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The current study aimed to estimate the percentage of US adults who disagree or do not know that addiction is a health condition and explore associations between disagreement that addiction is a health condition with indicators of beliefs about addiction treatment and intentions to support loved ones with addiction. A nationally representative sample of US adults was recruited from Gallup's probability-based panel. A total of n=5250 (out of n=12,500 invited) responded to a web-based survey including questions about beliefs about drug or alcohol addiction and treatment. Survey sample weights were applied to correct for unequal selection probability and nonresponse rates, and data were analyzed using descriptive statistics and regression. Close to one-quarter of US adults (23.0%) are estimated to either disagree or not know that addiction is a health condition. Respondents who disagreed or did not know that addiction is a health condition were less likely to believe that addiction is treatable by health care professionals (disagreed: OR=0.33, 95% CI=0.28-0.39; did not know: OR=0.28, 95% CI=0.21-0.36), early intervention for addiction is helpful (disagreed: OR=0.57, 95% CI=0.48-0.66; did not know: OR=0.40, 95% CI=0.31-0.53), or medications are effective treatments for addiction (disagreed: OR=0.47, 95% CI=0.40-0.55; did not know: OR=0.28, 95% CI=0.21-0.37). They were also less likely to indicate that they would help a loved one with addiction (disagreed: OR=0.50, 95% CI=0.40-0.63; did not know: OR=0.65, 95% CI=0.44-0.97). US adults likely have heterogenous views on addiction, and more research is needed to further understand how US adults conceptualize addiction.

Total knee arthroplasty (TKA) restores the mechanical axis of the lower extremity, which is impaired due to gonarthrosis. Foot and ankle pain observed after TKA is not uncommon, and the exact cause has not been determined. This study aims to assess the role of the movement capacity of the subtalar joint and the clinical and radiological risk factors for foot and ankle pain after TKA. This study included 184 patients who underwent TKA due to primary varus gonarthrosis. Patients were evaluated clinically and radiologically before and after surgery. Lower extremity mechanical axis, talar-tilt angle, foot ground-talar dome angle, heel alignment ratio, heel alignment angle, heel alignment distance, and postoperative changes were the radiological angles measured. The Oxford Knee Score, American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score, visual analog scale score, and ankle and subtalar joint range of motion examinations were used clinically. Patients were grouped as those whose American Orthopaedic Foot and Ankle Society scores did not worsen after surgery (group 1) and those whose scores worsened (group 2). The group 1 included 142 patients (77.2%) and group 2 included 42 patients (22.8%). The mean preoperative knee varus degree of group 1 was 11.49 ± 3.45, and that of group 2 was 14.26 ± 4.21 ( P < 0.001). The mean body mass index was 26.67 ± 2.31 for group 1 and 29.47 ± 3.14 for group 2 ( P < 0.001). Although no important difference was found between the groups in preoperative ankle motion capacity ( P = 0.086), subtalar joint motion was found to be markedly limited in group 2 ( P < 0.001). High preoperative knee varus degree and body mass index values, especially diminished preoperative subtalar joint motion capacity together with these values, are risk factors for postoperative foot and ankle pain after TKA. Level III, Retrospective comparative study.

Cél: A tanulmány célja a második generációs schengeni értékelések közel tízéves működésének, valamint a működéssel kapcsolatos közvetlen tapasztalatok feltárása és összegzése. Módszertan: Szakmai, félig strukturált interjúk, dokumentum- és tartalomelemzés. Megállapítások: A 2020-ban közzétett átfogó bizottsági jelentés stratégiai jelentőségű volt a schengeni értékelési rendszer első ötéves programjának elemzésében, amely a schengeni övezet működési hatékonyságát és koherenciáját vizsgálta. Az előző értékelési rendszer végrehajtása során jelentős hátráltató tényezők merültek fel, mint például az adminisztratív folyamatok lassúsága, a tagállamok terhelése és a szakértői felkészültség hiányosságai. Az értékelési mechanizmus eredeti célkitűzései, mint a dinamizmus és gyorsaság, nem valósultak meg teljes mértékben, amit az Európai Bizottság lassú adminisztratív folyamatai is hátráltattak. A schengeni mechanizmus megújítása megkerülhetetlenné vált 2021-től kezdődően. Érték: A tanulmány tudományos jelleggel hozzájárulhat annak megértéséhez, hogy milyen okok és folyamatok indokolták a schengeni értékelések második generációjának megreformálását.

La irrupción de la inteligencia artificial (IA) generativa ha supuesto un punto de inflexión en la industria periodística, ofreciendo tanto oportunidades como desafíos. Este estudio analiza el uso y percepción de estas herramientas en dos de los principales medios nativos digitales en España: El Español y El Confidencial. A través de entrevistas en profundidad con responsables de redacción y producto, se examinan las aplicaciones actuales de herramientas como ChatGPT, Copilot, Midjourney y Photoshop Beta, así como las implicaciones que su uso conlleva para las dinámicas profesionales y los modelos de negocio periodísticos. Los resultados revelan una integración incipiente pero significativa de la IA en tareas como la redacción de contenidos básicos, automatización de procesos visuales, transcripción y personalización de contenidos. Mientras que ambos medios coinciden en el potencial de estas tecnologías para mejorar la eficiencia y productividad, también se manifiestan diferencias según el rol profesional. Los redactores tienden a mostrar mayor cautela ante la pérdida de originalidad y la calidad editorial, mientras que desde el área de producto se valoran más las posibilidades de automatización y optimización. Asimismo, el estudio identifica preocupaciones comunes sobre la transparencia, el impacto en la audiencia y los posibles efectos sobre el empleo en las redacciones. En conclusión, se subraya la necesidad de una integración responsable de la IA, basada en principios éticos y en la supervisión humana, que permita aprovechar sus ventajas sin comprometer la integridad del periodismo.

Scaphoid fracture fixation using a single headless compression screw (HCS) may permit unacceptable rotation at the fracture site. This study aimed to assess the biomechanical stability of a single HCS construct to fix scaphoid waist fractures. (1) Does a single HCS provide rotational stability? (2) What degree of rotation is found at the central axis of a scaphoid without fixation? In eight fresh frozen cadavers, two parallel K-wires were placed in the scaphoid to mark rotation and an osteotomy was created at the scaphoid waist. To determine whether rotation was present between the proximal and distal poles, radiographs of the wrist at terminal range of motion (ROM) were reviewed for relative change in wire position. The fracture was then reduced, and an HCS was then advanced across the fracture; rotation was again evaluated. Rotation was quantified in the group without fixation using a sensor that measured angular rotation. Before screw fixation, interfragmentary rotation was found to average 22.5° during flexion/extension, 19.0° during pronation/supination, and 34.0° during radial/ulnar deviation around the central axis. The radiographs after osteotomy demonstrated rotation in all specimens. After fixation with an HCS, radiographs demonstrated relative rotation of the two halves of the scaphoid in all ROMs for all specimens, except flexion for one specimen. Internal angular tension was observed within the scaphoid, and rotation of 20° to 30° was noted around the central axis during simulated ROM mimicking nonsurgical treatment. A single HCS failed to prevent fragment-relative rotation at the fracture site.

Antecedentes: Las autopsias virtuales (AV) podran reemplazar las autopsias clnicas, en desaparicin.Los padres dan consentimiento para efectuar estos procedimientos, pero son los mdicos quienes lo solicitan.Falta investigacin sobre la cada en la tasa de autopsias y la no implementacin de AV.Objetivo: Explorar las subjetividades de mdicos lderes de unidades de neonatologa en condiciones de solicitar el consentimiento para una AV.Mtodo: Se utiliz un enfoque de entrevista de profundidad descriptiva cualitativa.Participaron por invitacin mdicos jefes de servicio que describieron sus posicionamientos frente a la prctica y al proceso de

Psychotropic polypharmacy presents a diagnostic challenge that may be further complicated by inadequate medication history and underappreciation of the cognitive effects of such polypharmacy. Here we present the case of a 57-year-old man who presented to our memory clinic with progressive cognitive decline and a prior neuropsychological evaluation supporting the diagnosis of a neurodegenerative disorder. He was taking multiple psychotropic medications at the time, but the exact dosages were unclear due to a lack of collateral history. He was also taking prescribed opioids and a combination of buprenorphine and naloxone for pain relief, again with unclear dosages at the time of presentation. Brain imaging and cerebrospinal spinal fluid biomarker testing were negative for Alzheimer pathophysiologic processes. Months later, the patient was taken to the emergency room after an overdose caused by overuse of opioid medications. Once he was taken off all psychoactive medications, the patient's cognitive impairment completely reversed, and he became independent in activities of daily living. Psychotropic polypharmacy can have a myriad of cognitive manifestations which need to be better recognized by clinicians. Deprescription of such medications should be attempted whenever clinically appropriate.

Tihana Petrović Leš,Mjesta sjećanja: Sveti Rok i LovinacZagreb, Srednja Europa, 2022.

SummaryIn this talk, we will introduce FTP-Europlanet gUG, a not-for-profit organization established in Germany to support educational initiatives related to astronomy and planetary science. We will share experiences with setting up the company, describe current activities and give an update on future plans.BackgroundFTP-Europlanet is a &amp;#8220;gemeinn&amp;#252;tzige Unternehmergesellschaft&amp;#8221; (gUG), a non-profit entrepreneurial company founded with the aim of promoting scientific research and education, with a focus on astronomy.The charitable aims of the company are to support:The promotion of astronomy, planetary science and space exploration across Europe; The promotion of the educational and outreach activities of the Faulkes Telescope Project and Europlanet; Teacher training and continuous professional development for STEM educators; Innovative delivery of STEM subjects in schools through astronomy and planetary sciences; Public engagement and outreach in astronomy and planetary sciences; Development of research and education projects using robotic astronomy; Promotion of diverse, inclusive education in a sustainable way; The provision of media services to the astronomy and space community and press office support; Engagement with amateur astronomers. Incorporated in December 2020, FTP-Europlanet gUG grew out of a collaboration between Dr. Lothar Kurtze, an astronomy educator, alongside the Faulkes Telescope Project, a programme of the Dill Faulkes Educational Trust Ltd that offers schools free access to telescopes in the Las Cumbres Observatory global telescope network, and Europlanet&amp;#8217;s outreach programme.Current activitiesFTP-Europlanet gUG is currently involved in two Erasmus+ projects:Clic-PoliT (Climate Action and Light Pollution Threat), led by Black Rock Observatory (Ireland), which runs from November 2021-October 2024. The project is working with upper primary and secondary schools to develop strategies to address energy consumption and light pollution and debate them with policymakers in a Students&amp;#8217; Parliament. StAnD (StudenTs As plaNetary Defenders), led by INAF (Italy), which runs from September 2023 &amp;#8211; August 2026). StAnD is an ambitious space science education project to involve school children in the search for asteroids and meteorites. In addition, FTP-Europlanet gUG is currently involved in:Teacher training and creation of teaching materials in support of the Faulkes Telescope Project; Creation of materials for astronomy education and on-site technical support for organisations in Salzburg, including the VEGA Observatory, Haus der Natur and the Choros Concept GmbH; Astronomy-themed workshops in collaboration with the shipping company, Oceanwide Expeditions; Teacher training at the House of Astronomy in Heidelberg; Development and testing of observation programs together with schools in the Weinheim, Lampertheim, M&amp;#252;nster, Salzburg and at other locations in Germany and Austria; Astronomical imagery for the project TerraVisaMusica. The company also has a close relationship with the Haus der Astronomie in Heidelberg.Future PlansThrough participation in Erasmus+ programmes, FTP-Europlanet has established a number of close collaborations with organisations involved in providing astronomy education across Europe. Collaborations with institutions like NUCLIO in Portugal, Ellinogermaniki Agogi in Greece, INAF in Turin, Italy, and BCO in Ireland exemplify our commitment to broadening educational outreach. Currently, the company is actively part of consortia that have submitted three further Erasmus+ bids, and along with partners, will continue to seek funding, expand resources and opportunities to develop astronomy and planetary-related resources and training for educators across Europe.In the long-term, FTP-Europlanet gUG will also support sustainability for outreach, education and media resources built up through the Europlanet 2024 Research Infrastructure (RI) project (and previous EU investment) by providing a sustainable platform for Europlanet to participate in future funding calls, such as Horizon Europe, and providing training services for the community.Europlanet 2024 RI has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 871149.