, 74 for Asia, 73 for India, 80 for Europe, and 65 for North America, with the Kruskal-Wallis test highlighting significant disparities between these regions (P = 0.034). This study demonstrates the promise of GPT-4 in pediatric orthopaedic care, particularly in supporting preliminary DDH assessments and guiding treatment strategies for specialist care. However, effective integration of GPT-4 into clinical practice will require adaptation to specific regional health care contexts, highlighting the importance of a nuanced approach to health technology adaptation. Level IV.

Recommendations for blood sampling in emergency departments from the European Society for Emergency Medicine (EUSEM), European Society for Emergency Nursing (EuSEN), and European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) Working Group for the Preanalytical Phase. Executive summary.

Blood Sampling Guidelines have been developed totarget European emergency medicine-related professionals involved in the blood sampling process (e.g.physicians, nurses, phlebotomists working in the ED), as well as laboratory physicians and other related professionals. Theguidelines population focus on adult patients. The development of these blood sampling guidelines for the EDsetting isbased on the collaboration of three European scientific societies that have a role toplay in the preanalytical phaseprocess: EuSEN, EFLM, and EUSEM. The elaboration of the questions was doneusing the PICO procedure, literature search and appraisal was based on the GRADE methodology. The final recommendations were reviewed by an international multidisciplinary external review group. The document includes the elaborated recommendations for the selected sixteen questions. Three in pre-sampling, eight regarding sampling, three post-sampling, and two focus on quality assurance. In general, the quality ofthe evidence is very low, and the strength of the recommendation in all the questions has been rated as weak. The working group in four questions elaborate the recommendations, based mainly on group experience, rating as good practice. The multidisciplinary working group was considered one of the major contributors to this guideline. The lack of quality information highlights the need for research in this area of the patient care process. The peculiarities of the emergency medical areas need specific considerations to minimise the possibility of errors in the preanalytical phase.

Edith penrose’s influence on economic analysis, strategic management and political economy

ABSTRACT Edith Penrose is best known for her classic book The Theory of the Growth of the Firm, originally published in 1959, but she also made major contributions in other fields, including patents, the oil industry, and development economics. This special double issue of the International Review of Applied Economics publishes recent research from a range of leading economists and management scholars from across the world, either explicitly analysing Penrose’s contribution, or else analysing topics from firms’ collaborations with universities through to the practice and consequences of share buy-backs, which demonstrate that a Penrosian perspective helps to illuminate the reality of such processes.

Review: Metabolit Sekunder pada Kelapa Sawit

Oil palm is known as a plantation crop that produces vegetable oil which is widely used in human life. Palm oil is produced from fresh fruit bunches (FFB) which originate from female flowers. Another part of the oil palm plant that has not been widely utilized is the oil palm leaves. When these leaves have been pruned, they will become abundant garden waste. Apart from that, there are empty palm oil bunches (tankos) which are classified as factory waste. Further research is needed regarding the compound content, especially the secondary metabolite content of midrib and tankos so that their utilization is optimal. The aim of this review is to determine the content of secondary metabolite compounds in oil palm plants and the potential for wider use. The method used is collecting library data, reading, analyzing and writing it down. The data and references used are scientific articles in national and international journals, textbooks, literature reviews and other sources. Based on the review, information was obtained that oil palm leaves contain several secondary metabolite compounds, especially saponins and phenols, while tankos contains phenol compounds. The amount of secondary metabolite compound content is not yet known for certain and this could be an opportunity to conduct research to determine the content of secondary metabolite compounds, especially for oil palm plants.

What do we know about children’s representation in child protection decisions? A scoping review

This scoping review presents an overview of existing research about children’s representation in child protection decision-making and identifies the knowledge gaps. Representation arrangements to ensure that children’s views and/or best interests are heard are crucial as children, caregivers, and social workers often cannot represent children adequately. This international peer-reviewed scoping review entails an extensive search for peer-reviewed research articles in English and Norwegian, published between 1990 and 2022, identifying 51 relevant studies from 7,800 unique articles. Thematic analysis revealed that existing research has examined various dimensions of how representation is carried out and perceived, including representatives’ roles, child—representative contact, and the value of representation. Children often lacked representation and commented on relationships and representation being valuable. While the knowledge base is stronger in these areas, it is clear that we do not know much about children’s representation overall. There are considerable knowledge gaps related to a predominance of small-scale qualitative studies, brief coverage of some subdimensions of representation, and several studies with a broader research focus than representation. Following the direction of this scoping review, future research should focus on patching up the research gaps on children’s representation in child protection decision-making. By identifying the existing research base and frontier, we can prioritize new research, test existing knowledge, and make arrangements that benefit children.

Prescribing and deprescribing guidance for benzodiazepine and benzodiazepine receptor agonist use in adults with depression, anxiety, and insomnia: an international scoping review

Clinical practice guidelines and guidance documents routinely offer prescribing clinicians' recommendations and instruction on the use of psychotropic drugs for mental illness. We sought to characterise parameters relevant to prescribing and deprescribing of benzodiazepine (BZD) and benzodiazepine receptor agonist (BZRA), in clinical practice guidelines and guidance documents internationally, for adult patients with unipolar depression, anxiety disorders and insomnia to understand similarities and discrepancies between evidence-based expert opinion. A Scoping Review was conducted to characterize documents that offered evidence-based and/or consensus pharmacologic guidance on the management of unipolar depression, anxiety disorders, obsessive-compulsive disorders, post-traumatic stress disorders and insomnia. A systematic search was conducted of PubMed, SCOPUS, PsycINFO and CINAHL from inception to October 13, 2023 and supplemented by a gray literature search. Documents were screened in Covidence for eligibility. Subsequent data-charting on eligible documents collected information on aspects of both prescribing and deprescribing. 113 documents offering guidance on BZD/BZRA use were data-charted. Overall, documents gathered were from Asia (n=11), Europe (n=34), North America (n=37), Oceania (n=7), and South America (n=4) with the remainder being "International" (n=20) and not representative to any particular region or country. By condition the documents reviewed covered unipolar depressive disorders (n=28), anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder (n=42) and Insomnia (n=25). Few documents (n=18) were sufficiently specific and complete to consider as de-prescribing focused documents. Documents were in concordance in terms of BZD and BZRA not being used routinely as first-line pharmacologic agents. When used, it is advisable to restrict their duration to "short-term" use with the most commonly recommended duration being less than four weeks. Documents were less consistent in terms of prescriptive recommendations for specific drug, dosing and administration pattern (i.e regular or 'as needed') selection for each condition. Deprescribing documents were unanimously in favor of gradual dose reduction and patient shared decision-making. However, approaches towards dose-tapering differed substantially. Finally, there were inconsistencies and/or insufficiency of detail, among deprescribing documents, in terms of switching to a long-acting BZD, use of adjunctive pharmacotherapies and micro-tapering. The authors received no funding for this work.

Paradigms in Qualitative IB Research: Trends, Analysis and Recommendations

This paper examines trends, challenges and opportunities in terms of research methodologies in qualitative IB research. In particular, it examines trends for the dominant (positivism/(post)positivism) paradigm versus alternative paradigms (i.e., social constructivism, critical realism and interpretivism) and provides a comparative analysis of data collection and methods. Using mixed methods to collect and analyze data on qualitative articles published in International Business Review, Journal of International Business Studies, Journal of World Business, and Management International Review, we examine trends and differences between the dominant and alternative paradigms and use qualitative content analysis to investigate how alternative paradigm papers are conceptualized and presented. Moreover, we interview authors of non-positivist papers to gain in-depth understanding of the findings. We reveal differences across the paradigms and provide evidence of paradigmatic fit between methods and data collection techniques for the dominant paradigm, but more variation for alternative paradigms. Lastly, we provide prescriptions for IB scholars in terms of methodology diversity and how complex IB phenomena can be pursued vis-a-vis alternative paradigms.

An international review of the characteristics of viral nucleic acid-amplification testing (NAT) reveals a trend towards the use of smaller pool sizes and individual donation NAT.

Nucleic acid-amplification testing (NAT) is used for screening blood donations/donors for blood-borne viruses. We reviewed global viral NAT characteristics and NAT-yield confirmatory testing used by blood operators. NAT characteristics and NAT-yield confirmatory testing used during 2019 was surveyed internationally by the International Society of Blood Transfusion Working Party Transfusion-Transmitted Infectious Diseases. Reported characteristics are presented herein. NAT was mainly performed under government mandate. Human immunodeficiency virus (HIV), hepatitis C virus (HCV) and hepatitis B virus (HBV) NAT was performed on all donors and donation types, while selective testing was reported for West Nile virus, hepatitis E virus (HEV), and Zika virus. Individual donation NAT was used for HIV, HCV and HBV by ~50% of responders, while HEV was screened in mini-pools by 83% of responders performing HEV NAT. Confirmatory testing for NAT-yield samples was generally performed by NAT on a sample from the same donation or by NAT and serology on samples from the same donation and a follow-up sample. In the last decade, there has been a trend towards use of smaller pool sizes or individual donation NAT. We captured characteristics of NAT internationally in 2019 and provide insights into confirmatory testing approaches used for NAT-yields, potentially benefitting blood operators seeking to implement NAT.

Techniques for hazing and deterring birds during an oil spill

Preventing wildlife from becoming oiled is the priority in an oiled wildlife response. This is achieved through diverting spilled oil away from wildlife, or hazing, deterring, or excluding wildlife from oiled areas. This paper undertakes an international review of techniques deployed for hazing and deterring birds, the taxa most affected, during oil spills. Using these techniques as a baseline it then compares what techniques are used in New Zealand at airports, in agriculture, and at waste management facilities, to assess what could readily be deployed in New Zealand during oil spills, as currently there are few options planned for. As international literature suggests, the best technique is to use a variety of methods for targeted species to reduce habituation. This review highlights international practices that could be tested and implemented, to allow for planning for effective hazing and deterrence practices in New Zealand.

Incivility experiences of racially minoritised hospital staff, consequences for them and implications for patient care: An international scoping review.

Workplace incivility is a pervasive complex problem within health care. Incivility manifests as subtle disrespectful behaviours, which seem inconsequential. However, evidence demonstrates that incivility can be harmful to targets and witnesses through negative emotions, poorer mental health, reduced job satisfaction, diminished performance and compromised patient care. It is unclear to what extent existing research critically explores how ethnicity, culture and racism influence how hospital staff experience incivility. This global scoping review systematically analysed existing research exploring the specific ways incivility manifests and impacts racially minoritised hospital workers. Of 2636 academic and 101 grey literature articles, 32 were included. Incivility experiences were categorised into four themes: (1) Cultural control, (2) Rejection of work contributions, (3) Disempowerment at work and (4) Managerial indifference. The included articles highlighted detrimental consequences, such as negative emotions, silencing, withdrawal and reduced support-seeking behaviours. Few studies presented evidence regarding the negative impacts of incivility on patient care. Racialisation and racial dynamics are a significant factor for hospital-based incivility. Currently we do not know the extent to which racialised incivility is associated directly or, perhaps either via burnout or disengagement, indirectly with poorer care. This knowledge can inform the creation of comprehensive, evidence-based interventions to address this important issue.

Reliability testing of the Health of the Nation Outcome Scales 2018.

The Health of the Nation Outcome Scales (HoNOS) is a widely used clinical measure designed to rate and monitor the outcomes of service users accessing specialist mental healthcare. Since its development (in 1996), numerous research studies have confirmed the HoNOS captures the aspects of care that it purports to (validity), and that clinicians' ratings are consistent both over time, and between different raters (reliability). In 2018, the HoNOS was reviewed with updates made to some terminology and other revisions intended to remove ambiguity in the guidance for raters. However, although the new version (HoNOS 2018) was accompanied by a recommendation that its validity and reliability be re-tested this was not undertaken. To our knowledge, this is the first study to re-assess the updated tool's reliability by measuring the level of agreement between different raters. Our findings confirm that there is an acceptable level of consistency between student mental health nurses that have been trained to use the (new) HoNOS 2018. The HoNOS is nationally mandated for use by all specialist mental healthcare providers in the UK. Our findings provide some assurance that, with appropriate update training and monitoring of organisational-level data sets, the original HoNOS glossary can safely be replaced with the HoNOS 2018 to ensure more contemporary routine outcome measurement can occur. INTRODUCTION: The Health of the Nation Outcome Scales (HoNOS) is a well-established clinician rated outcome measure for use in mental health services. Following an international review, an updated version (HoNOS 2018) was published with a recommendation that its psychometric properties be re-tested prior to widespread implementation. To date, only one such study has been published. To test the inter-rater agreement levels for HoNOS 2018. Third-year student mental health nurses received training to complete the HoNOS 2018. Following this timetabled session, they were each invited to independently rate two, randomly selected, videos of (simulated) patient interviews. The resulting data were then analysed to calculate the tool's internal consistency and inter-rater agreement levels. The 55 participants provided 106 ratings from four vignettes. Cronbach's alphas and McDonalds omegas confirmed the revised tool's internal consistency was acceptable. Average measure intraclass correlation coefficients for the four patient vignettes indicated excellent reliability. This study provides initial assurance that the HoNOS 2018 is a reliable clinician rated outcome measure suitable for use in routine clinical practice by relatively inexperienced mental health practitioners with limited training.

Barriers and opportunities for health service access among fathers: A review of empirical evidence.

Engagement with health supports benefits the whole family, yet few health services report successful engagement of fathers. Our aim was to describe available evidence on barriers and opportunities relevant to health system access for fathers. Scoping reviews were conducted seeking empirical evidence from (1) Australian studies and (2) international literature reviews. A total of 52 Australian studies and 44 international reviews were included. The most commonly reported barriers were at the health service level, related to an exclusionary health service focus on mothers. These included both 'surface' factors (e.g., appointment times limited to traditional employment hours) and 'deep' factors, in which health service policies perpetuate traditional gender norms of mothers as 'caregivers' and fathers as 'supporters' or 'providers'. Such barriers were reported consistently, including but not limited to fathers from First Nations or culturally diverse backgrounds, those at risk of poor mental health, experiencing perinatal loss or other adverse pregnancy and birth events, and caring for children with illness, neurodevelopmental or behavioural problems. Opportunities for father engagement include offering father-specific resources and support, facilitating health professionals' confidence and training in working with fathers, and 'gateway consultations', including engaging fathers via appointments for mothers or infants. Ideally, top-down policies should support fathers as infant caregivers in a family-based approach. Although barriers and opportunities exist at individual and cultural levels, health services hold the key to improved engagement of fathers. SO WHAT?: Evidence-based, innovative strategies, informed by fathers' needs and healthy masculinities, are needed to engage fathers in health services.

Preface: 5th International Conference on Computer Science and Intelligent Communication (CSIC 2023)

2023 5th International Conference on Computer Science and Intelligent Communication (CSIC 2023) was held in Vancouver, Canada during December 30-31, 2023. This conference provides a forum for accessing to the most up-to-date and authoritative knowledge from both industrial and academic worlds, sharing best practice in the fields of computer science, artificial intelligence, machine learning, information engineering, and communication technology. A key aspect of this conference is the strong mixture of academia and industry.&#x0D; All papers in this proceeding were subject to peer-review by conference committee members and international reviewers. The papers were selected for the proceedings based on quality and relevance to the conference. We express our gratitude to all people who contributed to the review process and did all their best to enhance the scientific merit and quality of the proceedings. We are also grateful to the authors for their contributions, to the speakers and participants. We wish to extend our warmest welcome to all interested participants to the next CSIC.&#x0D; The CSIC Organizing committee&#x0D; Vancouver, Canada