Improving Lynch syndrome detection: a mixed-methods process evaluation of a hybrid type III effectiveness-implementation trial.

Introduction: Translating evidence-based practices into real-world healthcare settings is challenging, particularly in the rapidly evolving field of genomics. A pragmatic two-arm cluster-randomized clinical trial (Hide and Seek Project - HaSP) tested two implementation approaches for improving hereditary cancer referral practices with one key distinction: implementation strategies that were designed 1) explicitly using psychological theory, or 2) using healthcare professional intuition. This mixed-methods process evaluation aimed to provide insights into how and why change occurred by examining contextual determinants, identifying mechanisms of action, and exploring the role of theory.

Optimizing cover crop practices as a sustainable solution for global agroecosystem services.

The practice of cover crops has gained popularity as a strategy to improve agricultural sustainability, but its full potential is often limited by environmental trade-offs. Using meta-analytic and data-driven quantifications of 2302 observations, we optimized cover crop practices and evaluated their benefits for global agroecosystems. Cover crops have historically boosted crop yields, soil carbon storage, and stability, but also stimulated greenhouse gas emissions.

Phytoremediation evaluation of forever chemicals using hemp (Cannabis sativa L.): Pollen bioaccumulation and the risk to bees.

Per- and polyfluoroalkyl substances (PFAS), often termed "forever chemicals," are a diverse group of persistent fluorinated compounds, including the well-known perfluorooctanesulfonic acid (PFOS), which has been identified as lethal to bee larvae. However, the risk of PFAS exposure through pollen, a bee's primary food source, has not been thoroughly investigated. In controlled greenhouse experiments, Cannabis sativa L.

Advancing the application of pXRF for animal samples.

Portable x-ray fluorescent (pXRF) technology provides significant opportunities for rapid, non-destructive data collection in a range of fields of study. However, there are sources of variation and sample assumptions that may influence the data obtained, particularly in animal samples. We used representative species for four taxa (fish, mammals, birds, reptiles) to test the precision of replicate scans, and the impact of sample thickness, sample state, scan location and scan time on data obtained from a pXRF.

Cryogenic nonlinear microscopy of high-Q metasurfaces coupled with transition metal dichalcogenide monolayers.

Monolayers of transition metal dichalcogenides (TMDCs) demonstrate plenty of unique properties due to the band structure. Symmetry breaking brings second-order susceptibility to meaningful values resulting in the enhancement of corresponding nonlinear effects. Cooling the TMDC films to cryogenic temperatures leads to the emergence of two distinct photoluminescence peaks caused by the exciton and trion formation.

Living with Pyoderma Gangrenosum: A Qualitative Study.

Pyoderma gangrenosum is a rare, autoinflammatory disorder characterized by rapidly progressive painful ulcers that are challenging to diagnose and treat. This qualitative study aimed to explore the experiences of patients living with pyoderma gangrenosum. Using an inductive qualitative approach, semi-structured interviews were completed with a purposive sample of 21 patients with pyoderma gangrenosum recruited from a public dermatology outpatient clinic in Melbourne, Australia.

Meeting Aerobic Physical Activity Guidelines and Associations With Physical Fitness in Men With Metastatic Prostate Cancer: Baseline Results of the Multicentre INTERVAL-GAP4 Trial.

Background: This study compared the physical activity level of men with metastatic prostate cancer at baseline of the multicentre INTERVAL-GAP4 trial to the American Cancer Society guidelines and examined associations with physical fitness.

Methods: A total of 140 men on androgen deprivation therapy (ADT) were included in this cross-sectional analysis of baseline data from the INTERVAL-GAP4 trial. Exclusion criteria included a maximum of 1 h of vigorous aerobic exercise or one structured resistance exercise session per week but no restrictions on habitual physical activity.

Rapid and Versatile Functionalization of Poly-Ethylene Imine via Dynamic Aminal Formation.

The study of dynamic covalent chemistry (DCC) is growing rapidly in polymer chemistry. The dynamic covalent chemistry of polyaminals formed by the reaction of linear polyethyleneimine (L-PEI) with various functional aldehydes is explored. The study demonstrates the pH-dependent kinetics of polyaminal formation and the versatility of polyaminals in controlling the release of aldehydes under ambient conditions.

Further Validation for a Measure of Disordered Eating in an Independent Sample of Male and Female Elite Athletes: The Athletic Disordered Eating (ADE) Scale.

Background: Elite athletes experience unique pressures and cognitions associated with disordered eating, which may not be appropriately captured by existing tools. The Athletic Disordered Eating (ADE) scale is a recently developed and first measure of disordered eating specifically developed and validated in current and former athletes. This study aimed to provide further validation for the ADE in an independent sample of elite athletes.

Co-Designing Case Scenarios and Survey Strategies to Examine the Classification and Reporting of Restrictive Care Practices in Adult Mental Health Inpatient Settings: Perspectives From International Stakeholders.

There is a global initiative to reduce the use of restrictive care practices in mental health settings. Variations in the reported rates across regions complicate the understanding of their use and tracking trends over time. However, it remains unclear whether these discrepancies reflect real differences in the implementation of these practices or are sourced from inconsistencies in incident classification and reporting methods.

Trauma-informed practice for genetic counselors: Insights from a workshop evaluation.

Trauma-informed practice (TIP) is an emerging model of care that acknowledges the widespread impact of trauma and emphasizes both physical and psychological safety for consumer and provider. It is being increasingly integrated into models of healthcare delivery, organizational policies, and practices, and has been shown to improve clinical interactions, increase treatment adherence, and improve healthcare outcomes. However, to date, TIP has not yet been systematically integrated into genetic counseling training and practice.

The status quo of global geriatric radiation oncology education: A scoping review.

Purpose: To identify potential gaps in geriatric radiation oncology (RO) education worldwide, as measured by geriatric oncology (GO) content within postgraduate RO training program (TP) curricula across 8 focus countries.

Methods And Materials: The need for improved education around GO is internationally recognized and is a key strategic priority of the International Society of Geriatric Oncology (SIOG).Two reviewers undertook a systematic scoping review from March to September 2023.

Examining unmet needs in older adults with lung cancer: A systematic review and narrative synthesis.

Introduction: Unmet needs in the older population with cancer are complex due to aging-related health conditions. A review of unmet needs in older people with cancer showed that needs varied among different cancer types. In lung cancer, a higher incidence of geriatric syndromes and comorbidities exist compared to other cancer cohorts, impacting treatment tolerance and completion.

A fact based analysis of decision trees for improving reliability in cloud computing.

The popularity of cloud computing (CC) has increased significantly in recent years due to its cost-effectiveness and simplified resource allocation. Owing to the exponential rise of cloud computing in the past decade, many corporations and businesses have moved to the cloud to ensure accessibility, scalability, and transparency. The proposed research involves comparing the accuracy and fault prediction of five machine learning algorithms: AdaBoostM1, Bagging, Decision Tree (J48), Deep Learning (Dl4jMLP), and Naive Bayes Tree (NB Tree).

City bus seat vibration analysis using 6-axis accelerometer and gyroscope sensors.

This paper analyses different modes and cycles of seat vibration in city buses by analysing acceleration peak magnitudes and their trends and fluctuations in the time domain. The purpose is to find peak vibration modes that exist in the driving patterns of city buses. Analysing peaks in a time series is essential for many applications specifically in vibration analysis because they represent significant events.

Application of Artificial Intelligence in Symptom Monitoring in Adult Cancer Survivorship: A Systematic Review.

Purpose: The adoption of artificial intelligence (AI) in health care may afford new avenues for personalized and patient-centered care. This systematic review explored the role of AI in symptom monitoring for adult cancer survivors.

Methods: A comprehensive search was performed from inception to November 2023 in seven bibliographic databases and three clinical trial registries.

Instant prediction of scientific paper cited potential based on semantic and metadata features: Taking artificial intelligence field as an example.

With the continuous increase in the number of academic researchers, the volume of scientific papers is also increasing rapidly. The challenge of identifying papers with greater potential academic impact from this large pool has received increasing attention. The citation frequency of a paper is often used as an objective indicator to gauge the academic influence of the paper.

Contemporary clinical conversations about stuttering: Does the cause of stuttering matter to clinicians?

Purpose: To discuss whether stuttering causality matters to clinicians during clinical practice, and how and why it might matter. Additionally, to provide early-career clinicians and students with entry-level assistance with this complex topic.

Method: The issue was discussed by two academics and two experienced speech-language pathologists in private practice.

A comprehensive review and meta-analysis of CTC isolation methods in breast cancer.

The application of circulating tumor cells (CTCs) as diagnostic and prognostic markers in oncology is gaining increasing importance in clinical practice. Currently, various methods exist for detecting CTCs in patients' biological fluids. This systematic review aimed to compare the efficacy of different techniques for isolating and detecting CTCs from blood, against the FDA-cleared CellSearch® technology, in breast cancer patients.

The potential regulation of the miR-17-92a cluster by miR-21.

MicroRNAs (miRNA,miRs) are small noncoding RNAs that are ubiquitously expressed in all mammalian cells. Their primary function is the regulation of nascent RNA transcripts by direct binding to regions on the target. There is now exciting data to suggest that these miRNAs can bind to other miRNAs, and this may have a broader impact on gene regulation in disease states.