Narrative Method Research Articles

The characteristics of eating, drinking and oro-pharyngeal swallowing difficulties associated with repaired oesophageal atresia/tracheo-oesophageal fistula: a systematic review and meta-proportional analysis

IntroductionEating, drinking and swallowing difficulties are commonly reported morbidities for individuals born with OA/TOF. This study aimed to determine the nature and prevalence of eating, drinking and oro-pharyngeal swallowing difficulties reported in this population.MethodA systematic review and meta-proportional analysis were conducted (PROSPERO: CRD42020207263). MEDLINE, EMBASE, CINAHL, Pubmed, Scopus, Web of Science databases and grey literature were searched. Quantitative and qualitative data were extracted relating to swallow impairment, use of mealtime adaptations and eating and drinking-related quality of life. Quantitative data were summarised using narrative and meta-proportional analysis methods. Qualitative data were synthesised using a meta-aggregation approach. Where quantitative and qualitative data described the same phenomenon, a convergent segregated approach was used to synthesise data.ResultsSixty-five studies were included. Six oro-pharyngeal swallow characteristics were identified, and pooled prevalence calculated: aspiration (24%), laryngeal penetration (6%), oral stage dysfunction (11%), pharyngeal residue (13%), nasal regurgitation (7%), delayed swallow initiation (31%). Four patient-reported eating/drinking difficulties were identified, and pooled prevalence calculated: difficulty swallowing solids (45%), difficulty swallowing liquids (6%), odynophagia (30%), coughing when eating (38%). Three patient-reported mealtime adaptations were identified, and pooled prevalence calculated: need for water when eating (49%), eating slowly (37%), modifying textures (28%). Mixed methods synthesis of psychosocial impacts identified 34% of parents experienced mealtime anxiety and 25% report challenging mealtime behaviours reflected in five qualitative themes: fear and trauma associated with eating and drinking, isolation and a lack of support, being aware and grateful, support to cope and loss.ConclusionsEating and drinking difficulties are common in adults and children with repaired OA/TOF. Oro-pharyngeal swallowing difficulties may be more prevalent than previously reported. Eating, drinking and swallowing difficulties can impact on psychological well-being and quality of life, for the individual and parents/family members. Long-term, multi-disciplinary follow-up is warranted.

Transgender healthcare: metabolic outcomes and cardiovascular risk.

Transgender identity is often associated with gender dysphoria and minority stress. Gender-affirming hormone treatment (GAHT) includes masculinising or feminising treatment and is expected to be lifelong in most cases. Sex and sex hormones have a differential effect on metabolism and CVD in cisgender people, and sex hormone replacement in hypogonadism is associated with higher vascular risk, especially in ageing individuals. Using narrative review methods, we present evidence regarding metabolic and cardiovascular outcomes during GAHT and propose recommendations for follow-up and monitoring of metabolic and cardiovascular risk markers during GAHT. Available data show no increased risk for type 2 diabetes in transgender cohorts, but masculinising GAHT increases lean body mass and feminising GAHT is associated with higher fat mass and insulin resistance. The risk of CVD is increased in transgender cohorts, especially during feminising GAHT. Masculinising GAHT is associated with a more adverse lipid profile, higher haematocrit and increased BP, while feminising GAHT is associated with pro-coagulant changes and lower HDL-cholesterol. Assigned male sex at birth, higher age at initiation of GAHT and use of cyproterone acetate are separate risk factors for adverse CVD markers. Metabolic and CVD outcomes may improve during gender-affirming care due to a reduction in minority stress, improved lifestyle and closer surveillance leading to optimised preventive medication (e.g. statins). GAHT should be individualised according to individual risk factors (i.e. drug, dose and form of administration); furthermore, doctors need to discuss lifestyle and preventive medications in order to modify metabolic and CVD risk during GAHT. Follow-up programmes must address the usual cardiovascular risk markers but should consider that biological age and sex may influence individual risk profiling including mental health, lifestyle and novel cardiovascular risk markers during GAHT.

Spirituality for a Community Care. The Experience of Bambino Gesù Children’s Hospital

The healthcare system becomes a field of investigation in the search for spirituality, when the human weakness encountered in illness questions nurses and doctors, children and their families about the meaning of life. The paper aims to analyse a case study of Bambino Gesù Children's Hospital. This holistic method allows to interpret statistical data, narrative methods, and participants’ perspectives. The findings underline an original interaction between evidence-based medicine methods, the humanisation of care and the role of spirituality.

Motifs of Healing

This article delves into the unique role of music as a therapeutic tool in ancient Israel, with a focus on the biblical account of music therapy healing Saul (1 Samuel 16:14-23). This study attempts to explore and question the relationship between music, healing, and religion. This study aims to: first, to interpret the text of 1 Samuel 16:14-23 which introduces the significance of music in the ancient Israelite tradition. Second, to emphasizes the function of music as healing therapy, where David uses the lyre to heal Saul. This text subtly demonstrates the prevalence of the healing practice of music in the biblical world. Third, it investigates narrative interpretive methods that discuss the extent to which Israel, through David, defines himself and how the superiority of music helps shape Israel’s self-perception as a musical community. Data was collected through literature studies/scientific literature related to the title of this study. The results of the data collection will then be processed and presented in the form of a description.

Linguistic and cultural specifics of the sports media narrative (based on the example of sports commentaries in Canada and Russia)

This study is devoted to the comparative study of the specifics of the sports media narrative. The aim of the study is to compare the sports media narrative in the linguistic and cultural paradigm (based on the material of sports commentaries from Canada and Russia). The object of the study is the sports media narrative in the Canadian and Russian linguistic cultures. The subject of the study is the linguistic and cultural aspect of the sports media narrative of Russia and Canada. The relevance of this article lies in the fact that events in the field of sports reflect the problems of globalization and forecasting the future, which determines the importance of both a comprehensive and aspect-based study of communication in this field and, in particular, the sports media narrative. In addition, comparative studies that identify the linguistic and cultural features of the modern media text, its expressive capabilities as a means of organizing narration, correspond to the methodology of modern language science. The main methods used in this work are comparative discourse analysis and the linguistic narrative method. In addition, quantitative data processing methods were used. The novelty of this work is due to the fact that for the first time a comparative analysis of the sports media narrative in English and Russian (based on the material of sports commentary) is carried out. Conclusions: oral texts produced within the framework of both discourses are characterized by internal dynamics, polycode (the commentator's speech is accompanied by a video sequence) and are arranged in accordance with the canonical narrative sequence. When describing the image of an event, commentators, speakers of different linguistic cultures, use an extra-egitic strategy (an omniscient observer-narrator), sometimes using an introdiegetic strategy (the desire to indirectly become a participant in the narrated events). Linguistic and cultural differences are most clearly seen at the level of speech types. Russian commentators are characterized by the use of informative narration, while Canadian commentators use descriptive narration. The second most significant type of speech in the Russian media discourse is reasoning. For Canadian commentators, the description is more typical. The Russian sports media narrative follows a dramatic (plot) way of showing events, while the Canadian one follows a chronotopic one, i.e. it is determined by reference to time and place. The revealed differences may indicate that when narrating an event, commentators create a "second reality" based on their axiological attitudes due to cultural differences between the two countries.

Research on the Forming of Mainstream Ideology Among College Students in the Era of “Short Video”

Short videos, with their micro, fragmented, and diversified narrative methods, are profoundly changing the behavior and thinking patterns of users, and the mainstream ideological battlefield has been unprecedentedly impacted. The short video platform magnifies the characteristics of information dissemination in the Internet era. All users are both content publishers and content receivers, and the amount and speed of information dissemination are growing geometrically. Secondly, on the basis of producing a large number of short videos of the main theme, technological changes are utilized to fully improve the acceptance and interpretive power of the main theme ideology, providing a practical path for shaping the mainstream ideological identity of college students.

Perspectives of 2022 Islamic Education Students on the Utilization of Canva as a Multimedia Presentation-Based Learning Media

This research aims to explore and depict the perspectives of students from the Islamic Education Program (PAI) Class of 2022 regarding the utilization of Canva as a multimedia presentation-based learning tool. In this study, a narrative inquiry method is employed as a qualitative approach to delve into the stories and experiences of students using Canva. The data collection process involves discussions and interviews, which are then analyzed through a narrative analysis approach. The research findings provide significant insights into how students perceive Canva as a multimedia presentation learning tool and to what extent this can enhance the quality of learning in the PAI environment. The implications of the findings support the use of Canva as a potential tool to improve the effectiveness of learning in the digital era. It is expected that this research will make a positive contribution to the development of innovative and engaging learning strategies for students in the PAI Class of 2022.

The Epistemology of Ta’dib in Islamic Civilizational Discourse: Reviving and Reconstructing Contemporary Muslim Scholars' Views

Since the end of the twentieth century, a new epistemic discourse on education has emerged. This discourse appears in tandem with the enthusiasm of the pioneers of the new age of science movement in offering brilliant ideas as an alternative to modern scientific epistemology. This study aims to provide a new epistemological construction of education synthesized from contemporary Muslim scholars' ideas and works. This study adopts the narrative literature review method. We use this method to locate the literature on contemporary epistemology and the current educational crisis. This study has not only succeeded in making abstractions from the ideas of Muslim scholars but also in synthesizing three patterns of scholarly entity ideas: figures of new epistemological movements, with their characteristics of eclecticism, religious syncretism, monism, pantheism, exaltation of humanity, transformative, ecologically oriented, and holistic; and ideas from critical pedagogical figures; and most importantly, the standpoints of contemporary Muslim scholars. The construction of a new epistemology of education moves from monotheism as the foundation of education, restructuring the educational curriculum based on the structure of Islamic knowledge, and a vision of education that equally respects and liberates human beings.

범죄피해상담사의 대리외상 경험에 관한 내러티브 탐구

This study is the Qualitative Research on the experience of vicarious trauma of crime victim counselors. This study was conducted on three crime victim counselors who have been active for more than 10 years according to the narrative inquiry method. According to the participants’ experiences and episodes, the study results were reconstructed in the aspects of: “accidentally begin,” “passionately immersed,” “get confused and dazed,” “standing at a deadlock,” “conflict just got experienced,” “pain now shared,” and “stepping into growth.” The discussion according to the research results is given as follows. First, the vicarious trauma experience of the crime-victim counselor was exhaustion in terms of physical, cognitive, emotional, and relational aspects. Second, the proxy trauma process of crime-victim counselors was shown to be similar to the adaptation and exhaustion process of counselors adapting to new areas of expertise. Third, overcoming vicarious trauma of crime-victim counselors has turned out to be an experience of enhancing their expertise and also of establishing identity as a crime-victim counselor by accepting the limitations of their intervention and strengthening the capabilities as a therapist. As this study is the one of the narrative inquiries that aims to inquire the fundamental meaning and nature of the vicarious trauma experience that most crime-victim counselors suffer from, so, the aim of this study is to comprehend the vicarious trauma experience of the crime-victim counselors who have experienced during their counseling.

MURDER OFFLINE AND ONLINE: COMPARING E-PISTOLARY AND TRADITIONAL NARRATIVES IN THE APPEAL AND BLUEBIRD, BLUEBIRD

This study examines the evolving nature of epistolary narratives in the digital age by comparing traditional and e-pistolary storytelling techniques in two contemporary crime novels: Janice Hallett’s The Appeal and Attica Locke’s Bluebird, Bluebird. Employing a theoretical framework combining digital narratology (as developed by scholars like Marie-Laure Ryan and Janet Murray) and media-specific analysis (proposed by N. Katherine Hayles), the research paper explores how the shift from traditional to digital communication impacts narrative structure, character development and reader engagement in murder mystery narratives. It investigates the unique attributes of e-pistolary writing, including the use of emojis, internet slang and multimedia elements, analysing how these digital affordances influence narrative voice, pacing and the reader’s interpretative process. The study also considers the potential for augmented reality and interactive narratives in digital epistolary works, examining their implications for the genre’s future. The comparative analysis reveals that while The Appeal leverages e-pistolary techniques to create a multi-layered, interactive reading experience, Bluebird, Bluebird employs traditional narrative methods to evoke a sense of place and history. This juxtaposition highlights the strengths and limitations of both approaches in crafting compelling murder mysteries. The findings suggest that e-pistolary narratives offer new possibilities for reader immersion and non-linear storytelling, while traditional narratives maintain their power in delivering atmospheric, character-driven tales. This research contributes to the ongoing discourse on the evolution of literary forms in the digital era and provides insights into the future of crime fiction storytelling.

Positive and Negative Experiences of Meranao Adolescent Students During the COVID-19 Pandemic: A Narrative Method Analysis

Positive and Negative Experiences of Meranao Adolescent Students During the COVID-19 Pandemic: A Narrative Method Analysis

THE POETIC NATURE OF INTERNET-TEXTS AS A NATIONAL CHARACTER TRAIT

The article analyzes texts produced through poetic tactics – one of the linguocultural units that reflects the national specifics of Kazakhstani Internet texts located in the virtual space. The Internet has also made it possible to develop poetic discourse, the authors of which can be any Internet user. Elements of poetic tactics used in the communications of Internet users model manifestations of national consciousness. Today, in the works of native speakers in the virtual space, it is common to find texts in the poetic form of the communicants’ own work or poetic texts that are not their own works, but partially or fully quoted from other sources, for example, from popular songs, poems of great folk poets, akyns. The goal is to consider the established concepts of poetic tactics in modern linguistics and study poetic texts that reflect the national characteristics of the Internet space. In the process of writing a work, methods of description, narration, and elements of linguocultural analysis techniques are used. They reveal the meaning of the poetic nature of communicants common in a certain folk culture, create the opportunity to determine their originality, and differentiate their functions. The choice of such tactics depends on the temperament, mentality, and values of a particular linguistic personality. As a result of linguoculturological and linguopersonological analysis of texts, it is concluded that poetic tactics in Internet texts depict ideas, the spirit of the people based on the national image of the world and form the text generation of the Kazakh virtual linguistic personality. Key words: poetic tactics, Internet text, communication, Internet commentary, picture of the world, virtual space.

Social Workers’ Perceptions of the Nature of Child Neglect: A Systematic Literature Review

Abstract Neglect is the most common form of child maltreatment in the UK and the USA. This article reviews research about how child neglect is perceived by social workers. We conducted a systematic review and identified fifty relevant studies, using a range of methodologies, published since the 1989 Children Act. The themes were identified iteratively and synthesised using a narrative method. The review found that despite evidence that neglect is associated with several adverse outcomes, neglect is a lower priority for social work intervention compared to other forms of maltreatment. This is particularly true for emotional neglect and neglect of older children. The review found that social workers conceptualise poverty and neglect as being distinctly different and try to address poverty through practical, non-punitive interventions. However, assessments could better recognise how deprivation exacerbates other risk factors for neglect. The review found a lack of knowledge about perceptions of neglect in adolescents and children with a disability and about the threshold for intervention when neglect is cumulative. Practice may be improved by better recognising and addressing the societal context to neglect allegations and the risk of long-term harm. Achieving this may have resource and training implications.

Library and Information Science Professionals’ Awareness, Competencies, Institutional Support, and Application of AI-Powered Tools in Research Writing in South-South, Nigerian Universities

This study investigates Library and Information Science professionals’ awareness, competencies, institutional support, and application of AI-powered tools in research writing in South-South Nigerian universities. Four research questions guide the investigation. The study adopted a mixed (two-step) approach, combining both quantitative and qualitative methods in a sequential exploration design. A 55-items researcher-developed structured questionnaire titled: Library and Information Science Professionals’ Awareness, Competences, Institutional Support and Application of AI Powered Tools in Research Writing Questionnaire (LISPACIAAIPTRWQ) with a reliability index of .804 determined using Cronbach’ reliability coefficient and semi-structured interview schedule were used for data collection. The questionnaire was designed using Google Doc platform and administered through major Nigerian Library Association (NLA) WhatsApp groups of the six states in South South zone of Nigeria – Akwa Ibom State, Bayelsa State, Cross River State, Delta State, Edo State and Rivers State. The interview was conducted through private WhatsApp calls to 20 respondents within the study area. A total of 133 targeted participants from twelve university libraries, one federal and one state university per state were involved in the study. The professional librarians considered in this study were those with at least LS/LIS degree and a year of work experience. This group of participants were purposively considered taking into account that they are professionals and expected to conduct cutting-edge research and publish findings in reputable journals for personal and professional growth. The collected data, analyzed descriptively using frequency counts, mean, and standard deviation were used to answer research questions. The interview responses were qualitatively analyzed using the narrative method in order to deeply understand the respondents’ experiences with AI-powered tools and to also reduce the impact of individual bias. The findings revealed a low awareness level and a relatively high level of competencies of LIS professionals towards AI and its applicability to research writing. It also revealed low institutional support and high application index of AI-powered tools to mostly library services but not research writing by LIS professionals. The study recommended that the university administration should encourage more research on AI and formulate a workable policy to guide its applicability, among others.

The Significance of Tackling Stunting for The Economic Prosperity of A Nation – A Narrative Review

Stunting is a condition where a child’s length or height is shorter for their age due to chronic malnutrition and recurrent infections that occur in the first 1000 days of life. Based on data from the Ministry of Health, the stunting rate in Indonesia in 2023 was recorded at 21.5 percent, only down 0.1 percent from the previous year which was 21.6 percent. The high prevalence of stunting has serious implications for the nation's economic welfare. This research aims to examine stunting prevention in terms of the economic welfare of a nation. This research uses a narrative review method. The phenomenon of stunting carries profound implications for a nation’s health and economic well-being. Children who experience stunting are predisposed to a higher risk of chronic illnesses, exhibit lower intelligence quotients, and are likely to be less productive in their adult years. These factors can impede the trajectory of a nation’s economic advancement and amplify the strain on its public health infrastructure. From an economic perspective, this manifests as a reduction in income per capita, an escalation in healthcare costs, and a deceleration in economic growth. This underscores the urgent need to address stunting in order to safeguard the future prosperity of the nation.

Integrating Qualitative Content and Narrative Analysis: A Five-Step Approach

The integration of different analytical approaches allows harnessing their respective benefits. Nonetheless, the integration of varied methods is challenging, primarily due to the scarcity of comprehensive guidelines for such complex analyses. This paper introduces a five-step approach for combining two distinct research methods: qualitative content analysis and narrative analysis as a useful tool for researchers working under critical realist paradigm, or those who just wish to use both – categorizing and connecting approaches – in their research analysis. Qualitative content analysis plays a crucial role in categorizing insights from data. However, an exclusive reliance on content analysis might result in the loss of important contextual aspects associated with these insights. Consequently, narrative analysis becomes valuable, as it enables linking diverse elements in the data, such as the subject of study, its context, associated events, and identified categories. The process of combining the qualitative content analysis and narrative analysis method introduced in the current study was formulated during a doctoral research project within a critical realist paradigm, which necessitated a thorough consideration of both the subject matter and its context. In response to the absence of guidelines for combining content and narrative analysis, the author developed and tested a unique process during her research project. Employing the suggested approach of connecting content and narrative analysis can assist researchers, particularly those applying the critical realist paradigm in the process of generating contextually situated yet generalisable results. From a practical standpoint, innovative research methods and more comprehensive insights from academic studies enhance our understanding of various patterns in the business and management landscape.

E-learning Challenges Faced by University Teachers During COVID-19 Pandemic

The research has explored various challenges related to E-learning dynamics faced by high-education academicians during the COVID-19 period. To develop an in-depth understanding, qualitative research methods were used and the narrative inquiry method was integrated for collecting data from interviewees. Data were collected from 14 university teachers via focus group discussions in which respondents were required to provide written narrations about the teaching-related challenges as well. Data were narrated from the words of respondents using the thematic analysis approach. Based on the analysis, seven major themes were derived and characterized as the key challenges of e-learning during COVID-19 named as lack of readiness, lack of resources and training, lack of interaction and motivation, quality of education deliverance, assessment & monitoring issue, Workload and distractions and Curriculum revision. Accordingly, this research has offered useful suggestions for education policymakers, senior management of universities, and researchers which will enable them to have a better understanding of E-learning challenges in developing countries.

On Students' Computational Thinking Skills for Solving SRAC and its Theoretical Framework on Multi-Step Time Series Forecasting on River Erosion using GNN under RBL-STEM Learning Stages

Computational thinking involves the use of computer science principles to solve complex problems, extending beyond simple programming to various life applications. In today’s educational landscape, the promotion of these skills in the classroom is critical, yet students’ computational thinking skills remain underdeveloped due to inadequate learning models. Key indicators of computational thinking include problem decomposition, algorithmic thinking, pattern recognition, abstraction, and generalization. This study presents RBL-STEM learning activities aimed at enhancing students’ computational thinking through solving the Strong Rainbow Antimagic Coloring or SRAC problem and applying it to multi-step time series forecasting on river erosion using Graph Neural Networks or GNN. The research adopts a qualitative narrative method, beginning with the development of a prototype for multi-step time series forecasting on river erosion using SRAC and GNN, and progressing to the formulation of RBL-STEM learning steps. The results include a comprehensive RBL-STEM learning framework ready for implementation in future research. Learning framework offers student and educator a structured approach to integrating STEM on real life issues. By employing RBL-STEM, students are encouraging to solve river erosion problem systematically based on RBL stages. These finding suggest that the implementation of RBL-STEM with innovative mathematical problems such as SRAC can enhance students’ combinatorial skills, leading to practical solutions for everyday issues through education.

A case study analysis of a successful birth center in northern Uganda.

Mothers and infants continue to die at alarming rates throughout the Global South. Evidence suggests that high-quality midwifery care significantly reduces preventable maternal and neonatal morbidity and mortality. This paper uses a case study approach to describe the social and institutional model at one birth center in Northern Uganda where, in over 20,000 births, there have been no maternal deaths and the neonatal mortality rate is 11/1000-a rate that is lower than many high-resource countries. This case study combined institutional ethnographic and narrative methods to explore key maternal and neonatal outcomes. The sample included birthing people who intended to or had given birth at the center, as well as the midwives, staff, stakeholders, and community health workers affiliated with the center. Data were collected through individual and small group interviews, participant observation, field notes, data and document reviews. Iterative and systematic analytical steps were followed, and all data were organized and managed with Atlas.ti software. Findings describe the setting, an overview of the birth center's history, how it is situated within the community, its staffing, administration, clinical outcomes, and model of care. A synthesis of contextual variables and key outcomes as they relate to the components of the evidence-informed Quality Maternal and Newborn Care (QMNC) framework are presented. Three overarching themes were identified: (a) community knowledge and understanding, (b) community integrated care, and (c) quality care that is respectful, accessible, and available. This birth center is an example of care that embodies the findings and anticipated outcomes described in the QMNC framework. Replication of this model in other childbearing settings may help alleviate unnecessary perinatal morbidity and mortality.

PERTANGGUNG JAWABAN PIDANA SEBAGAI DAMPAK PENUNTUTAN TERHADAP KORPORASI AKIBAT PAILIT

In practice, it is very difficult to determine whether there is or is not a fault in a corporation. It turns out that in developments, especially regarding corporate criminal liability, it is known that there is a new view or let's say a slightly different view, that specifically the responsibility of legal entities, the principle of fault does not absolutely apply, so that criminal liability is refers to the doctrine of strict liability (absolute responsibility) and vicarious liability (responsibility imposed on another person) which in principle is a deviation from the principle of fault. This research was created and compiled using a narrative descriptive research method. This research typology is descriptive-narrative, emphasizing the use of secondary data obtained through literature study. In Article 59 of the Criminal Code, corporate criminal liability is borne by its management. Therefore, the subject of corporate criminal law is attached to the actions of the management themselves. The meaning of the claim in this case must be interpreted as a civil prosecution because the corporation loses the right to manage its assets which are entered into bankruptcy. Apart from that, if all of the corporation's assets are entered into bankruptcy, this will have an impact on the liquidation process. As stated in Article 71 POJK Number 28/POJK.05/2014, as well as Article 142 UUPT, it is possible for the liquidation process or the cause of liquidation to occur because of the bankruptcy decision.