Traditional Programs Research Articles

An Overview of the Community College Student Government Association

ABSTRACT Community colleges are increasingly adopting and relying on student engagement activities to build a sense of belonging and improve graduation rates. One such measure undertaken at many colleges is the use of traditional student affairs programs, including student government associations. These student governments not only build a sense of community among students, but add to student learning and the overall operation and sense of inclusiveness on campus. Using a sample of 150 community colleges, senior student affairs professionals were surveyed about their student governments and their agendas. With a near 60% response rate, survey data revealed that community college student governments typically had an advisor with multiple responsibilities that leaders regularly met with college presidents, and were funded by student fees or a direct allocation from the college. The data also included information on the range of student government offices and how agendas were aligned across campus constituencies. Cross tabs were also used to explore sources of funding support and constituent agenda alignment, noting that direct institutional allocations resulted in the highest level of agenda alignment. Respondents also noted several key agenda items that their student government addressed, including student mental health, building community on campus, and additional academic support.

Impact of liminality and rituals on professional identity formation in physician training.

The transition from medical student to practicing physician affects the complex processes of professional identity formation and professionalism, which have a lasting effect on the physician's career development. This study explored two different transitional processes of medical students in Taiwan, the associated rituals during this transitional period (the 'liminal phase') and their effect on the formation of professional identity. Using snowball sampling, we recruited 13 medical students from two training systems: six from the traditional postgraduate year programme and seven from the accelerated postgraduate year (A-PGY) programme. Semi-structured interviews were thematically analysed to identify significant themes that encapsulated trainees' experiences. A consistent and mutually confirmed discussion ensured the identification of robust recurring themes. A comparative analysis of the two training modalities provided critical insights into the relative impact of the training dynamics. The A-PGY cohort, subjected to an altered 'incorporation' ritual, encountered an influx of unexpected symbolic social power, complicating their transformation within the liminal phase. Without a defined internship like in the PGY system, A-PGY trainees exhibited confusion and inconsistencies in professional identity formation marked by conflicting internal and external perceptions. This ambiguity affected their clinical training, social integration and overall development of professionalism. The absence of a structured, sequential liminal phase increased conflict and diminished motivation, culminating in an incomplete self-crafting journey for A-PGY trainees. This study highlights the impact of the well-sequenced implementation of rituals in liminality on professional identity formation. A good transition training programme for medical students should compass sequential rituals in the liminal phase, including clear starting and ending points, supervision by seniors, guided reflection and plenty of opportunities for observation and imitation in context. Optimal training and pivotal elements in a medical training system warrant delicate design and further research when developing and changing the structure of the training programme.

Initiatives and exposures associated with food security in remote and isolated communities: a scoping review.

Chronic household food insecurity (HFI) and lack of food availability and accessibility in isolated communities are longstanding public health crises. This review aims to paint a more fulsome picture of food security initiatives in remote and isolated communities by examining programs across circumpolar countries, Australia, and Aotearoa New Zealand. This synthesis of research will contribute to an understanding of what types of initiatives exist and aid in the identification of best practices. The authors conducted a scoping review identifying articles that include either (1) an evaluation of an initiative with a quantitative food security outcome in remote and isolated communities, or (2) quantitative associations between exposure factors with food security outcomes. Inclusion criteria included English and French articles focused on remote and isolated communities in Canada, the US, Australia, New Zealand, Sweden, Norway, Finland, Greenland, and Russia from January 1997 to July 2022. The article search yielded 1882 results, of which 96 fulfilled the inclusion criteria, including 26 studies evaluating initiatives, 66 studies evaluating exposure factors, and four studies that included both initiatives and exposure factors. The majority of the studies included in this review were conducted in Canada and Australia. No initiative studies conducted in Russia, Greenland, Norway, Finland, or Sweden fulfilled the criteria for inclusion in this review. The most common types of initiatives evaluated included school-based programs, market subsidies, and education initiatives, though a small number (<5) of other programs were evaluated, including traditional food programs and greenhouses. Though multiple programs resulted in lower food costs or increases in healthy food consumption in remote regions, the cost of a healthy diet in these areas remained high, as do levels of HFI. Factors associated with improved food security outcomes included higher income level, access to adequate housing, higher education level, access to transportation for harvesting, and the level of remoteness of a community. The studies included in this review also stressed the importance of access to and affordability of harvesting traditional foods in these regions. Those living in remote and isolated communities are particularly vulnerable to food insecurity and lack of access and availability of healthy foods, which are compounded by a variety of socioeconomic factors. This study highlights the lack of quantitative evaluations of food security initiatives in remote and isolated communities, as well as the wide variety in measured outcomes. Authors of several of the included articles note that community-led initiatives, with strong partnerships and local champions, were recommended in these populations, given the culturally and geographically diverse groups living in remote and isolated areas.

Effects of an e-Media-Supported, Exercise-Based Phase II Cardiac Rehabilitation in Coronary Artery Bypass Grafting Surgery Patients: A Randomized Controlled Trial.

Background and objective Coronary artery bypass grafting (CABG) surgery patients undergo cardiac rehabilitation (CR) programs postoperatively to improve their course of recovery. The effectiveness of traditional CR programs is hampered by time constraints, financial burdens, transportation issues, and geographic restrictions. The coronavirus 2019 (COVID-19) pandemic and technological advances have led to the emergence of home-based CR programs using e-media, thereby improving accessibility. This study aimed to analyzethe effects of e-media-supported, exercise-based phase II CR in post-CABG patients. Methods A single assessor-blinded randomized controlled trial (RCT) was conducted at a tertiary care hospital to analyze the effectiveness of a validated e-media-supported, exercise-based phase II cardiac rehabilitation in CABG Patients. A total of 40 subjects were included in the study based on the inclusion and exclusion criteria. The subjects were then randomly assigned to two groups: the experimental group received e-media-supported exercise and the control group received routine care. The duration of the intervention was three months. The outcome measures used were functional capacity, left ventricular ejection fraction (LVEF), quality of life, and physical activity (PA).Statistical analysis was conducted using SPSS Statistics v. 22.0 (IBM Corp., Armonk, NY). Results After three months of intervention, the mean distance covered during the six-minute walk test (6MWT) showed a significant increase in both the control and experimental groups. The experimental group demonstrated a statistically significant improvement compared to the control group (p<0.001). Furthermore, the experimental group showed significant improvements in the rate of perceived exertion (RPE), LVEF, and World Health Organization Quality of Life Brief Version (WHOQOL-BREF)andGlobal Physical Activity Questionnaire (GPAQ) scores compared to the control group (all p<0.001). Conclusions Based on our findings, the e-media-supported, exercise-based phase II cardiac rehabilitation is feasible and safe, and significantly improved functional capacity and enhanced quality of life. The PA level of the experimental group was higher than controls at the 12-weekfollow-up after CABG.

정악곡 세령산을 활용한 국악 창작 수업 개발 - 개러지 밴드를 통한 실음 학습을 중심으로 -

The purpose of this study is to develop a Korean traditional music creation class program using Jeongak. Yeongsanhoesang, a representative piece of Korean traditional music that has been completed through a long period of transmission, has a variety of creative techniques and is highly utilized in creative classes. In this study, Seryeongsan was selected from the Yeongsanhoesang as a sanction song for the 5th to 6th graders of elementary school, and a class was developed to learn basic notation systems such as Yulmyeong(pitch names) and Jeongganbo, and to create music through tonal group learning and melody construction learning. In addition, for realistic music learning, a digital medium called the GarageBand was used so that the results of creative learning could be realized into actual music. This study is meaningful in expanding the scope of Korean traditional music creation classes and enhancing the applicability of actual music-oriented Korean traditional music learning using digital media by suggesting educational application of creative classes for Jeongak pieces, which was mainly used as music for appreciation.

Personalized rehabilitation approach for reaching movement using reinforcement learning

Musculoskeletal disorders challenge significantly the performance of many daily life activities, thus impacting the quality of life. The efficiency of the traditional physical therapy programs is limited by ecological parameters such as intervention duration and frequency, number of caregivers, geographic accessibility, as well as by subjective factors such as patient’s motivation and perseverance in training. The implementation of VR rehabilitation systems may address these limitations, but the technology still needs to be improved and clinically validated. Furthermore, current applications generally lack flexibility and personalization. A VR rehabilitation game simulation is developed, which focuses on the upper-limb movement of reaching, an essential movement involved in numerous daily life activities. Its novelty consists in the integration of a machine learning algorithm, enabling highly adaptive and patient-customized therapeutic intervention. An immersive VR system for the rehabilitation of reaching movement using a bubble popping game is proposed. In the virtual space, the patient is presented with bubbles appearing at different locations and is asked to reach the bubble with the injured limb and pop it. The implementation of a Q-learning algorithm enables the game to adjust the location of the next bubble according to the performance of the patient, represented by his kinematic characteristics. Two test cases simulate the performance of the patient during a training program of 10 days/sessions, in order to validate the effectiveness of the algorithm, demonstrated by the spatial and temporal distribution of the bubbles in each evolving scenario. The results show that the algorithm learns the patient’s capabilities and successfully adapts to them, following the reward policy dictated by the therapist; moreover, the algorithm is highly responsive to kinematic features’ variation, while demanding a reasonable number of iterations. A novel approach for upper limb rehabilitation is presented, making use of immersive VR and reinforcement learning. The simulation suggests that the algorithm offers adaptive capabilities and high flexibility, needed in the comprehensive personalization of a rehabilitation process. Future work will demonstrate the concept in clinical trials.

The Innovation of Traditional Chinese TV Programs in the Convergent Media Environment: A Case Study of 1818 Huang Jin Yan

The development of science and technology has brought about major changes in the form and content of media, and China s traditional TV programs have now been in the wave of convergent media, constantly integrating and surviving the fittest. This paper summarizes the successful transformation and development of the veteran TV program 1818 GoldenEye of Zhejiang Minsheng Leisure Channel in the integrated media environment, discusses how traditional Chinese TV programs should adapt to the changes in the current environment, and provides a new paradigm for other traditional Chinese TV programs that need to be changed urgently.

Reformulating the Aesthetic Course: A Poetic Pedagogy Framework for Higher Vocational Education

This paper introduces a poetic pedagogy framework tailored for aesthetic course reform within higher vocational education contexts. It addresses a significant deficiency in traditional vocational training programs, which frequently overlook the integration of creative and emotional development. This innovative framework merges aesthetic education with technical training, aiming to concurrently enhance students' professional competence and creative capabilities. Such preparation is essential for excelling in today's rapidly evolving professional environments. The discussion provides a thorough examination of the framework's development, theoretical underpinnings, practical applications, and the challenges anticipated during its implementation. Additionally, it outlines future research directions, which include evaluating the long-term effects on student employability and the framework's adaptability across various educational and cultural contexts. These studies are crucial for maintaining the framework's relevance and efficacy in the evolving landscape of global vocational education.

Effectiveness of colonoscopy, immune fecal occult blood testing, and risk-graded screening strategies in colorectal cancer screening.

Colorectal cancer (CRC) is one of the most common malignant tumors, and early screening is crucial to improving the survival rate of patients. The combination of colonoscopy and immune fecal occult blood detection has garnered significant attention as a novel method for CRC screening. Colonoscopy and fecal occult blood tests, when combined, can improve screening accuracy and early detection rates, thereby facilitating early intervention and treatment. However, certain risks and costs accompany it, making the establishment of a risk classification model crucial for accurate classification and management of screened subjects. To evaluate the feasibility and effectiveness of colonoscopy, immune fecal occult blood test (FIT), and risk-graded screening strategies in CRC screening. Based on the randomized controlled trial of CRC screening in the population conducted by our hospital May 2020 to May 2023, participants who met the requirements were randomly assigned to a colonoscopy group, an FIT group, or a graded screening group at a ratio of 1:2:2 (after risk assessment, the high-risk group received colonoscopy, the low-risk group received an FIT test, and the FIT-positive group received colonoscopy). The three groups received CRC screening with different protocols, among which the colonoscopy group only received baseline screening, and the FIT group and the graded screening group received annual follow-up screening based on baseline screening. The primary outcome was the detection rate of advanced tumors, including CRC and advanced adenoma. The population participation rate, advanced tumor detection rate, and colonoscopy load of the three screening programs were compared. A total of 19373 subjects who met the inclusion and exclusion criteria were enrolled, including 8082 males (41.7%) and 11291 females (58.3%). The mean age was 60.05 ± 6.5 years. Among them, 3883 patients were enrolled in the colonoscopy group, 7793 in the FIT group, and 7697 in the graded screening group. Two rounds of follow-up screening were completed in the FIT group and the graded screening group. The graded screening group (89.2%) and the colonoscopy group (42.3%) had the lowest overall screening participation rates, while the FIT group had the highest (99.3%). The results of the intentional analysis showed that the detection rate of advanced tumors in the colonoscopy group was greater than that of the FIT group [2.76% vs 2.17%, odds ratio (OR) = 1.30, 95% confidence interval (CI): 1.01-1.65, P = 0.037]. There was no significant difference in the detection rate of advanced tumors between the colonoscopy group and the graded screening group (2.76% vs 2.35%, OR = 1.9, 95%CI: 0.93-1.51, P = 0.156), as well as between the graded screening group and the FIT group (2.35% vs 2.17%, OR = 1.09%, 95%CI: 0.88-1.34, P = 0.440). The number of colonoscopy examinations required for each patient with advanced tumors was used as an index to evaluate the colonoscopy load during population screening. The graded screening group had the highest colonoscopy load (15.4 times), followed by the colonoscopy group (10.2 times), and the FIT group had the lowest (7.8 times). A hierarchical screening strategy based on CRC risk assessment is feasible for screening for CRC in the population. It can be used as an effective supplement to traditional colonoscopy and FIT screening programs.

Utilising Self-acupressure to Manage Type 2 Diabetes Mellitus Control Parameters

Background In Indonesia, only two-thirds of patients diagnosed with diabetes mellitus (DM) are projected to receive both non-pharmacological and pharmaceutical treatment. The majority of patients receiving the medication do not achieve adequate control of DM. Objective The purpose of this study was to examine the impact of self-administered acupressure on type 2 DM (T2DM) management parameters, specifically targeting ST36, LR3, KI3, and SP6 acupuncture points. Methodology This study utilised an experimental research design and included a total of 25 patients with diabetes mellitus from the Gianyar Public Health Centre. Participants were selected using a simple random sampling technique. The individuals underwent a 13-week training program to learn self-acupressure techniques targeting certain areas of their bodies, including Zusanli (ST36), Taichong (LR3), Taixi (KI3), and Sanyinjiao (SP6). The control parameters of diabetes mellitus were examined both before and after therapy. Results The analysis revealed significant differences in the p-values of various control parameters before and after self-acupressure. Specifically, the p-values for HbA1c, LDL, BMI, systolic pressure, fasting blood glucose, and 2 hours post-prandial glucose were found to be p&lt;0.001, indicating self-acupressure, as a complementary therapy, has an impact on these parameters. However, the p-value for diastolic pressure was 0.57, suggesting that self-acupressure did not have a significant effect on this parameter. Conclusion The application of self-acupressure at certain points such as ST36, LR3, Taixi, and SP6 has been proven to effectively reduce the control parameters of diabetes mellitus including HbA1c, LDL, BMI, systolic pressure, and fasting blood glucose levels. It is recommended that those who are enrolled in the complementary traditional health care program in the community provide advice on how to perform self-acupressure in diabetic patients.

Parameter optimization of non-invasive vagus nerve stimulation for second language learning in typically developing young adults

Although the ability to acquire a second language (L2) and attain fluency in that language is beneficial for a growing number of people, it is significantly more difficult to acquire such skills in adulthood. While traditional in-person and computer training programs can aid in this process, learning is often slow and retention is quite poor. A method for driving long-lasting neural plasticity during language learning would be valuable for those who need or want to achieve fluency in a second language later in life. However, little is known about the effect of neuromodulation methods on language learning. In the current study, we investigated the effect of non-invasive transcutaneous auricular vagus nerve stimulation (taVNS) on vocabulary word-learning in healthy young adults. Importantly, we approached this research question by investigating two key parameters of taVNS, stimulation frequency (Experiment 1) and current intensity (Experiment 2). Typically developing young adults completed a 1-h training session in which they learned 30 concrete, Palauan nouns while receiving real or sham stimulation to the left posterior tragus (Experiment 1) or stimulation at various intensities (Experiment 2). Participants completed a Palau-to-English translation test immediately after training and seven days later to quantify learning and retention. The results largely revealed that high frequency stimulation above sensory threshold improved retention of learned words. These results suggest that taVNS may improve retention of vocabulary words in a second language and that stimulation frequency may impact efficacy.

Changing a postgraduate certificate in academic practice to a postgraduate apprenticeship at one English university: impacts for academic identities and staff development practices

ABSTRACT Since 2018, new UK academics can enrol on a postgraduate Academic Professional Apprenticeship (APP) to become accredited higher education professionals. This new apprenticeship replaces or runs alongside traditional newer academic programmes such as Postgraduate Certificates of Academic Practice (PCAP). We share findings from a programme evaluation at one of the first adopters of the APP which explored the experiences of course participants and those supporting them. With 35 interview or focus group participants, findings show how the apprenticeship element adds more development and support opportunities for both, the apprentices and experienced academics supporting them. However, challenges around protecting time for development and balancing workload remained and there were challenges associated with the concept of being an apprentice. We also found some changes to the programme curriculum as a result of mapping it to the apprenticeship standard.

Symbolic violence, social control, and student loan programmes: the subterranean complexes

ABSTRACT Government-backed student loans are not a panacea for educational inequality or social ills. By examining student loans as a means of social control, Bourdieu’s concept of symbolic violence can provide novel ways to encapsulate debt-response patterns across cultures and geographies. This gentle, invisible violence creeps in via misrecognition, a process that encompasses rationalising indebtedness and attaching latent meaning or emotional weight to student debt. Student debt is, first, internalised as a regular and reliable part of life, whether through income-contingent repayment or traditional mortgage-style programmes. Also present is the gradual internalisation of gratitude, trust, and obligation. Deferment or delinquency is subsequently interpreted as a sign of personal inadequacy. In essence, symbolic violence establishes a missing link between an individual’s subjective experience and institutional structural barriers. It disrupts commonly held assumptions on marketisation, private return, and individual responsibility in top-down neo-liberal discourse, informing student loan policy through a multidimensional lens.

Active learning streamlines development of high performance catalysts for higher alcohol synthesis

Developing efficient catalysts for syngas-based higher alcohol synthesis (HAS) remains a formidable research challenge. The chain growth and CO insertion requirements demand multicomponent materials, whose complex reaction dynamics and extensive chemical space defy catalyst design norms. We present an alternative strategy by integrating active learning into experimental workflows, exemplified via the FeCoCuZr catalyst family. Our data-aided framework streamlines navigation of the extensive composition and reaction condition space in 86 experiments, offering >90% reduction in environmental footprint and costs over traditional programs. It identifies the Fe65Co19Cu5Zr11 catalyst with optimized reaction conditions to attain higher alcohol productivities of 1.1 gHA h−1 gcat−1 under stable operation for 150 h on stream, a 5-fold improvement over typically reported yields. Characterization reveals catalytic properties linked to superior activities despite moderate higher alcohol selectivities. To better reflect catalyst demands, we devise multi-objective optimization to maximize higher alcohol productivity while minimizing undesired CO2 and CH4 selectivities. An intrinsic trade-off between these metrics is uncovered, identifying Pareto-optimal catalysts not readily discernible by human experts. Finally, based on feature-importance analysis, we formulate data-informed guidelines to develop performance-specific FeCoCuZr systems. This approach goes beyond existing HAS catalyst design strategies, is adaptable to broader catalytic transformations, and fosters laboratory sustainability.

Public Health Surveillance in Electronic Health Records: Lessons From PCORnet.

PCORnet, the National Patient-Centered Clinical Research Network, is a large research network of health systems that map clinical data to a standardized data model. In 2018, we expanded existing infrastructure to facilitate use for public health surveillance. We describe benefits and challenges of using PCORnet for surveillance and describe case studies. In 2018, infrastructure enhancements included addition of a table to store patients' residential zip codes and expansion of a modular program to generate population health statistics across conditions. Chronic disease surveillance case studies conducted in 2019 assessed atrial fibrillation (AF) and cirrhosis. In April 2020, PCORnet established an infrastructure to support COVID-19 surveillance with institutions frequently updating their electronic health record data. By August 2023, 53 PCORnet sites (84%) had a 5-digit zip code available on at least 95% of their patient populations. Among 148,223 newly diagnosed AF patients eligible for oral anticoagulant (OAC) therapy, 43.3% were on any OAC (17.8% warfarin, 28.5% any novel oral anticoagulant) within a year of the AF diagnosis. Among 60,268 patients with cirrhosis (2015-2019), common documented etiologies included unknown (48%), hepatitis C infection (23%), and alcohol use (22%). During October 2022 through December 2023, across 34 institutions, the proportion of COVID-19 patients who were cared for in the inpatient setting was 9.1% among 887,051 adults aged 20 years or older and 6.0% among 139,148 children younger than 20 years. PCORnet provides important data that may augment traditional public health surveillance programs across diverse conditions. PCORnet affords longitudinal population health assessments among large catchments of the population with clinical, treatment, and geographic information, with capabilities to deliver rapid information needed during public health emergencies.

The Regularity of High-Frequency Words (Sight Words): Teacher Phonetic Knowledge is Key

High frequency words, commonly referred to as sight words, are often a focus of emergent reading instruction. Instructional practices abound that require emergent readers to memorize the spelling and pronunciation of the words without drawing attention to grapheme-phoneme correspondences (GPCs) in the words. These approaches ignore a critical aspect of Ehri’s theory of orthographic mapping. This article reviews the literature on storing words in memory, in general, and the research on learning high frequency words, more specifically. Analyses of high frequency words on the widely used, Dolch list, are included that show the overwhelming regularity of the GPCs in these words. The analyses provide insight into the most common GPCs in these high frequency words, and they provide examples of GPCs that if taught, unlock the regularity of several other high frequency words. Discussion focuses practitioners gaining more advanced phonetic knowledge in order to better understand the orthographic regularity of high frequency words. Recommendations include supplementing traditional phonics programs for students with at least some advanced phonetic knowledge, ensuring practitioners have this level of knowledge in order to capitalize on teachable moments with high frequency words, and/or organizing classroom lists of high frequency more strategically.

Preferential evaluation of coal filling mining scheme under building pressure based on improved grey target decision-making model of game theory

The problem of coal compression under buildings is common in underground mining of coal mines in China. The selection of traditional mining programme is subjective and lacks scientific rationality. In order to solve this problem, this paper studies the evaluation index system and model applicable to the selection of coal filling mining scheme under buildings. A multi-objective evaluation index system integrating economic, technical and adaptive factors is constructed. And an integrated optimization model is established, which is based on the traditional grey target model, combining the game theory optimal combination of weights with the hierarchical analysis method, entropy weight method, Critic method to determine the weights, and then introducing the TOPSIS model and the Mars distance to establish an improved grey target decision-making model. The validity of the evaluation index system and model is verified by taking the example of coal mining under pressure of buildings in five mining areas of a coal mine, which provides technical support for decision makers. This study helps to scientifically and reasonably carry out the preferred mining scheme of coal filling under building pressure.

Use of Virtual Reality and Augmented Reality Technologies to Support Resilience and Skill-Building in Caregivers of Persons With Dementia: A Scoping Review.

Dementia presents a growing public health challenge with most affected individuals living at home, placing significant responsibility on their caregivers. Various interventions, from traditional support groups and education programs to emerging technologies, and more specifically virtual reality (VR) and augmented reality (AR), aim to enhance caregiver skills. While VR/AR shows promise in educating and fostering empathy among caregivers and healthcare professionals, its overall effectiveness and practicality in older adults and dementia care warrant further exploration. This review aimed to summarize currently available VR and AR interventions tailored for family caregivers of persons living with dementia (PLWD) in home or clinical settings, including their level of effectiveness, and to compile a summary of features that contributed to technology acceptance in family caregivers of PLWD. We conducted a systematic search in OVID PsychInfo, CINAHL, Google Scholar, and ERIC, as well as CADTH's Grey Matters, OpenGrey, National Technical Information Service, OAIster, and Health Quality Ontario, to comprehensively summarize the existing evidence underscoring the role of VR and AR in supporting education, resilience-building, and skills training for family caregivers of PLWD. The search terms were built with the assistance of a research librarian and involved synonyms for VR, AR, and dementia. Two screeners conducted a rigorous screening and data extraction to analyze and summarize findings. Studies were included if they focused on family caregivers engaging in interventions utilizing a three-dimensional VR environment and/or Metaverse for group learning in psychotherapeutic modalities such as psychoeducation, therapy, communication, and skill-building. The primary outcome of the studies was assessing measures of well-being (e.g., quality of life, communication, interaction, personhood) and learning outcomes for caregivers, while the secondary outcomes focused on identifying barriers and facilitators influencing the acceptability of VR/AR among dementia caregivers. Content analysis and descriptive statistics were used to summarize key trends in technology and evidence effectiveness and acceptability. Of the 1,641 articles found, 112 were included, with six articles meeting inclusion for analysis. Studies differed in duration and frequency of data collection, with interventions varying from single events to months-long programs, often employing home-based approaches using VR or online platforms. No study used AR. Usability issues and unclear benefits of use were identified as factors that hinder technology acceptance for dementia caregivers. However, technologies demonstrated engaging user experiences, fostering skill-building, confidence, and competence among caregivers. Positive psychological effects were also observed, facilitated by immersive VR and AR interventions, resulting in improved caregiver empathy and reduced stress, depression, and loneliness. VR and AR interventions for family caregivers ofPLWD show the potential to enhance empathy and skills and reduce stress. Challenges such as technological limitations and user inexperience issues persist. Home-based VR training aligns with caregiver comfort but lacks focus on financial aspects and cultural competencies. Co-design approaches offer solutions by addressing user concerns and promoting end-user engagement or empowerment.

The Clinical Effect and Safety of Dihuang Decoction in Henoch-Schönlein Purpura Compared With Different Traditional Programs: A Network Meta-Analysis.

This systematic review aims to evaluate the therapeutic efficacy of Dihuang decoction (DD), anti-inflammatory drugs (AIDs), blood circulation improvement drugs (BCIDs), and conventional therapy (CT) in the management of Henoch-Schönlein purpura (HSP)and to establish their comparative effectiveness rankings. Using the Population, Intervention, Comparison, Outcome, Study (PICOS) design framework, we developed a detailed search strategy. The literature search included databases such as PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, Weipu Journal Data, and the Chinese Biomedical Database, covering studies published up to June2024. We included randomized controlled trials that featured the DD as the experimental intervention, with three remaining treatments as comparators.Our analysis encompassed 63 studies with 5,435 participants, divided into 2,817 in the experimental group and 2,618 in the control group. The network meta-analysis suggested that theDD potentially surpasses AIDs, BCIDs, and CT in the management of HSP. This conclusion is supported by its superior SUCRA (Surface Under the Cumulative Ranking) scores across various measures, including the overall effective rate of medication, time to relief or disappearance of the rash, incidence of adverse reactions, time to relief or disappearance of abdominal pain, time to relief or disappearance of arthritic swelling or pain, IgA levels, and the relapse rate within six months (SUCRA scores: 100.0%, 88.3%, 79.8%, 94.4%, 99.9%, 88.3%, and 95.4%, respectively). In terms of overall effectiveness rate, the SUCRA efficacy rankings are as follows: DD > AIDs > AIDs+BCID > BCID > CT. Regarding rash relief and regression time, the SUCRA efficacy rankings are as follows: DD > CT > AIDs+BCID > AIDs. For the incidence rate of adverse reactions, the SUCRA efficacy rankings are as follows: DD > CT > AIDs > BCID > AIDs+BCID. For the relief and disappearance of abdominal pain, the SUCRA efficacy rankings are as follows: DD > CT > AIDs+BCID > AIDs. In terms of relief and disappearance of joint swelling and pain, the SUCRA efficacy rankings are as follows: DD > AIDs+BCID > AIDs. Regarding IgA changes, the SUCRA efficacy rankings are as follows: DD > CT > BCID > AIDs+BCID > AIDs. For the six-month recurrence rate, the SUCRA efficacy rankings are as follows: DD > AIDs > AIDs+BCID > CT. The DD appears to be a more effective alternative for treating HSP compared to AIDs, BCIDs, and CT.We hope that this study will provide better assistance to clinical practice.

Impact of Light Wavelength on Growth and Welfare of Broiler Chickens – Overview and Future Perspective

Abstract Lighting in poultry production holds notable importance with the advancement and modernization of the industry, as it plays a significant role in the physiology and growth of broiler chickens. Increasing attention has been paid to the impacts of lighting management on growth performance, immune status, and welfare of meat-type chickens. It is essential to have an appropriate lighting regimen that includes the light source, intensity, duration, and wavelength of light to improve broilers’ growth and behavior. By manipulating various physiological, immunological, and behavioral activities, altering the color of light has been acknowledged as a potent managerial strategy capable of mitigating an array of stressors in broiler chickens. Assessing animal welfare is necessary for animal behavior and product quality perspectives. Birds have a unique visual system, and their behavior is primarily mediated by vision. Different monochromatic light regimes can affect feed conversion ratio, modulating broiler chickens’ systematic immune response and aggressive behavior. With the advancement of lighting technology, new possibilities have emerged to enhance traditional lighting programs in poultry houses. This review integrates recent findings on the use of monochromatic light and its impact on broilers’ welfare, growth, and physiological response.