Practice Paradigm Research Articles

Digital Leadership and Employee Creativity: The Role of Employee Job Crafting and Person-Organization Fit.

Industry 4.0 has changed the paradigm in the business practice and business model, and digital technology has brought radical transformations to enterprises. To support this transformation, digital leaders are required to help enterprises transform and lead them to a more promising future. Based on job demands-resources model and person-organization fit theory, this study examines the relationship between digital leadership and employee creativity. Based on a sample of 357 employees from various Chinese companies, this study used SPSS 22.0 and MPLUS 7.0 to examine the hypotheses. The findings indicate the following (a) digital leadership has a positive effect on employee creativity. (b) employee job crafting mediate the relationship between digital leadership and employee creativity. (c) person-organization fit positively moderates the relationship between digital leadership and employee job crafting. (d) person-organization fit positively moderates the indirect effect of digital leadership on employee creativity via employee job crafting. The findings reveal the effect mechanism of digital leaders on employee creativity and enrich the literature on antecedents of employee creativity. Practical implications and future research are also discussed.

Social Work and Youth Participatory Action Research (YPAR): Past, Present, and Future.

The social work profession has made tremendous contributions to youth well-being, laying the foundation for social welfare systems and child protection laws. However, deficit-based constructions of youth are deeply engrained in the profession. Social work researchers have called for attention to critical approaches like youth participatory action research (YPAR). YPAR has an action-oriented epistemology and engages youth as coresearchers, providing an opportunity to shift social work research and practice paradigms. Yet, social work scholars lag behind cognate disciplines in adopting YPAR. This article examines challenges that have stymied YPAR in social work. The authors review the historical roots of the profession and its relationship to youth; examine present challenges, including social work's training and career progression; and make suggestions for the future, calling social work to affirm our values by reevaluating the way we do research on youth, the way we train future social workers, and the paradigms driving our practice.

A clinician's guide to understanding and critically appraising machine learning studies: a checklist for Ruling Out Bias Using Standard Tools in Machine Learning (ROBUST-ML).

Developing functional machine learning (ML)-based models to address unmet clinical needs requires unique considerations for optimal clinical utility. Recent debates about the rigours, transparency, explainability, and reproducibility of ML models, terms which are defined in this article, have raised concerns about their clinical utility and suitability for integration in current evidence-based practice paradigms. This featured article focuses on increasing the literacy of ML among clinicians by providing them with the knowledge and tools needed to understand and critically appraise clinical studies focused on ML. A checklist is provided for evaluating the rigour and reproducibility of the four ML building blocks: data curation, feature engineering, model development, and clinical deployment. Checklists like this are important for quality assurance and to ensure that ML studies are rigourously and confidently reviewed by clinicians and are guided by domain knowledge of the setting in which the findings will be applied. Bridging the gap between clinicians, healthcare scientists, and ML engineers can address many shortcomings and pitfalls of ML-based solutions and their potential deployment at the bedside.

Measuring Inviting School Climate

The present study utilized the Inviting School Survey-Revised (ISS-R) (Smith, 2005b, 2013) based on Invitational Theory andPractice (Purkey & Novak, 2008) to examine the school climate of a public primary school in a low urban socio-economicsetting in Kenya. School climate was defined as the perceptions of primary school teachers and pupils in five areas: People,Places, Processes, Policies, and Programs, based on the Invitational theory and Practice paradigm. Results showed that theoverall school climate of Raduce primary school was inviting in many areas. The current study revealed that in spite of thechallenges facing a public school in an urban low socio-economic setting, it is possible with inviting policies, programs,processes, and people, to realize positive academic achievement with students.

Reading as Askēsis

AbstractDrawing on the work of Simone Weil, this article argues that the human purpose of reading is the creation of meaning through interpretive activity. In the context of institutionalized schooling, however, the activity of reading has been alienated from this purpose. As a result, some contemporary pedagogies of reading might keep us from learning how to undertake the work necessary to hone and sharpen our interpretations, and thereby render our world increasingly lucid and coherent. Here, Rachel Longa proposes that the paradigm of spiritual practice might provide the theoretical resources for a corrective to this alienation. It could help us to reconfigure the dominant form of the activity of reading such that its human purpose is foregrounded and championed, rather than obscured. The concept of askēsis could thereby serve as a lifeline that tethers us to the forms of life from which we derive purpose and that orients us toward the ends of ethical self‐formation.

Global Current Practice Patterns for the Management of Central Retinal Artery Occlusion

Global practice paradigms for central retinal artery occlusion (CRAO) were summarized. Responses were collected from specialists via survey. Management patterns for CRAO rely on physician and center-level preferences given the lack of evidence-based international guidelines.

Body mass index and its association with oral disorders: A review

Obesity is a chronic disease with global epidemic spread. The world wide prevalence of obesity is a considerable source of concern given its potential impact on morbidity, mortality and cost of health care. The World Health Organization (WHO) has recognized obesity as a predisposing factor to measure chronic diseases ranging from cardiovascular diseases to cancer. Once considered a problem only in wealthy countries, WHO estimates overweight and obesity are now dramatically on the rise in low and middle income countries. The disturbing squeals of this increased trajectory of overweight populations are the parallel increases in chronic diseases that are co-morbidities of obesity. Primary health care providers, including dental professionals, are well-positioned to address this public health problem at the patient level. Dental professionals must be aware of the increasing numbers of the obese patients and of the significance of obesity as a multiple risk factor syndrome for oral and overall health. Dental professionals have a crucial role in the prevention and detection of many oral and systemic diseases because of their diagnostic and screening abilities as well as the frequency of patient visits. These invaluable skills and practice paradigms should be considered as part of the equation to solve one of the largest public health concerns of our time: the obesity epidemic. Ultimately, a health condition as prevalent and serious as obesity must be approached by a concerted and collaborative effort of many disciplines and organizations. The dental profession should include itself in this collaboration using the tools and education opportunities available. Although the connection between oral health and obesity is critical to understand, it should not be the sole motivating factor for taking action. Keywords: Body mass index, body weight, body height, adipose tissue, overweight, morbidity, mortality.

Gene expression profiling in melanoma diagnostics: problems and future application in clinical practice

Difficulties in the diagnosis and differential diagnosis of melanoma in the work of a pathologist include not only conflicting structural and morphological features, but also the insufficient effectiveness of biochemical and some molecular markers in immunohistochemical studies. The review presents modern alternative methods for diagnosing malignant tumors based on the assessment of gene expression, the performance, objectivity and reliability of the determination of which may in the future have clinical application as an addition to histopathological methods in the diagnosis and differential diagnosis of various malignant neoplasms, including melanocytic neoplasms, which is changing the paradigm of routine medical practice, introducing diagnostic tests that carry molecular information into it.

Hybrid Intelligence: A Paradigm for More Responsible Practice

Hybrid Intelligence: A Paradigm for More Responsible Practice

Recent Advances in Evolving Computing Paradigms: Cloud, Edge, and Fog Technologies.

Cloud computing has become integral lately due to the ever-expanding Internet-of-things (IoT) network. It still is and continues to be the best practice for implementing complex computational applications, emphasizing the massive processing of data. However, the cloud falls short due to the critical constraints of novel IoT applications generating vast data, which entails a swift response time with improved privacy. The newest drift is moving computational and storage resources to the edge of the network, involving a decentralized distributed architecture. The data processing and analytics perform at proximity to end-users, and overcome the bottleneck of cloud computing. The trend of deploying machine learning (ML) at the network edge to enhance computing applications and services has gained momentum lately, specifically to reduce latency and energy consumed while optimizing the security and management of resources. There is a need for rigorous research efforts oriented towards developing and implementing machine learning algorithms that deliver the best results in terms of speed, accuracy, storage, and security, with low power consumption. This extensive survey presented on the prominent computing paradigms in practice highlights the latest innovations resulting from the fusion between ML and the evolving computing paradigms and discusses the underlying open research challenges and future prospects.

Psychometric Analysis of the Translated Version of the Inviting School Survey-Revised (ISS-R-2015) and Perceived School Climate in Diverse Tehran Schools

The present study examined the school climate of various types of schools in Tehran Iran. School climate was defined as the perceptions of 9th grade pupils in five areas: People, Programs, Policies, Processes, and Places based on the Invitational Theory and Practice paradigm. In this study we examined the climate of three types of schools: public, government samples, and nonprofit schools. In order to examine this, a valid and reliable instrument that measure the perceptions of school climate was needed. Therefore, the researchers used the Inviting School Survey (Revised Version 2015, ISS-R) based on an investigation of the factor structure, validity and reliability of the ISS-R (translated form). Results showed that translated version of ISS-R had an acceptable internal consistency, Cronbach's alpha coefficient for the total scale was 0.96 and for subscales was between 0.73 and 0.92 and confirmatory factor analysis confirmed that the structure of the translated version of ISS-R provided an acceptable fit with the data and all goodness indicators of fitness for the model. The results of the study showed that unfortunately the school climate for Tehran public schools were identified as disinviting. For these schools, the mean of most factors was less than 3. Program (3.09) and Process (3.04) factors for these schools were identified as somewhat inviting. However, with the other two types of Tehran schools studied, all factors but place were identified as somewhat inviting. The mean of the place factor for government samples and nonprofit schools was identified as disinviting.

Diagnosis on the way out - personality on the way in? Priorities in treatment in child and adolescent psychiatry.

The scientific basis for practice in child psychiatry has developed apace. And has thrown up several quandries for an accepted paradigm for good practice anchored to the diagnostic schema developed in adult psychiatry. This paper hopes to stimulate discussion about where alternative paradigms might lead us on a path to precision medicine as applied to child psychiatry.

Photothermal hydrogel platform for prevention of post-surgical tumor recurrence and improving breast reconstruction

BackgroundAs one of the leading threats for health among women worldwide, breast cancer has high morbidity and mortality. Surgical resection is the major clinical intervention for primary breast tumor, nevertheless high local recurrence risk and breast tissue defect remain two main clinical dilemmas, seriously affecting survival and quality of life of patients.ExperimentalWe developed a thermoresponsive and injectable hybrid hydrogel platform (IR820/Mgel) by integration of co-loaded porous microspheres (MPs) and IR820 for preventing postoperative recurrence of breast cancer via photothermal therapy and promoting subsequent breast reconstruction.ResultsOur results suggested that IR820/Mgel could quickly heated to more than 50.0 ℃ under NIR irradiation, enabling killing effect on 4T1 cells in vitro and prevention effect on post-surgical tumor recurrence in vivo. In addition, the hydrogel platform was promising for its minimal invasion and capability of filling irregularly shaped defects after surgery, and the encapsulated MPs could help to increase the strength of gel to realize a long-term in situ function in vivo, and promoted the attachment and anchorage property of normal breast cells and adipose stem cells.ConclusionsThis photothermal hydrogel platform provides a practice paradigm for preventing locally recurrence of breast cancer and a potential option for reconstruction of breast defects.Graphic abstract

Participatory Project Planning and Performance of Mango Farming Projects in Makueni County, Kenya

The purpose of this article is to create awareness of the need for a robust mango policy and practice paradigm shift from traditional planning methods to participatory project planning, to enhance performance. It is based on an empirical scientific research for PhD thesis carried out in Makueni County Kenya, focusing on the influence of participatory project planning and performance of mango farming projects. Project Management theory formed the basis that guided the study, descriptive cross-sectional study design was used while pragmatism research paradigm which uses mixed method approach was adopted. A sample of 375 respondents was selected from a population of 12,622 mango farmers using multistage sampling technique. Data was collected using both self-administered questionnaires and interview of 15 key informants. Both descriptive and inferential data analysis techniques were applied. Null hypothesis which stated that, there is no significant relationship between participatory project planning and performance of mango farming projects was tested through F-test and correlation. The findings showed that there existed a statistically significant correlation between the two variables at 95% confident levels with Df (2,367), F=2.402, t=1.469, p=0.000<0.05, r= 0.339 and R 2 = 0.115. It was concluded that there was significant relationship between participatory project planning and performance of mango farming projects and the null hypothesis was rejected since it was not supported by the results. Based on the findings this article recommends that, in order to improve performance, participatory project planning considerations supported by an appropriate iterative combination of planning measures which are inherent along the project management life cycle. Participatory project planning should always be embraced in crafting of policy for optimal practice directions, to enhance performance.

Primary Mediastinal Large B-cell Lymphoma: Diagnostic Challenges and Recent Advances

Primary mediastinal (thymic) large B-cell lymphoma (PMBL) is a subtype of uncommon aggressive large B-cell lymphomas primarily occurring in mediastinum although rare cases with non-thymic type of PMBL have been reported. Typical PMBL has characteristic clinical, morphological, and immunophenotypic features which the pathologists use as diagnostic paradigm in routine practice. However, the diagnosis can be occasionally challenging due to the overlapping clinicopathologic features with other lymphomas, among which are nodular sclerosis classic Hodgkin lymphoma, systemic diffuse large B-cell lymphoma (DLBCL) involving mediastinum, and B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classic Hodgkin lymphoma (gray zone lymphoma). Recent depictions of the characteristic genetic/ molecular aberrations and unique gene expression profiling in PMBL have provided a robust tool to significantly improve the diagnostic accuracy. In addition, the progresses in understanding the pathogenesis of PMBL have paved the way discovering novel therapeutic agents for patients with refractory/relapsed disease.

Bone Metastases: State of the Art in Minimally Invasive Interventional Oncology.

Bone is the third most common site involved by cancer metastases, and skeleton-related events such as intractable pain due to direct osseous tumor involvement, pathologic fracture, and neurologic deficits as a consequence of nerve or spinal cord compression often affect patients' functional independence and quality of life unfavorably. The annual medical-economic burden related to bone metastases is a substantial component of the total direct medical cost estimated by the National Institutes of Health. There have been substantial recent advances in percutaneous image-guided minimally invasive musculoskeletal oncologic interventions for the management of patients with osseous metastatic disease. These advances include thermal ablation, cementation with or without osseous reinforcement with implants, osteosynthesis, thermal and chemical neurolyses, and palliative injections, which are progressively incorporated into the management paradigm for such patients. These interventions are performed in conjunction with or are supplemented by adjuvant radiation therapy, systemic therapy, surgery, or analgesic agents to achieve durable pain palliation, local tumor control, or cure, and they provide a robust armamentarium for interventional radiologists to achieve safe and effective treatment in a multidisciplinary setting. In addition, these procedures are shifting the patient management paradigm in modern-era practice. The authors detail the state of the art in minimally invasive percutaneous image-guided musculoskeletal oncologic interventions and the role of radiologists in managing patients with skeletal metastases. ©RSNA, 2021.

Business of Medicine/Practice Management

Session Description: This program will describe the otolaryngology hospitalist-surgeonist as an emerging practice paradigm, compare the implementation at several academic institutions, and discuss the benefits and challenges of the paradigm and its future. The hospitalist model is well established in medicine, and in recent years this model has been adopted by specialty fields. The hospitalist model is particularly relevant to the surgical specialist, for whom the need is often urgent or emergent and whose availability is often limited by an elective practice, potentially on another campus. In 2011 the first otolaryngology hospitalist program was implemented, and since that time, the paradigm has been applied at several institutions in varying forms, including that of a surgeonist. What does an otolaryngology hospitalist-surgeonist do? Does your institution need one? How do you implement and integrate the hospitalist-surgeonist? Who benefits from this model? Come learn from our panelists who established the inaugural services at 4 academic institutions. New this year, how does the otolaryngology hospitalist-surgeonist improve patient care and decrease provider risk during COVID? How does the billing work and is this financially feasible? Outcome Objectives: (1) Understand what an otolaryngology hospitalist-surgeonist does in different practice settings. (2) Implement an otolaryngology hospitalist-surgeonist in a hospital or academic system. (3) Navigate the system-based practice hurdles of the otolaryngology hospitalist-surgeonist model.

1920년대 초 강두송(姜斗松) 목사의 여성인권 신장에 관한 담론 분석 : 그의 “婦人問題”(1922)를 중심으로

This paper aims to study Rev. Du-Song Kang’s discourses on the extension of women’s rights in the early 1920s and its present implications and lessons in his “Women’s Issue”. This text is based on 1Corinthians 11:2-16. Kang’s “Women’s Issue” was published in Jonggyogyeoi Jemyeongsa Gangyeonjip(1922) during Japanese ruling era of Korea. The prominent points of Du-Song Kang’s biblical views of women’s rights and its present implications in his “Women’s Issue” could be summarized as follows: First, I treated with Kang’s private analysis on 1Corinthians 11:2-16. On the basis of this text, he suggests equal rights and character between male and female, the apostle Paul’s strict disciplinary action to Corinthian female believers, and respect for the custom of the time and moderate reforms. Second, I attempted to study Kang’s discourses on the differential treatment between husband and wife at home, the abolition of severe fence of house(οἶκος), equal opportunity for education, anti-decadence drive, and so forth. Third, I concentrated on practical paradigms for God’s creation order and intrinsic identity of married couple, the vigilance against the theory of women’s superiority, and so on. In light of Rev. Du-Song Kang’s significant traces and contributions, I suggest future extensions of this discourse into his other various themes such as his life and ministry, view of ministry, spirituality and leadership, view of woman, revival movement, and other related areas.

Integrative surgical oncology: A model of acute integrative oncology.

Integrative oncology has emerged as a recognized medical subspecialty because of growing interest in the use of integrative medicine in modern cancer care on behalf of both patients and providers. Acutherapy and mind-body techniques, such as meditation and yoga, have been shown to aid in symptom control and improve quality of life in oncologic patient populations, and the Society of Integrative Oncology and American Society of Clinical Oncology have recently endorsed a set of guidelines for the implementation of these techniques specifically in patients with breast cancer. Although the current guidelines focus largely on the management of chronic symptoms, there exists evidence to support the use of these techniques in acute symptom management as well. With surgical resection representing the backbone of many cancer treatment regimens, symptoms that arise during the perioperative period are prime examples of the acute symptomatology common among patients with cancer. Here, the authors provide a detailed literature review of the current evidence supporting the use of integrative techniques during the perioperative period and demonstrate their applicability for acute symptom management within oncologic and surgical populations. In doing so, the authors introduce a new paradigm of surgical practice they call integrative surgical oncology and integrative surgery.

96. Dual medial branch blocks and progression to radiofrequency neurotomy for zygapophysial arthropathy

96. Dual medial branch blocks and progression to radiofrequency neurotomy for zygapophysial arthropathy