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The objective of this meta-analysis was to find out the prevalence of Night Eating Syndrome (NES) associated with psychological disorders among university students. Extensive search of database yielded 1541 articles matching the search keywords, out of which were 1528 were excluded due to difference in population, outcome, and study design. At the end, only 13 articles were retrieved which aligned with the inclusion criteria. Prevalence of NES associated with psychological disorders in 9432 participants was 8.2% (95% CI 4.9: 13.4) but there was high level of heterogeneity. Female university students had a higher prevalence of the disorder (7.2%) with a high degree of heterogeneity (τ2 = 0.687, I 2 = 96%, P < 0.01), as compared to male students (4.9%) with lower heterogeneity. Nevertheless, high level of clinical heterogeneity was observed in this metanalysis which mandates more real-world studies with larger samples to validate the causal relationship. [ABSTRACT FROM AUTHOR]

Background: Although there are clinical criteria for the diagnosis of Alzheimer's disease (AD) and dementia with Lewy bodies (DLB), the two conditions may sometimes be difficult to differentiate. Prior research has documented that the two conditions often have striking neuropsychological differences, and there have been a number of reports promoting the ability of simple screening tests to help the diagnostic accuracy of the clinician. These screening tests, however, have been limited in their specificity. Building upon previous research from our group and others, we now report a simple manipulation of the Mini‐Mental State Exam (MMSE) subscale scores that greatly improves the specificity of the screening test. Method: We studied all AD and DLB patients who visited our dementia clinic during an 18‐month period, including both new and follow‐up visit patients. All who had an MMSE administered to them were included. All MMSE scores were included. The first MMSE recorded for each patient was studied. Result: We studied the MMSEs from 136 AD and 24 DLB patients. The mean patient age was 77.8 ± 11.1 for AD, 78.3 ± 8.7 for DLB. Mean MMSE score was 20.0 ± 6.0 for AD, 21.8 ± 5.1 for DLB; MMSE range 1‐30 for AD, 10‐28 for DLB. Many different formulae were studied using the MMSE subscales of Memory (3 points max), Attention (5 points max), and Pentagon‐copying (1 point max) to determine which was the best to differentiate AD from DLB. The simple formula of the Pentagon score minus the Memory score (P‐M, range 1 to ‐3) provided the best discrimination between the AD and DLB patient groups. For P‐M scores = 1, the specificity of the equation to identify AD was 0.92. For P‐M scores < 0, the specificity to identify DLB was 0.85. The sensitivities for the P‐M equation were 0.43 for AD (scores = 1) and 0.46 for DLB (scores < 0). Conclusion: The simple MMSE subscale formula of Pentagon score minus Memory score (P‐M) provided good specificities to identify AD patients (0.92) and LBD patients (0.85) within our cohort of AD and DLB patients. A weakness of the P‐M equation was relatively weak sensitivity. [ABSTRACT FROM AUTHOR]

The objective was to evaluate (1) students' knowledge in a variety of geriatrics competencies, (2) students' attitudes toward the value of interprofessional practice, and (3) pharmacy students' experiences after an advanced pharmacy practice experience (APPE) in a practice-based interprofessional education (IPE) model. Nursing, pharmacy, social work, and health sciences programs who participated in the Richmond Health and Wellness Program (RHWP) interprofessional experience received pre- and post-surveys to assess changes in geriatrics knowledge. An adapted Attitude Toward Health Care Teams Scale (ATHCTS) was used to assess changes in students' attitudes toward the value of interprofessional teamwork. Finally, representative quotes were taken from APPE evaluations to illustrate the pharmacy student experience. Seventy-two out of 82 (87.8%) interprofessional students who participated in the practice-based IPE model at RHWP in the fall 2018 participated in this study. Geriatrics knowledge scores significantly increased by 4.03 (P <.001) with a significant change in some knowledge domains: frailty (P =.005) and medication knowledge (P =.017). Attitudes toward the value of interprofessional practice increased with a statistically significant difference in the ATHCTS quality of care subscale (P <.001). Pharmacy students found the interprofessional collaboration to be valuable. A practice-based IPE experience can provide many benefits to health professional students. By working as a team, students learn from each other, leading to increased knowledge on several geriatrics competencies. Students understand the importance of IPE experiences, but their attitudes become more positive through application. [ABSTRACT FROM AUTHOR]

SELF-efficacy in teachers, RURAL schools, SELF-evaluation, and CLASSROOMS

• Creativity, risk-taking and productive failure are an important part of effective teaching and learning across disciplines. • Teacher perceived self-efficacy is pivotal to the implementation of risk-taking and productive failure as part of learning in classrooms. • Teacher perceived self-efficacy needs to be supported and sustained through a whole school approach that addresses barriers to implementation. There is an emerging body of research about the importance of creative risk-taking and productive failure in classroom teaching across discipline areas. However, teachers' confidence in engaging with these pedagogical ideas in their classrooms can be inhibited by perceived barriers, such as assessment demands, expectations by administrators, and the orchestration of technologies in a meaningful way. This article reports a case study in a private school in Melbourne, Australia. Six teachers experimented with risk-taking and productive failure through digital technologies in their Year 8 classes across different discipline areas. This paper examines the beliefs of these teachers about their creative capacity to enact these pedagogical ideas with technology. Using Albert Bandura's ideas of self-efficacy beliefs, mastery experiences and self-appraisal and adaptations, this study investigates the sense of agency that teachers experienced in exploring these ideas in their classrooms. Findings indicate that teachers believed that risk-taking and productive failure are important, but they experienced internal and external barriers to implementing these ideas, especially in regard to the use of digital technologies, managing student apprehension and designing learning that includes risk-taking and productive failure. [ABSTRACT FROM AUTHOR]

CAREGIVER attitudes, SERVICES for caregivers, RESEARCH, MOTHERS, CAREGIVERS, COUNSELING, DOWN syndrome, MEDICAL care, PATIENTS, BURDEN of care, QUALITATIVE research, SOCIOECONOMIC factors, PATIENT education, PSYCHOLOGICAL adaptation, and PSYCHOLOGICAL factors

Aim and Objective: This study aimed to explore how caregivers of persons with Down syndrome (DS) believe caring had an impact on their own lives. A secondary objective was to understand their experience of seeking educational, social, and health care services for the persons with DS. Methods: This qualitative exploratory study was conducted with 21 caregivers of persons with DS in Kuwait. Results: Caregivers struggled to accept the diagnosis initially that led them to search for answers to many of their concerns about raising a person with DS. For the caregivers, who mostly comprised of mothers, dealing with health conditions that persons with DS suffered from was initially difficult. Caring for these individuals led to heavy impact upon their caregivers' own lives who took extraordinary efforts to cope with the burden. Seeking quality education for the persons with DS and participation in social activities was also challenging, and the caregivers believed that better services, facilities, and benefits for the families of persons with DS may help them better cope with the socioeconomic and psychological burden. Conclusions: Improving the availability of specialized services, the delivery of guidance and counselling, and social integration may help overcome challenges of raising a person with Down Syndrome. [ABSTRACT FROM AUTHOR]

CREATIVE ability, GATEKEEPING, and IMAGINATION

This article is an ontological investigation of the term creativity, to suggest a model that infuses key philosophical and critical perspectives. This article proposes that creativity has three modes of existence or ways of being in the world: the Visceral (embodiments), the Ideational (mind and conceptual), and the Observational (appreciation, critical, and evaluative). We view creativity synergistically as representing both the individual creative experience and output, in conceptual and embodied ways—and also what externally shapes, enhances, and constrains creative experience. Technologies, as tools to think or create with, often mediate the operation of these three modes. We discuss each mode, instantiating it in an educational exemplar, and also engage with issues of power, discourse, and gatekeeping over what is deemed to be creative in education. Our discussion examines the rhetoric around the term, as well as issues of access to technologies that afford creativity. This tri‐modal model of creativity offers an interdisciplinary framework to complement existing models for understanding creativity. [ABSTRACT FROM AUTHOR]

Despite advances in the diagnosis and management of breast cancer (BC), it is still associated with high mortality rates. New biomarkers are being developed for the diagnosis, treatment, and prediction of responses of BC. Ceramide (CER), a bioactive sphingolipid, has emerged recently as a useful diagnostic tool in several types of tumors. In this study, we evaluated CER expression in invasive BC and assessed its relation to the molecular subtypes of BC. The clinical data and histopathological slides of 50 patients with invasive ductal carcinoma were retrieved and reviewed. The cases were then stained with a mouse monoclonal anti-ceramide antibody. Pearson correlation was used to assess the correlation between CER percentage and intensity and other clinical and pathological variables. CER expression showed a direct relationship with estrogen and progesterone receptors Allred scores. However, it showed an inverse relation with tumor grade, HER2/neu status and Ki-67 index. CER expression is likely to be associated with luminal BC molecular subtypes. However, more research is needed to confirm these results and to explore its relation to the different clinical outcomes, including response to treatment and prognosis. [ABSTRACT FROM AUTHOR]

Human papillomavirus (HPV) is the most common viral infection of the reproductive tract. This cross-sectional study among female schoolteachers assessed the prevalence of i) unawareness of HPV infection's causal role in cervical cancer; ii) unawareness of HPV vaccine availability and iii) examined the sociodemographic variables associated both the outcome variables. This cross-sectional study was conducted among female schoolteachers employed in public and private sectors schools in Kuwait using a structured questionnaire for data collection. Prevalence of each of the outcome variables was computed. Multivariable logistic regression analyses were used to evaluate independent predictors of two dependent variables. A total 1341 female schoolteachers were enrolled. Of the participants, 60% were unaware of HPV causal role in cervical cancer and 88% were unaware of HPV vaccine availability. Among those who were aware of HPV vaccine availability, 83.8% were unvaccinated. Multivariable logistic regression (MLR) model showed that 20–29 years old participants or those with low family income (< 500 KD/month) were significantly (p < 0.05) more likely to be unaware of HPV causal role in cervical cancer. Moreover, participants with family/ personal history of cervical cancer were significantly (p < 0.05) less likely to be unaware of HPV role in causation of cervical cancer. A separate MLR model revealed that the participants were significantly more likely to be unaware of HPV vaccine availability if they were Kuwaiti nationals or non-Kuwaiti Arabs (p < 0.05), employed in public schools (p = 0.003) or less likely to be unaware if they had personal or family history of cervical cancer (p < 0.001). High prevalences of unawareness of causal role of HPV in cervical cancer and unawareness of HPV vaccine availability were recorded. Targeted education among identified sociodemographic groups with high levels of unawareness is warranted. If undertaken, future studies may evaluate the impact of recommended efforts. [ABSTRACT FROM AUTHOR]