Science Literature Research Articles

Can Education Save Us From Ourselves? Three Psychological Challenges to Democracy

This review brings social science literature into conversation with education to understand how three psychological challenges—motivated reasoning, misinformation, and conspiracy theories—have been studied in educational research. After describing the challenges, how they function, and how they contribute to democratic backsliding, the authors explore the frequency, orientation, and proposed interventions to these challenges in 59 educational research articles published between 2016 and 2022. We categorize approaches to the challenges as Rational, Affective, or Blended Rational/Affective to describe their framing in educational research. Rational frameworks were the most common, while few studies used Affective frames. The few studies featuring an educational intervention emphasized rational thinking over affective or motivational processes. We suggest ways to bolster understanding of problems created by motivated reasoning, misinformation, and conspiratorial thinking and argue for increased attention to the affective and political nature of these challenges in educational research.

Between paternalism and colonialism: Czechs and Slovaks from the 19th century to the first half of the 20th century

The study focuses on the postcolonial analysis of the development of mutual Czech-Slovak relations from the 19th century to the first half of the 20th century. The core of the analysis are specific literary representations of these mutual relationships based on the textual corpus of Czech and Slovak literature. In the broader public discourse of Central European literature, Czech-Slovak relations are only rarely analysed using postcolonial criticism. In the field of literary science, this is an unexplored area of Czech-Slovak relations. The contribution therefore seeks to complement postcolonial research on the material of Czech and Slovak non-fiction texts, as well as neglected novels. It focuses on the postcolonial analysis of literary representations of mutual Czech-Slovak relations, which developed between paternalism and colonialism in the observed period. The critical reading of these literary representations is based on the description of power relations identifiable through more or less conspicuous features of superiority and subordination, which are relevant to interpret through postcolonial theories. The author of the paper is aware of the specifics and differences of power relations between small cultures in the Central European area compared to the analysis of relations between a large empire and a politically subordinate colonial culture. For this reason, he expands the repertoire of terminology from postcolonial criticism (Homi H. Bhabha and Edward W. Said) and uses not only the basic terms colonialism and Orientalism, but also other terms to define the diverse scale of the power relationship of the Czechs to Slovak culture, e.g. paternalism (to introduce the Czech figure of the elder brother), pre-colonialism (to introduce the Czech figure of the savior) and anticolonialism (to introduce the Czech figure of the Slovaks as victims). Using postcolonial terminology, the study approaches specific literary figures that have become part of Czech thinking about Slovak culture. The situation of Slovak culture in the observed period can be interpreted through Kiossev’s metaphor of self-colonization, which reflects the positive reception of the cultural and educational mission of the Czechs in Slovakia. The used corpus of texts from Czech and Slovak literature and its analysis served as a starting point for understanding cultural stereotypes and literary representations of nascent national identities. Czech colonialism developed in the political, cultural and linguistic framework, first as a recognition of Slovakia by Czech slovakophiles, after 1918 it was already part of the discussion in the public space. All these period attitudes of the Czechs towards Slovakia were prescribed in literary texts of a fictional and non-fictional nature and as part of the Czech cultural memory they filled the Czech cultural myth about Slovakia.

Religious hydro-healing and medical hydrotherapy: Links, benefits, contrasts and challenges

here seems to be some recognition of the relevance of dihydrogen oxide (water) in many spheres. Among others, literature in poetry, religious texts and medical science, address the value of water in emotional, physical and psychological healings. To understudy how religion, spirituality and medical science connect and contrast in domesticating water for healing purposes, this article undertook literary research on religious and medical hydro-healings in Christianity, African and Native American traditional religions, and medical science. It presented links, benefits, challenges and contrasts between spiritual healing and medical water therapy as well as inter-religious connections. Based on the literature, the article discovered that spiritual hydro-healing is spiritual, instantaneous and non-scientific, but medical hydrotherapy is organic, naturopathic, gradual and scientific or logical. On the positive side, the article found that indigenous spiritual knowledge is a key motivating factor in the popularity of hydro-healing practices. Whereas, on the negative, it observed the danger of the grey areas of spiritual hydro-healings which include, but are not limited to, unethical practices, commercialisation of healing waters, addiction, river baptism mortality and the quest for instantaneous hydro-healing leading to health hazards and death.Contribution: The article concluded with an urgent call to stakeholders to pay attention to the hydro-healing practices that can compromise public health and safety.

Engaging in cyber hygiene: the role of thoughtful decision-making and informational interventions.

The effectiveness of human-centric cybersecurity largely depends on end-users' adherence to security and privacy behaviors. Understanding and predicting variations in the adoption of these safeguards is crucial for both theoretical advancement and practical application. While existing frameworks are often adapted from health science literature, there is potential to enhance these models by incorporating criminological constructs relevant to online victimization. This study introduce rational choice theory of thoughtfully reflective decision-making (TRDM) into the information security domain. TRDM suggests that variations in cognitive decision-making capabilities influence behavioral outcomes, particularly in the context of security and privacy practices. The study employed a field experiment to test the applicability of TRDM in predicting end-users' engagement in security and privacy behaviors. Participants were exposed to security-related warnings, with the hypothesis that thoughtfully reflective decision-makers would be more likely to adopt robust protective behaviors. Data was collected on participants' responses to these security warnings, as well as their overall adherence to privacy and security practices. The findings support the theoretical framework: individuals exhibiting thoughtfully reflective decision-making tendencies demonstrated a higher likelihood of engaging in privacy and security behaviors. Specifically, participants with higher TRDM scores were more likely to adopt protective behaviors when warned of the consequences of non-compliance. These results indicate that cognitive decision-making capabilities significantly influence the likelihood of engaging in cybersecurity practices. The study challenges the prevailing one-size-fits-all approach to cybersecurity by highlighting the importance of individual differences in cognitive decision-making. Thoughtfully reflective decision-makers are better equipped to adopt preventive security measures, suggesting the need for more tailored interventions in cybersecurity education and risk assessment. This research contributes to the development of sophisticated risk assessment tools aimed at mitigating vulnerabilities and reducing users' susceptibility to digital threats. Incorporating TRDM into information security models provides a more nuanced understanding of user behavior, offering insights into how cognitive processes influence cybersecurity adherence.

Gravity’s eastern voyage: the introduction, transmission, and impact of Newtonian mechanics in late imperial China (1727–1912)

This study traces the intricate journey of Newtonian mechanics in Qing China from 1727 to 1912, elucidating the complex interplay of science, religion and politics in cross-cultural knowledge exchange. Initially introduced by Jesuit missionaries through lunar theory in calendrical reform, followed by cometary and heliocentric concepts, the dissemination of Newtonian mechanics gained momentum after the Opium Wars (1839–1842). Subsequently, Protestant missionaries and Chinese scholars collaborated to translate and propagate Newton’s laws of gravitation and motion, often contextualized within natural theology, through Western texts, popular science literature, and periodicals. This process culminated in the integration of Newtonian principles into national educational curricula in the early twentieth century. Significantly, Newtonian mechanics transcended its scientific realm, infiltrating political discourse as reformist thinkers leveraged mechanical terminology to advocate for sociopolitical change. This historical episode illustrates how the assimilation of Newtonian mechanics was influenced by missionary approaches, indigenous intellectual traditions, pragmatic national interests, and the tumultuous political landscape of Late Qing. By challenging Eurocentric narratives and highlighting Chinese agency in adapting Western knowledge, this study contributes to a more inclusive history of Newtonian science, offering a nuanced perspective on global scientific circulation.

Garbhini Paricharya and its Clinical Importance

Ayurveda refers to prenatal care as Garbhini Paricharya, a preventive healthcare system. Pregnant women should receive care from the start of their pregnancy until the baby is born. Given that the health of the mother affects the outcome for the fetus, pregnancy and childbirth are among the most important times in a woman’s life cycle and require special care. The rising incidence of congenital malformations in infants nowadays is a major source of concern for the medical community. These flaws might be mild, large, anatomical, or physiological in character. Prenatal care known as Garbhini Paricharya suggests Ahar, or a certain nutrition plan, Vihar, or a Garbhini way of life, and behavioral changes in the psychological domain. The right Garbhini Paricharya would lead to the fetus developing normally, to a healthy delivery, and to the mother’s ability to endure the hardship of childbirth. Garbhini Paricharya consists of Garbhasthapak Dravyas (substances favorable for maintaining pregnancy), Garbhopaghatakar Bhavas (activities and substances which are damaging to fetus), and Masanumasik Pathya (mouth smart food regimen). The primary goals of advising Garbhini Paricharya are Anupaghata (simple pregnancy), Paripurnatya (ensuring the fetus and mother grow properly), and Sukhaprasava (healthy delivery). Conclusion: Prenatal care should be provided in an integrated manner, that is, in accordance with both current science and Ayurvedic literature, as the ancient Ayurvedic literature detailed in the many Samhitas is not only unique but also scientific as modern medical sciences.

Creative art therapy for postpartum depression： A systematic review and meta-analysis

This study aims to ascertain the effectiveness of creative art therapy (CAT) in alleviating symptoms of postpartum depression (PPD). A systematic review of all randomized controlled trials of CAT for PPD was conducted. Eight bibliographic databases, namely, PubMed, The Cochrane Library, Embase, Web of Science, CNKI, Wanfang Database, VIP Database, and China Biomedical Literature Database were searched digitally, while Google Scholar database was searched manually for a comprehensive literature search. The search period is from the establishment of the database to May 2024. Literature screening and data extraction were conducted independently by two researchers, and the risk of bias in the included studies was evaluated. Finally, RevMan5.3 software and STATA 15.1 software were used for meta-analysis. Twelve studies, including 1633 patients, were included in this review. The results of our meta-analysis revealed that the intervention group was significantly better than the control group in depression [SMD=-0.882, 95% CI: -1.256 to -0.508, P ＜ 0.001][WMD=0.680, 95% CI: 0.407-0.953, P ＜ 0.001], anxiety [SMD=-0.712, 95% CI: -1.405 to -0.019, P=0.044], and personal state [WMD=-5.180, 95% CI: -5.869 to -4.491, P ＜ 0.001][SMD=0.388, 95% CI: 0.132-0.643, P=0.003], and the difference was statistically significant. Sensitivity analysis revealed that the above results were stable. CAT (music and creative games) was found to be effective in relieving depression, anxiety, and personal state in patients with PPD. Though CAT appears to be worthy of clinical application, more high-quality and large-sample studies are required to explore various aspects in the current context.

‘Let me tell you a story’: the politics of macroeconomic models

ABSTRACT Various social science literatures suggest that the general character of macroeconomic models reflects their assumptive base. A more specialist literature in the Weintraub-Boumans-Morgan tradition shows how the mathematics of those models moulds together logical implications of particular starting assumptions, insights from generally accepted theoretical propositions, and professionalised common-sense about how the world works. I go one step further in arguing that a process of narrative moulding operates in tandem with this mathematical moulding. A naming strategy provides the mathematical properties of macroeconomic models with economic labels to create the feeling that they are something more than a merely mathematical structure. A storytelling strategy then informs policy-makers of where the solution to the system of equations positions the outer limits of both political desirability and political possibility. Future dedicated research programmes into the narrative dimensions of macroeconomic models can be expected to shed further light on how theory models can masquerade as policy models and substitute models as surrogate models.

Operative Timing in Cervical Spine Trauma.

Narrative review. To review existing literature regarding surgical timing in cervical trauma with a focus on acute traumatic central cord syndrome. Traumatic central cord syndrome is the most common incomplete spinal cord injury. Substantial basic science literature has proposed ischemic and secondary injury-driven mechanisms underpinning the urgency of operative intervention. However, only recently has a relative consensus emerged in the clinical literature regarding the safety, efficacy, and necessity of early operative intervention for acute traumatic central cord syndrome. A literature search was conducted of studies in PubMed Central and Cochrane Database related to timing in cervical spine trauma. Recently, several major systematic reviews and consensus statements have endorsed the importance and safety of early (<24h) operative decompression in the setting of traumatic spinal cord injury. Despite decades of conflicting data, a similar trend appears to be emerging for traumatic central cord syndrome. These clinical developments join a large body of basic science work regarding the importance of early decompressive surgery in relieving acute ischemic insult and minimizing the effects of secondary injury. However, further work is needed to delineate optimal surgical timing, especially regarding "ultra-early" (<8 h) protocols, and to aid in creating accelerated screening pathways.

Why now? Questioning the confidence in eco-political experimentation in civil society

In the social sciences literature, experimentation in civil society as in food co-ops, urban gardens, repair cafés, or sharing platforms is widely considered as promising to address mounting socio-ecological problems. But is this confidence justified at a point in time when fundamental change is more urgent than ever? After all, these forms of experimentation have a history that reaches back to the very beginnings of environmentalism. Why should they trigger a comprehensive socio-ecological transformation today, if they have not done so in the past? For academic confidence in transformative change through experimentation to be plausible, at least one of two conditions would have to be fulfilled: either academic accounts plausibly demonstrate that the meanings and functions of present experiments fundamentally differ from those in the past. Or these accounts convincingly show that societal context conditions today are much more favourable for transformative change through experimentation than in the past. To assess whether or to what extent at least one of these conditions is fulfilled, we pursue a comparative analysis of past and present discourses on eco-political experimentation in civil society and a conjunctural analysis of current context conditions for transformative change through experimentation. Our findings suggest that neither the criterion of substantial difference nor that of favourable context conditions is fulfilled. For this reason, the current academic trust in transformative change through experimentation, arguably, remains implausible. Hence, we caution against spreading hope when doubt seems in order, for unwarranted narratives of hope may come with an unintended side-effect: ‘sustaining the unsustainable.'

Mapping barriers and bottlenecks for personalized preventive approaches in health systems worldwide

Abstract Over the past decades, the growing prevalence of chronic disease globally raised the public health need to plan tailored personalized preventive approaches, mainly through big data and -omic sciences. However, a conspicuous body of literature highlighted the existence of many barriers and bottlenecks hindering their actual implementation in real-word settings. From here, this scoping review of reviews aims to map all known barriers and bottlenecks to the implementation of personalized preventive approaches in European health systems and beyond. PubMed, Web of Science, Scopus and gray literature sources were consulted from 2017 to January 2023, identified barriers and bottlenecks were analyzed against the Consolidated Framework for Implementation Research (CFIR). Out of 11,602 records, 220 were deemed eligible for full-text screening, and a final sample of 34 review studies were extracted. Studies were mainly performed in USA 15 (44%) and UK 3 (9%), followed by Canada 2 (6%), India 2 (6%) and Italy 2 (6%). From our results, the lack of evidence on clinical utility, guidelines, specialized professionals, citizen trust and cultural issues are the most frequently reported barriers to the implementation of personalized preventive approaches worldwide. These in turn affect country specific policies and the applicability of such innovations across different populations, raising the risk of increasing health inequalities and discrimination concerns. Findings confirmed that most translational challenges pertain to primary and secondary prevention levels across several chronic diseases, with particular concerns for non-European ancestry individuals. Key messages • The identification of bottlenecks are informative of future precision public health interventions. • Barriers reported in most of the studies suggest the need to establish a targeted agenda.

The state-of-the-art and barriers for the adoption of personalised prevention in Europe and beyond

Abstract Personalized prevention is a priority of the European Commission’s research agenda, exemplified by the EU-funded project ‘a PeRsonalised Prevention roadmap for the future HEalThcare’ (PROPHET), a coordination and support action of the International Consortium for Personalized Medicine. It aims to bolster health systems in implementing innovative, sustainable, and high-quality personalized strategies to prevent chronic diseases. In this context, a scoping review was conducted to map personalized preventive approaches (PPA) for chronic diseases and obstacles to their adoption worldwide. The review followed the Arksey-O’Malley guidelines and was conducted from January 2017 to December 2023, on PubMed, Web of Science, Scopus, and grey literature. Eligible studies were primary reports and guidelines, while for the barriers to their adoption we included literature reviews. We included 120 documents on approaches and 34 reviews on barriers. Among the former, 251 PPA were identified: 69% on cancer, 21% on cardiovascular diseases, and 10% on neurological, psychiatric, and metabolic diseases. Furthermore, 27% were on primary prevention, using omic biomarkers to predict disease risk and guide preventive strategies; 27% on secondary prevention, using genomics to guide screening programs; 46% on tertiary prevention, using pharmacogenomics or targeted therapies to prevent disease complications. Among the 34 reviews on barriers, the majority were about the lack of clinical utility evidence and research needs, ethical and legal issues, and limited knowledge among health professionals, citizens, and patients. The majority of the barriers (76%) were referred to primary and secondary prevention, consistent with the low rates of existing approaches in these areas. Ongoing efforts show promise for tailoring prevention strategies, but further research and integration are needed to maximize their potential in improving population health and reducing chronic disease burdens on health systems.

Exploring the intercultural potential of picturebooks in early secondary EFL classrooms in Austria

Abstract Intercultural education has constituted an interdisciplinary teaching principle in Austrian upper and lower secondary curricula since 1992 and was reinforced by a decree in 2017. Literary texts have been identified as promising resources and valuable tools for initiating intercultural learning through their frequently inherent multi-perspectivity encouraging students to empathize with characters, consider different perspectives, contrast viewpoints, relate stories to personal experiences, and reflect on diverse ideas. However, research on the implementation of intercultural teaching and learning using literature in foreign language classrooms has so far mostly focused on upper secondary education and has frequently related to using postcolonial fiction writings. To counter the knowledge gap on the implementation of intercultural learning in lower educational levels, this study adopts a literary science approach to explore the potential of picturebooks in early secondary EFL classrooms. Using The Little Green Jacket (Dee, 2020), it specifically examines perspective-taking as a key dimension of intercultural learning. Through written learner reflections, the research study assesses whether students in two Austrian EFL classrooms (n = 35) can adopt a different viewpoint. The findings show that most students are successful, or at least partly successful, in perspective-taking and mostly describe emotions of sadness but also hopefulness in their reflective writings. Thus, the study suggests that picturebooks have the potential to facilitate perspective-taking as an essential dimension of intercultural education among young EFL learners with low language proficiency, highlighting their largely untapped potential in early language education.

MANEJO DO SORRISO GENGIVAL ATRAVÉS DO USO DA TOXINA BOTULÍNICA TIPO A

An aesthetically pleasing smile results from the combination of several factors, such as the position, size, shape, and color of the teeth, as well as the exposure and characteristics of the gingival tissue. When evaluating the gingival tissue in a smile, several important factors must be considered: excessive vertical growth of the maxilla, reduced length of the upper lip, excessive contraction of the upper lip, and disproportion between the length and width of the clinical crown of the anterior teeth. A minimally invasive approach that can be used as a complement to dental treatment is the application of botulinum toxin, a neurotoxin produced by the anaerobic bacterium Clostridium botulinum. This toxin blocks the release of acetylcholine in the presynaptic vesicles of neuromuscular junctions, inhibiting muscle contraction. The aim of this literature review was to analyze the use of botulinum toxin type A (BTX-A) in the management of gummy smile. The search was conducted in the databases Google Scholar, PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SciELO). The descriptors used for the search were "botulinum toxin," "gingiva," "periodontology," and "dental aesthetics," combined using the boolean operators AND and OR. Although the evidence demonstrates favorable results, the use of botulinum toxin to correct gummy smile has limitations. It is a temporary solution, and patients should be informed about the need for periodic reapplications and the potential side effects, such as facial asymmetries. The reviewed studies indicate that this technique is particularly effective in cases of gummy smile resulting from hyperactivity of the upper lip elevator muscle, providing a significant reduction in gingival exposure, with results lasting up to 12 weeks. The combination of different therapeutic approaches, along with a careful evaluation of the causes of gummy smile, allows dental professionals to offer more integrated and personalized solutions for each patient.

Mapping the Knowledge Structure of Image Recognition in Cultural Heritage: A Scientometric Analysis Using CiteSpace, VOSviewer, and Bibliometrix.

The application of image recognition techniques in the realm of cultural heritage represents a significant advancement in preservation and analysis. However, existing scholarship on this topic has largely concentrated on specific methodologies and narrow categories, leaving a notable gap in broader understanding. This study aims to address this deficiency through a thorough bibliometric analysis of the Web of Science (WoS) literature from 1995 to 2024, integrating both qualitative and quantitative approaches to elucidate the macro-level evolution of the field. Our analysis reveals that the integration of artificial intelligence, particularly deep learning, has significantly enhanced digital documentation, artifact identification, and overall cultural heritage management. Looking forward, it is imperative that research endeavors expand the application of these techniques into multidisciplinary domains, including ecological monitoring and social policy. Additionally, this paper examines non-invasive identification methods for material classification and damage detection, highlighting the role of advanced modeling in optimizing the management of heritage sites. The emergence of keywords such as 'ecosystem services', 'models', and 'energy' in the recent literature underscores a shift toward sustainable practices in cultural heritage conservation. This trend reflects a growing recognition of the interconnectedness between heritage preservation and environmental sciences. The heightened awareness of environmental crises has, in turn, spurred the development of image recognition technologies tailored for cultural heritage applications. Prospective research in this field is anticipated to witness rapid advancements, particularly in real-time monitoring and community engagement, leading to the creation of more holistic tools for heritage conservation.

Organ Donation Process for Transplantation: A Scoping Review

Objectives: To identify studies in the literature that address the strategies used in the organ donation process. Method: Scoping review based on the Joanna Briggs Institute ( JBI) methodology, in the databases Medical Literature and Retrieval System Online (MEDLINE), Scopus, Web of Science, Latin American and Caribbean Literature in Health Sciences (LILACS), and Embase via the Virtual Health Library (VHL), following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist, carried out from August to December 2023. Results:"irty-three studies were eligible, which showed that the donation process must happen systematically, following the steps: 1) identi#cation of patients suspected of having brain death (BD); 2) opening the protocol and notifying organizations; 3) con#rmation of the diagnosis of BD; 4) communicating the death to the family; 5) conducting the interview; 6) consent to donation; 7) donor maintenance; 8) procurement and allocation of organs; 9) transplant; and 10) follow-up. Conclusion: Donation requires a multifaceted approach, including awareness, investment, evaluation and research.

Popular science books in Russian libraries: Status, problems and prospects

The authors discuss the findings of the study “Popular science books in Russian libraries”. The purpose of the study was to get data on the existence, quantity and relevancy of these publications in the libraries. The authors cite the results of the survey and provide their conclusions on the libraries’ managing their popular science collections and related user services. The digital survey was based on Yandex Forms service and comprised quantitative data acquisition and analysis. The authors conclude that with the government’s focusing on science popularization among the population, the libraries act proactively, promote popular science literature and hold various events. However, further system organizational and methodological support is needed to build the unified system of straight interdepartmental control of popular science literature publishing and relevancy, and to improve libraries performance in this area. The authors specify several problems, in particular, lacking the common approach to publishing and using of popular science literature. The solutions lie in new approaches toward typological classification of this targeted publications and target user audience.

Community-Based Health Information Systems in Africa: A Scoping Review of Data Generation, Utilization, and Community Empowerment

Introduction The community-based health information system (CBHIS) is a vital component of the community health system, as it assesses community-level healthcare service delivery and generates data for community health programme planning, monitoring, and evaluation. CBHIS promotes data-driven decision-making, by identifying priority interventions and programs, guiding resource allocation, and contributing to evidence-based policy development. Objective This scoping review aims to comprehensively examine the use of CBHIS in African countries, focusing on data generation, pathways, utilisation of CBHIS data, community accessibility to the data and use of the data to empower communities. Methods We utilised Arksey and O'Malley's scoping review methodology. We searched eight databases: PubMed, EMBASE, HINARI, Cochrane Library, Web of Science, Scopus, Google Scholar, and grey literature databases (Open Grey and OAIster). We synthesised findings using a thematic approach. Results Our review included 55 articles from 27 African countries, primarily in Eastern and Southern Africa, followed by West Africa. Most of the studies were either quantitative (42%) or qualitative (33%). Paper-based systems are primarily used for data collection in most countries, but some have adopted electronic/mobile-based systems or both. The data flow for CBHIS varies by country and the tools used for data collection. CBHIS data informs policies, resource allocation, staffing, community health dialogues, and commodity supplies for community health programmes. Community dialogue is the most common approach for community engagement, empowerment, and sharing of CBHIS data with communities. Community empowerment tends towards health promotion activities and health provider-led approaches. Conclusion CBHIS utilises both paper-based and electronic-based systems to collect and process data. Nevertheless, most countries rely on paper-based systems. Most of the CBHIS investments have focused on digitisation and enhancing data collection, process, and quality. However, there is a need to shift the emphasis towards enabling data utilisation at the community level and community empowerment.

Bringing team science to the ambulatory diagnostic process: how do patients and clinicians develop shared mental models?

The ambulatory diagnostic process is potentially complex, resulting in faulty communication, lost information, and a lack of team coordination. Patients and families have a unique position in the ambulatory diagnostic team, holding privileged information about their clinical conditions and serving as the connecting thread across multiple healthcare encounters. While experts advocate for engaging patients as diagnostic team members, operationalizing patient engagement has been challenging. The team science literature links improved team performance with shared mental models, a concept reflecting the team's commonly held knowledge about the tasks to be done and the expertise of each team member. Despite their proven potential to improve team performance and outcomes in other settings, shared mental models remain underexplored in healthcare. In this manuscript, we review the literature on shared mental models, applying that knowledge to the ambulatory diagnostic process. We consider the role of patients in the diagnostic team and adapt the five-factor model of shared mental models to develop a framework for patient-clinician diagnostic shared mental models. We conclude with research priorities. Development, maintenance, and use of shared mental models of the diagnostic process amongst patients, families, and clinicians may increase patient/family engagement, improve diagnostic team performance, and promote diagnostic safety.

Mechanism of imipenem-induced mental disorder: A meta-analysis.

Imipenem is a highly effective carbapenem antibiotic, which is widely used in the treatment of many serious bacterial infections. At the same time, it can also cause some adverse reactions, mental abnormalities are the most concerned central nervous system adverse reactions. Different patients respond differently to imipenem, and the effect of imipenem on psychiatric disorders is unclear. Therefore, meta-analysis summarizing the results of multiple previous studies can provide stronger evidence support for clinical guidelines to guide clinical rational use of imipenem to minimize risks. To systematically review the effects of imipenem on mental-health disorders. Method in Cochrane Library, Web of science, PubMed, ProQuest, and China's biomedical literature databases Wanfang, Weipu and China HowNet, the related literatures about the controlled trials of imipenem-induced mental disorders from the establishment of the database to May 2024 were searched; the included literatures were analyzed using RevMan 5.4 software; and the heterogeneity among the studies was also discussed. After reviewing the literature published between 2003 and 2017, seven controlled trials with a total of 550 patients were included, with 273 and 277 patients in the control and experimental groups, respectively. The sample size of the study ranged from a minimum of 30 cases to a maximum of 61 cases. Patients in the experimental group were treated with imipenem while the control group was treated with conventional drugs. Meta-analysis showed that the incidence of mental disorders in the experimental group was higher than that in the control group (odds ratio = 3.66, 95% confidence interval: 1.11-12.11, P = 0.030); however, there was no significant difference in the incidence of adverse reactions between the two groups (odds ratio = 0.05, 95% confidence interval: 0.00 to 0.10, P = 0.060). Funnel diagrams showed that the scattered points of each study were symmetrical and distributed in an inverted funnel shape; therefore, there was no publication bias. Imipenem can cause mental disorders in patients. However, the low quality of the included literature may have affected the final results. Therefore, it is necessary to conduct a high-quality randomized controlled study with multiple samples to further confirm the mechanism of imipenem-induced mental disorders and provide effective guidance for clinical treatment.