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The Adolescent Discrimination Distress Index (ADDI) is a multigroup fifteen-item self-report measure designed to capture adolescent distress arising from perceived instances of racially motivated discrimination across peer, educational, and institutional contexts. Since its publication, the ADDI has been one of the most widely adopted instruments in the study of ethnic and racial discrimination among adolescents. This chapter offers a review and critical reflection on the contributions of the ADDI over the past twenty years and the potential boundaries it imposes on the field’s understanding of discrimination and associated academic, socioemotional, and behavioral outcomes among racially and ethnically minoritized youth. It concludes with a discussion of continuing challenges and future directions for use of the ADDI that can adequately capture and help reduce the burden of discrimination facing racially and ethnically minoritized youth in the current sociopolitical landscape.
This chapter reviews the influence of discriminatory experiences on youth outcomes of Black, Indigenous, and people of color (BIPOC) with an emphasis on the family context. Studies in the review include 271 articles spanning the past twenty years. Studies include parent experiences of discrimination and youth outcomes through mediating family and other processes. Studies also include youth discriminatory experiences and youth outcomes through moderating family and other processes. The most common experiences across family context, discrimination, and BIPOC youth outcomes are presented through description and frequencies in theoretical perspectives, participant characteristics, discrimination measures assessed, and study design, across studies. The chapter closes with implications for interventions and policy suggested by the studies
Temperate glaciers, characterized by ice at the pressure-melting point and the coexistence of solid and liquid water, are generally considered unsuitable as natural archives because meltwater undermines the paleoclimatic signals they hold. Historically, ice-core studies have favored cold glaciers. However, the ongoing atmospheric warming is driving many formerly cold portions of glaciers toward temperate conditions. As such, the relevance of temperate ice as potential paleoclimate archives is increasing. Assessing its ability to record environmental signals has become a priority for ice-core science. This review synthesizes more than 70 years of research on temperate ice cores, tracing the evolution of scientific approaches from pioneering efforts in the 1950s to recent projects across the globe. The behavior of ice-core proxies—including soluble and insoluble impurities, water stable isotopes, gases, radionuclides and organic compounds—is discussed in the context of meltwater-related post-depositional processes. By compiling and comparing evidence from diverse settings, this work highlights both the challenges and the emerging opportunities for retrieving meaningful information from temperate glaciers. Understanding how climatic and chemical signals are modified, preserved or lost in rapidly transforming glaciers is essential for sustaining the role of ice-core science in a warming world.
Behavioural design processes have proliferated in recent years across a diverse set of fields including policy, product development and health. However, this diversity of perspectives also increases ambiguity regarding which (and when) processes should be enacted, which hinders research and practice across fields. This drives two research questions: (1) How are behavioural design processes currently framed, described, and enacted? and (2) How can we consistently understand commonalities and differences across behavioural design processes? In response to these questions, we adopt a critical interpretive synthesis (CIS) approach, reviewing 12 processes from academic and practitioner sources selected through purposive sampling and analysed using a theory-informed coding protocol. Through interpretive synthesis, we re-characterise behavioural design in terms of an ecosystem of distinct but complementary processes rather than its typical presentation in fixed sequences of steps. This increases behavioural design’s ability to respond to different degrees of uncertainty and dynamism in the problem and solution as well as its ability to reflect diverse assumptions about uncertainty, iteration, outcomes and practitioner capability. This research supports an important and developing interdisciplinary area by bringing design process into a design science research context through which many of these topics can be further discussed and developed.
The Article argues that Australia’s current open access framework remains structurally inadequate because it relies predominantly on soft-law policy mandates rather than enforceable statutory rights within the Copyright Act 1968 (Cth). While international jurisdictions increasingly embed open access obligations into legislative and regulatory systems, Australia continues to depend on fragmented institutional compliance and funder policies that are vulnerable to publisher contracts and inconsistent implementation. Through comparative legal analysis, the Article also examines the statutory secondary publication rights adopted in Germany and the Netherlands alongside policy-driven approaches in the United Kingdom, the United States, and Canada. It demonstrates that jurisdictions with legislative open access provisions provide greater legal certainty, author protection, and long-term sustainability than systems dependent solely on administrative mandates. Building on these international developments, the Article proposes a “Three-Phase Open Access Pathway” for Australia consisting of: (1) mandatory repository deposit of publicly funded research outputs; (2) statutory embargo limitations guaranteeing time-bound public access; and (3) mandatory open licensing through mechanisms such as Creative Commons licensing. Further, the Article situates the proposal within Australian copyright jurisprudence by examining the broader public interest and technological balancing principles reflected in cases such as University of New South Wales v Moorhouse, IceTV Pty Ltd v Nine Network Australia Pty Ltd, and Roadshow Films Pty Ltd v iiNet Ltd. Ultimately, the discussion of the Article contends that statutory reform is both legally feasible and normatively necessary to align Australian copyright law with contemporary principles of open science, transparency, public accountability, and equitable access to publicly funded knowledge.
This Element provides a broad overview of autism spectrum disorder from early childhood through adolescence. The Element reviews high-impact areas of research relevant to young children, including the shifting diagnostic conceptualizations of autism, current best practices related to screening and diagnosis, our understanding of factors that increase the likelihood of receiving an autism diagnosis, the overlap between autism and other co-occurring conditions, and related contemporary approaches to supports and interventions for young children. The discussion of these topics addresses measurement of outcomes, reproducibility, and methodological rigor. By focusing on these methodological gaps and progress, future directions for research in each of these areas is highlighted.
Strong health system governance requires effective stewardship of private actors operating within health systems and ensuring that their activities align with a government’s strategic health goals. Financialisation, defined as the expanding role of financial actors, instruments, and ideas, has been identified as a potential opportunity, but also challenge to health systems and their governance. There is a need to comprehensively understand how financialisation impacts both health systems and their governance. We initiated a critical interpretative synthesis of literature theorising financialisation of health systems or health system governance. A search was conducted to identify English-language, peer-reviewed and grey articles that (1) contains definitions or conceptual frameworks of financialisation; and (2) relates this concept to health systems or health-system governance. We found that articles defined financialisation as a transformative process characterised by the advent of private investors and financial instruments within health systems. We identified several emergent themes in the literature, such as the role of profits and competition in financialised health systems. Finally, most articles addressed potential challenges that financialisation raises for health system governance, especially accountability and transparency challenges. We conclude by considering how future research might address the remaining gaps within the literature.
The fast-moving field of data science is increasingly permeating into the health and care actuarial sciences. Given this context, the Institute and Faculty of Actuaries set out to form a “techniques in data science in health and care” working party. This working party was tasked with creating a framework for those actuaries working within the health and care domain that would assist them in determining which techniques are appropriate for a project. The framework presented here was developed through a combination of literature review and synthesis of expert opinion from experienced practitioners from diverse backgrounds. The framework offers a structured, itemised approach, serving as a checklist to ensure that all relevant analytics and decisions are considered and documented. Each itemised topic is covered by a summary providing guidance and relevant references for further reading. The checklist follows the natural workflow of a data analytics project, guiding users through each step to prevent omissions and maintain rigour in both analysis, reporting and peer-review. The framework blends relevant analytics elements from actuarial science, data science and epidemiology. We hope the framework will enhance transparency, reproducibility, and comprehensiveness in the reporting and peer-review of health and care data analytics projects.
The role of the judiciary as a check on the legislative and executive branches was believed necessary to the effectiveness of the horizontal separation of powers as a check on political factions. The nature of the judicial power was generally agreed to include the power of judicial review, but selection and tenure in office were thought to be important to limiting abuses of power.
Voluntary organizations as well as churches rely heavily on Christian volunteers, yet research on their motivation delivers conflicting answers and limited guidance. This paper applies a comprehensive (2,485 records screened) scoping review-based approach mapping 79 empirical studies (1989–2026) on Christian volunteer motivation across church and civil society projects. Using the UN Volunteers 2020 framework, we analyze (i) study designs, theoretical lenses, instruments, (ii) volunteer populations, and (iii) project settings. We identify three structural barriers to cumulative knowledge: heterogeneous and often implicit motivation concepts; an instrument–phenomenon mismatch that sidelines religious motives (notably through uncritical reliance on the Volunteer Functions Inventory); and systematic underreporting of key participant and context variables. These gaps account for much of the contradictory evidence and restrict its practical use. We outline concrete reporting and measurement standards to integrate religious motives into mainstream volunteering research and to improve evidence-informed management of Christian volunteers.
Early-onset frontotemporal dementia (EO-FTD) presents before age 65 and is frequently misdiagnosed as psychiatric or behavioural disorders, delaying care.
Objective
This scoping review synthesizes research on EO-FTD’s earliest cognitive symptoms from patients, companions (family and friends), healthcare professionals, and cognitive tests to promote early detection.
Methods
A systematic search of six databases (Medline, Embase, CINAHL, PsycInfo, Scopus, and Proquest Dissertations and Theses) identified 2197 studies of which 16 met inclusion criteria, encompassing 663 EO-FTD participants.
Findings
A total of 35 unique cognitive symptoms were identified. Memory, attention, and executive dysfunction were most frequently reported. Symptom terminology varied widely, often mirroring cognitive test phrasing, limiting clinical applicability. Many studies relied on cognitive test scores rather than detailed symptom descriptions, with patient and companion reports underrepresented.
Discussion
The findings underscore the need for standardized nomenclature, improved assessment tools, and greater inclusion of patient and companion perspectives to enhance EO-FTD early diagnosis and intervention strategies.
Bipolar disorder (BD) is associated with impairments in facial emotion recognition (FER), affecting social functioning and quality of life. Understanding FER deficits in BD is crucial for tailoring interventions and improving treatment outcomes. This systematic review and meta-analysis aims to evaluate FER differences among individuals with BD, unaffected first-degree relatives (FDRs), and healthy controls (HCs), exploring predictors related to patient and study characteristics.
Methods
We systematically searched PubMed/MEDLINE, Scopus, EMBASE, and PsycINFO databases from inception to March 28, 2024. Random-effects meta-analyses were conducted to explore differences in accuracy and reaction time during FER identification and discrimination tasks.
Results
A total of 100 studies were included, comprising 4920 individuals with BD (females = 56%, mean age = 34.1 ± 9.1), 676 FDRs (females = 55%, mean age = 36.1 ± 12), and 4909 HCs (females = 53.2%, mean age = 32.5 ± 9.5). Compared to HCs, adults with BD exhibited significantly lower accuracy (SMD = −0.47; 95% CIs = −0.56, −0.38) and higher reaction time (SMD = 0.57; 95%CIs = 0.33, 0.81) during facial emotion identification tasks. During facial emotion discrimination tasks, adults with BD had significantly lower accuracy than HCs (SMD = −0.59; 95%CIs = −0.78, −0.4), but similar speed. No significant differences were observed between BD and FDRs. Meta-regressions identified several predictors of FER performance, including manic symptom severity, stimulus duration, and presence of practice before task.
Conclusions
FER deficits appear to be a core feature of BD and require specialized, systematic assessment. Identifying these deficits may help guide interventions aimed at improving affective cognition and social outcomes in individuals with BD.
Documentary linguistics is new and distinctive enough that some linguists and other participants in academic reviews may be uncertain about how to assess its outputs. We recommend specific strategies for assessing documentary linguistic scholarship in academic review contexts, based on a brief description of the field for the benefit of colleagues in other areas.
Publication in peer-reviewed journals is of major importance to careers in academia. It has become clear that a considerable gender gap exists in political science journal publishing and a debate on how to confront this gap has got under way. This article examines the gender distribution in publishing (1978–2021), submissions and reviewing (2015 to end of 2020) for West European Politics. We identify a gender gap in publishing, but find a more pronounced gap when it comes to submissions. Over time, there are notable changes in authorship categories. In terms of the review process, we have not found a gender gap in desk-rejects or in the double blind peer review process. However, there is a considerable gender gap in review invitations sent out. In addition, female scholars are somewhat less likely to accept invitations to review than their male colleagues. These observations are in-line with the findings of other political science journals. They underline the need for the discipline to confront, in particular, imbalances in submissions and to identify the reasons behind them, as key means to reduce gender gaps in academia.
Hypertension (HTN) is the primary cause of preventable cardiovascular-related deaths globally, representing the most important modifiable risk factor for preventing such deaths. Nearly 700 million of the 1.3 billion adults with HTN worldwide remain untreated, most of whom live in low-and middle-income countries, including East Africa. Barriers to the diagnosis of HTN also impact treatment adherence after diagnosis and the initiation of treatment. This scoping review used a qualitative synthesis method to describe studies examining the cultural and contextual factors influencing HTN treatment adherence in East Africa and the lived experiences of patients with HTN to gain a better understanding of these factors in the region. A total of 34 studies, 25 qualitative and 9 mixed-methods designs from five East African nations were included in the final review. Reported influencing factors are classified into individual, structural, and social factors. Lack of HTN literacy and limited risk perception were often cited as individual barriers to adherence, along with mental health challenges, including fear of stigma, while trust and HTN literacy enhanced adherence. Inconsistent healthcare delivery, lack of access, and financial constraints were the most reported structural factors. Social norms surrounding health behaviours and attitudes towards HTN treatment were identified as key determinants of adherence at the social level. The findings underscore the complex interplay of individual, structural, and social factors associated with HTN treatment adherence in East Africa, offering practical ways to enhance adherence in the region at all three levels.
To map the scope, methods and focus areas of qualitative research in paediatric otolaryngology.
Methods
A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic mapping review searched MEDLINE, Embase, CENTRAL and PsycInfo (August 2025) for qualitative or mixed-methods studies with a qualitative component related to paediatric otolaryngology. Two reviewers independently applied the inclusion criteria. Key study characteristics were extracted; no formal risk-of-bias assessment was performed, in line with the aims of a mapping review.
Results
Eighty-nine studies were included. Publications rose sharply after 2015, with nearly three-quarters from the USA, Canada and the UK. Otology (49 per cent) and laryngology (40 per cent) predominated; common topics were hearing loss, tonsillectomy and tracheostomy. Interviews, mainly semi-structured (73 per cent), were the dominant method, and caregivers were the most frequent participants (62 per cent).
Conclusions
Qualitative research in paediatric otolaryngology is growing but remains geographically and methodologically narrow. Broader stakeholder inclusion and methodological diversity are needed to deepen understanding and support patient-centred care.
This study aims to systematically identify and summarize the key characteristics of Mini-Health Technology Assessment (Mini-HTA) and assess the completeness of its basic reporting information, providing a theoretical foundation for developing future reporting guidelines..
Methods
A comprehensive search for Mini-HTAs was performed using CNKI, Wanfang Data, VIP, CBM, PubMed, Embase, Web of Science, HTA database, and major HTA-related websites from inception until February 2024. The completeness of basic information reporting in Mini-HTAs was assessed using the INAHTA checklist. The key characteristics of the included Mini-HTAs were summarized descriptively. Microsoft Excel 2019 was used to analyze and visually present the data.
Results
A total of 21 Mini-HTA reports were included, with the highest number published in 2021 (5 reports, 23.8 percent). China contributed the most reports (18 reports, 85.7 percent). The most common assessment purpose was technology comparison (15 reports, 71.4 percent), with general hospitals being the predominant assessment setting (17 reports, 80.9 percent), and drugs being the most frequently assessed technology type (14 reports, 66.7 percent). The INAHTA checklist evaluation identified notable deficiencies in reporting key methodological aspects, including participant roles, conflict of interest statements, data sources, literature search strategies, and methods for data assessment and analysis.
Conclusion
Mini-HTAs have significantly increased in China since 2020, mainly in technology comparison, drug evaluation, and general hospitals. However, gaps remain in reporting key aspects, such as participant roles, conflict of interest, and data sources. Future efforts should focus on refining reporting guidelines to improve consistency and address these reporting deficiencies in Mini-HTA.
The innocence of childhood does not protect against exposure to stress. More than half of US children are exposed to adverse experiences, such as abuse, neglect, witnessing domestic violence, parental psychopathology, or divorce, and all children encounter normative stressors like school transitions and challenges with peers. This Element discusses research on stress psychobiology during childhood, from birth to age ten. The Element focuses on important contexts that shape children's responses to stress and their coping capacities, including the family system, peers, schools, neighborhoods, the broader culture, as well as clinical settings. Sources of stress and resilience in each context are described.
Preparation for mass casualty incidents (MCIs) requires knowledge of the number of victims to be treated on site and transferred to hospitals. The objective was to collect this information for MCIs with hospital admissions in Europe over the last 30 years.
Method
This was a scoping review of MCIs with hospital admissions in Europe between 1991 and 2023. The study was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines with PubMed, the Web of Science, Industrial and Transport Accident Reports, and two global databases on terrorism and disasters. Events with ten victims transferred to hospitals were included.
Results
In total, 2,498 documents were identified, and 82 documents covering 62 MCIs were selected. In Europe, there was a median of 73 MCI: 9 victims died on site (12%), 48 were transferred to hospitals (66%), and 13 with serious casualties (17%). MCI is divided into 7 categories: explosion, ballistic, fire, road, ram raid, railway, and industrial accident.
Conclusions
By improving our knowledge of past MCIs and their casualty figures, we can now train more realistically and be better prepared to respond to future MCIs.
To evaluate research exploring food policy, practice and provision in early childhood education and care (ECEC) settings, using the socio-ecological model (SEM).
Design:
A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) Methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews (PRISMA-ScR). Five databases were systematically searched. Eligible studies were retrieved after full-text screening. Data were extracted and synthesised based on food policy, practice and provision concepts and grouped according to SEM level. Results were presented using a narrative summary.
Results:
Twenty-four studies were included, the majority had qualitative (n 13, 54 %) or cross-sectional study designs (n 11, 46 %) and presented findings at the organisational SEM level. Nursery settings were most represented (n 16, 67 %), followed by childminders (n 5, 21 %), then preschools (n 3, 13 %). Studies were conducted in England (n 20, 83 %) and Scotland (n 2, 8 %); however, no studies were undertaken in Wales or Northern Ireland. Studies reported poor adherence to food policies in ECEC. Recommended practices were frequently adhered to; however, food provided did not consistently meet nutritional recommendations. Common barriers to implementing healthy food practices and provision were cost, staff shortages, lack of training and awareness of available guidance.
Conclusions:
This review identified a need for research that targets a range of SEM levels and is conducted in Scotland, Wales and Northern Ireland. Our findings support the need for increased governmental support for ECEC, through food standards, free meal provision for ECEC and more accessible nutrition training.