Practical Considerations Research Articles

An improved gray wolf optimization to solve the multi-objective tugboat scheduling problem.

With the continuous prosperity of maritime transportation on a global scale and the resulting escalation in port trade volume, tugboats assume a pivotal role as essential auxiliary tools influencing the ingress and egress of vessels into and out of ports. As a result, the optimization of port tug scheduling becomes of paramount importance, as it contributes to the heightened efficiency of ship movements, cost savings in port operations, and the promotion of sustainable development within the realm of maritime transportation. However, a majority of current tugboat scheduling models tend to focus solely on the maximum operational time. Alternatively, the formulated objective functions often deviate from real-world scenarios. Furthermore, prevailing scheduling methods exhibit shortcomings, including inadequate solution accuracy and incompatibility with integer programming. Consequently, this paper introduces a novel multi-objective tugboat scheduling model to align more effectively with practical considerations. We propose a novel optimization algorithm, the Improved Grey Wolf Optimization (IGWO), for solving the tugboat scheduling model. The algorithm enhances convergence performance by optimizing convergence parameters and individual updates, making it particularly suited for solving integer programming problems. The experimental session designs several scale instances according to the reality of the port, carries out simulation experiments comparing several groups of intelligent algorithms, verifies the effectiveness of IGWO, and verifies it in the comprehensive port area of Huanghua Port to get the optimal scheduling scheme of this port area, and finally gives management suggestions to reduce the cost of tugboat operation through sensitivity analysis.

Analysis of Human Resource Competency Development for State Civil Servants at Gowa “Gau Mabaji” Center, South Sulawesi

Qualitative research from this type of single instrumental case study is aimed at providing an alternative analytical framework regarding the discourse on developing human resource competencies for state civil servants, which specifically focuses on employees at the Center for Rehabilitation and Social Protection-Sentra Gau Mabaji in Gowa Regency, South Sulawesi. We use Critical Realism as a philosophical basis and an interpretative method modified from contemporary social studies, combined with theoretical eclecticism to allow for a more dynamic analysis. The purposive sampling technique was used with certain practical and methodological considerations to select only subjects who were relevant to the research objectives as respondents. The interviews were then conducted in depth and semi-structured by focusing on three aspects: Knowledge, Utilizing the coding conducted earlier, Skills and Attitudes are identified as dimensions of competency, forming a conceptual framework to steer the analysis. The outcomes present a phenomenological depiction that elucidates diverse perspectives among state civil servants concerning the development of human resource competencies. This exploration encompasses the aspects of knowledge, skills, and attitude, examining their interrelation with the individuals' status, duties, and functions as employees in the rehabilitation and social protection service.

Co-production of health and social science research with vulnerable children and young people: A rapid review.

The term 'care-experienced' refers to anyone who is currently in care or has been in care at any stage in their life. A complex interplay of factors leads to care-experienced children and young people (CECYP) experiencing poorer oral health and access to dental care than their peers. A rapid review of the co-production of health and social care research with vulnerable children and young people (CYP) was carried out to inform the development of a co-produced research project exploring the oral health behaviours and access to dental services of CECYP. Here, 'co-production' refers to the involvement of CYP in the planning or conduct of research with explicit roles in which they generate ideas, evidence and research outputs. To learn how to meaningfully involve vulnerable CYP in the co-production of health and social science research. To identify: Different approaches to facilitating the engagement of vulnerable CYP in co-production of health and social science research; different activities carried out in such approaches, challenges to engaging vulnerable CYP in co-production of health and social science research and ways to overcome them and areas of best practice in relation to research co-production with vulnerable CYP. A rapid review of peer-reviewed articles was conducted in six databases (MEDLINE, Embase, SocINDEX, CINAHL, PsycINFO and Web of Science) and grey literature to identify studies that engaged vulnerable CYP in co-approaches to health and social research. Of 1394 documents identified in the search, 40 were included and analysed. A number of different approaches to co-production were used in the studies. The CYP was involved in a range of activities, chiefly the development of data collection tools, data collection and dissemination. Individual challenges for CYP and researchers, practical and institutional factors and ethical considerations impacted the success of co-production. Co-production of health and social science with vulnerable CYP presents challenges to researchers and CYP calling for all to demonstrate reflexivity and awareness of biases, strengths and limitations. Used appropriately and well, co-production offers benefits to researchers and CYP and can contribute to research that reflects the needs of vulnerable CYP. Adherence to the key principles of inclusion, safeguarding, respect and well-being facilitates this approach. Members of our patient and public involvement and stakeholder groups contributed to the interpretation of the review findings. This manuscript was written together with a young care leaver, Skye Boswell, who is one of the authors. She contributed to the preparation of the manuscript, reviewing the findings and their interpretation.

General framework for ultrafast nonlinear photonics: unifying single and multi-envelope treatments [Invited

Numerical modeling of ultrashort pulse propagation is important for designing and understanding the underlying dynamical processes in devices that take advantage of highly nonlinear interactions in dispersion-engineered optical waveguides. Once the spectral bandwidth reaches an octave or more, multiple types of nonlinear polarization terms can drive individual optical frequencies. This issue is particularly prominent in χ(2) devices where all harmonics of the input pulse are generated and there can be extensive spectral overlap between them. Single-envelope approaches to pulse propagation have been developed to address these complexities; this has led to a significant mismatch between the strategies used to analyze moderate-bandwidth devices (usually involving multi-envelope models) and those used to analyze octave-spanning devices (usually involving models with one envelope per waveguide mode). Here we unify the different strategies by developing a common framework, applicable to any optical bandwidth, that allows for a side-by-side comparison between single- and multi-envelope models. We include both χ(2) and χ(3) interactions in these models, with emphasis on χ(2) interactions. We show a detailed example based on recent supercontinuum generation experiments in a thin-film LiNbO3 on sapphire quasi-phase-matching waveguide. Our simulations of this device show good agreement between single- and multi-envelope models in terms of the frequency comb properties of the electric field, even for multi-octave-spanning spectra. Building on this finding, we explore how the multi-envelope approach can be used to develop reduced models that help build physical insights about new ultrafast photonics devices enabled by modern dispersion-engineered waveguides, and discuss practical considerations for the choice of such models. More broadly, we give guidelines on the pros and cons of the different modeling strategies in the context of device design, numerical efficiency, and accuracy of the simulations.

Towards co-design of rehabilitation technologies: a collaborative approach to prioritize usability issues.

Early stakeholder engagement is critical to the successful development and translation of rehabilitation technologies, a pivotal step of which is usability testing with intended end-users. To this end, several methods employ end-user feedback to identify usability and implementation issues. However, the process of prioritizing identified issues seldom leverages the knowledge and expertise of the range of stakeholders who will ultimately affect the demand and supply of a device. This paper describes a novel method to prioritize end-user feedback using transdisciplinary stakeholder consultation and address it in subsequent product development. The proposed approach was demonstrated using a case study relating to the development of a novel technology for neural recovery after spinal cord injury. Feedback from five individuals with chronic spinal cord injury was collected during two-hour usability evaluation sessions with a fully functional high-fidelity system prototype. A think-aloud and semi-structured interview protocol was used with each participant to identify usability and acceptability issues relating to the system in a 3-phase approach. Phase 1 involved extracting usability issues from think-aloud and semi-structured interview data. Phase 2 involved rating the usability issues based on their significance, technical feasibility, and implementation priority by relevant internal and external stakeholders. Finally, Phase 3 involved aggregating the usability issues according to design and implementation elements to facilitate solution generation, and these solutions were then raised as action tasks for future design iterations. Sixty usability issues representing nine facets of usability were rated. Eighty percent of issues were rated to be of moderate to high significance, 83% were rated as being feasible to address, and 75% were rated as addressable using existing project resources. Fifty percent of the issues were rated to be a high priority for implementation. Evaluation of the grouped issues identified 21 tasks which were mapped to the product roadmap for integration into future design iterations. This paper presents a method for meaningful transdisciplinary stakeholder engagement in rehabilitation technology development that can extended to other projects. Alongside a worked example, we offer practical considerations for others seeking to co-develop rehabilitation technologies.

On the optimal planform of a cantilever unimorph piezoelectric vibrating energy harvester

This work relates to piezoelectric vibrating energy harvesters, that are constructed from a unimorph cantilever with a massive edge block. The dynamic response of the cantilever is considered when it is excited into vibrations at its natural frequency, where its deformation amplitude is maximal. The optimal response of such a harvester is achieved when the amplitude of the axial strain in the piezoelectric layer, is uniform. Practical technological considerations dictate the thickness of the unimorph, but its planform geometry (i.e. the vareation of the width along the cantilever) is a design choice. The optimal planform of such a unimorph cantilever has been the focus of many previous studies, which included extensive simulations and experimental investigations. In these previous studies it was concluded that the optimal planform is a trapeze, where the cantilever tapers from its clamped edge towards the edge block. However, to date, no model with explicit predictive capabilities was proposed. In the present study we derive an analytic expression of the planform, that ensures a uniform axial strain over the top surface of a cantilever unimorph with an edge block. Our analysis provides a rational explanation why a trapeze planform is optimal, and provides an explicit functional form of the optimal geometrical parameters of this planform. The predictive capabilities of our model are validated by comparison to finite element simulations.

Characteristics and risk factors of pharmacist misconduct in New Zealand: a retrospective nationwide analysis

BackgroundProfessional misconduct has evolved into a worldwide concern, involving various forms and types of behaviours that contribute to unsafe practices. This study aimed to provide insights into the patterns characterising pharmacist misconduct and uncover underlying factors contributing to such instances in New Zealand.MethodsThis research examined all cases of pharmacist misconduct sourced from the Health Practitioners Disciplinary Tribunal (HPDT) database in New Zealand since 2004. Characteristics of the sampled pharmacists and cases were extracted, followed by a systematic coding of the observed misconduct issues. Identification of risk factors was accomplished through content analysis techniques, enabling an assessment of their prevalence across various forms of misconduct.ResultsThe dataset of pharmacist misconduct cases comprised 58 disciplinary records involving 55 pharmacists. Seven types of misconduct were identified, with the most commonly observed being quality and safety issues related to drug, medication and care, as well as criminal conviction. A total of 13 risk factors were identified and systematically classified into three categories: (1) social, regulatory, and external environmental factors, (2) systematic, organisational, and practical considerations in the pharmacy, and (3) pharmacist individual factors. The most frequently mentioned and far-reaching factors include busyness, heavy workload or distraction; health impairment issues; and life stress or challenges.ConclusionsThe patterns of pharmacist misconduct are complicated, multifaceted, and involve complex interactions among risk factors. Collaborative efforts involving individual pharmacists, professional bodies, responsible authorities, policy-makers, health funders and planners in key areas such as pharmacist workload and well-being are expected to mitigate the occurrence of misconduct. Future research should seek to uncover the origins, manifestations, and underlying relationships of various contributing factors through empirical research with appropriate individuals.

Left ventricular global longitudinal strain using a novel fully automated method: A head-to-head comparison with a manual layer-specific strain and establishment of normal reference ranges

BackgroundA novel automated method for measuring left ventricular (LV) global longitudinal strain (GLS) along the endocardium has advantages in terms of its rapid application and excellent reproducibility. However, it remains unclear whether the available normal range for conventional GLS using the manual method is applicable to the automated GLS method. This study aimed to compare automated GLS head-to-head with manual layer-specific GLS, and to identify whether a specialized normal reference range for automated GLS is needed and explore the main determinants. MethodsIn total, 1683 healthy volunteers (men, 43%; age, 18–80 years) were prospectively enrolled from 55 collaborating laboratories. LV GLS was measured using both manual layer-specific and automated methods. ResultsAutomated GLS was higher than endocardial, mid-myocardial, and epicardial GLS. Women had a higher automated GLS than men. GLS had no significant age dependency in men, but first increased and then decreased with age in women. Accordingly, sex- and age-specific normal ranges for automated GLS were proposed. Moreover, GLS appeared to have different burdens in relation to dominant determinants between the sexes. GLS in men showed no dominant determinants; however, GLS in women correlated with age, body mass index, and heart rate. ConclusionsUsing the novel automated method, was LV GLS higher than when using the manual GLS method. The normal ranges of automated GLS stratified according to sex and age were provided, with dominant determinants showing sex disparities that require full consideration in clinical practice.

Revitalizing Modernist Districts: Neighbourhood Level Mass-Renovation with SOFTacademy Project

This article discusses the neighbourhood-level renovation potential in Tallinn's modernist privately owned apartment blocks, with the aim of addressing the global need for deep renovation. The analysis considers international directives, national policies and municipal objectives, highlighting the focus of current renovation initiatives on apartment buildings. The discourse drives the ongoing conflict between energy-focused renovation and the preservation of spatial quality, relevant especially for the countries that favour partial renovation over the complete transformation of a building. It analyses the emerging impact of the New European Bauhaus (NEB) initiative, emphasizing the need to balance technical energy investments with cultural and aesthetic considerations in wider neighbourhoods. Shifting the focus to Tallinn, the article deals with the challenges of modernist mass production housing districts, recognizing their technical structure, current decay and socio-economic limitations. The European Renovation Wave strategy and upcoming energy efficiency requirements are seen as catalysts for neighbourhood revitalization, prompting the exploration of innovative models to transform these neighbourhoods into liveable and functional spaces. The discussion unfolds within the NEB compass, emphasizing the core values of beauty, sustainability, and cohesion. Practical considerations for the transformation of Tallinn districts are discussed, including spatial regulations, the complexity of ownership and the different perspectives of apartment owners. As a solution, the SOFTacademy approach is introduced, proposing a collaborative model establishing both the hardware and software elements for NEB driven renovation of neighbourhoods. In terms of hardware solution, prefabrication and modularity is used both for renovating the buildings as well as reinventing the courtyards around them. While the physical rejuvenation of the neighbourhoods is the key to NEB transformation, the shift depends as much from the software solutions. The results outline a process for initiating neighbourhood-level renovations, emphasizing the importance of consulting with owners, creating blueprints, and entering into cooperative agreements.

Coagulative removal of polystyrene microplastics from aqueous matrices using FeCl3-chitosan system: Experimental and artificial neural network modeling

Effluent from sewage treatment plants (STPs) is a significant source of microplastics (MPs) re-entry into the environment. Coagulation-flocculation-sedimentation (CFS) process as an initial tertiary treatment step requires investigation for coagulative MPs removal from secondary-treated sewage effluents. In this study, experiments were conducted on synthetic water containing 25 mg/L polystyrene (PS) MPs using varying dosages of FeCl3 (1–10 mg/L) and chitosan (0.25–9 mg/L) to assess the effect of process parameters, such as pH (4−8), stirring speed (0–200 rpm), and settling time (10–40 min). Results revealed that ∼89.3% and 21.4% of PS removal were achieved by FeCl3 and chitosan, respectively. Further, their combination resulted in a maximum of 99.8% removal at favorable conditions: FeCl3: 2 mg/L, chitosan: 7 mg/L, pH: 6.3, stirring speed: 100 rpm, and settling time: 30 min, with a statistically significant (p < 0.05) effect. Artificial neural network (ANN) validated the experimental results with RMSE = 1.0643 and R2 = 0.9997. Charge neutralization, confirmed by zeta potential, and adsorption, ascertained by field-emission scanning electron microscope (FESEM) and Fourier-transform infrared spectroscopy (FTIR), were primary mechanisms for efficient PS removal. For practical considerations, the application of the FeCl3-chitosan system on the effluents from moving bed biofilm reactor (MBBR) and sequencing batch reactor (SBR)-based STPs, spiked with PS microbeads, showed > 98% removal at favorable conditions.

Craniocervical Tetanus: A Practical Consideration During Work-up of Acute-Onset Trismus.

This clinical record revisits the classical and pathognomonic features of craniocervical tetanus in a 65-year-old farmer who presented with acute-onset trismus, multiple cranial nerve pareses (III, IX, and X), risus sardonicus, and spasm of the head-neck musculature. This paper explores the relevant literature and presents a brief pictorial analysis of the global epidemiologic data. With most countries successfully adopting the maternal and neonatal tetanus elimination (MNTE) program, the incidence and mortality of tetanus across age groups have sharply reduced in high-income and most middle-income nations. In adults, tetanus is now encountered in specialized situations like waning immunity and incomplete vaccination, in the resource-poor and low-income nations, in countries achieving MNTE recently, and as cluster cases in the aftermath of natural disasters involving human settlements. Therefore, present-day practicing otolaryngologists and residents who have limited exposure to the tell-tale clinical features of craniocervical tetanus should consider it during work-up of acute-onset trismus in adults in susceptible situations and with a conducive background. The clinical spectrum of craniocervical tetanus as depicted in this report, including the demonstration of the pathognomonic positive spatula test, provides valuable learning points for otolaryngologists in this regard.

Targeted muscle reinnervation in bionic upper limb reconstruction: current status and future directions.

Selective nerve transfers are used in the setting of upper limb amputation to improve myoelectric prosthesis control. This surgical concept is referred to as targeted muscle reinnervation (TMR) and describes the rerouting of the major nerves of the arm onto the motor branches of the residual limb musculature. Aside from providing additional myosignals for prosthetic control, TMR can treat and prevent neuroma pain and possibly also phantom limb pain. This article reviews the history and current applications of TMR in upper limb amputation, with a focus on practical considerations. It further explores and identifies technological innovations to improve the man-machine interface in amputation care, particularly regarding implantable interfaces, such as muscle electrodes and osseointegration. Finally, future clinical directions and possible scientific avenues in this field are presented and critically discussed.

Challenges in the Adoption of Mobile Money Services by Mobile Phone Users in Lusaka, Zambia.

Purpose: This study investigates mobile money adoption in Lusaka, Zambia, utilizing a mixed-methods approach.&#x0D; Methodology: The study employs a mixed-methods approach to explore mobile money adoption in Lusaka, Zambia.&#x0D; Findings: The study uncovers several key findings regarding mobile money adoption in Lusaka, Zambia. Convenience, ease of use, and perceived security emerge as primary motivators for adoption. Conversely, lack of understanding, perceived risk, and a preference for traditional banking methods are identified as major deterrents. Interestingly, cultural factors, such as religious beliefs, play a minimal role in adoption decisions. Demographic factors, including age, education level, and income, exhibit a complex interplay with adoption rates, with younger, more educated, and higher-income individuals generally more inclined to use mobile money.&#x0D; Unique Contribution to Theory, Practice, and Policy: The study's findings contribute to both theory and practice in the field of mobile money adoption. They highlight the predominance of practical considerations over cultural factors in technology adoption, suggesting the need for enhanced adoption models that go beyond traditional socio-economic determinants. Additionally, the study identifies technological discomfort as a significant deterrent to adoption, indicating a need for improved digital literacy and user-friendly interfaces. Furthermore, an awareness-confidence paradox is revealed, wherein increased awareness of cyber scams negatively impacts trust in mobile money security. This suggests the importance of balancing risk education with strong security reassurances. Fee perception also emerges as a hurdle, with over 60% of respondents perceiving fees as unfair, underscoring the importance of educating users on the value proposition of mobile money services. Overall, the study offers valuable insights for strategic product and service development, regulatory and policy formulation, and initiatives aimed at advancing financial inclusion and promoting economic growth in similar urban and semi-rural settings.

Challenges in the Adoption of Mobile Money Services by Mobile Phone Users in Lusaka, Zambia.

Purpose: This study investigates mobile money adoption in Lusaka, Zambia, utilizing a mixed-methods approach.&#x0D; Methodology: The study employs a mixed-methods approach to explore mobile money adoption in Lusaka, Zambia.&#x0D; Findings: The study uncovers several key findings regarding mobile money adoption in Lusaka, Zambia. Convenience, ease of use, and perceived security emerge as primary motivators for adoption. Conversely, lack of understanding, perceived risk, and a preference for traditional banking methods are identified as major deterrents. Interestingly, cultural factors, such as religious beliefs, play a minimal role in adoption decisions. Demographic factors, including age, education level, and income, exhibit a complex interplay with adoption rates, with younger, more educated, and higher-income individuals generally more inclined to use mobile money.&#x0D; Unique Contribution to Theory, Practice, and Policy: The study's findings contribute to both theory and practice in the field of mobile money adoption. They highlight the predominance of practical considerations over cultural factors in technology adoption, suggesting the need for enhanced adoption models that go beyond traditional socio-economic determinants. Additionally, the study identifies technological discomfort as a significant deterrent to adoption, indicating a need for improved digital literacy and user-friendly interfaces. Furthermore, an awareness-confidence paradox is revealed, wherein increased awareness of cyber scams negatively impacts trust in mobile money security. This suggests the importance of balancing risk education with strong security reassurances. Fee perception also emerges as a hurdle, with over 60% of respondents perceiving fees as unfair, underscoring the importance of educating users on the value proposition of mobile money services. Overall, the study offers valuable insights for strategic product and service development, regulatory and policy formulation, and initiatives aimed at advancing financial inclusion and promoting economic growth in similar urban and semi-rural settings.

Should we stop talking about empathy?: Virtual reality, refugee children and the ethics of technology-mediated moral education

ABSTRACT Given much-discussed innovations in Virtual Reality as the ‘ultimate empathy machine’, we offer three provocations regarding the use of Virtual Reality to cultivate empathy: is empathy possible? Is empathy enough? Who controls how empathy is produced, and who is left out? As a case study, we examine the VR films that the United Nations High Commissioner for Refugees has produced about the refugee crisis. Using this as an entry point to discuss the implications for technology-mediated moral education, our analysis aims to provide insights for educators and scholars interested in the use of VR to teach about marginalised communities facing structural injustice. In conclusion, we offer a set of practical considerations to foster reflection on the ethical and effective use of technology in moral education. We advocate for a nuanced approach that emphasises empathy as a catalyst for meaningful change, transforming passive empathy into active solidarity.

Integrated microcavity electric field sensors using Pound-Drever-Hall detection

Discerning weak electric fields has important implications for cosmology, quantum technology, and identifying power system failures. Photonic integration of electric field sensors is highly desired for practical considerations and offers opportunities to improve performance by enhancing microwave and lightwave interactions. Here, we demonstrate a high-Q microcavity electric field sensor (MEFS) by leveraging the silicon chip-based thin film lithium niobate photonic integrated circuits. Using the Pound-Drever-Hall detection scheme, our MEFS achieves a detection sensitivity of 5.2 μV/(mHz\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\sqrt{{{{{{{{\\rm{Hz}}}}}}}}}$$\\end{document}), which surpasses previous lithium niobate electro-optical electric field sensors by nearly two orders of magnitude, and is comparable to atom-based quantum sensing approaches. Furthermore, our MEFS has a bandwidth that can be up to three orders of magnitude broader than quantum sensing approaches and measures fast electric field amplitude and phase variations in real-time. The ultra-sensitive MEFSs represent a significant step towards building electric field sensing networks and broaden the application spectrum of integrated microcavities.

Barriers and facilitators to establishing a clinical academic career in clinical education research in the UK: A focus group study

In a rapidly changing healthcare environment, we need a robust evidence base to inform effective education and training. This study aimed to examine factors perceived to determine career progression in clinical education research in the UK. Six online focus groups were conducted, with 35 participants from a range of medical, dental, nursing, and allied health professions who identified as aspiring or early career clinical education researchers. Transcripts underwent thematic analysis. Two themes and associated subthemes were constructed to illustrate perceived factors impacting on career development: (1) A cultural challenge from clinical norms. Challenges included differences between the epistemological assumptions of biomedical and clinical research, and the underlying philosophy of education research, which is more closely aligned with the knowledge generation of the social sciences. This led to difficulty communicating the impact of education research to patient care. There were also blurred boundaries between education delivery and research, with the latter lacking a clearly defined group identity. (2) Structures, systems and relationships for career progression. Practical considerations included time and funding (or lack thereof), the opportunity to undertake formal training, networking and role models. This research highlights a number of systemic barriers and facilitators to careers in clinical education research and offers targets of intervention to enable a sustainable academic workforce in clinical education research.

The Impact of Façade Design on Visual Pollution Case study: Peshawa-Qazi Street (100 m) in Erbil

Visual pollution refers to the negative impact of various environmental elements on the visual experience of individuals and the quality of the surroundings. This includes unsightly buildings and other man-made structures that disrupt natural beauty. The design of building facades plays a significant role in determining visual pollution. This study aimed to assess the impact of facade design on visual pollution by testing which facade design considerations most contribute to visual pollution in Peshawa-Qazi Street (100 m) in Erbil City. An online survey was conducted with 283 participants in six architectural departments within engineering colleges and other online engineering platforms in Erbil, Duhok, and Suleimani. Respondents included architectural students from the 3rd to 5th stage, academic staff, and professional architects. They rated the impact of individual facade elements, contextual integration, and other factors on visual pollution. A one-sample T-test was used to compare mean scores to a test value of (2.5). Results showed that all three categories of façade design considerations significantly increase visual pollution compared to the test value (p &lt; 0.05). Considerations regarding the overall context of a facade had the most significant impact (mean of 1.93 higher than the test value), followed by other factors (mean of 1.79 higher) and individual elements (mean of 0.71 higher). To decrease visual pollution, it is recommended to the policymakers and municipalities to develop regulations, façade design guidelines and for architects to follow the principles of architectural form and composition regarding the integration of building facades with their surroundings, façade practical considerations, and refined composition of façade elements.

Toward a further understanding of assent.

Arranging assent opportunities is an increasingly common strategy for involving clients in therapeutic decisions within behavior analysis. Recent behavior-analytic articles have helped create a basic behavioral definition and conceptualization of assent, but much more guidance is needed for practitioners and researchers interested in embedding assent into their practices. The purpose of this article is to advance the conceptualization and understanding of assent and assent practices by refining previous definitions and conceptualizations of assent and providing six essential considerations for embedding assent into practice. The six considerations consist of determining the applicability and feasibility of assent, assessing assent-related skills, arranging assent procedures and teaching assent-related skills, arranging fair choices, selecting opportunities to assess assent, and informally assessing assent. Following the discussion of the considerations for assent practices, we issue a call for specific topics of research on assent.

Psychodynamic therapists treating patients with eating disorders during COVID-19: perceptions of the therapeutic relationship, patient experiences and symptomatology, and therapeutic processes

Psychodynamic therapy is commonly used to treat patients with eating disorders. Patients with a diagnosed eating disorder have varying and complex treatment needs. Psychodynamic therapists transitioning their practices to telehealth during COVID-19 experienced the novelty of developing and sustaining a therapeutic connection with their patients without inhabiting a shared physical space. The aim of this qualitative phenomenological study was to gain insight into how psychodynamic therapists treating patients with eating disorders via telehealth during COVID-19 perceived their patients’ experiences and personally experienced the therapeutic relationship and therapeutic processes. Twelve respondents met inclusion criteria, consented to participate, provided demographic data, and participated in a 30–45 minute semi-structured interview. Results from the data analysis included four emergent themes: (1) depth of content; (2) manifestations of patient distress; (3) therapist-patient relationship; and (4) implementation of techniques. Participants spoke about the challenges and resilience experienced by themselves and their patients. They highlighted having to rapidly transition their therapy practice to serve patients with exacerbated symptoms. They shared the complexities of navigating a global pandemic and considered the delivery of relational and dynamic therapy via telehealth. Practical implications and considerations for future research are offered with an emphasis on the treatment of patients with eating disorders.