Mobile applications for time and event management in older adults and their careagivers: A scoping review.

Frustration-related cognitive, motivational, and self-regulatory dysregulation in gaming disorder: roles of frustration intolerance, frustrative non-reward, and procrastination.

<bold>ABSTRACT</bold> This study examines how 40 Palestinian-Arab women pursuing master’s degrees in education negotiate intersecting structures shaping their lives as minoritized, gendered subjects. Using Photovoice and focus groups, the research analyzes how participants articulate experiences across overlapping roles – Palestinian-Arab, mothers, teachers, students – within sociopolitical conditions marked by patriarchy, inequality, and linguistic domination. Photovoice enabled visual and narrative expressions of tension, agency, and subtle resistance beyond traditional qualitative tools. Guided by an intersectional feminist framework, the study shows how gendered expectations, ethnic marginalization, and linguistic hierarchies generate emotional, academic, and economic pressures. The findings reveal obstacles including time constraints, linguistic exclusion in Hebrew-dominant spaces, and conditional family support rooted in patriarchal bargains. Yet participants mobilized strategies, relational support, time management, and strategic conformity to sustain their studies. The study advances feminist debates on minority women’s educational trajectories and underscores the need for institutions to address structural and sociocultural barriers.

Passive social networking, peer group pressure and procrastination on academic tasks: Time management skill as a mediator and academic self-efficacy as a moderator.

Development, implementation, and evaluation of the elective course "Holistic Marketing in Pharmacy".

There is a recognised desire to teach amongst GP trainees yet limited formal opportunities to do this. There are known benefits of near-peer teaching to both teacher and learner, but minimal research investigating the role of GP trainees as teachers in a clinical setting. This study aims to evaluate the views of GP trainees participating in a teaching scheme piloted at the University of Manchester. This mixed-methods study was conducted over a three-year period. In years one and three, evaluation was undertaken using questionnaires comprising Likert scale items and free-text responses (n = 11). In the second year, qualitative data was collected via a focus group with GP trainees following their teaching experiences (n = 8). Subsequently, a thematic analysis was conducted. GP trainees reported benefits including improved clinical skills, job satisfaction and development of leadership skills. There was a noted impact on their teaching skills, as GP trainees demonstrated their ability to be adaptable to learners' needs and develop interactive, structured teaching sessions. The main challenges identified were organisation and time management, balancing responsibilities and adapting to student needs. Trainees unanimously felt the scheme allowed them to meet their portfolio requirements, develop their teaching skills and made them more likely to consider pursuing medical education as part of their future careers. All participants expressed a desire to continue with teaching and reported improved job satisfaction. Participation in a near-peer teaching scheme can have significant positive impacts on GP trainees' personal and professional development. Despite some challenges, trainees reported numerous benefits from undertaking the scheme. Formal teaching opportunities for GP trainees could contribute to the development of a skilled and motivated future workforce of clinician-educators in general practice.

Comparing terror management and time management: The effects of mortality awareness on time perception, delay discounting, and monetary allocation.

Patient with pluripathology-centered care: The patients' voice and the professionals' vision

The purpose of this article is to introduce the angiosome concept in the lower legs and its consideration in severe soft tissue injuries in open tibial fractures. The main aim is to focus on the vascularity and perforators in the crura and to emphasise step-by-step time management and proper debridement for securing the maximal viability of the soft tissue before the reconstruction phase. So far, many publications have presented optimal traumatological protocols and timing in lower leg injuries and many reviews have compared fracture stabilisation and flap reconstruction options; however, no consensus exists. Radical and immediate debridement is crucial for minimising infection complications, revision surgeries and total healthcare costs, early definitive reconstruction, limb salvage success, decreased hospitalisation stay and better long-term quality-of-life outcome for the patients. The fundamental orthoplastic approach has been an indisputably accepted strategy since its introduction in the 1990s by Levin. Unfortunately, not all centres are staffed with a plastic surgeon 24/7. Furthermore, transportation to the tertiary specialist centre is often delayed; hence, we believe that a correct primary soft tissue and antibiotics administration protocol can be provided in all medical centres by orthopaedists. So, the basic knowledge of the principles of lower leg vascularity is, therefore, essential. In the difficult cases of the Anderson-Gustilo IIIC fractures, we provide some of the latest recommendations for soft tissue viability verification and blood perfusion improvement, when considering limb salvage versus amputation. This narrative review was developed in accordance with PRISMA 2020 recommendations for transparency in study selection and reporting.

This study evaluated the TLS's effectiveness in reducing cognitive load, improving time management, and supporting academic performance. A case study design examined the TLS implementation in an online neonatal care course and two blended Human Pathophysiology and Pharmacology courses. Quantitative data were analysed using descriptive statistics and effect size (Cohen's h) to compare positive agreement across cohorts. Qualitative feedback was thematically coded to identify key perceptions of TLS usefulness. The TLS was introduced in Care of the Neonate in 2018 and in the P&P courses in 2023. Data were collected across 13 institutional survey cycles (2018-2025) using Likert-scale and open-ended responses. Cumulative feedback included 146 neonatal and 192 P&P students. Analyses highlight the first neonatal course year (2018) and the most recent P&P cycle (2025). In 2018, 85.6% of neonatal students (n = 83) rated TLS positively, with 62.7% (n = 52) strongly agreeing it supported learning. In 2025 P&P data (n = 129), 82.2% rated the TLS positively, with 56.6% (n = 73) strongly agreeing. The difference between cohorts showed a small, stable effect size (h = 0.09), confirming consistency across time and courses. Qualitative feedback revealed five themes: clearer study prioritization, improved focus, ease of use, deeper engagement, and greater satisfaction. The TLS enhances curriculum clarity, time management, and cognitive load reduction. Integration of quantitative and qualitative outcomes shows the TLS is statistically consistent and valued by students, supporting targeted, high-impact learning across diverse courses.

Gestational trophoblastic neoplasia (GTN) encompasses a spectrum of pregnancy-related disorders and poses significant clinical challenges. Understanding its prevalence, clinical characteristics, and associated risk factors is essential for timely diagnosis and management. This study aimed to evaluate the prevalence, clinical and biochemical features, and associated factors of GTN patients admitted to a tertiary referral center in northwestern Iran. A cross-sectional, descriptive-analytical study was conducted on all women diagnosed with GTN at Imam Reza Hospital, Kermanshah, between 2017 and 2022. Data were collected retrospectively from both electronic and paper-based medical records using a standardized checklist. Variables included demographics, obstetric and medical history, clinical signs, biochemical markers (β-hCG), treatment modalities, and metastatic status. Descriptive statistics were analyzed using SPSS v26. Among 30,133 deliveries during the study period, 382 GTN cases were identified, yielding a prevalence of 1.27%. Complete mole was the most frequent subtype (56.8%), followed by partial mole (37.7%). Vaginal bleeding (85.6%) and uterine enlargement (74.6%) were the most common clinical presentations. Blood group A was the most prevalent (47.4%), and 15.4% of patients had a history of consanguineous marriage. Uterine evacuation was the primary treatment (85.3%), with chemotherapy and hysterectomy used as indicated. Metastatic disease was observed in 7.6% of patients, predominantly affecting the lungs. GTN represents a notable health concern in this region, with complete mole being the most common form. Age, educational level, blood group, and prior molar pregnancy were identified as relevant factors. Early recognition based on clinical and biochemical markers, alongside structured follow-up, is crucial to optimizing outcomes. These findings underscore the importance of awareness, education, and comprehensive care strategies for high-risk populations.

Purpose This study was conducted to examine the effects of academic burnout and smartphone overdependence on sleep quality among university students majoring in dental hygiene. Methods A survey was conducted from May 12 to May 30, 2025, targeting college students enrolled in the Department of Dental Hygiene in region C. For the analysis, t-tests, ANOVA, Pearson's correlation coefficients, and Multiple Regression Analysis were used, and a total of 189 questionnaires were utilized in the final analysis. Results Academic burnout in dental hygiene major college students showed a statistically significant correlation with smartphone overdependence (r=.451, p&lt;.001) and sleep quality (r=.257, p&lt;.001), while there was no significant correlation between smartphone overdependence and sleep quality (p&gt;.05). In the effect of smartphone overdependence on sleep quality, academic burnout (β=-.211, p=.010) was found to have a full mediating effect, and the explanatory power was 3.6%. Conclusion As a measure to improve learning for university students majoring in dental hygiene, it is necessary to provide efficient time management strategies, and it is considered necessary to apply a sleep quality intervention program to maintain physical and mental health.

Purpose: This study examines management competencies, career attitudes, leadership preferences, and long-term life purpose orientations among Generation Z students in the Indian higher education context. It also explores whether demographic factors influence these dimensions and whether they are interrelated. Methodology: A quantitative and exploratory research design was adopted. Data were collected through a structured online questionnaire from 478 students enrolled in intermediate, undergraduate, and postgraduate programs across India. Descriptive statistics, independent samples t-tests, one-way ANOVA and Chi-square tests were used for data analysis. Findings: The results indicate that Generation Z students report generally high levels of management competencies, particularly in time management and coordination, while adaptability and balancing personal and academic responsibilities were comparatively lower. Selected career attitudes including work–life balance, financial independence, and career stability, differed significantly across schooling background. Family income and academic stream influenced specific management competencies and career attitudes. In terms of leadership, students showed a strong preference for transformational, servant, and autonomy-supportive leadership styles, whereas authoritarian leadership was least preferred. Leadership preferences were largely consistent across demographic groups; however, long-term life purpose orientations varied significantly with family income, highlighting the role of socio-economic background in shaping students aspirations. Practical Implications: The findings suggest that higher education institutions should place greater emphasis on developing adaptability, work–life balance skills, and collaborative competencies, while also considering students’ diverse socio-economic backgrounds in employability and leadership development initiatives. Originality: The study offers a student-centric and context-sensitive perspective by integrating management competencies, career attitudes, and leadership preferences within a single framework in the Indian higher education context.

The recently released Expert Consensus on the Management of Primary Tumor in Metastatic Colorectal Cancer (2026 Edition) represents a systematic update and paradigm shift in the management of the primary tumor, developed against the backdrop of significant advances in systemic therapy for metastatic colorectal cancer (mCRC) and the accumulation of high-quality clinical evidence. This consensus breaks from the traditional notion of prophylactic primary tumor resection (PTR) and establishes "systemic therapy first" as the fundamental principle. Based on a multidisciplinary team (MDT) model, it provides refined stratification regarding the indications, contraindications, timing, technique selection, and perioperative management of PTR. This article interprets the background, evolution of core concepts, clinical decision-making logic, distinctive technical concepts, and future research directions outlined in the consensus, aiming to assist clinicians in accurately understanding its implications and to promote standardized and individualized management of the primary tumor in mCRC.

Digital distraction and excessive engagement with instant-reward technologies, including social media and streaming platforms, are associated with reduced attention control, procrastination, and impaired self-regulation among university students. Nursing students face academic and clinical demands that require planning, prioritization, and sustained concentration. This study examined whether a brief structured digital abstinence intervention was associated with short-term improvement in time management behaviors among undergraduate nursing students. A quasi-experimental pre-post control group study with a supplementary exploratory qualitative component was conducted among 90 undergraduate nursing students at King Faisal University, Saudi Arabia, during the 2024-2025 academic year. Participants were allocated to an intervention group (n = 45) or a control group (n = 45) using matched allocation based on academic year, GPA category, and gender. The intervention group completed a structured 48-hour digital abstinence protocol restricting non-academic digital activities; the control group continued usual routines. Time management was assessed before and immediately after the intervention using the Time Management Behavior Scale (TMBS), and written reflections from the intervention group were analyzed thematically. Compared with the control group, the intervention group showed greater short-term improvement in TMBS total change scores (+ 6.7 +/- 4.5 vs. +0.3 +/- 3.6; mean difference = 6.4; 95% CI: 4.69 to 8.11; Cohen's d = 1.57; p < 0.001). Improvements were also observed for goal setting/prioritization, task mechanics, time control, and organizational preference. Qualitative reflections suggested increased awareness of digital habits, improved academic focus, and more intentional study-time use. Correlations between TMBS improvement and GPA, baseline device-use category, and academic level were exploratory and should be interpreted cautiously. A brief structured digital abstinence intervention was associated with short-term improvement in self-reported time management behaviors among undergraduate nursing students. Because the study was quasi-experimental, single-site, self-reported, and limited to an immediate 48-hour post-test, causal and long-term claims should be interpreted cautiously. Future randomized multicenter studies should include objective screen-time measures and longer follow-up. NCT07467057 Retrospectively registered (11-3-2016).

Early detection of biomarkers associated with peripheral nerve injury (PNI) is essential for timely diagnosis and effective management of PNI. Conventional diagnostic approaches are limited by high cost, invasiveness, and reliance on the operator's expertise. Biosensing technology, which integrates biological recognition elements with advanced signal transduction and detection systems, offers a promising strategy to address these challenges. This review summarizes detectable biomarkers following PNI and outlines conventional detection methods. We further discuss the classification, advantages, and disadvantages of biosensors, and this article summarizes the application of biosensors for detecting PNI for the first time. This review discusses the future prospects of biosensors in PNI diagnosis and treatment and hopes to promote the clinical application of biosensors.

Maxillofacial fractures and ocular trauma are significant injuries in soccer, with potential functional, aesthetic, and visual consequences if unrecognized. Few reviews have specifically examined both injury patterns in this sport. The purpose of this narrative review is to synthesize the current literature to identify injury patterns associated with maxillofacial fractures and ocular trauma in soccer, thereby aiding clinicians in timely diagnosis and management. Given the heterogeneity and limited quality of the available evidence, this review also highlights areas where further research is needed. The zygoma was the most commonly fractured maxillofacial bone in soccer (32.8%), followed by the nasal (28.4%), mandibular (25.8%), orbital (6.5%), maxillary (3.6%), and frontal sinus (2.8%) regions. Among mandibular fractures, the angle was the most vulnerable site, accounting for 39.2% of cases. Head-to-head contact was the most frequent mechanism resulting in injury; however, although less common, arm or elbow impacts were more likely to result in fracture when they occurred. Ocular injuries most often present as orbital or eyelid contusions and lacerations (37.1%) and hyphemas (19.5%), with direct ball impact as the primary cause. Boys (60.4%-69.5%) were at greater risk than girls for ball sport-related ocular trauma, particularly those aged 2-9years, with soccer being the leading sport implicated. Overall, these trends are based largely on small case series, reflecting the low quality of available evidence. The zygoma is the most frequently fractured maxillofacial bone, typically resulting from head-to-head collisions. Direct soccer ball impact accounts for most ocular injuries in this sport, with orbital or eyelid contusions and lacerations most common, followed by hyphemas. Pediatric players may be particularly susceptible to soccer-related ocular trauma, possibly due to an underdeveloped orbital rim. Fundoscopic examination is essential after ball impact to detect vitreoretinal injury, even when visual acuity is normal. Further well-designed studies are needed to confirm these findings.

Niemann-Pick disease type C (NPC) is a lysosomal lipid trafficking disorder characterized by impaired intracellular cholesterol transport, resulting in progressive neurovisceral involvement. While neurological progression has been extensively described, metabolic biomarkers and lipid abnormalities may provide earlier diagnostic clues, particularly in high-consanguinity populations. We retrospectively evaluated 14 genetically confirmed NPC patients followed at a tertiary pediatric metabolic center between 2018 and 2025. Clinical presentation, biochemical parameters including HDL cholesterol and lysosphingolipids (LysoSM, LysoSM-509), neuroimaging findings, and molecular genetic results were systematically reviewed. The cohort (eight males, six females; age range: 9days-24 years) demonstrated marked phenotypic heterogeneity, including neonatal cholestasis (29 %), pulmonary-dominant disease (29 %), juvenile neurodegeneration (64 %), psychiatric-onset presentation (14 %), and inflammatory bowel disease-like colitis. Low HDL cholesterol was observed in 86 % of patients. LysoSM-509 was elevated in all cases, irrespective of phenotype, supporting its diagnostic robustness. Eleven patients carried NPC1 variants and three carried NPC2 variants, including several novel truncating pathogenic variants. Marked intrafamilial variability was observed among siblings with identical genotypes. Miglustat treatment appeared to be associated with clinical stabilization in some patients, particularly when initiated at earlier stages of neurological involvement; however, given the limited sample size, no definitive conclusions can bedrawn. NPC should be considered across a broad clinical spectrum, ranging from prenatal presentations such as non-immune hydrops fetalis to adult-onset psychiatric manifestations, as well as neurological involvement at all ages. It should also be suspected in patients presenting with cholestasis, hepatosplenomegaly, developmental delay, interstitial lung disease, or treatment-refractory IBD-like colitis. LysoSM-509 is a highly sensitive biomarker across phenotypes. High consanguinity facilitates early cascade screening but also reveals substantial genotype-phenotype variability. Early biomarker-driven testing remains critical for timely diagnosis and management.

While the prevalence of attention deficit hyperactivity disorder (ADHD) among university students varies depending on the population studied, it has been estimated at approximately 16%. University students with ADHD may find that the condition affects their academic performance, social interactions, and well-being. This meta-ethnographic review synthesizes findings from 25 qualitative studies to explore the lived experiences of university students with ADHD. The studies, published between 2000 and 2023, were predominantly conducted in the United States with sample sizes ranging from 4 to 135 students. Students came from a broad range of academic disciplines and included undergraduates, recent graduates, and attendees of various post-secondary institutions. Findings show that difficulties with organization, time management, and maintaining focus during lectures or while completing assignments are common struggles. These students also face challenges transitioning into university life, particularly in terms of academic expectations and social participation. Whilst universities often provide accommodations such as extended test times, these supports are often too generic and insufficient, failing to address the specific needs of individual students. Furthermore, stigma around ADHD can exacerbate challenges. Tailored accommodations, such as check-ins or more flexible assessment formats, together with effective peer support programs, enhance academic success. Targeted support for the transition to the workplace may help students feel more confident as they complete their degrees. Additionally, addressing societal stigma can contribute to creating a more neurodiverse-friendly environment. There is an urgent need for universities to rethink support structures and ensure a more inclusive academic experience for students with ADHD.

The COVID-19 pandemic severely disrupted healthcare delivery worldwide, including cytopathology services essential for timely diagnosis and management of malignancies. This study evaluated the pandemic's impact on cytopathology specimen trends at the National Health Laboratory Service (NHLS) Universitas Academic Hospital laboratory in central South Africa. A retrospective analysis was conducted on adult non-gynaecological cytology specimens from March 2018 to April 2024, divided into pre-COVID-19, COVID-19, and post-COVID-19 eras. Specimens were categorised into fine needle aspirates (FNAs) and other non-gynaecological specimens, and stratified by anatomical site and diagnosis (benign, malignant, and suspicious for malignancy). Unsatisfactory, paediatric, and inadequate samples were excluded. Time series analysis was used for comparisons. Specimen volumes declined significantly during the COVID-19 era (p < 0.001) and did not recover in the post-pandemic era. Although the proportion of FNAs remained consistent, specific trends were observed, including a marked decline in breast FNAs and benign diagnoses, with a concurrent increase in malignant and cases that were suspicious for malignancy. Respiratory tract FNAs increased during the COVID-19 era, reflecting a shift in clinical priorities. Cytopathology services in central South Africa experienced sustained reductions in the volume of specimens received during and after COVID-19. Increased malignant diagnoses may reflect delayed presentations and diagnostic backlogs created by the lockdown periods. These findings highlight the importance of resilient diagnostic services during health crises, as well as the importance of relying on more cost-effective and faster diagnostic tools, such as cytopathology.