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This study introduces the development and cross-cultural validation of the Compassion at Work Leadership Behavior Inventory (CAW-LBI), a novel hetero-evaluative tool aimed at assessing compassionate leadership behaviors according to the three-dimensional model proposed by Kanov et al. The present research consists of two studies. The first study involved two samples of Italian workers (N = 431) assessing the scale’s psychometric properties, including its factor structure through exploratory and confirmatory factor analyses, internal reliability, and convergent and discriminant validity. The results supported the hypothesized three-factor structure, with the best fit for a 9-item scale. The scale demonstrated excellent internal consistency, with high Cronbach’s alpha and McDonald’s omega values. AVE, CR, and the Fornell–Larcker criteria were satisfactory regarding convergent and discriminant validity. In addition, the scale showed significant and appropriate Pearson’s correlations with other related measures. The second study includes 225 Spanish workers, confirming the 9-item structure and supporting all the findings from the first study. Further analysis showed strong measurement invariance across samples, indicating that the CAW-LBI reliably captures compassionate leadership behaviors in different cultural contexts. These results suggest that the CAW-LBI is a robust tool for assessing compassionate leadership in various organizational and cultural contexts, offering a valuable contribution to leadership research.
Although spiritual pain in cancer patients has been extensively studied, little is known about the spiritual pain experienced by bereaved caregivers in Japan.
Objectives
This preliminary scale development aimed to clarify the structure of spiritual pain experienced by bereaved caregivers of cancer patients.
Methods
This preliminary scale development was conducted as a secondary analysis of the nationwide J-HOPE4 survey, a cross-sectional questionnaire study of bereaved family members of cancer patients. Thirty-five items related to spiritual pain were analyzed using exploratory factor analysis (EFA).
Results
Responses were obtained from 930 bereaved caregivers in general hospitals and palliative care units. Seven constructs were obtained through the EFA: Loneliness, Life’s heartlessness, A sense of unfinished business, Distress over patient deterioration, Remorse, Regret, and A sense of loss.
Conclusion
This preliminary scale development provides insights into the structure of spiritual pain experienced by bereaved caregivers of cancer patients. Further validation using independent samples is required.
Significance of results
Seven factors of spiritual pain were identified among bereaved caregivers of cancer patients, and understanding this multidimensional experience may inform supportive care.
Transcutaneous auricular vagus nerve stimulation (taVNS) is a noninvasive technique engaging vagal afferents that may enhance cognition, but results vary across domains and samples. Following PRISMA, seven databases (inception–October 2025) plus registries and gray literature were searched. Random-effects meta-analyses (REML; Hedges’ g) were complemented by Bayesian hierarchical models and sensitivity analyses. Fifty-three studies were included; 30 contributed quantitative data (>1,500 participants). taVNS was associated with improved cognitive performance overall (g = 0.41, 95% CI: 0.30–0.53; I2 = 51.4%). Effects were moderate for executive functions (g = 0.46, 95% CI: 0.27–0.65; I2 = 9.5%) and cognitive flexibility/learning (g = 0.53, 95% CI: 0.32–0.75; I2 = 52.9%), and small for working memory/attention (g = 0.19, 95% CI: 0.04–0.33; I2 = 14.9%). Social cognition/emotion regulation showed larger but imprecise effects (k = 3; g = 0.80, 95% CI: 0.07–1.52; I2 = 82.1%). Clinical samples benefited similarly (k = 7; g = 0.55, 95% CI: 0.31–0.79; I2 = 29.5%), with no difference from healthy cohorts (β = −0.001, p = .994). High-intensity protocols (>1.0 mA) yielded larger effects; mode, duration, and site were not moderators. Bayesian models supported effects (P [μ > 0] ≥ 0.93). taVNS is associated with statistically significant improvements in cognitive performance, strongest for executive control and adaptive learning. We propose a Vagal Neurocognitive Integration Model linking LC-NE arousal modulation to prefrontal control. Future diagnosis-specific, adequately powered trials with multimodal neuroimaging should refine mechanisms and dose–response.
‘Teaching about Transatlantic Slavery’ was a three-year professional development project for teachers centring on the Historic Collections of Balliol College, University of Oxford, and the Museum of the American Revolution (MOAR) in Philadelphia. The project grew out of Balliol’s 2021 exhibition, ‘Slavery in the Age of Revolution’, which was inspired by the work of Fellows Sudhir Hazareesingh, Black Spartacus: the epic life of Toussaint Louverture (2020) and Marisa J. Fuentes, Dispossessed Lives: enslaved women, violence and the archive (2016). This paper discusses how we approached the aims of the project, telling a fuller history by foregrounding the role of Black people in the struggle for abolition and increasing awareness of the lasting impact of transatlantic slavery on the way we live and think today. We will address how some of the challenges of working with the material in Balliol’s collections became project strengths when we learnt to navigate bias and acknowledge and elaborate on the gaps and erasures in the historical record. We also acknowledge the diverse range of people who contributed and their importance to the consequent depth and effectiveness of the project. ‘Teaching about Transatlantic Slavery’ reached forty teachers and educators from the USA and the UK and has had lasting impact. The programme allowed teachers to practise teaching with objects, artwork, and primary source documents, deepen their subject knowledge, and develop skills for engaging in sensitive and difficult conversations around complex topics.
The Community Mental Health Education and Detection (CMED) tool was designed and validated for community health workers (CHWs) in South Africa to promote mental health education, detection and linkage to care for adults at risk of mental health conditions. This study evaluated CMED scale-up using implementation research to understand reach and adoption.Routinely collected CHW data from three scale-up community areas were analysed over six months. Using the Reach and Adoption components of the RE-AIM framework, data included the (i) number of CMED administrations; (ii) proportion of identified presumptive cases; and (iii) proportion of referred cases who received care. These data identified high-and low-adopting CHW teams. Observations and repeated group discussions explored factors influencing adoption. CHWs completed 2,135 CMED administrations. Seventeen percent screened positive and were referred for further assessment at PHC facilities; 62% of those referred presented for assessment, diagnosis, and management. Adoption varied across teams. Barriers included poor data systems and inconsistent supply of mental health services. Supportive leadership and supervision were strong facilitators of adoption. Policy uptake signalled maintenance. Findings suggest the CHW-delivered CMED tool is viable and useful for narrowing the treatment gap by strengthening demand for and access to mental health services.
Cotton and soybean with tolerance to 2,4-D, glufosinate, and glyphosate offer useful options for managing herbicide-resistant weeds, especially Palmer amaranth, but effective late-season weed management depends on herbicide program design and timing. In 2019 and 2020, field experiments at two North Carolina locations compared herbicide programs built on preemergence (PRE) herbicides (fomesafen + acetochlor), followed by an early postemergence (EPOST, glufosinate) application and/or a late postemergence (LPOST, 2,4-D + glyphosate). Control was assessed 7–8 weeks after planting, and yields were standardized within environment to the maximum observed yield to allow direct comparison of herbicide programs across crops. Overall, programs that included a herbicide applied LPOST (PRE+LPOST, EPOST+LPOST, or PRE+EPOST+LPOST) controlled weeds completely and prevented yield losses. Herbicides applied PRE+EPOST frequently provided a slightly lower control than LPOST herbicide programs, and PRE herbicide alone consistently resulted in the lowest control. Lower early-season rainfall in 2019 coincided with reduced PRE herbicide performance and wider differences among herbicide programs, whereas earlier, greater rainfall in 2020 increased weed control consistent with improved PRE herbicide soil incorporation. Weed control in soybean was often greater than in cotton with PRE+EPOST in the drier year, consistent with faster canopy closure. Weed species responded similarly across programs, though PRE-only control of morningglories was generally 20–30 % lower than for Palmer amaranth and annual grasses. Relative yield reflected differences in weed control; plots without herbicides exhibited 70–90% losses, whereas herbicide programs with LPOST treatments achieved maximum yields. Results support pairing PRE residuals with sequential herbicides applied POST in herbicide programs, and highlight the value of herbicides applied LPOST to mitigate escapes of late-emerging weeds and avoid yield losses.
Analysis of fracture networks in horizontally bedded limestone and shale in the Eastern Shelf of the Permian Basin of west-central Texas was performed to investigate the lithologic and mineralogic controls on fracture networks. The results show that opening-mode fracturing is sensitive to mineralogy as a primary control and that opening-mode fracturing depends on total clay and calcite percentages. Systematically fractured beds in this study all have >80% calcite, <9% quartz and <7.5% total clay minerals, whereas beds with <80% calcite, >9% quartz and >6% clay minerals are unfractured. Depositional-texture-based lithologic classifications (grainstone, packstone, wackestone, mudstone) based on proportions of carbonate grains and carbonate mud, although extremely convenient and important for interpreting depositional environments of carbonate rocks, are not robust predictors of fracturing. The reason for this is the sensitivity of rock strength to mineralogy – in carbonate rocks, particularly the clay mineral versus calcite content. Our results show that a mineralogic threshold approach may be valuable for opening-mode fracture prediction in limestone and shale.
Our goal is to provide simple and practical algorithms in higher-order Fourier analysis which are based on spectral decompositions of operators. We propose a general framework for such algorithms and provide a detailed analysis of the quadratic case. Our results reveal new spectral aspects of the theory underlying higher-order Fourier analysis. Along these lines, we prove new inverse and regularity theorems for the Gowers norms based on higher-order character decompositions. Using these results, we prove a spectral inverse theorem and a spectral regularity theorem in quadratic Fourier analysis.
The physiological demands of pregnancy substantially alter iodine metabolism and thyroid function. This critical period heightens the requirement for iodine, making deficiency a significant risk factor for both maternal and fetal thyroid dysfunction. This study aimed to evaluate the iodine nutritional status of pregnant women in Hubei Province, explore the relationship between serum iodine concentration (SIC) and thyroid function, and determine the prevalence of thyroid disorders.
Design:
The eligible participants underwent a face-to-face interview and completed questionnaire surveys to collect baseline information and dietary intake data. Serum thyroid hormones, thyroid antibodies, SIC, and urine iodine concentration (UIC) were measured. The 95% reference intervals of SIC were established and ROC analysis was applied to compare the predictive ability of SIC and UIC for thyroid dysfunction.
Setting:
Hubei Province, China.
Participants:
1197 eligible pregnant women were included in this study.
Results:
This study revealed a thyroid dysfunction prevalence of 28.40%, with hypothyroxinemia being the most prevalent thyroid function abnormality, accounting for 79.7% of all thyroid dysfunction cases. Significant differences in hypothyroxinemia prevalence were noted across pregnancy trimesters (P < 0.001), with the highest prevalence in the first trimester and the lowest in the third. In the first trimester, SIC was negatively correlated with TSH (r = –0.195, P < 0.001) and positively correlated with FT3 (r = 0.294, P < 0.001). Additionally, SIC demonstrated a positive correlation with FT4 in each trimester (all P < 0.001). Finally, the SIC reference intervals for pregnant women in the first, second, and third trimesters were 50.08∼118.61 µg/L, 59.16∼127.44 µg/L, and 53.61∼118.67 µg/L, respectively.
Conclusions:
SIC can serve as a reliable indicator for evaluating individual iodine nutritional status and predicting thyroid dysfunction.
In this paper, we analyze the potential harms of everyday self-help discourse, particularly in contexts of systemic oppression. After analyzing the core principles of self-help, such as the power of positive thinking, eliminating negative thinking, gratitude, self-knowledge for self-improvement, and individual choice and responsibility, we argue that self-help discourse is likely to perpetuate different forms of harm in conditions of oppression. First, we argue that, when used in contexts of systemic oppression, self-help discourse contributes to victim-blaming. Secondly, we highlight that the harms of self-help discourse include epistemic and affective dimensions. On the epistemic front, self-help discourse carries epistemic risks, including testimonial smothering and hermeneutical injustice, by discouraging the expression of certain perspectives and lived experiences. On the affective front, self-help discourse reinforces oppression by adding emotional burdens to the oppressed, dismissing their emotional experiences, and imposing the emotional norms of the dominant group. Finally, we revisit the principles of self-help, and show how they contribute to the highlighted harms, particularly by reinforcing victim-blaming, and epistemic and affective forms of injustice.
We introduce and study Liouville number groups, namely additive subgroups of the real numbers in which every nonzero element is a Liouville number. Using continued-fraction methods and linear independence over the field of algebraic numbers, we establish the existence of large families of such groups with rich algebraic and topological structure. We prove that there exist $(2^{\mathfrak {c}}) $ pairwise distinct Liouville number groups generated by strong Liouville numbers and that, among these, there are $(2^{\mathfrak {c}})$ pairwise nonhomeomorphic groups. We further show that there exist continuum many countable Liouville number groups, each generated by countably many strong Liouville numbers and homeomorphic, as topological spaces, to the rational numbers. In addition, we prove that no subgroup of the real numbers is homeomorphic to the space of Liouville numbers, thereby highlighting a strong topological distinction between the space of Liouville numbers and Liouville number groups.
Historically, investigations on gust encounters have been limited to thin airfoils. In this work, we examine vortex-gust encounters by a family of airfoils at a chord-based Reynolds number ${\textit{Re}}_c=100$, which includes variations in the gust ratio, initial gust position, gust radius, angle of attack, airfoil thickness and airfoil camber. We examine differences in the flow fields, lift-element distributions and aerodynamic responses across several airfoil–gust interactions. We observe a large deviation of the flow fields and aerodynamic responses with respect to the baseline flows for increasing gust ratios and gust sizes. The initial position of the vortex gust influences the magnitude of the velocity gradients observed near the leading edge, effectively heightening or mitigating the amplitude of the lift response. Moreover, the lift fluctuation increases with the angle of attack until it flattens around $10^\circ$, reminiscent of an unsteady stall-like regime. Furthermore, we report a decrease in the amplitude of the gust-induced lift fluctuations for thicker airfoils, which we attribute to a decrease in the vorticity production levels from the leading edge, as well as a spatial redirection of the transient aerodynamic forces, which shifts the response in favour of drag fluctuations. The exploration of a sensitive subset of the parameter space uncovers relevant trends, shedding light on regions that have received limited attention in past studies, with special focus on the influence of airfoil geometry.
Fraise mowing is a turfgrass cultivation practice used to mechanically control annual bluegrass via a combination of physical removal and seedbank depletion. Research was conducted to determine if fraise mowing could restore the efficacy of annual bluegrass control herbicides lost due to resistance. Herbicide treatments were applied to plots within separate fraise-mowed and non-fraise-mowed experiments conducted on a hybrid bermudagrass golf course fairway infested with annual bluegrass resistant to herbicides from Groups 2, 3, 5, and 29. Fraise mowing was performed on June 18, 2024 and June 23, 2025 to a 1.3 cm depth. Herbicide treatments included prodiamine, oxadiazon, indaziflam, simazine, metribuzin, pronamide, tetflupyrolimet, glyphosate, glufosinate, diquat dibromide, flumioxazin, foramsulfuron, and thiencarbazone + foramsulfuron + halosulfuron. Herbicides were applied according to label directions at preemergence (PRE), early-postemergence (EPOST), mid-postemergence (MPOST), or late postemergence (LPOST) timings during 2024-2026. In the fraise-mowed experiment, indaziflam, tetflupyrolimet, prodiamine, pronamide, simazine, and metribuzin controlled annual bluegrass 86 to 100% by 12 wk after initial treatment (WAIT) and 61 to 88% by 24 WAIT. Without fraise mowing, these herbicides resulted in ≤ 53% and ≤ 73% control 24 WAIT in 2024 and 2025, respectively. Increased efficacy may be related to a reduction in the annual bluegrass seedbank from fraise mowing as the practice reduced plant counts in non-treated check plots 75 to 88% each year. MPOST applications of diquat dibromide and flumioxazin controlled annual bluegrass 18 to 34% 6 WAIT in the fraise mowed experiment; whereas these same applications resulted in ≤ 10% control when applied to non-fraise mowed hybrid bermudagrass. MPOST applications of glyphosate and glufosinate and LPOST applications of foramsulfuron and thiencarbazone + foramsulfuron + halosulfuron performed similarly in both experiments. Restored use of residual herbicides lost due to resistance may remove barriers to adopting the practice of fraise mowing for annual bluegrass control.
We consider the down-slope propagation of a compositional inertial Boussinesq gravity current released from a lock into a linearly stratified ambient fluid. We present a novel shallow-water formulation, which takes into account the stratification, slope, entrainment and drag. The solution of the resulting hyperbolic system of equations provides clear-cut predictions of realistic physical systems and insights into the influence of the governing parameters. Comparisons with previously published experimental data show fair agreement and the reasons for the discrepancies are elucidated. Directions for further work needed for the extension (in particular to particle-driven flows) and improvement of the model are outlined.
We use new macroevolutionary rate estimates to resolve the dynamics of severe versus background extinction through the history of a major, globally distributed, Paleozoic zooplankton clade, the graptoloids. Our data span one of the “Big Five” mass extinctions, the Late Ordovician Mass Extinction (LOME), and several secondary, severe extinction events. We use cohort survivorship curves to derive both “instantaneous” rates and smoothed rates based on “natural” time-bin intervals that honor the structure of the data. We avoid the approximation of many approaches that average rate estimates within essentially arbitrary time bins.
We find that 63% of graptoloid extinctions lie within intervals classified previously as “background” extinction; only 7% lie within the LOME, and the remainder lie within the spans of 15 other secondary extinction events spread through the Ordovician and Silurian. Extinction rate magnitudes define a continuous, unimodal distribution. Background extinction in the graptoloids is not stochastically uniform but includes many more high-rate pulses than expected under a null model of uniform, memoryless extinction. Our results support the inference of pulsed extinction in the marine realm, with pulses occurring on timescales much finer than the standard age divisions of the Ordovician and Silurian periods. The LOME and secondary extinction events are not characterized by instantaneous extinction rates that are higher than so-called background. Instead, extinction events are distinguished from background by increased duration of their component, short-lived pulses of elevated extinction, and the LOME represents a protracted interval with multiple such pulses and little time for faunal recovery.
Our results are consistent with the notion that, whereas a mass or severe extinction may have an exceptional or singular initial trigger, the effects of that trigger propagate out to global-scale species loss via a complex web of processes that are common to many extinction episodes and may take significant time.
This article explores the evolution of school dress code policies in the United States as a critical lens into the workings of public education, authority, and exclusion. Focusing on metropolitan Seattle as a case study, the research traces the shift from informal appearance norms to formalized and punitive dress code enforcement from the 1950s to the present. Rather than functioning as neutral guidelines, dress codes have historically reinforced gendered, racialized, and class-based hierarchies under the guise of order and safety. By situating dress policies within broader political and social transformations—including student rights movements, the rise of zero-tolerance policies, and recent federal investigations—this article demonstrates how dress codes have become tools of gatekeeping that shape access to learning and belonging in public schools. In highlighting moments of resistance and change, this study interrogates the role of schools in regulating identity and offers a historical foundation to understand contemporary inequities in educational discipline and policy.
Prospective audit and feedback (PAF) is a core antimicrobial stewardship strategy. Discontinuing PAF in favor of alternative interventions has not been previously evaluated.
Methods:
This descriptive study assessed changes in antimicrobial days of therapy per 1,000 patient days (DOTs/1,000 PD) following PAF removal at two urban hospitals. Preintervention PAF included daily review of broad-spectrum antibiotics and oral therapy transitions. Postintervention efforts emphasized system standardization, education, guideline optimization, and electronic medical record enhancements. Secondary outcomes included trends in antibiotics previously reviewed under PAF: antibiotics targeting methicillin-resistant Staphylococcus aureus (MRSA) or Pseudomonas aeruginosa, carbapenems, and oral antibiotics.
Results:
Hospital A demonstrated a change in the trend of DOTs/1,000 PD with a significant downward slope after PAF removal (−5.994; 95% CI −8.072 to −3.929; P < .001). Hospital B continued to down-trend postintervention. At hospital A, carbapenem use decreased significantly postintervention (slope change −0.117; 95% CI −0.198 to −0.036; P = .007), with no changes in anti-MRSA or anti-pseudomonal agents. Hospital B demonstrated increasing use of anti-MRSA (slope change + 0.394; 95% CI 0.198 to 0.589; P < .001), anti-pseudomonal (slope change + 0.378; 95% CI 0.075 to 0.681; P = .016), and carbapenem agents (slope change + 0.124; 95% CI 0.020 to 0.228; P = .021). No changes were observed in oral antibiotic use or C. difficile rates.
Conclusion:
Shifting stewardship resources away from PAF did not increase total antibiotic use trends. Broad-spectrum antibiotics increased modestly with unclear clinical significance (≤1.3 DOT/1,000 PD). Antimicrobial stewardship strategies, beyond PAF, should continue to be assessed to maximize effectiveness relative to effort.