Access Issues Research Articles

A Multidisciplinary Prospective Audit of Practices of Providing Hydration to Patient in An Acute Care Setting. Stop, Think and Drink

Abstract Background In the Dementia Friendly Hospital Guidelines 2018, it recommends we support patient safety, health and well-being. This can be facilitated by supporting diet, nutrition and hydration in a calm, accessible and usable space with appropriate lighting, and clearly visible and easily understood furniture and tableware. We have audited our practices across the hospital to ensure we have practices that promote hydration in all our wards. As we are an MDT team we bring a unique broad perspective on the issue of availability, accessibility and assistance. Methods We prospectively audited the provision and accessibility of drinks of any kind across our hospital. This was carried out on two separate occasions, once in the morning and once in the afternoon. We developed a unique audit tool. We used the HIQA nutrition and hydration standards to develop this tool. This was carried out on two separate occasions, once in the morning and once in the afternoon. Results Total number audited - 131 Availability Accessibility Assistance - 38% required prompting/reminding to drink. Conclusion Almost all of our patients in St. Michael’s Hospital had a drink and water jug available, however not all patients were able to access or independently hydrate themselves. Through making improvements, we aim to improve the hydration for our patients. According to the Food, Nutrition and Hydration policy for adults in acute hospital, by improving patient hydration, we are supporting the reduction of malnutrition amongst our patient cohort, in turn reducing their susceptibility to disease and improving their rate of recovery.

Digital musicianship in post-pandemic popular music education

The COVID-19 pandemic has brought about dramatic changes in popular music education, underscoring the importance of technology in both practice and transmission. Nevertheless, the celebration of technological integration as a one-stop solution has led to some challenges remaining overlooked and unsolved, resulting in an increasing mismatch between popular music education and the growth of online musical engagement among young people. Framed by the notion of digital musicianship, this position paper presents an overview of the adoption of technology in popular music education within the lockdown period, in the process raising concerns about whether such revisions can adequately address the challenges faced by popular music education. This leads to a discussion of a potential revamp of digital musicianship as a response to the continued and expanding presence of technology within popular music education and the post-pandemic teaching and learning environment. The authors assert that digital musicianship should encompass learners’ ability to perceive and adopt technologies for online and remote music-making, and critically evaluate their validity and quality in various contexts. Additionally, there is a need to critically address the homogeneity of musical cultures and technological determinism embedded within the design of music technology, alongside tackling the issues of inequality and accessibility.

Corpus-based critical discourse analysis of NFT art within mainstream art-market discourse and implications for the political economy of digital art

The recent advent of non-fungible tokens (NFTs) has profoundly disrupted the contemporary art market, but their status remains contested. While advocates tout the democratising potential of NFTs, critics dismiss them as a speculative bubble. This study elucidates the position of NFT art within mainstream art market discourse through an interdisciplinary analysis synthesising critical discourse analysis, corpus linguistics, and the political economy of art. Examining three key 2023 art market reports furnishes empirical insights into how influential institutions frame and valorise NFT art. Linguistic patterns reveal NFTs’ increasingly solid yet variable positioning across art market segments. NFT art appears well-integrated into mainstream discourse but remains emergent at the high end. The analysis reveals a complex picture, with the data showing both positive institutional framing and valorisation of NFT art, as well as the identification of ethical tensions and concerns around issues of accessibility, diversity, and sustainability within the NFT art market discourse. We find NFT art simultaneously amplifies and challenges existing hierarchies, creating new opportunities counterposed by risks.

Decline in Vaccination Coverage by Age 24 Months and Vaccination Inequities Among Children Born in 2020 and 2021 - National Immunization Survey-Child, United States, 2021-2023.

Data from the National Immunization Survey-Child (NIS-Child) were analyzed to estimate coverage with childhood vaccines recommended by the Advisory Committee on Immunization Practices among U.S. children by age 24 months. Coverage with nearly all vaccines was lower among children born in 2020 and 2021 than it was among those born in 2018 and 2019, with declines ranging from 1.3 to 7.8 percentage points. Analyses of NIS-Child data for earlier birth cohorts have not revealed such widespread declines in routine childhood vaccination coverage. Coverage among children born during 2020-2021 varied by race and ethnicity, health insurance status, poverty status, urbanicity, and jurisdiction. Compared with non-Hispanic White children, coverage with four of the 17 vaccine measures was lower among non-Hispanic Black or African American children as well as Hispanic or Latino (Hispanic) and non-Hispanic American Indian or Alaska Native children. Coverage was also generally lower among those covered by Medicaid or other nonprivate insurance, uninsured children, children living below the federal poverty level, and children living in rural areas. Coverage varied widely by jurisdiction, especially coverage with ≥2 doses of influenza vaccine. Children born during 2020-2021 were born during or after the period of major disruption of primary care from the COVID-19 pandemic. Providers should review children's histories and recommend needed vaccinations during every clinical encounter. Addressing financial barriers, access issues, vaccine hesitancy, and vaccine-related misinformation can also help to increase coverage, reduce disparities, and protect all children from vaccine-preventable diseases. Strategies that have been found effective include implementation of standing orders and reminder and recall systems, strong physician recommendations to vaccinate, and use of immunization information systems to identify areas of lower coverage that could benefit from targeted interventions to increase immunization rates.

“I would have to walk around to find the best Wi-Fi connection…”: qualitatively exploring challenges associated with rapid rollout of telehealth in Canadian long-term care homes

BackgroundEarly in the COVID-19 pandemic, long-term care (LTC) homes in British Columbia, Canada, restricted visitation to ensure the safety of their residents against transmission of the novel coronavirus. As such, these LTC homes had to quickly implement a rapid rollout of telehealth services to maintain physician care for residents while avoiding the infection risk of in-person visits amidst lockdown measures. The abrupt transition from traditional in-person physician care to telehealth presented significant challenges. Investigating these challenges is pivotal to the development of strategies for sustained telehealth use for physician services in LTC homes. This analysis is part of a broader qualitative, utilization-focused evaluation study of telehealth services rapidly implemented for physician care in LTC homes within the Fraser Health Authority region of British Columbia. The evaluation has aimed to consider integral factors such as telehealth challenges, facilitators, preferences, and continued use. Semi-structured interviews and focus groups were conducted with 70 physicians, staff, residents, and family caregivers across 27 different LTC homes in the region. All interviews and focus groups were transcribed verbatim and were analyzed using a thematic approach to identify common barriers surrounding the rapid rollout of telehealth in LTC across relevant groups.ResultsFrom the data, four challenges were identified: connectivity challenges (e.g., inconsistent or no Wi-Fi or cellular connectivity), device challenges (e.g., lack of accessible devices and software issues), privacy challenges (e.g., lack of private space to support telehealth use), and informational challenges (e.g., lack of electronic medical record access). All challenges posed barriers to telehealth access for both care provider and recipient groups in LTC settings.ConclusionsThe challenges identified in this analysis are supported by existing literature, which is significant given the different contexts within which such research has been undertaken. Collectively, this knowledge base can support evidence-informed improvements to telehealth for physician care in LTC settings. Future research should capture the perspectives of diverse cultural groups, LTC residents with cognitive impairments, and those who provide and receive care in rural settings.

Позитивні та негативні аспекти медіації і примирення сторін в адміністративному судочинстві: розмежування та проблеми застосування

The article addresses the issue of distinguishing mediation and reconciliation in administrative proceedings as two key mechanisms of alternative dispute resolution. With the development of legal systems and judicial practice in Ukraine and worldwide, alternative dispute resolution methods have gained special significance. This issue is particularly relevant in administrative proceedings, which focus on conflicts between citizens and the state or its bodies. Since administrative disputes often involve important issues of public interest, alternative methods of resolving such disputes, including mediation and reconciliation, play an important role in achieving a fair balance between private and public interests. However, in practice, questions arise regarding the differences between mediation and reconciliation of the parties. These procedures are often confused, as both involve reaching an agreement between the conflicting parties without resolving the case by a court ruling on the merits. However, each of these methods has its unique characteristics, legal frameworks, and opportunities for use. The purpose of this article is to investigate and provide a detailed analysis of the main differences between mediation and reconciliation in administrative proceedings in Ukraine, as well as assess their legal status and practical effectiveness. It examines the legal foundations of mediation and reconciliation, identifies their key differences and common features, and explores the practical aspects of their application in resolving administrative disputes. The focus is on analyzing the legal regulation of mediation in Ukraine, the role of the judge in reconciliation, and the appropriateness of using these mechanisms to improve the efficiency of administrative justice. An important aspect is the study of foreign experience and the possibility of adapting it to the Ukrainian legal system. Mediation is viewed as a process in which a neutral mediator helps the parties reach a mutually acceptable decision, whereas reconciliation involves the active participation of the court in resolving the conflict. The article also highlights the main problems and prospects for introducing mediation in administrative disputes, including issues of accessibility to mediation for citizens, legal culture, and the need to develop appropriate institutional mechanisms to ensure the effectiveness of this process.

Examining the accessibility of ChatGPT for competency-based personalised learning for specially-abled people

PurposeThis study examines the web accessibility issues faced by users with disabilities when using ChatGPT, a popular chatbot. It is crucial for users with disabilities to have barrier-free access to Internet communications technology to be on par with other users. Because of its roots in artificial intelligence (AI) technology, ChatGPT can empower individuals with various abilities, providing access to the Internet and potentially leading to a substantial boost in digital inclusion for these users.Design/methodology/approachThe researchers focused on ensuring ease of access to ChatGPT’s webpage to achieve the study objective. They conducted manual testing with a visually impaired researcher. They used axe DevTools and Accessibility Insights to investigate the target page’s three most commonly used states for accessibility issues.FindingsThe researchers identified substantial and crucial web accessibility issues on the target page. These issues resulted in frustration and hindered complete access to information about ChatGPT’s features. The researchers stress the significance of prioritising web accessibility and urge web designers to integrate Web Content Accessibility Guidelines (WCAG) standards into the initial stages of web development rather than addressing them as corrective measures. Given the United Nations' recognition of access to information and communication technology (ICT) as a pivotal Sustainable Development Goal (SDG) for users with disabilities, it is imperative to elevate web accessibility to foster their economic self-reliance and independence. This study underscores this imperative.Research limitations/implicationsIn this study, researchers assessed the accessibility of ChatGPT on the Google Chrome and Microsoft Edge browsers. This investigation could potentially be broadened to encompass additional web browsers. Furthermore, the researchers focused on three distinct states of ChatGPT: the initial default state, the subsequent output state and the third state, which represents errors on the target page. Further, developers can employ the results to enhance the accessibility experience for users with varying abilities who interact with ChatGPT.Originality/valueFollowing a comprehensive examination of the current body of literature, the study pinpointed a gap in research, highlighting the necessity to conduct accessibility assessments for ChatGPT with regard to these particular users.

Challenges in contemporary spinal robotics: encouraging spine surgeons to drive transformative changes in the development of future robotic platforms.

The field of spinal robotics has witnessed considerable advances, which have primarily focused on enhancing pedicle screw placement. This article critically evaluates the current direction of spinal robotics development, raising concerns about the disproportionate emphasis on pedicle screw placement when existing techniques already yield commendable results. Discussions on various parameters, including quality, cost-effectiveness, and accessibility, highlight the need for a broader perspective in the development of robotics for spinal surgery. Comparative analyses reveal that navigation systems offer cost-effective and time-efficient alternatives to robotics, with similar accuracy levels. Patient demand for robotic interventions is influenced by perceived superiority, warranting careful consideration of public sentiment. This article also underscores the need for future spine surgeons to maintain proficiency in traditional techniques. The influence of industry and key opinion leaders in steering the focus toward pedicle screw placement is discussed, emphasizing the need for a more holistic approach. Accessibility issues and legal considerations in the evolving field of spinal robotics are addressed, and the potential for robotics to enhance various aspects of surgical procedures beyond pedicle screw placement is explored. In conclusion, we advocate for a shift in focus in spinal robotics, emphasizing the untapped potential to streamline common surgical procedures (such as discectomy, laminectomy, and endoscopy), enhance precision, and improve patient outcomes in areas beyond pedicle screw placement. Future advances in spinal robotics have the potential to transform the surgical landscape, benefitting all stakeholders, including patients, surgeons, and hospitals.

Internet-based cognitive behavioral therapy for individuals with gambling disorder in Indonesia: protocol for a pilot and feasibility study.

Gambling disorder (GD) has become a wide concern in Indonesia, as many negative consequences arise from this psychiatric condition. Prompt treatment with an appropriate method of delivery is required to achieve optimal outcomes in GD patients. This protocol paper outlines a study to determine the effectiveness, acceptability, and feasibility of internet-based cognitive behavioral therapy (iCBT) in treating GD in Indonesia. This non-randomized pilot and feasibility study will recruit 20 people with GD. All participants will receive the iCBT intervention through self-learning videos and guided weekly group sessions. The effectiveness of the intervention will be assessed at baseline (week 0), post- treatment completion (week 10), and 6 weeks post-treatment (week 16). The outcomes measured will be the change in gambling symptoms, gambling urges, cognitive distortions, readiness to change, emotional problems, and quality of life of the participants. The feasibility of iCBT for GD patients in Indonesia will be assessed by this study. The study's results will give an indication of the acceptability of the intervention and the feasibility of a subsequent conclusive trial. The delivery of iCBT may help to address the issue of treatment access in an extensive geographical region and provide immediate implications as a treatment resource for GD in practice.

Upaya Pemerintah Dalam Mengelola Diversity Sumber Daya Manusia Di Kecamatan Gunungsitoli Barat

Kecamatan Gunungsitoli Barat is an area rich in cultural diversity, religion and strong customary traditions, and is inhabited by people with diverse ethnic backgrounds, including Batak and Malay. This diversity, although a great potential, also presents challenges for sub-district government organizations, especially in managing ethnic and cultural differences that can trigger social tensions. Issues of discrimination and unequal access to economic resources and employment opportunities are also issues that require serious attention. In addition, the limited political participation of some groups threatens the balance of representation in the sub-district government. This research uses a qualitative approach with a case study method to identify the challenges faced by the sub-district government in managing human resource diversity. The results show that appropriate strategies and policies are needed to create harmony in managing such diversity. Three main efforts that can be made by the sub-district government include: a) organizing cross-cultural training programs, b) implementing inclusive policies to ensure equal opportunities for all individuals, and c) building a monitoring and evaluation system to ensure effectiveness and transparency in managing HR diversity.

Abstract B128: Underlying factors influencing kidney cancer surgical treatment disparities: Patients, non-patient community members and urologists’ perspectives

Abstract Background: Racial and ethnic minority patients often delay or forgo kidney cancer (KCa) surgical treatment and have an invasive surgical treatment. This study aimed to understand the underlying factors of KCa surgical treatment disparities through interviews with KCa patients and non-patients from racial and ethnic minority communities in Arizona and online surveys with urologists who practice in the U.S. Methods: We conducted phone interviews with KCa patients (n=13) and interviews at health events with community members without KCa (n=61). Online surveys were conducted with urologists (n=54). Results: Many interview participants had healthcare access issues with 22% reporting not having a primary care doctor and 12% reporting that there was a time when they could not see a doctor because of cost. Almost 50% reported that they had delayed care because they could not get an appointment soon enough. Among 10 patients who responded to a question about diagnosis delay, 4 answered that they waited over a year to see their doctor when they had health issues before their diagnosis. A quarter of community participants (25%) and about a third of patients (31%) reported that cultural values or religious beliefs influenced their choice of treatment. When community participants were asked what they knew about KCa symptoms and treatments, many did not provide relevant or correct information. Only 51% of non-patients reported that they trusted their doctor’s judgements about their medical care, but 92% of patients reported that they trusted their doctor’s judgement. About 30% of urologists reported that patients from racial and ethnic minority backgrounds often have healthcare access challenges, but only 9% responded that NHW patients often have challenges. They did not report that racial and ethnic differences in treatment exist. About 10% of urologists reported socioeconomic backgrounds of patients affect treatment decision and timeliness often or all the time. Only 46% reported that they refer patients to necessary services all the time, when patients express concerns of finance and healthcare access challenges. Many urologists strongly or slightly agreed that treatment decisions should be made by the treating clinicians (82%) and based on clinical information (87%). Many also strongly or slightly agreed that patients and their family members should contribute to decision-making (98%), while 46% strongly or slightly agreed that patients’ cultural and religious backgrounds often affect their treatment choices. In open-ended questions, urologists responded that work and family obligations, healthcare access, and health literacy rather than race and ethnicity are factors influencing treatment, while mistrust was identified as one of factors influencing treatment delay. Conclusions: Barriers to healthcare access, lack of knowledge, and mistrust before diagnosis may be underlying factors among patients, while urologists view healthcare access, social and economic factors, and mistrust influence KCa surgical treatment decision and delay. Citation Format: Ken Batai, Alex Cruz, Juan Adrover, Daphne Larose, D'Andre Gomez, Francine C. Gachupin, Jacquanette R. Slowtalker, Benjamin R. Lee, Juan Chipollini. Underlying factors influencing kidney cancer surgical treatment disparities: Patients, non-patient community members and urologists’ perspectives [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B128.

The potential of a hygiene-based message, preferred learning modalities, and *iLubricarte, Liberarte, Lavarte+!" or L 3 + for the prevention of HIV/STI in Peru.

Hygiene-based practices of lubrication, genital cleansing, postcoital urination, and rectal douching are common behaviors among populations at higher risk of human immunodeficiency virus (HIV)/sexually transmitted infections (STI). Yet, the role these behaviors have on HIV/STI risk has not been well elucidated, especially among transgender women (TW) and gay, bisexual, and other men who have sex with men (GBMSM). Additionally, advances in biomedical strategies have heralded a new era of HIV/AIDS prevention that may be accompanied by behavioral changes that lead to decreases in condom usage and subsequent changes to STI sequelae. Nevertheless, many people at higher risk are not benefiting equally from these options, strengthening the need for more sustainable, evidence-based methods. This study explored the knowledge, attitudes, and behaviors of hygiene-based practices, proven preventative methods, and preferred learning methods among Peruvian TW and GBMSM. 30 interviews and 50 questionnaires were conducted with TW (N=35), GBMSM (N=35), healthcare providers (N=5), and key community informants (N=5). Most participants perceived hygiene-based practices to be common behaviors and a significant aspect of sexual wellbeing. Educational materials utilizing social media and hosting in-person events were also viewed favorably, with value to enhancing HIV/STI knowledge. Several barriers to autonomy surfaced in the data, including systemic disparities to adequate HIV/STI services, top vs. bottom social dynamics, and PrEP accessibility issues. Continued work is needed to address the barriers to the acceptability, feasibility, and potential efficacy of hygiene-based practices, biomedical/barrier strategies, and L 3 +.

Contentious press freedom: Media law and the Supreme Court in the Philippines

The legal environment particularly the body of laws that regulate media operations are telling, yet underexplored, indicators of press freedom. Using the analytical concept of episodes of contention based on a reading of contentious politics, the article examines the ambivalent state of press freedom in the Philippines. The argument is that the protracted issues of media access and libel serve as two episodes of contention that identify extant and emerging sets of actors, mechanisms, and claims that collectively characterize the role of media law in the body politic. Drawing from interviews with journalists and review of the Supreme Court rulings about media access and libel, the hope is to underscore the potential and limits of the Court as an ally of the media in advancing press freedom. The decision of the Court does not at all times favor a liberal interpretation of press freedom but it deploys ways including dissenting opinions that can balance, if not outrightly oppose, the occasional negative view of the Court toward media-related cases.

Opportunity and Opportunism in Artificial-Intelligence-Powered Data Extraction: A Value-Centered Approach.

Radiologists' traditional role in the diagnostic process is to respond to specific clinical questions and reduce uncertainty enough to permit treatment decisions. This charge is rapidly evolving due to forces such as artificial intelligence [AI], big data [opportunistic imaging, imaging prognostication], and advanced diagnostic technologies. A new "modernistic" paradigm is emerging whereby radiologists, in conjunction with computer algorithms, will be tasked with extracting as much information from imaging data as possible, often without a specific clinical question being posed and independent of any stated clinical need. In addition, AI algorithms are increasingly able to predict long-term outcomes using data from seemingly normal examinations, enabling AI-assisted prognostication. As these algorithms become a standard component of radiology practice, the sheer amount of information they demand will increase the need for streamlined workflows, communication, and data management techniques. In addition, the provision of such information raises reimbursement, liability, and access issues. Guidelines will be needed to ensure all patients have access to the benefits of this new technology and guarantee mined data do not inadvertently create harm. In this article, we discuss challenges and opportunities relevant to radiologists in this changing landscape, with an emphasis on ensuring that radiologists provide high-value care.

“Impacts of neo-banks on North African migrants’ remittances and financial inclusion”

This study examined remittance trends and financial institution preferences among North African migrants in Europe and assessed neobanks' potential to foster financial inclusion and cost reductions. The main objetive was to explore how neobanks can alleviate economic pressures on North African migrants and help achieve the World Bank Group's goal of reducing remittance costs to 5 % and the UN-SDG target of 3 %. Exploratory in nature, both surveys and interviews were used for data collection. The sample consisted of 64 North African migrants from Morocco, Tunisia, and Algeria (North Africa) residing in France, Spain, and Italy (EU). Key findings revealed that North African migrants had diverse remittance behaviors, with varying frequencies and amounts sent home. Trust in traditional banks remained high due to familiarity, cultural norms, and accessibility issues in rural areas. However, neobanks offered significant cost savings, with potential annual savings ranging from €30 to €134 depending on the monthly remitted amount that ranges between a €100 and a €1000 . Adoption of neobanks was higher among younger, and digitally literate migrants with better access to technology. Barriers to wider adoption of neobanks included limited digital and financial literacy, lack of necessary technology in home countries, and cultural resistance to change. High regulatory and compliance costs for traditional banks also contributed to inflated remittance fees. To address these issues, the paper recommends enhancing market competition, improving access to new payment technologies, encouraging larger remittances through incentives, learning from successful public bank models like France's La Banque Postale, and fostering financial literacy and digital inclusion. Additionally, it suggests building trust and cultural sensitivity, investing in robust cybersecurity measures, and developing offline transaction capabilities to increase accessibility for migrants in remote areas.

Migrant Women in the UK’s Digital Economy: The Elimination of Labour Market Barriers in the Digital Labour Market

This research paper delves into the complexities migrant women face within the UK labour market, with a specific focus on the digital economy’s role as both a barrier and a conduit for employment opportunities. Migrant women in the UK encounter dual barriers to labour market entry: systemic challenges rooted in migration and gender biases, and the digital divide that exacerbates access and inclusion issues within the burgeoning digital economy. Through an exploratory descriptive analysis, this study explores how digitalism—defined as the integration of digital technologies into economic and societal practices—circumvents traditional labour market entry barriers such as languages barriers. By setting out the grounds for a potential hypothesis and further research in the era of AI, this paper underlines how through the implementation of AI tools, traditional barriers such as language barriers are eliminated in the digital labour market.

‘Road runners’ and Fanta: Intersectional cultural food in/security among Zimbabwean migrants living in UK cities

The incidence of food insecurity among migrant and diasporic communities living in rich global North cities is growing. A key dimension of this is the absence of culturally appropriate food which is integral to both feeding and nourishing mobile bodies. In this paper, we deploy an intersectional approach to cultural food in/security to explore the foodscapes of Zimbabwean communities living in British cities. We unpack how and why food cultures are critical in shaping migrant experiences of food in/security and the diversification of food cultures over time and place and mediated by intersectional subjectivities. We map local, regional and transnational food supply chains as migrants seek to redress issues of access and availability to source foods familiar to them to maintain the cultural significance of food and food practices within families and diaspora communities.

A Review and Bibliometric Analysis of Studies on Advances in Peripheral Nerve Regeneration.

Peripheral nerve injuries (PNIs) pose significant clinical challenges due to their complex healing processes and the often incomplete functional recovery. This review and bibliometric analysis aimed to provide a comprehensive overview of advancements in peripheral nerve regeneration research, focusing on trends, influential studies, and emerging areas. By analyzing 2921 publications from the Web of Science Core Collection, key themes such as nerve regeneration, repair, and the critical role of Schwann cells were identified. The study highlights a notable increase in research output since the early 2000s, with China and the United States leading in publication volume and citations. The analysis also underscores the importance of collaborative networks, which are driving innovation in this field. Despite significant progress, the challenge of achieving complete functional recovery from PNIs persists, emphasizing the need for continued research into novel therapeutic strategies. This review synthesizes current knowledge on the mechanisms of nerve regeneration, including the roles of cellular and molecular processes, neurotrophic factors, and emerging therapeutic approaches such as gene therapy and stem cell applications. Additionally, the study revealed the use of nanotechnology, biomaterials, and advanced imaging techniques, which hold promise for improving the outcomes of nerve repair. This bibliometric analysis not only maps the landscape of peripheral nerve regeneration research but also identifies opportunities for future investigation. This study has some limitations, including reliance on the Web of Science Core Collection, which may exclude relevant research from other databases. The analysis is predominantly English-based, potentially overlooking significant non-English studies. Citation trends might be influenced by shifting research priorities and accessibility issues, affecting the visibility of older work. Additionally, geographical disparities and limited collaboration networks may restrict the global applicability and knowledge exchange in this field.

West Virginia forest landowners’ preferences for forest carbon offset programs

Several carbon offset programs allow West Virginia (WV) forest landowners to manage their forests to mitigate climate change and promote forest sustainability while providing an opportunity to earn extra income through carbon offset credits. While this market has grown rapidly, accessibility issues for small family forest owners remain. This study examines WV forest landowners’ insights and understanding of forest carbon offset programs and program preferences through an online survey of WV's Managed Timberland Program participants. Results showed that 97 % of respondents find it important to keep their land forested and 41 % think that carbon offset programs will help keep their land forested. However, the majority have no knowledge of carbon offset programs (55 %) nor an understanding the credit generation process (60 %). An econometric model was estimated to examine the influence of program attributes to landowners’ decision to enroll in a carbon offset program. Survey results suggest that landowners will more likely participate in carbon offset programs that require shorter time commitment (1–5 years), pay higher revenues, allow harvest or limited harvest restrictions, and do not charge an early withdrawal penalty. For example, a $1 increase in revenue payment raises the probability of enrolling in a carbon offset program by 1.2 %. However, extending the time commitment from 1 to 5 years to 40 years or 100 years decreases the probability of enrollment by 10.3 % and 17.4 %, respectively. Additionally, prohibiting harvest and imposing an early withdrawal penalty decrease the probability of enrollment by 18.1 % and 9.5 %, respectively. Landowners expressed greater willingness to enroll if they believe it is important to keep their land forested, they have familiarity and knowledge of the carbon offset market, and they believe carbon offset programs will help keep their land forested. Age, educational level, and length of ownership were also found to be significant factors in influencing landowner participation in forest carbon offset programs. Lastly, a welfare estimate, or landowners’ willingness-to-accept (WTA), was estimated for each of the program attributes. Surveyed landowners’ WTA payment for a carbon program was $22/ha/year or $37/ha/year greater if program duration increased from 1 to 5 years to 40 years or 100 years, respectively. In addition, landowners’ WTA payment was $39/ha/year greater if a “no harvest” requirement is implemented and $19/ha/year more if a penalty for early withdrawal is imposed. This study shows how factors like duration, payment, harvest restrictions, and withdrawal penalties influence landowner enrollment in carbon offset programs. By examining the preferences and decision-making processes of forest owners, this research fills a critical gap in the literature by providing insights into the drivers of program participation. The findings contribute to a better understanding of how to design more effective carbon programs that align with landowner motivations, ultimately supporting climate mitigation goals and sustainable forest management practices.

Early insights into SLA with chatGPT: Navigating CS teachers and student perspectives in an opinion-based exploration

This study explores the integration of ChatGPT into Social Learning Analytics (SLA) to support programming education among computer science students at Mustapha Stambouli University, Mascara, Algeria. Utilizing a mixed-methods approach, the research combines quantitative surveys and qualitative analysis of recorded interactions of one example and interviews to examine the effectiveness, challenges, and perceptions of ChatGPT’s use in programming tasks across Arabic, French, and English. The study involved 57 students and five teachers, providing a comprehensive view of ChatGPT’s impact on learning experiences, engagement patterns, and programming performance. Results indicate that ChatGPT is frequently used as a supplementary tool, especially for programming-related queries, debugging, and last-minute assistance before deadlines. The tool’s adaptability to students’ needs, combined with its ease of use, enhances its perceived value in supporting independent learning. However, the limitations of the free version—such as restricted access, slower response times, and occasional inaccuracies—were frequently cited as barriers to consistent, effective use. Teachers acknowledged ChatGPT’s role in easing instructional burdens but emphasized the need for critical oversight to prevent over-reliance on AI-generated content. Ethical concerns regarding data privacy, academic integrity, and the quality of AI feedback were highlighted as key issues requiring attention. Interestingly, a significant portion of students expressed the belief that AI, including ChatGPT, could potentially replace human programmers in the near future, reflecting both optimism and concern about the evolving role of AI in the field. Despite this, educators maintained that while ChatGPT can augment programming education, human intuition, creativity, and contextual understanding remain irreplaceable. The study concludes that ChatGPT’s integration into SLA offers substantial opportunities to enhance educational support and enrich data on student learning behaviors. However, addressing accessibility issues, enhancing multilingual support, and mitigating ethical challenges are critical for maximizing the tool’s effectiveness. The findings underscore the importance of a balanced approach that leverages AI’s strengths while maintaining the essential role of human expertise in education and programming.