Managing supervisory drift in cognitive behavioral therapy: A narrative review with case vignettes.

Drift is a phenomenon that can occur in cognitive-behavioral supervision, where core components of supervision are omitted, avoided, or deprioritized. This narrative review explores the signs, reasons, and impact of supervisory drift at the experiential, cognitive, and emotional levels for both the supervisor and the supervisee. Additionally, the article presents potential solutions for preventing and addressing supervisory drift, such as staying on track, anticipating problems before they arise, adapting supervision to the supervisee's needs, using active supervision methods to understand drift better, engaging in Supervision of Supervision (SoS), and using alliance measures.

Heart failure of very rare aetiology-haemochromatosis Type 3: a case report.

Background: Haemochromatosis is a pathological condition characterized by the accumulation of iron in parenchymal organs, leading to toxic damage and dysfunction. Cardiac haemochromatosis represents one of the rare causes of severe heart failure (HF) that can be potentially prevented with targeted treatment.

Case Summary: We present the case of a 41-year-old female who was hospitalized for decompensated HF.

Research on Pantograph Defect Classification Based on Vibration Signals.

Pantograph-based electrical current transmission systems are used in electric traction vehicles. The contact surface between the pantograph and the catenary wire experiences mechanical and thermal effects during the train's movement. Typically, this contact surface on the pantograph is covered by a segmented carbon or copper rod, attached to an aluminum base.

Powering Agriculture IoT Sensors Using Natural Temperature Differences Between Air and Soil: Measurement and Evaluation.

As the need to monitor agriculture parameters intensifies, the development of new sensor nodes for data collection is crucial. These sensor types naturally require power for operation, but conventional battery-based power solutions have certain limitations. This study investigates the potential of harnessing the natural temperature gradient between soil and air to power wireless sensor nodes deployed in environments such as agricultural areas or remote off-grid locations where the use of batteries as a power source is impractical.

Styrene-Butadiene Rubber Latex Modified Mortars Prepared with High Early Strength Portland Cement.

The increased early hydration rate of high early strength cement has economic advantages in many civil engineering fields (faster formwork removal or earlier demoulding of precast elements). Styrene-butadiene rubber (SBR) latex is the most common polymer in aqueous dispersions suitable for admixing in cement-based materials. It allows the designing of structures with specific properties for a variety of applications.

Photo-Excited Carrier Dynamics in Ammonothermal Mn-Compensated GaN Semiconductor.

We investigated the carrier dynamics of ammonothermal Mn-compensated gallium nitride (GaN:Mn) semiconductors by using sub-bandgap and above-bandgap photo-excitation in a photoluminescence analysis and pump-probe measurements. The contactless probing methods elucidated their versatility for the complex analysis of defects in GaN:Mn crystals. The impurities of Mn were found to show photoconductivity and absorption bands starting at the 700 nm wavelength threshold and a broad peak located at 800 nm.

Characterization of Myrrh Extract Effect on Polylactide and Polypropylene Melt Spun Multifilament Yarn Structure and Properties.

Myrrh has unique medicinal properties: it is an anti-inflammatory, antifungal, and antibacterial material. The aim of this study was to assess the influence of ethanolic myrrh extract on the production and properties of modified PP and PLA melt spun yarns. In this work, multifilament yarns of polylactide (PLA) and polypropylene (PP) containing 10 wt% myrrh resin at different melt-spinning drawing ratios (DRs) were prepared.

Effects of Low Temperature, Freeze-Thaw Cycles, and Healing Conditions on Viability of Non-Ureolytic Bacteria in Biological Self-Healing Concrete.

The capacity of biological self-healing concrete (BSHC) to repair cracks relies on the sustained viability and metabolic function of bacteria embedded within the concrete. BSHC structures face significant risk in cold climates due to low temperatures and freeze-thaw (FT) cycles, during which freezing water can generate internal pressure that damages bacterial cells and diminishes their activity. A special feature of this study is the incorporation of bacterial spores within expanded clay aggregates, tested under varying environmental conditions.

Efficient Management of Asbestos Waste Through Utilization as Mineral Additives in Portland Cement Production.

This article presents research on the effectiveness of utilizing asbestos waste, particularly chrysotile asbestos, in the production of Portland cement. The study aimed to evaluate the feasibility of transforming asbestos cement (Eternit) through thermal treatment and its enrichment with mineral additives, enabling its integration into the clinker synthesis process. Differences in the physicochemical properties of types of cement produced from conventional raw materials and those manufactured using asbestos waste were analyzed.

Moisture Absorption and Mechanical Degradation of Polymer Systems Incorporated with Layered Double Hydroxide Particles.

This study investigated the moisture absorption and mechanical degradation of epoxy-based polymer systems with Mg-Al/NO layered double hydroxide (LDH) nanoparticles content up to 5 wt%. Such systems are developed for multilayer corrosion protective coatings. A sorption model was developed to calculate the moisture concentration field in the multilayer structures using Fick's law of diffusion.

Influence of Recycling and UV Exposure on the Properties of 3D Printing Polymer Materials.

The use of polymer materials in various fields has increased significantly due to their ease of thermoforming and relatively low production costs. The production volume of these materials is extremely high, and according to forecasts from global statistical centers, it is expected to continue rising in the future. However, the extensive use and easy availability of polymeric materials have caused significant ecological problems.

Extraction of Bioactive Compounds and Influence of Storage Conditions of Raw Material (L.) Holub Using Different Strategies.

The study evaluates different preparation methods for identifying the best strategy for extracting biologically active compounds from raw (L.) Holub plant material. The methodologies include direct aqueous methanol extraction with a combination of natural aerobic and anaerobic fermentation for 24-72 h, followed by 35 °C and 60 °C drying.

How to Use Macrophages Against Cancer.

Numerous studies have demonstrated the significant influence of immune cells on cancer development and treatment. This study specifically examines tumor-associated macrophages (TAMs), detailing their characteristics and roles in tumorigenesis and analyzing the impact of the ratio of TAM subtypes on patient survival and prognosis. It is established that TAMs interact with immunotherapy, radiotherapy, and chemotherapy, thereby influencing the efficacy of these treatments.

Improving Outcomes of CT-Guided Malignant Lung Lesion Microwave Ablation by Tract Sealing Using Venous Blood Clot.

Complications, particularly pneumothorax, are common following lung interventions and occasionally necessitate further examinations, extend hospital stays, increase treatment costs, and result in long-term health impairment or even death. A few lung intervention tract sealants have been explored to reduce procedure-related complications. The primary objective of this prospective non-randomized study was to assess the complication rates and risk factors for computed tomography-guided lung microwave ablation (MWA) with autologous blood clot as a tract sealant.

Gut Microbiome Changes After Neoadjuvant Chemotherapy and Surgery in Patients with Gastric Cancer.

Background/objectives: Neoadjuvant chemotherapy (NAC) followed by radical gastrectomy is the current standard approach for locally advanced gastric cancer (GC) in the West. Both NAC and gastrectomy can significantly influence the gut microbiome, potentially leading to clinically significant changes. However, no longitudinal studies to date support this hypothesis.

An application of solvent and thermal treatment to recover materials from photovoltaic module encapsulated with polyolefin elastomer.

High-quality recycling of photovoltaic (PV) modules starts with a delamination process. It aims to remove the encapsulation layer between glass and solar cells. Many studies have investigated the delamination of ethylene-vinyl acetate encapsulant, whereas the delamination of polyolefin elastomer (POE) encapsulation in solar modules remains a research gap.

SB16 versus reference denosumab in postmenopausal women with osteoporosis: 18-month outcomes of a phase III randomized clinical trial.

Purpose: This study evaluated the efficacy, safety, pharmacodynamics (PD), pharmacokinetics (PK), and immunogenicity of SB16 versus reference denosumab (DEN) up to 18 months in postmenopausal osteoporosis (PMO) patients, and assessed outcomes after switching from DEN to SB16 compared to those who continued with DEN or SB16.

Methods: 457 PMO patients were initially randomized, with 407 re-randomized at Month 12 to either continue DEN (DEN+DEN), switch to SB16 (DEN+SB16), or continue SB16 (SB16 + SB16) through Month 18. Efficacy was assessed by the percent change from baseline in bone mineral density (BMD) at the lumbar spine, total hip, and femoral neck.

β-aminobutyric acid does not induce defenses or increase Norway spruce resistance to the bluestain fungus Grosmannia penicillata.

Priming of Norway spruce (Picea abies) inducible defenses is a promising way to protect young trees from herbivores and pathogens. Methyl jasmonate (MeJA) application is known to induce and potentially prime Norway spruce defenses but may also reduce plant growth. Therefore, we tested β-aminobutyric acid (BABA) as an alternative priming chemical to enhance spruce resistance, using 2-year-old Norway spruce plants.

Urban-Rural Disparities in the Transition to Parenthood During Times of Uncertainty: A Multilevel Perspective on Finland.

Over the last 15 years, many European countries have experienced fertility declines. Existing research on this shift in fertility behavior points to economic aspects and increased levels of uncertainty as important drivers. However, in this debate little attention has been paid to how the relevance of individual- and contextual-level dimensions for understanding the new fertility patterns varies by level of urbanization.

Readiness assessment for cervical cancer elimination and prevention of human papillomavirus (HPV)-related cancers in Europe - are we winning the RACE?

Introduction: To address the cervical cancer burden globally, the World Health Organization and European Union released strategies to facilitate HPV-related cancers prevention, including cervical cancer elimination. This research assessed European country level readiness to achieve cervical cancer elimination by adhering to such strategies.

Areas Covered: Readiness for cervical cancer elimination was assessed across a range of guiding questions relevant to three defined key domains: vaccination, screening, and treatment, each with two sub-domains focusing on decision making and implementation efforts.

How do firms value sales career paths?

Unlabelled: Sales employees can build their careers across industries, firms, and occupations. Yet it is unclear how their sales career paths affect their compensation. To assess the value of their experience, we examine the paychecks drawn by nearly 25,000 sales employees over 22 years.

Prevalence and associations of neurodevelopmental and mental health disorders with academic and well-being challenges among nursing and midwifery students: A cross-sectional study.

Introduction: This study highlights the significant stress faced by nursing and midwifery students stemming from the rigorous requirements of their curriculum, which includes both demanding theoretical and practical elements. This study aims to identify the causes and manifestations of learning environment stress among midwifery and nursing students.

Methods: A cross-sectional study in Lithuania, Poland and Latvia was employed to evaluate students' learning challenges and neurodiversity using 40 different questions assessed on a Likert scale.

Development of a cell-type cylindrical carrot seeder.

Accurate planting of the required number of carrot seeds is one of the important parameters in developing a carrot seeding device. This study developed a metering mechanism that promotes the deposition of <3 carrot seeds on each planting hill at negligible seed damage. The metering disc and hopper were especifically designed to ensure consistency and uniformity in seed loading into the seed cell and their subsequent efficient discharge onto the planting hills.