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    Novice Chinese Bariatric Nurses’ Perceptions of Their Role as Bariatric Case Managers: a Qualitative Study

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    Introduction: Bariatric Case Managers (BCM) are integral healthcare team members for patients undergoing bariatric surgery in China. As the demand for bariatric surgery increases in China, the number of BCMs has also risen. However, more is needed to know about the perceptions of novice bariatric nurses towards their role as case managers. This study aims to investigate the perceptions of novice Chinese bariatric nurses toward their roles during the early stages of their careers. Methods: This qualitative study employed semi-structured individual interviews with 15 novice bariatric nurses who received training as BCMs. The interviews were audio-recorded, transcribed line-by-line, and analyzed thematically. The study was conducted in a bariatric surgery center of a public tertiary hospital in Southern China. Results: Three themes emerged from the data related to the perceptions of being a BCM: "negotiating the ambiguity of the BCM role’, ‘establishing a core set of behaviors for the BCM role’ and ‘identifying areas of competence to develop a BCM role framework.’ The novice bariatric nurses expressed both positive and negative feelings towards their role. They highlighted the need for further training to improve their qualifications and the importance of support from colleagues, and hospital management. Conclusions: The findings illuminate the role of the BCM in China. Future research should investigate effective and acceptable job descriptions and cooperation modes between BCMs, colleagues and hospital management. We recommend using these findings to develop training programs for novice BCMs and improve their capacity to provide quality care to patients undergoing bariatric surgery

    The effect of facial ageing on forensic facial image comparison

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    Facial appearance changes over time as people age. This poses a challenge for individuals working in forensic settings whose role requires them to match the identity of face images. The present research aimed to determine how well an international sample of forensic facial examiners could match faces with a substantial age gap. We tested a sample of 60 facial examiners, 23 professional teams and 81 untrained control participants. Participants matched pairs of photographs with a 10–30-year age gap between the images. Participants also estimated the ages of the faces. On the matching task, individual professionals and teams outperformed controls and made fewer high confidence errors. On the age estimation task, there was no advantage for professionals relative to controls. Our results suggest that forensic facial examiners can tolerate substantial age differences between adult faces when performing comparisons, but this advantage does not extend to accurate age estimation

    Identifying high cholesterol in the ambulance setting: a mixed-methods cohort study to tackle health inequality.

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    Background Individuals with low socio-economic status (SES) have disproportionate rates of cardio- vascular disease (CVD) but poorer engagement with preventative health. This study aimed to compare characteristics of individuals with and without hyperlipidaemia and describe their health behaviours. Methods A mixed-methods study between January-December 2022. Patients aged ≥40 years using the ambulance service with blood pressure of ≥140/90 had their total cholesterol measured using a point of care device. Data including blood pressure, smoking status, National Early Warning Score 2 (NEWS2) and clinical frailty scale (CFS) were analysed. Results Of 203 patients (59% female, mean age 65.7 years), 115 (56.7%) had total cholesterol ≥5.1mmol/L. Thirty patients (14.8%) sought treatment and received either statins (n=9; 4.4%), dietary modification (n=7; 3.4%) or no further intervention (n=14; 6.9%), whilst 85 patients (41.9%) took no further action. Lower CFS (OR 0.53 [0.31-0.93]) and higher total cholesterol (OR 2.07 [1.03 – 2.76]) predicted seeking further management. SES was not associated with hyperlipidaemia or likelihood of seeking further management which was dictated by competing co-morbidity, poor health literacy and digital divide. Conclusions Undiagnosed hyperlipidaemia exists in patients using the ambulance service, irrespective of SES. Individual and healthcare system factors prevent engagement in cholesterol lowering behaviours

    Twenty-First Century Immersion Technologies in Health Professions Pedagogy

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    This encyclopedia entry provides insight into the justification of pedagogy in the context of extended reality (XR), which itself encompasses virtual reality (VR), augmented reality (AR), and mixed/hybrid reality (MR), and how all have evolved into an ongoing source of complex ambiguity over the last decade, which the COVID-19 pandemic only highlighted and radically exacerbated. Being able to understand and operationalize each in the context of health professions pedagogy and scholarship became a necessity, which few would now ever question but which still raises issues in relation to the practices of risk assessment and management in professional fields of practice such as medicine, nursing, midwifery, and allied health professions practice

    Recognizing newly learned faces across changes in age

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    We examined how well faces can be recognised despite substantial age-related changes, using three behavioural experiments plus Mileva et al.'s (2020) PCA+LDA computational model of face recognition. Participants and the model were trained on a set of faces at one age (with each facial identity depicted in multiple images) and tested on their ability to recognise those individuals in images taken at a different age. The younger images were aged 20-30 years and the older images were either 20 or 40 years older. The computational model showed high accuracy, but it performed better if faces were learnt in their younger versions and testing was with the older images than vice versa. The humans did not show this age-direction effect. Although their recognition of faces across either a 20- or 40- year age gap was poor, it was significantly above chance, suggesting that we can extract identity diagnostic information despite substantial changes in outward appearance

    “I’m getting out to nothing”: a temporal analysis of dominant discourses and practices with residents convicted of child sex offences in Probation Approved Premises

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    People convicted of child sex offences are viewed as a dangerous and demonised offender group, yet little research has considered their resettlement post-residency from Approved Premises. Using data from two qualitative studies carried out 15 years apart, we explore what changes there have been in the discourses and practices with residents convicted of child sex offences. We found that whilst rehabilitation and resettlement were contemporarily considered as more holistic endeavours, the primary function of the Approved Premises remains managing the risks of residents convicted of child sex offences. Most significantly, this hindered their social integration into the community

    Insight into Quiet Quitting

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    Neurodivergent Learners: Inclusive and Accessible Practices in Higher Education

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    An increasing number of students in Higher Education are neurodivergent, shaping and challenging the practices of how staff teach in Higher Education. This chapter seeks to outline why Higher Education staff should meet the needs of neurodivergent students, and how this can be done. This chapter begins by outlining the relationship between biodiversity and neurodiversity is outlined and definitions are provided for neurodiversity and related terms. Second, barriers neurodivergent students may face. Finally, Universal Design for Learning is presented as a vehicle for inclusive and accessible practice, with clear examples of how this relates to neurodivergent learners. The chapter thematically reports the needs of neurodivergent learners based on both the knowledge and experience of the authors, as well as from other neurodivergent students. The themes are: considered communication; technological assistance; be predictable and meet expectations; normalise everyone’s needs (or rather, normalise neurodivergence)

    The development and validation of a digital biomarker for remote assessment of Alzheimer's Diseases Risk.

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    Background Digital cognitive assessment is becoming increasingly widespread in ageing research and care, especially since the COVID19 pandemic. Remote online collection provides opportunities for ageing and dementia professionals to collect larger datasets, increase the diversity of research participants and patients and offer cost-effective screening and monitoring methods for clinical practice and trials. However, the reliability of self-administered at-home tests compared to their lab-based counterparts often goes unexamined, compromising the validity of adopting such measures. Objective Our aim is to validate a self-administered web-based version of the visual short-term memory binding task (VSTMBT), a potential digital biomarker sensitive to Alzheimer’s Disease processes, suitable for use on personal devices. Methods A final cross-sectional sample of 37 older-adult (51 – 77 years) participants without dementia completed our novel self-administered version of the VSTMBT, both at home on a personal device and in the lab, under researcher-controlled conditions. Results ANOVA and Bayesian T-test found no significant differences between the task when it was remotely self-administered by participants at home compared to when it was taken under controlled lab conditions. Conclusions These results indicate the VSTMBT can provide reliable data when self-administered at-home using an online version of the task and on a personal device. This finding has important implications for remote screening and monitoring practices of older adults, as well as supporting clinical practices serving diverse patient communities. Future work will assess remote administration in older adults with cognitive impairment and diverse socio-economic and ethno-cultural backgrounds as well as a bench-to-bedside application

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