Mount Royal University

Aim Identify and describe nurse‐administered screening tools used in emergency departments (ED) to detect elder abuse. Design A scoping review of literature published between 1999 and 2024 was conducted following the guidance of the Joanna Briggs Institute Manual for Evidence Synthesis and a methodological framework for scoping studies. Methods Two reviewers, an academic faculty member and a senior undergraduate, conducted the screening and data extraction, aiming to identify studies using a nurse‐administered screening tool in the ED to detect elder abuse. Data Sources The final search was conducted on 24 April 2024, using the CINAHL, MEDLINE, PsycINFO, and Cochrane Review databases. Results Ten studies out of 145 met the inclusion criteria, identifying six screening tools that assist healthcare providers, such as nurses, in detecting elder abuse in EDs. The results were summarised and presented according to each screening tool. Implications for the Profession Nurses in EDs are well‐positioned to identify elder abuse due to the significant time spent observing and interacting with patients. The implementation of a screening tool can support nurses in detecting elder abuse and initiating appropriate interventions. Impact Elder abuse is a widespread public health issue projected to increase continuously with the rapidly ageing population. Incorporating nurse‐administered screening tool into EDs has demonstrated practicality and usefulness in identifying elder abuse cases. Various tools exist; however, these instruments are underutilised due to limited reliability and feasibility testing, with no definitive screening tool identified as the “gold standard” for elder abuse detection. Without formal screening, elder abuse is likely to remain undetected, leaving victims vulnerable to harmful consequences. Due to the limited testing and evaluation of a reliable ED screening tool for elder abuse, future research should focus on developing and validating a new screening tool intended specifically for use by nurses in EDs. Reporting Method The EQUATOR guidelines for PRISMA were met. Patient or Public Contribution No patient or public contributions.

Based on fieldwork with two related Afro-Brazilian religions, Umbanda and Quimbanda, this article explores the value of Donald Davidson’s semantic theory for making sense of ethnographic fieldwork. Specifically, we look at the role of scriptedness in communication, including religious ritual. We first clarify the role of social externalities in Davidson’s view of communicative interpretation, which is broader than his initial framework of radical interpretation. We then offer an account of what constitutes communicative and interpretational success, by drawing on Davidson’s account of prior and passing theory. Prior theories are interpreters’ initial hypothetical frameworks, ranging from general (e.g., the rational, intentional nature of self and other, and a shared perceivable world) to local (e.g., assumptions about cultural, social, and institutional contexts). Passing theories are tactical, on-the-fly modifications that we hypothesize in order to get mutual understanding back on track. We introduce the concept of ‘semantic reduction’ to operationalize the view that specific, local social externalities provide clues that help keep interpretation on track. In the case of religious ethnography, these include ritual, doctrinal, narrative, symbolic, material, temporal, and spatial frames that constrain the generation of passing theories. Examples from fieldwork illustrate the potential value of our appeal to Davidson’s ideas.

Prenatal alcohol exposure (PAE) is the leading known cause of birth defects and cognitive disabilities, with impacts on brain development and executive functioning. Abnormalities in structural and functional brain features are well-documented in children with PAE, but the effects of PAE on brain metabolism in children have received less attention. Levels of brain metabolites can be measured non-invasively using magnetic resonance spectroscopy (MRS). Here, we present the first study of PAE-related brain metabolite differences in early childhood (ages 3–8 years) and their associations with cognitive performance, including executive functioning (EF) and pre-reading skills. We measured metabolites in two cohorts of children with PAE and unexposed children using MRS in the anterior cingulate cortex (ACC; cohort 1) and left temporo-parietal cortex (LTP; cohort 2). Total choline (tCho), a marker of membrane/myelin metabolism, was elevated in both regions in children with PAE compared to unexposed children, and glutamate + glutamine (Glx), a marker of excitability, was elevated in the ACC. The PAE group exhibited more difficulties with EF, and higher tCho was associated with better EF in both PAE and unexposed groups. In addition, elevated Glx in the ACC was associated with poorer inhibitory control within the PAE group only. LTP metabolites were not significantly associated with pre-reading skills in PAE or unexposed groups. Together, these findings point to altered membrane metabolism and excitability in young children with PAE. These findings provide new insight to potential mechanisms by which PAE disrupts brain development and cognitive functioning in early childhood. Supplementary Information The online version contains supplementary material available at 10.1007/s11011-024-01432-6.

This article investigates the role of digitalisation in bolstering small- and medium-sized enterprises (SMEs) during crises. Drawing on data from 245 North American SMEs, we examine the impact of digital technology adoption on firm resilience. The findings reveal nuanced relationships: both the depth (Digital Depth) and scope (Digital Scope) of digitalisation exhibit curvilinear associations with resilience (Profit Outlook), suggesting optimal levels for maximum benefits. Moreover, digital depth moderates the relationship between digital scope and resilience, highlighting their interactive role in enhancing adaptive capacities. This research employs a quantitative approach to explore how SMEs can leverage digital tools for resilience. Notably, it highlights the importance of strategic digital investments tailored to industry dynamics for resilience enhancement illustrating the study underscores the practical significance of digital integration for SMEs, indicating its potential to not only restore pre-crisis performance but also foster sustainable growth in the aftermath of disruption.

This paper explores how colonialism still influences the laws and their application regarding sex trafficking and slave trade in India, tracing its developments from the British era to its present-day implications in the current anti-trafficking legislation. In colonial India, prostitution was predominantly perceived as an organised trade requiring regulation driven by concerns for the British soldiers’ well-being. The Cantonment Act of 1864 and the Contagious Diseases Act of 1868 exemplified this approach, treating sex workers as moral transgressors and subjecting them to intrusive medical examinations. The colonial influence can be discerned in India’s present anti-trafficking legislation, viz: The Immoral Traffic Prevention Act of 1956, where the legislators conflate prostitution with sex trafficking by criminalizing solicitation without distinguishing voluntary sex workers from trafficking victims, leading to the criminalization of the very individuals the law aims to protect and misidentifying voluntary sex workers as needing rehabilitation. The current anti-trafficking discourse in India oversimplifies sex work by categorizing it as either exploitation or choice, while neglecting the complex realities of labour exploitation, poverty, and gender inequality in a developing world. This stance is corroborated by research that revealed a tendency among criminal justice stakeholders to underutilise specific provisions of the 1956 Act against traffickers while disproportionately prosecuting prostitutes. We contend that this skewed emphasis on criminalisation and ambiguity regarding victims’ rights is directly linked to the colonial state’s perceptions of prostitution. Though in tune with the international efforts to eradicate modern day slavery, the 1956 Act is an imprint of a criminalizing legacy left by British colonialism in India. This paper concludes by advocating for re-evaluating the Indian anti-trafficking law and suggests a radical shift rooted in human rights principles, in which victims are at the centre of all legal and policy considerations.

Applicability of biomimetic approach with simulation of plant uptake for assessment of radiocesium availability in soil was investigated. The soil spiked with 137Cs tracer was contacted with wicking material and copper-substituted prussian blue (Cu-PB), which simulate transpirationally induced mass flow and concentration gradient-induced diffusion of radiocesiumin the soil, respectively. Comparison of the removed 137Cs to the wick and the wick + Cu-PB from the soil during the contact period of 12 weeks suggested that the diffusion process has larger contribution than the mass flow process in radiocesium dynamics in root zone. The change of the removed rate of 137Cs from the soil was reflected that its availability decreased with the time elapsing and with subjecting repeated wet-dry treatment. The results suggest that the biomimetic approach can be applicable to the realistic evaluation of the availability of radiocesium in soil.

Objectives Currently, there are no effective treatments for functional outcomes (i.e., role and social) and negative symptoms for youth at clinical high-risk (CHR) for psychosis. Investigations into possible mechanisms that may contribute to the improvement of functioning and negative symptoms are needed in CHR research to help inform psychosocial treatments. The present study examined whether functioning and negative symptoms were mediated by asocial beliefs, defeatist beliefs, self-efficacy, maladaptive schemas, anxiety, depression, social cognition, or attenuated psychotic symptoms (APS) in a large clinical trial. Methods CHR participants ( n = 203; 104 females; 99 males) were recruited as part of a three-site randomized control trial comparing group cognitive-behavioural social skills training (CBSST) versus a supportive therapy group. Mediation analyses were conducted to test the relationships between treatment group, mediators (asocial beliefs, defeatist beliefs, self-efficacy, maladaptive schemas, anxiety, depression, social cognition, and APS), and outcome (social and role functioning, and negative symptoms). The mediation analyses employed conditional process path analysis via ordinary least squares regression. Results At the end of treatment, but not 12-month follow-up, more severe APS were found to mediate the impact of treatment on negative symptoms, and social and role functioning. The greater the severity of APS, the less likely that CBSST would result in improvement in negative symptoms and social and role functioning. Many of the other variables showed significant associations with social (less for role) functioning and negative symptoms but did not mediate the effect of treatment on these outcomes at the end of treatment or 12-month follow-up. Conclusions There were no significant mediators except for APS at the end of treatment. Since more severe APS may result in participants being unable to fully participate in therapy and thus limit their gains, clinical implications may include offering some individual therapy to prepare these young people to benefit from the group treatment.

Deep Reinforcement Learning is a branch of artificial intelligence that uses artificial neural networks to model reward-based learning as it occurs in biological agents. Here we modify a Deep Reinforcement Learning approach by imposing a suppressive effect on the connections between neurons in the artificial network—simulating the effect of dendritic spine loss as observed in major depressive disorder (MDD). Surprisingly, this simulated spine loss is sufficient to induce a variety of MDD-like behaviors in the artificially intelligent agent, including anhedonia, increased temporal discounting, avoidance, and an altered exploration/exploitation balance. Furthermore, simulating alternative and longstanding reward-processing-centric conceptions of MDD (dysfunction of the dopamine system, altered reward discounting, context-dependent learning rates, increased exploration) does not produce the same range of MDD-like behaviors. These results support a conceptual model of MDD as a reduction of brain connectivity (and thus information-processing capacity) rather than an imbalance in monoamines—though the computational model suggests a possible explanation for the dysfunction of dopamine systems in MDD. Reversing the spine-loss effect in our computational MDD model can lead to rescue of rewarding behavior under some conditions. This supports the search for treatments that increase plasticity and synaptogenesis, and the model suggests some implications for their effective administration.

Objectives To 1) estimate the utilization and costs of physician and diagnostic imaging (DI) services for shoulder, knee, and low-back pain (LBP) conditions; and 2) examine determinants of the utilization and costs of these services. Methods All patients visiting a physician for shoulder, knee, or LBP conditions (identified by the ICD-9 codes) in Alberta, Canada, in fiscal year (FY) 2022/2023 were included. Interested outcomes included numbers and costs of physician visits and DI exams stratified by condition, physician specialty, DI modality, and patients’ sex and age. Multivariate regressions were used to examine determinants of the outcomes. Results In FY 2022/2023, 10.4%, 7.0%, and 6.7% of the population saw physicians for shoulder, knee, and LBP conditions, respectively. This costs Alberta $307.04 million ($67.93 per capita), of which shoulder accounted for 41%, knee 28%, and LBP 31%. In the same FY, 17,734 computed tomography (CT), 43,939 magnetic resonance imaging (MRI), 686 ultrasound (US), and 170,936 X-ray exams related to shoulder/knee/LBP conditions were ordered for these patients, costing another $29.07 million, of which CT accounted for 14%, MRI 48%, US 0%, and X-ray 37%. Female, older age, comorbidity scores, and capital zone used physician services more frequently. Patients with a higher comorbidity index scores or more physician visits were more likely being referred for CT or MRI. Conclusion Musculoskeletal conditions are common and result in patients seeking healthcare services. Visits to family physicians, specialists, and the ordering of DI contribute to extensive utilization of health services, contributing to considerable health system costs.

The belief that AI technology is on the cusp of causing a generalized social crisis became a popular one in 2023. While there was no doubt an element of hype and exaggeration to some of these accounts, they do reflect the fact that there are troubling ramifications to this technology stack. This conjunction of shared concerns about social, political, and personal futures presaged by current developments in artificial intelligence presents the academic discipline of computing with a renewed opportunity for self-examination and reconfiguration. This position paper endeavors to do so in four sections. The first explores what is at stake for computing in the narrative of an AI crisis. The second articulates possible educational responses to this crisis and advocates for a broader analytic focus on power relations. The third section presents a novel characterization of academic computing’s field of practice, one which includes not only the discipline’s usual instrumental forms of practice but reflexive practice as well. This reflexive dimension integrates both the critical and public functions of the discipline as equal intellectual partners and a necessary component of any contemporary academic field. The final section will advocate for a conceptual archetype–the Public Computer Intellectual and its less conspicuous but still essential cousin, the Almost-Public Computer Intellectual–as a way of practically imagining the expanded possibilities of academic practice in our discipline, one that provides both self-critique and an outward-facing orientation towards the public good. It will argue that the computer education research community can play a vital role in this regard. Recommendations for pedagogical change within computing to develop more reflexive capabilities are also provided.

Background Nurturing physical literacy in young children offers a unique opportunity to address global physical inactivity trend. Early childhood education and care (ECEC) environments, with their extensive reach into this age group, and early childhood educators, through their daily interactions with children, are strategically positioned to influence children’s physical literacy development. However, enhancing educators’ ability to foster physical literacy requires valid and reliable assessment tools to measure holistic physical literacy constructs (i.e., cognitive, affective, behavioral) to assess the impact of physical literacy educational interventions. Objective The purpose of this study was to develop a holistic digital tool to measure physical literacy knowledge, attitudes, self-efficacy, and behaviors of early childhood educators (PLKASB-ECE) for both their professional teaching context as well as the educator’s own personal physical literacy behaviours. Methods This study was conducted in two phases. Phase 1 involved item generation and content validation. Phase 2 employed a cross-sectional validation study design to assess the psychometric properties of the PLKASB-ECE tool. Results Based on a literature review an initial 19-item instrument was developed that subsequently underwent three rounds of expert content validation. Six additional items were added, resulting in a final 25-item self-report measure with a readability score equivalent to an 8th grade reading level (Flesch-Kincaid Grade Level: 8.7). This included 1 global rating item, 2 qualitative response items, 7 knowledge items, and 15 items addressing physical literacy attitudes, self-efficacy and behaviors using a 7-point Likert response scale. The PLKASB-ECE tool was administered to 470 educators in Alberta, Canada between 2019 to 2022. The 15 items were subjected to exploratory factor analysis and resulted in a five-factor scale with one item not loading. The five-factor scale held with the final 14 items with loadings ranging from 0.481 to 0.886, Cronbach’s alpha ranging from 0.70 to 0.82, with ordinal omega ranging from 0.72 to 0.82. Usability, as assessed by completion time, was 8.15 minutes. Conclusion These findings demonstrate good indices of reliability and validity for the PLKASB-ECE tool. This tool will be valuable as a research outcome measure for assessing educational interventions aimed at enhancing educators’ understanding, confidence, and strategies for fostering holistic concepts of physical literacy in young children within ECECs.

In the auroral E‐region strong electric fields can create an environment characterized by fast plasma drifts. These fields lead to strong Hall currents which trigger small‐scale plasma instabilities that evolve into turbulence. Radio waves transmitted by radars are scattered off of this turbulence, giving rise to the ‘radar aurora’. However, the Doppler shift from the scattered signal does not describe the F‐region plasma flow, the E×B $\mathbf{E}\times \mathbf{B}$ drift imposed by the magnetosphere. Instead, the radar aurora Doppler shift is typically limited by nonlinear processes to not exceed the local ion‐acoustic speed of the E‐region. This being stated, recent advances in radar interferometry enable the tracking of the bulk motion of the radar aurora, which can be quite different and is typically larger than the motion inferred from the Doppler shift retrieved from turbulence scatter. We argue that the bulk motion inferred from the radar aurora tracks the motion of turbulent source regions (provided by auroras). This allows us to retrieve the electric field responsible for the motion of field tubes involved in auroral particle precipitation, since the precipitating electrons must E×B $\mathbf{E}\times \mathbf{B}$ drift. Through a number of case studies, as well as a statistical analysis, we demonstrate that, as a result, the radar aurora bulk motion is closely associated with the high‐latitude convection electric field. We conclude that, while still in need of further refinement, the method of tracking structures in the radar aurora has the potential to provide reliable estimates of the ionospheric electric field that are consistent with nature.

Musculoskeletal (MSK) conditions, particularly shoulders, knees, and the low back issues, place a significant burden on individuals, society, and healthcare systems. There is a lack of attention to negative health effects impacting patients because of their interactions to access appropriate diagnostics, assessments, and treatments. This scoping review intends to search and synthesize peer-reviewed evidence on the negative health impacts associated with navigating the healthcare system for MSK care. A scoping review will be conducted following the PRISMA guidelines for Scoping Reviews and Arksey and O’Malley’s 5-step process. Six databases will be searched with no time or geographic limits. Included articles must meet all the following criteria: 1) the patients must be adults, 2) patients must be seeking care for their knee, low-back, or shoulder condition, 3) interacted with the healthcare system, and 4) experienced health impacts due to navigating the healthcare system. Information from each article will be charted in a pre-determined extraction. This protocol aims to share our methods ahead of analysis to increase rigour and transparency. The scoping review results will better elucidate the health impacts of the inaccessibility of high-quality care for MSK conditions. The findings also aim to inform the development of patient-centered outcomes to evaluate alterations to the current MSK pathways.