Experiences Of Members Research Articles

Resilience of Participatory Communication Adolescent Community Communities in the Prevention of Child Marriage in Sukabumi

This research has an urgency that participatory communication resilience can be formed in communities with young ages, namely adolescents who are members of adolescent communities. This research focuses on how resilience is formed in adolescent communities to prevent child marriage in Sukabumi Regency to improve the ability of adolescents and advocate for vulnerable peers trapped in child marriage. This research uses qualitative research methods with a case study approach to explore the experiences of adolescent members of 5 regional children's forums in Sukabumi as research subjects who actively participate in the prevention of child marriage through the Yes I Do program. The results showed that participatory communication of child communities in preventing child marriage in formal and informal peers showed the collaboration of child communities with diverse cross-communities (heteroglacia). In addition to heteroglacia, Wabinar Activities are open dialogue and sharing experiences and knowledge with peers (dialogue) Movie watching and business class activities are a process to unite some of the differences that exist into an understanding about the impact of child marriage (polypony). Youth Camp and Watch Together activities filled by the children's community are a form of fun participatory communication (carnival). The children's community builds meaning, persistence, self-confidence, patience, independence or what is referred to as peer resilience with peer education activities. Resilience in adolescents who are vulnerable to being trapped in child marriage is an important period and affects the basis of adulthood, individual changes and life development.

What are the perceptions of faculty and academic leaders regarding the impact of accreditation on the continuous quality improvement process of undergraduate medical education programs at Caribbean medical schools?

BackgroundAccreditation and regulation are meant for quality assurance in higher education. However, there is no guarantee that accreditation ensures quality improvement. The accreditation for Caribbean medical schools varies from island to island, and it could be mandatory or voluntary, depending on local government requirements. Caribbean medical schools recently attained accreditation status to meet the Educational Commission for Foreign Medical Graduates (ECFMG) requirements by 2024. Literature suggests that accreditation impacts ECFMG certification rates and medical schools’ educational processes. However, no such study has examined accreditation’s impact on continuous quality improvement (CQI) in medical schools. This study aims to gather the perceptions and experiences of faculty members and academic leaders regarding the impact of accreditation on CQI across Caribbean medical schools.MethodsThis qualitative phenomenological study inquiries about the perceptions and experiences of faculty and academic leaders regarding accreditation’s impact on CQI. Purposive and snowball sampling techniques were used. Participants were interviewed using a semi-structured interview method. Fifteen participants were interviewed across ten Caribbean medical schools representing accredited medical schools, accreditation denied medical schools, and schools that never applied for accreditation. Interviews were audio recorded, and thematic data analysis was conducted.ResultsThematic analysis yielded six themes, including accreditation and CQI, CQI irrespective of accreditation, faculty engagement and faculty empowerment in the CQI process, collecting and sharing data, ECFMG 2024 requirements, and organizational structure of CQI.ConclusionsThere is ongoing quality improvement at Caribbean medical schools, as perceived by faculty members and academic leaders. However, most of the change process is happening because of accreditation, and the quality improvement is due to external push such as accreditation rather than internal motivation. It is recommended that Caribbean medical schools promote internal quality improvement irrespective of accreditation and embrace the culture of CQI.

Chinese women faculty in US universities: Transnational experiences and challenges

AbstractDue to the distinct language, cultural values, and social structures, dedicated qualitative research is needed to explore the challenges and supports faced by Chinese women faculty (CWF) members in US academia. Adopting a transnational feminist perspective, this study aims to explore how five CWF members navigate various disadvantages arising from the intersections of race, gender, and cultural values in one US institution. The findings indicate that CWF members encounter language barriers, academic authority challenges, and the struggles of balancing work and life. However, findings also show that they strategically navigate language barriers and challenges to their professional authority by establishing their own voices. Additionally, they benefit from mentoring, fostering their academic development, and contributing to their professional growth. Through this study, we aim to shed new lights on the experiences of CWF members in overcoming obstacles and pursuing professional development within US academia.

Considerations for specialized maternal-fetal care in the Somali-American community.

This study describes the perceptions, personal and community experiences, and barriers to care of Somali-American families regarding specialized maternal-fetal care from their viewpoint. We conducted a semi-structured focus group study of Somali-American women (March 2023). We used qualitative analysis techniques to identify and report thematic findings. Fifty Somali-American women were interviewed in focus groups. Five themes were identified: 1) adherence to religious belief (namely Islamic) was paramount, including devotions of predestination (e.g. divine will) and permissibility of fetal intervention, 2) participants valued consensus among clinicians and were guided by prior experiences, 3) confidence in the medical team was important, and included the need to communicate effectively with clinicians and concerns regarding the accuracy of diagnosis, 4) decisional factors prioritized saving the life of the baby, and 5) treatment considerations included reluctance to intervene before birth. For the Somali-American participants, their faith identity was central when considering their medical needs, including a hesitance to treat a baby before birth due to Islamic belief in divine will. In addition, these community members highlighted the importance of trustworthy interpretation, cultural competence, clinician consensus, prior pregnancy experiences as well as experiences of other community members as having an impact on their trust in their medical care and diagnosis.

A correlational study on the experiences of family members of trans and gender diverse people in Portugal

Introduction : Research on the experiences of family members of transgender and gender diverse (TGD) people remains limited, despite their crucial impact on the well-being of TGD individuals. This study aimed to fill this gap, by investigating their experiences within the wider ecological context that influences them. Method : A sample of 87 parents, siblings, partners, children, and extended family members of TGD people (M age = 39.9) were surveyed through questionnaires about their reactions and concerns regarding the disclosure of their TGD relatives, experiences in education and health contexts, and perceptions of the Portuguese legal framework. Results: The results revealed largely positive reactions to disclosure, favorable experiences with healthcare services, and optimistic views of the Portuguese legal framework. Average scores were reported regarding distress and concerns at the time of disclosure and experiences with the education system. Additionally, results revealed a significant correlation between greater concerns and more negative reactions to disclosure. Discussion: These findings highlight the need for support and resources for family members of TGD people and wider dissemination of information on gender identity issues.

Practices of Internal Quality Assurance Process: Examining Lived Experience of Secondary School Academic Members of Staff within Njombe Region, Tanzania

Practices of Internal Quality Assurance Process: Examining Lived Experience of Secondary School Academic Members of Staff within Njombe Region, Tanzania

Medication administration in aged care facilities: A mixed-methods systematic review.

To synthesize aged care provider, resident and residents' family members' perspectives and experiences of medication administration in aged care facilities; to determine the incidence of medication administration errors, and the impact of medication administration on quality of care and resident-centredness in aged care facilities. A mixed-methods systematic review. CRD42023426990. The AMED, CINAHL, MEDLINE, EMBASE, EMCARE, PsycINFO, Scopus and Web of Science core collection databases were searched in June 2023. Included studies were independently screened, selected and appraised by two researchers. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist was followed, with the Mixed Methods Appraisal Tool was used for critical appraisal. Convergent synthesis of data, thematic synthesis and meta-analysis were performed. One hundred and twenty-eight studies were included (33 qualitative, 85 quantitative and 10 mixed-methods). Five themes were formulated, including 1) Staffing concerns, 2) The uncertain role of residents, 3) Medication-related decision-making, 4) Use of electronic medication administration records and 5) Medication administration errors. Educational interventions for aged care workers significantly reduced medication administration errors, examined across five studies (OR = 0.37, 95%CI 0.28-0.50, p < .001). Medication administration in aged care facilities is challenging and complex on clinical and interpersonal levels. Clinical processes, medication errors and safety remain focal points for practice. However, more active consideration of residents' autonomy and input by aged care workers and providers is needed to address medication administration's interpersonal and psychosocial aspects. New directions for future research should examine the decision-making behind dose form modification, aged care workers' definitions of medication omission and practical methods to support residents' and their family members' engagement during medication administration. It is important that medication administration in aged care facilities be more clearly acknowledged as both a clinical and interpersonal task. More attention is warranted regarding aged care workers clinical decision-making, particularly concerning dose form modification, covert administration and medication omissions. Resident-centred care approaches that support resident and family engagement around medication administration may improve adherence, satisfaction and quality of care. What Problem Did the Study Address? Medication administration in aged care facilities is a complex clinical and interpersonal activity. Still, to date, no attempts have been made to synthesize qualitative and quantitative evidence around this practice. There is a need to establish what evidence exists around the perspectives and experiences of aged care workers, residents and resident's family members to understand the challenges, interpersonal opportunities and risks during medication administration. What Were the Main Findings? There is a lack of empirical evidence around resident-centred care approaches to medication administration, and how residents and their families could be enabled to have more input. Dose form modification occurred overtly and covertly as part of medication administration, not just as a method for older adults with swallowing difficulties, but to enforce adherence with prescribed medications. Medication administration errors typically included medication omission as a category of error, despite some omissions stemming from a clear rationale for medication omission and resident input. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: The findings of this systematic review contribute to aged care policy and practice regarding medication administration and engagement with older adults. This review presents findings that provide a starting point for aged care workers in regards to professional development and reflection on practice, particularly around clinical decision-making on dose form modification, medication administration errors and the tension on enabling resident input into medication administration. For researchers, this review highlights the need to develop resident-centred care approaches and interventions, and to assess whether these can positively impact medication administration, resident engagement, adherence with prescribed medications and quality of care. This systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Page etal., 2021). No patient or public contribution to this systematic review.

Listener, member, and advisor perspectives regarding a pharmacy podcast student organisation

Background: This work describes the structure and function of a pharmacy student-led Podcast Student Organisation (PSO) through the perspectives of the organisation’s members, listeners, and advisors. It aims to provide a blueprint for other colleges of pharmacy to replicate and develop their own programmes and share the experiences of those involved with the PSO. Methods: Perspectives from the advisors were gathered via statements. The listener and member perspectives were collected via a survey. Data were collected to share the listener and PSO member experience regarding the PSO. Results: Based on the post-surveys meeting inclusion criteria (n = 32), most listeners showed statistically significant improvement in attitudes towards the topic of the episode (p = 0.027) and their college of pharmacy (p = 0.017). The podcast team showed statistical improvement in attitudes towards their college of pharmacy (p = 0.020) and their Doctor of Pharmacy curriculum (p = 0.046). Satisfaction responses were overwhelmingly positive after listening to the episodes. Conclusion: The PSO may help improve attitudes towards some topics and promote positive feelings regarding students’ college. This description of the PSO and lessons learned may serve as a blueprint for colleges of pharmacy considering implementation and encourage others to adopt a PSO.

A Mixed-Methods Study to Evaluate Family Planning Desires and Barriers to Building Families Among Gay, Bisexual, and Lesbian Cisgender Military Service Members.

Barriers to seeking infertility care for lesbian, gay, bisexual, transgender, intersex, queer/questioning, and asexual (LGBTIQA+) individuals are well documented in the literature. However, little is known about military LGBTIQA+ service members seeking infertility care within the Military Health System. Approximately 6.1% of active duty U.S. service members across all branches identify as LGBTIQA+, which underscores the need for a deeper understanding of the needs of this community to support and retain service members. We therefore sought to describe the lived experiences of lesbian and gay cisgender service members in building their families in order to understand their family-building desires and potential barriers to seeking infertility care. We developed a survey to investigate the impact of military service on family planning. After Institutional Review Board approval, we distributed the survey throughout Walter Reed National Military Medical Center's obstetrics and gynecology clinic and posted the survey on multiple open and closed social media pages for LGBTIQA+ service members. We reported descriptive statistics of our survey and compared binary variables using the Fisher exact test. Following completion of this survey, participants could self-select to participate in semi-structured interviews. Sixty-eight respondents completed our survey and self-identified as either cis-male (n = 28) or cis-female (n = 40). Most respondents (67.9% cis-males, 92.5% cis-females) plan to build their families during their military commitment; however, approximately half (50.0% cis-male, 42.5% cis-female) reported a lack of support in this endeavor. Many respondents were unaware of resources that would assist in the pursuit of donor egg, donor sperm, or surrogacy (78.6% cis-males, 50.0% cis-females). Thirty-six participants elected to complete a follow-up interview. After coding the interviews, 5 themes emerged: (1) barriers to initiating care; (2) institutional barriers within the military; (3) political barriers; (4) knowledge sharing; and (5) implicit and explicit bias. Our results suggest significant barriers to LGBTIQA+ service members seeking infertility care. Overall, LGBTIQA+ service members did not feel supported by the military in building their families. Although the military has expanded access to infertility services, efforts to raise awareness and build support for LGBTIQA+ service members are warranted.

2024 European Thyroid Association Guidelines on diagnosis and management of genetic disorders of thyroid hormone transport, metabolism and action.

Impaired sensitivity to thyroid hormones encompasses disorders with defective transport of hormones into cells, reduced hormone metabolism, and resistance to hormone action. Mediated by heritable single-gene defects, these rare conditions exhibit different patterns of discordant thyroid function associated with multisystem phenotypes. In this context, challenges include ruling out other causes of biochemical discordance, making a diagnosis using clinical features together with the identification of pathogenic variants in causal genes, and managing these rare disorders with a limited evidence base. For each condition, the present guidelines aim to inform clinical practice by summarizing key clinical features and useful investigations, criteria for molecular genetic diagnosis, and pathways for management and therapy. Specific, key recommendations were developed by combining the best research evidence available with the knowledge and clinical experience of panel members, to achieve a consensus.

P-788 Analysis of tissue regeneration after transplantation of bioengineered uterine grafts in a sheep model of uterine injury

Abstract Study question Can we regenerate a damaged uterus using decellularized (further repopulated with stem cells or not) uterine scaffolds in a sheep model? Summary answer Bioengineered uterine grafts can promote the regeneration of a damaged uterus, but this process is highly dependent on the basal immune status of the recipient. What is known already Uterus bioengineering aims to develop scaffolds to repair defective uterine tissue that may cause infertility. The remaining extracellular matrix after uterus decellularization has frequently been used as a scaffold material for preclinical treatment applications. So far, multiple in vivo studies using rodents have shown successful restoration of uterine tissue and even fertility when small grafts were used. Furthermore, this pro-regenerative effect is enhanced when repopulating the scaffolds with mesenchymal stem cells (MSCs). However, studies using larger animal models and larger scaffolds are still missing. Therefore, we investigated the therapeutic potential of transplanting these scaffolds in the sheep model. Study design, size, duration All experiments were performed in university facilities, including the sheep animal work. Uterine scaffold donor sheep (from a local abattoir) and recipient sheep (n = 10) were of the same mixed sheep breed (Swedish fin-ull and Dutch texel mixed breed) and age (8-12 months old). Recipient sheep were transplanted with uterine decellularized (either recellularized or not) grafts that were maintained for 6 weeks. Participants/materials, setting, methods We implemented our previously established decellularization protocol (2% sodium deoxycholate) for sheep uterine scaffold production, generating 3x2cm grafts; half of these were recellularized with sheep MSCs. Decellularized (DC; n = 7) and recellularized (RC; n = 8) grafts were transplanted as replacements for native uterine tissue. After six weeks, histological, immunohistochemistry (CD31, CD45), and gene expression (progesterone/estrogen receptors, HOXA10, VEGF, vWF, TNFA, IFNG) analysis were conducted. Simultaneously, we used cell sorting to monitor the systemic immune response over time. Main results and the role of chance Angiogenesis was increased in the RC group as more new blood vessels (CD31+ cells) were evidenced (P=0.0120). VEGF and vWF gene expression also indicated the presence of blood vessels in the grafts but without differences among the groups. Regarding the immune response, CD45 staining revealed leukocyte recruitment into both transplanted grafts, with an increased significance in the DC group (P=0.0071) compared to the RC (P=0.0181). Furthermore, the pro-inflammatory genes TNFA and IFNG expression remained invariable compared to the native tissue. Finally, hormone receptor gene levels were comparable to those in the native tissue, with HOXA10 presenting higher values in the RC group compared to the DC (P=0.0548). So, the RC group showed signs of better uterine regeneration, probably due to the MSC’s anti-inflammatory action. Still, differences were subtle between groups. So, we blindly analyzed the histology of all grafts and detected substantially but also poorly regenerated grafts in both DC and RC groups. The analysis of the systemic immune response likely answers this, as when segregating individuals in substantially and poorly regenerated grafts, there was a significant difference in the percentage of activated CD4+ T-cells, being higher (P&amp;lt;0.0001) in those with poorly regenerated grafts already at day 0. Limitations, reasons for caution Due to the lack of available sheep antibodies, we did not study specific subtypes of leukocytes by immunohistochemistry as we did for the cell sorting analysis. Also, despite experienced group members performing the blinded histological analysis of the grafts to detect substantially/poorly regenerated grafts, this method requires refinement. Wider implications of the findings Basal immune system status should be considered before transplanting uterine grafts, as inflammation seems crucial in tissue regeneration. Trial registration number Not applicable

P-108 Automated sperm selection software (SiD) provides similar results as human selection for ICSI

Abstract Study question Automated sperm selection or human eye-based sperm selection, does it make a difference on IVF lab outcomes and clinical outcomes? Summary answer Single sperm selection by the AI SiD was as proficient as highly experienced embryologists and embryo development may have improved for inexperienced embryologists What is known already The implementation of artificial intelligence in reproductive medicine has proven effective for a variety of applications. One application for this technology is single sperm selection during ICSI. The computer assisted program SiD, was designed to grade sperm, in real-time, based on motility parameters transforming qualitative sperm assessments into a quantitative score. SiD’s assistance can be used to select the most optimal sperm for ICSI. The application of sperm selection by AI is expected to bypass user bias, fatigue, limited training, while also optimising time. However, there are limited studies correlating the usage of AI for sperm selection with ICSI outcomes. Study design, size, duration 1 year period 608 sibling MII oocytes were randomly divided in two groups; 1-ICSI group (n = 301): ICSI performed with sperm selected by the embryologist and 2- SID-ICSI group (n = 307): ICSI performed with sperm selected using SiD software. Priority was given to sperm classified as “Best” by SID software for ICSI.. Morphology selection was performed before ICSI in both groups. Embryos were cultured during 6 days in the same conditions. Participants/materials, setting, methods Sperm preparation was performed using a microfluidic chamber (Zymot™). Sperm selection was performed as previously described, and ICSI was performed following routine procedures. Biological and clinical outcomes were analysed in both groups and compared including fertilization rate, cleavage rate, embryo and blastocyst development rate, top quality embryo rate, blastocyst development rate and pregnancy rates. Biological outcomes in both groups were also compared based on embryologist seniority. Embryo morphokinetics parameters were analysed using time-lapse system. Main results and the role of chance There was a non significant trend towards better outcomes in the SID-ICSI group for all biological outcomes including fertilization rate (83,1% vs 82,4%), cleavage rate (97,6% vs 97,2%), day 3 embryo development rate (72,9% vs 70,6%), blastocyst development rate at day 5 (49,0% vs 44,8 %), good quality blastocyst development rate at day 5 (45,1% vs 41,5%), and top quality blastocyst development rate at day 5 (25,9% vs 22,2%). Similarly, a non-significant increase was observed in all these outcomes when sperm selection is performed by a junior embryologist. Embryo development was monitored using a timelapse system. Our data show that 2nd polar body extrusion (tPB2) (4,0h vs 4,8 h [p = 0,005]) and early cleavage (t2) (27,3h vs 28,7h [p = 0,05]) happen significantly earlier when SiD is used for ICSI. No significant difference was observed for all other fertilization events (cytoplasmic wave,tPN1,tPN2,presence of cytoplasmic halo,tPNf,and cytoplasmic halo disappearance), and other cleavage timings (t3-&amp;gt;t10,tM,tSC,tEC,tSB), and embryonic cell cycles (ECC1,ECC2,ECC3,s2,s3). Euploid rate obtained with in the 2 groups was comparable (53,3% in SID-ICSI vs 44,4% in ICSI). Although there was a trend toward higher cumulative early and clinical pregnancy rate after ICSI-SID, the difference did not reach significance (43,1%vs34,0% and 27,5%vs21,2%, respectively). Limitations, reasons for caution The ZymotTM microfluidic chamber was used for sperm preparation. This device optimises sperm selection, giving rise to an already optimised population of spermatozoa. Future investigations evaluating the effect of SiD automated sperm selection software on biological outcomes in samples prepared with a less effective technique would potentially yield conversing results. Wider implications of the findings This pilot study demonstrated that the usage of the automated sperm selection software SiD gives rise to similar biological outcomes and embryo morphokinetics, indicating its effectiveness in sperm selection. We expect this program would be useful in the presence of less experienced laboratory members helping by standardizing sperm selection. Trial registration number NA

Toxic leadership in higher education: a typology of behaviours

ABSTRACT The objective of this study was to create a psychometrically valid and reliable toxic leadership scale (TLS) for use in higher education workplace environments. The TLS was administered to a sample of 482 faculty members employed by three public universities in Jordan. Another aim of the study was to determine the level of toxic leadership based on the perceptions of faculty members. In addition, the current study sought to ascertain how perceptions of toxic leadership varied according to differences in gender, level of education, experience, and academic rank. The findings of the study revealed that the TLS is composed of 15 items spread over three factors named managerial harassment, falsified show, and dictatorship. Results also indicated the presence of toxic leadership in public higher education with a low degree for the managerial harassment factor. However, moderate degrees of toxic leadership were found for the falsified show and dictatorship factors. Regarding the demographics of faculty members, the findings showed that lower academic ranks and less experienced faculty members had lower views of toxic leadership, while men had greater perceptions of toxic leadership. The study provided numerous recommendations for theory development and practitioners in higher education.

The Relationship Between Leisure Involvement, Flow Experience, and Life Satisfaction Levels of Fitness Center Members

The aim of this study was to compare the leisure involvement, flow experience, and life satisfaction levels of fitness center members according to the gender and physical activity participation frequency variables. At the same time, the correlations between leisure involvement, flow experience and life satisfaction were identified. The research included a total of 309 fitness center members comprising 147 women and 162 men. Participants responded to the Leisure Involvement Scale, Recreational Flow Experience Scale and Satisfaction with Life Scale. Analysis of data used descriptive statistics, t test, ANOVA, MANOVA, correlation and regression tests. According to physical activity participation frequency, the leisure involvement subdimensions, flow experience and life satisfaction mean scores were identified to differ at significant levels (p0.05). For the variables with significant difference identified, fitness center members participating in weekly physical activity more often had higher mean scores compared to others. Correlation analysis results found significant and positive levels of correlation between leisure involvement, flow experience and life satisfaction mean scores (p0.05). According to the results of regression analysis, leisure involvement was a significant predictor of flow experience and life satisfaction. In conclusion, individuals participating in physical activity more frequently had an increase in leisure involvement levels, along with increases in flow experience and life satisfaction levels. Based on this, leisure involvement played a determinative role in the flow experience and life satisfaction levels of fitness center members who are regularly physically active.Keywords: Flow Experience, Leisure Involvement, Life Satisfaction.

Client and family experiences with telehealth-delivered early psychosis services.

The COVID-19 pandemic prompted a significant shift to delivering early psychosis services using telehealth. Little is known about the experience of using telehealth in early psychosis services. This quality improvement qualitative project investigated the experiences of program participants and family members with telehealth services in OnTrackNY, an early intervention program for psychosis in New York State during the COVID-19 pandemic. The project team conducted individual interviews and focus groups. Data analyses used a matrix approach. Nineteen OnTrackNY program participants and nine family members participated in five focus groups and nine individual interviews. Data were organized into five themes (a) accessibility: most individuals had a device and internet access and challenges were related to connectivity, such as image freezing and sound breaking; (b) convenience/flexibility: benefits included the reduced commute and costs; (c) levels of comfort/privacy with telehealth: program participants felt less judged and less anxiety leading up to in-person appointments while also expressing privacy concerns; (d) sense of connectedness: in-person social connections were deemed important and not replaceable by telehealth; and (e) suggestions: program participants expressed a preference for in-person group activities and suggested hybrid options, highlighting the importance of in-person visits to establish rapport at the beginning of treatment before transitioning to telehealth. Telehealth services were generally well accepted. Suggestions for future service delivery include offering a combination of telehealth and in-person services based on program participants' preferences and prioritizing in-person services during the early phase of treatment.

Natural Plague, Manmade Dilemmas: Satirical Art in Disorder in Cholera

More than two decades after the publication of Disorder in Cholera by Chi Li, a sudden pandemic has brought this satirical work to the attention of literary enthusiasts. Deriving from the past experience of Chi Li as an epidemiologist, this novella recounts fragments of the lives and experiences of members of a small epidemic prevention station during a cholera epidemic, and reveals the multiple pitfalls of epidemic prevention and governance systems in China. This study tries to look into the satirical art from the perspective of Wen Da, interpret the multiple manmade dilemmas during the natural epidemic, and finally, offer insights for modern epidemic prevention and control.

Beyond troubled and untroubled positions – an intersectional analysis of siblings who are bereaved by drug-related deaths’ meaning-making stories about their deceased brothers and sisters

ABSTRACT Purpose This study investigates how social categories work and intersect in siblings bereaved by drug-related deaths’ (DRDs) stories about their relationships to their deceased brother or sister. The sociocultural embedded process of making meaning of the relationship with the deceased individual is essential in adapting to the loss. However, insight into such experiences of siblings bereaved by a DRD is scarce. Previous research has suggested that DRDs may be stigmatized life experiences for bereaved family members, and this paper furthers understanding of the experiences and issues involved in losing a sibling in a stigmatized death. Methods An intersectional analysis is applied to interviews with 14 bereaved siblings. By investigating and displaying how different categories intertwine, various positionings are identified. Findings Categorization of the deceased siblings as “addicts” constructs a troubled position. However, when “addict” intersects with the categories “unique,” “sibling,” and “uncle,” the troubled subject’s position as an “addict” can be concealed. Conclusions Normative conceptions of addiction and DRDs produce troubled subject positions. By intermingling the category of “addict” with other categories, less problematic positions are created. Still, intersections of categories can also construct further complexities of remorse and self-blame for the bereaved siblings.

Dyadic body competence predicts movement synchrony during the mirror game.

The process of synchronizing our body movements with others is known to enhance rapport, affect, and prosociality. Furthermore, emerging evidence suggests that synchronizing activities may enhance cognitive performance. Unknown, by contrast, is the extent to which people's individual traits and experiences influence their ability to achieve and maintain movement synchrony with another person, which is key for unlocking the social and affective benefits of movement synchrony. Here, we take a dyad-centered approach to gain a deeper understanding of the role of embodiment in achieving and maintaining movement synchrony. Using existing data, we explored the relationship between body competence and body perception scores at the level of the dyad, and the dyad's movement synchrony and complexity while playing a 2.5-min movement mirroring game. The data revealed that dyadic body competence scores positively correlate with movement synchrony, but not complexity, and that dyadic body perception scores are not associated with movement synchrony or complexity. Movement synchrony was greater when the more experienced member of the dyad was responsible for copying movements. Finally, movement synchrony and complexity were stable across the duration of the mirror game. These findings show that movement synchrony is sensitive to the composition of the dyad involved, specifically the dyad's embodiment, illuminating the value of dyadic approaches to understanding body movements in social contexts.

(035) WOMEN IN PROSTHETIC UROLOGY: MENTORSHIP, SPONSORSHIP, AND CAREER ADVANCEMENT

Abstract Introduction Mentorship is a dynamic, reciprocal personal relationship in which a more experienced member of the organization (mentor), acts as a guide, role model, teacher, and sponsor of a less experienced person (mentee). Sponsorship involves the mentor making a personal investment in the advancement of the mentee. Women currently in and looking to enter prosthetic urology are not afforded the same quality or quantity of these dynamic relationships compared to men. Objective The goals of this manuscript are to discuss obstacles and barriers faced by women in prosthetic urology, highlight the benefits of mentorship and sponsorship in advancing the careers of women in this field, and provide recommendations for creating a more inclusive and supportive environment for women to excel in prosthetic urology. Methods Six authors carefully reviewed full-text, published articles related to the climate of [women in urology], [prosthetic urology], and available [mentorship], [sponsorship], and [leadership], and data from the 2022 American Urologic Association (AUA) census. Thirty-two sources were included. Results Urology and specifically, prosthetic urology, has a long history of being male-prominent. Several factors play into this truth, including gender roles, societal influences, implicit biases, medical history, and a lack of early exposure, mentorship, and sponsorship. Despite strides made in gender equity in medicine, women remain underrepresented in urology making up only 11.6% of practicing urologists in the United States. In subspecialties such as prosthetic urology, women make up even less of the pool. These factors also contribute to the lack of women in leadership positions. As of 2023, women occupy just 3 of the 13 board member positions and 7 of the 29 committee chair positions in the SMSNA. Conclusions Implementing successful mentorship involves recognizing the gender disparities that exist in prosthetic urology, having male mentors and sponsors, and breaking the traditional mentor-mentee hierarchies. Additionally, mentees can foster effective mentorship by establishing SMART goals and getting involved in women affinity groups. By creating an inclusive, diverse environment that not only welcomes, but mentors, and sponsors women, prosthetic urology can harness its full potential. Disclosure No.

Assessment of Nursing Faculty Members' Knowledge Toward Research: A Cross-Sectional Study.

Background and aim In the context of contributing to healthcare and the well-being of a nation and its communities, nursing research plays a vital role in advancing the discipline of nursing science. Nursing research is essential for improving the quality of nursing care. This study aims to examine the research knowledge level of faculty members at the College of Nursing, University of Raparin, Kurdistan Region, Iraq. Methods We conducted a cross-sectional study involving 43 nursing faculty members at the University of Raparin. The survey was distributed using convenience sampling in April 2024. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 26.0 (released 2019, IBM Corp., Armonk, NY). Continuous variables were analyzed using mean and standard deviation, while categorical variables were analyzed using frequency and percentage distributions. The association between knowledge scores and demographics was tested using Mann-Whitney, Kruskal-Wallis, Chi-square, and post-hoc tests. Stepwise multiple regression analysis was used to determine the variables that influence the knowledge score. Significance was set at p < 0.05. Results A total of 43 participants were enrolled in this study. The mean age was 32.56 ± 4.75, with 69.8% of participants being male. In terms of educational attainment, 48.8% held master's degrees, 39.5% held bachelor's degrees, and only 11% possessed PhDs. The mean work experience was 5.40 ± 4.04 years, and the mean knowledge score toward research was 3.09 ± 1.97 out of 7. Demographic variables, such as age, marital status, and gender, showed no significant associations with knowledge levels (p > 0.05). However, significant associations were found for education level (p = 0.004) and years of experience (p = 0.011). In the stepwise regression analysis, we observed a significant positive correlation between the level of education and knowledge score (F =10.787, p = 0.002). However, variables, such as age, gender, marital status, years of experience, and participation in research courses, did not demonstrate statistical significance (p-values > 0.05). Conclusion This study highlights a significant lack of research expertise among nursing faculty members, emphasizing the urgent need for targeted interventions and instructional activities in nursing education programs. It is crucial to address this knowledge gap in order to support the professional growth of faculty members and promote the advancement of nursing research and evidence-based practice.Policymakers should also consider implementing mentorship programs that strategically pair less experienced faculty members with seasoned researchers. This initiative aims to cultivate a collaborative learning environment and enhance research skills.