Search Results (1,728)

There is a global veterinary workforce shortage, particularly in rural and regional areas. In response to this shortage in New South Wales (NSW), the State Parliament launched a Parliamentary Inquiry in 2023. The Inquiry received 205 publicly available written submissions, providing insights into the perceived challenges and barriers for veterinarians working in rural practice, and how the perceived impact of the feminisation of the workforce interacts with this. By analysing a subset of submissions written by veterinarians reporting lived experiences in rural practice (n = 63), we identified eight major themes. These were as follows: rural practices are not financially sustainable; rural veterinarians often have a more challenging and higher workload than their urban counterparts; working in rural practice increases challenges to health and wellbeing; it is difficult to recruit and retain people in rural practice; veterinary students are poorly selected and not well prepared for rural practice; clients have unrealistic expectations of rural veterinarians; rural practice is not compatible with family life; and veterinarians have mixed opinions regarding whether an increase in the proportion of female veterinarians is a key contributing factor in the shortage of veterinarians. These findings may assist in the development of recruitment and retention strategies for rural veterinary practice. Full article

Cardioneuroablation is a rapidly developing procedure for the treatment of vagally mediated bradyarrhythmias. However, the lack of multicenter, randomized trials prevents it from being included in bradyarrhythmia treatment guidelines. So far, only one small, randomized study has been published assessing the effectiveness of this method in the treatment of reflex syncope. This is a brief review of ongoing randomized trials evaluating the effectiveness and safety of cardioneuroablation for the treatment of functional bradyarrhythmias. Full article

To address the holistic and continuity of care needs of people who attend North East hospitals frequently for alcohol-related reasons, Recovery Navigator (Navigator) roles were introduced into Alcohol Care Teams in six hospitals in the North East of England, UK, in 2022. The Navigators aimed to provide dedicated holistic support to patients experiencing alcohol harms, starting whilst in the hospital with the potential to continue this beyond discharge. This qualitative study explores the contributions that the Navigators make towards integrated alcohol care. Twenty-five semi-structured interviews were undertaken with 7 patients, 1 carer, and 17 staff. We used reflexive thematic analysis and applied the concept of continuity of care and Self-Determination Theory. The findings suggest that all of the participants value Navigators having dedicated time to work with patients to address their social needs, that patients benefit from having someone who provides relational support and is ‘gently persistent’, and that most of the Navigators have good relationships with community providers and have supported the transition of patients to these services. Staff recognise the challenges of holistic alcohol care in hospitals, and the support of the Alcohol Care Teams and Navigators is seen as invaluable. Navigators help to address gaps in the provision of holistic support for patients who experience significant health inequalities. Full article

This article explores Islamic Teacher Education through an autoethnographic account of the author’s experience with the Graduate Certificate of Education (Islamic Pedagogy) at the University of South Australia. It addresses the lack of research on how Islamic Pedagogy is taught, contributing to the growing scholarship on faith-based teacher education. Autoethnography is a qualitative research method that combines autobiography and ethnography, emphasising personal experiences to explore cultural communities. It is especially useful in studying emerging concepts like Islamic Pedagogy and Faithful Praxis. This approach challenges Western positivism, promoting epistemic reflexivity, and offering critical insights into marginalised perspectives and educational practices. This paper employs autoethnography to present the author’s Faithful Praxis journey as a transformative pedagogical shift, shaped by their experiences with Western and Islamic epistemologies, aiming to empower Muslim voices in education and challenge marginalization, with the Graduate Certificate fostering epistemic reflexivity and providing a platform to reconcile Islamic and Western knowledge in the classroom. This paper also clarifies the distinction between Islamic Pedagogy and Islamic Integration through autoethnography by highlighting their complementary nature as opposed to the author’s initial assumptions around their interchangeability. Whilst this article contributes to the growing Islamic Teacher Education scholarship through an autoethnographic perspective, further research to assess broader program efficacy is still needed. Full article

The purpose of the current study was to investigate novice PE teachers’ reflections regarding beliefs and how they played out in teaching practices and identity formation within the settings of their profession. We recruited 31 PE teachers in their early careers to participate in this study. Data were collected through their written accounts of their reflection and in-depth interviews. Analysis of the collected data followed the procedures of thematic analysis through which reflexivity had been emphasized during the analysis process. The results showed three constructed themes. These were teachers’ reflections on their beliefs, PE teaching practices, and PE teachers’ professional identities. We conclude that PE teachers’ reflections on belief systems, as well as the purpose of the subject, have, in one way or another, shaped practices and professional identities. Teachers take up contemporary discourse regarding education, which is not fully aligned with available professional development programs that effectively improve the practices. Teachers form, maintain, and negotiate their professional identities in relation to their beliefs and their actual practices. Full article

Background/Objectives: Body posture is developmentally variable and individually diversified. As a chain of numerous unconditioned and conditioned reflexes, it is, in its essence, a psychomotor habit. The aim of the study was to create an original typology of body posture based on measurements using the Diers Formetric III 4D system. Methods: The research included 303 children aged 10–12. Results: Taking the ranges of standards for the angle of thoracic kyphosis (42–55°) and lumbar lordosis (33–47°) into account, it was shown that there are nine types of body posture. These are as follows: reduced kyphosis, reduced lordosis (K < 42°; L < 33°); reduced kyphosis, normal lordosis (K < 42°; 33° ≤ L ≤ 47°); reduced kyphosis, increased lordosis (K < 42°; L > 47°); normal kyphosis, reduced lordosis (42° ≤ K ≤ 55°; L < 33°); normal kyphosis, normal lordosis (42° ≤ K ≤ 55; 33° ≤ L ≤ 47°); normal kyphosis, increased lordosis (42° ≤ K ≤ 55°; L > 47°); increased kyphosis, reduced lordosis (K > 55°, L < 33°); increased kyphosis, normal lordosis (K > 55°; 33° ≤ L ≤ 47°); and increased kyphosis, increased lordosis (K > 55°; L > 47°). Conclusions: In the final evaluation of the Diers Formetric III 4D examination, the traditional division into round, concave, round-concave, and flat backs should be supplemented and expanded to include the nine posture types mentioned above. This will enable a more precise selection of corrective exercises, which will significantly improve their quality and effectiveness. Full article

Background/Objectives: Acute lateral ankle sprain (ALAS) affects balance, often assessed by changes in traditional center of pressure (COP) parameters. Spatiotemporal measures of COP and time-to-boundary (TTB) analysis may offer improved sensitivity in detecting postural deviations associated with ALAS. However, the neurophysiological mechanism underlying these changes remains unknown. This study aimed to explore the effects of ALAS on spinal reflex excitability in the fibularis longus (FL) during single-leg balance and TTB parameters following ALAS. Methods: Fourteen participants with and without ALAS were recruited within 14 days from the onset of the injury. We assessed FL spinal reflex excitability and postural control during a single-leg stance. The primary outcomes included the H/M ratio, H-latency, and TTB parameters. For H-reflex testing, the peripheral electrical stimulation was delivered at the sciatic nerve before bifurcating into the tibial and common fibular nerve while participants maintained a single-leg balance position with the involved side of the limb. The TTB parameters of the medial–lateral (ML) and anterior–posterior (AP) directions of the mean, SD, and minimum were assessed, which indicate postural correction and strategies. Results: Patients with ALAS had a significantly lower AP-TTB minimum compared with healthy uninjured controls, with a moderate effect size (p = 0.039; d = −0.83). However, there was no significant difference in the H/M ratio (ALAS: 0.29 ± 0.16 vs. CON: 0.24 ± 0.10; p = 0.258) and H-reflex latency (ALAS: 34.6 ± 1.92 vs. CON: 33.8 ± 1.75 ms; p = 0.277); Conclusions: These results indicate that reflex control at the spinal level may have a minimal role in response to balance deficits following ALAS. Full article

Background: Family breakdown, separation, and divorce (FBSD) are often traumatic events, particularly for fathers who face unique challenges. These include emotional, psychological, and financial struggles, often exacerbated by abusive behaviours from ex-partners. This study explores fathers’ experiences of FBSD, focusing on both the breakdown event itself and any abuse, including coercive control and parental alienation, before and after the separation. Methods: A mixed-methods approach was employed, including a survey of 141 men and follow-up interviews with 30 participants. Data were analysed using reflexive thematic analysis to identify key themes related to FBSD and associated abuse. Results: Fathers reported significant emotional, psychological, and financial distress, with many experiencing ongoing abuse and coercive control after separation. Abuse often continued through legal processes and manipulation of child access. Parental alienation emerged as a prominent form of post-separation abuse, with fathers describing attempts by ex-partners to undermine their relationships with their children. Conclusions: The findings highlight the need for gender-inclusive services that address the specific challenges fathers face during and after FBSD, particularly in relation to post-separation abuse. Targeted interventions are necessary to support fathers’ well-being and ensure their continued involvement in their children’s lives. Full article

Background: this study builds on existing research on fathers’ experiences of family breakdown, separation, and post-separation abuse, exploring the systemic challenges they face in negotiating co-parenting arrangements. Methods: using data from a survey of 141 fathers and interviews with 30 participants, we examined the dynamics of post-separation co-parenting, particularly focusing on how fathers perceive and navigate family court systems. The data were analysed using reflexive thematic analysis to identify key themes. Results: the findings highlighted two primary themes: the difficulties that fathers face in establishing equitable co-parenting arrangements and their negative experiences with family courts, including perceptions of gender bias and systemic inefficiency. Conclusions: the results indicate a need for greater support mechanisms post-separation to facilitate healthier co-parenting relationships and minimise reliance on adversarial court processes. Furthermore, the research underscores the importance of addressing gender stereotypes within family law and social services to ensure more just outcomes for fathers and their children. Full article

Background/Objectives: Neurodegenerative ocular diseases, such as age-related macular degeneration (AMD) and glaucoma, represent growing public health concerns. Oxidative stress plays a key role in their development, damaging retinal cells and accelerating disease progression. Melatonin (Mel) is a potent antioxidant with neuroprotective properties; however, it faces limitations such as low solubility. This study proposes the use of human serum albumin nanoparticles (Np-HSA) to enhance the delivery of Mel to the posterior segment of the eye and evaluates its neuroprotective and anti-apoptotic effects on the retina. Methods: A model of retinal degeneration was induced in New Zealand albino rabbits using cytotoxic and oxidative agents. Np-HSA-Mel nanoparticles were administered subconjunctivally, and cellular viability and retinal functionality were assessed using flow cytometry and pupillary light reflex (PLR). Histological and immunohistochemical studies, including the TUNEL assay, were performed to analyse cell survival and apoptotic index. Results: Np-HSA-Mel significantly preserved pupillary function and cell viability, demonstrating lower apoptosis compared to Mel solution and Np-HSA alone. Histologically, eyes treated with Np-HSA-Mel exhibited fewer structural alterations and greater cellular organisation. The TUNEL assay confirmed a significant reduction in the apoptotic index of retinal ganglion cells (RGCs) treated with Np-HSA-Mel. Conclusions: Np-HSA-Mel effectively overcame ocular barriers, achieving greater neuroprotective efficacy at the retinal level. These findings highlight the synergistic potential of albumin and Mel in treating neurodegenerative ocular diseases, opening new perspectives for future therapies. Full article

Background: Rigid bronchoscopy (RB) is the gold standard for managing central airway obstruction (CAO), a life-threatening condition caused by both malignant and benign etiologies. Anesthetic management is challenging as it requires balancing deep sedation with maintaining spontaneous breathing to avoid airway collapse. There is no consensus on the optimal anesthetic approach, with options including general anesthesia with neuromuscular blockers or spontaneous assisted ventilation (SAV). Methods: This case series presents our anesthetic protocol using remifentanil–propofol–ketamine total intravenous anesthesia (TIVA) with SAV in four patients with airway obstructions. Muscle relaxants were avoided in all cases. Results: Ketamine’s ability to preserve respiratory drive and airway reflexes, along with its bronchodilating properties, made it ideal for managing CAO. All procedures successfully restored airway patency without complications or drug-related side effects. Conclusions: Our findings suggest that remifentanil–propofol–ketamine TIVA combined with SAV is a viable anesthetic approach for therapeutic RB, offering effective sedation, maintaining airway patency, and minimizing perioperative complications. Full article

Background and Objectives: The video head impulse test is a landmark in vestibular diagnostic methods to assess the high-frequency semicircular canal system. This test is well established in the adult population with immense research since its discovery. The usefulness and feasibility of the test in children is not very well defined, as research has been limited. This systematic review investigated and analysed the existing evidence regarding the test. The objectives were to derive meaningful inferences in terms of the feasibility, implementation, and normative vestibulo-ocular reflex (VOR gain) in normal children and in children with vestibular hypofunction. Methods: Research repositories were searched with keywords, along with inclusion and exclusion criteria, to select publications that investigated the vHIT in both a normative population of children as well as in pathological cohorts. The average normal VOR gain was then calculated in all semicircular canals for both the normal and the vestibular hypofunction groups. For the case–control studies, a meta-analysis was performed to assess the heterogeneity and pooled effect sizes. Results and Discussion: The review analysed 26 articles that included six case–control studies fulfilling the study selection criteria, out of more than 6000 articles that have been published on the vHIT. The described technique suggested 10–15 head impulses at 100–200°/s head velocity and 10–20° displacement fixating on a wall target 1 to 1.5 m away. The average VOR gain in the lateral semicircular canals combining all studies was 0.96 +/− 0.07; in anterior semicircular canals, it was 0.89 +/− 0.13, and for posterior semicircular canals, it was 0.9 +/− 0.12. The normal VOR gains measured with individual equipment (ICS Impulse, EyeSeeCam and Synapsys) in the lateral semicircular canals were largely similar (p > 0.05 when ICS Impulse and EyeSeeCam were compared). The pooled effect size in the control group was 1, and the heterogeneity was high. It was also observed that implementing the test is different from that in adults and requires considerable practice with children, factoring in the issue of peripheral and central vestibular maturation. Special considerations were suggested in terms of the pupillary calibration, goggle fitting, and slippage and play techniques. Conclusions: The vHIT as a diagnostic test is possible in children with important caveats, practice, and knowledge regarding a developing vestibular system. It yields significantly meaningful inferences about high-frequency semicircular canal function in children. Adult norms should not be extrapolated in children, as the VOR gain is different in children. Full article

Post-stroke spasticity (PSS), characterized by a velocity-dependent increase in muscle tone and exaggerated reflexes, affects a significant portion of stroke patients and presents a substantial obstacle to post-stroke rehabilitation. Effective management and treatment for PSS remains a significant clinical challenge in the interdisciplinary aspect depending on the understanding of its etiologies and pathophysiology. We systematically review the relevant literature and provide the main pathogenic hypotheses: alterations in the balance of excitatory and inhibitory inputs to the descending pathway or the spinal circuit, which are secondary to cortical and subcortical ischemic or hemorrhagic injury, lead to disinhibition of the stretch reflex and increased muscle tone. Prolongation of motoneuron responses to synaptic excitation by persistent inward currents and secondary changes in muscle contribute to hypertonia. The guidelines for PSS treatment advocate for a variety of therapeutic approaches, yet they are hindered by constraints such as dose-dependent adverse effects, high cost, and limited therapeutic efficacy. Taken together, we highlight key processes of PSS pathophysiology and summarize many interventions, including neuroprotective agents, gene therapy, targeted therapy, physiotherapy, NexTGen therapy and complementary and alternative medicine. We aim to confer additional clinical benefits to patients and lay the foundation for the development of new potential therapies against PSS. Full article

This review emphasises the importance of the cardiovascular response to facial cooling (FC) and breath holding in both sexes. The trigemino-cardiac reflex, triggered by FC, reduces heart rate (HR) and constricts blood vessels. When combined with breath holding, this effect intensifies, enhancing the cardiodepressive impact. The cardiovascular reaction to this combination, known as the cold-water face immersion or simulated diving test, varies among individuals and depends on their cardiovascular regulatory profiles, which differ between men and women. Despite extensive research on the cardiovascular response to FC and apnoea, most studies did not categorise participants by sex, leading to a limited understanding of how it influences trigeminal nerve stimulation (TGS) and breath-hold diving (BHD). Despite attempts to address this, the existing findings remain inconsistent due to intra- and inter-individual variability. Key factors influencing the diving response include the influence of the parasympathetic system on HR, vascular sympathetic activity affecting total peripheral resistance (TPR), sensitivity to CO₂, lung capacity, training, physical performance, duration of apnoea, and the stimulation of metaboreceptors in working muscles. These factors differ between men and women, potentially contributing to variations in the effectiveness of the response to the FC combined with breath holding. Full article

The lower academic performance of boys in compulsory school has long been a well-known fact, but only in the last decade has it been shown in the public debate. Various explanations for boys’ underperformance mainly include background, expectations, norms, and hierarchical gender order. Few studies have focused on what can be affected, namely the teaching in the classroom. In addition, studies have not, to any significant extent, focused on the students’ perceptions. This study was conducted through eight group interviews with 2nd and 5th-grade students and explored how boys and girls perceive learning in a classroom context. Similarities and differences in perceptions emerged through a reflexive thematic analysis from a didactic theoretical perspective—the similarities in perception concerned the teacher’s leadership, interactions, learning strategies, and learning environment. The differences were about reprimands, different developed learning strategies, confidence in the teacher, and the social atmosphere. The result indicates a need for the teacher to be more aware of the processes going on in the classroom and to build both social and learning support structures with a focus on learning strategies. Full article