Mapping Sessions Research Articles

Effect of concept mapping education on clinical decision-making in nursing students: A randomized controlled trial

Clinical decision-making is a critical and essential skill in clinical care. Nurses' proficiency in proper clinical decision-making significantly improves the quality of nursing care. As an active learning approach, concept mapping education plays a vital role in deep learning and applying critical thinking skills in clinical decision-making. This study aimed to investigate the impact of concept mapping on clinical decision-making in nursing students. The study was an experimental design with two groups, where participants were randomly assigned to the test group (25 students) or the control group (25 students). Data were collected using the clinical decision-making questionnaire. Based on relevant literature, the test group participated in eight concept mapping sessions lasting 60 to 90 minutes each, while the control group received traditional lecture-based education. Covariance analysis, excluding the effect of the pre-test, showed no significant difference (P=0.86, eta=0.01). Still, a paired t-test revealed a significant difference in the test group before and after the intervention (P<0.01). The results demonstrated that concept mapping education enhances clinical decision-making. Therefore, this teaching method, which promotes students' reflection, creativity, and decision-making skills, is recommended in nursing education. Concept mapping is an effective, innovative, and cost-efficient educational strategy.

Navigating Alert Fatigue: A Case Study in Electronic Health Record Alert Design Optimization.

Clinical decision support (CDS) systems play a crucial role in enhancing patient outcomes, but inadequate design contributes to alert fatigue, inundating clinicians with disruptive alerts that lack clinical relevance. This case study delves into a quality improvement (QI) project addressing nursing electronic health record (EHR) alert fatigue by strategically redesigning four high-firing/low action alerts. Employing a mixed-methods approach, including quantitative analysis, empathy mapping sessions, and user feedback, the project sought to understand and alleviate the challenges posed by these alerts. Virtual empathy mapping sessions with clinical nurses provided valuable insights into user experiences. Qualitative findings, CDS design principles, and organizational practice expectations informed the redesign process, resulting in the removal of all four identified disruptive alerts and redesign of passive alerts. This initiative released 877 unactionable disruptive nursing hours, emphasizing the significance of proper alert design and the necessity for organizational structures ensuring sustained governance in healthcare system optimization.

Assessment of domestic pig–bushpig (Potamochoerus larvatus) interactions through local knowledge in rural areas of Madagascar

In many parts of the world, domestic and wild animal populations interact at the interface between natural and agricultural ecosystems. Introduced with the first inhabitants arriving from eastern Africa, the bushpig (Potamochoerus larvatus) is the largest living terrestrial mammal in Madagascar. Bushpigs are regularly reported close to human settlements where they damage crops and gardens. As domestic pigs are often raised in free-ranging conditions around the villages, bushpigs and domestic pigs can interact leading to the transmission and circulation of shared swine pathogens that impact both animal and human health. In this study, we characterized the socio-ecological context of bushpig–domestic pig interactions in two different regions of western Madagascar. We conducted participatory mapping sessions and focus group interviews with 65 hunters, 80 pig farmers and 96 crop farmers in 20 fokontany, the smallest administrative unit in Madagascar. After discussing with participants, we gathered information about the spatialization of interactions and their potential geographical drivers. We explored data by performing multiple correspondence analysis and hierarchical clustering on principal components. Based on the reported occurrence or absence of bushpig-domestic pig interactions we were able to classify areas with high or intermediate levels of interactions or no interactions at all. Interactions between the two pig species were reported in only 25% of the fokontany assessed. Even though both suid species were attracted to fruit trees, crops, and water sources, only indirect interactions in those spots were reported. Direct interactions were reported in 10% of cases and referred to interspecific sexual and/or agonistic behavior. The participatory methods used to acquire local knowledge about natural events were confirmed as valuable, low-cost exploratory methods to characterize areas with wild-domestic animal interactions. The results of this study will help plan future studies to characterize the interface between the two species from an ecological or epidemiological perspective using more sensitive and sophisticated ecological approaches.

Stigma and discrimination faced by adolescents living with HIV and experiencing depression in Malawi

BackgroundIn Malawi, approximately 25% of adolescents living with HIV (ALWH) also suffer from depression. Not only is HIV stigma a major contributor to depression but it also adversely impacts HIV care engagement. ALWH can experience HIV stigma as stereotyping, social exclusion, low social support, and abuse, and these experiences are associated with poor mental health. Despite recognition of the deleterious effects of HIV stigma, we have limited knowledge of how stigma is experienced by ALWH with comorbid depression. Guided by the Health Stigma and Discrimination Framework, we describe stigma faced by ALWH and comorbid depression in Malawi and its implications for future interventions.MethodsAs part of a larger formative study to adapt a mental health counseling intervention, we conducted in-depth interviews, social support mapping sessions, and focus-group discussions with 25 ALWH, 4 caregivers of ALWH, 3 HIV providers, and 5 participants and 5 staff of a prior mental health counseling intervention. After analyzing the stigma codes, we used the Health Stigma and Discrimination Framework to organize the data into four key domains: drivers, manifestations, outcomes, and health and social impacts.ResultsMajor drivers of HIV stigma included fear of HIV transmission, negative effects of antiretroviral therapy (ART), association with death, inaccurate knowledge, and negative attitudes towards ALWH. The most common manifestations of HIV stigma were gossip, insults and mocking, and physical and social distancing. Decreased ART adherence and missed HIV appointments were commonly cited outcomes of HIV stigma. Broader health impacts of HIV stigma were notable for mental health comorbidities including depression, anxiety, substance use, and suicidality. Identified resilience strategies included support for HIV care engagement and psychosocial support from family and friends.ConclusionsThis study systematically describes the stigmatization process faced by ALWH and experiencing depressive symptoms in Malawi. Notably, HIV stigma continues to disrupt HIV care and detrimentally impacts mental health during adolescent development. Further studies focused specifically on stigma are needed to better characterize this process and identify additional resilience factors. Investment in stigma-reduction interventions for ALWH is needed to avert poor mental health and HIV outcomes.

Empowerment Among Adolescent Girls in Nepal: A Concept Mapping Exploratory Study.

The concept of empowerment is challenging to operationalize and measure; it is multidimensional, the outcomes are not always directly observable, and meanings of empowerment are highly contextual and socially and culturally situated. This study aimed to explore perspectives of empowerment among adolescent girls in Nepal to identify statements for inclusion in a context-specific empowerment measure. We used a participatory and mixed method research method called concept mapping in 3 districts in Nepal. Three sequential concept mapping sessions were used to solicit, organize, and process how participants responded to the prompt: "The life of an adolescent girl improves when she has/can…" The Concept Systems Global software was used to manage and analyze the concept mapping brainstorming, sorting, and rating data using established tools, such as multidimensional scaling and cluster analysis. Concept mapping was conducted with 113 participants, including national experts, program staff, adolescents, and their mothers. They identified 105 items that fall into a 4-cluster solution: education and knowledge, decision-making, supports and skills, and physical infrastructure. Rating data uncovered there was some overlap between the top 10 most important items between the national-level experts and other stakeholder groups; however, several components associated with empowerment differed by stakeholder group in terms of importance. This research represents a critical step in exploring definitions of empowerment among adolescent girls in the Nepal context and with expert input. These results led to the development of a contextually specific definition of empowerment. Researchers and practitioners interested in developing context-specific understandings of complex topics that incorporate community voices and perspectives could use a similar concept mapping approach in other countries to explore various topics with diverse populations.

Supporting underrepresented students in health sciences: a fuzzy cognitive mapping approach to program evaluation

BackgroundThe Students Training in Academia, Health, and Research (STAHR) Program at the University of Missouri-Kansas City (UMKC) strives to help students from low-income families that have experienced educational challenges due to poverty and prepare them to enter, persist, and graduate from a health sciences degree program at UMKC. Students in the program participated in fuzzy cognitive mapping (FCM) sessions to ensure that all voices of the program were heard to improve program implementation, and student success, and contribute to an equitable educational environment.MethodsFuzzy Cognitive Mapping sessions for the 2020–2021 cohort of students (n = 52) were conducted to assess the strengths and weaknesses in program implementation, especially through the beginning of the COVID-19 pandemic. Students’ maps were coded by a team of researchers and then confirmed using confirmatory factor analysis.ResultsStatistical analyses reveal that mentorship, workshops, and social support helped students to work toward their goal of obtaining a professional health sciences degree, while a lack of time, remote learning, and outside stressors inhibited their opportunities for success.ConclusionsThe findings from a multipronged analysis of mapping data demonstrate the value of this innovative approach to the field, especially when looking to incorporate student voices.

Concept mapping sociocultural aspects of cervical cancer prevention among African American women.

For African American women in Houston, cervical cancer mortality is disproportionate to their racial and ethnic counterparts. Most notably, lack of human papillomavirus (HPV) screening and vaccination as well as late diagnosis increase cervical cancer mortality. However, cervical cancer is largely preventable. While previous research has identified a few social determinants that are specifically related to cervical cancer (e.g., education, income, neighborhood), there may be a host of additional social and cultural factors that contribute to a lack of preventative behavior. The present study used concept mapping to explore sociocultural determinants of cervical cancer prevention beliefs among young African American women. N = 15 African American women, ages 18-25, participated in a group concept mapping session focused on cervical cancer knowledge, beliefs about women's health, and how their social environment and culture play a role in their conceptualization of cervical cancer prevention. Five overarching concepts emerged: (1) Screening, (2) Support System, (3) Cervical Cancer 101 (knowledge), (4) Fatalism, and (5) Ease of Prevention. The present study highlights the use of concept mapping for prevention science, particularly in exploratory studies for understanding cervical cancer screening barriers, avenues for intervention, and public health messaging. We discuss the findings and implications for public health research in cervical cancer prevention tailored for African American women.

Pendampingan Peningkatan Human Capital Melalui Eksplorasi Dimensi Visual di Kampung Tridi, Malang

Tridi Village is a village located in Malang City, Indonesia, which is famous for the uniqueness and beauty of the 3D wall paintings that decorate the entire village. These paintings create an interesting visual atmosphere, reflecting local art, culture and traditions. Tridi Village has become a popular tourism destination that attracts tourists with its unique charm. Apart from the wall art, this village also has cultural heritage and local crafts which are an additional attraction. Increasing tourism attractiveness through innovative digital marketing strategies is expected to have a positive impact on economic growth and welfare of the people of Tridi Village. This research explores the application of creative thinking methods in developing digital marketing strategies to increase the tourism attractiveness of Kampung Tridi. Through brainstorming and mind mapping sessions, the people of Kampung Tridi are actively involved in generating innovative ideas related to the potential of tourism, arts and local culture. Brainstorming sessions create a collaborative space without critical boundaries, while mind mapping graphically visualizes the relationships between ideas. The result is an integrated digital marketing strategy, designed to increase tourist visits and empower the local economy. Implementation of this strategy requires active community involvement and full support from the local government.

Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury.

Cervical or upper-thoracic spinal cord injury (SCI, ≥T6) often leads to low resting blood pressure (BP) and impaired cardiovascular responses to acute exercise due to disrupted supraspinal sympathetic drive. Epidural spinal cord stimulation (invasive, ESCS) and transcutaneous spinal cord stimulation (non-invasive, TSCS) have previously been used to target dormant sympathetic circuits and modulate cardiovascular responses. This case series compared the effects of cardiovascular-optimised ESCS and TSCS versus sham ESCS and TSCS on modulating cardiovascular responses and improving submaximal upper-body exercise performance in individuals with SCI. Seven males with a chronic, motor-complete SCI between C6 and T4 underwent a mapping session to identify cardiovascular responses to spinal cord stimulation. Subsequently, four participants (two ESCS and two TSCS) completed submaximal exercise testing. Stimulation parameters (waveform, frequency, intensity, epidural electrode array configuration, and transcutaneous electrode locations in the lumbosacral region) were optimised to elevate cardiovascular responses (CV-SCS). A sham condition (SHAM-SCS) served as a comparison. Participants performed arm-crank exercise to exhaustion at a fixed workload corresponding to above ventilatory threshold, on separate days, with CV-SCS or SHAM-SCS. At rest, CV-SCS increased BP and predicted left ventricular cardiac contractility and total peripheral resistance. During exercise, CV-SCS increased time to exhaustion and peak oxygen pulse (a surrogate for stroke volume), relative to SHAM-SCS. Ratings of perceived exertion also tended to be lower with CV-SCS than SHAM-SCS. Comparable improvements in time to exhaustion with ESCS and TSCS suggest that both approaches could be promising ergogenic aids to support exercise performance or rehabilitation, along with reducing fatigue during activities of daily living in individuals with SCI.

Creating a patient reported outcome measure for medication-related quality of life: a concept mapping brainstorming study in Ontario, Canada

Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. 
 Target Audience: The target audience for our study findings are healthcare providers working with individuals with mobility limitations across different healthcare settings. 
 Who was involved: This study included patient and caregiver partners. They were involved in the grant application, study participant recruitment, data collection, and final data analysis. This study also involved healthcare providers who supported participant recruitment and will be knowledge users, including pharmacists, physicians, and physical therapists. 
 Aims and Methods: The aim of this study was to identify a list of potential items for the creation of a patient reported outcome measure (PROM) from the perspectives of individuals with mobility limitations who take medications. We used a mixed methods concept mapping approach to gather perspectives from across Canada. Here, we report on the results of the qualitative brainstorming phase of the study. Participants created a list of statements reflecting what matters to them about their medications in their everyday life. The statements were de-duplicated and condensed, following which, they were thematically analyzed and mapped onto common quality of life domains. 
 Results: Twenty-two persons with mobility limitations across Canada participated in this study. Six hundred and ninety-four statements were condensed into 80 final statements. The final statements mapped onto common quality of life domains (physical health; mental health; employment/social/leisure activities; daily activities; interactions with providers; navigating the healthcare system; autonomy and decision-making; financial health) indicating a comprehensive list of items for the creation of the PROM. In addition, we identified some mobility limitation specific concepts relating to barriers to physically accessing medications and necessary testing, and to perceived health plan or policy restrictions.
 Learnings for the international audience: Results from this study emphasized the importance of including patient autonomy, decision-making and financial concerns, which are often excluded from other measures related to medication taking and QoL. Additionally, we identified other topics that matter to individuals such as impact on lifestyle activities, patient self-management, ease of access to medications and necessary testing, as well as financial challenges associated with medication taking. 
 Next Steps: The next phases of concept mapping will be conducted, which will identify statements that are important and realistic to individuals with mobility limitations and a final conceptual mapping session. Statements that are rated highly on both scales will inform the development of items for the PROM, which will be validated in future work. In developing and validating a PROM for medication-related QoL, we aim to provide clinicians with an invaluable tool to enhance and monitor clinical care and patient outcomes. We envision this PROM might be used to inform overall medication management.

How a nursing navigation role enhances patient recovery across Orthopedic Integrated Pathways

Introduction: Our academic urban institution developed an integrated care pathway that has significantly improved patient transitions to outpatient rehabilitation after total joint replacement (TJR) and as patients requested, supports their earlier discharge from a hospital to home to recover. Early recovery at home has identified a need for care navigation, particularly for patients with a higher complexity of medical and social issues. Implementation of a nursing role for care navigation into our existing integrated pathways would provide support for patients receiving TJR surgery ensuring better coordination of services in their community. 
 Aims, Objectives and Methodology: Our objective was to evaluate an IC nursing lead (ICL) role embedded in our existing orthopedic TJR integrated pathway to support “extended” care patients to safely discharge home. Process mapping sessions conducted in 2019-20, that included key stakeholders and patient partners, identified gaps in communication and care coordination before and after surgery affecting overall patient experience and surgical recovery.
 “Extended” care patients were identified by the orthopedic care team using a standardized referral form developed in conjunction with the ICL. Patients were contacted 1-2 weeks pre-surgery and supported at various pre-operative time points with care coordination. An in-person visit with the patient occurred on the day of surgery and prior to discharge from hospital. A standard 24-hr post-op phone call was completed once the patient returned home. The ICL could be engaged by the patient or care team at any point across the TJR journey (between consent and day of surgery, acute inpatient stay, and up to 90 days post-surgery.
 Key Findings: The ICL role, piloted in March 2022, started with gradual enrolment of patients across 2 arthroplasty surgeons. By August 2022, all 6 arthroplasty care teams (surgeons, physiotherapist practitioners, fellows, physician assistants and admins) were committed to this model of care. ICL patients were 41% male and 59% female ranging in age from 50-92 (mean age of 78). Inpatient pts represented 94% (ALOS 1-2 days). Discharge (DC) disposition patterns aligned with existing best practice guidelines. Discharge coordination made up the bulk of support (82%) provided by the ICL. Other key themes and interventions included emotional reassurance (32%), education/expectation setting (30%), information on community resources and services (18%), arrangement of homecare (6%), other miscellaneous questions (5%). The average time spent for care coordination was 90 mins per patient over the 90 day period.
 Qualitative report from ICL patients revealed improved patient experience with the degree of detail and support provided. "I'm so glad I can call you. I don't always know who to talk to when I have questions". "It's so good to have someone pick up the phone when I need an answer when everything is closed".
 Conclusions: Early findings highlight the benefits of an ICL in improving care quality of patients undergoing TJR and enabling coordinated transitions post discharge from hospital through to their recovery at home. As hospital stays for TJR becoming exceedingly shorter this type of role becomes even more critical, especially with increased patient needs in the aftermath of COVID-19.
 

Concept mapping brainstorming results for improving care transitions for adults with hip fracture in Ontario, Canada

Introduction: Individuals who have experienced a hip fracture often undergo numerous transitions in care between providers and sectors. These transitions are a time of vulnerability with the potential for poor health outcomes and experiences, yet there are limited recommendations on how to improve this care journey for adults with hip fracture.
 Target Audience: The target audience for our study include decision-makers and providers with a hip fracture portfolio, as well as patients who have experienced a hip fracture and their unpaid caregivers. 
 Who was involved: This study included patient and caregiver partners. They were involved in the grant application, study participant recruitment, data collection, and final data analysis. This study also included healthcare provider and decision-maker partners who supported participant recruitment and will be knowledge users. 
 Aims and Methods: The aim of this study was to create a list of actionable recommendations to improve care transitions for individuals with hip fracture from the perspectives of patients, caregivers, providers, and decision-makers. We used a mixed methods concept mapping approach, to gather perspectives from these key stakeholders in Ontario, Canada. Here, we report on the results of the first phase of the concept mapping study. Participants created a list of statements that they felt would improve care transitions for individuals who had experienced a hip fracture. The statements were analyzed inductively and grouped thematically. 
 Results: Thirty-two individuals participated in the brainstorming phase of this study (2 patients, 5 caregivers, 21 providers, 4 decision-makers). They created 887 statements that were condensed by the research team into 72 final statements. The final statements were grouped into seven main themes and were divided into four domains for care transition improvement. The first is the patient-related domain, which encompassed two themes: self-management and self-management-support, and rehabilitation therapy and activities. The second domain is provider-related and includes: healthcare provider skills and communication and trust. The third domain includes two system-related themes: continuity of care and health system efficiencies. The last domain relates to care processes with one theme: transition planning and follow up care. 
 Learnings for the international audience: Previous literature on improving care transitions has had focused primarily on the transfer of information between care providers with little emphasis on the caregiver/patient role. Our results, however, highlight the importance of meaningful patient and caregiver engagement, with active involvement in all aspects of care including the transition process. Further, many statements created by our participants included policies, assessments, and care specific to individuals with hip fracture and cognitive impairment/delirium, emphasizing this as an important area for consideration when aiming to improve care transitions. 
 Next Steps: The next phases of concept mapping will be conducted, which will include statement sorting and rating (importance and priority). A final concept mapping session will be held integrating the qualitative and quantitative data and an opportunity to reflect on the findings with key stakeholders. Statements that are rated highly importance and priority will inform actionable recommendations to improve care transitions for hip fracture.

Sovereign at heart: photovoice, food mapping and giving back in Alberni-Clayoquot

ABSTRACT This article reflects on a year-long project that used both photovoice and food asset mapping methods in the Alberni-Clayoquot Region of British Columbia, Canada. Following others who emphasize reciprocation in research and the application of a heart-centered approach, this work had a two-fold purpose: 1) to give back to the community in which the researcher lived and worked, and 2) to create visual material and food policy guidance for the community. The photovoice project involved participants who were growers, processors, harvesters and/or foragers of food and resulted in multiple exhibitions of their work as well as a photobook distributed within the community. Alongside these, two separate food mapping sessions were completed with 42 participants which demonstrated that many residents associated food with human health, regional ecology, localization, production methods, social relations, economics, and spirit (metaphysics). We found these associations with food appear to indicate that many envision increasing regional food production by means of increasing food sovereignty. Our results (1) confirm that the research methods of photovoice and food asset mapping complement each other, (2), demonstrate the worth of giving back and the importance of a heart-centered approach to food systems’ research and change, (3) substantiate claims that the “Seven Pillars of Food Sovereignty” transcend borders and apply within Canada.

Transcutaneous Spinal Cord Stimulation to Stabilize Seated Systolic Blood Pressure in Persons With Chronic Spinal Cord Injury: Protocol Development.

Transcutaneous spinal cord stimulation (tSCS) is an emerging therapeutic strategy to target spinal autonomic circuitry to normalize and stabilize blood pressure (BP) in hypotensive persons living with chronic spinal cord injury (SCI). Our aim is to describe our current methodological approach to identify individual tSCS parameters that result in the maintenance of seated systolic blood pressure (SBP) within a pre-defined target range. The parent study is a prospective, randomized clinical trial in which eligible participants will undergo multiple mapping sessions to optimize tSCS parameter settings to promote stable SBP within a target range of 110-120 mm Hg for males and 100-120 mm Hg for females. Parameter mapping includes cathode electrode placement site (T7/8, T9/10, T11/12, and L1/2), stimulation frequency (30, 60 Hz), current amplitudes (0-120 mA), waveform (mono- and biphasic), pulse width (1000 μs), and use of carrier frequency (0, 10 kHz). Each participant will undergo up to 10 mapping sessions involving different electrode placement sites and parameter settings. BP will be continuously monitored throughout each mapping session. Stimulation amplitude (mA) will be increased at intervals of between 2 and 10 mA until one of the following occurs: 1) seated SBP reaches the target range; 2) tSCS intensity reaches 120 mA; or 3) the participant requests to stop. Secondary outcomes recorded include 1) symptoms related to autonomic dysreflexia and orthostatic hypotension, 2) Likert pain scale, and 3) skin appearance after removal of the tSCS electrode. Clinical Trials Registration: NCT05180227.

What facilitates or prevents academic fraud in a Colombian faculty of medicine-Protocol of a study using fuzzy cognitive mapping.

Academic fraud is any behavior that gives a student an undeserved advantage over another student. Few studies have explored the causes of and possible solutions to academic fraud in Latin America. We aim to map the knowledge of stakeholders in a Colombian faculty of medicine about the factors that facilitate and prevent academic fraud. Fuzzy cognitive mapping. We will use the approach proposed by Andersson and Silver to generate fuzzy cognitive maps representing stakeholder knowledge. This process consists of ten steps: (1) definition of the research question; (2) identification of participants; (3) generation of ideas; (4) rationalization of ideas; (5) organization and connection of ideas; (6) weighing; (7) pattern grouping; (8) list of links and digitization; (9) combination of maps and network analysis; and (10) deliberative dialogue. To draw the maps, we will invite medical students, interns, resident physicians, master's students, and professors in the faculty of medicine. Four medical students will receive training to facilitate the sessions. Participants will identify the factors contributing to academic fraud and their causal relationships. We will use a combination of network analysis and graph theory to identify the chains of factors with greatest influence on academic fraud. The maps will serve to discuss strategies to reduce academic fraud in the Faculty of Medicine and to identify factors that could be addressed in other contexts with similar problems. This research will allow the students who facilitate mapping sessions to learn about research techniques, fuzzy cognitive mapping and academic fraud. Study registration: Registered in OSF Registries on August 2nd, 2022. Registration number: osf.io/v4amz.

The Where, the How, and the Why of the gleaning fishery: Livelihoods, food security, threats and management on the island of Malalison, Philippines

Intertidal gleaning is a small-scale fishery (SSF) that is relatively little known, but contributes to the food security and income of many people. Yet, this SSF is not commonly considered in management planning, or policy development. This study investigates gleaning and its importance to food security and livelihoods of local people on the island of Malalison, Philippines, as well as the perceived threats to the coastal ecosystems where the gleaning occurs. In the study, 36 gleaners were interviewed and a participatory mapping session with 24 participants was held. The results reveal three distinct forms of gleaning in three different ecosystems around the island. The most common was walking gleaning within the rocky shorelines, followed by swimming or diving for invertebrates in shallow coral reef systems, and the collection of algae in a seagrass and algae meadows. While gleaning on average contributed to 9.57% of the monthly income of interviewees households, it was a primary source of income for 29% of women. For 81% of women and 33% of men gleaning was very important for the household food security. For men intertidal gleaning was considered a supplemental fishery when unable to perform regular SSF activities. The most commonly mentioned threat to coastal ecosystems was the increased impacts of typhoons (69.4% respondents), followed by an increase in gleaners (58.3%). Majority of the respondents stated gleaning should be regulated together with co-occurring SSF. Based on these results we discuss the importance of the gleaning for livelihoods and security, the implications of the existing threats, and the need to formally include gleaning in monitoring and management. We also suggest a need for both biological and social studies to provide science-based management guidelines. Understanding the gleaning practice is a prerequisite to address the obstacles and better plan for the management of this SSF.

A Multisession SLAM Approach for RatSLAM

To successfully perform autonomous navigation, mobile agents must solve the Simultaneous Localization and Mapping (SLAM) problem. However, acquiring the map in a single SLAM session may not be possible, thus the map may be incrementally built over multiple sessions. Two solutions could be considered to solve the multisession SLAM problem: (i) the robot must localize itself in the previously stored map before the new session starts; (ii) it can start a new map and merge it with the map from the previous sessions. To date, only scenario (i) has been addressed by RatSLAM, an algorithm inspired by the navigation system in rodent brains. Therefore, this work proposes a multisession solution that solves both scenarios. A new mechanism merges the data from the RatSLAM structures of the current mapping session with those previously stored if there are connections between these paths. This approach was tested in four different scenarios, from virtual controlled environments to real-world environments with two, three, and five sessions. The robot started in an unfamiliar location for each mapping session, but it also works if the agent starts in a known place, scenario (ii) and (i), respectively. For all experiments, the entire map was consistently obtained. Furthermore, the proposed approach updates and enhances the previous session’s map in real-world environments. Therefore, the proposed approach may be a multiple SLAM session solution for the RatSLAM algorithm.

Consumer response to blended beef burgers and chicken nuggets is influenced by ingredient and nutrition claims - qualitative assessment

Consumers and meat processors are receptive to blended/hybrid meat products, defined as products with partial meat replacement by plant-based ingredients. Blended meat products are a novel way to reduce meat consumption, however, a novel product's market success is determined by consumer expectations and acceptance. Therefore, this qualitative study investigated consumer expectations and opinions of blended meat products in different formats (beef burger, BB and chicken nugget, CN), with a range of blended ingredients, and nutrition claims. Twenty eight meat-eating consumers from Asian (N = 16) and non-Asian (N = 12) countries participated in the product mapping sessions. Both Asian and non-Asian consumers were willing to consume blended meat products for their health and environmental sustainability benefits, but commented that acceptable taste was required. Taste was the most important attribute driving Asian consumers’ acceptance of new food products; it was less important for non-Asian consumers. Both groups liked the concept of blended BBs with added vegetables. Non-Asians favored blended with legumes and questioned the sustainability and high degree of processing associated with plant protein alternatives. The high nutritional value and health benefits of micro-algae was accepted by Asians and non-Asians, but it was not considered a desirable ingredient due to concerns about its expected undesirable taste. Most of the nutrition claims related to high protein and low fat in blended BBs were considered healthy and desirable for both groups. Blended BBs with “No GMO” and “No MSG” were classified as healthy and desirable by Asian groups while for non-Asians they were considered undesirable and not healthy. Labeling with “High in dietary fiber” led to consumers expecting an undesirable product texture in both groups. Blended CNs were especially undesirable for the non-Asians, as they were generally regarded as not healthy and undesirable as a snack. For Asian consumers, blended CNs had better healthiness than conventional CN, but were less desirable. Blended CN with “High in dietary fiber” claim was most liked followed by blended CN with “No trans-fat”. Therefore, blended BBs show great opportunities for further product development for both non-Asian and Asian consumers. Findings from this preliminary study provide meat manufacturers and product developers with insight into how consumers from different cultures perceive BBs and CNs.

Pioneering Virtual Body Mapping: A Methodological Guide for Researchers Using a Health-Affected Population as an Example

<i>The rapidity of the COVID-19 pandemic and the ensuing recognition of post-acute sequela of COVID-19 (PASC) or long COVID-19 has created a need to understand the experience of those suffering from this long-term sequela. The purpose of this research was to explore, and uplift lived experiences of patients with long COVID-19. This study had a total sample of 19 participants with long COVID-19 engaged in body mapping, an arts-based research method. Describing the novel virtual adaptations to the body mapping methodology is the focus of this article. The material presented provides researchers with a methodological road map by outlining the virtual adaptations in the preparation and facilitation of the body mapping process, sharing lessons learned in data collection, highlighting considerations for future studies, and summarizing the impact of the findings. </i><i>Virtual body mapping sessions acted as powerful and emotional events where participants showed true vulnerability describing their experiences with COVID-19, their journey as a long hauler, their places of personal strength and courage, and their dreams for the future. Participants were highly engaged and interested in sharing their art with the broader community. </i><i>Virtual body mapping is a novel approach to conducting qualitative research in a unique setting and can provide an opportunity for innovative knowledge dissemination activities. While this method may contribute to increased participation and engagement, it may also present challenges, such as lessened accountability and interaction. </i>

Modelify: An approach to incrementally build 3D object models for map completion

The capabilities of discovering new knowledge and updating the previously acquired one are crucial for deploying autonomous robots in unknown and changing environments. Spatial and objectness concepts are at the basis of several robotic functionalities and are part of the intuitive understanding of the physical world for us humans. In this paper, we propose a method, which we call Modelify, to incrementally map the environment at the level of objects in a consistent manner. We follow an approach where no prior knowledge of the environment is required. The only assumption we make is that objects in the environment are separated by concave boundaries. The approach works on an RGB-D camera stream, where object-like segments are extracted and stored in an incremental database. Segment description and matching are performed by exploiting 2D and 3D information, allowing to build a graph of all segments. Finally, a matching score guides a Markov clustering algorithm to merge segments, thus completing object representations. Our approach allows creating single (merged) instances of repeating objects, objects that were observed from different viewpoints, and objects that were observed in previous mapping sessions. Thanks to our matching and merging strategies this also works with only partially overlapping segments. We perform evaluations on indoor and outdoor datasets recorded with different RGB-D sensors and show the benefit of using a clustering method to form merge candidates and keypoints detected in both 2D and 3D. Our new method shows better results than previous approaches while being significantly faster. A newly recorded dataset and the source code are released with this publication.