The energic economy of cyberchronotopia

As social media, virtual reality, the internet of things, artificial intelligence, mobile computing, cloud computing, virtual collaboration platforms and other new technologies become an integral part of our life, more and more of us are facing a practical issue: insufficiency of psychic energy. Approaching the cyberneticization of the human condition from the perspective of psychic energy makes for a sorely needed critical intervention. This article reveals the vampiric nature of cyberspacetime, looks into vitalistic philosophy and spiritual praxes for coping strategies, and calls for homo ludens to rise above apparatuses of capture and conserve psychic energy for negentropic endeavours, psychosomatic events and spiritual awakening. It proceeds with the assumption that news about one’s autopoiesis and becoming is the most important news. Part of the motive is to demonstrate media theory and time-tested spiritual praxes as equipment for living.

Prescription Patterns of Anti-dementia and Psychotropic Drugs in People Living With Dementia in China

Pharmacotherapy of dementia is a critical intervention for managing symptoms of and slowing progression of dementia. However, evidence on prescribing patterns of dementia medications and their associated factors in China is lacking. This study aimed to examine prescribing rates of anti-dementia and psychotropic drugs, and investigate factors associated with prescription of anti-dementia drugs and its co-prescription with psychotropic drugs in China. We used data from the Clinical Pathway for Alzheimer’s Disease in China study, an eight-week multi-center registry study that was conducted in tertiary hospitals between Nov 12, 2012, and Jan 31, 2013. Anti-dementia and psychotropic drugs were coded according to the Anatomical Therapeutic Chemical codes. Logistic regressions were performed to examine factors associated with prescription patterns after controlling for demographic and clinical characteristics of people living with dementia and caregivers’ characteristics. A total of 746 participants were included in this study, of which almost 80% of participants were prescribed anti-dementia drugs, and one-third were prescribed at least one psychotropic drug. The concomitant prescription rate of anti-dementia and psychotropic drugs was 24·3%. Logistic regression results showed that first consultation, dementia subtypes, dementia severity, functioning level, and having symptoms of psychosis and apathy were significantly associated with anti-dementia drug prescription. Frontotemporal dementia, worse functioning level, psychosis, agitation, and depression were significantly associated with co-prescription of anti-dementia and psychotropic agents. Practices of dementia prescriptions generally concurred with clinical guidelines in tertiary hospitals in China, while prescription of anti-dementia and psychotropic medications mainly depended on clinical symptoms of patients with dementia.

Challenges in Implementing Evidence-Based Dementia Care Programs in Community-Based Settings: ADS Plus

The Adult Day Service Plus Program (ADS Plus) augments the usual care provided by ADS programs by integrating education, referrals, and problem-solving strategies for family caregivers of persons with dementia. Utilizing a mixed-methods, hybrid effectiveness design, we were in the process of conducting a national evaluation of ADS Plus across xx geographically and culturally diverse programs across the U.S. when the COVID-19 pandemic resulted in the shutdown of almost all of the programs participating in ADS Plus. Qualitative and quantitative data collected during the evaluation suggested that a more robust incorporation of implementation domains and measures (e.g., organizational readiness to change) may have helped avoid some of the challenges related to staff training, fidelity, and other critical intervention delivery aspects. Incorporating implementation science frameworks and measures as early as possible in intervention design may have helped to overcome some of the challenges experienced in ADS Plus.

A Composite Index to Measure Smartness and Competitiveness of Heritage Tourism Destination and Historic Building

The key issue of this current study is related to shaping the attractiveness of heritage destinations, highlighting the significance of reuse and upgrading their historical buildings to achieve a high level of competitiveness and distinctiveness through a smart approach. Some of these cultural assets and events tend to be monotonous, and not so attractive for various categories of tourists, which negatively affects investment opportunities, tourism development, and social and economic resources. Furthermore, previous works have criticized the lack of evidence to support that the structure contains critical attributes and measurement items linked to the competitiveness of smart heritage destinations. As a result, this study aims to design and develop a composite index for evaluating these destinations and their buildings, which includes nine dimensions (attributes) and a set of key performance indicators (KPIs) of intelligent performance and competitiveness, reflecting the combination and noticing the distinct perspective between them. A mixed-methods approach was used between qualitative and quantitative methods to perform content validation on the proposed index. Furthermore, a pilot study was implemented for tourism heritage destinations to improve the quality and efficiency of the proposed index. Then, exploratory factor analysis (EFA) was used to analyze the data to develop the proposed index and measure its validity and reliability. Finally, the proposed composite index was finalized with 139 KPIs and applied to a case study (Salah El-Din Citadel). After that, we validated its utility in providing a quantitative evaluation of this heritage destination, identifying critical intervention priorities, and determining dimensions that need to be restructured. Additionally, it highlighted recommendations for future improvements to strengthen these heritage destinations to become smart heritage destinations capable of competition in the tourism sector.

Spectrum of Genetic Diseases in Tunisia: Current Situation and Main Milestones Achieved

Genetic diseases in Tunisia are a real public health problem given their chronicity and the lack of knowledge concerning their prevalence and etiology, and the high rates of consanguinity. Hence, we performed systematic reviews of the literature in order to provide a more recent spectrum of these disorders and to expose the challenges that still exist to tackle these kinds of diseases. A manual textual data mining was conducted using MeSH and PubMed databases. Collected data were classified according to the CIM-10 classification and the transmission mode. The spectrum of these diseases is estimated to be 589 entities. This suggests remarkable progress through the development of biomedical health research activities and building capacities. Sixty percent of the reported disorders are autosomal recessive, which could be explained by the high prevalence of endogamous mating. Congenital malformations (29.54%) are the major disease group, followed by metabolic diseases (22%). Sixty percent of the genetic diseases have a known molecular etiology. We also reported additional cases of comorbidity that seem to be a common phenomenon in our population. We also noticed that epidemiological data are scarce. Newborn and carrier screening was only limited to pilot projects for a few genetic diseases. Collected data are being integrated into a database under construction that will be a valuable decision-making tool. This study provides the current situation of genetic diseases in Tunisia and highlights their particularities. Early detection of the disease is important to initiate critical intervention and to reduce morbidity and mortality.

Queerly, Hopelessly, Precariously

This paper reimagines a queer politics of globalization through three contemporary Taiwanese films. Lesbian Factory (2010) and Rainbow Popcorn (2013) were made by labor activists and focused on a landmark labor protest organized by Filipina migrant workers in Taiwan. However, during the filming process, the documentaries inadvertently turn into productions about migration, workers' protests, and new forms of queer intimacy and relationality forged among people who are on the move. Thanatos, Drunk (2015) is a feature film that centers on those who are forced to move, those without mobility, and those who have failed to move even when doing so is necessary for one's survival. Whether queer or straight in the film, everyone is on a downward spiral in life due to the neoliberal restructuring of the global economy. Drawing from queer theories of negativity, affect, and relationality, this paper rethinks queerness in regard to migration by establishing connections between queers' and migrants' negative relation to space and movement. Further, it cautions against the rhetoric of occupation in the Occupy Wall Street movement. It critiques the tendency to valorize mobility, capacity, and the logic of spatial expansion embedded in that of “occupy,” as well as the same logic that underlines contemporary Chinese nationalist and triumphalist thinking dominating large parts of Chinese and Sinophone locations. Ultimately, this paper is a critical intervention from the position of geopolitical and academic marginality. It reimagines the global politics of resistance against neoliberal economic order, the resurgence of nationalism, and imperialist ambition by placing subjects of resistance on the other side of mobility, spatial expansion, hope, and capacity—where new forms of intimacy and relationality also emerge.

Development and Implementation of an Integrated Academic-Behavior Intervention

The relationship between learning disabilities and behavior disorders is well documented and has led to the development of integrated interventions that target both academic and behavior deficits in elementary students. This paper describes the rationale, development, and implementation of an integrated academic-behavior intervention called a cademic and behavior combined support ( ABC Support). The intervention was developed by integrating the critical intervention elements from two single-focus interventions (i.e., repeated reading and check-in/check-out) into a single comprehensive intervention designed to improve reading fluency for early elementary students with reading disorders while also strengthening their engagement and compliance with behavior expectations.

How to deliver an effective primary survey report for the trauma CT: A radiological and surgical perspective

Whole body contrast-enhanced multidetector CT (WB-CE MDCT) is integral to the assessment of the severely injured patient with stable haemodynamic parameters or in those who respond to resuscitation with blood products. WB-CE MDCT is able to identify the number and severity of injuries sustained by the patient and enable time critical intervention. In this narrative review article we discuss how communication within the trauma team, including the radiologists and appropriate clinicians is crucial in optimizing the effectiveness of WB-CE MDCT. We review the time critical imaging findings and their clinical relevance, which should be included in a succinct CT primary survey report. We also discuss the process through which the effectiveness of the trauma report may be maximised and how non technical factors including teamwork may be optimised to facilitate decision making in this high pressure environment.

Failing Is Not an Option, It Is the Only Option: Critical Politics as a Time of Contradiction and Failure

Questions regarding the political significance of international relations (IR) and how scholarly practice relates to/constitutes a political practice appear newly resonant, but are longstanding concerns. This article utilizes the growing literature on temporality within international politics to analyze the political potential of these intellectual interventions and generate new ways of framing scholarly practice. We observe two trends within the field. First, IR as a discipline remains largely—although not exclusively—imagined as an English-language discipline generated by scholars in the Global North. Each area's political discourse is currently dominated by fears surrounding foundational political and institutional change due to the rise of racialized authoritarianism within these self-imagined democratic societies. Despite these purportedly dramatic developments, there has not been a similarly dramatic shift in the scholarly relationship with politics. Scholars continue to successfully intervene in their collective presents, but scholarship itself remains oriented toward enduring claims that accumulate knowledge and resist the possibility of “failure.” This paper theorizes the temporality of critical intervention to better relate positively to the bodies that co-constitute our political present. Ultimately, this paper concludes by arguing for a reconsideration of contradiction and failure as frames for thinking scholarly practice in time.

Identifying critical features of type two diabetes prevention interventions: A Delphi study with key stakeholders

Aims This study aims to identify critically important features of digital type two diabetes mellitus (T2DM) prevention interventions. Methods A stakeholder mapping exercise was undertaken to identify key end-user and professional stakeholders, followed by a three-round Delphi procedure to generate and evaluate evidence statements related to the critical elements of digital T2DM prevention interventions in terms of product (intervention), price (funding models/financial cost), place (distribution/delivery channels), and promotion (target audiences). Results End-user (n = 38) and professional (n = 38) stakeholders including patients, dietitians, credentialed diabetes educators, nurses, medical doctors, research scientists, and exercise physiologists participated in the Delphi study. Fifty-two critical intervention characteristics were identified. Future interventions should address diet, physical activity, mental health (e.g. stress, diabetes-related distress), and functional health literacy, while advancing behaviour change support. Programs should be delivered digitally or used multiple delivery modes, target a range of population subgroups including children, and be based on collaborative efforts between national and local and government and non-government funded organisations. Conclusions Our findings highlight strong support for digital health to address T2DM in Australia and identify future directions for T2DM prevention interventions. The study also demonstrates the feasibility and value of stakeholder-led intervention development processes.